Disclosure Report Cover Dpaeeine Use this form for general report and comentte informiton, must be signed and submitted along with other detailed form Do not use this formto update information ae oOo] h. Tall Name ED Nonber CITIZENS SUPPORTING RODGER KOOPMAN Nang Adress Glade City Save and Zip Come) fede Fed P.O. BOX 6236 RECEIVED 09/28/2009 RALEIGH, NC 27628 COPY sep 28 18 fePhone Number Report Veal. Period Start Date (nm/ddiyy) |, Period End Date (mmiddyy) [S. Treasurer Pull Name 2009 08/26/2009 09/21/2009 JULIE TEW fg ype of Commitee (Check One) 9- ype of Report [oheck only one ype of report rom one catezory) IY india Camparss EI Panty Siunicipal StateCoaniy Referendum DD fain Fenaraser ED PAC [Er oresnvatonat JET Onzanizavonal ILD Grsmcaonat IE) naterendun Ey Thies five cay | Quarterly Ty Pre-efrenaum Fr Type of Rnd —Tappicatie checkoner JE ere-primay = EJF Pw Fost [obesefng TYR Pre tecton EQ) Second I seoplementat Fiat I Butane Fina DO Prermott JE] Tana rs IED Nc Potiicat Panty Financing Fond seni-annat [EJ Fouts IE Present Ehetion Year Canaiates Fon {[] Mid Year Semiannuat ICY XC Punic campaign Financing Find I veweoa QQ) MisYeor 10, Special Report Name 1D o%ree CO Fina Yew ena if, Number of Fundraisers this Report] Sosvin Ea ns 0 DD speciat Hi, Account Information Tt, Account information fa Financial fa. Financial Institution Full Name ‘MECHANICS AND FARMERS BANK [o Parone [= Account Code fb, Purpose fe Account Code ELECTION CAMPAIGN INCOME AND EXPENSES: 200 [CERTIFICATION Tertfy that the Committee is in compliance with all provisions of Article 22A, including that no funds are commingled with funds fora federal or out-of-state PAC. [further say that this report is complete, true and correct and that Ihave been trained by the NC State Board of Elections according to Article 163278:9K). \olie Te QS Oo _ waszoon Fined Name of Ser re of AppaTCD Tease Dat FOR OFFICEUSEONT) sve — Delivery Method es ee 1 Normal Mai mostmed snployee 1D Registered Mat ee DF ttand Detvered as 7 OF Bectonicaly Filed eet -_eoeo Employee: D Signer has not received Date Data Entered Employee: ee ne Please Note: This formeannot be used fo 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-1) to make committee changes, CRO-T000-Drapt Te Sate hoard or Erna SpTeDetailed Summary Use this formto surmarize all disclosure eportn i. Committee Full Name (and Fund if applicable) form and to total monetary information 2. Type of Report Amendment C¥es No 2D Number [CITIZENS SUPPORTING RODGER KOOPMAN 2009 Pre-Election Start of Election Cycle: January 1, 2008 Total this Total this Reporting Period | Bection Cycle 4) Cash on Hand at Start RECEIPTS 5) Aggregated Contributions from Individuals 6) Contributions from Individuals 7) Contributions from Political Party Committees 8) Contributions from Other Political Committees 9) Loan Proceeds (0) Refunds/Reimbursements To the Committee 1) Other Receipt Sources La) Interest on Bank Accounts 11b) Contributions from Not-for-Profit Organizations Le) Outside Sources of Income $ 7,553.78 13.851 ccxo-1205)] § 60.00 110.00 ccro.210) {5 307.50 3,797.50 ccxo.1220 | 000 |S 0.00 ccro-1230) [5 0.00 fs ccxo.1s0) |S 0.00 | s 0.00 ccro.1240 1 300 Ts 0.00 (cRO.1250) 0.00 (€R0.1250) 0.00 ccxo.r2s0)| § 0.00 [$ O00 2) TOTAL RECEPTS lines 56,7. 8,9, 10, 11a, 11b, and 110) DITURES 3) Disbursements 457.50 | § 2,907.50) {Add lines 4 and 12 wogether then subtract tine 17) [ADDITIONAL INFORMATION 9) Non-Monetary Gifts Given to Other Committees 0) Outstans 1g Loans (incl, ones from other campaigns) 1) Debts and Oblig owed By the Committee 2) Delis and Obligations owed To the Committee 3) Account Transfers Within the Committee 4) Administrative Support 5) Forgiven Loans 16) 48-Hour Notice Reports ‘CROTIOO (€RO-1330) (CRO-1430) (CRO-1610) (cRo.1820) (cR0.1720) (€RO.1710) 13a) Operating Expenditures «cro-1310)| $ 0.00 | s 8,487.89 13b) Contributions to Candidates/Poltical Committees (CRO-1310)| § 0.00 [8 300.00 13c) Coordinated Party Expenditures ccxo-1310) [3 0.00 [5 0.00 4) Loan Repayments (cro.20 0.00 | § 0.00 Refunds/Reimbursements Fromthe Committee (€R0-1320) [§ 0.00 | § 0.00 6) In-Kind Conteiations ccxo.1s10 FS 247.50 | § 24730 7) TOTAL EXPENDITURIS _ - (Add lines 13a, 13b, 130, 14, 15, and 16) : corel ee) 8) Cash on Handat Bnd ; aie Tyas 24,898.17 70-1440),Amendment Aggregated Contributions from Individuals rage er eles Collyecve is Committee Full Name (and Fi applicable) |CITIZENS SUPPORTING RODGER KOOPMAN 3. Contritutor Information fs Amend_[. Account Code[e Form of Payment] In-Kind Desciption Iv Date (amidainyay | Amount fOr as 200) ‘Credit Card) ny Remove osnon00 | s 10.00 [Er aar 30 Trin Card = ID temove osone0 | s 50.00 ld. Total only this Page Ts 360.00 |S. Total of ALL. CRO-1205 Pages 1 (his tine must be on tne 5 of Detaited Summary Page CRO-1100) is S000 CRO-T205 NC Sae Hourdov Election