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Thomas,Jonathon_2022-1st-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. rin nnr nen thio fnrm w nndate infnrmatinn CRO -1000 NC State Board of Elections August 2uua 1. Committee Information a. Full Name c. to Number JRT72221 Thomas for Union County UNION GOIJNTti in b. Mailing Address (include City, State and Zip Code) ' it. Date Filed 2001 Belle Forest Court MAY 10 2022 Waxhaw NC 28173 05/09/2022 e. Phone Number RECEIVED 704-771-4940 2. Report Year P 3. Period Start Date (mm/dd/yy) 4. Period End Date mm/dd 5. Treasurer Full Name Patrick Hartison 2022 01/01/2022 04/30/2022 6. Type of Committee Check One 9. Type of Report check only one type o re ort om one category) ® Candidate Campaign ❑ Party ❑ PAC ❑ Referendum Municipal State/County Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent ❑ Joint Fundraiser ❑ Expenditure ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ Pre-election ❑ Pre -runoff Semi-annual ® First ❑ Second ❑ Third ❑ Fourth ❑ Final ❑ Supplemental Final ❑ Annual ❑ Special 7. Type of Fund (j applicable, check one) ❑ "Booster Fund" ❑ Building Fond ❑ Mid Year Semi-annual 10. Special Report Name ❑ Other: ❑ Year End ❑ Mid Yew ❑ Final ❑ special ❑ Year End ❑ Final ❑ Special 8. Number of Fundraisers this Repo 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 J.1.22 d. Period Begin Balance it. Period Begin Balance $ 985.52 $ CERTIFICATION I certify that the Committee or Fund is in compliance with all applicajAwvrovisi9ns of Article 22A, 22B, & 22D -22M of Chapter 163 of the NC General Statutes and that no funds are commingled with p ibit or o er non -disclosed funds. I further certify that this report is complete, true and correct and that I have been trained by the C o S. Patrick Harrison 05/09/2022 Printed Name of Signer Signature o Ap inted Treasurer Date FOR OFFICE USE ONLY n /il yU 6GyL Delivery Method Date Received: 0 a- Employee: ❑ Normal Mail ❑ Registered Mail Date Postmarked: Employee: SpLQJ�j Hand Delivered Electronically Filed Date Scanned: Employee: ❑ Signer has not received mandatory training Date Data Entered: Employee: 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 2uua Amendment Detailed Summary ❑ les ❑ No 1 lco thfc r r t. cnmmarive a6 disclnenre. rennrtin¢ forms and to total monetary information. 1. Committee Full Name and Fund if applicable) 2. Type of Report 3. ID Number Thomas for Union County I" Quarter 1RT72221 Start of ElectionCycle: January1, 2022 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start $ $ 985.52 $ $ 1308.63 jk=JS 5) 6) 7) 8) 9) 10) 11) 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 l lb) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income lld) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1110) (CRO -1230) (CRO -1410) (CRO -1240) UNION C CAQW.?j91 ($ fh1 Ts pp(CRO-11250) I j17RoG (CRO -1265) $ 3755.28 $ 100.00 $ $ $ $ 1064.06 $ $ $ $ to ANCE $ $ $ $ $ $ $ 12) TOTAL RECEIPTS (Add lines 5. 6, 7, 8, 9, 10, Ila, llb. Ile, lldand Ile) $ 3755.28 $ 1 164.06 13) 14) 15) 16) 17) ITURES 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) (CRO -1315) (CRD -1420) (CRO -1320) (CRO4510) $ 3432.17 $ 178.54 $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a,13b,13c, 14, 15,16 and 17) $ 3432.17 $ 19) Cash on Hand at End Oldd lines 4and I2 together, lhensubtract line 18) $ $ $ $ $ $ 1308.63 $ 1308.63 _ 20) 21) 22) 23) 24) 25) 26) 27) 28) AL FO 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 -7610) (CRO -1610) (CR0.7720) (CRO -1710) (CRO -1440) (CRO -1110) (CRO -1215) $ $ $ $ $ $ $ $ CRIT -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg b of 6 ❑ Yes ❑ No t Se th;c fn. t„ rannrt inriivi/inal rnntrihutinuc nver R50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name and Fund if ap licable 2. ED 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 No Job Title Latha Baddgan 3027 Kings Manor Drive Weddmgton NC 28104 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 95.12 E Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Creditcard 04/07/2022 $ 95.12 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments No Job Title _ Tracy Piper UNION COUNTY 709 Evans Manor Drive CAMPAIGN FINANCE Weddington NC 28104 MAY Zp22 VrD L c. Employer's Name/Specific Field Not Employed e. Election Som to Date — $ 47.31 g. Account Code h. orm of Payment I.In-KindDescription j. Date (mm/dd/yyyy) L Amount Creditcard 04/08/2022 $ !' EFE-1 $ 3.Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title/Profession d. Comments ) f Pam and Larry King 5402 Berrywood Lane Monroe NC 28110 c. Employer's Name/Specific Field G or F�f(J)L6. `� e. Election Sum to Date $ 95.12 E Prior g. Account Code h. Form of Payment I. