Martin,Angel_2023-Committee-formsStatement of Organization - Candidate Committee Is this statement:
® 'Nes' E3 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 fornt is required for each new election year.
L Committee Information -
. Name of( committee
it. ID'Number
COMMITTEE TO ELECT ANGEL MARTIN
2JM5G3
b. Mailing Address (include City, State and Zip Code)
_ e. Date Organized
8914 LAURELWOOD LN, WAXHAW, NC 28173
07/07/2023
. Committee Website (Optional)
L Phone Number
704-400-2214
. Candidate Inforl
'
a. lull panic
e. Party Affiliation
\\ 6 L L I QUE F MARTIN
h. %lalling Address (include City, State, and Zip Code)
L Office Sought
VILLAGE OF MARVIN C'OI IN( 'IL
8914 LAURELWOOD LN, WAXHAW. NC 28173
. Phone Number
it. Email Address
g, Next Election Year
2023
h. Jurisdiction
01
704-400-2214
WAGS 100 ,AOL.COM
O Finail copy of report notices
. Treasurer Information _
. Ass stant Treasurer Information
N. 1'1111 N,in.'
A. I'11II Name
MARIA REID
. Mailing Address (include Cit), State, and Zip Code)
It. Mailing Address (include City, State and Zip Code)
It 16 DEEP HOLLOW CT
. Phone Number
d. Email Address
r. Phone Number
it. Email address
617-953-73,61
MARIA. REID. US.A r,GMAIL.COM
Send re ort notices by email 0 1'eN U\n
P. nail copy of report notice,
R.—( anon keeper of Records)
6. AcrA4111iffortnation (incL CRO -3500)
a. Full Name
a. Financial Institution Full Name
NI NRIA REID
TRUIST I o
b. alailin_ address (include City, Stale, and Zip Code)
JUL 17 2023
1116 DEEP HOLLOW CT, WAXHAW, NC 28173
. Phone Number it. Email Address
b. Account Code
I
c. Type V
CHECKING
617-953-7361 MARIA.REID.USA@GMAIL.COM
E3 Email copy of report notices
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 prohibi or ther non -disclosed funds. I further certify that
this report is complete. true and correct.
MARIA REID4vp
07/17/2023
Printed Name of Treasurer Signature of ppointed Treasurer Date
certify that the information above is correct, and I. as the candidate, appoint said ire urer to personally fulfill the
duties and responsibilities imposed upon the appointed treasurer
and su 'ect to the pe ties" Article 22A of Chapter
163 of the NC General Statutes.
t
ANGELIQUE F MARTIN
07/17 1013
Printed Name of Candidate
Signa ire didate 11;nc
CRO -2100,4 NC State Board or Woons Noccmb.r'1 1
NORTH CAROLINA
rnT� STATE BOARD OF ELECTIONS
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: COMMITTEE TO ELECT ANGEL MARTIN
Treasurer Name: MARIA REID
Treasurer Address: 1 116 DEEP HOLLOW CT
(include city, state, & zip) WAXHAW, NC 28173
Treasurer Phone: 617-953-7361
I certify that the information provided below is true 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 for candidate) must designate 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.
Type of account Financial Institution Address Account Number Account Code
CHECKING TRUIST 8114 KENSINGTON DR, WAX HAW, NC
'8173-0103
By signing this statement, I authorize agents of the State Board of Elections �allaceounts vided.
07/17/2023
Date Signed Sign re of I
andidate 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 inspect applicable accounts.
Date Signed Signature of Candidate or Treasurer
CRO -3500 Certification cfl•'inancial;tccountlgjbrmation