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Wilfong,Gary_2023-Committee-formsStatement of Organization - Candidate Committee Is this statement: I C1 New ❑ Amended Use this form to create a new or update an existing candidate committee. This form must be accompanied bN form CRO -3500. An amended form is required for each new election )ear. 1. Committee Information . Name of Committee d. ID Number Elect Gary Wilfong ,Mayor Town of Fairview, NC . Mailing Address (include City, State and Zip Code) e. Date Organized 1304 Lawyers Rd W, Indian Trail, NC 28079 July 1, 2023 c. Committee welinite (Opdom) L Phone Number . Candidate Information_' . Full Name e. Party Affiliation Gary Howard Wilfong Unafffilated . Mailing Address (Include City, State, and Zip Code) r. Office Sought r _ 1304 LAWYERS RD W, INDIAN TRAIL NC 28079 Mayor Unio4o.Bwi . Phone Number d. Email Address & Neat Election Year h. Jurisdlc% 0 " 704-753-4800 gwilfong@carolina.rr.com �"/i '4TH CPP 2024 Town of Fai/rvi"tihl�ttttts 6C1 f_mail co n of rc nut notices 3. Treasurer Information 4. Assistant Treasurer Information :L I .I[ Napµ' a. Full Name Gary Howard Wilfong . Mailing Address (include City, State, and Zip Code) b. Making Address (include City, State and Zip 1304 LAWYERS RD W, INDIAN TRAIL NC 28079 JUL 01 202 . Phone Number Id. Email Address a Phone Number d. Email Address - Non 10, DUCHU 704-753-4800 1 gwilfong@carolina.rr.com Send report notices b email Yes y No F.mail copy of report notices S. Custodian of Books Information (Keeper of Records 6. Account Information rimer. CRO -35 . Full Name a. Financial Institution Full Name Gary Howard Wilfong Truist . Mailing Address (include Cky, Slate, and Zip Code) 1304 LAWYERS RD W, INDIAN TRAIL NC 28079 r 4 . Phone Number Id. Email Address h. Account Code IdType 704753-4800 1 gwilfong@carolina.r.com n ,C t e � U C( 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. 1 further certify that this report is complete, we and correct. Gary Howard Wilfong / July 1, 2023 Printed Name of Treasurer S1 elute of Appointed T—J-Q--" 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 tre urer and Subject to the penalties in Article 22A of Chapter 163 of the NC General Statutes. Gary Howard Wilfong July 1, 2023 Printed Name of Candidate tgnatur of andidate Date CRO -2100A NC State Board of Elections November 2019 dons NORTH CAROLINA 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. FILED BY: Committee Name: Elect Gary Wilfong ,Mayor Town of Fairview, NC Treasurer Name: Gary Howard Wilfong Treasurer Address: 1304 LAWYERS RD W, INDIAN TRAIL NC 28079 RECEIVED (include city, state, & zip) JUL 0 7 2023 Treasurer Phone: UNOM Go. Board of Elections 704-7534800 Check One: x I 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, 1 understand that 1 roust 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 m 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. �/' / L faly Date Signed Ignatuie CRO -9600 Certification of Threshold JUL 0 7 2023 Unicn Co. Board of Elections wh NORTH CAROLINA 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 riled at the Board of Elections office where the committee's campaign reports are filed. Candidate Name: Gary Howard Wilfong Committee Name: Elect Gary Wilfong ,Mayor Town of Fairview, NC Treasurer Name: Gary Howard Wilfong If Candidate is own treasurer, designate an agent to carry out designations: Debbie Wilfong Committee ID #: Level Registered: [State] [County] If county, specify: Union 1 Gary Howard Wilfong 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 (eg. Amount or %) (Select from §163-278.16B(a)) 1• j p(J t�f p � Ft/f r2 t)I e(, IZA2 p 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. W Signature of Candidate: Date: 3 -S CRO -3900 Candidate Designation ofCominittee Funds