McGhee 2020 Organizational Forms AmendedStatement of Organization - Candidate Committee
Use this form to create a new or update an existing candidate committee.
This form must be form CRO-3500. An amended form is
Is this statement:I new E/-1lt-rndro
for each new election
r. Name of Committee d. ID Number
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c. Committee Website (Optionel)f. Phone Number
Full Name Allilirtion
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b. Mailing Address (include City, State, and Zip Code)f. OIIice Sought
c . Phone Number d. Email Address g. Next Election Year h. Jurisdiction
Name
Email
Full
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Address
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c. Phone Nri-mber Emeil Address c. Phone Number d. Emeil Address
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No
Institution f,'ull
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c. Phone Number d, Email Address b. Account Code c. Type
Email of notices k,uot C hecrc'ug
I certis that the committee is in compliance with all applicable provisions of Article 22A of chapter I 63 of the NC
General Statutes and that no funds are commingled with prohibited or other non-disclosed funds. I further certi0/ thatthis report is complete, true and correct.
Printed Name of Treasurer Signature of Appointed Treasurer Date
Printed Date
g,
I certifo that the information above
duties and responsibilities imposed
163 of the NC General Statutes.
is correct, and I, as the candidate, appoint said treasurer to
upon the appointed treasurer and subject to the penalties in
personally fulfill the
Article 22A of Chapter
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of Candidate
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St?re 2019
l. Committee Information
e. Date 0rsanized
r. Full Name
1/ t/ tac'
NORTl,I CAROLINA
srArE BoARD oF ELE.H&BHluoo
SEP 4 a?a
NHC
This Certification is used by Candidate Committees to appoint a treasurer for the committee. This form is
required and must accompany the Candidate's Statement of Organization.
This Certification is filed at the Board of Elections office where the committee,s campaign reportsare filed.
FILED BY:
Candidate Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
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Date Signcd
cRo-3 t 00
nlo 202 2:t2?
I certi$ that the above information is correct, and I, as candidate, appoinr said treasurer to personally fulfillthe duties and responsibilities imposed upon the appointed treasurei and subject to the penalties and
sanctions in Subchapter YII|. Regulation of Election Campaigns of Chapter 163 of the North CarolinaGeneral Statutes.
I understand that ifthe above Treasurer changes, it will be necessary to certifo a new treasurer and amendthe existing Statement of Organization within l0 days of the vacancy. I furthir understand that the aboveTreasurer is required to receive training by the State Board of Elections within three months of thisappointment according to Article I 63.27S.9(k).
C e r t iJic ati o n of Tre asurer
Certification of Treasurer
Treasurer Phone:
VOTE NORTI{ CAROLINA
STATE BOARD OF ELECTTO,NS, ,tL,&/
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This form is used by candidate
how the committee's funds are
committees only and allows the candidate to designate in the event of their death,
to be disbursed using the eight allowable methods outlined in I 63-278. l6B(a).
This Designation is filed at the Board of Elections office where the committee,s campaign reports are filed.
Candidate Name:t
Committee Name:c
Treasurer Name:1^{'a* t'\.-oJ
If candidate is own treasurer, designate an agent to carry out designations:
Committee ID #:
Level Registered:[State] [County] If county, specifu:
I,hereby direct that in the event of my death or incapacity allofCandidate)
funds remaining in my Campaign Committee account(s) (after payment of permitted outstandingdebts or reasonable expenses for winding up the Committee or-closing omce; be paid in thIfollowing manner as permitted by N.c. Gen. Stat. 163-27g.16B(a).
Name of Entitv
(S elea from gI 63-2 78. I 68 (a))
Plan for Disbursement (es. Amount or %o)
roef5I
2.
J
By signing this form,
Gen. Statute 163-278.
records.
I certi$ that the foregoing entities are eligible beneficiaries under N.c.
16B(a). A copy of this form should be with the Committee
Signature of Candidate
Date:
cRo-3900
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Candidate Designation of Committee Funds
Candidate of Commi ttee Fun Ba.
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