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Thomas,Jonathon,2022-2nd-qtrAmendment Disclosure Report Cover I ❑ Yea ❑ No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not use this form to update information 1. Committee Information a. Full Name c. ID Number Thomas for Union County JRT72221 b. Mailing Address (include City, State and Zip Code) d. Date Fled 2001 Belle Forest Court 07/08/0222 Waxhaw NC 28173 e. Phone Number 704-7714940 2. Report Year P 3. Period Start Date (mm/dd/yy) 4. Period End Date mm/d 5. Treasurer Full Name 2022 01/01/2022 06/30/2022 Patrick Harrison 6. Type of Committee Check One) 9. Type of Report check onl one type o re orl om one category) ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ PAC ❑ Referendum Independent ❑ Joint Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly ❑ Pre -referendum Legal Expense Fond ❑ Pre-primary ❑ Pre-election ❑ First ® Second ❑ Final ❑ Supplemental Final 7. Type of Fund (fapplicable. check one) ❑ "Booster Fund' ❑ Building Fund ❑ Pre-nmoff Semi-annual ❑ Third ❑ Fourth ❑ Annual ❑ Special ❑ Mid Year Semi-annual ❑ Other: ❑ Year End ❑ Mid Year 10. Special Report Name ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special S. Number of Fundraisers this Report 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name BB&T/Truist b. Purpose c. Account Code b. Purpose c.Account Code Checking 1T.22 CAMPAIGN FINANC JUL { 1 1 2022 it. Period Begin Balance d. Period Begin Balance $ 1308.63 RPCFIVFF)$ CERTIFICATION 1 certify that the Committee or Fund is in compliance with all applicable v ions of Article 22A, 22B, & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are commingled with pro ' ite other(a(n-disclosed ds. I further certify that this report is complete, true and correct and that I have been trained by the N e 01 Patrick Harrison 07/08/2022 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ N al Mail Date Postmarked: Employee: ❑ egistered Mail Hand Delivered Date Scanned: Employee: El 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 -2100A -E to make committee changes. CRO -1000 NC State Board of Elections August 2 W a Amendment Detailed Summary ❑ Yes ❑ No I Iae this fnrm to snmmsrize all disclosure renortine forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. T e of Report 3. ID Number Thomas for Union county 2 Quarter JRT72221 Start of Election Cycle: January1, 2022 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ 1308.63 $ 892.46 5) 6) 7) 8) 9) 10) 11) TS Aggregated Contributions from Individuals Contributions from Individuals Contributions from Political Party Committees Contributions from Other Political Committees Loan Proceeds Refunds/Reimbursements To the Committee Other Receipt Sources Ila) Interest on Bank Accounts llb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income lid) Legal Expense Fund — Other Sources Il e) Exempt Purchase Price Sales (CRO -1205) (CRO -1110) (CRO -1220) (CRO -1230) (CRO -14/0) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1170) (CRO -1265) $ $ $ 1425.00 $ 3950.00 $ $ $ $ 1064.06 $ $ $ 6.00 $ $ $ $ $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5.6. 7.8. 9. 10, Ila. 11b. Ile, IIdand Ile) IS $ 1431.00 1847.17 $ 5014.06 $ 3705.43 EXPENDITURES 13) 14) 15) 16) 17) Disbursements 13a) Operating Expenditures 13b) Contributions to Candidates/Political Committees 13c) Coordinated Party Expenditures Aggregated Non -Media Expenditures Loan Repayments Refunds/Reimbursements From the Committee In -Kind Contributions (CRO -1310) (CRO -1310) (CRO -1310) (CR0-1315) (CRO -1420) (CRO -1320) (CRO -1510) $ $ $ $ $ $ $ $ $ $ $ $ 1S) TOTAL EXPENDITURES (Add lines 13a, 13b, 13e, 14, 15, 16 and 17) $ 1847.17 $ 19) Cash on Hand at End (Add liner 4 and 12 together, then subtract line 18) $ $ 892.46 $ ADDITIAW 20) 21) 22) 23) 24) 25) 26) 27) 28) Non -Monetary Gifts Given to Other Committees Outstanding Loans (incl. ones from other campaigns) Debts and Obligations owed By the Committee Debts and Obligations owed To the Committee Account Transfers Within the Committee Administrative Support Forgiven Loans 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1670) (CRO -1620) (CRO -1720) (CRO -1710) (CRO -1440) (CRO -2220) (CRO -1215) $ $ $ $ $ $ $ CAM AGN FINANCE $ $ $ $ CRO -1100 NC State Board of Elections rl C U G 1 V E kkust 2008 Amendment Contributions from Individuals Pg I or 4 ❑ Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) 72m Number Thomas for Union County JRT72221 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tide/Profession d. Comments Unemployed Dolly Morley 200 Chaucer Ln Matthews NC 28104 c. Employer's Name/Specific Field e. Election Sum to Date $ 200.00 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ JT22 CreditCard 05/02/2022 $ 200.