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Kindley,Patricia_2025-SOGRE 1U U a0P'1,1 Statement of Organization - Candidate Committee Is this statement: ❑ New ❑ Amended Use this form to create a new or update an existing candidate committee. This ti?mt must be accom anied by form CRO -3500. An amended forth is required for each new election year. mmittee or Committee t m Number mittee to ReElect Patricia Helms Kindley QJmH35 F.Name i Addren (tatlade Ci , State asd Zi Code e. Unionville -Brief Road Monroe, NC 28110 7/8/2025 mittee Webahe (Optional) It Phone Number 704-221-0901 . Full Name e. Party Atllltatiuu Patricia Ann Helms Kindley b. Mailing Address (include City, State, and Zip Code) E Oltko Soagbt 9108 Unionville Brief Road Monroe, NC 28110 Fairview Town Council . Phone Number d. Emil Address &Nest Election Year 1b. Jurisdiction 704-221-0901 pkindley@gmail.com 2025 Fairview, NC +❑ Email co v of report notices ressurer Information 4. Assistant Fall Name a. Full Name John Kibler Mailing Address (include City, State, aad Zip Code) b. Malilag Address (Include City, Stale and Zip Code) 3614 South Rocky River Road Monroe, NC 28112 . Phone No nber t Emil Address c. Phone Number d. Email Address 704-219-3087 1 kiblerjohn66@gmail.com Send report notices by email W Yes LJ NoEmail co of report notices Full Name a. Fluntiil lad . on Fall Now E\v Pending me ' (include City, Stara and Zip Code) 10 Tv t En all Address 1b, Account Code Ic. Type pending Checking ❑ Email copy of report notices I 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. John E Kibler 7/9/2025 Printed Name of Treasurer Signature of Appointed 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 treasurer and subject to the penalties in Article 22A of Chapter 163 of the NC General Statutes. n Patricia H. Kindley 7/9/2025 Printed Name of Candidate Signal= of Candidate Date CRO -2100A NC State Board of Elections V November 2019 NORTH CAROLINA mT' 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 Bled at the Board of Elections office where the committee's campaign reports are filed. Candidate Name: Patricia H Kindley Committee Name: Committee to Reeled Patricia Helms Kindley Treasurer Name: John Kibler If Candidate is own treasurer, designate an agent to carry out designations: Committee ID #: Q,JmH35 Level Registered: [State] [County] If county, specify: Municipal Town of Fairview I Patricia H Kindley , 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). 1. Name of Entity Plan for Disbursement (ee. Amount or %) (Seku from $163-278.16B(a)) Town of Fairview Fairview Park z. RFrEIVED Cj 0 By signing this form, I certify that the foregoing entities are eligible beneficiaries under NG 215 Gen. Statute 163-278.16B(a). A copy of this form should be maintained with the Co�N COUNT y records. F fLECTIpN Signature of Candidate: Date: 7/11/2025 CRO -3900 Candidate Designation of Committee Funds