Smith, Brandi_2025-SOGstatement of Organization - Candidate Committee Is^is statement:
M □ AnnAmendedUse 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.
I. Committee Information
a. Name of Committee-d. ID Number
b. Mailing Address (includc City, State and Zip Code)
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e. Date Organized
c. Committee Website (Optional)f. Phone ^'umber
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2. Candidate Information
a. Full Name e. Party Affiliation
b. Mailing Address (include Citv, State, and Zip^Code) ^
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f. Oftlce Sought
c. Phone Numb^ _ d: t:;mau Address
IBamail copy of report notices (CiC4/l'^
d: Email Address
)py of report
g. Next Election Year
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isistant Tr>4. Assistant Treasurer Info
h. Jurisdiction
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3. Treasurer Information rmation
a. Full Name a. Full Name
Srmii-kS•—!—LJ—b. Mailing Address (include City, State, and Zip Code)■"78 OO /<A.Crcho^ fLun. (ct-
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b. Mailing Address (include City, State and Zip Code)
c> Phone Number ^d. Email Address c. Phone Number
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Send reportnotices by email [H^es
d. Email Address
□ Email copy of report notic^
5. Custodian of Books Information (Keeper of Records)6. Account Information ! (ind CRO-iSOO)
a.-Full Name a. Financial Institution Full Name
■A-IaJUKb. Mailing Address (inclu^^3I^7^i|i:d|^\^g^^ Code)
DEC1Z 2025
c. Phone Number . d; Email Address
UNION
b. Account Code c. Type
COUNTY
,BlOAnD or CLUCTIONSEmail copy of report notices
I certify that the Committee is in compliance with all applicable provisions of Article 22A of Chapter 163 of theNC
General Statutes and that no funds are commingled with prohibitedmro^er non-disclosed funds. I further certify that
this report is complete, true and correct.^^Ondl cSmi-K
Signaiure of Appoinifed Trc^urcr DatePrinted Name of Treasurer
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.
Printed Name of Candidate ' Si^IwrtwC'jf Sandidatj/ Date
CRO-2100A NC Slate Board of Elections November 2019