Barfield Mid Year Amendment 2013 Disclosure Report Cover AQmeYes E3 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 u date information.
1.Committee Information
a.Full Name c.ID Number
b.Mailing Address(include City,State and Zip Code) d.Date Filed OF
Pr Aar /1)
A `L 1 le.Phone Number
.Report Year 3.Period S rt Date(mm/dd/yy) 4./P�eri d Eno-Date(nmVddiv� 5.Treasurer Full Name
T 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
❑ 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
.Number of Fundraisers this Report ❑ Special ❑ Final
❑ Special
11.Account Information 11.Account Information
a.Financial Institution Full Name a.Financial Institution Full Name
Purpose c.Account Code b.Purpose c.Account Code
C�Y' r CAP.- RECEI
d.Period Begin Balance d.Period Begin Balance
$ 3S � q AUG 202t
CERTIFICATION f
1 certify that the Committee or Fund is in compliance with all applicable provisions lAHrt cleeP�Ao2FI 0-02M of Chapter 163
of the NC Ge r 1 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 c�th t I have been trained ky the NC State B d lections.
Printe4fiame of Si ner Signature of Ap rated Treasurer bate
FOR OFFICE USE ONLY
f) _. Delivery Method
Date Received: 1 3 Employee: =_ ❑ Normal Mail
E3 Registered Mail
Date Postmarked: Employee: E3 Hand Delivered
Date Scanned: Employee: ❑ Electronically Filed
E3 Signer has not received
tPlease Entered: Employee: mandatory training
ote: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 P Yes ❑ No
Use this form to summarize all disclosure reportinR forms and to total monetary information
1.Committee Full Name(and Fund if applicable) 12.Type of Report 13.ID Number
�!°i�rYti�C\Ce_ > � z,C� ��Cti�T i? 1�Cc�fin✓h`ssrrl��il �1 , .� '�v.,- �
l Total this Total this
Start of Election Cycle: January 1, �. Reporting Period Election C cle
4) Cash on Hand at Start $
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) $ A 5_00, (13 $ CC)
9) Loan Proceeds (CRO-1410) $ $
10) Refunds/Reimbursements to the Committee (CRO-1240) $ $
11) Other Receipt Sources
11 a) Interest on Bank Accounts (CRO-1250) $ $
lib) Contributions from Not-For-Profit Organizations (CRO-1250) $ 1
llc) Outside Sources of Income (CRO-1250) $ ABU
1Id) Legal Expense Fund-Other Sources (CRO-1270) $ $
(CRO-1265) $ Of E rations )
Ile) Exempt Purchase Price Sales S (�
F2) TOTAL RECEIPTS(Add lines 5,6,7,8,9,10,1 la,l lb,llc,l ld and l le)DITURES rsements perating 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) $ L� $ I `l
19) Cash on Hand at End(Add lines 4 and 12 together,then subtract line 18 $ 1 c' �, 6!�(
ADDITIONAL INFORMATION
0) Non-Monetary Gifts Given to Other Committees (CRO-1330) $
I) Outstanding Loans(incl.ones from other campaigns) (CRO-1430) $
2) Debts and Obligations owed by the Committee (CRO-1610) $
3) Debts and Obligations owed to the Committee (CRO-1620) $
[6) Forgiven count Transfers Within the Committee (CRO-1720) $
ministrative Support
(CRO-1710) $ $
(CRO-1440) $ $
Loans-Hour Notice Reports Sum (CRO-22z0) $
(CRO-1215) $ $
ntributions to be Refunded August 2008
CRO-1100 NC State Board of Elections
Amendment
Contributions from Other Political Committees Pg +� of i Yes ❑ No
Use this form to report contributions from other candidate,referendum or PAC committees
FNe Committee Name(and Fund if a li cable) 2.ID Number
�'Tt e� -� �' e�. � �vm rn
tor Information Add Remove
ailing Address&Phone b.Type of Committee d.Comments
,state,&zip) Candidate PAC q ea Ivr/ � ❑ Referendum
/r/t J tLTJ L c.Level Registered(Specify)
/ Federal County:
6 State ❑ Municipality: e.Election Sum to Date
e�s bv(o� �c 7 q $ s"
f.Account Code g.Form of Payment h.In-Kind Description i.Date(mm/dd/yyyy) J.Amount
-f l l Lol.� $ S"w-CV
AUG 2 0 2013
$
$
.Contributor Information Add Remove
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
Account Code g.Form of Payment h.In-Kind Description i.Date(mm/dd/yyyy) j.Amount
$
$
3.Contributor Information ❑ Add ❑ Remove
Full Name,Mailing Address&Phone b.Type of Committee d Conte
(include city,state,&zip) Candidate U PAC
❑ Referendum
c.Level Registered(Specify)
Federal U County:
❑ State ❑ Municipality: e.Election Sum to Date
$
Account Code g.Form of Payment h.In-Kind Description i.Date(mm/dd/yyyy) J.Amount
$
4.Total only this Page $ S vo co
5.Total of ALL CRO-1230 Pages $ ic)
(This line must be online 8 of Detailed Summary Page CRO-1100) �V"
CRO-1230 NC State Board of Elections April 2007