Disclosure Report Cover Alnt'ndm Cl . Use Addendum ifmorc cntrics arc needed. I?lcasc note that this cover shoct cannot he used to amend committee information such as the committee address, treasurer, assistant treasurer. custodian of books information, or account information. too must amend the Statement_o_f_Qrganization to make those Mongol" committee changes. l. Colnmilleo Information a. Full Name ID .?i'nmhor VASS, NC 28394 NC GROWERS ASSOCIATION PAC 7800079 Mailing Address [include City, State and Zip Code) PL). BOX. 417 e. Phone Number 910-245-2969 2. Report Year 101169004 07(01r?2004 9.355 tonnettn'th. 10i161?2004 in?ow Date 5. Treasurer Full Name CRAIG S. EURY, JR. 6. Type of Committee (Choral mm) Candidate Campaign Joint Fundraiser PAC Party 3. Type. of Report Municipal [check out]; om? typo [Jimmy-r ?rm: (mi? category) StatefCounty Referendum El Organizational I'liiI'Iy?I'ivodny Type of Fund Mono}- Account a "Booslchund?i Building Fund NC ruinich I?urty Financing Fund El Other: Prosulcnlinl iJlCL'llUll FUIILI Ni" Public ("'nliipaign Financing Fund a Pro?prinme Pro-olcclion Pro-runoff Semi-annual Mid Year Yea For] 'J?iumi mm) Final Special El El l3 El El Organizational Organizational I?rc-ro Forcndum First Plus El Final Second Final Third Plus Annual Fourth Special Semi?annual in Year Year End Final Special 9. Special Report Name It]. Account Information ll). Account Information a. Financial Full innsr? BAN K. a. Financial Institution Full Name Code 1 b. Purpose PAC ACCOUNT Period Begin Balance 5,253.00 b. Purpose (2 Code (1. Period Begin Balance CERTIFICATION CRAIG S. EURY. l- I certify that Committee is in compliance with with funds For a fedet' LA iolnsiof??iclc 22A, including that no funds arc this report is complete, true and correct. 4, 10f20i2004 Nu uuluhgnc?ul uru {1iAppuilillihiTlcuninui l'Jnli: FOR OFFICE USE Date Received: Elnplo cc. Memo-d normal Mail I I Mail Dole PObTmf-lrde- l?njployct? Hand Delivered Dam Scanned: El Electronically Filed NC State Board of Elcctious March 2003 Amendment Detailed Summary No 1. Committee Full Name (and Fund ifapplicablc) Type oi Report 3. ID Number NC GROWERS PAC 2004 3RD QUARTER PLUS 7800079 11) Other Receipt Sources (tau-um 4) Cash on Hand at Start 5,253.00 5 2,324.00 RECEIPTS 5) Aggregated Contribution l'roln Individuals 1,975.00 6) Contributions from Individuals ?Tito-HM) 576.00 1,494.00 7) Contributions from Political Party Committees 0.00 0.00 8) Contributions from Other Political Committees {(30-1230 3 0.00 0.00 Loan Proceeds (CEO-MM) 3 [ion 10) To the Committee SE 0 00 {Add toms 5, I5. .7, N. 9. Na, HIS. and if} EXPENDITURES 14) Disbursements Ila) Interest on Bank Accounts ?Tao?1250; 0.00 000 1113) Contributions from Not?for?Pro?t Organizations (CEO-I250) 000 000 110) Outside Sources of Income [100 12) ?Goods and Services" Contributions (mo?i260) 0?00 (100 L1) TOTAL RECEIPTS ,9 .5 2,551.00 10,780.00 I43) Operating Expenditures 0.00 0.00 1411) Contributions to Candidatesr?Political Committees 7,500.00 12,800.00 l4c) Coordinated Party Expenditures (CEO-UM) 