McGee, Franco_2021-10-4_StmtOrgUNION COUNTY
CAMPAIGN FINANCE
OCT - 4 2021
Statement of Organization -Candidate Comi@&C F I V s this statem t
[3 New Amended
Use this form to create a new or update an existing candidate committee.
This form must be ac, onipanied by form CRO -3500. An amended form is required for each new election year.
Mommittee Information
. Name of Canunlnrc d. IU \".h"
ry-i t vett e a uticv {) MU O) 6�_ - �'� M l I
It. Mailing Address include City, State and Zi C de
e. Date Organized
rev') S �
Mooro-y, Vb -2nlD IV, l-2�
. Committee Website (Optional)
E Phone Number
. Candidate Information
a. Full Name
c. Party Affiliation
yf-apeo- ar C
e
i) (Pl ear 5a /o
b. Mailing Address (include City, State, and Zip Code)
E Office Sought
FIX
nroe 12 Z�-GlD
9,9(y('66 L4 COuv1,6
c . Phone Number d. Email Address
g. Nest Election Year
. Jurisdiction
❑ I mail co r� of report notice.
3. 'Treasurer Information
4. Assistant Treasurer Information
a. Gull Name
ill)IC(
a. Full Name
h. Maili
Address (iuelad Cil,. ate, and Zi Code
b. Mailing Address (include City, State and Zip
G2[D� til, 2�)
_Code)
c. Phone Number
d. Email Address
c. Phone Number d. Email Address
X01'241-19
ti, -coo
Send report notices by email LIYYes
UNo
U Email copy of report notices
S. Custodian of Books Information (Keeper of Records
G Account Information (incl. CRO -3500)
��. Full Name
_
a. Financial Institution
In(�stitution Full Name
_ e R _. _ _ (,i
179 L�
h. Mailing Address (include City, State, and Zip Code)
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�1 iLW"� AvW't� 1 1 e0-Y%F'n
c. Phone Number
Id. Email Address
b. Account Code
t. Type
❑ 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
Gen tatutes and that no funds are commingled with prohibited or other non -disclosed funds. 1 further certify that
thi ort is complete, true and co I.
�aVia, C'. M4 e 9/
Printed Name of Treasurer Signature of Appointed Treasurer Date
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.
Ake- Tf-,&
Printed Name of Candidate Signature of Candidate Date
CRO -2100A NC State Board of Elections November 2019