Loading...
Price,Kerry_2023-Committee-formsStatement of Organization - Candidate Committee Is this statement: rQ New ❑ Amended Use this form.to create a new or update an existing candidate committee. This form mutt he accomnanied by form CRO -3500. An amended form is reauired for each new election vear. I. Committee Information . Name of Committee d. ED Number Kerry for Council Pending b. Malting Address (include Ufty, State and Zip Code) e. Date Organized _ 9817 Indian Trail Fairview Rd, Indian Trail NC 28079 7/7123 c. Committee Website (Optional) f. Phone Number 704-201-4943 2. Candidate Information a. Full Name c. Party Affiliation Kerry Kathleen Price Republican . Mailing Address (include City, State, and Zip Code) f. Office Sought 9817 Indian Trail Fairview Rd Indian Trail, NC 28079 Town Council . Phone Number d. Email Address g. Next Election Year h. Jurisdiction 704-201-4943 kprice0228@gmail.com 2023 Fairview Ic El Email copy of report notices .'Treasurer Information 4. Assistant Treasurer Information . Full Name a. Full Name Jinger Kelley . Mal og Address (include City, State, and Zip Code) b. MaWng Address (include City, State and Zip Code) 236 Summerhouse Pt Norwood, NC 28128 c. Phone Number Id. Emil Address c. Phone Number Id. Email Address 828-776-2774 jinkelley@yahoo.com Send report notices by email r Yes 0 No 0 Email copy of report notices 5. Custodian of Books Information (Keeper of Records 6. Account Information {incl- CR0.3500) . Full Name a. Financial Institution Full Name Anger Kelley First Citizens Bank . Mailing Address (include City, State, and Zip Code) 236 Summerhouse Pt Norwood, NC 28128 . Phone Number Id. Email Address 1b. Account Code 1c. Type 828-7776-2774 jinkelley@yahoo.com 01 Checking El 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 Us report is complete, true and correct. Jinger Kelley 7/7/23 Printed Name of Treasurer Si tare o Appointed T ,saver Date I certify that the information above is correct, and 1, 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. Kerry K Price�rn 7/7/23 Printed Name of Candidate t,Slinatum of Candidate Date CRO -2100A NC State Board of Elections November 2019 VOTE © NORTH CAROLINA mT� STATE BOARD OF ELECTIONS 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. "Ll 9113 10 Committee Name: Kerry for Council Treasurer Name: Treasurer Address: Jinger Kelley 236 Summerhouse Pt (include city, state, & zip) Norwood, NC 28128 Treasurer Phone: S�aR 771n - ai7y Check One: aK 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 report<. 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 to file all future reports required. 7/17/23 Date Signed signature CRO -3600 Ceniftcation of Threshold NORTH CAROLINA STATE BOARD OF ELECTIONS 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 FELED BY: Committee Name: Kerry for Council Treasurer Name: Treasurer Address: (include city, state, & zip) Jinger Kelley 236 Summerhouse Pt Norwood, NC 28128 Treasurer Phone: 828-776-2774 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 designate 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. Type of account Financial Institution Address Account Number Account Code Checking First Citlzens 2743 W Rooseveft Blvd, Monne NC By signing this statement, I authorize agents of the State Board of Elections to inspect all accounts provided. 7117/23 Date Signed 0 Wine of Candidal r Txutcr 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 C'crtiliraimt of /'inane iul Account Information V® NORTH CAROLINA Mrd STATE BOARD OF ELECTIONS 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: K 21. P Committee Name: err, e n u 1 Treasurer Name:n p -�\ ,PA! if Candidate is own treasurer, designate an agent to cavy out designations: Committee ID M A, (� Level Registered: [State] [ oun If county, specify:_ u,n j e)o 1, & rn.a rc cc e hereby direct that in the event of my death or incapacity all t (Name fCmdidate) 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 Bntity Plan for Disbursement (eg. Amount or %) (Select from §163-278.16B(o)) 1. I�el�hem Presb�%c�1lChtxc 1 �y°� 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: /> q,Nt-- Date: 7 CRO -3900 Candidate Designation of Committee Funds