0.00 0.00 15) Loan Repayments 0.00 0.00 16) Refuildszeimbursements From the Committee 0.00 0.00 In?Kind Contributions (Clio-35m) 000 0.00 18} TOTAL EXPENDITURES (Addoues Ma. Ho, He, m. (mt-Hr) 7500- 12300-00 19) (Tosh on Hand at [End 5 {Add (into 4 and t3 together. men subtract ?ne no 304-00 304-00 ADDITIONAL INFORIVIATTON 20) Non-Monetary Gifts Given to Other Committees ((304330) Outstanding Loans (incl. ones from other campaigns) 22} Debts and Obligations owed By the Committee 23'} Debts and Obligations owed To the Committee (cm?mm; 3; 24} Account Transfers Within the Committee (CROUM) 5; I 25} Administrative Support 0.00 0.00 26) Forgiven Loans 5 0.00 3 27) 48?Hour Notice Reports Sum 0.00 0.00 Hm NC Slate Board of' Elections March 2003 . Amendment Disbursements lignuunittee E?etindfund npplieahle) I. Number NC GROWERS ASSOCIATION PAC 7800079 3. Type of Disbursement [Mae use separate CEO-13M forms for each type af??mu lg Upcraung Expenses - - _Contributions Io Candidates-"Political Committees Coordinated Parry Expenditures 4. Payee Information Add Remove a. Full Name, Mailing Address 3; Phone Comments {illelutle eily, stale, zip] K. BERRY, COMMISSION ER 1101 MAIL SERVICE CENTER 6- Level Registered (Specify) RALEIGH, NC 27699-1101 Federal Connor Slate I'IIinnI'c'Innlity: 0. Election Cycle Sun: to Dale 51' 5,000.00 Account cw" . i? 1? 1 CHECK TO ELECT TO OFFICE 10113:}2004 1,000.00 4. Payee Information Add Remove a. Full Name, Mailing Address 3.: Phone I). Coordinated Committee Name d.-Comments limmde my! state? ml] . . .. RICHARD BURR COMMIT-I- RICHARD BURR COMMITTEE ROI BOX 5928 0. Level Registered (Specify) WINSTON-SALEM, NC 27113-5028 a Palm? Stole a Municipality: Election Cycle Sum to Date 5 2,000.00 03501-11 Eels_ L1: Form 1139:0959 . i- We (mm?ddtm') 1- Amount 1 CHECK TO ELECT TO 1011312004 2,000.00 4. Payee Information Add Remove a. Full Name. Mailing Address A: Plume h. Coordinated Committee Home d. Comments I tillelnde city, state, zip) ERSKINE BOWLES FOR U.S. SENATE BOX 2814? Level?Regiment] (Speedy) RALEIGH. NC 27611-8147 dam] '3 Count)?: 5 51m a _Ivlt}0i_rgir_afl__ljty: e. Elecllan Cycle Sum to Date 2,000.00 Account Code g, Form ul Pity-[nonl- i. Dale j. Amount 1 CHECK T0 ELECT TO OFFICE 10I13I2004 2,000.00 5. Total only this Page. 5,000.00 6. Total ERG-1310 Pages (This fine goes in Hue Mu rifDemilen? Summary Page ff?pem?'ng Expenses) 7 50000 (This fine goes in line af?emfu?t?d Page Hm ("Huh-H; [TundidufoM?PuH?cut (This fine goes in ?ne He ofDmo'led Summary Page Mt? Coordinated Party Expenditures) NC State Board of Elections March 2003 Amendment Disbursements GROWERS ASSOCIATION PAC 7300079 3, Type Of {Phrase uw .uqmrm?n (Rn?Hm ("Inn for one}: (we! - I Cindi-i (.?uminiLlecs Coordinated Party Expenditures 4. Payee Information Add Rainove a. Full Name. Mailing Address ilk Phone Cooroioateii Committee Name d. Comments . STEVE TROXLER FOR COMMISSIONER OF e. Level Registered (Specify) 7017 CLAYTON ROAD Federal Count.? BROWNS NC 27214 State a Municipality: e. Election Cycle Sum Lotion 3 3,800.00 f. Account