Krafft,Bettylyn_2017-CommitteeStatement of Organization - Candidate Committee
Use this form to create a new or update an existing candidate committee.
This farm must be accompanied by forms CRO -3100 and CRO -3500 (when amendine.
Amendment
❑ Yes ❑ No
onlv re -submit if aoolicable)
1. Committee Information _- - --_-- - _ -- -- --- — _-- _-- `-
,. -; -�.
a: Fall Name -. t Vit' . -. l.CC`�
c.ID Number - -
r..
3e44 -y /yn — wrrrs Kra -PPP
ti: Mailing Address- (include- City_, State and Zip Code)
iDSfUS /)Ieet$Gn'i—GY'UVC, /?al•
Cv uxtiuw, NC A/ 73
%—/°/-1%
e Phone Number
70xi- 8213 - 4 $7 d
2. Candidate Information,_ _ _ � ---.]❑Candidate's,
Primary Committee'
:,Full Name t"
_ ..... ..
e. Candidate ED Number
I.rtyAffiliation
Pa
3z4ylyn 0 wens Vre,4-4-
Qepublteavi
(Indicate Non-partisan if applicable)
b. -Mailing Address (include City, -State, and Zip Code) I '
g. Office Sought
U 65- ItdtSetn+ OrYUVG RI .
WaYh6W Ne gtk/73
ftyierul S rias Tows^ Pagnell
6.Phoue Number"Id. Email Address - ,x"
h. Next Election Year
117Jurisdiction
h�(rcti(�cRrol�n4•Y✓+
orH a017
mail copy of notices
_
3. Treasurer Information -- . _ -
4.. Custodian. of Books Information --
. Full Name.,
b.Mailing Address (include,City,.Slate, and Zip Code), :, _
b. Mailing Address (include City; State, and Zip Code)
4�too raSAA+ Grtive Rel.
c. Phone Number`` ,'d.
Email Address - -
c.�Phoae Number _
_
d. Email Address, 1 - - •.. ,,
76Y- Ssy3�
4/9'70
Ijllru@ C ardl to a . rP, e o
I' refer to receive noticesb email ' ® yes ❑ No
'❑ Email co - of notices ." - -
S. Assistant -Treasurer InformationAdd --
6. Account Infoi'mation __;pnet. exo:35oo)
Add- -
❑ Remove.:
a. Full Name '— F ` ❑ Remove
a. Fihancial Institution Full Name.' , , ; ..,
RECEIV
DI
b. mailing Address (include City, State, and Zip Code) ',
b. Purpose ', -
JUN 18 1017
e.Phone Number ,d.
Email Address
eAccauat Cqe U1119JIM6_oaI
o;E,lee ions,
Email copy of notices
CERTIFICATION-
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M 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.
"Bei�Ulun�raf� u3�iinr 7-lel-t�
Printed Name of Signer T*a re of Appoint' rimer Date
CRO -2100A I NC State Board of Elections July 2011
cE\v ED
buil I B 2011
tn;,nn t;o. Boacd of El�cUons
Kim Westbrook Strach
Executive Director
r
North Carolina
State Board of Elections
441 N Harrington Street
Raleigh, NC 27603
Mailing Address
PO Box 27255
Raleigh, NC 27611-7255
(919) 733-7173
Certification of Treasurer
This Certification is used by Candidate Committees to appoint a treasurer to the committee. This form is
required and must accompany the Candidate's Statement of Organization
FILED BY:
Candidate Name: l&*y lyrt 0. Wra.4;P+
Treasurer Name: /3-e�4y/y.t o. k/,& f
Treasurer Address: b gas /7/-r4Sa n+- &r0,/c 2J
(include city, state, &zip) (-a-f-A4w Ale A 87 73
Treasurer Phone: 76Y irN i- x/9-70
1 certify that the above information is correct, and I, as candidate, appoint said treasurer to personally fulfill
the duties and responsibilities imposed upon the appointed treasurer and subject to the penalties and
sanctions in Subchapter VIII. Regulation of Election Campaigns of Chapter 163 of the North Carolina
General Statutes.
I understand that if the above Treasurer changes, it will be necessary to certify a new treasurer and amend
the existing Statement of Organization within 10 days of the vacancy. I further understand that the above
Treasurer is required to receive training by the State Board of Elections within three months of this
appointment according to Article 163.278.9(k).
7-1Y-17
Date Signed
Note: This Certification is to be filed at the Election Board where the committee's campaign reports are filed.
CRO -3100 Certification of Treasurer July 2014
i
� of Elections
a
North Carolina
State Board of Elections
441 N Harrington Street
Raleigh, NC 27603
Kim Westbrook Strach Mailing Address
Executive Director PO Box 27255
Raleigh, INC 27611-7255
(919) 733-7173
Confidential
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: Camm;4ee % (1ec} 13c!�X/yn Kr0.`7+-
Treasurer Name: B<++X/Xrt 1(r494-
Treasurer
(raFFATreasurer Address: (eg,os P/CASan+Gvavc 9J
(include city, state, &zip) WaXhat.A, NC Btu/73
Treasurer Phone:
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 desienate below an account code (anv 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.
By signing this statement, I authorize agents of the State Board of Elections to inspect all accounts provided.
Date Signed
Signature of Candidate or 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 inspeccable accounts.
-pq-11 11
Date Signed a V gnatw of dateor Treasurer
CRO -3500 Certii(Ication of Financial Account Information Jul, 2014
DECEIVED
JUN 18 2017
;pionCo. Board 01 Elections
Kim Westbrook Strach
Executive Director
North Carolina
State Board of Elections
441 N Harrington Street
Raleigh, NC 27603
Mailing Address
PO Box 27255
Raleigh, NC 27611-7255
(919) 733-7173
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 filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name: brnmi Fee -t-o e_led- $c,41%4n !�r&:W+-
Treasurer Name: Rp-t { 14n Krfi_{ 4
Treasurer Address: ttS05 ?Iea;a-r ' Grote -'�d
(include city, state, & zip) I, O -V h o -W 11KC 481'73
Treasurer Phone:
Chec One:
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 all contributions and expenditures that have not been previously
reported from the beginning of the current election cycle. 1 further agree to file all future reports required.
-ly-1.7
Date Signed
CRO -3600
Certification of Threshold
Judy 2014