Byl,Madeleine_2026-Stmt of OrgStatement of Organization - Candidate Committee Is this statement:
Nei' El 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 farm is .,<... oio,.r;......
I. Committee Information
a. Name of Committee
d. Ill Number
Fr�enc'j 6 � XAltwl�
b. Hailing Address (include City, State and Zip Code)
e. Date Organized
7a3 ;5k W,-4ch bI rnonroe
_
Ne 29112
651a�Iaoa'
c. Committee Website (Optional)
E Phone Number
115 -Lao -6 d
2. Candidate Information =
a. Full Name
e. Party Affiliation
Girl p� V I
WM0 aio^ a1
b. MailibgAddre5s-(include City,State,- and -Zip Code)— -_ - --
f• Office Sought -
$23 Sk,�Wakh in 191 2e f n1�
co,* j ebtllryt 35 oY7f�
c. Phone Number
d. Email Address
g. Nest Election Year
(x15-41-GL606TorLt
V% `- -Cori
T1hJdrid,,tIon
IpEmailcopyof re ortnotices
3. Treasurer Information', ""
4. Assistant,Treasuref, InfooW `'
a. Full Name
a. Full Name
f�
C WPA M
b. Mailing Address (include City, State, and Zip Code)
b. Mailing Address (in C t Zip Code)
W Ilroe a f,c-
11$I12
RECEIVED
c. Phone Number
d. Email Address
c. Phone Number d. Email Address
Send report notices by email Yes ❑ No
Email copy of report notices
5. Custodian of Books Information (Keeper -of Records)"
6 Account Information (incl. Cao -3500)
a. Full Name
a. Financial Institution Full Name
b. Mailing Address (include City, State, and Zip Code)
c. Phone number
d. Email Address
b. Account Code
c.Type
P RAi
[3Email copy of report notices
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 other non -disclosed funds. I further certify that
this /report
_iIs complete, true a1nd correct. Nn n C
Printed Name of reasurer t Signature of Appoirad Treasurer Date
I certify that the information above is correct, and 1, 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.
Ic� l sIa�lam�-
Printed Name of Can tda c Signature of andidate Date
CRO -2100A NC State Boa d of Elections November 2019