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Pappas,Ron_2019-CommitteeAmendment Statement of Organization - Candidate Committee ❑ Yes ❑ No Use this form to create a new or update an existing candidate committee. This form must he accomna tied by forms CRO -3100 and CRO -3500 (when amending. only re -submit if aoDlicable). it. Committee Information . Full Name c. m Number Ez.t5—1 2CW pwepW}i— TM . Mailing Address (include City, State and Z1p Code) d. Date Orgaoiud 124 L'ja-FMOZES act-tez- W A X OA t-� ( AiL 2&-7-3 a Phone Number . Candidate Information ❑Candidate's Primary Committee . Fuan,N.,am� e. Candidate m Number if. Party Affiliation �e k(mcam Noo-partisan if applicable . Mailing Address (include City, Sub, and Zip Code) g. Office Sought 124 '11=4F KogB Ccutr OId tCMAtJ a3G- . Phone Number d. Email Address h. Next Election Year L Jurisdiction 10494t'I7patAW.004 n d ad&m . caf -- IduaJ1 ❑Email copy of notices . Treasurer Information 4. Custodian of Books Information . Full Name a. Full Name . Mailing Address (include City, State, mad Zip Code) Is. Mailing Address (include City, State, and Zip Code) 124 AAD14Ac" ecuar �a tnx eaaa. �, x '215"T3 124 ada c"cusa ewict" - - vjA)tnAtJ r aC 281-73 c. Phone Number Id. Email Address c. Number d. Email Address -77� . fatal Q e**AIL . Oe►f c.Phone '4-9" :ri'89 I PWM. al'aa C W*utls.. CA*A I prefer to receive notices by email Yes No 0 Email copy of notices . Assistant Treasurer Information Add 6. Account Information (WL CRO -3500) Add ❑ Remove . Full Name ❑ Remove a. Financial Institution Full Name . Mailing Address (include City, Stale, and Zip Code) b. Purpose Suol Ria 6 Z Jnr Phone Number d. Email Address c. Account a d. Type 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 n t Chapter 163 of the NC General Statutes and that no funds are commingled with prohibited or other no"isclosed funds. I further certify,that this report is complete, true and correct. J&LAc6-P. AyM, (�l�d�• `iEypa� ,Zol9 Printed Name of Signer lignatum of Appointed Tressurm Date CRO -2100A NC State Board of Elections I coy m I I 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 filed at the Board of Elections office where the committee's campaign reports are filed. FILED BY: Committee Name: ZLIMM, A"A fapP M& Treasurer Name: Ro..la b P. pappaz Treasurer Address: 104 La 6rm x6 cot&Lr (include city, state, & zip) WAy 0Av-I , r3[_ MT j Treasurer Phone: "To4, 9412. Irl" Check One: _ CL I certify that this committee intends to neither receive nor expend more than $1,000 during the current ejection 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. l further agree to file all future reports required. 1 e signed r JUL 2 9 2019 Union Co. CRO -3600 [aid '0. `�r_. _ signature of Threshold NORTH CAROLINA STATE BOARD OF ELECTIONS Certification of Treasurer 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: 4paJAL-D J. 02fpoa. Treasurer Name: RtalAr b -P. ~i. Treasurer Address: 12+ 4XM04c►tE muar (include city, state, & zip) vo traA%d, w1t 281,73� Treasurer Phone: "104.-. 942,-17BB 1 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 ojElection Campaigns of Chapter 163 of the North Carolina General Statutes. 1 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. l 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). 2 201 .41P....- teSig - 4' Signature of Candidate ["o'130173,o3uolun 61V CRO -3100 Certifreation of Treasurer NORTH CAROLINA 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: E"Fcsr Files P"4 -s - Treasurer Name: Qtnau-h 4) s- TreasurerAddress: " AAMFOICKE ecus (include city, state, & zip) ,V— Zell d Treasurer Phone: 'Tc44. l;4 -a --mea 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 desinnate 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. Type of account Financial Institution Address Account Number CJf6Xd.34e iufut'mab $100IfBr't.3[s'trolbE ty"I.W" t .Jc. 2et'73 Account Code By signing this statement, I authorize agents of the State Board of Elections to inspect all accounts provided. 1.4 Zk, Z019�.ed J. � qtr, ate Signed f Signature of Candidate or Treasurer or 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. Daze Signed CRO -3500 JUL 2 9 2M Union Co. Elections a ono inancial Account Information :•::o ELECTIO 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: ROO.A f iz*ax� Committee Name: tzs.'r Row! fN!Pn Treasurer Name: jbxD -i- 'P°PP"s. If Candidate is own treasurer, designate an agent to carry out designations: 4U.Mj Committee ID #: EN -Til (e<i Level Registered: [State] [County] If county, specify: uato.a/Ku+11 1, R"+Aa P - PAHa4s hereby direct that in the event of my death or incapacity all (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 (Sel ect from §163-278.16B(a)) 1. %JAA Va �MCA- 2. 0 Plan for Disbursement (eg. Amount or a/o) too-/. 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. Signature of Candidate: p•rP"rwazMFIWZIFA Date: 2019 JUL 2 9 2019 Union Co. Elections CRO -3900 Candidate Designation of Committee Funds