Kraybill 2020 Fourth Quarter ReportDisclosure Report Cover
Use this form for general report and committee informati
form
JAN282071 Amendmenr r,
o n,(AUHtr Optltg6€ff, f ,i tted al o n g *i,H,I8: a.,uilf
nEv lJ ll\t rEnr)\rtt
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forms.
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Information
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Full Name c. ID Number
4qkBye
ZOLI
Date Filedtm AwW'L
v:trnn$l , Nc z?Ao3
Mailing Address (include City, State and Zip
e. Phone Number
1p-z5u-5b€b
7p7D
Y
io 7np
Period Start (mm/dd/yy)Period End Date (mm/dd/yy)
'at bze Treasurer
of Committee (Check One)
Candidate Campaign I farty
PAC I Referendum
I Independent Expenditure I Joint Fundraiser
I frgat Expense Fund
( if applicable, che ck one )of
Other:
Booster Fund
Building Fund
fl Organizational
I Thiny-fiveday
I Pre-primary
I Pre-election
I Pre-runoff
Semi-annual
tr Mid year
tr YearEnd
I rinat
I Special
Referendum
I Organizational
I Pre-referendum
I rinat
fl Supplemental Final
I Annual
I Special
tr
E.
one type one
First
Second
Third
Founh
Semi-annual
Mid Year
Year End
I rinat
E Speciat
I Organizational
Quarterly
Number Report
Account
10. Special Report Name
n11.*Financial Institution Full NameFinancial Institution Full Name
Account Code
5i-Y-- t
c, Account Code
Printed Name of
Purpose Purpose
of nted rer Date
LI
$
L
I certify rhar the Committee or Fund is in compliance with all applicable provisions ofofthe NC General Statutes and that no funds are commingled with prohibited or orherreport is complete, true and correct and that I have been trained by the NC State Board
/ru
Period Begin Balanced. Period Begin Balance
[b*fit a,^]-
A'VB'$ 14,oo
Article22A,22B &22D-22M of Chapter 163
non-disclosed funds. I further cenify that this
of Elections.
Date Received:
Date Postmarked:
Date Scanned:
Date Data Entered
Employee:
Employee:
Employee:
Employee:
Delivery Method
I Normal Mail
f] Registered Mail
$-fianaDelivered
E Electronically Filed
fl Signer has not received
t/e h/.zoat
mandatory tralnlng
IFOR OFFTCE USE ONLY
changes.
: This form cannot be used to amend commPlease Note ittee information such as the committee address,treasurer,assistant treasurer, custodian of books information, or account informationYou must amend the Statement of (CRO-2100A-E) to make committee
State Elections August 2008
I
fu AzctOePYu^'a rl ryerumt
3. ID Number
NED-IHt BXs -(
Start of Election Cycle: January 1, -?-ly Total this
Reportins Period
Total this
Election Cvcle
5) Aggregated Contributions from Individuals
6) Contributions from [ndividuals
7) Contributions from Political Party Cornmittees
8) Contributions from Other Political Committees
9) Loan Proceeds
l0) Refunds/Reimbursements to the Committee
1l) Other Receipt Sources
lla) Interest on Bank Accounts
I lb) Contributions from Not-For-Profit Organizations
I lc) Outside Sources of Income
lld) Legal Expense Fund - Other Sources
lle) Exempt Purchase Price Sales
(cRo-t20s)
(cRo-1210)
(cRo-1220)
(cRo-1230)
(cRo-t4r0)
(cRo-1240)
(cRo-t2s0)
(cRo-r2s0)
(cRo-1250)
(cRo-1270)
(cRo-r26s)
4) Cash on Hand at Start
25,D
$$
$tI
$IN
$NHC
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
BD OF
f2) TOTAL RECEIPTS (Adcl lines 5, 6, 7, 8, 9,t0,1la,l lb,l lc,l ld antl I le)$ 75,oO $ z4"T,q)
$
t$ .z5m,a0 6
$
$$
$$
$$
5 $
l3b) Contributions to Candidates/Political Committees GRo-t3r0)
l3c) Coordinated Party Expenditures
l4) Aggregated Non-Media Expenditures
l5) Loan Repayments
I 6) Ref unds/Reimbursements from the Committee
Disbursements
(cRo-13r0)l3a) Operating Expenditures
(cRo-t310)
(cRo-t3ts)
(cRo-1420)
(cRo-1320)
7) In-Kind Contributions (cRo-t510)$$
18) TOTAL EXPENDITURES (Add tines l3a, t3b, t3c. t4, t5. t6 and I 7)s Vq,AGt (g $ AA;Lffi6
19) Cash on Hand at End (Add lines 4 and tZ together, then subtract line I 8 $$
$
$
$
$
$
$$
$$
$$
Non-Monetary Gifts Given to Other Committees
Outstanding Loans (incl. ones from other campaigns)
Debts and Obligations owed by the Committee
Debts and Obligations owed to the Committee
Account Transfers Within the Committee
Administrative Support
Forgiven Loans
48-Hour Notice Reports Sum
Contributions to be Refunded
(cRo-1330)
(cRo-1430)
(cRo-16r0)
(cRo-1620)
(cRo-r720)
(cRo-17t0)
(cRo-1440)
(cRo-2220)
(cRo-t2ts)
7)
)
$$
Detailed Summary Amendment
E Y.t f""fornrs and
- 6a5
NC State Board August
$
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Information
a. AmendI eaa
fl Ren,ou.
