Cureton,Lundeen_2023-SOStatement of Organization - Candidate Committee Is thi statement:
I ew ❑ Amended
Use this form to create a new or update an existing candidate committee.
This form must be accompanied by form CRO -3500. An amended form is reouired for each new election year
1. Committee Information
a. No of Committee
d. ID Number
ailing Address (include City, State and Zip Code)
e. Date Organized
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. Committee Website (Optional)
E Phone Number
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2. Candidate Information
a. Full Name
e. party AmH a
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. Mailing Address (include City, State, and Zip Code)
I. Office Sought
. Phone Number/ -d.
Email Address
g. Next Election Year
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❑ Email co of re ort notices
Tressurerin ormation
4. Assistant Treasurer Information
. Fail Name
a. Full Name
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Address (include City, Smte, sud7A p e)
b. Mailing Address (include City, State and Zip Code)
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. Phone Plitenher
d. Email Address
c. Phone Number
d. Email Address
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Send report notices by email Yes No
Email co ry of re mor' notices
Custodian of Books Information (Keeper of Records
6. Account In ormatlon fine, CRO -3500)
. Full Name
a. Financial Institution Full Name
. Mailing Address (include City, State, and Zip Code)
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. Phone Number
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d. Email Address
b. Account Code
c. Type
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❑ Email copy of report notices
I certify 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 certify that
this report is complete, true and co ct.
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Printed Name of Treasurer Signature of Appointed Treasurer' Date
I certify that the information above is correct, and 1, as the candidate, appoint said treasurer to personally fulfill the
duties and responsibilities imposed upon the appointed treasurer and subject to the penalties in Article 22A of Chapter
163 of the NC General Statutes.
Printed Name of Candidate
Signature of Candidate Date
ItRO-2100A NC State Board of Elections November 2019