Lee Final Report Amendment
Disclosure Report Cover cgi Yes ® 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
COMMITTEE TO ELECT MICHAEL LEE FOR BOARD OF EDUCATION 2DYOZS
b.Mailing Address(include City,State and Zip Code) d.Date Filed
PO BOX 809
WILMINGTON,NC 28402 a`/q 1.3
e.Phone Number
910-232-4435
2. Report Year 3. Period Start Date(mm/dd/yy) 4. Period End Date 5.Treasurer Full Name
(mm/ddlyy)
2012 07/01/2012 12/31/2012 Susan Hilbert
6.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 ❑ Joint Fundraiser ❑ Thirty-five day Quarterly ❑ Pre-referendum
❑ Expenditure
❑ Legal Expense Fund
7.Type of Fund Of applicable,check one) ❑ Pre-primary ❑ First ❑ Final
❑ "Booster Fund" ❑ Pre-election ❑ Second ❑ Supplemental Final
❑ Building Fund ❑ Pre-runoff ❑ Third ❑ Annual
Semi-annual ❑ Fourth ❑ Special
❑ Mid Year Semi-annual
❑ Other: ❑ Year End ❑ Mid Year 10.Special Report Name
❑ Final ® Year End
8.Number of Fundraisers this Report ❑ Special ® Final
❑ Special
11.Account Information 11. Account Information
a.Financial Institution Full Name a.kinancial,Institution Full Name
RBC CENTURA 1 _k.-',_ 4 -
b.Purpose c.Account Code b.cCnGGCC77 Doso 4 2013 c.Account Code
. MVL V
Ni-4C 3d of Elections
d.Period Begin Balance d.Period Begin Balance
$ 1,355.62 $
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A,22B,&22D-22M of Chapter 163 of
the NC General Statutes and that no funds are commingled with prohibited or other non-disclosed funds.I further certify that this report
is complete,true and correct and that I have been trained by the te Board of Elections.
Susan Hilbert ZAyizo 13
Printed Name of Signer Signature of Appointed Treasurer Date
FOR OFFICE USE ONLY
Date Received: /y',)"1 3 Employee: (�f 1 �.,,;. Delivery Method
❑ Normal Mail
Date Postmarked: Employee: El R. Registered Mail
Hand Delivered
Date Scanned: Employee: Electronically Filed
❑ 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 ® Yes ❑ No
Use this form to summarize all disclosure reporting forms and to total monetary information.
1.Committee Full Name(and Fund if applicable) 2.Type of Report 3.ID Number
COMMITTEE TO ELECT MICHAEL LEE YEAR END FINAL 2DYOZS
FOR THE BOARD OF EDUCATION
Start of Election Cycle: January 1, 2009 Total this Total this
Re a ortin_ Period Election C cle
4) Cash on Hand at Start $ 1,355.62 $ 1,355.62
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)
9) Loan Proceeds (CRO-1410) $ .d At E.Iect
10) Refunds/Reimbursements To the Committee (CRO-1240) $ $
11) Other Receipt Sources
11a) Interest on Bank Accounts (CRO-1250) $ $
11b) Contributions from Not-for-Profit Organizations (CRO-1250) $ $
l lc) Outside Sources of Income (CRO-1250) $ $
ltd) Legal Expense Fund—Other Sources (CRO-1270) $ $
11 e) Exempt Purchase Price Sales (CRO-1265) $ $
12) TOTAL RECEIPTS(Add lines 5, 6, 7,8 9, 10 lla,11b,11c, IId and Ile) $ 0 $ 0
13) Disbursements
13a) Operating Expenditures (CRO-1310) $ $
13b) Contributions to Candidates/Political Committees (CRO-1310) $ 1,355.62 $ 1,355.62
13c) Coordinated Party Expenditures (CRO-1310) $ $
14) Aggregated Non-Media Expenditures (CRO-1315) $ $
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) $ 1,355.62 $ 1,355.62
19) Cash on Hand at End (Add lines 4 and 12 together,then subtract line 18) $ 0 $ 0
20) Non-Monetary Gifts Given to Other Committees (CRO-1330) $
21) Outstanding Loans(incl. ones from other campaigns) (CRO-1430) $
22) Debts and Obligations owed By the Committee (CRO-1610) $
23) Debts and Obligations owed To the Committee (CRO-1620) $
24) Account Transfers Within the Committee (CRO-1720) $
25) Administrative Support (CRO-1710) $ $
26) Forgiven Loans (CRO-1440) $ $
27) 48-Hour Notice Reports Sum (CRO-2200) $ $
28) Contributions to be Refunded (CRO-1215) $ $
CRO-1100 NC State Board of Elections August 2008
Amendment
Disbursements Pg 1 of 1 ® Yes El No
Use this form to report expenditures from the committee for; operating expenses,contributions to candidate/political
committees and coordinated party expenditures.
1.Committee Full Name(and Fund if applicable) 2.ID Number
COMMITTEE TO ELECT MICHAEL LEE 2DYOZS
3.Type of Disbursement [Please use separate CRO-1310 forms for each type of Disbursement.).
❑ Operating Expenses Ah., Contributions to Candidates/Political Committees El Coordinated Party Expenditures
4.Payee Information ❑ Add ❑ Remove
a.Full Name,Mailing Address&Phone b.Coordinated Committee Name d.Comments
(include city,state,&zip)
WOODY WHITE FOR
NH COUNTY COMMISSIONER c.Level Registered(Specify)
6108 OLD BRANCH ROAD ❑ Federal El County:
WILMINGTON,NC 28409 El State ❑ Municipality: e.Election Sum to Date
{i-t ;r1vr0 $ 500.00
f.Account Code g.Form of Payment h.Purpose Code i.late(mm/dd/yyyy) j.Amount k.Required Remarks
MVL CHECK D F Gd '4 L 10/4/2012 $500.00
FlectioT $ —
4. Payee Information ❑ Add ❑ Remove
a.Full Name,Mailing Address&Phone b.Coordinated Committee Name d.Comments
(include city,state,&zip)
LISA ESTEP FOR
NHC SCHOOL BOARD c.Level Registered(Specify)
PO BOX 2263 El Federal ❑ County:
WILMINGTON,NC 28402 El State ❑ Municipality: e.Election Sum to Date
$ 855.62
f.Account Code g.Form of Payment h.Purpose Code i.Date(mm/dd/yyyy) j.Amount k.Required Remarks
MVL CHECK D 10/02/2012 $855.62
4.Payee Information ❑ Add El Remove
a.Full Name,Mailing Address&Phone b.Coordinated Committee Name d.Comments
(include city,state,&zip)
c.Level Registered(Specify)
El Federal El County:
❑ State ❑ Municipality: e.Election Sum to Date
$
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 $ 1,355.62
6.Total of ALL CRO-1310 Pages
(This line goes in line 13a of Detailed Summary Page CRO-1100 if Operating Expenses)
(This line goes in line 13b of Detailed Summary Page CRO-1100 if Contrib to Candidates/Political Comm) $ 1,355.62
(This line goes in line I3c of Detailed Summary Page CRO-1100 if Coordinated Party Expenditures)
7.Purpose Codes (List detailed expenditure code in(h.)above)
A*-Media B*-Printing C*-Fundraising D-To Another Candidate
E - Salaries F*-Equipment G-Political Party H*-Holding Public Office Expenses
1 - Postage J - Penalties K*-Office Expenses Q*-Donation to Legal Expense Fund
O*-Other
* Codes require detailed explanation in required remarks field(k)
CRO-1310 NC State Board of Elections December 2009