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i Amendment r <br />Disclosure Report Cover `p_ Yes 0 No J <br />Use this form for general report and committee information, must be signed and submitted along with other detailed forms. <br />Do not use this form to update information. <br />1. Committee Information <br />• . Full Name <br />c. ID Numher <br />b. Mailing Address (include City, State and Zip Code) <br />d. Date Filed <br />XCee_ <br />e. P ne umber <br />2. Rem Year <br />3. Period Start Date lmirumyl) <br />4. Period End Date (mmldd/w 5. Treasurer Full Name <br />,,� v z.G- <br />� � � � LG <br />� - � �'� �. � . �, Il' ,�.�.,� � � •cam <br />6. Type of Committee(Check One) <br />4. Type of Report (check <br />only one type of report <br />from one caregorv) <br />Candidate Campaign ❑ Party <br />Municipal <br />State/County <br />Referendum <br />❑ PAC ❑ Referendum <br />❑ Organizational <br />❑ Organizational <br />❑ Organizational <br />❑ Independent Expenditure ❑ Joint Fundraiser <br />❑ Thirty-five day <br />Quarterly <br />❑ Pre -referendum <br />❑ Legal Expense Fund <br />❑ Pre-primary <br />First <br />❑ Final <br />❑ Pre -election <br />❑ Pre -runoff <br />❑ Second <br />❑ Third <br />❑ Supplemental Final <br />❑ Annual <br />7. Type of Fund (ifapplicable, check rune) <br />❑ Booster Fund <br />Semi-annual <br />❑ Fourth <br />❑ Special <br />❑ Building Fund <br />❑ Mid Year <br />Semi-annual <br />❑ Year End <br />❑ Mid Year <br />10. Special Report Name <br />❑ Other: <br />❑ Final <br />❑ special <br />❑ Year End <br />❑ Final <br />❑ Special <br />. Number of Fundraisers this Report <br />11. Account Information <br />11. Account Information <br />Financial Institution Full Name <br />a. Financial Institution Full Name <br />Purpose <br />c. Account Code <br />b. Purpose RECEIVED <br />c. Account Code <br />c----•- <br />FEB 17 2026 <br />d. Period Begin Balance <br />d. Period Begin Balance <br />$ ����. °�" <br />CABARRUS COUNTY <br />$ <br />ERTMCATION <br />I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D-22M of Chapter 163 <br />of the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. 1 further certify that this <br />report is complete, true and correct and that I have been trained b thh�S BBoard o cdons. <br />Printed Name of Si Yner Signature of Appointed Treasurer Chic <br />FOR OFFICE USE ONLY <br />a- 17 PAnl Delivery Method <br />Date Received: Employee: <br />❑ Normal Mail <br />❑ Registered Mail <br />Date Postmarked: Employee: <br />❑ Hand Delivered <br />❑ Electronically Filed <br />Date Scanned: Employee: <br />Date Data Entered: Employee: ❑ Signer has not received <br />mandato traimn <br />Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, <br />assistant treasurer, custodian of books information, or account information. <br />You must amend the Statement of Organization (CRO-210OA-E) to make committee changes. <br />UKU-I000 NC State Board of Elections August 2008 <br />