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Burns,Robert_2026-SOO AmendedStatement of Organization - Candidate Committee Is this statement: ❑ 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 election year. t._Coinmittee Informations..„a' 3. , �:" a, Name of Committee ;.'". .a;,.-,. d. ED Number Committee to Elect Robert Burns 318-5G285Y-C-001 b Mailing Address (include City, State and Zip Code) =--= - ^ -. "' ^-.- e. Date organized PO Box 235 Monroe, NC 28111 07/20/2023 c.CommiifeeWebsite(optional)-= - -. - L'Phone Number• 2. Candidate Information'. , a:; Full Name. 6'Party`Affiliation Robert A Burns b:Mailing Address '(include City, State, and Zip -Code) �- fi office Sought - - - PO Box 235 Monroe, NC 28111 c.,Phone Number - 'I d,Email'Address .., °„, .. g,',Nexttiection Year �h.Jurisdicthm 980-425-2101 vote@electrobertburns.com ❑ Email copy of report notices .Treasurer Information.” ` 4:-AssistantTr'easurei'InformaRon'.' a.Eull'Name a. Full Name- Jinger Kelley b. Mailing Address.(include,City,State, and Zip Code),_"., .. b MailingAddress (include`.City, State and Zip Code), PO Box 1350 Norwood, NC 28128 c, Pbom: Number ' '-= d. Email Address - c. Pbmae Number' d. ETMIAddress - .... ........ . 828-776-2774 jinkelley@yahoo.com Send`re`ortnotices.b"'email " -0 Yes" No :' Email co of re ort notices 55Custodianbf;Bool&;,IhformatioitKee ek.of,Rec`ords ' . 6?A�eouut�iiiformationsIr'io &&CRO -3500) a. Full Name = * ,`„ ,.. "•.... , • a..Financiaflnstitution!Full Name Jinger Kelley UNION COUNTY K. Mailing Address (include City, -State, and Zip Code)' .: "' ° ' _-,-t• ' PO Box 1350 Norwood, NC 28128 MAR 2 7 2026 c: Phone Number. ; , d: Ema l,Addreas g, _ _^ ' ; : ` ` ': , b; Account Code , yED 828-776-2774 jinkelley@yahoo.com ❑ Email 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 is complete, true and correct. Jinger Kelley Jinger Kelleyoa9',o,b �iiisia-0aear 03/27/2026 Printed Name of Treasurer Signature of Appointed Treasurer Date 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 treasurer and subject to the penalties in Article 22A of Chapter 163 of the NC General Statutes. RobertA Burns Robert Burns�Da,ft ni oiiii X4,22 -01M 03/27/2026 Printed Name of Candidate Signature of Candidate Date CRO -21M NC State Board of Elections November 2019