Finnegan,Colette_2023-Committee-formsStatement of Organization - Candidate Committee Is this statement:
1 E3new ❑ 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.
1. Committee Information
. Name of Committee
_
e4 -k.. � n _twl
. Malling Address (include Uty, State and ZAP Code)
I r. H&Shvifl
vi I le'fown !
- _
d. ID Number
e. Date Orgaaiaed
-7-24-23
. Committee Website (Optional)
I. Phone Number
04.2-2-1.31'7 b
2. Candidate Information
. Full 'same
W�
e. Parts .Affiliation
. Mailing Address (include City, S e, and Zip Code)
812- Attu► Com.
ore. Z610
f. Office Sought
MofshvilleTown Cou.nca I
. Phone Number I d. Linaft Address
g. Next Election Year
h. dorladienan
221.31 n
alt l
Eff Email co of re ort notices
3. Treasurer Information
4. Assistant Treasurer Information
. Fail Name
l '
a. Full Name
. Mailing Address (include City, State, and Zip Code)
b. Mailing Address (fue
"721 Avr)A tr- Lm.
Monroe. NG
JUL 2 S 2023
. Phone Number
Id. Email Addrm
c. Phone Nu;bW777] ldgn
71:014i 29 4
C#*amidni
at • tOrYl
11 30- Elections
Send report notices by email VJYes
U No
U Email copy of ie purl notices
5. Custodian of Books Information (Keeper of Records
6. -Account Information (incl. CRO -3500)
a. Full Name
A. Financial institution Full Name
b. Mailing Address (include City, State, and Zip Code)
. Phone Number
d. Email Address
b. Account Code
C. Type
❑ Email copy of report notices
I certify that the Committee is in compliance with all apphcabl ons of Article 22A of Chapter 163 of the NC
General Statutes and that no funds are commingled wi r 'b' or o r sclosed funds. I further certify that
this report is complete, true and correct.
6'At� complete,
-i 125 1 23
Printed NarNe of Treasurer Signature ofAppoinied 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
CRO -2100A NC State Board of Elections November 2019
Awl NORTH CAROLINA
STATE BOARD OF ELECTIONS
Certification of Threshold
This Certification is used to declare or withdraw a committee's intent to raise or spend $1,000 or less in the
current election cycle.
This Certification is only valid for political party committees and candidates for a county office,
municipal office, local school board office, soil & water conservation district board of supervisors, or
sanitary district board.
This Certification is flied at the Board of Elections office where the committee's campaign reports
are flied.
FILED BY:
Committee Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip) MoArw A1G 281 1 Z
Elections
Treasurer Phone: 70¢, 2-(Q (a , 4szq-
ChecJerOne:
V I certify that this committee intends to neither receive nor expend more than $1,000 during the current
election cycle under the procedures set forth in G.S. 163-278.10A. This certification will remain in effect
until the end of the election cycle for this committee. If this committee exceeds $1,000 in contributions or
expenditures during this election cycle, I understand that I must immediately notify the appropriate board
of elections and file required campaign finance reports.
THIS DECLARATION CAN ONLY BE MADE AT THE BEGINNING OF AN ELECTION CYCLE.
I am withdrawing my Certification to remain at or under the $1,000 threshold. I will now be required
to file the next scheduled report for allcontributions and enditures that have not been previously
reported from the beginning of the current election cycle. I he agree to file all future reports required.
—1.28.23
Date Signed ppature
CRO -3600 Certification of Threshold
NORTH CAROLINA
STATE BOARD OF ELECTIONS
Candidate Designation of Committee Funds
This form is used by candidate committees only and allows the candidate to designate in the event of their death,
how the committee's funds are to be disbursed using the eight allowable methods outlined in 163-278.16B(a).
This Designation is filed at
the Board of Elections office where the committee's campaign reports are filed.
Candidate Name: l A944e, 4 nnfain;& "WAW-ViBn
Committee Name: (,t)IPSR. hiel(tQ j� MaMJIll2—jOi.L)l') (L(jM I
Treasurer Name: OUJIM I G
If Candidate is own treasurer, designate an agent to carry out designatioC�L�MC�D
Committee ID #: JUL 2 8 2023
Level Registered: [State] [County] If county, specify: Union Co. Elections
funds remaining in my
hereby direct that in the event of my death or incapacity all
Committee account(s) (after payment of permitted outstanding
e Committee or closing office) be paid in the
163-278.16B(a).
debts or reasonable expenses for winding up th
following manner as permitted by N.C. Gen. Stat.
Name of Entity
(Select from §163-278.16B(a))
h I1 ! _-llL , t... . f. t
Plan for Disbursement (ee. Amount or %)
ME ff MEMO
By signing this form, I certify that the foregoing entities are eligible beneficiaries under N.C.
Gen. Statute 163-278.16B(a). A copy of this form should be maintained with the Committee
records.
Signature of Candidate:
Date: —7.
CRO -3900
Candidate Designation of Committee Funds