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Creditcard 04/12/2022 $ 95.12 ❑ $ ❑ $ 4. Total only this Page $ 237.55 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of Detailed Sum nuoy Page CRO -1100) g 3755.28 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg 5 or b ❑ Yes ❑ No I T a„, f— t.. rPnnff ;nrlk,idnal rnntribntinns over R50 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 Engineer Joseph Kubiak 1401 Longleaf Court Matthews NC 28104 c. Employer's Name/Specific Field Kubiak LLC e. Election Sum to Date $ 190.73 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Creditcard 04/03/2022 $ 190.73 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments - - Manager Christy Chambers UNTO FINANCE 301 Lancaster Ave CAMPAIGN F Monroe NC 28112 gA 10 2M RECEIVED G Employer's Name/Specific Field Silver Lining e. Election Sum to Date $ 47.31 E Prior g. Account Code b. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Creditcard 04/05/2022 $ 47.31 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Dermatologist Kristen Higgins 2041 Fitzhugh Lane Matthews NC 28104 c. Employer's Name/Specific Field PPSD e. Election Sum to Date $ 47.31 E Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Creditcard 04/06/2022 $ 47.31 ❑ $ ❑ $ 4. Total only this Page $ 285.35 5. Total of ALL CRO -1210 Pages (This line must he on fine 6 ojDereifed Summary Page CRO -1100) $ 3755.28 CRO -1210 NC State Board of Elections Apm 2007 Amendment Contributions from Individuals Pg a of 6 ❑ Yes ❑ No t two tw;. r-- t.. �P,,.,rr individnnl enntrihutinns over R50 or contributions under $50 if form CRO 1205 is not used v u.. u...o ..........._I..............______ _ 1. Committee Full Name and Fund if applicable) for Union County "NumberThomas 72221 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Real Estate Broker Thomas A.Mussoni 5720 Carnegie Blvd Unit 4216 Charlotte NC 28209 c. Employer's Name/Specific Field AutoBell e. Election Sum to Date $ 250.00 f. Prior g. Account Code b. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Check 01/13/2022 $ 250.00 ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tine/Profession it. Comments No Job Title Cheryl Homer CAMPAIGN FINANCE 4932 Antioch Church Road Matthews NC 28104 MAY 10 2022 RECEIVED c.Emplo Employees Name/Specific Field Y Im Not Employed e. Election Som to Date _ $ 350.00 f. Prior g. Account Code Is. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Check 01/11/2022 $ 350.00 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Attorney David Williams 1014 Exodus Court Monroe NC 28110 c. Employer's Name/Specific Field Union County e. Election Sum to Date $ 100.00 E Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Check 03/14/2022 $ 100.00 ❑ $ ❑ $ 4. Total only this Page $ 700.00 5. Total of ALL CRO -1210 Pages (This line must be on line 6 of Detailed Summary Page CRO -1100) $ 3755.28 CRO -1210 NC State Boad of Elections April 2007 Amendment Contributions from Individuals Pg 3 or b ❑ 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 applkablo 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 Lead Business Executive Cristina Cepello 1400 Becklow Como Indian Trail NC 28079 c. Employer's Name/Specific Field Wells Fargo e. Election Sum to Date $ 95.12 E Prior g. Account Code It. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ Creditcard 03/26/2022 $ 95.12 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state & zip) b. Job Title/Profession d. Comments Vice President David Boyce UNION C FINANCE 6001 Spence Court CAMPAIGN Monroe NC 28110 W 10 N22 CEIVED c. Employer's Name/Specific Field Lowder Construction 1 e. Election Sum to Date 1 $ 47.31 I. Prior g. Account Code It. Form of Payment I. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Creditcard 03/27/2022 $ 47.31 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments No Job Title Bill Deter 401 Havenchase Drive Matthews NC 28104 c. Employer's Name/Specific Field Not Employed e. Election Sum to Date $ 47.31 f. Prior I g. Account Code It. Form of Payment I. In -Kind Description j. Dale (mm/dd/yyyy) k. Amount ❑ Creditcard 03/28/2022 $ 47.31 ❑ $ ❑ $ 4. Total only this Page $ 189.74 5. Total of ALL CRO -1210 Pages (This line most be online 6 of Detailed Summary Page CRO -1100) $ 3755.28 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg z of b ❑ Yes ❑ No I ire this form to rennrt individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Fall 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, & tip) b. Job'fitle/Profession d. Comments Dentist (DDS) Margaret Lochary 227 Chaucer Lane Matthews NC 28104 c. Employer's Name/Specific Field Atrium Health e. Election Sum to Date $ 193.73 C Prior g. Account Code It. Form of Payment i. In -[God Description j. Date (mm/dd/yyyy) k. Amount ❑ Creditcard 01/10/2022 $ 193.73 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, &AP) JNION COUN TY b. Job Title/Profession d. Comments No Job Title Steven Schroeder CAMPAIGN 224 Chaucer LaneMAY 10 2022 Matthews NC 28104 RECEIVED Name/Specific Field 'Not Not Employed c. Election Sum to Date $ 96.62 E Prior g. Account Code It. