Smith,Sandra_2022-Close-formNORTH CAROLINA
STATE BOARD OF ELECTIONS
Certification to Close Committee
This Certification is used to express the intent to close the committee after all funds have been properly
disbursed.
This Certification is filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name:
Sandra Smith for Clerk Committee
Treasurer Name:
Sandra B Norris
Treasurer Address:
1921 Mountain Springs Church Rd
(include city, state, & zip)
Monroe, NC 28112
Treasurer Phone:
704-9883754
I certify that the above mentioned Committee intends to close and cease existence. Upon signing this
certification, I declare that all funds have been distributed and reported (if required). In addition, no
contributions will be accepted or disbursements made after the 'Final Report" is filed or this form is
signed. If the Committee at any future time intends to accept or spend funds in support or opposition of
any candidate or ballot issue, a new political committee must be formed and registered with the Board of
Elections before such activities may commence.
Committees that have filed under the $1,000 threshold will only be required to sign this Certification. No
"Final Report" will be required for committees meeting this criterion. Any Committee that did not file
under the $1,000 threshold must submit a `Final Report" with this Certification. This report must have a
zero balance with no outstanding loans or debts.
07-11-2022���
Dam Signed Signature
CRO -3400
UNION COUNTY
CAMPAIGN FIN°"'i-F
1 i Cerl?i�5c'ation to Close Committee
REGENL