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Disclosure Report Cover <br />Amendment <br />® Yes ❑ No <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 />a. Full Name <br />c. ID Number <br />COMMITTEE TO ELECT INGRID NURSE <br />IN 2024 <br />b. Mailing Address (include City, State and Zip Code) <br />d. Date Filed <br />P.O. BOX 5862 <br />Q2-20-2Q26 <br />CONCORD, NC 28027 <br />e. Phone Number <br />2. Report Year <br />3. Period Start Date (mmlddlyy) <br />4. Period End Date <br />5. Treasurer Full Name <br />(mmiddlyyl <br />GRACE GALLOWAY <br />2025 <br />01-10-2025 <br />12-31-2025 <br />6.Type of Committee Check One <br />9. Type <br />of Report check only one fypee of report <br />om one category) <br />® Candidate Campaign ❑ Party <br />Municipal <br />State/County <br />Referendum <br />❑ PAC ❑ Referendum <br />❑ <br />Organizational <br />❑ Organizational <br />❑ Organizational <br />Independent ❑ Joint Fundraiser <br />❑ Expenditure <br />❑ <br />Thirty-five day <br />Quarterly <br />❑ Pre -referendum <br />❑ Legal Expense Fund <br />❑ <br />❑ <br />Pre-primary <br />Pre -election <br />❑ First <br />❑ Second <br />❑ Final <br />❑ Supplemental Final <br />7.TypeofFund ffapplicahle, check one) <br />❑ "Booster Fund" <br />❑ Building Fund <br />❑ <br />Pre -runoff <br />❑ Third <br />❑ Annual <br />Semi-annual <br />❑ Fourth <br />❑ Special <br />❑ <br />Mid Year <br />Semi-annual <br />❑ Other: <br />❑ <br />Year End <br />❑ Mid Year <br />10. Special Report Name <br />❑ <br />❑ <br />Final <br />Special <br />® Year Fnd <br />❑ Final <br />❑ Special <br />8. Number of Fundraisers this Report <br />tlI <br />11. Account Information <br />11. Account Information <br />a. Financial Institution Fall Name <br />a. Financial Institution Full Name <br />UWIIARRIE BANK <br />b. Purpose <br />e. Account Code <br />b. Pu se� MCEIVED <br />c- Account Code <br />CAMPAIGN <br />G:J <br />- <br />EXPENDITURESFEB <br />O �Q�� <br />d. Period Begin Balance <br />d. Period Begin Balance <br />rw. <br />CABARRUS COUNTY <br />$ 53$.80 <br />BOARD OF ELECTIONS <br />$ -- <br />CERTIFICATION <br />I certify that the Committee or Fund is in compliance with al l applicable provisions of Article 22A, 22B, & 22D-22M of Chapter 163 of <br />the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that this report <br />is complete, true and correct and that I have been trained <br />by the NC State and a Elections. <br />GRACE GALLOWAY <br />fJ <br />Printed Name of Signer <br />Signature of Appointcd'1're urer <br />Date <br />FOR OFFICE USE ONLY <br />VA) <br />Date Received: � � <br />Employee: <br />Delivery Method <br />❑ Normal Mail <br />❑ Registered Mail <br />Date Postmarked: <br />Employee: <br />M Hand Delivered <br />PAN <br />❑ Electronically Filed <br />Date Scanned: <br />Employee: <br />❑ Signer has not received <br />mandatory training <br />Date Data Entered: <br />Employee: <br />Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, assistant treasurer, <br />custodian of books information, or account information. <br />You must amend the Statement of Organization CRO-2100A-E to make committee changes. <br />CRO-1000 NC State Board of Elections August 2008 <br />