Metaxatos, Evan_2025-SOGStatement of Organization - Candidate Committee
Use this form to create a new or update an existing candidate committee.
Is this statement:
D Amended
Tjiisjbrmjiiust be accompanied by form CRO-3500. An amended form is required for each new election year.
1. Committee Information
a. Name of Committee
Mailing Address (include Cit>-, State and Zip Code)
c. Committee Website (Optional)
2. Candidate Information
d. ID Number
e. Date Organized
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f. Phone Number
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a. Full Name
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Mailing Address (include Citj-, State, and Zip Code)
c. Phone Number d. Email Address
□ Email copy of report notices
3. Treasurer Information
a. Full Name
. Mailing Address (include Cit>-, State, and Zip Code)
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c. Phone NunAer Id. Emad'Address •'d. Email Address
Send report notices by email Yes^ □ No5. Custodian of Books I^orm^^ (Keeper of Records')iks Informatum
a. Full Name =xlWED.
I. Mailing Address (iiQ^e cZy^t2^^^d Zip Code)
c. Phone Number d. Email Address
□ Email copy of report notices
e. Party Affiliation
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f. Office Sought
2. Next Election Year h. Jurisdiction
4. Assistant Treasurer Information
a. Full Name ■nB::EtvE&
b. Mailing Address (inqlj^^Ci^,^ta^j^ Zip Code)
union COUMTY
c. Phone Number BC
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Email copy of report notices
6.'Account Information. • (tncl CRO-liOO)
a. Financial Institution Full Name
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b. Account Code
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c. Type
I certify that the Conunittee is in compliance with all applicable provisions oO^icle 22A of Chapter 163 of the NC
General Statutes and that no funds are commingled with prohibited or otheniion-disclosed funds. I further certify that
this report is complete, true and correct. lJ::^ra.A Afe}!^xc< bp^i-zhslzf
Printed Name of Treasurer Signature of Appointed Treasurer Date
I certify that tlie 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 to tl^enalties in Article 22A of Chapter
163 of the NC General Statutes.
Signature of^agdidPrinted Narne of Candidate
MF/2S
idate DateCRO-2IOOA DEC 19 2023 NC State Board of Elections November 2019
UNION COUNTY
BOARD OF ELECTIONS