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1 Amendment Disclosure Report Cover Yes Q-No Usethis 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. MtMgM&JSS^aJm J.-:.:..-r.,.A :.>,i.^---'.-...:..-'.»>.-.->.r-r.'-.:.-.-.-v-:' ,-.--:-:-:- -i'.^lv-wri? j.-t -I-...'_.-/---: ~--.'.'^ T~"-"-";;" a. FullName:.:: ;- ;.'.-'-/y;; " '-._. -.-:.:.;;-:...>.;...--., ci ED Number cimailing-"ress (include <Ciry-rStatelaidZip^eode)^^:. >*: ^'v5?-.;-1;ji< >#&%ij\f^&i*-i'&^ r'v-*:- ^^lio^en^e^f^rm^ia^^ ^SC fcqr d. Date Filed; ^ CH..M c%aj tphohe.number nm-mt-^l,-. V\ Sjj^^^tMl Ck&^ -jd\ \ "Wt^ (W^Mtoi 1 Candidate Campaign Q Party Q PAC D Referendum F~l Independent Expenditure Q Joint Fundraiser _] Legal Expense Fund wgifc^i^^^^g i~] Organizational II Thirty-five day f~! Pre-primary J?LPre-election f~l Pre-runoff Semi-annual Mid Year fj Year End Stafe/C6uhty f~l Organizational Quarterly First f~l Second Q Third r~l Fourth Semi-annual Mid Year D Final D Special YearEnd PmW Q.pMW^-r Referendum:^ II Organizational Final I I Supplemental Final Annual nr Special^! ^3^McraI;ia^*f^6SF^'N^e^ ^^^^ J^^^^ ii.fjfimcim/iristitufiori FullNamdvr ^ 'vy^v.^ ' "'-.-' / JTION >":p^^;-'>-t-.^r.w^,-^;-";.^:-i>.u c ^-V^.^v^.ir.-j'C-v:-:.:-.:^-..-- Account -Code.-::. ;"':.-. Mii^MiS^^iMJiJ(^AccountGode-i^^vV - \ & d^md^tmince^s; 53W dvperiodgegigaiance^f'^j I certify that the Committee orfund isin compliance with all applicable provisions ofarticle 22A, 22 &22D-22M ofchapter 163 ofthe NC General Statutes and that no funds are corhmingled with prohibited or other non-disclosed funds. I further certify that this reportis complete, true and correctand thati have beentrained by the NCState oardof Elections. Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, 1 assistant treasurer, custodian of books information, or accountinformation. You must amend the Statement of Organization (CRO-2100A-E) to make committee changes CRO-1000 NC State oard of Elections August 2008

2 Detailed Summary WT Use this form to summarize all disclosure reporting forms and to total monetar information 1. Committee Full Name (and Fund if applicable) WtefSSo9tatWM SoA^TWk 2. Type of *ept>rt Start ofelection Cvcle: January 1, -^A Total this Reporting Period Amendment -, Yes 0No 3. ID Number ^P.&PiTl Total this Election Cvcle 4) Cash on Hand at Start S ^%3i^ -er RECEIPTS 5) Aggregated Contributions from Individuals (CRO-1205) ^O.^ S Wfihi* 6) Contributions from Individuals (CRO-1210) 7) Contributions from Political Party Committees (CRO-1220) 8) Contributions from Other Political Committees (CRO-I230) 9) Loan Proceeds (CRO-I410) 10) Refunds/Reimbursements to the Committee (CRO-1240) 11) Other Receipt Sources 5(-;h **? s S^o <*' s '^/ 3,G6f\ 11a) Interest on ank Accounts (CRO-1250) lib) Contributions from Not-For-Profit Organizations (CRO-1250) lie) Outside Sources of Income I Id) Legal Expense Fund - Other Sources II e) Exempt Purchase Price Sales (CRO-1250) (CRO-1270) (CRO-1265) s 12) TOTAL RECEIPTS ( lines ,1 la.l lb.1 lc.l Id and 1le) l?*h.«> s ML^.^ EXPENDITURES 13) Disbursements 13a) Operating Expenditures (CRO-1310) 13b) Contributions to Candidates/Political Committees (CRO-1310) 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) & >& *b(c*xaf- 18) TOTAL EXPENDITURES ( lines 13a, 13b. 13c. 14, 15, 16 and 17) AUHT- '3DCp3.*5 19) Cash on Hand at End ( lines 4 and 12together, then subtract line 18 s ADDITIONAL INFORMATION 20) Non-Monetary Gifts Given to Other Committees (CRO-1330) 21) Outstanding Loans (inch 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) s s *»'* 2xy~>.cP, ff*'.*' s 27) 48-Hour Notice Reports Sum (CRO-2220) 28) Contributions to be Refunded (CRO-1215) CRO-U00 NC State o; rd ofelections August 2008

