Doyle,Gregory_2023-SOStatement of Organization - Candidate Committee Is this statement:
0 New Q 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 required for each new election year.
I- Committee Information
a. Name of Committee d. ID Number
re a r o le � r or 6 (5;5(11 -V'-
b. Mailing Address (' elude City, State and Zip Code) e. Date Qrganized
2.62 S,. S1-evl)cv� 'S+ W,r, 0'�e N C 19174 -1/17/2-3
c. Committee Website (Optional) L Phone Number
117 S 77-50 0.
2. Candidate Information
a. Full Name
e,, Party Affiliation
re 5o 6 plc 3
P.e blicav
. Mailing Address
kinclude City, State, and Zip Code)
I. Office Sought '
2°2 S-eJa•� ��— fi�'��
C6i�MlSsfot�r
c. Phone Number
d. Email Address
g. Next Election Year
Ih.Jurisdiction
Q)577-5060
c 0-*
261.3
Email copy of re ort notices
. Treasurer Information
4. Assistant Treasurer Information
a. Full Name
a. Full Name
b: Mailing Address (include City, State, and Zip Code)
b. Mailing Address (include City, State and Zip Code)
202.5 S�(!temYd 9- �a(iqq �
c Phone Number
Id. Email Address
c. Phone Number
Id. Email Address
�17)S77-S060
*40'q @;5Wtarl co•11
Send report notices by email UYes.- No
` Email copy of report notices
5 -Custodian of Books': Information (Keeper of Records
6. Account Information. :(incl. CRO -3500)
. Full Name -
a. Financial Institution Full Name
b. Mailing Address (include City, State, and. Zip Code) -
-
c. Phone Number id.EmailAddress
b. Account Code
le. Type
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 correct.
GIrec,6ry 6 I {le 17t. �3� 777�z3
rimed Name of Treasurer Signature o Appointed Treasurer Date
I certify that the information above is correct, and I, 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.
�`Tre�,ar� 17a I�C lTr `t 0� 7 1 r1 /23
Printed Name of Candidate Signature of Candidate Date
CRO -2100A NC State Board of Elections November 2019