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Disclosure Report Cover Amendment <br />Use this form for general report and committee information, must be signed and submitted along with other detai r orms. <br />Do.not use this form to rmdatP infhr ar;-- <br />Foil NMW <br />".fading <br />S`i <br />r <br />3�70 40 <br />cYY, Bute and Z' <br />Addr crne3odt Code) <br />70q- qa5-s398 <br />o�a5 lah7 as ,5 <br />J��31�otaa5 `]" <br />a i�rr�ar <br />L Candidate Carnpwgn ❑try <br />'A[' l2e€erendum <br />l IrEXgcir rer <br />❑ Organizational <br />hry-Svcdy <br />a❑ <br />_ <br />Organizational <br />_ <br />_ ❑ Qr_g� an tr. ttianal -- . <br />Legal Expense Fund <br />❑ p—ph--y <br />Quarterly <br />❑ First <br />❑ Pre -referendum <br />❑ Final <br />❑ Pre -election <br />❑ Pre -runoff <br />❑ Second <br />❑ Thad <br />❑ Setpp]emental Final <br />Boaster Fund <br />Building Fund <br />Semi-annual <br />❑ Mid Year <br />ElFourth <br />❑ Annual <br />❑ Special <br />❑ Year End <br />Searrti-anoua] <br />❑ Mid ye — <br />Other <br />❑ final <br />❑ SPMw <br />Year End <br />M Final <br />RECEIVED <br />❑ Special <br />- <br />! -Ldk m�L ban le-- <br />c Aeeatttt Cade <br />.......... <br />$ <br />Knanasl luditution PON Name <br />_...... _.... .. c�� <br />t%C'r <br />r. Accoant CAmk <br />CABARRUS COiJNTY <br />BOARD OF EL1nCTI0N5:Fn Allan <br />l 4xrti€y that the Comtnittee'or Fund is in compliance with all applicable provisions of Articic 22A, 22B & 22U-22M of Chaptcr 163 Of the NC General Statutes and that no funds are commingled with prohibited or other non�isclosed funds. I further txriify that this <br />report is complete, tare antl correct and that [have been trained by the NC State Board of Elections. <br />t <br />gin <br />nted Name of Signer nature inted Treasurcx <br />t]ute <br />1lg ❑ MQ� UM ONLVF <br />w � r <br />:,at:- Received: F� I]eliye Method <br />Employee: <br />19 N(=all Mail <br />mate Postmarked.- �' Employee: ❑ Registered Mail <br />❑Hand .leltverflci <br />Bate Scanned: Employee: ❑ Electronically Filed <br />Fy�_t.,; Data Entered: Employee: E] Signer has wt retvived <br />"�•"•�• --�--- manda—U tralmn <br />Please Note: This form cannot be used to amend committee information such as the committee addrese, treasurer, <br />assistant treasurer, custodian of books information, or account information. <br />You must amend the Statement of Organization (CRO.21 OOA-E) to make committee changes. <br />!0-1000 NC State Board of Elm-tions <br />August 2008 <br />