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HomeMy WebLinkAboutCaster Certification to Close i RECE`m IVED .� JAN 1 2 2011 North Carolina NHC Bd of Elections 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 Certification to Close Committee This Certification is used to express the intent to close the committee after all funds have been properly disbursed. FILED BY: Committee Name: OCLS-cCit— 4 ea..11 Gmtvo: Din\eAr Treasurer Name: . i c )(A O ,r Treasurer Address: at ('� oy, he y-. (include city,state,&zip) LeAC—t tL , OC- a gr.15 Treasurer Phone: c110 - 9i4 . -- I certify that the above mentioned Committee intends to close and cease existence. Upon signing this certification, I declare that all funds have been distributed and reported (if required). In addition, no contributions will be accepted or disbursements made after the "Final Report" is filed or this form is signed. If the Committee at any future time intends to accept or spend funds in support or opposition of any candidate or ballot issue, a new political committee must be formed and registered with the Board of Elections before such activities may commence. Committees that have filed under the$1,000 threshold will only be required to sign this Certification. No "Final Report" will be required for committees meeting this criterion. Any Committee that did not file under the $1,000 threshold must submit a "Final Report"with this Certification. This report must have a zero balance with no outstanding loans or debts. A...1_... , IOW Date Signed �� /Signature Note:This Certification is to be filed at the Election Board where the committee's campaign reports are filed. I CRO-3400 Certification to Close Committee December 2009 1