Laserfiche WebLink
Disbursements <br />Amendment <br />Pg of ❑ Yes ❑ No <br />Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political <br />committees and coordinated nartv exnenditures, <br />1. Committee Pull Name (and Fund if applicable) <br />2. @ Number <br />3. Type of Disbursement Please use separate CRO-1310 forins for each t • e of Disbursement. <br />D cratint Expcnses Contributions to CandidalesJYul c ral Committees ❑ Coordinated Party Fx enditures <br />4. Payee Information U Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Coordinated Committee Name <br />d. Comments <br />i1�L5 d1kb <br />a4t-;L1 j ji 1,,C -N A : <br />E'��u�o�51 �� �A3 <br />70� 712- qc�00 <br />t^ Level Registered (Specify) <br />Federal U County: <br />❑State ❑ Municipality: <br />e. Election Sum to Date <br />$ 7-3,, � <br />f. Account Code <br />g. Form of Payment <br />h. Purpose Code <br />i. Date (mt Vdd1yyyyy) <br />j. Amount <br />k. Rcvluired Remarks <br />$ �r�l <br />4, Payee Information ❑ Add El Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />h. Coordinated Committee Name <br />d. Coanncrrt.4 <br />c. Level Registered (Specify) <br />❑ Federal ❑ County: <br />❑ State ❑ Municipality. <br />e. Election Sum to Date <br />$ <br />Account Code <br />g. Form of Payment <br />h. Purpose Cade <br />i. Date (mnilddlyyyy) <br />j. Amount <br />k. Required Remarks <br />144. <br />Payee Information Add Remove <br />Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Coordinated Committee Name <br />d. Comments <br />c. Level Registered (Specify) <br />Federal County: <br />❑ State ❑ Municipality: <br />e. Election Sum to Date <br />Account Code <br />g. Form of Payment <br />h. Purpose Code <br />i. Date (mmlddlyyyy) <br />j. Amount <br />k. Required Remarks <br />$ <br />$ <br />5. Total only this Page <br />$ <br />6. Total of ALL CRO-1310 Pages <br />(This line goes in fine I3a ofDetailed Summary Page CRO-I100 if Operating Expenses) <br />(This line goes in line I3h of Detailed Summary Page CRO-I100 VCantrih to CandidateslPoWkal Comm) <br />(This liar goes in line 13c of Detailed Summaty Page CRO- I 1100 if Coordinated Parry Expenditures) <br />$ <br />7. Purpose Codes (List detailed expenditure code in (h.) above) <br />A* - Media B* - Printing CI - Fundraising D - To Another Candidate <br />E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses <br />I - Postage .J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund <br />O* Other <br />* Codes re wire detailed exiflanation in muired remarks field W <br />CRO-1310 NC Slate Board or Elections December 1UU9 <br />