Smith,Thomas_2023-StmtOrg-AmendedStatement of Organization - Candidate Committee Is this statement:
❑ New Q 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 form is required for each new election year.
1. Committee Information
. Name of Committee
it. ID Number
Smith4WCDZ Committee
CJMPHF
b. Mailing Add" (include City, State and Zip Code)
e. Date Orgamind
1840 Tangle Briar Ct, Matthews NC 28104
07/20/23
C. Committee Website (optional)
E Phone Number
704-877-8825
. Candidate Information-
. Full Name
e. Party Affiliation _
Thomas Julius Smith
Republican
b. Mailing Address (include City, State, and Zip Code)
E office Sought
1840 Tangle Briar Ct
Weddington Town Council
Matthews, NC 28104
. Phone Number
d. Email Address
g. Neat Election Year
h. Jurisdiction
District 2
704-877-8825
TJSDG7680@gmail.com
2023
0 Email copy of report notices
. Treasurer Information
4. Assistant Treasurer Information
. Full Name
a. Full Name
Jinger Kelley
b. Mailing Address (include City, State, and Zip Code)
b. Mailing Address (includeN9,1 tat ode)
236 Summerhouse N
9
J 2�2
Norwood, NC 28128
. Phone Number d. Emil Address
a Phone Number
828-776-2774 jinkelley@yahoo.com
Send report no(ices by email �j Yes
No
=Enlail Copy of report notices
5. Custodian of Books Information (Keeper of Records
6. Account Information (incl. CRO -3500)
A. Full Name
a. Financial Insfitufion Full Name
Thomas Julius Smith
rruist
b. Mailing Address (include Clt), State, and Zip Code)
Track campaign contributions & expenses
1840 Tangle Briar Ct
Matthews, NC 28104
. Phone Number
Id. Emil Address
b. Account Code
It. Type
Checking
704-877-8825
1 TJSDG7680@gmail.com
01
❑✓ 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.
Jinger Kelley"22:wr
o 11 C) I a-3
Printed Name of Treasurer
tok6f Appointed TneasumO Date
I certify that the information above is correct, and 1,
as the candidate, appoint said treasurer to personally fulfill the
uties and responsibilities imposed upon the appointed treasurer and subject to th penalties in Article 22A of Chapter
163 of the NC General Statutes.
Thomas 1 Smith
//
Printed Name of Candidate
Signature of Candidate
CRO -2100A NC State Board of Elections November 2019