Lee,Elizabeth_2025-SOOStatement of Organization - Candidate Committee Is this statement:
Q INew Q Amended
Use this form to create a new or update an existing candidate committee.
This form must be accompanied by form CRO-350Q. An amended form is required for each new election year.
1. Committee Information
a. Name of Committee
b. Mailing Address (include City, State and Zip Code)
c. Committee Website (Optional)
2. Candidate Information
d. ID Number
e. Date Organized
121-/- ■ZOI-'B
f. Phone Number
a. Full Name
Am/N)
e. Party Affiliation
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oushtf. Office Soughtb. Mailing Address (ineludc City, State, and Zip Code)
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U}A)cU'Auyi 33113
c. Phone Number
1^95U)ip5l
d. Email Address g. Next Election Year
copy of report notices
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h. Jurisdiction
3. Treasurer Information 4. Assistant Treasurer Information
a. Full Name
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a. Full Name
ib. Mailing Address (include City, State, and Zip Code)b. Mailing Address (include City, State and Zip Code)
c. Phono Number d. Email Address c. Phono Number d. Email Address
LBS'VOOC^
Send report notices by email □ Yes □ No □ Email copy of report notic^
65. Custodian of Books Information (Keeper of Records). Account Information Cmd. CRO-3500)
a. Full Name a. Financial Institution Full Name
5 Of)! o nb. Mailing Address (include City, State, and Zip Code)
c. Phone Number
H-35 rJ. -Tr^i-e-
;nOQ--V^fmS, No
d. Email Address b. Account Code c. Type
B^Emai! copy of report notices
RECEIVED
ChKtY\l\ DEC 1 0 2025
•x. u . ^ ... ... UNION COUNTYI certify that the Committee is m compliance with all applicable provisions of Article 22A of Chapgg^^q5iri^[JggTi(; .js
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.
Printed Name of Treasurer
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Signature ofAppointed 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.
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Printed Name of Candidate Signature of Candicfete Date
CRO-2100A NC State Board of Elections November 2019