Ablard 2021 Certification to Close CommitteeAUDI D
NORTH CAROLINA
STATE BOARD OT ELECTIONS
Certification to Close Committee
This Certification is used to expre$s the intent to qlose the cumnrittee after all funcls havc hecn properly
disbursed.
This Certilication is filed at the Board ol'fllections office where the cummiftee's cantpaigrt reports
are liled.
FILED BY:JA*g"s Elr;irilD
€- aF DrE nrCommittee Name:
Treasurer Name :
Treasurer Address:
(include city, state, & zip)
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Treasurer Phone:
I certili that the above rnentioned Cclrrrmittee intends lo close and cease existence. Llpon signing this
certification, I declare thai all funds have been distributed and reported (if required). In addition, no
contributir:ns will be accepted or disburserneuts nrade aftel the "Final Repor:i' is {iled or this I'orm is
sigiled. If the Comnrittee at any future time intends to accept or spend funds in support or opposition ol
any candidate or ballot issue, a new political committee must be formed and registerecl with the Board of
Elections before such activities may cornmence.
Cornmittees that lrave Illed under the $1.000 threshokl witt only be required to sign this Certificatior.r. No
"Final lteporf' will be required for committees meeting this cr:iterion. Any Cornrnittee that did not file
under the $1,000 rhreshold must subnrit a "Final Report" rvith this Certific,ation. This report rnust have a
zero balance rvith no outstandins loans or debis.
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Date Signed
VOTE
cR0-3400 Certitication to Close Commirtee
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