Burns,Robert_2025-Stmt-OrgStatement of Organization - Candidate Committee Is this statement:
❑ New 0 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
d. ID Number
COMMITTEE TO ELECT ROBERT BURNS
MaRing Address (include City, state and Zip Code)
e. Date Organhed
PO Box 235 MONROE, NC 28111
7120/2023
Committee Website (Optional)
f Phone Number
7. Candidate Information
a. Full Mme
e. Parh Affiliation L. J- r: �,[(-: V .
ROBERT ANDREW BURNS
REPUBLICAN APR I
. Mailing Address (include City, State, and 7Jp Code)
f. Office Sought
PO BOX 235
MAYOR RECEIVE
MONROE, NC 28111
. Phone Number
d. Emil Address
g. Neat Election Year
1b.Jurisdiction
980-425-2101 V&rp_.@electrobertbums.ComR'
F
�SEtG
oZOQ�
CITY OF MONROE
❑Email co of report notices
I.—Treasurer Information
4. Assistant Treasurer Information
. Full Name
a- Full Nam,
HEATHER SWIFT
IL Mailing Address (include City, state, and Tip Code)_
. Mailing Address (include City, State and 73p Code)
_ _
PO BOX 16
APEX, NC 27502
. Phone Number Id. Emit Address
c. Phone Number
Id. Emil Address
9193069991 candidatetreasurer2o24@gmail.co
Sendre ort notices b email � Yes No
Entail co v of report notices
. Custodian o Books Information (Keeper of Records
6. Account Information (incG CRO -3500)
. Full Name
a. Financial Institution Fall Name UNION COLINTY
HEATHER SWIFT
CAMPAIGN FINAN(
. Mailing Address (include City, State, and tip Code)
PO BOX
APR 0 1 2025
APEX, NC 27502
13_
Phone Number
d. Email Address
b. Account Code
1c. Type
9193069991 candidatetreasurer2024@grnail.mfi
❑ Email copy of report notices
1 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.
HEATHER SWIFT
Printed Name of Treasurer Signature of Appointed TreosIr t to
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.
ROBERT BURNS
Primed Name of Candidate ✓
St ol'Candidate Date
CRO -1100A NC State BrwN or Elections Nirwmber 2019