Link,David_2025-SOGStatement of Organization - Candidate Committee Is kis statement:
F]" New ❑ 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 repaired for each new election year_
1. Committee: Information
a. Name of Committee
d. ID Number
x
b. Mailing Address (include City, State and Zip Code)
e. Date Organized
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c. Committee Website (Optional)
f. Phone Number
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2. Candidate Information "
a. Full Name
e. Party Affiliation
b. Mailing Address (include City, State, and Zip Code) _
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c. Phone Number
dl Email Address
g. Next Election Year
It. Jurisdiction
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❑ Email copy of report notices
3. Treasurer Information
4. Assistant Treasurer Information
a. Full Name -
a. Full Name
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b. Mailing Address (Include City, State, and Zip Code)
b. Mailing Address (include City, State and Zip Code)
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c. Phone Number
d. Email Address
c. Phone Number
d. Email Address
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Send report notices by email ❑ Yes _ ❑ No
El 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
RECEIVED
b. Mailing Address (include City; State, and Zip Code)
JUL 18 2025
c. Phone Number
mAddress
b. Account Code
C. Irffimiunre
80ARD OFEEEGTIt1NS
[3Email 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 rohibited or other non -disclosed funds. I further certify that
this report is complete, true ltd correct.
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Printed Name of Treasurer Signature of Appozz Treasurer 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 appointe surer and subject to the p nalties in Article 22A of Chapter
163 of the NC eneral Statutes.
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Printed Name of Candidate Signature of tandiclate Date
CR0-2100A NC State Board of Elections November 2019
aNORTH CAROLINA
STATE BOARD OF ELECTIONS
Confidential
Certification of Financial Account Information
This Certification is used to report confidential bank account information for all financial accounts
established by the committee and must accompany the Statement of Organization Form.
FILED BY:
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Committee Name: �Ja✓i0� ILtrl Tbf Fairv�ecJ
Treasurer Name: J�Ayl d Af. .
Treasurer Address: 9gD/ TOrliAdge �r
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(include city, state, &zip) -7,1 dia A zr4 ( Of NC as47 9
Treasurer Phone: WI—,S/7—O8`,/
I certify that the information provided below is true and accurate. I am providing all account information for the above
named Committee. These account numbers include all bank accounts utilized, credit card accounts, money market or
savings accounts, or any other financial account used for any purpose by the Committee.
The information provided on this form is considered confidential and is not subject to public disclosure. The information
provided is only used for the purposes of an audit or investigation or as required by a court of competent jurisdiction.
Each treasurer (or candidate) must desienate below an account code (any number or letter or combination of
numbers and letters) by which to refer to the account number on reports. If an account number is used as the "account
code;' confidentiality of the account number is presumed to have been waived.
The treasurer shall maintain all moneys of the political committee in a bank account or bank accounts used exclusively by
the political committee and shall not commingle those funds with any other moneys.
Type of account Financial Institution Address - ccount Number Account Code
JUL 18 M
By signing this statement, I authorize agents of the State Board gFlRDittt0S %Tilts t all accounts provided.
OF ELECTION
BOARD
Date Signed Signature of Candidate or Treasurer
For Candidate Committees Only
dtr'In lieu of providing account information, I certify that this committee will not raise any money nor spend any money
except that which is the candidate's personal funds. I furthermor understand that an audit or investigation could
itures.
warrant the probe of any personal bank account that is beinaii
By si 'n this statement, 1 authorize agents of the State Bo�Zaects.
Date Signed Treasurer
CRO -3500 Certification of Financial Account Information
ONORTH CAROLINA
ITS STATE BOARD OF ELECTIONS
Additional account numbers:
Type of Account Financial Institution Address Account Number Account Code
Date Signed Signature of Candidate or Treasurer
C20-3 iOO Certification of Financial Account Information
NORTH CAROLINA
�r 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:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Treasurer Phone:
ChecJc One:
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.
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
to file the next scheduled report for all contributions and PK'
x nditures that have not been previously
reported from the beginning of the current election cycle. I f er gree to file all future reportequired-
Z�45 — 4�n
Date Signed S n
CRO -3600 Certification of Threshold