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Martin,Steve_2021-Stmt-of-orgStatement of Organization - Candidate Committee Is this statement: r❑ 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. 1. Committee Information 010 . Name of Committee Committee to Elect Steve Martin d. In Number . Making Address (include City, State and Zip Code) e. Date Organized P.O. Box 1593, Matthews, NC 28104 11/2612021 c. Committee wehalte (Opaonal) r. Phone Number www.steve4ucps.com 704-254-4789 2. Candidate Information . Full Name e. Party Affiliation Stephen Daniel Martin Democrat b. Mailing Address (include City, State, and Zip Code) L Office Sought P.O. Box 1593, Matthews, NC 2810 Union County Board of Education, District 6 . Phone Number I d. Email Address S. Neat Eleefbn Year 2022 h..lurhdietion 704-254-4789 electstevemartin@gmail.com District 6 Email copy of report notices 3. Treasurer Information 4. Assistant Treasurer Information . Full Name a. Full Name Stephen D. Martin IL Malting Address (include Cih, State, and Zip Cade) b. Mailing Address (iaelude City, State and Zip Code) P.O. Box 1593, Matthews, NC 28106 c. Phone Number d. Email Address Phone Number d. Email Address 704-254-4789 electstevemartin@gmail.com Send report notices b email • Yes No ITEmail copy of report notices 5. Custodian of Books Information r ofRecords) 6. Account Information lhrot. CRO -3500) . Full Name Stephen D. Martin a. Financial Institution Full Name Wells Fargo Bank, N.A. b. Mailing Address (inelade City, State, and Zip Code) P.O. Box 1593, Matthews, NC 28106 e. Phone Number d. Email Address b. Account Code A c. Type Chedung 704 2544789 electstevemaAirt@gmail.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 (icneral Statutes and that no funds are commingledwith prohib'ted m other non dosed funds. I further certify that this report is complete, true and correct. S ��r z). M"+.:-IZ�ttS �2 Printed Name of Treasurer, gnmure of Appointed Treasurer 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 appointedand subject to penalties m Article 22A of Chapter 163 of the NC General Statutes. �lw. b. M.+',- I?-- o2 Printed Name of Candidate Signature of Candidate Uate CRO -2100A NC State Board of Elections November 2019