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Unemployed Krystyn Smith 9113 Arnsberg Drive Waxhaw NC 28173 c. Employer's NamelSpecific Field e. Election Sum to Date $ 25.00 E Prior g. Account Code It. Form of Payment I. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ JT22 CreditCard 05/02/2022 $ 25.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Unemployed Ankur Shah 1001 Cherry Lane Waxhaw NC 28173 c. Employer's Name/Specific Field e. Election Sum to Date $ 100.00 E Prior g. Account Code It. Form of Payment L Io -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ JT22 CreditCard 05/02/2022 $ 100.00 ❑ $ ❑ UNIO CbUNTY 4. Total only this Page CA,LAPAIGN325.00 5. Total of ALL CRO -1210 Pages (This line must be on Hire 6 ojDeladed Summary Page CRO -1100) $JUL ' in7i 1425.00 CRO -1210 NC State Board of Elections L April 2007 Amendment Contributions from Individuals Pg , of a ❑ Yes ❑ 'Nn I Ise this form to renort individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) 2. ID Number Thomas for Union County JRT72221 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Director Operational Veronica Helms 3516 CedarrBend Ln Matthews NC 28104 c. Employer's Name/Spedfic Field e. Election Sum to Date $ 100.00 f. Prior g. Account Code h. Form of Payment i. In -find Description j. Date (mm/dd/yyyy) L Amount ❑ JT22 CreditCard 05/04/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments e. Election Sum to Date $ 100.00 J Keith Walters 205 Charles $t. Monroe NC 281112 c. Employer's Name/Specific Field Zuffenhaus Euro Werks E Prior g. Account Code h. Form of Payment i. Io -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ 1T22 CreditCard 05/04/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Unemployed Angela Chu 3007 McCollumOak Ln Unionville NC 28110 c. Employer's Name/Specific Field e. Election Sum to Date $ 100.00 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ JT22 CreditCard 05/04/2022 $ 100.00 ❑ $ ❑ -- I INION CC Ay 4. Total only this Page C MPA�GN FINANCE 300.00 5. Total of ALL CRO -1210 Pages (This line must he on line 5 of Detailed Summary Page CRO -1100) JUIN 2022 14.25.00 CRO -1210 NC State Board of Elections REU LIVEU Ap°12007 Amendment Contributions from Individuals Pg z of a ❑ Yes ❑ No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund ifs licable _72-1-5 Number Thomas for Union County JRT72221 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Job Title/Profession d. Comments Physician/Director Sandeep Patel 1205 Thistledown CT Matthews NC 28014 c. Employer's Name/Specific Field e. Election Sum to Date $ 200.00 L Prior g. Account Code It. Form of Payment L In -Kind Description I. Date (mm/dd/yyyy) It. Amount ❑ 1T22 CreditCard 05/0/22022 $ 200.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Job Title/Profession d. Comments Mediacal Device Sales Meredith McIntyre 304 Castlestone Ln Matthews NC 28104 c. Employer's Name/Specific Field e. Election Sam to Date $ 100.00 L Prior g. Account Code b. Form of Payment L In -Kind Description I. Date (mm/dd/yyyy) K Amount ❑ 1T22 CreditCard 05/02/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Job Title/Profession d. Comments e. Election Sum to Date $ 100.00 Katharine Ryan 5001 Scaleybark Ct Indian Trail NC 28079 c. Employer's Name/Specific Field L Prior g. Account Code b. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ 1T22 CreditCard 05/02/2022 $ 100.00 ❑ $ ❑ $ 4. Total only this Page — Ty - 400.00 5. Total of ALL CRO -1210 PagesCA P $ ta2s.00AIGN FINANCE (This fine maxi be on fine 6 of Detailed Sumnmry Page CRO -1100) CRO -1210 NC Statc Board of Flections jv� cv« Apti12007 RECEIVED Amendment Contributions from Individuals Pg 3 of 4 ❑ ves ❑ Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if applicable) 2. ID Number Thomas for Union County JRT72221 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & rip) b. Job Title/Profession d. Comments Physician Kathryn Shaw 9824 Saddle Ave Waxhaw NC 28173 c. Employer's Name/Specific Field e. Election Sum to Date $ 100.00 L Prior g. Account Code h. Form of Payment I. to -Kind Description j. Date (mm/ddlyyyy) h. Amount ❑ JT22 CreditCard 05/04/2022 $ 100.