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Neve,Christopher_2023-CommitteeStatement 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 fonn CRO -3500. An amended form is required for each new election year. 1. Committee Information a. Name of Committee d. ID Number /VEVE Fn2 WAD/A/&7V1'J b. Mailing Address (include City, State and Zip Code) e. Date Organized _ //0 GNASEsiaAlE cT. tvfFXHA�,ni� Z00-3 S/8/Za13 c. Committee Websile (Optional) I. Phone Number 917 -6 -7Z -z531 2. Candidate Information a. Full Name e. ParhAI'fliatiun GHAI 571-M,0_,,, AND"" NEVE b. Mailing Address (include City, State, and tip Code) f. Office Sought //0 CAASeSTDr/E C-77. w14xttAw, n/c. Z.$03 l c . Phone Number d. Email Address g. Nest Election Year h. Jurisdiction — 9r / -�o%Z-ZT� G/s r�s�aPiss(A 2sK�y Msl Cct+� Enmilco vofreioitnuticcx 3. Treasurer Information 4. Assistant Treasurer Information a. Full Name a. Full Name GHKr57aPff€)Z /1���E'w ,vEvE b. Mailing Address (include City, State, and Zip Code) b. Mailing Address (include as i /lo «h$Ipr%sn/E L.1 .. — W fth W, Af r- M l _�-3 mAY 0 8 2023 c. Phone Number d. Email Address c{,r;siaP/sefned2 @yvts< I.U^N c. Phone Number d. Email Address ln7 Z-ls3 neon o. o Send report notices by email es 0 No El Finail co ry of report notices 5. Custodian of Books Information (Keeper of Records 6. Account Information ,fact. CRO -3500) a. Full Name a. Financial Institution Full Name A/, L . 57717E €mAoYees ' ce"i r t✓.vr ori b. Mailing Address (include City, State, and Zip Code) c. Phone Number Id. Email Address 1b. Account Code G 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 further certify that this report is complete, true and correct. L./i�/SraP/ft'J� NL'v� � c ZoZ Printed Name of Treasurer Signature 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 appointed treasurer and subject to the penalties in Article 22A of Chapter 163 of the NC General Statutes. GNt2/57a%o7>*4 NLryE �-- �— 519koz 73 Printed Name of Candidate Signature of Candidate Date CRU-2I00A NC State Board of Elections November 2019 PTE NOPTH CAROLINA STATE BOARD OF ELECTIONS PECrIvED MAY u 8 2023 Union Co. board of EIecU0A 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: NEVE: T 0 g W E1)hl nl A) Treasurer Name: Treasurer Address: 1/0 C-hWSLi7-DN tT L� ,, (include city, state, & zip) WED0/ n/G?!t n/ IVC 2R(73 Treasurer Phone: �/ 9 ' IT %_ —?-1-37 Check Owe: 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. I further agree two file all future reports required. Date Signed Signature CRO -3600 Certification of Threshold voINORTH CAROLINA STATE BOARD OF ELECTIONS RECEIVED MAY 116 2i Union Co. 966(d 01 EWC1101i Candidate Designation of Committee Funds This form is used by candidate committees only and allows the candidate to designate in the event of their death, how the committee's funds are to be disbursed using the eight allowable methods outlined in 163-278.16B(a). This Designation is filed at the Board of Elections office where the committee's campaign reports are filed. Candidate Name: G/fie/ 577a,Pi QL At" C- _ Committee Name: /%/EVE FOA WCl'lo/n/4(,-7a(J Treasurer Name: OtA STUWAf NOVE' If Candidate is own treasurer, designate an agent to carry out designations: 1'1 laiWrL. nlEVg' Committee ID #: Level Registered: [State County county, specify: I, 6hY457Z)l?& 2 A/eV f hereby direct that in the event of my death or incapacity all (Name of Candidate) funds remaining in my Campaign Committee account(s) (after payment of permitted outstanding debts or reasonable expenses for winding up the Committee or closing office) be paid in the following manner as permitted by N.C. Gen. Stat. 163-278.16B(a). Name of Entity Plan for Disbursement (ea. Amount or %) (Select from §163-278.16B(u)) 1. WC0Di�)v7-a,J GHA15n1trJ fhr_AQ y /00 �c 2. 3. By signing this form, I certify that the foregoing entities are eligible beneficiaries under N.C. Gen. Statute 163-278.16B(a). A copy of this form should be maintained with the Committee records. Signature of Candidate: Date: , CRO -3900 Candidate Designation of Committee Funds