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Doby,Michael_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 renuired fnr earh new elecfiw .,Par 1. Committee Information a.' Name of Committee - - d. ID Number - b. Mailing Address -(incluc City, State and Zip Code) e. Date Organized Ln VJk L -X173 1-13-25 c. Committee % ebsite (Optional) Il Phone Number L Candidate Informationa. , Full Name - e. Party Affiliation &-e-b e b. Mailing Address (include.City, State, and Zip Code) f. Office Sought - x I� ► e��u,t�- � h� s �nl h� co�;xlo�� c. Phone Number d. Email Address a -X 1-13 g, Next Election Year 1h. Jurisdiction -W-gCH5 m ► -fl e I a 2a 010 aS v>Jcyd?�u� 11 Email co of report notices T. Treasurer Information 4. Assistant Treasurer Information a. Full Name a. Full Name - IchoL:( Am I b (ch&' e l:6 :N v b. Mailing Address'(include City, State,. and Zip .Code) b. Mailing Address (include City, -State .and Zip Codei ai L . W NC c7 . " 1 e A l -a . IJ - c. Phone Number d. Email Address c. Phone Number Id. Email Address �r3I`taa( t�f i(a5 ��gfl�4-lSo� Send report notices by email 0'Yes.. ❑ No U Email copy of report notices Custodian of Books Information (Keeper of Records 6;. Account information (Incl. CRO -3500) a. Full Name _. - - a. Financial Institution Full Name- Nladu b. Mailing Address (include City, State, and Zilf Code) - Hit ec.ku)t4� L K"o kcW,7 c. Phone Numberr,y� lt�v d. Email Address t p /YtI(� b. Account Code a Type 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 coom9plete, true and correct. this report iso { 1�—�Uf16,il=L -AftJ Printed Name of Treasurer Signature of Appointed Tr asurer Date I certify that the information above is correct, and I, as the cAida[e, appoint said treasurer to personally fulfill the duties and responsibilities imposed upon the appointed treasurer and sub'ecl to the penalties in Article 22A of Chapter 163 of the NC General Statutes. N1U-'4KL (1 C6 -7-13 -Zo Printed Name of Candidate Signa a of Candidate Date CRO-2fOOA NC State Board of Elections November 2019 I VOTE © 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 campaign reports are filed. FILED BY: Committee Name: (gra Z V KK l i Treasurer Name: H i Lha Z.1 o -n ab -y Treasurer Address: 011 Pec_,k f.1)t h I _n (include city, state, & zip) W A Y ao �Jl` 98,1-73 Treasurer Phone: -IC>q— f00-15070 Ch k 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, 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 a tur reports required. _I Date Signed Signature CRO-3600 Certification of Threshold