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Yanacsek,Robert_2021-Org-Disclosure
8�An dment Disclosure Report Cover Yes ❑ No Use this forth for general report and committee information, must be signed and submitted along with other detailed forms. Do not use this form to undate infonnatinn. 1. Committee Information a. Full Name c. ID Number h. Mailing Address (include City, State and Zip Code) d. Date Flied s73 S7- 7//2%Z --- 7 ff7e. Cf / 70 I2. Phone Number 7 ZG/- x/12 Re rt Year 3. Period Start Date mlddJ') 4. Period End Date mmldd/ ) m 5. Treasurer Full Name zoo- I 1 -7 Z l / 7 1Z 0061f �-1-7 r '4,(„4c5,,5�- 6. TdW of Committee Check One 9. Type of Report (check only one t pe of report from one category) El Candidate Campaign ❑ Party Mu ' ipal Statelcounty Referendum ❑ PAC ❑ Referendum Ej Organisational ❑ Organisational ❑ Organisational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final ❑ Pre-election ❑ Pre -runoff Semi-annual ❑ Second [:]Third ❑ Fourth ❑ Supplemental Final [3 Annual ❑ Special 7. Type of Fund (if applicable, cheek one) ❑ Boosrer fund ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End Mid Year 10. S ecial Report Name_ ❑ Other: ❑ Final ❑ special ❑ Year End ❑ Final ❑ Sprain 8. Number of Fundraisers this Report 11. Account Information 11. Account Information . Financial Institution Full Name a. Financial Institution Full Name AA 6,--!'7T le Cele I7-cou \t b. Purpose a Account Code b. Purpose N c Account Code GA�„r P4Z--f—, Su O 1 L d. Period Begin Balance Begin Balance $ el TION CERTIFICATION certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B ,& 2213-22M of Chapter 163 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 trainedbytheNC State Elections. dooff eBBoard �7 S Y/I/Lo4GSY-L� Printed Name o Si ler Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ Registered Mail ❑ Hand Delivered Date Scanned: Employee: ❑ Electronically Filed Date Data Entered: Employee: maandatogner hry tramineived 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 -21 OOA-E) to make committee changes. CRO -1000 NC State Board of Elections August 2008 Detailed Summar Amendment y ❑ Yes ❑ xn Use this form to summarize all disclosure renortine forms and to total monetary information 1. Committee Full Name (and Fund if applicable) 12. T e'of Report 13. ID Number _ ,f5,0_re o 44,E z 7 Jit S ? -3 Start of Election Cycle: January 1, 4 ©0 Total this Reporting Period Total this Election Cycle 4) Cash on Hand at Start S $ RECEIPTS 5) Aggregated Contributions from Individuals (CRO -1205) 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) 11) Other Receipt Sources Ila) Interest on Bank Accounts (CRO -1250) 11b) Contributions from Not -For -Profit Organizations (CRO -1250) 1 lc) Outside Sources of Income (CRO -1250) 1 Id) Legal Expense Fund - Other Sources (CRO -1270) Ile) Exempt Purchase Price Sales (CRO -1265) $ $ $ $ $ $ $ $ $ $ $ c $ $ $ $ $ $ $ $ $ S 12)TOTAL RECEIPTS (Add lines 5, 6,7, 8, 9, 10,1 la,l lb,I lc,l ld and 1101 $ ti 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 -1120) 17) In -Kind Contributions (CRO -1510) $ $ $ $ $ $ $ 1 .;"(" $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ $ 19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18 S ti ADDITIONAL INFORMATION 20) Non -Monetary Gifts Given to Other Committees (CRO -1330) $ 21) Outstanding Loans (incl. ones from other campaigns) (CRO -1430) S 2) Debts and Obligations owed by the Committee ?JION (4'JQ)WO $ _ CE 23) Debts and Obligations owed to the Committee iMG 7CkbAN620) $ q) Account Transfers Within the Committee SEP W*?02( A) $ 25) Administrative Support {� j��Rjf�\-1 26) Forgiven Loans v tCR'0-74 7) 48 -Hour Notice Reports Sum (CRO -2220) $ $ $ $ 8) Contributions to be Refunded (OW -1215) $ $ CRO -1100 NC State Board of Elections August 2008