Smith,Brandi_2026-SOG Amendedstatement of Organization - Candidate Committee Is this statem^t:
Q Wew O'^mended
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 election year.
K€bminittee^Inf6rhfifibri
e of Committ d; ID Number
b. Maibng Address (include;City,ptate and Zip Code)
' - ^^
e.-'Date Organized
c. Committee Website: (Optional)f.'Phone^umber
2iGandidatie)1 hformation
a. Full Name e. Party AffilialLon
vtailing Addrcss'(lnclude City-state, and ZinCodc) > /-i />f. Office Sought
^cjnosJ? ^ U'
mber i i d.'Emoi] Address g. NextEIeciioii Year.h. Jurisdiction ^ <
□ Email copy of report notices O ]
3^reasurer}lhf6rmati6h?:^-;r 4^^Alsistaht Treasure^Jhlbriiiatlon-^
a. FuiLName
eJ'Mairiln a. FulliName
b. Mailing Addi;l;ss:(include City^tate, and Zip Code)b. MailihgAddress (include City, Statc'and.Zip Code)-
c, PhoneNumber" ^ d. Email Address crPhone Number d. Email Addrcss
Send reiinrt/noticesbVemail IZlYes ' QNo Q Email copy of report noti^
5?,Gustodian'of.'BQbks Ihformatlop (Keeper of Records) '6. Account Information ^ (incVC/iO-SSOp)'
a. Full Name
b. Mailing Address (include City, State, and Zip. Code) ''
a. FinanciaMnstitution:FuI! Names
fEB 21 20'i.6
c. Phone Number d; Email Address b. AccountCode
n 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 NC
General Statutes and that no funds are commingled witly^oh^itpt^or othef non-«disclosed funds. I further certify that
this rej^ort is corppleje, true apd correct.
./I
^ted Name ofTreasurer ignature of Appointed Treasurer
1 certify that the information above is correct, and 1, as the candidate, appoint said treasurer to personally fulfill theduties and responsibilities imposed uponJlifi.agpointed trSteu^F^nd-sn^ct to the penalties in Article 22A of Chapter
163_QftheNC General Statutes.
Printed Name of Candidate
CRO-2100A
Signati re of Candidat
NC State Board of Elccti November 2019