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Teague,Charles_2022-Org-disclosureDisclosure Report Cover pe Ye en` ® No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not use this fnrm to imitate information_ 11 Committee Information a. Full Name c. ID Number l t)MMi44'C E- 0 Elee-+ (?%%lGK ile0. Ke_ -ter C.lerK h. Mailing Address (include City, State and Zip Code) d. Date Filed 92,% &on\eron C+• 3 (2 ,2022 nl\ 0 y\r b e MC- a g I tZ e. Phone Number _ 111 -70q-,z a I - 0$39 2. Report Year 3. Period Start Date tmr ddtvs} 4. Period End Date (mm/ddJyy) 15. Treasurer Full Name A011 1- o11.AgI2022- I I 5'tllitOwew\5'5r;+.K\ey 6. Type of Committee (Check One) 9 Type of Report_(check only one type of report front one category)., _ ® Candidate Campaign ❑ Party Municipal StatetCounty Referendum ❑ PAC ❑ Referendum ❑ Organizational WOrganizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser n Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund Pre-primary ❑ First ❑ Final ❑ Pre<lection ❑ Pre -runoff Semi-annual ❑ Second ❑ Third ❑ Fourth ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (if applicable, check tare) . ❑ Booster Fund ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End ❑ Mid Year 10. Special Report Name' ❑ Other: ❑ Final ❑ Special ❑ Year End ❑ Final 8. Number of Fundraisers this Report �"- ❑ special 11. Account Information IL Account Information - a. Financial Institution Full Name a. Financial Institution Full Name F;rs+C; 4-t'2er s $err. K b. Purpose c. Account Code b. Purpose c. Account Code 11 t. �1 Cr�hecKcn*, RcCoti goo —roY C_O rv\[v\144Ce d. Period Begin Balance d. Period Begin Balance _ _- $Ito0.00 $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M of Chapter 1 (0, of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that this report is complete, true and correct and that I have been trained by the NC State Board of Elections. 11u I e, Ota e os IF L_r i fik Ir 3 /2/zazz Printed Name of Signer jinature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: Z 2Z Employee: Delivery Method -F�o mal Mail Date Postmarked: Employee: ❑Registered Mail ad Delivered Date Scanned: Employee: ❑Electronically Filed ❑ Signer has not received Date Data Entered: Employee: mandatory training Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, assistant treasurer, custodian of books information, or account information. You must amend the Statement of Organization (CRO-210OA-E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 J ry +NCE 2022 '/FC Amendtcent Detailed Summary ❑ Yes ® No I ice this form to summarize all disclosure rennninu fntms and to total monetary information 1. Committee Full Nam (and Fund if applicable) 2. Type of Repoirt _ r & t tf ee o K} ftUekea f0( Qrj0n'l.10 116na � Start of Election Cycle: January 1, Zu1N lerK Total this Reportin Period Total this Election Cycle 4) Cash on Hand at Start $ Q $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -12115) 6) Contributions from Individuals (CRO -1210) 7) Contributions from Political Party Committees (CRO -1220) 8) Contributions from Other Political Committees (CRO -1230) 9) Loan Proceeds (CRO -1410) 10) Refunds/Reimbursements to the Committee (CRO -1240) I) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) 11b) Contributions from Not -For -Profit Organizations (CRO -1250) Ile) Outside Sources of Income (CRO -1250) 11 ell Legal Expense Fund - Other Sources (CRO -1270) Ile) Exempt Purchase Price Sales (CRO -1265) $ $ $ 15 4.60' $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5,6,7,8,9,10,11a,Ilb,lIc,lldand lle) $ 163E1{ v6 I $ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Political Committees (CRO -1310) 13c) Coordinated Party Expenditures (CRO -1310) 14) Aggregated Non -Media Expenditures (CRO -1315) 15) Loan Repayments (CRO -1420) 16) Refunds/Reimbursements from the Committee (CRO -1320) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ $ $ 13-7y- $ - $ 18) TOTAL EXPENDITURES (Add fines 13a, 13b, 13c. 14.15, 16 and 17) $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 $ p • 00 $ ADDITIONAL INFORMATION 0) Non -Monetary Gifts Given to Other Committees (CRO -1330) 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) 2) Debts and Obligations owed by the Committee (CRO.1610) 3) Debts and Obligations owed to the Committee (CRO -1620) 4) Account Transfers Within the Committee (CRO -1720) 5) Administrative Support (CRO -1210) 6) Forgiven Loans (CRO -1440) 7) 48 -Hour Notice Reports Sum (CRO -2220) $ $ $ $ $ $ $ �i $ $ $ $ 8) Contributions to be Refunded (CRO -1213) $ $ CRO -1100 NC State Board of Elections August 2009 Amendment Contributions from Individuals Pg or ❑ Ye, ® No Use this form to report individual contributions over $50 of contributions under $50 If form CRO 1205 i, not used I 1pi aitfe WINE -Ns r(>ti id`.k�uti'if applicable) �01nty)i-f-cit 'leafL'i k lea t �'�- ler- 2. ED Number 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) eharles(Ma(.k) Tegj(je 928 &^e-fo n eotxc1 f'honroe, NG 18112 b. Job Title/Profession As5i ale(ko�Cdurt d. Comments c. Employer's Name/SpeciDcField Clerk a - Cowl t e. Election Sum to Date $ .Prior ❑ g. Account Code h. Form o[Payment t. In -Kind Description -- . Date (mm/dd/yyyy) k Amount —1(�• L�QS ❑ ► ;' I Few 1 z y/zoz-'_— 13 7 4, o o ❑ $ 3. Contributor Information ❑ Add ❑ RemoV ` 1WTWM "I a. Full Name, Mailing Address & Phone (include city, state, & zip) h. Job Title/Profession d. Comments c. Employer's Name/Specific Field e. Election Sum to Date I'. Prior ❑ g. Account Code h. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) k Amount $ ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tide/Profession d. Comments L. Employer's Name/Spedflc Field e. Election Sum to Date $ f. Prior ❑ g. Account Code h. Form of Payment 1. In -Kind Description_ _Date (mm/ddlyyyy) k Amount G $ J ❑ $ . ❑ $ 4. Total only this Page $ 5. Total of ALL CRO -1210 Pages $ (This line must be on line 6 of Detailed Summary Page CRO -1100) CRO -1210 NC Siam B,o� t of Glcciions April 2007 wJ In -Kind Contributions Amendmen=13N, Pg _ Of _ ❑ Yes Q no Use this form to report non -monetary contributions, donations, goods or services provided to the committee m fund. Use CRO -1215 if In -Kind Contributions were or will be refunded within 7 days. 1. Committee Full Name (and Fund if applicable) 2. ID Number ' ) Mini Itee 10 E )eef Chuck %a uc foc L'Ierk r.,�❑ Add ❑ Remove a. Full Name, Mailing Address & Phone b. Type of Contributor c. Comments (include city, state, & zip) ❑ Individual Cnarks (U) ll�ck) Ti°a9 ue 13 Candidate 928 tl)meran dourt ❑ PAC d. Election Sum to Date ,yi" �/ I L /I cunpe, /'�L ❑ Referendum ❑ Other Receipt Some $ . Description E Date (mmlddlyyyy) oz zy 2ozz g. Fair Market Amount $ q .60 /;1 fee— $ $ 3. Contributor Information ❑ Add ❑ Remo: e a. Full Name, Mailing Address & Phone b. "I ype of Contributor c. Comments (include city, state, & zip) [3Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum d. Election Stun to Date ❑ Other Receipt Source $ e. Description L Date (mnJddlyyyy) g. Fair Market Amount S 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone b. Type of Contributor c Comments (include city, state, &zip) ❑ Individual ❑ Candidate ❑ Ply ❑ PAC ❑ Referendum it. Election Sum to Don' ❑ Other Receipt Source $ . Description L Date (mm/ddlyyyy) g. Fair Market Amount 4. Total only this Page $ 13 q L4. d a 5. Total of ALL CRO -1510 Pages $ (This line must he on line 17 of Derailed Summary Page CRO -I100) CRO -1510 NC State Board of Elections December 2007