Bowden, Charles GaryAmendment
Statement of Organization - Candidate Committee ❑ Yes 99 No
Use this form to create a new or update an existing candidate committee.
This form must be accompanied by forms CRO -3100 and CRO -3500 when amendinp, only re -submit if applicable).
1. Committee Information
. Full Name
a ID Number
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. Mailing Address (include City, State and Zip Code)
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it. Date Organized
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e.Phone Number
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2. Candidate Information ❑ Candidate's Primary Committee
. Fug
e. Candidate ID Number
f. Party Affiliation
)Name ,e
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(Indicate Non-partisan if applicable)
b. Mailing Address (include City, State, and Zip Code)
g. Office Sought
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. Phone Number
. Email Address
It. Next Election Year
t. Jurisdiction
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copy of notices
. Treasurer Information
4. Custodian of Books Information
. Full Name
a. Full Name
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b. Mailing Address (include City, State, and Zip Code)
b. Mailing Address (include City, State, and Zip Code)
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. Phone Number
id.Email Address
c Phone Number
Id. Email Address
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I prefer to receive notices by email Yes No
❑ Email copy of notices
5. Assistant Treasurer Information Aad
. Full Name I ❑ Remove
it Information (incl. Cao350o) Add
a. Financial Institution Full Name ILI Remove
b. Mailing Address (include City, State, and Zip Code)
b. Purpose M
IT
. Phone Number
it. EM it Address
1c. Account Code
Id. Type
12
Union Co. Elections
Email copy of notices
CERTIFICATION
I certify that the Committee or Fund is in compliance with all applicable provisions of Article 22A, 22B & 22D -22M 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.
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Printed Name of Signer Signature of Appointed Treasurer 1)aic
CRO -2100A NC State Board of Elections July 2011
aNORTH CAROLINA
STATE BOARD OF ELECTIONS
I Certification of Treasurer
This Certification is used by Candidate Committees to appoint a treasurer for the committee. This form is
required and must accompany the Candidate's Statement of Organization.
This Certification is filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Candidate Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Treasurer Phone:
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I certify that the above information is correct, and 1, as candidate, appoint said treasurer to personally fulfill
the duties and responsibilities imposed upon the appointed treasurer and subject to the penalties and
sanctions in Subchapter VIII. Regulation of Election Campaigns of Chapter 163 of the North Carolina
General Statutes.
I understand that if the above Treasurer changes, it will be necessary to certify a new treasurer and amend
the existing Statement of Organization within 10 days of the vacancy. l further understand that the above
Treasurer is required to receive training by the State Board of Elections within three months of this
appointment according to Article 163.278.9(k).
Date Signed
CRO -3100
Certification of Treasurer
Signature of Candidate
JUL 1 2 2019
Unicn Cr
VOTE
`,rM3
NORTH CAROLINA
STATE BOARD OF ELECTIONS
Certification of Threshold
This Certification is used to declare or withdraw a committee's intent to raise or spend $1,000 or less in the
current election cycle.
This Certification is only valid for political party committees and candidates for a county office,
municipal office, local school board office, soil & water conservation district board of supervisors, or
sanitary district board.
This Certification is filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name: �o,,,�]p,✓ ijc—r S Co �vG i
Treasurer Name: 1�
Treasurer Address: (p Y Yl �/ pct �cz NT Ya ✓G / �
(include city, state, & zip) �j(j� �p �� w GLS G �g'� % 22
Treasurer Phone: V—
Check One:
!/W I certify that this committee intends to neither receive nor expend more than $1,000 during the current
election cycle under the procedures set forth in G.S. 163-278.10A. This certification will remain in effect
until the end of the election cycle for this committee. If this committee exceeds $1,000 in contributions or
expenditures during this election cycle, I understand that I must immediately notify the appropriate board
of elections and file required campaign finance reports.
THIS DECLARATION CAN ONLY BE MADE AT THE BEGINNING OF AN ELECTION CYCLE.
_ 1 am withdrawing my Certification to remain at or under the $1,000 threshold. I will now be required
to file the next scheduled report for all contributions and expenditures that have not been previously
reported from the beginning of the current election cycle. I further agree to file all future reports required.
�I"I -�G!% 6CS14et
Date Signed Signature
CRO -3600
Certification of Threshold
JUL 12 2019
Union Co. Ele-tions
NORTH CAROLINA
STATE BOARD OF ELECTIONS
Certification of Financial Account Information
This Certification is used to report confidential bank account information for all financial accounts
established by the committee and must accompany the Statement of Organization Form.
FH,ED BY:
Committee Name:
Treasurer Name:
Treasurer Address: &Y /Z y ku s a..'t- r !/-;W/
Co`
rpy
(include city, state, & zip) LA jeKR ^-, /f—G v s/
Treasurer Phone: -?d t , — irsri —
I certify that the information provided below is true and accurate. I am providing all account information for the above
named Committee. These account numbers include all bank accounts utilized, credit card accounts, money market or
savings accounts, or any other financial account used for any purpose by the Committee.
The information provided on this form is considered confidential and is not subject to public disclosure. The information
provided is only used for the purposes of an audit or investigation or as required by a court of competent jurisdiction.
numbers and letters) by which to refer to the account number on reports. If an account number is used as the "account
code," confidentiality of the account number is presumed to have been waived.
The treasurer shall maintain all moneys of the political committee in a bank account or bank accounts used exclusively by
the political committee and shall not commingle those funds with any other moneys.
I ypeof account Financial Institution Address Account Number Account Code
By signing this statement, I authorize agents of the State Board of Elections to inspect all accounts provided.
Date Signed
For Candidate Committees Only
Signature of Candidate or Treasurer
In lieu of providing account information, I certify that this committee will not raise any money nor spend any money
except that which is the candidate's personal funds. I furthermore understand that an audit or investigation could
warrant the probe of any personal bank account that is being used for campaign expenditures.
By signing this statement, I authorize agents of the State
`)11 Z / Zal 9'
Date Signed
CRO -3500 Certification of Financial Account Information