Brookins 2021 Organizational FormStatement 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( n.,n
statement:tr Amended
for each new election
r. Namc of Committee d, ID Numbcr
Brookins For City Council REC"D IN PERSON
e. Date Orgenizcd
P.O. Box 12881Wilmington, NC 28405 lrAR 12 2021 3t12t2021
c. Committee Websitc (Optional)f. Phonc Numbcr
910-787-2728
-rE+.:EE!';q-"tt-!!r+==E_-i'a -i:i!1qff#. ?b *EiEffis
brookinsforcityco u nci l. com
r. Full Nane e. Pafi Alfiliation
Joel Brookins Republican
b. Mriling Addrcss (includc City, State, and Zip Codc)f. OIficc Sought
P.O. Box 12881Wilmington, NC 28405 City Council
s. Phonc Nunber d. Email Address g. Ncxt Election Year h. Jurisdiction
910-787-2728 bamaboy_9 1 0@ya hoo.com
2021
Full Namc
of noticesEmail
Nrmc
Brian Bowers N/A
Address and Address
P.O. Box 12881Wilmington, NC 28405
c. Phone Number d. Email Address c. Phone Number d. Eneil Address
910-619-3513 b ria n m ich a el1 229 @gma i l. com
M.R. Dula E rise, LLC
Send notices
Finrncirl Institution Full Neme
end
P.O. Box 12881Wilmington, NC 28405
c. Phone Numbcr d. Email Addrcss b. Account Code c. Typc
910-546-5210 m rd ulaenterprise@protonmail. com
pl Email copy of report notices
I certifo that the Committee is in compliance with all applicable provisions of Article 22A of Chapter 163 of the NC
General Statutes and that no funds are commingled with prohibited or other non-disclosed funds. I further certiry that
3t1212021
3t1212021
Date
to the penalties in Article 22A of Chapter
Printed Name of Candidate
upon the appointed treasurer and
DateofAppointed Treasurer
the candidate, appoint said treasurer to personally fulfill the
this report is complete, true and correct.
{]riert -\5^,c
duties and responsibilities imposed
163 of the NC General Statutes.
Printed Name of Treasurer
I certi! that the information above is correct, and
Board
:. . :
Yes No
of
,