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) L Amount ❑ Creditcard 01/11/2022 $ 96.62 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Titic/Profession d. Comments No Job Title Mary Thomas 220 Chaucer Lane Matthews NC 28104 c. Employer's Name/Specifie Field Not Employed e. Election Sum to Date $ 500.00 I. Prior g. Account Code h. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) k. Amount ❑ Check 01/11/2022 $ 500.00 ❑ $ ❑ $ 4. Total only this Page $ 790.35 5. Total of ALL CRO -1210 Pages (This line must be on fine 6 ojDezailed Sumouzry Page CRO -1100) g 3755.28 CRO -1210 NC State Board of Elections April 2007 Amendment Contributions from Individuals Pg i or 6 [:]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 2.1D Number Thomas for Unon County JRT72221 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Owner Zuffenhaus EuroWerks Keith Walters 205 Charles Street Monroe NC 28112 c. Employer's Name/Specific Field e. Election Sum to Date $ 96.62 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) IL Amount ❑ Creditcard 01/06/2022 $ 96.62 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job'title/Profession d. Comments Owner Boda Plumbing Dave Bodo UNION COU 208 Chaucer Lane CAMPAIGN FINANCE Matthews NC 28104 � Q 2022 MAY EIVED n Employer's Name/Specific Field e. Election Sam to Date $ 485.06 E Prior g. Account Code h. Form of Payment 1. In -Kind Description j. Date (mm/ddlyyyy) K Amount ❑ Creditcard 01/10/2022 $ 485.06 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Kim Thomas 204 Chaucer Lane Matthews NC 28104 c. Employer's Name/Specific Field e. Election Sum to Date $ 970.61 f. Prior g. Account Code h. Form of Payment i. In -Kind Description j. Date (mm/dd/yyyy) K Amount ❑ creditcard 01/10/2022 $ 970.61 ❑ $ ❑ $ 4. Total only this Page $ 1552.29 5. Total of ALL CRO -1210 Pages (This fine must he on fine 6 of Detailed Summan' Page CRO -1100) $ 3755.28 CRO -1210 NC State Board of Elections April 2007 \mendment Disbursements Pg I of 3 ❑ NC's ❑ Use this form to report expenditures from the committee for; operating expenses, contributions to candidate; political miH... nnii r nYti in a}P/i r,. h P,o, rfitnrPC 1. Committee Full Name and Fund if applicable) 2. W Number Thomas for Union County 3. Type of Disbursement Mease use separate CRO -1310 forms for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committers ❑ Coordinated Party Expenditures 4. Payee Information Add F1 Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments Sign Masters 314-B Depot Street Monroe NC 28112 704-225-0673 c. Level Registered (Specify) ❑ Federal ® county: ❑ State ❑ Municipality: e. Election Sum to Date $ 3210.00 L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount k. Required Remarks JT22 Debit Card B 03/112022 $3210.00 Corrugated sign with stands $ 4. Payee Information Add F1 Remove a. Full Name, Mailing Address & Phone include city, state, & zip) It. Coordinated Committee Name d. Comments Google Voice Inc UNION COUNT 1600 Amphitheatre Pkwy CAMPAIGN FINAN Mountain View Ca 94043 MAY 10 2022 Levd Registered (Specify) Federal ® County: ❑ Stats ❑ Municipality: e. Election Sum to Date $ 77.10 L Account Code g. Form ofPsymeu d i. Date (mm/dd/yyyy) j. Amount k. Required Remarks JT22 Electronic A 01/312022 $13.29 Google Cloud JT22 Electronic A 01/31/2022 $6.00 Google Workspac 4. Payee Information Add Remove a. Full Name, Mailing .Address & Phone include city, stat & a b. Coordinated Committee Name d. Comments Google Voice Inc 1600 Amphitheatre Pkwy Mountain View Ca 94043 a Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 96.13 E Account Code g. Form of Payment It. Purpose Code t. Date (mm/ddlyyyy) I. Amount k. Required Remarks JT22 Electronic A 02282022 $13.06 Google Cloud R22 Electronic A 02/282022 $6.00 Google Workspac 5. Total only this Pae $ 3248.35 6. Total of ALL CRO -1310 Pages (This line gars in line 13a of Derailed Summary Page CRO -1100 if Operating Expenses) (This line goes in fine 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Polifical Comm) (This fine goes in line 13c of Detailed Sum owy Page CRO -1100 if Coordinated Party Expenditures) $ 3432.17 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 Pang 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 Amendment Disbursements Pg 2 of 3 ❑ Yes ❑ No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political committees and coordinated nartv expenditures. 