Farris,Daniel_2025-SOGStatement of Organization - Candidate Committee Is this statement:
❑ 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 required for each new election year.
1. Committee Information
a. Name of Committee d. ID Number
COMMITTEE TO ELECT DANIEL FARRIS
b. Mailing Address include City, State and Zip Code e. Date Organized
4003 ENGLISH OAKS CT. WAXHAW, NC 28173 06-27-2025
c. Committee Website (Optional) f. Phone Number
https:/Idanfarrisforwaxhaw.com/ 7045192444
2. Candidate Information
a. Full Name
e. Party Affiliation
DANIEL FARRIS
Republican
b. Mailing Address (include City, State, and Zip Code)
f. Office Sought
4003 ENGLISH OAKS CT
Town of Waxhaw Commissioner
c. Phone Number
d. Email Address
g. Next Election Year
1h. Jurisdiction
7045192444
danfanis@danfarrisforwaxhaw.com
2025
UNION
❑ Email copy of report notices
3. Treasurer Information
4. Assistant Treasurer Information
a. Full Name
a. Full Name
Daniel Farris
b. Mailing Address (include City, State, and Zip Code)
b. Mailing Address (include City, State and Zip Code)
4003 ENGLISH OAKS CT
WAXHAW, NC 28173
c. Phone Number
Id. Email Address
c Phone Number
jd.Email Address
7045192444
support@danfarrisforwaxhaw.com
Send report notices by email Yes No
13 'Email of rep ort notices
5. Custodian of Books Information (Keeper of Records
6. Account Information (incl. CRO -3500)
a. Full Name -
a. Financial Institution Full Name _
Daniel Farris
TRUIST BANK
b. Mailing Address (include City, State, and Zip Code)
4003 ENGLISH OAKS CT
WAXHAW, NC 28173
c. Phone Number
d. Email Address
b. Account Code
1c.Type
7045192444
support@danfarrisforwaxhaw.com
CHK1
I
CHECKING
❑ 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.
DANIEL FARRIS e-c�07-08-2025
Printed Name of Treasurer Signature of Appointed 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 appointed treasurer and sub'ect to the penalties in Article 22A of Chapter
163 of the NC General Statutes.
DANIEL FARRIS 1 07-08-2025
Printed Name of Candidate 'Sigmitare of Candidate Date
CRO -2100A NC State Board of Elections November 2019
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 filed at the Board of Elections office where the committee's campaign reports are filed.
Candidate Name: DANIEL FARRIS
Committee Name: COMMITTEE TO ELECT DANIEL FARRIS
Treasurer Name:
DANIEL FARRIS
If Candidate is own treasurer, designate an agent to carry out designations: Jennifer Farrell
Committee ID #:
Level Registered: [State] [County] If county, specify: County
1 DANIEL FARRIS
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
(Sa/enfro 3163-278.16B(a))
I Children's Tumor Foundation
2.
3.
Plan for Disbursement (eg. Amount or %)
100%
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.
Signature of Candidate:
Date:
CRO -3900
07/00/2025
Candidate Designation of Committee Funds