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McGee, Franco_2017-Committee FormsStatement of Organization - Candidate Committee Use this form to create a new or update an existing candidate committee. This form must be accompanied by forms CRO -3100 and CRO -IW) !when amrndino i { �Ameitdinent ❑ Yes ❑ No nnly rc_m,h,nit .f annlir�hial I.,Committeelnformation - a. Full Name e. ID Number Co e' deed- Mcexe toJM1� f ]IX-ancto . Mailing Address (include City, State and Zip Code) -' it. Date Organized e Phone Number 2. t~undidate Information,-% I❑ Candidate's Pr1mary.Commitfee% a' a. Full Name c. Candidate ID Number if. Party Affiliation (Indicate Nonpartisan if applicable) EMaiill1ing Address (include City, State, and Zip Code) g. Office Sought - revi n6Y-r)4�JUL '241 k nr"e Ne C"_k' C°pun c. Phone Number it. Email Address - It. Next Election Year i. Jurisdiction ❑Email copy of notices 3. Treasurer Information : 4. Custodian of Books Information a. Full Name a. Full Name ri ut&viu. �1�1er1e� �lie(iee b. Mailing Address (Include City, State, and Zip Code) b. Mailing Address (include. City, State, and - --- _ -- iv:fF.1 V Char`h-�4e, NC ��21f� NOV p� . Phone Number Id. Email Address -- --- --- c. Phone Number `' d,Email Address Union Co. Bo ardOfElec 90q-)g2_jpr3 ShaYv(amc eQ�ml.'arrl 'IMLfo receive notices b email Yes ❑ No ❑ Email co of notices 5:�lssistnnt Treasurer Informakion` Ada ', 6� Accoant IDformatiou' h%ral. cno-352p)! nda - a. Financial Institution Full Name ` ❑Remove a. Full Name ❑ Remove', We lis F� rc b. Mailing Address (include City, State, and Zip Code) b. Purpose Checking I�CCottV�' ho✓ Com,ml-��"2�. c. Phone Number '. ` it. Email Address c. Account Code it. Type y ❑ Email co 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. <�hrnk�Ivl� C. MCC�e��� j 1 1q Printed Name of Signer Signature of Appointed Treasurer Date NC State Board of Elections Juiy 2011 is ns North Carolina State Board of Elections 441 N Harrington Street Raleigh, NC 27603 Kim Westbrook Strach Executive Director Certification of Treasurer Mailing Address PO Box 27255 Raleigh, NC 27611-7255 (919) 733-7173 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) 0 -2 KZ -1 Treasurer Phone: 149+- 2+Z- I� L'� -3 1O Co. Board of Elactiolls I certify that the above information is correct, and I, 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 V111. 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. I 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). /©' -R- R Date Signed CRO -3100 Certification of Treasurer signature of Candidate July 2014 4(N7 a/dtd' North Carolina State Board of Elections 441 N Harrington Street Raleigh, NC 27603 Kim Westbrook Strach Executive Director Additional account numbers: Type of Account Financial Institution Address Mailing Address PO Box 27255 Raleigh, NC 27611-7255 (919) 733-7173 Account Number Account Code ►� N)I A RE LOIVED NOV D. to Signed CRO-3500 Signature of Candidate or Treasurer Certification of Financial Account Information Judy 2014