Uzcategui 2021 Organizational Reportl. Committee Information
I
a. Full Narne
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Number
Mailing Address City, State and Zip Date Filed
Phone Number
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Organizational
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First
Second
Third
Four&
Semi-annual
Mid Year
Year F.nd
Final
Speciat
( if applk able, chc ck one )
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of
NameOther:
Organizational
I Building Fund
Booster Fund
Pre-runoff
Semi-annual
Mid Year
Year End
Final
Special
PAC I Referendum
Independent Expenditure I Joint Fundraiser
l-egal Expense Fund
f] he..referendum
f] rinat
f] Supplemental Final
fl Annual
f] specia
f] Rre-primary
f] Pre-election
Organizational
Thirty-five day
Financial Institution Full Narre
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a. Financial Imtitution Futl Narne
c. Account CodeAccount CodePurpose
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I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, ZZB & 22D-22M of Chapter 163of the NC General Statutes and that no funds are commingled with prohibited or other non-disclosed funds. I further certiff that thisreport is complete, true and correct and that I have been trained by the NC State Board of Elections.
l(j}jR'r'lr''tcAI'ION
Printed Name of Treasurer Date
L
Date Received:
Date Postmarked:
Date Scanned:
Date Data Entered:
Employee:
Employee:
Employee:
Employee:
Delivery Method
fl Normal Mailfl Registered Mail
.E*{*ra Delivered
I Electronically Filed
fl Signer has not received
mandatory trarnrng
*7^",FoR oFrrcE usE oNLY
used to amend committee information such as the committee address, treasurer,
assistant treasurer, custodian of books information, or account information.
-
Yo, -utt u*"nd th" Stut"-"nt of O.grnirution (CRO-2I@A-E) to *uk committee changes.
Please Note: This form cannot be
Disclosure Report Cover
Use this form for general report and committee information, must
Do not use this form to
REtsB IN PERSON
FEB 0 5 2021
b.trfl##EPgHt8frts s
ADendmentE ves fl no
with other detailed forms.
NC State August 20O8
\
one
Detailed Summary Amendment
EI v"' El No
Start of Election Cycle: January 1,-Total this
Reportins Period
Total this
Election Cycle
5) Aggregated Contributions from Individuals
6) Contributions from Individuals
7) Contributions from Political Party Committees
8) Contributions from Other Political Committees
9) Loan Proceeds
l) Other Receipt Sources
lla) Intermt on Bank Accounts (CRGt2sh)
I I b) Contributiom from Not-For-Profi t Organization s GRo- I 250)
llc) Outside Sources of Income (CRO-1250)
lld) Legal Expense Fund - Other Sources GRO-1270)
lle) Exempt Purchase Price Sales GRat26s)
4) Cash on Hand at Start
5-
$$
$
o0J
INRECD
$
$
$
$
$
$
5-$'3 000$
$
$
$
$
$
$
$
$$
$$
$
Refundsu/Reimbursements to the Committee
(CR0,1205)
(cRo-l210)
(cRo-1220)
(cRo-1230)
(cRo-1410)
{cRo-1240)
12) TOTAL RECEIPTS (Add lines 5,6, 7, 8,9,10,1la"l lb,l lc,l ld and I le)$ 3,o25--$ v,o2s=
$$
$$
$$
$$
$$
$1.66 $ 3'1t. ab
$
l3a) Operating Expenditures (CR0-1310)
13b) Contributions to Candidates/Political Committees GR0,13t0)
l3c) Coordinated Party Expenditures GR},IJIu)
Aggregated Non-Media Expenditures
Loan Repayments
Refunds/Reimbursements from the Committee
Disbursements
7) In-Kind Contributions
(cRo-rils)
(cRo-1420)
(cRo-1i20)
(cRo-tsr0)$
18) TOTAL EXPENDITURES (Add lines 13a, l3b, l3c, 14, 15, t6 and I z{s Tqfil $ 3qt 66
19) Cash on Hand at End (Add lines 4 and. 12 togerher, then subtract line "I $1 $ 2,1.,13 3'1
$
$
$
$
$
$$
$$
$$
Non-Monetary Gifts Given to Other Committees GRo-rJja)
) Outstanding Loans (incl. ones from other campaigns) GRo-1430)
Debts and Obligations owed by the Committee
Debts and Obligations owed to the Committee
Account Transfers Within the Committee
Administrative Support
Forgiven Loans
4&Hour Notice Reports Sum
(cRo-r6r0)
(cRo-t620)
(cRo-1720)
(cRo-17r0)
(cRo-1440)
(cRo-2220)
Contributions to be Refunded (cRo-12r5)$$
of Elections August
