Jones,Clayton_2025-SOGStatement of Organization - Candidate Committee Is this statement:
® New El 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 reauired for each new electinn vear
1. Committee Information
a. Name of. Committee ' , - "" d. ID Number '
CIaI fod Po(- U)P'0601b')q fo►J 4tum P
b. Mailing Address (include City, State and Zip Code)
e. Date Organized
,0, Box 522. WrIx ctwlvc ;-8/23 U�167 2-D�5"
c. Committee Website (Optional) f. Phone Number
$0-239-.2639
2. Candidate Information
a. Full Name
e. Party Affiliation -
Cla Y foN Gee' 1-om?s
b. Mailing Address .(include _City, State, and Zip Code)
.5- l `t l u.N lV�_. o(f ��
weA) q toN J NC_ ze/o y
" f. Office. Sought
Tv w Av COW -X, I
c . Phone Number
"d: Email Address
g. Next Election Year
h. Jurisdiction
?0_3q-24391
e/t:l tolo zs-& P m r4:4co4h
aU 2 S
N %ONCowN
Email co of report notices
3. Treasurer Information
4., Assistant Treasurer Information
a.. Full Name -
a. Full Name '
CIC. /on) L&e. ,.1'0104 s
b. Mailing Address (include City, Stolle, and Zip Code) -
b. Mailing Address (include City, State and Zip Code) -
5199 PQ /J 110A)e e;/"-
UiP-c.10(;.,)I tC)Al c ;?_9
c. Phone Number
990 z39 -a6
-/A)
Id. Email Address
G ytoaz�fo@9ona:/-cmh---
c. Phone. Number
d. Email Address
-- — -
Send report notices by email DUYes El No
El Email copy of report notices
5. Custodian of Books Information (Keeper of Records
6. Account Information (ince CRO -3500)
a. Full Name -
a. Financial Institution Full Name- "
Cly f�a ��J�n1es
trti e /fn e�.rCrr�l.� (�tiv,'vN
b. Mailing Address (include City, State, and Zip Code)
51 99 A) an,
ivedqq01;do q �oJ/Uc-,
j
a NC/ exipe.v10S
c. Phone Number
-z63
d. Email Address
a�iv.7, G� o a
b. Account Codec.
I -I
Typ/e��
c/ e6 ,I A)
21 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 pr nibited or other non -disclosed funds. I further certify that
this report is complete, true and correct.
C101/Iaa1 Lee Joulesi C/ b Q2 207-5
Printed Name of Treasurer atmc of Appointed easurer Dafte
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 NCGeneralStatutes.
e ,V 0
IQ V10,1) LaTD,1 U2 7 202
I Printed Name of Candidate Signature of C udidalc I gate
CRO-2MOA NC Sfdtc Board of Elections November 2019
PTH CAR
em, IM
ELECTI
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 163-278.1613(a).
This Designation is filed at the Board of Elections office where the committee's campaign reports are [lied.
Candidate Name: C 16( tVL C) Al
Committee Name:
TOf-
Treasurer Name: C �Q l fO'v Le e J ON
If Candidate is own treasurer, designate an agent to carry out d
Committee ID #:
t
Level Registered: [State] [County] If county, specify: 0,V
I CletyAtN Let' �OAX S hereby direct that in the event of my death or incapacity all
— I (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
(Select from §163-278.16B(a))
1.0
2.001m,221ai0A2f Adddaodee-
3.
Plan for Disbursement (eg_ Amount or %)
f v S /C
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
IS
Candidate Designation of'Committee Funds