You need a conspiracy at every precinct where you replace or introduce ballots.
I realize it isn't a perfect system, but you can't just fire up your laser printer and leave the extra ballots sitting outside the polling place.
Indeed. I'm not sure if you watched some of the clip I linked to but that it one of the things Abagnale speaks to. With decreasing budgets, increasing corruption, or a simple lack of ethics it is easy enough to compromise an individual and thus the whole system which they administer. Any social engineer will tell you it is far easier to hack a person than to hack a system.
This is why I would argue that a more automated electric system, one which relies on less human administrators, would would be more difficult for the average person to compromise than a paper-based system which relies on a higher number of human administrators.