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Unemployed Stephanie Kataffa 1907 Crest Gate Dr Waxhaw NC 28173 c. Employer's Name/Specific Field e. Election Sum to Date $ 50.00 L Prior g. Account Code b. Form of Payment i. In -Kind Description j. Date(mm/dd/yyyy) Is. Amount ❑ JT22 CreditCard 05/04/2022 $ 50.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Titie/Profession d. Comments Physician Ankita Modi 124 OrchardHill Ct WaxhawNC 28173 c. Employer's Name/Specific Field e. Election Sum to Date $ 250.00 L Prior g. Account Code h. Form of Payment I. In -Kind Description j. Date (mm/ddlyyyy) K Amount ❑ JT22 CreditCard 05/04/2022 $ 250.00 ❑ $ ❑ $ 4. Total only this Page UNION C%LINTY 400.00 5. Total of ALL CRO -1210 Pages (This line must be on Line 6 of Detailed SummanPage CRO -1100)2022 JULf 18" HNAP�eE " 1425.00 CRO -1210 NC' State Board of Elections RECEIVED April 2007 %mendment Disbursements Pg ¢ of ¢ ❑ Yes ❑ No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political ..d ...d i.. arnd mt. , a enditurLs 1.omminces Committee Full Name and Fund if applicable) licable 2. m Number i Thomas for Union County JRT72221 3. Type of Disbursement Please use separate CRO -1310 forms for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zi b. Coordinated Committee Name d. Comments Paypal San Jose California 888-221-1161 e. Level Registered (Specify) ❑ Fedeml ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 16.35 L Account Code g. Form of Payment h. Purpose Code L Date (mm/ddlyyyy) j. Amount it. Required Remarks J722 Electronic O 05/04/2022 $11.47 Paypal Fee JT22 Electronic O 05/042022 $4.88 Paypal Fee 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) It. Coordinated Committee Name d. Comments Paypay San Jose Cailforrtia 888-221-1161 c. level Registered (specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 9.76 E Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks JT22 Electronic O 05/042022 $4.88 Paypal Fee JT22 Electronic O 05//04/2022 $4,88 Paypal Fee 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & A It. Coordinated Committee Name d. Comments N RNA JUL 1 1202 F Paypal San Jose California 888-221-1161 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: c. Election Sum to Date $ 7.57 E Account Code g. Form of Payment h. Purpose Code L Date (mm/ddlyyyy) j. Amount k. Required Remarks JT22 Electronic O 05/042022/ $4.88 Paypal Fee JT22 Electronic 0 05/042022 $2.69 Paypal Fee 5. Total only this Pae $ 33.68 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Fxpenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidales/Political Conant) (This line goes in line Be of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 1847.17 7. Purpose Codes(List detailed expenditure code in above A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses 1 - Postage J - Penalties K* - Office Expenses Q* - Donation to legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 y ICE w Amendment Disbursements Pg 6 of 6 ❑ Yes ❑ No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political .,d .. ..rdl..mod ..nm, a ndin rtrc 1. Committee Full Name and Fund if applicable 2. ID Number Thomas for Union County JRT72221 3. Type of Disbursement Please use separate CRO -1310 forms for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & ti b. Coordinated Committee Name d. Comments Paypal San Jose California 888-221-1161 c. L cl Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 14.15 E Account Code g. Form of Payment h. Purpose Code i. Date (mmldd/yyyy) j. Amomt Is. Required Remarks JT22 Electronic O 05/02/2022 $4.88 Paypal Fee JT22 Electronic O 05/022022 $9.27 Paypal Fee 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city,state, & ri b. Coordinated Committee Name d. Comments Paypal San Jose California 888-221-1161 e. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: c. Election Sum to Date $ 10.86 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks JT22 Electronic O 05/022022 $9,27 Paypal Fee JT22 Electronic O 05/02/2022 $1.59 PaypalFee 4. Payee Information F1 Add ❑ Remove a. Full Name, Mailing Address & Phone include city, stateg &zi b. Coordinated Committee Name it. Comments CAMPAIGN FINANCE JUL 1 2022 PayPal San Jose California 888-21-1161 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Electio $ 9/76 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/ddlyyyy) j. Amount L Required Remarks JT22 Electronic O 05/022022 $4.88 PayPal Fee JT22 Electronic O 05/022022 $4.88 PayPay Fee 5. Total only this Pae $ 34.77 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed summap' Page CRO -1100 riOPemfing Expenses) (This line goes in line 136 of Detailed SummaryPage CRO- 1100 ijConfrlb !o Curtdidates/Polihca/ Camm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Parry Expenditures) $ 1847.17 7. Purpose Codes(List detailed expenditure code in above A* - Media B* - Printing C* - Fundraising D - To Mother Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg 3 of 6 ❑ Yes ❑ No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political 1V11no Cesar. uuu.uuu...v u.