3 9 1 Ort'H Amendment Aggregated Contributions from Individuals page _\^_ of j2v Yes Optional form used to report NC Contributions From Individuals of 50 or less ^No 1. Committee Full Name (and Fund ifapplicable) 2. ED Number ffi^swewv\>*,v?v>^vvs ^v^wffljisrracl 3. Contributor Information a. Amend b. Account Code c. Form of Payment d. In-Kind Description e. Date (mm/dd/yyyy) f. Amount " tj id-rv^w 4o«? ll \D-\6-W Mk, d LJ \b-n-^ dx>- CO fj H>3h-M roo- CA n I-! D Q LJ II li n rj C] n ll Q Q D I-! n Q n n H ol id! oi ii Joi ^ l ^i idi >1 ov ^ v l Oi A DV Oi x± A rk ± <Q1 4. Total only this Page Ca^ (\>sv> Hock QftS^ CfosW CQ.^ Qrh ask CqsVn QsysK osk cock oo^u (frsv> OfrsK Qft^ ftv^k Pc^K Q k rt\sv QofK rtxsv 5. Total ofall CRO-1205 Pages (This Une mustbe on line5 of DetailedSummary PageCRO-1100) CRO-1205 NC State oard of Elections \Do-U \pfti-n ir>^\-\\ ID-C(n-\\ jo-nuw lo-cip-u ICVSt-l oahi rvau\ 3t^60 e* c2d. oo teyvauu tpaicbsldi [Dr-^VM ir^a\- w \n^\-n \r^'u irw3\-\\ d^mi ld<3\-i\ 2Q CP 3Q t>o aa OQ JLCl OQ. la: gp AQ oo AQ ca A l OD AQ cfe AD. c \Q.^ \o,qp- \o, 0Qo,Q A^ cp lo.^ I \o^ aaa LP J April 2007 _ CO _^fco 3*> 4rO

4 OCT 3 \ 2011 Aggregated Contributions from Individuals Pace ^O < Optional form used to reportnc Contributions Fromlidividnals of50 or less h Committee Foil Name (and Fund ifapplicable) romtribtitorinformation ' V-..-. '*. 7..Amend b.accotmtcode c Form ofpayment d. In-Kind Description n Oi D ial f \ Oi QRempve Ll Q Cf D D Ll [J D. tl (Oi jqi l ra ra i 1 Oi n jql ri ra (o>\ J± U jd!l n JQi 121 CT)A> ei^n CTMrgV-^ forv> OsK Chs^ Ocxs^ 4Csk pc^u O&W O^fK Pfl^k flask ^k OpK PtQsk l35k P- fk ftflfik n^u 4. Total onlythis Page r.total ofall CRO-1205 Pages (This Unemutt be on Une 5 ofdetailedsummary Page CRO-1100) CRO-1205 I NC State oardofelections c.date(mm/dd/yyyy) fo&\-\ Mi-Vl \Ofll-l \pa\-1 icoai ^fealii te-\i itj^ul 10r3l-l\ 4oaUL >» Amendment 25 CI Ye. Eh& ^^X\ f. Amount (o. *? ln,^ (VQ7 irtw in>>tp iq CP tcr~5t ES Id3l In & mo: d? M ^7!dQ ce. 00 S l ^(1 k2q 8r3D ro o AO ic JJ2 O < ^40. */" ^ CP April2007 4o»6< IOl 1(P0

