McGhee 2020 Organizational Form AddendumStatement of Organization Addendum page or _ ;ti11T*'Use this form to supply additional assistant treasurer information or additional accounr information'-" " " '
This form must be form CRO-3500 if additional accounts are
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Name Institution Full Name
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Mailing Address (include City, State, and Zip Code)b. Purpose
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c. Phoue Number d. Email Address c. Account Code
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d. Type
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a. l'ull Namc a. l-inancial Institution Full $hpev
A.b. Mailtng Address (include City, State, and Zip Code)Purpose wI ?osn
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d. Email Address c. Account Codec. Phone Number
Full Name
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fl Re-ooe Financial Institution Name
b. Mailing Address (include City, State, and Zip Code)b. Purpose
l. Phone Number d. Email Address c. Account Code d. Type
a. FuII Narne a. Financial Institution Full Name
b. Mailing Address (include City, State, and Zip Code)b. Purpose
c. Phone Number d. Email Address c. Account Code d. Type
I certily that the committee is in compliance with all provisions of Article 22A,
CERTIFICATION
r/ //z,eTPrinted Name of Signer
RqLr,"t Topt McOh ee
Signatu Treasurerof
including that no funds are commingledwith funds for a federal or out-of-stare pAC. I further say this report i mplete, true and correct
cRo-2110 NC Board of Elections April 2007
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