Code g. h. Purpose i. Date j. Aniount 1 CHECK TO ELECT TO OFFICE 10(139?2004 8 2,500.00 4. Payee Information a Add Remove a. Full Nill?llt" Mailing Address Phone 11. Coordinated Committee Name (I. Comments .0299}: zip] Level Registered (Speeil?y) Federal County: Eta-ts I I I 2. Election Cycle Sum to Date. 3 Ii" Account Code Form of Pan?s-mom I1. I?llrpusi- I i: I 4. Payee Information a Add a Remove a, Full Name1 Mailing Address at Phone ll. Coiumillee Niuue d. Comments I oily, suite, Kt Lip) e. Level Registered (Specify) a Federal Counly: a State a Municipality: e. ElectionICy'ele?lir?oEole If. Account Code 3. Form oi Payment Purpose i. Date j. Amount 8 {is 5. Total only this Page 2,500.00 6. Total of ALL CRO-1310 Pages (This time goes in line He of?omii?ed Summary Page CRO-I I00 if Operating Expenses} g' 500 00 (This line goes in lim- Nb oj'?i'm?ed Summon! Page ij't'omri?b (31mm) I (This time goes in line He oj?Demfied Summary Page CEO-I I00 ifCoordi'oored Pony Expenditures) RO-I 3 I 0 Stare Board of Elections March 2003 Contributions from Individuals -.I Pg Amendment of 2 Yos No 3 I. Committee?LNamc (and Fund if applicable) 2. ID Number CAROLINA 7800079 3. Contributor Information Add El Remove a. Full Name. Mailing Adorn? .84 Phone. (include. city. state. 84 zip] RALPH D. BATCHELOR 5139 WINSTEAD STORE ROAD NASHVILLE, NC 270356 rof'es sion FAR d. Com ems c. Employer's NamrISpotific Field SELF-EMPLOYED 0. Election Cycle Sum to Date 5 24000 f. Prior g. Acconnl i. ln?Kind Description j. Date k. Amount '3 1 CHECK 0742012004 120-00 1 CHECK 003042003 3 120.00 El 3 3. Contributor Information El Add Remove Mailing Address 84 Phone Job TitlefProfession cl. Comments (include city, state, zip} FARMER JEFFERY C. LEE 5208 MEADOWBROOK ROAD BENSON, NC 27504 c. Employer?s Field e. Election Cycle Sum to Date A. C. MORRISON, JR 259 AC MORRISON ROAD LILLINGTON, NC 27546 163.00 frirur g. i. In-Kind Description j. Date k. AmOunt 1 CHECK 0741912004 84.00 1 CHECK 003042003 8 84-00 3. Contributor Information Add Remove a. Full Name. Mailing Address 8; Phone b. I1. Comments [include city. state, die zip) FARMER c. Employer's NameJSpeci?c Field SELF-EMPLOYED 0-. Election Cycle Sum to Date 174.00 II. Prior_ of Payment i. Description j. Date El 1 CHECK 0911742004 R: 84.00 El 1 CHECK 121302003 3; 90.00 El 5 4. Total only this Page 8 288.00 5. Total CRO-1210 Pages (This line must be on line I5 of?emifed' Summary f?oge f. 1' till?) I 4 576.00 NC SL010 Board oJ'EIL?L?tlons March 2003 Amendment Contributions from Individuals ?Hlame (and Fund ifapplicah1e_)__ CAROLINA ASSOCIATION PAC 7800079 3. Contributor Information a Add Remove a. Full Name, Mailing (include city. state, zip] JEFF SIMPSON 10725 CLAY FORK HILL ROAD ROSEBORO, NC 28382 b. Job Titlej?l?rofcssion FARMER c. Employer's NameJSpecil'lc Field SELF-EMPLOYED 121. Comments Election Cycle Sum Io Dalt- 14700 f. Prlor Account (Judi.- I Doncriptionmu__ k. Amount El 1 CHECK 0?!16!2004 5 60-00 1 CHECK 133102003 87.00 :5 3. Contribulor Information El Add Rcmovc a. Full \?amo, Mailing Address 3; Phone city. state. 