Betz 2020 Certification to Close CommitteeNORTH 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)WILMINGTON, NORTH CAROLINA 28403
Treasurer Phone:(910) 619-5939
I certify that the above mentioned Committee intends to close and cease existence. Upon signing this
cartification, 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 hled or this form is
signed. If the Conirnittee 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 belore 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 hle
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.
(" ^ z+. z":o
Date Signed
cRo-3400 Certification to CLose Contmittee