• v.. v.... .e ... 1. Committee Full Name and Fund if applicable) 2. ED Number Thomas for Union County JRT7221 3. Type of Disbursement Please use separate CRO -1310 form for each type of Disbursement. ® operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Add Lj Remove a. Full Name, Mailing Address & Phone include city, state, & ti b. Coordinated Committee Name d. Comments _ Meta Platforms Inc. 1601 Willow Road Menlo Park Ca 94025-1452 c. Le el Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 125.00 E Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount It. Required Remarks JT22 Electronic A 05/02/2022 $50.00 Facebook Ad JT22 Electronic A 05/02/2022 $75.00 Facebook Ad 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include cityp smM & ri b. Coordinated Committee Name d. Comments Meta Platforms Inc. 1601 Willow Road Menlo Park Ca 94025-1452 c. Lever Registered (Specify) ❑ Fede al ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 200.00 L Account Code g. Form of Payment h. Purpose Code 1. Date (mm/dd/yyyy) j. Amount Is. Required Remarks JT22 Electronic A 05/02/2022 $75.00 Facebook Ad JT22 Electronic A 05/03/2022 $125.00 Facebook Ad 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone (include city, salt &a b. Coordinated Committee Name d. Comore N CAMPAIGN FINANCE JUL 1 2022 Meta Platforms 1601 Willow Road Menlo Park Ca 94025-1452 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Electi o $ 425.00 f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount IL Required Remarks JT22 Electronic A 05/05/2022 $175.00 Facebok Ad JT22 Electronic A 05/092022 $250.00 Facebook Ad 5. Total only this Pae $ 750.00 6. Total of ALL CRO -1310 Pages (This fine goes in line 13a of Detailed Sunvnay Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Derailed Summary Page CRO -1100 if Contrib to Candidates/Polifiral Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 1847.17 7. Purpose Codes(List detailed expenditure code in above A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses 1 - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund 0* - Other * Codes require detailed explanation in required remarks field (k) CRO -1310 NC State Board of Elections ueumcer zuuv Amendment Disbursements Pg 2 of 6 ❑ Yes ❑ No Use this form to report expenditures from the committee for: operating expenses, contributions to candidate/political '. Vouu,nww ——, --- -1. ...... ..... 1. Committee Full Name and Fund if applicable) 2. ED Number Thomas for Union County JRT72221 3. Type of Disbursement Please use separate CRO -1310 fornn for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Meta Platforms Inc. 1601 Willow Road Menlo Park Ca 94025-1452 a Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 17.00 E Account Code g. Form of Payment Is. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks JT22 Electronic A 05/02/2022 $10.00 Facebook Ad JT22 Electronic A 05/02/2022 $7.00 Facebook Ad 4. Payee Information Add Remove a. Full Name. Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Meta Platforms 1601 Willow Road Menlo Park Ca 94025-1452❑ c. Level Registered (Specify) Federal ® County: ❑ State EO] Municipality: e. Election Sum to Date $ 25.00 E Account Cade g. Form of Psyment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k. Required Remarks JT22 Electronic A 05/02/2022 $10.00 Facebook Ad JT22 Electronic A 05/02/2022 $15.00 Facebook Ad 4. Payee Information Add Remove a. Full Name. Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments JUL 1 2022 e. Election SU 60*4 Meta Platforms 1601 Willow Road Menlo Park Ca 94025-1452 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: $ 60.40 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks JT22 Electronic A 05/02/22 $25.39 Facebook Ad JT22 Electronic A 05/0222 $35.01 Facebook Ad 5. Total only this Pae $ 102.40 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Summary Page CRO -1100 if Operating Expenses) (This fine goes in line 13b of DermiledSumnsary Page CRO -1100 if Contrib to Candidates/Polideal Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures) $ 1847.17 7. Purpose Codes(List detailed expenditure code in above A* - Media B* - Printing C* - Fundraising D -To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field k CRO -1310 NC State Board of Elections December 2009 Amendment Disbursements Pg f of 6 ❑ Yes ❑ No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political ...1 .. ....i:....,e,t ..o.t., o ndir„rne ,,.,M...... .. _. _.. _.._._.