Johnson,Russell_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.
I. Committee Information
a. Name of Committee
it. ID Number
CBA9aM•WeG ste £/eef' Si4,JoL�13^
FSMozs
. Mailing Address (include City, State and Zip Code)
e. Date Organized
//57- n! �*'Sx(Witt We
28iR1
7 -1 -?T-
c. . Committee Website (Optional)
I. Phone Number
�oY20?- y7L s'
2. Candidate Information
a. Full Name
e. Party Affiliation
r -4S ,��AsJn
b. Mailing Address (Include City, State, and Zip Code)
I. Office Sought
/7f $*AJy lit. Pimia»Me NG 29/D?
144,S rv•7/e T rn Coveu/
c. Phone Number
d. Email Address
g. Next Election Yem-
diction
70Y- za7-Y7& T
or 19.,14
7,97-5-
7114,5A.
❑ Email
co of re ort notices
3. Treasurer Information
4. Assistant Treasurer Information
a. Full Name
a. Full Name
K;.b,,i L.+ton –I1.OM4j
p `
i..ssGt 7/.'.n Aln)en
b. Mailing Address (include City, State, and Zip Code)
It. Mailing Address (include City, State and Zip Code)
-
Pa.riwl1e, NC
1�8fo L;44teSWpy16FL.+Rat. 2&e3
IIy 54.4L-ILA. MC6r5k.--/Ie,Nc IL 1107
e. Phone Number
it. Email Address
c. Phone Number
d. Email Address
704.2%4-'7193
S:s+.F, 19 11@ye..;l. co.'
-7oY-2o7.47r.
R.54L, yM.ra+r.:Nr�9.tt.:l.m
Send report notices by email 0 Yes QNo
Email co Iv of re ort notices
5. Custodian of Books Information Kee er of Records
. Account Information (incl. CRO -3500)
�N i
a. Full Name UN1,0W t;�l't'�
a. Financial Institution Full Name
GAMPAIGN FINA `)
�ru i yf
b. Mailing Address (include {,ity,6lpterLgWip Code)
JU` IA U
. Phone Number ressst��
b. Account Code
<. 1, pe
a r+
CkeeV7
❑ 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 nm -disclosed funds. I further certify that
this repor is complete, true and correct.
�U Lt1momaSU�W
y
m
PrinteiltName of Treasurer W
Signaur uA pointe reasurer 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 treasurer and subject to the penalties in Article 22A of Chapter
163 of the NC General Statutes.
2.ssctl(�-slti� J,�,
—7. 9 - 2S
Printed Name of Candidate
Signature of Candidate Date
CRO -2100A NC State Board of Elections November 2019
NORTH 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 campai��IOUN I F
are filed. CAT/IPAION FINANCE
FILED BY: JUL 10 2025
Committee Name: C-VM,-4+te- £le &� ask & 1, SSD + RECEIVED
Treasurer Name: lw I -ll,n s
Treasurer Address: N R tp Uwe S?-4ry lkot%o,..r Ea .
(include city, state, & zip) MAdS w, Ile r NC 2 8103
Treasurer Phone: `101-1211) -'1113
Cheek,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, 1 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 expenditures that have not been previously
reported from the beginning of the current election cycle. I further agree to I, a al future reports required.
-7-(p-7r
Date Signed Signature
CRO -3600 Certification of Threshold