Wilson,Travis_2021-06-21-Stmt_OrgStatement of Organization - Candidate Committee Is this statement:
'0 rvew ED Amended
Use this form to create a new or update an existing candidate committee.
Phis form must be accompanied b� form CRO -3500 An amended form is required for each new election year.
1. Committee Information
. Name of Committee
J. ID Number
Travis Wilson for Commissioner
b. Mailing Address (include City, State and ZigCode) _
_
C. Date Organized
7925 Jaars Rd, Waxhaw NC 28173
6/19/2021
c. Committee website (Optional)
L Pbaae Number
,(980)313-0132
2. Candidate Information
. Full Name
e. Parti' Affiliation
Travis Wilson
Republican
. Mailing Address (include City, State, and Zip Code)
f. Office Sought
7925 Jaars Rd, Waxhaw, NC 28173
Union County Board of Commissioners
. Phone Number
d. Email Addms
a. Next Election Year
Is. Jurisdiction
lwilson.travisiames@gmaii.com
2022
Union County
980 313-0132
0 Email copy of report notices
rer Information
4. Assistant Treasurer Information
. Full Name
a. Full Name
Travis Wilson
Is. Mailing Address (include City, State, and ZIP Code)
b. Mailing Address (include City, State and Zip Code)
7925 Jaars Rd, Waxhaw, NC 28173
•. Phone Number
Id. Email Address
c. Phone Number
d. Email Address
980 313-0132
es
wilson.travis aurmail.com
Send rep( notices b email Yes ❑ No
Ll Email copy of report notices
5. Custodian of Books Information (Keeper of Records
6. Account Information wlet CRO -3500)
. Full Name
a. Financial Institution Full Namc
L 'EiVEL;
Is. Mailing Address (include City, State, and Zip Code)
11 IN q h 2V0'2 _.
JVf4 _!-- CULT_.—__
Union Co. Board of Elections
c. Phone Number Id. Email Address
Is. Account Code
a Type
❑ Email copy of report notices
1 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 fiords are commingled with prohibited or other non -disclosed funds. I further certify that
this report is complete, true and correct.
Travis Wilson
6/19/2021
Printed Name of Treasurer
Signature of Appointed Treasurer pat¢
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.
Travis Wilson
6/19/2021
Printed Name of Candi x to
Signal= of Candidate Date
l.dtFL/ UI/A 7l. �/O7�/6' 6�;(/ NC State Board of Elections November 2019