JPropst-Stmt OrgStatement of Organization - Candidate Committee
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
\mendmem
❑ ) es No
only re -submit if aunlicablel
1. Committee Information
. Full Name
Committee to Elect Janice Propst
c. 11) Number
SJMR33
b. Mailing Address (include City, State and Zip Code)
531 Weddington Rd, Matthews, NC 28104
d. Date Organized
7/6/2015
e. Phone Number
704 849-6759
2. Candidate Information []Candidate's Primary Committee
a. Full Name
Janice G Propst
e. Candidate ID Number
SJMR33
f. Part) .Affiliation
(Indicate Non-panican if applicable)
b. Mailing Address (include City, State, and Zip Code)
531 Weddington Rd, Matthews, NC 28104
g. Office Sought
Council District 4
c. Phoot Number d. Email Address _
h. Nut Election Ymr
i. Jurisdiction
704 849-6759 janicepropst@windstream.net
Weddington
0 Email copy of notices
3. Treasurer Information
4. Custodian of Books Information
a. Full Name
a. Full Name
Janice G Propst
h. )lallio;; Address (include City, State, and Zip Code)
531 Weddington Rd, Matthews, NC 28104
b. Mailing Address (include City, State, and Zip Code)
c Phone Number
704 849-6759
Id. Email Address
c. Phone Number
d. Email :\ddress
anicepropst@windstream.net
I prefer to receive notices by email Q Yes ❑ No
ElEmail co v of notices
5. Assistant Treasurer Information Aad
a. Full Name ❑ Remove
6. Account Information (incl. CRO -3500) Lj Add
a. Financial Institution Full Name ❑ Remove
b. Mailing Address (include City, State, and Zip Code)
It. Purpose
C'am toga `ne Gins
. Phone Number
Email Address
a Account Code
d. Type
Id.
J6 P10
K ��
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. /
Printed Name of Signer re of Appointed urer � Date
CKf6I1017A NC State Board of Elections May 2011
Kim Westbrook Strach
Executive Director
North Carolina
State Board of Elections
441 N Harrington Street
Raleigh, NC 27603
Certification of Treasurer
Mailing Address
PO Box 27255
Raleigh, NC 27611-7255
(919) 733-7173
Fax: (919) 715-8047
This Certification is used by Candidate Committees to appoint a treasurer to the committee. This forth is
required and must accompany the Candidate's Statement of Organization
FILED BY:
Candidate Name: Janice Propst
Treasurer Name: Janice Propst
Treasurer Address: 531 Weddington Rd
(include city, state, & zip) Matthews, NC 28104
Treasurer Phone: 704 849-6759
I certify that the above information is correct, and I, 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.
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. 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).
07/06/2015 9 -
Date Signed Signature o ani , e
Note: This Certification is to be filed at the Election Board where the committee's campaign reports are filed.
CRO -3100 Certification of Treasurer alar 2013
Kim Westbrook Strach
Executive Director
I ,J
North Carolina
State Board of Elections
"l N Harrington Street
Raleigh, NC 27603
Confidential
Mailing Address
PO Box 27255
Raleigh, NC 27611-7255
(919)733-7173
Fax: (919) 715-8047
I 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: Committee to Elect Janice Propst
Treasurer Name: Janice Propst
Treasurer Address: 531 Weddington Rd, Matthews, NC 28104
Treasurer Phone:
704 849-6759
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 designate 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.
By signing this statement, I authorize agents of the State Board of Elections to inspect all accounts provided.
�f
Date Batu £Candidate rTreasurer
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
CRO -3500
519nature of Candidate or Treasurer
Certification of Financial Account Information
May2013