lo
Amendment
Contributions from Individuals pg I or 3 tr yes tr No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
d. Comments
r-L.u u b 'tu'u
NHO BD OF EECNONS
e. Election Sum to Date
UZCATEGUI FOR CITY COUNCIL
b..Iob
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a. Full Name, Mailing Address & Phone
(include city, strte, & zip)
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d. Comments
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cRo-1210 NC State Board of Elections April2007
I. Cnmmittee $ull Name (and Fnnd if anplicahle)2. ID Number
3. Contributor Information Add Remove RESO IN
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Field
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J. Contributor lufarmation Add Remove
c. Employer's Name/Specific Field-)
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3. Contributor Information & Add T Remove
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4.'Total this Page
5. Total of ALL CRO-1210 Pages
(This,line must be on ltnc 6 alDmiled Summary Page CR0-l l(N)
Amendment
Contributions from Individuals pg L or 3 n yes n
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
No
FEB 0 5 2021
N'{0 EDOFEltofiof{t
I e. Election Sum to Date
$50o
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d. Commentsa. full Name,b. Job Title/Profession
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500 -
$
-
&
$
Address & Phone
e. Election Sum to Dste
c. Employer's
lhe5
['ield
A-"5*l
f. Prior g. Account Code h. Form ofPayment i, In-Kind Description j. Date (mm/dd/yyyy)k. Amount
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j. Date (mm/ddlyyyy)k. Amountf. Prior g. Account Code h. Form ofPayment i. ln-Kind Description
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$
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$ 1250:-
$
cRo-|210 NC State Board of Elections April 2007
2. ID Numberl. Committee Full Name (and Fund if applicable)
UZCATEGUI FOR CITY COTINCIL
3. Contributor Information Add Remove REC'D IN
b. Job Title/Profession d. Commentsa. Full Name, Mailing Address & Phone
(include &&.-t,1"
c,
rC-,D"
it
3. Contributor Infarmation m add n Remove
tr
3. Contributor Information Add Remove
4. Total onlv this Page
5. Total of ALL CRO-1210 Pages
(This line nwst be on line 6 of Detailed Summar! Page CR{LI100)
Amendment
Contributions from Individuals Pg3 q .trof
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
Yes No
d.
FEB 0 5 202t
N}P BD OF EI"ES'NONS
e. f,lection Sum to Dote
UZCATEGUI FOR CITY COUNCIL
b. Job Title/Profession
A*b,Curl F"
(-+nCoJncb,,)
c. Employer's
(include city, state, & zip)
a. Full Name,Address & Phone
I rleer
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h, o.lc z?6Dq
L/LZ- 2560 L/co =$
f. Prior g. Account Code h. Form ofPayment i. In-Kind Description j. Date (mm/dd/yyyy)k. Amount
tr C,ed,+ 6n k) lk oZ /oq /zozt voo'$
tr $
& Phone b. Job d. Comments
U/A
$tr
$
e. Election Sum to Date
(include
a. Full Name,
f. Prior g. Account Code h. Form ofPayment i, In-Kind Description j. Date (mm/dd/yyry)k. Amount
$
$
b. Job Title/Profession d. Comments
c. Em
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Field
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(include city,&
e. Election Sum
a. Full Name, Mailing Address & Phone
f. Prior g. Account Code h. Form of Payment i. ln-Kind Description j. Date (mm/dd/yyyy)k. Amount
tr $
tr $
s$ 4oo=
$3,ou)-
CRO-I2IO NC State Board of Elections April 2007
l. Committee Full'Name (and Fund if applicable)2. ID Number
3. Contributor Information Add Remove
i.DIN PEFSON
3. Contributor lufcrmation il Add u Remove
c. Employer's \ame/Specific Field
3. Contributor Information Add Remove
tr
4. Total only this Pnge
5. Total of ALL CRO-1210 Pages
(This line must be or line 6 of Detaited Sumntary Page CRO-I 100)
UZCATEGUI FOR CITY COUNCIL
h. Original Date
oz/ol/zozt
i. Original Receipt Amount
/72,17$
j. Election Sum to Date
$ //72 l+
PAC
fr
,L,1 IL/(>
I hAtL)I wry
oIq f. Purpose Code
of Committeed.