5 3 \ 2011 ^ Amendment Aggregated Contributions from Individuals page _3. of _3_ D y«d^^ Optional form used to report NCContributions From Individuals of 50 or less 1. Committee Full Name (and Fund ifapplicable) 3. Contributor Information \ a. Amend [J" II n ll n LJ rj I"! Q l~l l~l b. Account Code A IQl <Q± ^1 jav ni ra j^l ia li oi OI c Form of Payment Cflelo p^<=y->, GPeh CPgk r_v&k Mn Qreh Qy^k fyy^h 0^V> ^y^k P*y,h ll Q [J ll LJ y~ 4. Total only this Page 5. Total ofall CRO-1205 Pages I (This Une must be on Une 5ofDetailed Summary PageC^llOO)^ CRO-1205 d. In-Kind Description NC State oard of Elections e. Date (mm/dd/yyyy) \pom Q -A>\ \ Q-^-H IO-> -l\ \o-\-\\ \Q-S IP-^-ll lo-n-w ipq-n o*\ -\ > uo-q-\ f. Amount ibsl v> ft An Q^ in cp z. A^ 09 1&, t*> 10.CP AD oo AD_ oo AH (P JOJ^ Xn # 1q^-^/ gkin^/ April 2007 \L><->

6 OCT Contributions from Individuals Pg j of \ Hy ' DJno Use this form to report individual contributions over 50 orcontributions under 50 ifform CRO 1205 isnot used 1. Committee Fall Name (and Fond if appu'cable). Contributor Information v TTahh n p^w a. Fnll Name, Mailing ress & Phone (Include city,state, & zip) 11>mb H5-(Ucvck»-A b. Job Title/Profession d. Comments CK^LUJ^-.iV.DP f. Prior g. Account Code h. Form of Payment ov cw D e. Election Snm to Date * ^Ob^ LIn-Kind Description j. Date (mm/dd/yyyy) k. Amount (h^.w^rv o IfryQUl V ^r;.^ n 3. Contributor Information, Full Name, Mailing ress & Phone (Includecity, state, & zip) D D b. Job Title/Profession d. Comments e. Election Sum to Date f. Prior g. Account Code h. Form of Payment I. In-Kind Description j. Date (mm/dd/yyyy) k. Amount 3. Contributor Information Full Name, Mailing ress & Phone (Include city, state, & zip) Q b. Job Title/Profession d. Comments e. Election Sum to Date f. Prior g. Account Code h. Form of Payment L In-Kind Description j. Date (mm/dd/yyyy) k. Amount 4j Total only this Page 51 Total ofall CRO-1210 Pages ;(This linemustbeon line6 ofdetailedsummary PageCRO-UOO)! ^ry? Y* s c^&rx CRO-1210 NC State oaid of Elections April 2007

