Morey, Pedro_2019-CommitteeAmendment
Statement of Organization - Candidate Committee ❑ Yee ❑ No
Use this form to create a new or update an existing candidate committee.
This form must be accompanied by forms CRO -3100 and CRO -3500 (when amending, only re -submit if applicable)
1. Committee Informado
a. Full Name
c. ID Number
Pedro R. Morey for Commissioner
n 1
`OJrgaoized
b. Mailing Address (include City, State and Zip Code)
d. Date
8007 Denholme Drive
Waxhaw, NC 28173
7/18/2019
e. Phone Number
828-610-5421
2. Candidate Information ❑ CandidaWs Primary Committee
a. Full Name
e. Candidate ID Number
L Party Affiliation
Pedro R. Morey
RFP
b. Mailing Address (include City, State, and Zip Code)
g. Office Sought
8007 Denbohne Drive
Waxhaw, NC 28173
Town of Waxhaw Commissioner
e. Phone Number
d. Email Address
828-610-5421
moreyforwaxhaw@gmail.com
le. Next Election Year I. Jurisdiction
q„
® Email copy of notices
3. Treasurer Information
a. Full Name
a. Fag Name
Pedro R. Morey
Pedro R. Morey
b. Mailing Address (include City, State, and Zip Code)
b. Maung Address (include City, State, and Zip Code)
8007 Denholme Drive
Waxhaw, NC 28173
8007 Denholme Drive
Waxhaw, NC 28173
Q Phone Number d. Email Address
c. Phone Number
d. Email Address
828-610-5421 moreyforwaxhaw@gmail.com
828-610-5421
moreyforwaxhaw@gmail.com
I prefer to receive my notices by email ® Yes ❑ No
® Email copy of notices
t Treasurer In. _ Add
a. Full Name I ❑ Remove
6. Account Information OW
❑ Remove
a. Financial Institution Full Name
b. Mailing Address (include City, State, and Zip Code)
b. Purpose
C�GC��t`vJG�D
c. Phone Number
d. Email Address
c. Account Code
d. pal S 2019
Union
Co. Elections
❑ Email copy 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. 1p1
Pedro R Morey iii 9- 7/18/2019
Printed Name of Signer Signature of Appointed reqs Date
CRO -2100A NC State Board of Elections July 2014
Kim Westbrook Strath
Executive Director
r
North Carolina
State Board of Elections
441 N Harrington Street
Raleigh, NC 27603
Certification of Treasurer
Mailing Address
PO Bos 27255
Raleigh, NC 27611-7255
(919) 733-7173
This Certification is used by Candidate Committees to appoint a treasurer to the committee. This form is
required and must accompany the Candidate's Statement of Organization
FILED BY:
Candidate Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Treasurer Phone:
IZ TomWITVMIIuOCT
Pedro Rafael Morey
8007 Denhohne Drive
Waxhaw, NC 28173
JUL 18 M9
828-610-5421 Union Co. Elections
I certify that the above information is correct, and 1, 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 VIII. 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).
July 18, 2019
Date Signed
Note: This Certification is to be riled at the Election Board where the committee's campaign reports are filed.
CRO -3100
Certification of Treasurer
JulY 2014
IMCAROLINA
T9 STATE BOARD OF ELECTIONS
Certification of Financial Account Information
This Certification is used to report confidential bank account information for all financial accounts
established by the committee and must accompany the Statement of Organization Form.
FILED BY:
Committee Name: Pedro R. Morey for Commissioner
Treasurer Name:
Treasurer Address:
Pedro R. Morey
8007 Denholme Drive
(include city, state, & zip) Waxhaw, NC, 28173
Treasurer Phone: 828-610-5421
I certify that the information provided below is true and accurate. I am providing all account information for the above
named Committee. These account numbers include all bank accounts utilized, credit card accounts, money market or
savings accounts, or any other financial account used for any purpose by the Committee.
The information provided on this form is considered confidential and is not subject to public disclosure. The information
provided is only used for the purposes of an audit or investigation or as required by a court of competent jurisdiction.
Each treasurer (or candidate) must desienate below an account code (any number or letter or combination of
numbers and letters) by which to refer to the account number on reports. If an account number is used as the "account
code," confidentiality of the account number is presumed to have been waived.
The treasurer shall maintain all moneys of the political committee in a bank account or bank accounts used exclusively by
the political committee and shall not commingle those funds with any other moneys.
ape of account Financtal Institution Address
Account Number Account Code
By si ' g ts statement, I authorize agents of the State Board 1 tions s all accounts rovided.
DaUPSigned Signature of 'date or T surer
For Candidate Committees Only
❑ In lieu of providing account information, I certify that this committee will not raise any money nor spend any money
except that which is the candidate's personal funds. I furthermore understand that an audit or investigation could
warrant the probe of any personal bank account that is being used for campaign expenditures.
By signing this statement, I authorize agents of the State Board of Elections to inspect applicable accounts.
Date Signed Signature of Candidate or Treasurer
CRO -3500 Certification of Financia( Account Information
NORTH CAROLINA
STATE BOARD OF ELECTIONS
Candidate Designation of Committee Funds
This form is used by candidate committees only and allows the candidate to designate in the event of their death,
how the committee's funds are to be disbursed using the eight allowable methods outlined in 163-278.16B(a).
This Designation is filed at the Board of Elections office where the committee's campaign reports are filed.
Candidate Name:
Committee Name:
Treasurer Name:
Pedro R. Morey
Pedro R. Morey for Commissioner
Pedro R. Morey
If Candidate is own treasurer, designate an agent to carry out designations:
Committee ID #:
Level Registered: [State] [County] If county, specify: i19
Pedro R. Morey unionCo. E16Ctla
I, ino
hereby direct that in the event of my death or incapacity
(Name of Candidate)
funds remaining in my Campaign Committee account(s) (after payment of permitted outstanding
debts or reasonable expenses for winding up the Committee or closing office) be paid in the
following manner as permitted by N.C. Gen. Stat. 163-278.16B(a).
Name of Entity
(Sekd from ¢163-27&16B(a))
1. YlwMP Joao
2.
3.
Plan for Disbursement (eg. Amount or %)
N2 °
By signing this form, I certify that the foregoing entities are eligible beneficiaries under N.C.
Gen. Statute 163-278.16B(a). A copy of this form should be maintained with the Committee
records. (1�
Signature of Candidate: YI /
Date: July 18, 2019
UORUNK10
Candidate Designation of Committee Funds