Morrison-Hansley,Kim_2021-Stmt-of-OrgStatement of Organization - Candidate Committee Is 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
. Name of Committee d. ID Number
E l eco Ki )bort M orrts�n- Ha yule 1 Ie -12
. Mailing Address (include City, State and Tip Code) e. Date Organized
q30-7 Crow Qoad Mon mei NG 2-0112- 1211(.01202-7-
211(.012022c.
c.Committee Website (Optional) f. Phone Number
— -- - Sao
2. Candidate Information
a. Full Name
e. Party Affiliation
K�vn Jori M0ffi son 4- r�sle.�
'Vt
b. Mailing Address (include City, State, and Zip Code)
E Office Sought
43 0-7 Crou) 2c 0d Rwrnel NC BIZ
union 0()mN Comms SSI oner
c. Phone Number d. Email Address
g. Next Election Year
h. Jurisdiction
a80-234-I&V e1ec+KtrYked
20:29-
[3 Email copy of report notices
Treasurer Information
4. Assistant Treasurer Information
a. Full Name
a. Full Name
M40l,-�sS I d tY5 _
It. Mailing Address (include City, State, and Zip Code)
It. Mailing Address (include City, State and Zip Code)
y(n011 I'�iorgaK ►�ll I �dl , Nc as11�
c. Phone Number
d. Email Address
c. Phone Number
d. Email Address
"104 -4/3D -4q
111rC•�9e�fS�3(�9txa,l.fmvt�
Send report notices by email Q Yes Q No
El Email copy of report notices
5. Custodian of Books Information (Keeper of Records
6. Account Information (incl. CRO -3500)
a. Full Name
a. Financial Institution Full Name
,ANIPAIGN FINANCE
h. Mailing .Address (include City, State, and Zip Code)
c. Phone Number
d. Email Address
b. Account Code
c
❑ 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 other non -disclosed funds. I further certify that
this report is complete, true and correct.
nn
Melissa I�c4o,e�YS -�e p-, la I
Printed Name of Trea rer Signature of Appointed Treasurer Date
I certify that the information above is correct, and I, 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.
Ki