Faherty,Raven_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 reouired for each new election year.
1: Committeeinformation v..
a. Name of Commitrrtee -
d. ID Number
RAi/EN rANE/iT l--oR ldwM ( LjislGlt-
39-3174/31
b Mailing Address (include City, State and Zip Code)7�
e. Date Organized
%
5980 N. 86ck - R, go, .Eliot t tzAl 28079 NC
-/- it - 2D25
c. Committee Website (Optional)
f. Phone Number
980 2B9 3353
2 Candidateanformation' ._ - ",„ — " '
a. Full Name//--
e. Party Affiliation
AV FE &RICA /—AHCATY
&R(ADL/CAN
6. Mailing Address (include City, State, and Zip Code)
f. Office Sought
5980 N- RocKy ¢,tvg2 �—
XrWlAly 7-AiL- C 2 -Go -79
/owN Lou,VG/L
c•: Phone Number
d: Email Address
g. Next Election Year
h. Jurisdiction
(980)239-3353
RAV�1VZAWER7Y GM/VL.COM
2 6G
J
T,varav %RAID
® Email copy of report notices
3. Treasurer Information .` '.
4: Assistant TreasureeInformation
a. Full Name
a. Full Name
�AVEN PAuFe—
o. Mailing Address (include City, State, and Zip Code)
b. Mailing Address (include City, State and Zip Code)
5950 N, RBcry 9wu7- go. --
1.tvp,hN TRAIL (, 28074
e. Phone Number
d. Email Address
c. Phone Number
Id. Email Address
7602393153
j-,4Ven c aPiy @ gtmad, om -
-----
— — ------ ----
Send report notices by email ®Yes ❑.No
U Email copy of report notices
5.'.Custodian of Books'Informatioii` Kee' ei of Records
6 Account _Information- a(inc6CR0 3500) _ - , Y-: -_ 1
a. Full Name
a. Financial Institution Full Name -
AAMill lArte,zrf
TR u l s i
b. Mailing Address (include City, State, and Zip Code)
5960 0, Voeky Klvc& RIv.
Trfi)IAN T2a)L- NL 2,1b6-79
c.`Pho_ne.Number d. Email Addressb. Account Code
5o 239 335 r raven � Gd
[K Email copy of report notices
e. Type
l iFi EGY l Allr
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 reaort is complete, nue and correct.
f`1AyGy lqHrXry i 7-3-202-5.
Printed Name of Treasurer Signature of AppointgMasurer 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 General Statutes. /` ''t'v' G
RAVEVE N FAHElC� 7- !-�'"ZOZS
Printed Name of Candidate Signature of C didate Date
CRU -1111M NC State Board of Elections November 2019
voil 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 S 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: A AVE Al
TOWN Cotrlc.IL.
Treasurer Name: KgVFN FAP"-ry n
Treasurer Address: 5RV M, ROc cy RIVER go,•
(include city, state, & zip) .ZN- DiAN TPAs c— , N& '40Q
Treasurer Phone:
Check One:
V' 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 expenditures that have not been previously
reported from the beginning of the current election cycle. I further agree to file all future reports required.
7-13— 2oZ5
Date Signed S' at=
CRO -3600 Certi(icatiwt of Threshold