Countryman,Jerry_2021-Thresholdvo') NORTH CAROLINA
STATE BOARD OF ELECTIONS
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Certification of Threshold V- , ZE
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This Certification is used to declare or withdraw a committee's intent to raise or spend $1400 ess n 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 flied at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Treasurer Phone:
Ch One:
I certify that this committee intends to neither receive nor expend more than $1,000 during the current
e ection 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 repots.
THIS DECLARATION CAN ONLY BE MADE AT THE BEGINNING OF AN ELECTION CYCLE.
I 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 of been previously
reported our th beginning of the current election cycle. I further a to fi 1 fu a reports required.
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Da Signed r L Sign re
CRO -3600 Certification of Threshold
NORTH CAROLINA
STATE BOARD OF ELECT
v" IN
CAlaq 10
Certification to Return to Active Statuw\W-'� I
This Certification is used by Candidate, Party, PACs and Referendum Committees which have previously
filed the Certification of Inactive Status and now wish to return to an active status.
This Certification is filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Treasurer Phone:
i
I certify that the above named candidate/political committee, which has been of inactive status and exempt
from filing disclosure reports, intends to accept contributions and/or make expenditures. This intention of
activity alters the status of the above named candidate/political committee to active status and requires
such committee to begin filing disclosure on the appropriate schedule. All contributions received and/o'
expenditures made that have not been previously reported will be disclosed on the next scheduled report
and all subsequent reports will be filed as scheduled. An amended Statement of Organization (CRO -2100
A -G) must accompany this form.
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D to Signed
CRO -3300
Certification to Return to Active Status