Yanacsek,Robert_2021-PreElectionReportAmendment
Disclosure Report Cover - ❑ Yes
Use this form for general report and committee info n, mfr lie �ijtei�Ydtld su 'fled along with other detailed forms.
Do not use this form to update information.
1. Committee Information
Union Co . Electon_q
. Full Name
a 1D Number
-7 Tmg P3
6vt3
. MaWas Addre. (Indude City, die and Zip Code)
d. Dale PBed
a Phone Number _
704 z6-1 - ZZz
/LiG.✓/ZOr NG ZO i r 2
2. rt Year
3. Period Start Dab 4. Period End Date (oodadny
S. Treasult r Fall Name
I I
g ZZ /0//53/F t
_17066rr
of Committee Check Ones
9. Type of Re (check
only one type of
one can o )
Candidate Campaign ❑ Party
Municipal
Statelcounty
Rdereadum
❑ PAC ❑ Referendum
❑ Organizational
❑ Organizational
❑ Organizational
❑ Independent Expenditure ❑ Joint Fundraiser
❑ 71 irly-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑ >c -primary
❑ Fust
❑ Final
Pr"lechm
❑ Prx mnoff
❑ Second
❑ Third
❑ Supplemental Final
❑ Annual
..1y PC Of Fund (if aPPlicable, check one)
❑ Booster Fund
Semi -arcual
❑ Fourth
❑ Special
❑ Building Fund
❑ Mid Year
Semi-amuat
❑ Year End
❑ Mid Year
10.�tal Rgwt Now
❑ Other
113 Final
❑ Special
❑ Year End
❑ Final
8. Number of Fundraisers this Report
❑ Special
11. Account Information
11. Account Information
Financial Institution Full Name
a. FImmdsl Institution Full Name
Cl- AW& 777Ce&.
b. Purpose
a Aeeomt Code
b. Purpose
e. Account Code
CRMP4i6A,,
$%O
d. Period Begin Balance
d. Period Begin -Balance
CERTIFICATION
I 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 finther certify that this
report is complete, true and correct and that I have been trained by gle NC State Board of Elections.
Printed Name of Signer Si lure of A i Treasurer Date
OR OFFICE USE ONLY
Date Received: /D a- Employee: Delivery Method
❑ Normal Mail
Date Postmarked: Employee: Registered Mail
Hand Delivered
Date Scanned: A2 a Employee: ❑ Electronically Filed
Date Data Entered: Employee: ❑ mandatoas trainingnot ed
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 snake committee changes.
CRO -1000 NC State Board of Elections Auguat 2008
Detailed Summary OCT 2 5 2021 p ` No
U%e this form to summarize all disclosure renortina forms an to total monetary info on
1. Committee Full Name (and Fund 9applicable) kaV&kWft10hS
�GfG e
3. ID Number
.1 7 �SO3
Start of Election Cycle: January 1,0� Total this
Reporting Period
Total this
Election Cycle
4) Cash on Hand at Start $ /
$
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)
0) Refunds/Reimbursements to the Committee (CRO -1240)
1) Other Receipt Sources
Ila) Interest on Bank Accounts (CRO -1250)
llb) Contributions from Not -For -Profit Organizations (CRO -1250)
Ile) Outside Sources of Income (CRO -1250)
11d) Legal Expense Fund - Other Sources (CRO -1270)
Ile) Exempt Purchase Price Sales (CRO -1265)
$
$ 3 j--
$ Z
$
$
$
$
$
$
$
$
$
$
$
$
$
S
$
S
$
$
12) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9,10,1 la,i lb,llc,1 td and 11e
$ !/ cp
$ , a
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)
$ z </ !C,e
$
$
$
$
$
$
S
$
$
$
S
$
$
18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$ f S/ - o ca
$
19) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18
$
$
DITIONAL INFORMATION
20) Non -Monetary Gifts Given to Other Committees (CRO -1330)
1) Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
2) Debts and Obligations owed by the Committee (CRO -1610)
23) Debts and Obligations owed to the Committee (CRO -1620)
24) Account Transfers Within the Committee (CRO -1720)
5) Administrative Support (CRO -1710)
26) Forgiven Loans (CRO -1440)
7) 48 -Hour Notice Reports Sum (CRO -2220)
$
$
$
$
$
$
S
$
S
$
$
Contributions to be Rdanded (CRO -1215)
$
$
CRO -1100 NC State Board of elections August 200,N
t,\2LEM��l-- ,�
OCT 2 5 2021
Aggregated Contributions from Indi Co. Lgctioqp
Optional form used to report NC Contributions From Individuals of $50 or less
Amendment ,�,/
or ❑ Yes L'1 No
1. Committee Fail Name (and Fund if applicable)
2. Number
P-3ID
:i�t S
3. Contributor Information
. Amend
b. Account Code
c. Form or Payment
d. In -Rind Doacription
e. Date(mmldd/yyyy)
f. Amount
❑ Re
❑ Remove
5�(J
Ctirf4
C�Ci vin/�i1c
/7
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9:
$ (.�7
El Add
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ET Add
❑ Remove
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$
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11 Remove
