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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 />AL Fu11 Name <br />c. ID Number <br />Ccrrmittee tc Elect Phi! FrCnry <br />b. Mulling Address (Include City, State and Tip Code) <br />d. Date Filed <br />515 Claramont Dr 5W <br />2/23/2026 <br />Concord, NC 28027 <br />e. Phone Number <br />317-443-0847 <br />2. Report Year <br />3. Period Start slate (mnvddlyy) <br />4. Period End Date <br />S. Treasurer Full Name <br />(mmlddLyD <br />Jeremy Waselovich <br />Jay <br />2026.1/1/2026 <br />2/14/2026 <br />n`. Type ui Cominii tee Check One` <br />1 3, Type <br />of Report check onf one type ofreportfrom <br />one care <br />® Candidale Campaign ❑ Pam- <br />Municipal <br />State/County <br />Referendum <br />❑ PAC: ❑ Referendum <br />❑ <br />Organizational <br />❑ Ohgaru7ational <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 />P -primary <br />Pre-clection <br />® Fist <br />❑ Second <br />❑ Final <br />❑ Supplemental Final <br />7. TyDe of Fund (ifapplie ahle, 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 />❑ O71hcr <br />❑ <br />Year End <br />❑ Mid Year <br />10. Special Report Name <br />❑ <br />❑ <br />Fiscal <br />special <br />❑ Year End <br />❑ Final <br />S. ?Number of Fundraisers this Report <br />_...._ <br />❑ Special <br />11. Account Information <br />11. Account Information <br />a. Financial Institution Full Name <br />a. Financial Institution Full Name <br />Pinnacle Banly��� <br />b. Purpose <br />a Account Code <br />b. Yur�oSe <br />e. Account Code <br />Comm itte Di <br />FEB 2 3 2026 <br />d. Period Begin Balance <br />d. Period Begin Balance <br />CABARRUS Co UNTy <br />$ 0,00 <br />BOARD OF Ei C::: i i DNS <br />$ <br />CERTIFICATION <br />I certify that the Committee or Fund is in compliance with a]€ applicable provisions of Article 22A, 2213, & 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 <br />further certify that this report <br />is complete, true and correct and that I have been trained <br />by the oard of , <br />Jay Waselovich Jay <br />2/24/2026 <br />Printed Nmnc of Signer <br />Sig'tare of d r urer <br />late <br />FOR OFFICE USE ONLY <br />f�} <br />D_Method <br />e€i�M <br />Date Received: :J2 <br />Employee: <br />Normal Mail <br />RAgiot❑ered Mail <br />Date Postmarked: <br />Employee; <br />and Delivered <br />' � � <br />W� /V ❑ 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 />I YUu rirusi arriend site Siaierrterrt of Ga garts don (CRG-210GA-E) io make committee chariges. <br />CRO-1000 NC State Board of Elections August 2008 <br />