Tyson,Patrick_2025-SOGstatement of Organization - Candidate Committee Is this statement:
Q New Q 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.
n .. ...: ' v'- " ''
a. Name of Cominlttee •' ... . • - - ,,d. 11) Number 1 > .1
Committee to Elect Patrick Tyson
b. Mailing Address (include Gity, State and Zip Code) . - n " ! & >e. Date Organized'
5316 Griffith Road, Monroe. NC 28110 11/18/2025
KiComrnittee Website (')ptional)V?: ■: " •"'f *'• C f. Phone Number
ZlCahdidatelnfdrihatJon , > • , .
a.^Full Name;e.Pafty Afiiliation .r* -. '
Patrick Tyson Republican
b. Mailing Address (include City, State, and Zip Code) ,' --f. Office Sought; , "r > ■ "■-.Ac
5316 Griffith Road
Monroe, NC 28110 County Commissioner
Cii'PhpneNumbV. : ^'d.iEmaifAddress ' " ' -s g. Next'Elcdtlbn' Year" ,3 III;jurisdiction-'__ :i
704-363-0385 ptyson747@gmaiLcom 2026 Union
□ Email copy of report notices
3?,Tfeasuref4nfofmatibh1tS:5" . " V 4;rAssistant Treasurer Information ,. _
a.FullName.a.FullName . ,
Greg Fomshell
bMyiailingAddress (include City,"State, and Zip Code) .b. Mailing Address (IncJudeCity, State and Zip C6de)j ^
PO Box 80172
Raleigh. NC 27623
c^Phpne.Number di^Emall Address?^'3 c. PhoneiNumber d.EraairAddfess '
704-770-5992 greg@pacmanagementservioes.corr
r ' JSendTepdrt nbtices'bv email ' !l/I Ye^,- 1 1 No U Email copy of njport notices
53Gustodian>bf Books information (Keeper of.Recordsy;.!d.'^'AccountiThformatioh . j :
a.'FulIName - ' ' "a. FInanclaflnstltution Full Name !, j - :j.| 1;"
American Bank
b'.-Mailing Address.(inc]udeCity, State, and Zip Code) «< •>' > .5- ^ , €!i '
c.'Ph6ne Number dl-Ein'ail;Aadms/' \ 1"'b.^AccduntCode.^^ -c.Ty'pe , > .
01 Checking□ 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
Printed Name ofTreasurer Signature of Appointed Treasurer Date
I certify that the information above is correct, and I, 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 oftheNC General Statutes. n I T. DigitallysignedbyPatrickTysonPatrick Tyson Date:2025.11.2015:S6aiPatrick Tyson •' -osw
Printed Name of Candidate Signature of Candidate Date
CRO-2IOOA NC State Board of Elections November 2019
statement of Organization - Candidate Committee Is this statement:
^ lNe>v Q 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.
a.Nameof Coramitlee • - I , ' r ;d. IDNumber^
Committee to Elect Patrick Tyson
b.MaillngAddress(includeeity,StateandZip'edde)''. - . - "i > ' , - *e. Date Organized - . i r.
5316 Griffith Road, Monroe, NC 28110 11/18/2025
Ci.'Goinmittee Website (Optional)^--I r'v ^f.iPhone-Number;;",,/
Zl'tCahdidatelhfdrmation^ r--rrj -p
a. Full Name , % .'J' ' 1 * - * ^ ^ ,e;'ParfyAfriIlation.' : . ,^ -
Patrick Tyson Republican
b. Mailing Address (include teity, State, and Zip Code)' -f. Office Sought r ^ /
5316 Griffith Road
Monroe, NC 28110 County Commissioner
e,.^Phpne Njumber d. Email Address ' ,' > -V,, ..g. Next :Elcction Year ' 'h.'Jurisdiction ^ ; "7'
704-363-0385 ptyson747@gmail.com 2026 Union
□ Email copy of report notices
3.-.Treasurer Information-.> r . ^4. Assistant Treasurer InforhiatioiiT » - /
9i Full Name a.FiiUNanie '" ■ . - y.-''
Greg Fomshell
b. Mailing Address (include Clt>', State, and Zip Codc)j'/b. Mailing Address (Include City,-State and Zip Code) , -
PO Box 80172
Raleigh, NC 27623
c.,PHone Number divEmail Address '■ i ,, i ^ /c. Plione,Number . 'd. Email Address ^ ' t '
704-770-5992 greg@pacmanagementservices.corr
Send report notices by.email - il/lYes 1 INo" -U Email copy of report notices
5«€ustO(dian 6f Bbdksinfdt-matidnf(Keepei"idfiReddrds):bgAccbuntlnforihatioir (mcl. CIiO-3500)
a. Full Name ' " - . ' ' J ■ , . , ^ .a. FinanciaMnstitiition Full.Name>^ ' j
American Bank
b. Mailing'Address'(include City,'State, and Zip.Code) ■'f: ''f 'J. J'";
c.'PhoneNumber'. ,d.-Email Address ,' ' '''', - ~b. Account Code c.Type:'h"
01 Checking0 Email copy of report notices
I certify that the Committee is in compliance with all applicable proyisions of Article 22A of Chapter 163 of the NC
General Statutes and that no flmds are commingled with prohibited or other non-disclosed funds. I further certify thatthis report is complete, true and correct. Fnrnchpll
Greg Fomshell ruriibiieii Da.e:2025.iuoi6:i5:i3-osw
Printed Name of Treasurer Signature of Appointed Treasurer Date
I certify that the information above is correct, and I, 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.
Patrick Tyson
Printed Name of Candidate Signature of Candidate Date
CRO-2100A NC State Board of Elections November 2019