Blumer, Terri_2025-SOGstatement of Organization - Candidate Committee
Use this form to create a new or update an existing candidate committee.
^|]j£^™jj2)^st^e_accompaniedjyJorm CRO-35QO. An amended form is required for each new election
Is this statement:
(3^ D Amended
year.
1. Committee Information
a. Name of Committee
.ftllintfV Arlj4k*Atfie /vmaIibJab. Mailing Address (include City. State and Zip Code)
HDHZ£>e. Uc zg-no/c. Committee Website (Optional)-
2. Ca'ndidate Information"
d. ID Number
e. Date Organized
/2.//S-/2<P^S
f. Phone Number
1^-135-2332
a. Full Name
ieiui O'eP^S^ BLUM5R
b.j^yijg^d.ress."(fncluile:City,-State.-andZlpCodc)
i'ZZ'K KAE^aJ L-t^
c. Phone Number d. Email Address
StUM015 (5&HAIL.C3H
□ Email copy of report notices
3
e. Party Afliliation
i^SPOBLICAkJ
(.'Office Sought
ScUDDi. QofitRb 69- ebUCAT/a/U
OrsT/SjCT <3*
g. Next Election Year h. Jurisdiction
anuti
.-Treasurer Information
a. Full Name h AssistantTrcasurer Informatidn - "
■fs^MremO c.
a. Full Name
). Mailing Address (Include City, State, and Zip Code)
3£Z^~K7Ui^ 6aJ
RFrFIVFn. Mailing Address (include City, State and Zip Code)
Z.c. Phone Number
yrsA^—
ie3'2R32.
DEC 2 3 2025
d. Email Address c. Phone Number L
BtdMe^ HS®6iMMLrCdfA
Send report notices by email □ Yes □ No
BDA TETOrECECTIONS-
Email copy of report notices5. custodian of Books Information.CKeeper of Records).
a. Full Name fEGEIVBD-6. Account Information (ind: CRO-SSOO):-
a. Financial Institution Full Name
. Mailing Address (includc^^g S^t^affl^ Code)"PinsT crTie^/is Bmk
UNION COUNTY
c. Phone Number SQAnp QC CLECTIOMSn.^mair Aadress b. Account Code
□ Email copy of report notices
c. Type
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 non-disclosed funds. I further certify that
this report is complete, true and correct.
-fAlZIZI ^LUMAl?. '
Printed Name oflreasurer Signature of Appointed Treasurer
I certify that the information above is correct, and 1, as the candidate, appoint said treasurer to personally fulfill theduties and responsibilities imposed upon the appointed^^surer and subject to the penalties in Article 22A of Chapter
163 of the NC General Statutes.
'l£m RlUM/5^
/Z/2zJZ>25
5ate
l2/2ZmZ5Printed Name of Candidate Signature of Candidate DateCRO-2100A NC Stale Board of Elections November 2019