McConkey,Jodi_2022-CommitteeStatement of Organization - Candidate Committee !7f1 IIsr 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.
1. Committee Information
a. Name of Committee
d. in Number
,I
Elcch Sodi McCookeyfor UCPS Di5}rir,} y'fyI i
b. Mailing Address (include City, State and Zip Code)
e. Date Organized
yi0'i L n Grade, Zn&an?rail, �Ic 2 -Iq 3-2-7-21
c. Committee Website (Optional)
(.Phone Number
www•�od1H VCQ5.Cory)
ON) Z -12-3244S
2. Candidate Information
a. Fail Name
e. Party Affiliation
Jodi MoulnkN
Democrl3t
b. Mailing Address (include City, State, and Zip Code)
f. Office Sought
114107 [-o9an Circle
board of Fdvcatfon, tDi5firic 14
Indian -Trait, Nc 29019
c . Phone Number
d. Email Address
jodlejodl4 Uf.Ps•c0m
g. Next Election Year
1h. Jurisdiction
diWia
C�w(�212 32N5
2012-
❑ Email copy of report notices
. Treasurer Information
4. Assistant Treasurer Information
a. Full Name
a. Full Name
Jo 'i MCC onK
It Mailing Address (include City, State, and Zip Code)
b. Mailing Address (include , State and Zip Code)
3-W0 'Ret: gra,
� 10-7 L0 8n Circle
i�)O.df�)n ' on RC a c
T4ianTrafl, NG 2-8'07
. Phone Number
d. Email Address
c. Phone Number
d. Email Address
Itrl-491-
lao 3
C;z63�*'Q'S-�4rabinSonnh
10';)272-3245
�odl0-'0AWucP5.Crrvt
Send report notices by email 0 Yes UNo
IM Email copy of report notices
5. Custodian of Books Information (Keeper of Records)
6. Account Information (ince CRO -3500)
a. Full Name
a. Financial Institution Full Name
3odi McConyK
b. Mailing Address (include City, State, and Zip Code)
y10-7 L05aA Circic
3a -than ?rail, NC 28019
c. Phone Number Id. Email Address
1b. Account Code
It. Type
Od 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 piper non -disclosed funds. I further certify that
this report is complete, trueandcorrect.
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Printed Name of Treasurer Signature of Appointed Treasurer D to
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.
Jodi McconKe
3.2-1-L
Printed Name of Canaide
Signature of Candidate Date
CRO -2100A
NC tate Board of Elections
November 2019
O
VOTE
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 riled at the Board of Elections office where the committee's campaign reports
are flied.
FILED BY:
Committee Name: FICC+ Tod 1N�c.ony eu �� VCPS �cs+r ic}
Treasurer Name: C(l cJ}�� 9'Ahincm
Treasurer Address: 37np C�C���LT('al
(include city, state, & zip) j i n n NC R !. ^ , fr
Iy
� nn^
Treasurer Phone: (log) 1-17--32-11,15
Check One:
✓ 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.
_ 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 not been previously
reported from the beginning of the current election cycle. I further agree to file all future reports required.
Date Signed Signature
CRO -3600 Certification of Threshold
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