b. Account Code
6obt
c. Form of Payment
Prrpe
d, In-Kind Description e. Date (mrn/dd/yyyy)
tt lozlaru $ 2r,0D
f. Amount
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$
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I Re.ore $q z5q). Total of ALL CRO-1205 Pages
(This line must be on line 5 Detailcd CRO.I,
Total
754$
Aggregated Contributions from Individuals page I of
Optional form used to NC Contributions Frorn Individuals of $50 or less
r AmendmentI Et v*,fl^"
-0/r5
NC State Board of Elections April 2007
i
this
Disbursements pg t or L H'T":'*' ff*"Use this form to report expenditures liom the cornmittee lbr operating expenses, contributions to candidate/political
60^mtltee*a I\ED-t HftbY5
of Disbursement
Address & Phone
& zip)
%@boD
,
Coordinated
Comments
$
E str,. I Munir:ipality:e. Election Sum to Date
Contributions to Candidatcs/Political Committees
Information
Full Name,
U,IL tntrnj€{TDP'
t&
RemoveAdd
Coordinated Committee Name
JAN 2 6 202
NHC BD OFrA4-nL 2D
t'Y- ZZ4t5
c. Level Registered (Specify)
I Feoerat I cnur,y
[. Account Code g. Form of Payment h, Purpose Code i. Date (mm/dd/yyyy)j. Amount k. Required Remarks
5-Y-t b^Vlh"t+o v,let lwzo $ 3,oo gnilL {eo
4$rIXD5r
Lew ?t&(il trA+rt\ w
(r(Lyl\ t )61v P, tJL ZO+5
d. Comments
Election Sum to Date
$ @6.bo
1 O t{.u)b ?.oZo $
Add Remove
b. Coordinated Committee Name
Information
Level Registered (Specify;
Full Name, Malling Address & phone
(include city, state, & zip)
I Federal f, cnrn,y,
fl Srrr. I Municipaliry
[, Accounl Codeatbt g. Form of Payment
WLLVTIUW
h. Purpose Codeo i. Date (nrm/dd/yyyy)
tLiSt I ZnZ",
j, Amount
s 3.qt
k.Reouired Remarksb"ilLdL
PAIP&L
Election Sum to Date
$ 4fu4t,07
O
Comments
tLl" l TaZctI
(include state, & zip)
Full Name, Mailing Address & phone
I s,r,"
c, Level
Fedcral
(Specify)
Add Remove
Coordinated Committee Name
$ 5.oO
County:
Municipality:
f. Account Code g. Forn-of Payment h. Purpose Code i. Date (mm/dd./yyyy)j. Amount k. Required Remarks
6uL-t altto o tt o+ZoZo $ l,ov p\xosvq@
(This line goes in line 13o of Detailed suntmary page cRo-t 100 ( operating Expenses)
(This line goes in line l3b o;f Detailed Sunmary Page CRo-|100 if Contrib to Candidares/political Comm)wn,zb
$
$I ,0
$
Total this Page
Delailedlinein line 13c cRo-u00 Coortlinated
Codes (List detailed code in above)
Total of ALL CRO-1310 Pages
H* - Holding Public Office Expenses
Q* - Donation to Legal Expense Fund
*
*
- To Another ate
Other
F* - Equipment
J - Penalties
G - Political Party
K* - Office Expenses
c*-- Salaries- Postage
Board of Elections 2009
Disbursements pg 7- or Z t]"T"T*' ! no
Use this form to report expenditures tiom the corunittee fbr operating expenses, contributions to candidate/political
and inated
66l. Committee Full Name (and Fund
Loron-ftecb Aed @*A,le
if applicaEleJ 2.1p [rJrrmber
^@- lflAbYS-t
of Disbursement
t+,27
Coordinated
d.
7a $
JAN 2 6 2021
b. Coordinated Comrnittee NameFull Name, Mailing Address &
Level Registered
Election Sum to Date
NHC BD OF
Contributions to CandidatesiPolitical Committees
Add Remove
(SPecify)
f, cnrn,y,
fl Municipality:
I Federul
I s,ut"
[. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy)j. Amount k. Required Remarks,Lwt W^Y bo),r 10 ?n $ l4.Lb S?€eif $LJ
4. Payee Inforrnation EI aoo EI nemove
b. Coordinated Committee Name d. CommentsFull Name, Mailing Address & Phone
(include city, state, & zip)
c. Level Registered (Specify)
I Federat f] cnrnty,
fl Strt" I Municipality:
$
e, Election Sum to Date
L Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd,/yyyy)j. Amount
$
k Required Remarks
d. Comments
$
(include city, state, &ziP)
Election Sum to Date
Information
Full Name, Mailing Address & phone
$
Add Remove
Coordinated Committee Name
c. Level Registered
I stot"
Fcderal
I Municipaliry:
County
f. Account Code g. Form of Payment h. Purpose Code i. Date (mm/dd/yyyy)j. Amount k Required Remarks
$
$
5. Total only this Page s t+z)
(This line goes in line 13a of Detaited summary page cRo-il00 if operating Expenses)
(This liue goes in line I3b of Detailed Summary Page CRo-|100 i[ Contrib to Caudidates/political Contm)
-(Thit lin" go"t i,, li,r, I3" rf Drtoil"d sunrrrory pog, CRo-r100,!courdinot"d porty Erpenditures)
6. Total of ALL CRO-1310 Pages
'EffitTlq?-b
code in (h.) above)Codes (List detaited
H* - Holding Public Office Expenses
Q* - Donation to Legal Expense Fund
*
D - To Another- Fundraising
- Postage
* Other
- Media- Salaries Fx - Equipment
J - Penalties
B*_
G - Political Party
K* - Office Expenses
NC Statc Elections 2009
urcement.)