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Amendment <br />Disclosure Report Cover At <br />A Yes[M No <br />Use this form for general report and committee information, must be signed and submitted along with otherdetailed 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 PAM ESCOBAR <br />b. Mailing Address (include City, State and Zip Code) <br />d. Date filed <br />1115 ANDUIN FALLS DR <br />CHARLOTTE, NC 28269 <br />01/08/2025 <br />e. Phone Number <br />(980) 494-3235 <br />2. Report Year <br />3. Period Start Date (mmlddlyy) <br />4. Period End Bate (m mlddlyy) <br />5. Treasurer Fall Name <br />2024 <br />07/01 /2024 <br />12/31 /2024 <br />CATHERINE PARRISH <br />6. Type of Committee Check One <br />9. Type <br />of Re rt (check <br />only one type of re <br />ort om one category) <br />® Candidate Campaign [3 Party <br />Municipal <br />State/County <br />Referendum <br />[] Joint Fundraiser ❑ PAC <br />❑ <br />Organizational <br />❑ Organizational <br />❑ Organizational <br />❑ Referendum ❑ Legal Expense 1-and <br />[] <br />❑ <br />❑ <br />Thirty-five day <br />Pre-primary <br />Pre -election <br />Quarterly <br />❑ First <br />❑ Second <br />❑ Pre -referendum <br />❑ Final <br />❑ Supplemental Final <br />7. Type of Fund (+fapplicable, check one) <br />❑ "Booster Fund" <br />❑ Building Fund <br />❑ <br />Pre -runoff <br />❑ Third <br />❑ Annual <br />❑ Presidential Election Year Candidates Find <br />Semi-annual <br />❑ Fourth <br />❑ Special <br />❑ NC Public Campaign Financing Fund <br />❑ <br />Mid Year <br />Semi-annual <br />❑ <br />Year End <br />❑ Mid Year <br />HUSpecial Report Dame <br />❑ Othcr: <br />❑ <br />❑ <br />Final <br />Special <br />� Year End <br />❑ Final <br />❑ Special <br />RE<CEIVEC] <br />8. Dumber of Fundraisers this Report <br />0 <br />IN-P .pc <br />3. Account Information <br />3. Account Information <br />a. Financial Institution Full Name <br />a. Financial Institution Fall Name <br />UWHARRIE BANK <br />PAYPAL <br />Cowry <br />BCABARRUS <br />b. Purpose <br />c. Account Code <br />b. Purpose <br />c. Account C. Il fl <br />COMMITTEE <br />CAMPAIGN <br />TRANSACTIONS <br />I <br />CONTRIBUTION PORTAL <br />2 <br />d. Period Begin Balance <br />d. Period Begin Balance <br />FOR WEBSITE <br />$ <br />220.00 <br />$ 0.00 <br />CERTIFICATION <br />I certify that the Convrtittee or Fund is in compliance <br />with all applicable provisions of Article 22A, 22B & 22D-22M of <br />Chapter 163 of the NC General Statutes and that no <br />funds are commingled with prohibited or other non -disclosed <br />funds. I further certify that this report is complete, <br />true and correct and that I have been trained by the NC State Board <br />CAN Pa <br />0Q01 <br />t I 10 L5 Qvns Fk <br />/08/2025 <br />Printed Name of Signer <br />Signature of Appointed Treasurer Date <br />FOR OFMCE US E ONLY <br />Date Received: i 2 <br />Employee: �� Delivery Method <br />� <br />❑ Normal Mail <br />Date Postmarked: <br />Eanployee: ❑ istered Mail <br />LYfiand Delivered <br />Date Scanned: �� l <br />r <br />Employee: F' �N ® Electronically Filed <br />Date Data Entered: <br />Employee: ❑ Signer has not received <br />mandatory training <br />Please Note: This farm cannot be used to amend coninittee infonmation such as the conunittee address, treasurer, <br />assistant treasurer, custodian <br />of books information, or account information. <br />You must amend the Statement of Organi2ation CRO-2100A-E to make committee than es. <br />L KU-!You INC Gate Board of Electrons December 2007 <br />