White 48 hour report 2012 Amendment
48-Hour Notice Page 1 of 1 ❑ Yes ® No
Use this form to report all contributions of$1,000 or more.
Notice must be filed within 48 hours of receipt of contribution.The 48-Hour reporting period begins the day after the last day of the 1°
Quarter-Plus report period and ends the day of the Primary Election and begins the day after the last day of the 3`d Quarter-Plus report period
and ends the day of the General Election.All 48 Hour In-Kind Contributions must be recorded on CRO-1510 and attached.
_ This notice may be faxed in order to meet the 48 hour deadline.
1.Committee Information
a.Full Name c.ID Number
Woody White for NH County Commissioner MHA98K
b.Mailing Address(include City,State and Zip Code) d.Report Date
6108 Old Branch Road
Wilmington,NC 28409 5-8-2012
e.Phone Number
910-313-3336
2.Contribution Information 2.Contribution Information
a.Full Name,Mailing Address&Phone Add a.Full Name,Mailing Address&Phone ❑ Add
(include city,state,and zip) ❑ Remove (include city,state,and zip) p Remove
Raymond Bray
3213 Galway Road
Castle Hayne,NC 28429
RECEIVED
MAY' 0 8 2012
b.Type of Contributor b.Type of ContributotJHC Fc1 of Fl�±�^ t�r
® Individual (f checked must speck b2 and b3) ❑ Individual (f checked n>rJk ec b2 and b3)
❑ Political Party ❑ Political Party
❑ Other Political Committee (f checked must speck bl) ❑ Other Political Committee (if checked must sped bl)
❑ Not-for-Profit (if checked,must speck b4) ❑ Not-for-Profit (if checked must speck b4)
O Other Source: ❑ Other Source:
bi.Type of Committee bl.Type of Committee
❑ Federal ® County: New Hanover ❑ Federal 0 County:
❑ State 0 Municipality: ❑ State ❑ Municipality:
b2.Job Title/Profession b4.Federal ID Number b2.Job Title/Profession b4.Federal ID Number
President
b3.Employer's Name/Specific Field c.Form of Payment b3.Employer's Name/Specific Field c.Form of Payment
Outdoor Creations
Landscapes , fL
d.Date(mm/dd/yyyy) f.Amount d.Date(mm/dd/yyyy) f.Amount
5-9-2012 $ 1000.00 $
e.Account Code g.Election Sum to Date e.Account Code g.Election Sum to Date
WW $ 1625.00 $
3.Total Contributions THIS Page (sum all the 2f entries on this page) $ 1000.00
4.Total Contributions ALL Pages (if multi page,only list on page 1) $ 1000.00
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applica. -provisions of Article 22A,22B,&22D-22M of Chapter 163
of the NC General Statutes and that no funds are commingled with p • •ited or other non-disclosed funds. I further certify that this
report is complete,true,correct and that I have been trained by the 'tate Board of Elections.The contributions were received no
more than 48 hours prior to this notice being filed. I understand th. . contributions including those reported on this notice must
also be reported on the next scheduled campaign disclosure r-.o
Nickie M. Ray 1 AI 5-8-2012
Printed Name of Signer 'ign: i .1 Ap•iced T asurer Date