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$
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11 Remove
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7
Add
❑ Remove
$ /40
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❑ Remove
5"io
C .4-51
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$ L cp
Add
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7
$ 2fa
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
$
FRemovc
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
Add
❑ Remove
$
4. Total only this Page
5. Total of ALL CRO -1205 Pages
$ 9
(This Rne must be on Hne 5 of Detaikd Summary Page CRO -1100)
CRO -1205 NC State Board of Elections Ap 12007
i
Contributions from Individuals OCT 2 5 Z0g1 or 0 ` 0-<0
Use this form to report individual contributions over $5 )IqrqAWj*AtiWhWWrr,$5 if form CRO 1205 is not used
1. Committee Fall Name (and Ihmd Kam cal*) — — -
2. M Numb
3. Contributor Information Add Jj Remove
. Full Name. Mailing Address & Phone
(include city, stat, & zip)
b. Job Title/Protaeion
d. Comments
C-4.-Wfpwx
3 �r si
C. Employer's dSppedtle Field
c�Y3�
e. Election SunI to Dat
$ 2.y7o.v6
. Prior
❑Af
g. Account Code
h. Form o(Payment
617-
L In -Hied Dmiptloe
J. Dao (mmMd/yyyy)
t Amount
a (1 Z
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
s. Fail Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession d. Comments
— - — - -
soG.�S
a Employer's Namd3pedtic Field
1'44 e rt�!/L lZ a Election Sum to Dat
%4— �G�/orT
.Prior
g. Account Code
h. Formol'Payment
L In -Sind Dseriptbe
1. Dat (mmldd/yyyy)
k. Amount
13
-slG
$
❑
$
❑
$
3. Contributor Information ❑ Add ❑ Remove
. Full Na ue.:Nailing Address & Phone
(include city, state, & zip)
.*,C,py 6.4
b. Job TitldProtesion
d. Comments
c. Employer's Namd3pedac Fkdd
e. Election Sum to (late
$
Prior
g. Account Code
h. Form of Payment
L In -Hied Description
J. Date (mm/dd/yy")
it Amount
❑
SAO
4 z� z l
$ ioa
❑
$
❑
$
4. Total only this Page
$ / Z _ Oe -
5. Total of ALL CRO -1210 Pages
(This line mart be on fine 6 oJDosaWd Summary Page CRO -11f10)
$
HJ 0(O
CRO -1210 NC Stat Board of Elections IApril 2007
Disbursements T n 4q�Pg of -L [I Yes Amendment No
Use this form to report expenditures from con ItteeL). ting i xpenses, contributions to candidate/political
committees and coordinated vartv ext)cnditi res
mmittee Foo Name (and Fund H
e-�/2'e%e-
1 ID Number
7 t-ISh
TVeof Disbursement (Please use separate CRO -1310 forma for each dupe of Dlsbursealealt)
o ratio Expenses 1:1 Contributions to Candidates/Political Committees ❑ Coordinated P Expenditures
F��
eee Information
Add Remove
a. Frill Name, Mailing Address & Phone
e dly, state, & zip)
in�ludde
It. Coordinated Committee Name
(. Comments
Q
Mj+s`"`� .J
/`V114 �5^
ZZ(,.SP �%% ��.rrJ.3�G
/ ,,�.� �e1p�/
04,- 6s:-7 e AVC 2! 6:j�
'�,t
e'I
c. Level Registered (Specify)
CjFedeml 11 County:
❑ Statc � Mt nicipality:
e. Election Sum to tete
$ , / d e
Account Code
g. Form of Payment
JIL Purpose Code
IL Date (®tdd/yyyy)
1j. Amount
ILRequilinedlitemiallot
O1,4
1/O /
$ .fie`
VAIZe
4. Payee Information
❑ Add ❑ Remove
a. Full Name. %failing Address & Phooe
I include city, state, & dp)
b. Coordinated Committee Name
d. Comments
c. Level Registered (Specify)
Lj Federal 0 County:
❑ State ❑ Municipality:
e. Election Sm to Date
Account Code
if Form of Payment
ILPWPMCak
IL hate (®tdd/yyyy)
LtAmomot
IL Required Remarla
$
$
4. Payee Information❑Add
Remove
a. Full Name. Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
c. Level Regidered (Specify)
LI Federal LJ County:
❑ State ❑ Municipality:
& Ha.Uon Smn to Dale
. Account Cade
S. Form of Payment
JIL Purpose Cade
IL Date (mmldd/yyyy)
1j, Amom t
L Required Remarb
$
Is
5. Total only this Page
$ w �'
6. Total of ALL CRO -1310 Pages
(Thus line goes in line 13a ojDeunled Summary Page CRO -1100 if Operating Expenses)
(This line goes in line 136 of Detaued Summary Page CRO -1100 if Contrib to Candidates/Political Comm)
(This line goes in line /3c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
.r'
$ 3� 0 q 40 Q
7. Purpose Codes (Gist detailed expenditure code in (h.) above)
A* - Media B* - Printing
E - Salaries F* - Equipment
I - Postage J - Penalties
O* Other
* Codes retruin detailed exifflanation in rewdred
C* - Fundraising D - To Another Candidate
G - Political Parry H* - Holding Public Office Expenses
K* - Office Expenses Q* - Donation to Legal Expense Fund
remarks field
CRO -1310 NC State Board of Elections December 2009