Gilliard,Crystal_2024-Certification-of-Financial-InfoELECTIO
Certification of Financial Account Information
This Certification is used to report confidential bank account information for all financial accounts
established by the committee and must accompany the Statement of Organization Form.
FILED BY:
Committee Name: Crystal Gilliard ROD Campaign
Treasurer Name: Crystal D. Gllliard
Treasurer Address: 2721 Long Hope Road
(include city, state, 8c zip) Monroe, NC 28112
Treasurer Phone: 704-381-0808
I certify that the information provided below is true and accurate. I am providing all account information for the above
named Committee. These account numbers include all bank accounts utilized, credit card accounts, money market or
savings accounts, or any other financial account used for any purpose by the Committee.
The information provided on this form is considered confidential and is not subject to public disclosure. The information
provided is only used for the purposes of an audit or investigation or as required by a court of competent jurisdiction.
Each treasurer (or candidate) must designate below an account code (any number or letter or combination of
numbers and letters) by which to refer to the account number on reports. If an account number is used as the "account
code," confidentiality of the account number is presumed to have been waived.
The treasurer shall maintain all moneys of the political committee in a bank account or bank accounts used exclusively by
the political committee and shall not commingle those funds with any other moneys.
TvDe of account Financial Institution Address Account Number Account Code
By signing this statement, I authorize agents of the State Board of Elections to inspect all accounts provided.
Date Signed
For Candidate Committees Only
Signature of Candidate or Treasurer
El In lieu of providing account information, I certify that this committee will not raise any money nor spend any money
except that which is the candidate's personal funds. I furthermore understand that an audit or investigation could
warrant the probe of any personal bank account that is being used for campaign expenditures.
By signing this statement, I authorize agents of the State Board of Elections to inspect applicable accounts.
01/22.2024 L�.1-.iS�� to , , Q -x.)0-/2
Date Signed Signature of Candidate or Treasurer
CRO -3500 Certification of Financial Account Information
JAN 2 6 2024
UNION COUNTY
BOARD OF Fi FnTimKin