Hamill,Gary_2023-SOStatement of Organization - Candidate Committee Is this statement:
❑ New ❑ 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
a. Name of Committee
d. ID Number
COPY RRftm I LL
. Mailing Address (include City, State and Zip Code)
e. Date Organized
/05 MariQanq
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C. Committee Website (Optional)
I. Phone Number
2. Candidate Information
a. Full Name
e. Party Affiliation
GFlrp-Y R. RaM°I
. Mailing Address (include City, State, and Zip Code)
I. Office Sought
(U5 Mo- iavlra C de �Cn'8�4
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. Phone Number
d. Email Address
g. Next Election Year
F. Jurisdiction
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2023
❑ Email copy of report notices
3. Treasurer Information
4. Assistant Treasurer Information
a. Full Name
a. Full Name
GARy' 2t4,gMILL-
b. Mailing Address (include City, State, and Zip Code)
b. Mailing Address (include. City, State and Zip Code)
. Phone N b r
Id. Email Address '
c. Phone Number
d. Email Address
Send report notices by email LIJYes El No
JTEmail copy of report notices
5. Custodian of Books Information (Keeper of Records
6. Account Information (met. Cao -3500)
. Full Name - -
a. Financial Institution Full Name
. Mailing Address (include City, State, and Zip Code)
c. Phone Number
Id. Email Address
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 farther certify that
this report is complete, true and correct.
G1 f}P-y A li A -M 1 LL
Printed Name of Treasurer Signa a of 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 appointytreurer and subje�nalties in Article 22A of Chapter
163 of the NC General Statutes.
COO K H€mILL 23
Printed Name of Candidate Signature of Candidate Date
CRO -2100A NC State Board of Elections November 2019