e. Level Registered
a. Full Name, Mailing
state, &
County:
Municipality:
Candidate
Referendum
Federal
State
k. Account Codec. Employer's Name/Specific Field g. Commentsb, Job Title/Profession
,_ t^)e-t> 7u5z F<-eS0,ASry<_r M ff D,,,[ Et|* pr,*
o. Amountm. Required Remarks n. Date (mm/ddiyyyy)l. Form of Payment
o L lo't
Receipt Date
PAC
u1 e. Level
3 6',{
Election Sum to Date
gs 61
$tL)t<
f.
$0
L*nrl Ozcn{"4
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(include state, &
d. Type of Committeea. Full Name, Mailing Address
i. Original
$
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h.
Federal
State
County:
Municipality:
Candidate
Referendum
g. Comments k, Account Codec. Employer's Name/Specific Fieldb. Job Title/Profession o9
t)
<-
{
o. Amountn. Date (mm/dd/yyyy)m,Remarksl. Form ofPayment
64DL
75 6{Lfursb'
Election Sum to Datef. Purpose Code
35 35
$i
h.
&
$-
$0
$
a. Full
0t 7q
d.of Committec
Levele.i. Original Receipt Amount
(include city,
1 to -ZbL'1L37
PAC
Party
Candidate
Referendum
Federal
State
k. Account Codec. Employer's Name/Specilic Field g. Commentsb. Job Title/Profession
hxv, W CLqU-Wb ke-Reyol""u A^sh"{o-t)rng
n, Date (mm/dd/yyyy)o. Amountm. Required Remarksl. Form ofPayment
0Ll Lt0 358;$f .hffX ql$
$
ServiceM.
o*
for
P* - Reimbursement of In-Kind
L - Retumed to
FTESI' IN f'EHSUN
Refunds/Reimbursements From the Committee FEB 06 Z1Zj- or (
Use this form to report refunds/reimbursements, including contributions returned to the contributor
AmendmenttrYestr No
cRo-1320 NC State Board of Elections December 2007
l. Committee Full Name {and Fund if applicable)rrr ru ey \4r lil'hrd,| l\rt![t 2. ID Number
3.Information Add Remnve
5Lt o
trn UM
3.Information Add Rernove
Amount
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3.Information Add Remove
D a
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tr
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U.NI
County:
Municipality:
4. Total only this Page t;6
5.TotalofALLCRO-I320Pages (Thistinemusrbeottline16ofDaaitedsummaryPageCRO-Il(M)
Aggregated Contributions from Individuals
Optional form used to report NC Contributions From Individuals of $50 or less
Page -1- of I
Amendmenttr Yes No
UZCATEGUI FOR CITY COUNCIL
f. Amountc. Form of Paymenta. Amend e.b.
Add 85=o t /z'lfrcutPlnC,clf A.)Remove
Add REC'D II$PERSON
Remove
Add FEB 0s 202tRemove
Add )FGLEGTIOI{3NHC BD I
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Add $
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Add $
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Add s
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Add $
Add $
Remove
$
$
$65. Total
(This line
of ALL CRO-1205 Pages
be on line 5 Summary Page CRO-I
Add
Remove
4. Total
cRo-1205 NC State Board of Elections April 2007
l. Committee Sull Nams (and Fund if applicable)2.ID Number
3. Contributor Information
d. In-Kind
Descrintion
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