__. 1. Committee Full Name and Fund if applicable) 2. ID Number Thomas for Union County JRT72221 3. Type of Disbursement Please use separate CRO -1310 fornts for each type o Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Party Expenditures 4. Payee Information Add I I Remove a. Full Name, Mailing Address & Phone include city, state, & xi b. Coordinated Committee Name d. Comments e. Election Sum to Date $ 18.97 Google LLC !600 Amphitheatre Pkwy Mountain View Ca 94043 c. Lesd Registered (Specify) ❑ Federal ® County: ❑ state ❑ Municipality: C Account Code I g. Form of Payment it. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Regoived Remarks JT22 Electronic A 05/022022 $6.00 Google Workspac JT22 Electronic A 05/022022 $12.97 Google Cloud 4. Payee Information Add U Remove a. Full Name, Mailing Address & Phone include city, state, & ti b. Coordinated Committee Name d. Comments Host Gator Houston Tx 888-514-2867 c. Lend Registered (Specify) ❑ Federal ® Comity: ❑ State ❑ Municipality: e. Election Sum to Date $ 6.00 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks JT22 Electronic A 05/12/2022 $6.00 Website Hosting 4. Payee Information Add F1 Remove a. Full Name, Mailing Address & Phone include city, state &zi b. Coordinated Committee Name d. Comm9am JUL 1 2Q[[ F RECEIVED Meta Platforms Inc. 1601 Willow Road Menlo Park Ca 94025-1452 c. Le cl Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 20.00 f. Account Code g. Form of Payment it. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks JT22 Eletronic A 05/022022 $10.00 FacebookAd JT22 Electronic A 05/022022 $10.00 FacebookAd 5. Total onlv this Pae $ 44.97 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Sumwmry Page CRO -1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candldates/Polidcal Comm) (This line goes in line 13c of Detailed summary Page CRO -1100 if Coordinated Party Expenditures) $ 1847.17 7. Purpose Codes List detailed expenditure code in above A* - Media B* - Printing C* - Fundraising D - To Another Candidate E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund O* - Other * Codes require detailed explanation in required remarks field (k) CRO -1310 NC State Board of Elections December 2009 Amendment Refunds/Reimbursements To the Committee Pg I of 1 ❑ Yes ❑ No Use this form to report refunds received by the committee or reimbursements for a previous expenditure. 1. Committee Full Name and Fund if applicable) 2. ID Number Thomas for Union County JRT72221 3. Contributor Information Add Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) d. Type of Committee g. Comments ® Candidate ❑ PAC ❑ Referendum ❑ Party HostGator Houston Tx 888-514-2867 e. level Registered (Specify) h. Original Expenditure Date ❑ Federal ® County: ❑ State ❑ Municipality: 05/12/2022 i. Original Expenditure Amt $ 6.00 b. Job Title/Profession c. Employer's Name/Specific Field t. Purpose j. Election Sum to Date WebHosting HostGator Refund $ 6.00 k. Account Code 1. Form of Payment m. In -Kind Description n. Date (mm/dd/yyyy) o. Amount JT22 Electronic 05/25/2022 $ 6.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name. Mailing Address & Phone (include city, state, & zip) d. Type of Committee g. Comments ❑ Candidate ❑ PAC ❑ Referendum ❑ Party e. Level Registered (Specify) h. Original Expenditure Date ❑ Federal ❑ County: ❑ state ❑ Municipality: I. Original Expenditure Amt $ b. Job Tise/Profession c. Employer's Name/Specific Field f. Purpose Ut un nnn� k. Account Code 1. Form of Payment In. In -Kind. Description n. Date (mm/dd/yyyy) ount RECEIVED 3. Contributor Information Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Type of Committee g. Comments ❑ Candidate ❑ PAC ❑ Referendum ❑ Party c. Level Registered (Specify) h. Original Expenditure Date ❑ Federal ❑ County: ❑ State ❑ Municipality: L Original Expenditure Amt $ b. Job Title/Profession c. Employer's Name/Specific Field L Purpose j. Election Sum to Date It. Account Code 1. Form of Paymentm. In -Kind Description u. Date (mm/dd/yyyy) o. Amount 4. Total only this Pae $ 6.00 5. Total of ALL CRO -1240 Pages his fine must be on line 10 of Derailed Summa Page CRO -1100 $ 6.00 CRO -1240 NC State Board of Elections December 2007