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Stanley 2021 Certification to Close CommitteeVOTE cLos ED NORTH CAROLINA STATE BOARD OF ELRg$i"?,I-e-, [,IAR I 1 Zr/2T, NHC Bd. of Elections Certification to Close Committee This Certification is used to express the intent to close the committee after all funds have been properly disbursed. This Certification is filed at the Board of Elections office where the committee's campaign reports are filed. FILED BY: Committee Name: Treasurer Name: Treasurer Address: (include city, state, & zip) Dorrene Stanley for Mayor of Carolina Beach Dorrene L. Stanley P.O. Box 2293 (no longer active) Carolina Beach, NC 28428 1201 Saint Joseph Street Carolina Beach, NC 28428 Treasurer Phone:336-337-3041 I certify that the above mentioned Committee intends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 thc Committcc at any future time intcnds 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. 3t11t2021 Daa,eou- ./.^a/urrrro Date Signed Signature cRo-3400 Cenification to Close Committee