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 form for each type of Disbursement ® Operating Expenses ❑ Contributions to Candidates/Political Committees ❑ Coordinated Parry Expenditures 4. Payee Information Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zip) b. Coordinated Committee Name it. Comments _ _ HostGator Houston TX 888-514-2867 c. Level Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 18.00 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks JT22 Electronic A 01/11/2022 $6.00 Website Hosting JT22 Electronic A 02/11/2022 $6.00 Website Hosting 4. Payee Information n Add ❑ Remove a. Full Name, Mailing Address & Phone include city, state, & zipj It. Coordinated Committee Name d. Comments HostGator UNIONFINANCE Houston Tx CAMPAIGN 888-514-2867 MAY 0 2022 EIvE1VED c. Level Registered (Specify) ❑ Federal ® County: ❑ state ❑ Municipality: e. Election Sum to Date $ 42.00 E Account Code g. Form of Payment It. Purpose Code i. Date (mm/dd/yyyy) j. Amount it. Required Remarks JT22 Electronic A 03/11/2022 $6.00 Website Hosting JT22 Electronic A 04/11/2022 $6.00 Website Hosting 4. Payee Information ❑ Add Remove a. Full Name, Mailing Address & Phone Include city, stat & zip) b. Coordinated Committee Name d. Comments Paper and Inc Printing 409 Stalling Road Matthews NC 28104 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e. Election Sum to Date $ 215.64 E Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy) j. Amount L Required Remarks JT22 Debit Card B 03/24/2022 $121.70 Palm Cards 5. Total only this Pae $ 145.70 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Detailed Sununarp Page CRO -1100 if Operating Expenses) (This line goes in ane 136 of Detailed Summon, Page CRO -1100 ifContrib to Candidates/Po6tical Comm) (This line goes in line Be of Detailed Sumnmry Page CRO -1100 if Coordinated Parry Expenditures) $ 3432.17 7. Purpose Codes(List detailed expenditure code in h. above A* - Media B* - Printing C* - Fundraising D - "Fo 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 3 of 3 ❑ Yes ❑ Nn Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political T IttPPI and rnnrdinnted narty evnendltnreS_ 1. Committee Full Name and Fund if applicable) 2. ID Number Thomas for Union County JRT72221 3. Type of Disbursement mease use separate CRO -1370 form for each type of Disbursement ® Operating Expenses ❑ C'ontributions to Candidates/Political Committees ❑ Coordinated Part Expenditures 4. Payee Information Add F1 Remove a. Full Name. )tailing Address & Phone include city, state, & zip) b. Coordinated Committee Name d. Comments Google Voice Inc 1600 Amphitheatre Pkwy Mountain View Ca 94043 c. Lord Registered (Specify) ❑ Federal ® county: ❑ State ❑ Municipality: e. Election Sum to Date $ 3402.26 f. Account Code I g. Form of Payment h. Purpose Code I. Date (mm/dd/yyyy) I. Amount k. Required Remarks JT22 Electronic A 03/31/2022 $13.06 Google Cloud JT22 Electronic A 03/312022 $6.00 Google Workspac 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, state, & ri It. Coordinated Committee Name d. Comments Google Voice Inc rOUNTY 1600 Amphitheatre Pkwy 11NlO . 'FINANCE Mountain View Ca 94043 CM411 IC3N MAY 1 2022 c. Lerd Registered (Specify) ❑ Federal ® County: ❑ State ❑ Municipality: e. Election Sum to Date $ 3421.23 f. Account Code g. Form of Paym e e i. Date (mm/d&yyyy) I. Amount k. Required Remarks JT22 Electronic A 04/302022 $13.06 Google Cloud JT22 Electronic A 04/30/2022 $6.00 Google Workspac 4. Payee Information Add Remove a. Full Name, Mailing Address & Phone include city, state, & a b. Coordinated Committee Name d. Comments c. Level Registered (Specify) ❑ Federal ❑ county: ❑ State ❑ Municipality: e. Election Sum to Date $ E Account Code g. Form of Payment h. Purpose Code t. Date (mm/dd/yyyy) I. Amount k. Required Remarks 5. Total only this Pae $ 38.12 6. Total of ALL CRO -1310 Pages (This line goes in line 13a of Delailed Summary Page CRO -1100 if Operating Expenses) (This line goes in line 13b ofDetniled Summary Page CRO -1100 iiContrib to Candidatex/Polflical Comm) (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Erpenditures) $ 3432.17 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