Acct Status formsNORTH CAROLINA
�r STATE BOARD OF ELECTIONS
a
Certification to Return to Active Status
This Certification is used by Candidate, Party, PACs and Referendum Committees which have previously
filed the Certification of Inactive Status and now wish to return to an active status.
This Certification is filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name: (0 /Ylm t f Q l Dr-L�a- n l(.Q eryp
Treasurer Name: 'Ton f r p G PO)A5 t—
Treasurer Treasurer Address: �i I W orf Cl1 nQ �wl Ra
(include city, state, & zip) �/r t -t ) S 4PA C 2-13 (p if
Treasurer Phone: 7 0 4 S78 5() Z,�
I certify that the above named candidate/political committee, which has been of inactive status and exempt
from filing disclosure reports, intends to accept contributions and/or make expenditures. This intention of
activity alters the status of the above named candidate/political committee to active status and requires
such committee to begin filing disclosure on the appropriate schedule. All contributions received and/or
expenditures made that have not been previously reported will be disclosed on the next scheduled report
and all subsequent reports will be filed as scheduled. An amended Statement of Organization (CRO -2100
A -G) must accompany this form.
to Signe Signature
CRO -3300 Certification to Return to Active Status
Kinn Westbrook Strach
Executive Director
North Carolina
State Board of Elections
441 N Harrington Street
Raleigh, NC 27603
RECEIVE
JAN 2 91016
Maddittlg i&A"V of Elet:upM
PO Box 27255
Raleigh, NC 27611-7255
(919) 733-7173
Certification of Inactive Status I
This certification is used by Candidate, Party, PACs and Referendum Committees to declare their intent to be inactive,
which is not raising or spending any money on behalf of the campaign.
This Certification is filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Treasurer Phone:
-- Past
I certify that the above named candidatelpolitical committee intends to receive no contributions, nor make
any expenditures, until the committee resumes activity.
I understand that if the above circumstances change, it will be necessary for the person responsible for
filing financial disclosure reports to file an amended Statement of Organization and the Certification to
Return to Active Status form (CRO -3300) within ten days.
Dike Signed
CRO -3200
'?6W ��-
Signature
Certification of Inactive Status
July 2014