Piver 2021 Certification to Close CommitteeNORTI{ CAROLINA
STATE BOARD 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)
Committee to Re-Elect Tammy T Piver
Tammy T Piver
4813 Park Ave
Wilmington, NC 28403
Treasurer Phone 910-408-8448
I certify that the above mentioned Committee intends to close and cease existence. Upon signing thiscertification, I declare that all funds have been distributed and reported (if required). - In ad-dition, nocontributions will be accepted or disbursements made after the "Final Report" is filed or this form issigned' 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 wittr tli Board ofElections 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 fileunder the $1,000 threshold must submit a "Final Report" with this Certificaiion. This report must have azero balance with no outstanding loans or debts.
1t12t2021
Date Signed
JAN 1 2 2021
cRo-3400 Certification to Close Committee lrJew Hanover