7 OCT Disbursements fc. i ISTf r^ ft,,. - p6 I of \ LJ Yes a No ^QHnmftteeFpllNane(5 5c-rx>.r] ^I^peofDigfanrsement gfearearetehamtecrfrmq forms foreach type ofdisburzeizett) Operating Expenses Oontributionsto (^ndid/rtcdpnfitical Qnmifew U.^PayeeInformation, -.' -.Full Name, Mailing ress & Phone b. CbordiMted Committee Name d. Cdannenti fade ctty, state, &rip) Caonimated Party Expenditures c Level Registered (Spcrffy) LJ Federal [jjjcounty: D Slate D Municipality: c. Election Stan to Date lacconntcbdc {g. Form ofpayment h. Purpose Code ol_a^l ^ LDato(nan/dd/yyyy) Ij.Amonnt to-\m\ *Air>& k. Reqnired Remarki pq irlv^oah^r^ rwi ^Payee Information.Poll Name, Mailingress & Phone gndndedty, state,& zip) b. Coordinated CommitteeName <L Comments.AccomttCi 3S it Code c. ford Registered(Specify) Federal state CD County: D Municipality; fkoov ^ Q-^-\\» fn,^ e. Election SumtoDate \no^f. FormofPayment h.pnrposecode LDaMmm/dd/yyyy) [j. Amount L emiiredremarfa CkUO^ <\k fc Payee Mbrmation D.Fnfl Name, Mailing ress & Plume gadndedry, state,& rip) b. Coordinated Committee Name d-commenta felctdcgfatered(spcctfy) Federal I JCoimtyT State D Municipality: e.election Sum todate. AccotmtCede g.form cf Payment fa. Purpose Code LDale (mm/dd/yyyy) J.Amoimt k Required Remarks s%p&y&&]to&*.&f&- ::&:&^c -^i& \*. r^\(&. %Total ftfall CRO-1310 Pages (This En* goesin Une13a ofdetailedsummarypage CRO^UM ifoptratingexpenses) (Thh line goesin Une13b ofdetailedsummary Page CRO-1100 j/contrib to CanmaatesIPoMeal Comm) CndjnegoutolbelSe ofdetauedsummary Page CRO-1100 ifcoordinatedpartyexpenditures) *<&&& #tae<*fegoctes ^ -Media *-Printing C*-FnndraMng D- To Another Candidate - Salaries F* -Equipment G-Political Party H* -Holding Public Office Expenses < ->os?ee J-Penalties K*-Office Expenses O*- Other ^Co^r^ujre detailederplanation in reqnired remarlg field(k\ " CRO-1310 Mo^.»_^^ L,r NC Stateoaid ofelections July 2007

8 Amendment Outstanding Loans pg _\_ of \ Yes ENo Use this form to report anyoutstanding loans received during a previous reporting period and until the loan is paidin full. I. Committee Full Name (and Fund ifapplicable) rwiiv^ew^^ ^Sg^^^rX 3. Lender Information a. Full Name, Mailing ress & Phone (include dry, state, & zip) g. Rate h. Security Pledged 4 k. Full Ffall IName of Lending Institution b. Job Title/Profession ^AigPfX "^A^ftA i. Original Loan Amount «-.Mvxy d. Comments e. Start Date (mm/dd/yyyy) (NW CUd!D\\ f. End Date\mm/dd/yyyy) buotova j. ReinainingJLoan alance VfiDD. I. Loan Number 3. Lender Information a. Full Name, Mailing ress & Phone (include city, state, & zip) g.rate h. Security Pledged % k. Full Name of Lending Institution Q b. Job Title/Profession ^jw?^ ft^u(l<^ i. Original Loan Amount Vo^Q d. Comments e. Start Date (mm/dd/yyyy) ^ -A3a\ f. End Date (mm/dd/yyyy) j. Remaining Loan alance 1. Loani Number (ff 3. Lender Information a. Full Name, Mailing ress & Phone (include city, state, & zip) Q b. Job Title/Profession d. Comments c Employer's Name/Specific Field e. Start Date (mm/dd/yyyy) f. End Date (mm/dd/yyyy) g.rate h. Security Pledged {.Original Loan Amount j. Remaining Loan alance k. Full Name oflending Institution I. Loan Number 4. Total only this Page 5. Total ofall CRO-1430 Pages (ThisUnemustbe on line 21 ofdetailed SummaryPage CRO-UQQ) CRO-1430 NC State oard of Elections &r s ;-^,ofcfc.' 3.firo# December 2007

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