HomeMy WebLinkAboutBenson Organizational Information Amendment
Statement of Organization - Candidate Committee ❑ Yes ❑ No
Use this form to create a new or update an existing candidate committee.
This form must be accompanied by forms CRO-3100 and CRO-3500.
F ommittee Information
ll Name id.ID Number
�rY)(n i fll � Et t arr,u t)1 Ex n5 Dn b.Mailing Address(include City,State and Zip Code) Date Organized
t✓L�� `
RECEIVED e.Phone Number
AFB 18 2010
. Candidate Information Candidate's Primary Committee
Full Name c.Ca I d.Party Affiliation
Mares <. bt n5b-n `714 KI--m uLw�Q�
Mailing Address(include City,State,and Zip Code) e.Office Sought f.Jurisdiction
3'7/A -C Pik 5f M C+
�- F_XDY_330 5- N . 14. U.SWhf-F
W LI Ml f) _r)C 18L0(0 (If office sought is nonpartisan, write "Nonpartisan"in[d]
7 Party Affiliation.)
13P_Lr1nL_SWfM.Treasurer Information 4. Custodian of Books Information
Full Name a.Full Name
Sarni as el"IQ ft)LA rz
b.Mailing Address(include City,State,and Zip Codej b.Mailing Address(include City,State,and Zip Code)
W1l M
c.Phone Number d.Email Address c.Phone Number d.Email Address
P,5 rA Le ton
5.Assistant Treasurer Information U Add 6.Account Information (incl.CRO-3500) U Add
a.Full Name ❑ Remove a.Financial Institution Full Name ❑ Remove
f4 - FIRST b rl zENs P2M iL
Mailin Address(include City,State,and Zip Code) b.Purpose
Phone Number d.Email Address c.Account Code d.Type
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A,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,t correct.
Printed Name of Signer Signature of Appoin d easurer D e
CRO-2100A NC State Board of Elections December 2007
RECEIVED
North Carolina FEB 18 2010
State Board of Elections NHC Bd of Elections
506 N Harrington Street
Raleigh,NC 27603
Kimberly Westbrook-Strach Mailing Address
Deputy Director—Campaign Reporting PCB Box 27255
Raleigh,NC 27611-7255
(919) 733-7173
Fax: (919) 715-8047
Certification of Treasurer
This Certification is used by Candidate Committees to appoint a treasurer to the committee.This form is
required and must accompany the Candidate's Statement of Organization
FILED BY:
Candidate Name: 1?P O-Mu-G T ! 1X , ) )
Treasurer Name: r
Treasurer Address: V
(include city,state,&zip)
Treasurer Phone: 1 - p��>1Q (12?2) LE _� j�' ' �] '3� ^l
I certify that the above information is correct,and I,as candidate,appoint said treasurer to personally fulfill
the duties and responsibilities imposed upon the appointed treasurer and subject to the penalties and
sanctions in Subchapter VIII.Regulation of Election Campaigns of Chapter 163 of the North Carolina
General Statutes.
I understand that if the above Treasurer changes,it will be necessary to certify a new treasurer and amend
the existing Statement of Organization within 10 days of the vacancy.I further understand that the above
Treasurer is required to receive training by the State Board of Elections within three months of this
appointment according to Article 163.278.9(k).
Datel3igned gnature of Candidate
Note:This Certification is to be filed at the Election Board where the committee's campaign reports are filed.
CRO-3100 Certification of Treasurer June 2007
RECEIVED •
FEB 2 2 2010
NHC Bd of Elections North Carolina
State Board of Elections
506 N Harrington Street
Raleigh,NC 27603
Kimberly Westbrook-Strach Mailing Address
Deputy Director—Campaign Reporting PO Box 27255
Raleigh,NC 27611-7255
(919) 733-7173
Fax: (919) 715-8047
Candidate Designation of Committee Funds
This form is used by candidate committees only and allows the candidate to designate in the event of their death,
how the committee's funds are to be disbursed using the nine allowable methods outlined in 163-278.16B(a).
Candidate Name: Marcus T. Benson
Committee Name: Committee to Elect Marcus T. Benson for Sheriff
Treasurer Name: Penne S.Niemeyer
If Candidate is own treasurer, designate an agent to carry out designations:
Committee ID #: 7HAZ89
Level Registered: [State] [County] If county, specify: New Hanover County,NC
I, Marcus T. Benson, hereby direct that in the event of my death or incapacity all
(Name of Candidate)
funds remaining in my Campaign Committee account(s) (after payment of permitted outstanding
debts or reasonable expenses for winding up the Committee or closing office) be paid in the
following manner as permitted by N.C. Gen. Stat. 163-278.16B(a).
Name of Entity Plan for Disbursement(eg. Amount or%)
(Select from§163-278.16B(a))
2.
3.
By signing this form, I certify that the regomg en ' ' are eligible beneficiaries under N.C.
Gen. Statute 163-278.16B( . A copy o this form sho be maintained with the Committee
records.
Signature of Candidate:
Date: February 19,2010
Note:This Designation is to be filed with the Election Board where the committee's campaign reports are filed.
CRO-3900 Candidate Designation of Committee Funds December 2009