Amendment . a Disclosure Report Cover (7COPY O ve @ w Use this form for general report and committee information, must be signed and submited along with other detailed forms, Do not us tis form to update information 1. Committee Information sNane > = [et eaber 7] WAHEED HAQ CAMPAIGN COMMITTEE | \ 1 - - f Wh i Maing Adress lade iy, State and ZipCode) , (OL (aba Hed PO BOX 51952 Ly SEP 29-2009 1 aa RALEIGH, NC 27622-1952 Lo a Phone Number WAKE COUNTY BOARD OF ELECTIONS. | 919-787-5075 2. Report Year | 3. Period Start Date mmisayy) | LRtiuey ns SY | 8. Treasurer Full Name & Type of Committee (Check One) T Type at Report (cheek only one ype of report from one catego) Pe CanlnicCunpaizn —C] Paty Mosicpal atrCoanty [ Referendum O rac eens PLD oesioat PLT Oman PCD Organiza fl cae (eine Fundraiser |B Thintsfive day uarety | D Preseferendum )_ tet Expense Fund | 7. Type of Fund (applicaie.checkone) | C) Preinary }O ine Fina TL] “Booster Fund El Pre-elestion lo Second | C1 Supoterenat Final TH Baiing Furs TP Prenuott (tw | anal Semanal Ol om O spsiat ( Msver | Semana 1 ower vert = |] Miter «10, Special Report Name Or G vewens t Number of Fundraisers this Report |() s O tna | 0 [DD _ speci [i Account Information JA Account information = Financial astuton Full Name ~ anal Institution Full CAPITAL BANK b. Purpose © Account Code ‘be Purpose CAMPAIGN t a — ACCOUNT FOR _ ' | RECEIPTS AND Period Rezin Balance —| EXPENDITURES 8 # FEB | ‘CERTIFICATION 1 certify that the Committee or Fund is in compliance with all applicable provisions of Article 224, 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, rue and correct and that I have been trained by the NC State Board of El WAHEED HAQ _ - —_ Pind Nan oS a TOR OFFICE USE ONLY Delivery Metho Date Received Employee: et Date Postmark Employees ____ EL ee bctneed o wy (Electronically Filed Date Scanned: —_—__ Employee: —— (Signer has not received _ Date Data Entered __ Employee a nn 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 TNC Ste Board of Eesions east 2008Amendment Detailed Summary O vw Bx Use this form to summarize all disclosure reporting forms and to total monetary information. [1 Committee Full Name (and Fund ifapplicable) | 2. Type of Report 7 [3.1D Number _| WAHEED HAQ CAMPAIGN COMMITTEE PRE-ELECTION REPORT 1 S, ae T Total this T “Total this Start of Election Cycle: January 1, 2009 | eeprungPeiea | Election Gree Cash on Hand at Start Ts 0 Jeg. [s ie a 5) Aggregated Contributions from Individuals (cxo-1209 | S s _ 6) Contributions from Individuals (cxo-110 | § 7) Contributions from Political Party Committees (cro.1230) |S Ne 8) Contributions from Other Political Committees cron |S (Ce? 9) Loan Proceeds 10) Refunds/Reimbursements To the Committee (c3o.1240 | 11) Other Receipt Sources Ia) Interest on Bank Accounts ccxo-2s0 | 8 8 1b) Contributions from Not-for-Profit Organizations (CRO-1250) | $ Ie) Outside Sources of Income (€RO-1280) | § 11d) Legal Expense Fund - Other Sources (cRo.127 | S E (CRo-1265) | He) Exempt Purchase Price Sales 12) TOTAL RECEIPTS (ia nes 5.6.’ je Itdand 11) Ss “3500 10, 11a, 11 89, 13) Disbursements 13a) Operating Expenditures ‘cromo|s 210 |S sees Bezel 13b) Contributions to CandidatesPotitcal Committees (CRO-310 |S STs 130) Coordinated Party Expenditures (cro.so |S 14) Aggregated Non-Media Expenditures ec3no.asts) | § ht 15) Loan Repayments ccro-r20 |S : _ | 16) Refunds/Reimbursements From the Committee (CRO-1320) | $ 7 18) TOTAL EXPENDITURES (ia ies a 96 150 1415 Toons) |S dat End (da ines 4 and 12 together then subtract Ime 18) Ts “ast SFE 4S 20) Non-Monetary Gifts Given to Other Committees (€RO.1330) 21) Outstanding Loans (inel. ones from other campaigns) (CRO-1430) | $ 22) Debs and Obligations ond By the Commitee enouuen |S 23) ebtsand ObigaonsonedTo the Commitee e800 [8 24) Account Transfers Within the Committee (CRO-1720) | $ 25) Administrative Support cro |S 26) Forgiven Loans (eros |S 21) Hour Naive Reports Sam cerooa [5 28) Contributions to be Refunded (cxo.ris) |S — CRO-1100 THC Site Bord of Fectoas TamasAmendment Contributions from Individuals mo « 3 O wR » Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used 1. Committee Full Name (and Fund if applicable) —_ _ ___ [2.10 Number WAHEED HAQ CAMPAIGN COMMITTEE 1 3. Contributor Information __ fad) Remove _ _| ‘Full Name, To. Job Tine Proeson & Conmets - ate DENTIST iAM ABDELBAKY 1005 EVANWOOD LANE € Employers Name | MORRISVILLE, NC 27560 DENTIST L | | [[e Hieton Som wae | | 8 100 Cir [x Ascot Cale h Formof Payment —[ Le Kind Dawipdon [TDs mild iamoane 1 afi ce | 8/27/2009 ls 100 o I | s = | [s 3. Contributor Information Adi CO) Remove Fall Name, Maing Address & Phone ob Tle Praesion [a Comment include city, state, & zip) PSYCHATRIST WAHEED BAIWA 43 CROOKED CRERK LANE 5 Name’Speife Fi DURHAM, NC 27713 | SELF EMPLOYED eva Sum Dae | s 100 7 Aveant Cole Tema gmeat | UieKind Dagon [Date tamaaiy9) [Anon Ih cc 82272009 s 100 | | s |. : - | el | | $ 3. Contributor Information ‘Add_L] Remove T 1 ll Nan, Mang Adress & Phone -b Job Tieton eT ache city state, & 2p) JOHN VOLTOUS 9144 PALM BAY CIRCLE Employers NameSpeate Field RALEIGH,NC 27617 Election Sum wo Date | on | Peon Ty Accom Code [x For of Payment | Linkind Dawipson ~~ Lhasa amoam ot 8/31/2009 | s 100. T TT ~ — “Tt eee | rs ce o | | 3 4. Total only this Page : aaa x00 | 5. Total of ALL CRO-1210 Pages aos (his line must be online 6 of Detaled Summary Page CRO-1100) CRO-1210 TNC State Board of Bes Ten 2007