Kerr,James_2026-SOOG
Statement of Organization - Candidate Committee Is this statem nt:
New Amended
Use 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 aection year.
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a.Name-of Committee
d. ID Number ' -
lur 4r COVVICA
T 1-3t 16 l0
b. Mailing Address(include .City, State and Zip Code - -
e. Date Organized
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c. Committee Website.(Optional . • •- ' „ ° .-,- ° , ;
L Phone Number
www. Qir "ar rhnrut, nC
104 71Z 4iiv
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a. Full Name" -
e. Party Affiliation
a"es ctnr
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It. Mailing Address (include City, State, and Zip Code)
L Office Sought -
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c. Phone Number I CE,msil Address `" "
g: Next Election Year '• h. Jurisdiction • r.,
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EI Email copy of report notices jf4ftL C014
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4,Assistant Treasurer[rifoimaGon..t:a$..N,:
a. Full Name ,"
a. Full Name: _;` _ ,•
A;kMus
b. Mailing Address (include Ci - ,P and ip ode) _
b. Mailing Address include City, State and Zip Code)
Oky Ru e- 215123
cj,PhoneNumber: d, mail Address" ` ",'...
c. Phone: Number
Id.Email 'Address
Sed report noticesb email Yes _.10 No
,. Email copy of report notices
51"40ustodian ofBookS7Iitformation' Kee` erzbURecords "
. AccotintrInformatiou ? lriaA Cft0:35oo)t fi a
a. Full'Name _ ".[1
a..Ftoanoial fusn1 ution Fu11.Name ° ` , `jj *`
RECbV
b. Mailing Address (include iffig to , n ode)
"
UNION COUNTY
BOARD OF ELECTIONS
FEB 09 21
UNION COU
c. Phone Number
d. Email Address ;_ ' 'i,' "' '
b. ecount Code.
e. "ype BOARD OF ElE
(
( j
CVI�GtC�
0 Email copy of report noti ces
I certify that the Committee is in compliance with all applicable provisions of Article 22A of Chapter 163 of the NC
General Statutes and that no funds are commingled with prohibited or oth o -disclosed funds. I further certify that
this reo 1s complete, trueandcorrect. !� q
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Printed Name of Treasurer Signature of AppinAl.XreCstuer tate
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 tie a and subject to t e:penties in Article 22A of Chapter163 of the NC General Statutes. /oI vr_. {� L, ed✓ aytv�/ Z 1? && 4�
Printed Name of Candidate ignature of C&WidaI
CRO -2100A NC Staid Boaril of Elections November 2019
C
t,Y
PIONS