8; zip] LEONARD F. WESTER 798 WHITE LEVEL ROAD LOUISBURG. NC 27549 ll. Juh d. Comments c. Employer?s Namea?Spcci?c Field e. Election Cycle Sum to Date 223.00 _m_-_K_ipd k.Amounl El 1 CHECK 0931512004 5 223.00 3. Contributor Infurmalioll Add Remove a. Full Name. Mailing Address Phone city. state, 8: zip) b. Jul] 'I'itlt?fl?rul?ussion d. Com men ls c. Em player's Field 0. Election Cycle Sum to Date 8 (This ?ne must or.- (m firm {1 nf?atuilcd Summary Page [.ul?riur h. Form Iii-Payment j. Data:- [mm?ddeEL k. Amount FETotal only this Page 288.00 5. Total of ALL CRO-IZIO Pages 5 57600 Board of Elections March 2003 Amendment Aggregated Contributions from Individuals Page of 1 El Yes No .lv 09.919.092.399? if..a.99.11.99bl9) Number NC GROWERS ASSOCIATION PAC 7800079 3. Contributor Information a. Amend b. Account Code Form of Payment d. Description e. Date f. Amount Add - :1 Remove. 1 CHECK 0712912004 12.00 Alld 1 Remove 0712312004 45.00 Add :1 Hulmn'i: 1 mid CHECK 1 0911712004 1: 3000 Add CHECK DRUM-1. 1 0711612004 1: 24.00 D?t?lfl :1 Mom 1 EC 0812512004 9.00 Add .. 1 CHECK 0711512004 9 19.00 CHECK :1 RWM 1 0711512004 8 12.00 Elma HE :1 Removc 1 0911712004 11 1300 Add '3 I 1 CHECK 0711912004 24.00 Add 1 CHECK 0912312004 13,00 El Rurnuu'. Elm . 1 CHECK 0711512004 12 13.00 Remove DAM . 1 CHECK 0711512004 8 15.00 Remove CHECK El Remove 1 5 12.00 "dd CHECK - 1 0810612004 9 4.00 ?d CHECK E, 1 0112712004 18.00 Eh? 1 CHECK 1010112004 1: 9.00 5 Remove Add :1 1 CHECK 0911712004 2100 1 CHECK 0711012004 03.00 EM 1 CHECK 0910012004 15 30.00 Dilemma Add 5? 1 CHECK 0011912004 30.00 alimony-r: 1 CHECK 0711912004 1 18.00 RL?mm-?c E11100 Damm- 1 CHECK 0711512004 3 9.00 4. Total only this Page 466.00 5. Total of ALL CRO-IZUS Pages 33 I 7 5?44} {This H110 11111511513 01: line 5 of Derailed Summary Page ?00) NF Slim: Rinml March Aggregated Contributions from Individuals Pugt' l. Committee IF_I_.ll_l_NamC (and Fund il'appliul?tzlf'l? NC GROWERS ASSOCIATION PAC Number 7800079 3. Contributor Information a. Amend 1). Account Code c. Form of Payment d. ln-Klnd Description 9. Dale Amount Add Rcmox-c 1 CHECK 07111612004 15 15.00 Add CHECK 1 a 0611612004 11 33.00 E. 1 CHECK 0712012004 3 93.3 Add El Rcmovc 1 CHECK 1011112004 43.00 11:! Add 1 CHECK 0912212004 5 33000 Rcmovc Add 5 1 Add 3 00mm 1 CHECK 0610612004 15.00 Add Rem-L. 1 CHECK 0711612004 19.00 Add CHECK 1 1:1 Rem-c 1 0911 012004 .CHECK 0912412004 :5 51.00 Rcmow: 11?1" 1 CHECK 0811112004 9 24.00 El Rumour 1?1? CHECK DRWM 1 0912012004 9.00 CHECK :1 mm 1 0911612004 27.00 :1 Add 1 CHECK 0712912004 3 6.00 Remove 1 CHECK 0810612004 0 1300 E11111 CHECK It: Rcmm-?c 1 0712912004 3 15.00 :1 mid . 1 CHECK 0712912004 11 96.00 :1 Runovc 1 CHECK 0911612004 0 0.00 Rcmow 1 dd 1 CHECK 0610912004 .1 12.00 1 CHECK 0912012004 0 21.00 Egg? 1 CHECK 0711612004 1; goo 1 CHECK 0912012004 0 12.00 cmovc 4. Total only this Page 8 519.00 5. Total of ALL Pages 75 cc (This line 1110.11.51! rm line 5 quethd Smumary Page Nf?. $1.110 Hoard March 2.003 Amen men-t I Aggregated Contributions from Individuals Committee .. .. . . "3 Number NC GROWERS ASSOCIATION PAC ?800079 3. Conlributor Information a. Amend b. Account Code 0. Form of Payment 11. In-Kind Description 0. Date f. Amount Add .. Rumour 1 11; Add Rcmovo 1 CHECK 0712012004 3.00 Add CHECK Romuw 1 Add Rom-c 1 CHECK 0712312004 3 1300 Add CHECK - chlovc 1 0712712004 1. 