Dupont, Christina_2025-SOGStatement of Organization - Candidate Committee
Use this form to create a new or update an existing candidate committee.
form CRO-3500. An amended fomi is required for each new election
Is this statement:
DU fSew |~j Amended
year.
1. Committee Information
a. Name of Committee
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b.MailiDgAddress(inciudeCit>^, State and Zip Code) |
c. Committee Website (Optional)
1, Candidate Information"
a. Full Name
d. iD Nuiiihcr-
e. Date Organized
f. Phone Number
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b'. jVtailino ^HHr^ec/ln/*lii/lA j.^\^IgUlQgAdj.t:e5s(include"Cit}-",-State,-and-Zlp.Gode)--
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C . Phone Number ' I d. Email Adrirp««
□ Email copy of report notices
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e. Party Affiliation
f.Officc Sought
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g. Next Election Year
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h. Jurisdiction
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. Treasurer Informa tion
a. Full Name 4; Assistant-Treasurer Information
a. Full Name
b. Mailing Address (include City, State, and Zip Code)^5 iS SW •r^
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b. Mailing Address (include City, State and Zip Code)
c. Phone Number d. Email Address
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c. Phone Number
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d. Email Address
5. Clistodian of Books Tnform'atiori (Keeper of Records):
a
L] Email copy of report notices
6. Full Name . Account Information l OncL CRO^SSOO)
a. Financial Institution Full Name
b. Mailing Addref^ElQEj^/^E^nd Zip Code)WsfMECBVED
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c. Phone Number 4:^1
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b. Account Code
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COUNTY ^i^il-iCTIONS-
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I certify that the Committee is in compliance with all applicable provisions of Article 22A of Chapter 163 of the NCGeneral Statutes and that no funds are commingled with prohibited or other rwn-disclosed funds. I further certify thatthis report is complete, true and correct. \ \ D N V
Printed Name ofTreasurer^Signature of Appointed Treasurer i5/i3/as
Date ^I certify that the information above is correct, and I, as the candidate, appoint said treasurer to personally fulfill theduties and responsibilities imposed upon the appointed treasurer and subject trwhe penalties in Article 22A of Chanter163 ^tHfe NC General Statutes. \ « f\ A iCW>'S.fin^A.prw\V VVAhl&^AiA _
Pnnted Name ofCandidatel Signature of Candidate ^
CRO-2100A NC State Board of Elections November 2019