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Barfield Mid Year Amendment 2013 Disclosure Report Cover AQmeYement 0 No Use this form for general report and committee information,must be signed and submitted along with other detailed forms. Do not use this form to update information. 1.Committee Information a.Full Name c.ID Number L.omrn iffie IP e -- 6 ec,/c Ce,A,i►4sion er (4W141 C? b.Mailing Address(include City,State and Zip Code) d.Date Filed Y.7)0 Ardi er- a Ee/64.0//3 I,Iw,;,,,711),1!A `_ 1 F901 e.Phone Number 2.Report Year 3.Period Styrt Date(rttm/dd/yam 4.Peri d En Date(mn>/ddiyy) 5.Treasurer Full Name 1 7 ,-- Type of Committee(Check One) 9.Type of Report (check only one type of report from one category) Candidate Campaign ❑ Party Municipal State/County Referendum — PAC Referendum ❑ Organizational ❑ Organizational ❑ Organizational ❑ Independent Expenditure ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre-referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ First ❑ Final El Pre-election ❑ Second ❑ Supplemental Final 7.Type of Fund (if applicable,check one) - ❑ Pre-runoff ❑ Third ❑ Annual ❑ Booster Fund Semi-annual ❑ Fourth ❑ Special ❑ Building Fund ❑ Mid Year Semi-annual ❑ Year End [ Mid Year 10.Special Report Name ❑ Other: ❑ Final ❑ Year End 8.Number of Fundraisers this Report ❑ Special ❑ Final ❑ Special 11.Account Information 11.Account Information a.Financial Institution Full Name a.Financial Institution Full Name Ma-44A L b.Purpose c.Account Code b.Purpose c.Account Code GA IAN .0 l rxpv‘if RECEIVE d.Period Begin Balance d.Period Begin Balance $ 3 Cd-6t q°I AUG 2 0 2$ CERTIFICATION f I certify that the Committee or Fund is in compliance with all applicable provisions IH�+Article 22B' MIA of Chapter 163 of the NC Ge r•I Statutes and that no funds are commingled with prohibited or other non-disclosed funds. I further certify that this report is co' pl: true . .rr ct nd th t I have been trained • the NC State Bo: d s lections. ,�rJ/1u c..� 1 ,� it, , egl - d 1 Printe, ame of Signer Signature of Apr inted Treasurer ate FOR OFFICE USE ONLY j _ Delivery Method. Date Received: /'"/a'°l 3 Employee: ❑ Normal Mail ❑ Registered Mail Date Postmarked: Employee: Ei Hand Delivered Date Scanned: Employee: ❑ Electronically Filed o Signer has not received Date Data Entered: Employee: mandatory training Please Note:This form cannot be used to amend committee information such as the committee address,treasurer, assistant treasurer,custodian of books information,or account information. You must amend the Statement of Organization(CRO-2100A-E)to make committee changes. CRO-1000 NC State Board of Elections August 2008 Amendment Detailed Summary Am m Yes ❑ No Use this form to summarize all disclosure reporting forms and to total monetary information I1.Committee Full Name(and Fund if applicable) 2.Type of Report 3.ID Number C' rC_ ) Ete-t is— ('. i? lc n✓hcssrc W/ /1 , .s yti v.r ( F!i� I - 1 3 Total this Total this Start of Election Cycle: January 1, �. Reporting Period Election Cycle 4) Cash on Hand at Start $ .S j.', 1;!.' '1 `1 $ 7, ` ( r/ RECEIPTS 5) Aggregated Contributions from Individuals (CRO-1205) $ $ 6) Contributions from Individuals (CRO-1210) $ $ 7) Contributions from Political Party Committees (CRO-1220) $ $ 8) Contributions from Other Political Committees (CRO-1230) $ 6), 5-0 0, C13 $ ()(,) (1) 9) Loan Proceeds (CRO-1410) $ $ 10) Refunds/Reimbursements to the Committee (CRO-1240) $ $ 11) Other Receipt Sources 11a) Interest on Bank Accounts (CRO-1250) $ C $ lib) Contributions from Not-For-Profit Organizations (CRO-1250) $ RECEIVE' llc) Outside Sources of Income (CRO-1250) $ AUG 2 p 113 lld) Legal Expense Fund-Other Sources (CRO-1270) $ (CRO-1265) $ �MV$a �f E��tIOI�$ op ) lle) Exempt Purchase Price Sales /�C, (� 12) TOTAL RECEIPTS(Add lines 5,6,7,8,9,10,11a,11b,11c,11d and 11e) $ ,) T r,i),Ch. _ $ EXPENDITURES 13) Disbursements IIIMIIIIIIIIIIIIIIIIIII 13a) Operating Expenditures (CRO-1310) $ $ 13b) Contributions to Candidates/Political Committees (CRO-1310) $ $ 13c) Coordinated Party Expenditures (CRO-1310) $ $ 14) Aggregated (CRO-1315) $ $ re ated Non-Media Expenditures 15) Loan Repayments (CRO-1420) $ $ 16) Refunds/Reimbursements from the Committee (CRO-1320) $ 17) In-Kind Contributions (CRO-1510) $ $ 18) TOTAL EXPENDITURES(Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ C? $ / 19) Cash on Hand at End(Add lines 4 and 12 together,then subtract line 181 $ L. (J f (c, 6(L( $ !✓1 ( (,. ( c` ADDITIONAL INFORMATION 20) Non-Monetary Gifts Given to Other Committees (CRO-1330) $ 0,,,-- ` 1i. CRO-1430) $ 21) Outstanding Loans(incl.ones from other campaigns) ( a �� `i�� --:,Z. 22) Debts and Obligations owed by the Committee (CRO-1610) $ (CRO-1620) $ , ,.' 23) Debts and Obligations owed to the Committee ° � 4 r, e ; '^ 1, 24) Account Transfers Within the Committee CRO-1720) $ ��1 N�� :.�y '�Y 25) Administrative Support (cRO-1710) $ $ 26) Forgiven Loans (CRO-1440) $ $ 27) 48-Hour Notice Reports Sum (CRO-2220) $ $ $ 28) Contributions to be Refunded (CRO-1215) August 2008 CRO-1100 NC State Board of Elections Amendment Contributions from Other Political Committees Pg t of Q Yes ❑ No Use this form to report contributions from other candidate,referendum or PAC committees 1.Committee Full Name(and Fund if applicable) 2.ID Number 3.Contributor Information ❑ Add ❑ Remove a.Full Name,Mailing Address&Phone b.Type of Committee d.Comments (include city,state,&zip) ❑ Candidate 43 PAC /eck I r J "'FL El Referendum c.Level Registered(Specify) / )Ly (/a / Federal ❑ County: J 1� State ❑ Municipality: e.Election Sum to Date 7-/ ens bOrO( (>c7 7 $ ° f.Account Code g.Form of Payment h.In-Kind Description li.Date(mm/dd/yyyy) j.Amount C= 1ec.,k- RECFIVFD f��1�0�.3 $��S�v� ( AUG 202013 $ $ NHC Rd o loctior� 3.Contributor Information Add Remove a.Full Name,Mailing Address&Phone b.Type of Committee d.Comments (include city,state,&zip) ❑ Candidate ❑ PAC ❑ Referendum c.Level Registered(Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e.Election Sum to Date f.Account Code g.Form of Payment h.In-Kind Description i.Date(mm/dd/yyyy) j.Amount 3.Contributor Information ❑ Add ❑ Remove a.Full Name,Mailing Address&Phone b.Type of Committee d.Comments (include city,state,&zip) ❑ Candidate ❑ PAC ❑ Referendum c.Level Registered(Specify) ❑ Federal ❑ County: ❑ State ❑ Municipality: e.Election Sum to Date f.Account Code g.Form of Payment h.In-Kind Description i.Date(mm/dd/yyyy) j.Amount 4.Total only this Page $ cec7 CO 5.Total of ALL CRO-1230 Pages $ 9~ W�V"Cnv 1 iP (This line must be on line 8 of Detailed Summary Page CRO-1100) / CRO-1230 NC State Board of Elections April 2007