Loading...
Griffin,Wendy_2023-Financial-acctM VOTE © NORTH CAROLINA STATE BOARD OF ELECTIONS REG51VED AUG 14 2023 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: Treasurer Name: Treasurer Address: (include city, state, & zip) Treasurer Phone: I certify that the information provided below is we and accurate. 1 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 desienate 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. aPe or account Financial lnstltudon Address Arcnnnt Num A f (•ruin. MEL!gi�N •1W.M.Al AIM_l.__i..� 'Sy signing this statement, I authorize agents of the State Board of lecti ns to inspect a _ac /a/gniss provided. Date Signed Sigt uute of CCdidke o "treasurer For Candidate Committees Only 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. Date Signed CRO -3500 Signature of Candidate or Treasurer Certification of Financial Account Information