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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 infortnation <br />1. Committee Information <br />a. Full Name <br />c. ID Number <br />COMMITTEE TO ELECT ROBERT KIRK <br />b. Mailing Address (include Cirv, Stott and Zip Code) <br />d. Date Filed <br />1 l93 MANOR OAK PLACE NW <br />1/30/2026 <br />CONCORD, NC 28027 <br />e. Pboue Number <br />980-521-9126 <br />2. Report Year <br />3. Period Start Date (mm/ddlyy) <br />4. Period End Date <br />5. Treasurer Full Name <br />mm/dd/ ry <br />EMILY HAYNES <br />2025 <br />12/1812025 <br />12/31/2025 <br />6. Type of Committee Check One <br />9. Type of Report <br />(check only one type 91neport <br />ram one cote og <br />® Candidate Campaign ❑ Party <br />Alunicipal <br />state/County <br />Referendum <br />❑ PAC ❑ Referendum <br />❑ Organizational <br />❑ Organizational <br />❑ Organizational <br />Independent ❑ ,Joint Fundraiser <br />❑ Expenditure <br />❑ Thirty-five day <br />Quarterly <br />❑ Pre -referendum <br />Legal Expense Fund <br />❑ Prc-primary <br />❑ F'rc c}crtii7n <br />❑ First <br />❑ Second <br />❑ Final <br />❑ Supplemental Final <br />7. Type of Fund (ifapplicable, check ono <br />❑ "Booster Fund" <br />❑ Building Fund <br />❑ Pre-runoll- <br />❑ Third <br />❑ Annual <br />Semi-annual <br />❑ Fourth <br />❑ Special <br />❑ Mid Year <br />semi-annual <br />❑ other: <br />❑ Year find <br />❑ Mid Year <br />10. Special Report blame <br />❑ Final <br />❑ special <br />® Year End <br />❑ Final <br />❑ special <br />S. Number of Fundraisers this Report <br />11. Account Information <br />11. Account Information <br />a. Financial Institution Full Name <br />a. Financial Institution Full Name <br />UWHARRIE BANK <br />b. Purpose <br />c. Account Code <br />b. Purpose <br />c. Account Cade <br />CAMPAIGN <br />01 <br />d. Period Begin Balance <br />d- Period Begin Bala nee <br />S 100 <br />� <br />CERTIFICATION <br />I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B, & 22D-22M of Chapter 163 of <br />the NC Gencral 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 by the NC�Ieoa <br />ofElee s. <br />EMILY HAYNES <br />1/30/2026 <br />Printed x Iame of5igner <br />of point d rea rer <br />Date <br />FOR OFFICE USE ONLY <br />� r <br />Delivery Method <br />Date Received:1� [o Employee-. <br />Normal <br />❑ Normal Mail <br />❑ Registered Mail <br />Date Postmarked: Employee: <br />Hand Delivered <br />WAN <br />❑ Electronically Filed <br />Date Scanned: Employee: <br />❑ Signer has not received <br />Date Data Entered: Employee: <br />mandatory tVic.trrainii' kp <br />H <br />Please dote: This Form cannot be used to amend committee information such as the committee address, treasurer, assist ntntrT <br />custodian of books information, <br />or account infonnation. <br />�AR 33 11]] <br />You must amend the Statement of Organization CRO-2 i 00A-E) to make committee changes. I}5 GQ�K <br />CRO-I400 NC Statc Beard of Elections OWD OX usF 2009 <br />