Kerr,James_2025-SOGStatement of Organization - Candidate Committee Is this statement:
0 No" 0 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.
1. Committee Information
a. Name of Committee
d. ID Number_
Kerr for Council
b. Matilng Address (Include City, State and Tip Code)
e. Date Organized
PO Box 783, Monroe, NC 28111
c. Committee webdte (optiomn
L Phone Number
704-242-4110
2. Candidate Information
. Fall Name
e. Party AfCilatioo
James Kerr
Republican
. Malift Address (laclude City, Slate, mad Zip Code)
f. om" Sought
PO Box 783
Monroe, NC 28111
Monroe City Council
. Phone Number d. Email Address
it. Neat Election Year
1b.Jurisdiction
704-242-4110
2025
At -Large
O Email co of re on notices
r Information
4. Ass stunt Treasurer Information
•Full Name
a. Full Name
Greg Fornshell
. Mailing Address (include City, State, and Tip Code)
b. Mailing Address (include City, Slate and Zap Code)
_
PO Box 80172
RECETVM
Raleigh, NC 27623
. Phone Number Id. Email Address
c. Phone Number
d. Email Address
704-770-5992 gmfomsh@gmail.com
UNION COON i v
Send report notices by email LtIVes =No
Email co v of rc ort notices
5. Custodian of Books Information (Keeper of Records
6. Accoaat Information (fact. CRO -3500)
a. Full Name
a. Financial luslitotion Full Name
First Citizens
. Mailing Address (include City, State, mad Zip Code)
. Phone Number d. Emma Address
Is. Account Code
c Type
01
Checking
C] 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
this report is complete, true and correct.
Greg Fomshell
Kaw (/!d
Printed Name of Treasurer
Signature of Appointed Treasurer [late
1 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 trea
d subject to pe dlties in Article 22A of Chapter
163 of the NC General Statutes.
Ja(rles Mr 1�Q,r1%
Printed Name of Candidate
SignaturrofCandidaiI)ete
CRO -1100A NC State Board of Elections November 2019
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