Montalvo,Alex_2025-SOGStatement of Organization - Candidate Committee Is this statement:
❑ Nesv ❑ Amended
Use this form to create a new or update an existing candidate committee.
This form must be accompanied bv'form CRO -3500. An amended form is required for each new election vear.
I. Committee Information
a. Na of Committee
d. ID Number
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ling Address (include City, State and Zip,Code)...
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e. Date ganized
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WommitteeWebsite(Op4onal)-
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f. Pho a Number
kU7-1773fS
2.Candidate Information -
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a. Full Name
e. Party Affiliation' _......
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b._ailinAddress, (include City, State, and Zip Code)
f. Office Sought
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c. Phone. Number
d. Email Address
g,. Next Election Year
h Jurisdiction
❑ Email copy of report notices
3. Treasurer Information " ' "
4: Assistant Treasurer Information
a. Full Name ,r- _
a: Full Name -
6. Mailing Address (include Cl ,State, and Zip Cade) 0
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b. Mailing Address (include City,: State and Zip Code) _
c. Phone Number _'
d. Email Address
c. Phone'Number
Id. Email'. Address
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Send report notices by email VPFos0 No
U Email copy of report notices
5. Custodian of Books Information (Keeper of;Records
6. Account Information. ,(mcL CRO -3500)
a. Full Name - - _ - _
a. Financial Institution Full Name
-
hi ai ing Address (include Ci
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c. Phone Number Id.
Email Address
b. Account Code
c. Type'
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 of rnon-disclosed funds. I further certify that
this report is complete, true and correct.
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Printed Name of Treasurer Si6atufe ffAppointed Treasurer 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 tr Irer and sub' the allies in Article 22 of Chapter
163 of the NC General Statutes.
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Printed Name of Candidate SignjkreofCKndidale Date ,
CRO -2100A NC State Board of Elections November 2019
aNORTH 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 Piled.
FILED BY:
Committee Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Treasurer Phone: C M) 7-77
Ctlge:
//// 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, I understand that I must immediately notify the appropriate board
of elections and file required campaign finance reports.
i
FIIS D ARATION CAN ONLY BE MADE AT THE BEGINNING OF AN ELECTION CYCLE.
am withdrawing my Certification to remain at or under the $1,000 threshold. I will now be required
file t e next scheduled report for all contributions and expenditures that a not n reviously
repo d from the ginning of the current election cycle. l forth to file f re aired.
Date Sig ed Sig ore
CRO -3600 Certification of Threshold