15130 Elmm 1 CHECK 0711512004 12.00 Add 111mm 1 CHECK 0711912004 .14 18.00 Add :1 1 0711512004 9.00 Remove 1 CHECK 091126112004 3000 Add :1 1 CHECK 0911612004 8 12m Add 1 CHECK 0911512004 5 13110 Remove 1 CHECK 0911512004 5 27.00 0:110?: 1:111? CHECK :1 km?. 1 0912812004 5 15.00 Add 1 0911512004 9.00 A .. 1 CHECK 0810212004 11 30.00 RcmoL-c. Add E: . 1 CHECK 0712212004 3 24.00 El dd A 1 CHECK 0712612004 3 18.00 Ramon Add Remove: 1 CHECK 0912412004 5 15.00 Add .3 1 CHECK 0712212004 5 18.00 1 CHECK 0712712004 .1 33.00 :1 ., 1 CHECK 0712012004 12.00 CHECK . Remove 1 10111312004 3 36.00 DAM .. DRcmovc 1 CHECK 0712612004 1. 24.00 4. Total only this Page 447.00 5. Total of ALL CRO-IZIIS Pages 137500 {This J't'ne must be an Liam 5 of??ah?ed Smumary Page CEO-H 3 (TRIO-1205 NC Stulc Board of Elections Marnl: A010ndment .. Aggregated Contributions from Individuals page 4 of 5 Yes Lgommiltuu Fund il applicable) 2. ID Number NC GROWERS ASSOCIATION PAC 780mm 3. Contributor Infornm?on a. Amend b. Account Code Form of Payment In-Kind Description 6. Date (mm1dd1yy3-y} Add .. .. 101111.11. 1 CHECK 0912612004 5 6.00 ll: 1W 1 CHECK a Remove 0711612004 21.00 1 CHECK 0712012004 17 12.00 El "1?1 CHECK Rcmm-c 1 0712012004 1200 :1 Add CHECK BMW 1 0610912004 .1: 24,00 Add Remove 1 CHECK 24.00 Add CHECK :1 1 0610412004 5 9.00 CHECK :1 1 0711512004 8 12.00 E14110 CHECK 1 0911512004 CHECK 0711512004 5 15.00 Remow Add 1 CHECK 0712612004 3 24,00 Remove CHECK I: 1 0710312004 21.00 I: Add CHECK 1 0610212004 5 72.00 I: Add CHECK 1 0712312004 1300 I: 1 CHECK 0711612004 33.00 Remove El Add 1 CHECK 0612012004 27.00 Rumm'c 1 CHECK 0911512004 3600 5 Remove I: Add CHECK :1 Remove 1 09.11 5.12004 1 5.00 . 1 CHECK 0713012004 9.00 CHECK - :1 110mm 1 0711912004 15130 I: Add 1 CHECK 0611212004 3: 6.00 CHECK Echww: 1 08:04112004 21 '00 Add 1 :1 Remove ?3 EC 0712212004 6 9.00 4. Total only this Page 444.00 5. Total of Al .I. Pages 1371500 (This ?rm must 1'11: 1m Hm! 5 111021411241 Smimmr'y Page CEO-H190) NC 311111: Timur] Mm-ul12003 Aggregated Contributions from Individuals page _5 7m No . L?ommillot? Full [and Fund if app-litt?bll-t] I ID Number NC GROWERS ASSOCIATION PAC 7800079 . Contributor Information Amend 1). Account. Codi:- Form of Payment- 11. In?Kind Dustriplion c. Date Amount Add 1 CHE 08f0312004 Add CHECK Remove 004 :1 CHEC 1005:2004 A dd CHE 07(3012004 Removc El?n? CHECK 0811112004 Add El Remove Add Kcmuvu Add Remove Add Remove. Add Remove Add Remove Add :3 Kmnovu Add Llillm't: Add Remove Add Rumiwi' Add 0 Add Remove Add Remove Add Remus-'0 Add Remove Add Remove Add Remove: Add Remove. . Total onlv this 0 99.00 . Total of ALI. Pages 1,975.00 (Thin fine must b9 on Hm? 5 ?t'rm'fer! Flo-{295 NC SIalc Board 01' Elections March 1003