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Simpson,Anne_2023-Stmt-Org-amendedStatement of Organization - Candidate Committee Is this statement: I El new ® Amended Use this form to create a new or update an existing candidate committee. This form mutt be accomnanied by form CRO -3500. An amended form is required for each new election year. 1. Committee Information a. Name of Commiltee d. 11) Number (��YYIQI Anne M. Simpson for Commissioner It. Mailing Address (include City, Stam and Zip Code) e. nate Organized 2517 Trading Ford Drive Waxhaw, NC 28173 July 5, 2023 . Committee Website (Optional) C Phone Number 704-296-8052 . Candidate Information a. Full Name e. Party Alrlialion _ Anne Marie Simpson REP h. Mailing Address (include City, smile, and Zip Code) f. Office Sought 2517 Trading Ford Drive Waxhaw, NC 28173 Union County Commissioner . Phone Number d. Email Address g. Neat Election Year h..lurisdiction Union County NC 704-296-8052 AnneMSimpsonUC@gmail.com 2024 IM Email copy of report notices 3. Treasurer Information 4. Assistant Treasurer Information . Full Name a. Full Name Anne Marie Simpson b. Mailing Address (include City, State, and Zip Code) b. Mailing Address (include City, State and Zip Code) _ DEC 14 2517 Trading Ford Drive Waxhaw, NC 28173 . Phone Number d. Email Address AnneMSimpsonUC@gmail.com c. Phone Number d. Email Address union Go. board o 704-296-8052 Send report notices by email Yes No Email copy of report notices 5. Custodian of Books Information (Keeper of Records 6. Account Information (incl.. CRO -3500) a. Full Name a. Financial Institution Full Name Anne Marie Simpson Wells Fargo It. Malang Address (include City, Stam, and Zip Code) _ 2517 Trading Ford Drive Waxhaw, NC 28173 c. Phone Number d. Elavil Addros 1b. Atcoont Code t. Type 704-296-8052 AnneMSimpsonUC@gmail.com 4 WXW Checking IN 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. �Z Iq h-4 Anne Marie Simpson Printed Name ofTreusurer Signature of Appointed Treasurer Date 1 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. Anne Marie Simpson Ct Printed Name of Candidate Signature of Candidate Date CRO -2100A NC Stam Board of Inlections N0V= er iu i v D ctions