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Statement of Ulrgani.dtion - Candidate Committee this statement: <br />INNew Amended <br />Use this form to create a new or update an existing candidate committee. <br />This form must be accompanied by form CRO-3500. An amended form is required for each new election year. <br />I.Toinmittee Information <br />a. Name of Committee <br />d. Ill Number <br />Ian Patrick for Cabarrus <br />b. MaCi lLnA Address (include City, State and Zip Code) <br />e. Date Organized <br />5701 Manchester Ave. - <br />11/24/2025 <br />Harrisburg, NC 28075 <br />c. Committee Website (optional) E Phone Number <br />IRb <br />2. Candidate Information <br />a. Full Name <br />e. Party Affiliation <br />Ian Patrick <br />Republican <br />b. Mailing Address (include City, State, and Zip Code) <br />f. Office Sought <br />5701 Manchester Ave. <br />County Commissioner <br />Harrisburg, NC 28075 <br />c. Phone Number <br />d. Email Address <br />g. Next Election Year <br />h. Jurisdiction <br />R� • '��i <br />connect@ianwpatrick.com <br />2426 <br />Cabarrus County <br />(] Email copy of report notices <br />3. Treasurer Information <br />4. Assistant Treasurer Information <br />a. Full Name <br />a. Full Name <br />-Ffin <br />NIA <br />b. Mailing Address (include City, State, and Zip Code) <br />b. hailing Address (include City, State, and Zip Code) <br />Sal mwcGk&r-& <br />CABARRk:S <br />tsh�e� uc- zbt zC <br />F-LECTI <br />c. Phone Number <br />d. Email Address <br />c. Phone Number <br />d. Email Address <br />DEC � � �d2rJ <br />let•35� 5�� <br />C�n���i�,,�:cir. <br />Send report notices by email Yes ItINo <br />❑ Email co of report notices <br />5. Custodian of Books Information Kee r of Rec <br />6. Account Information Oncl. CRo-3500 <br />a. Full Name <br />a. Financial Institution Full Name <br />NIA <br />A` <br />b. Mailing Address (include City, State, and Zip Code) <br />b. Purpose <br />Campaign Account <br />c. Phone Number <br />d. Email Address <br />b. Account Code <br />c. Type <br />Checking <br />❑ Email copy of report notices <br />I certify that the Committee is in compliance with all applicable provisions of Article 22A of Chapter 163 of <br />the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I <br />further certify that this report is complete, true and correct. <br />1 AQ PA-Tr­kc. - " <br />Printed Name oFTreasurer Signature of Appointed Treasurer Date <br />I certify that the information above is correct, and 1, as the candidate, appoint said treasurer to personally fulfill <br />the duties and responsibilities imposed upon the appointed treasurer and subject to the penalties in Article 22A <br />of Chapter 163 of the NC General Statut <br />�A,s fA-Tr_tcl/, <br />Printed Name of Candidate Signature of Candidate Date <br />Y <br />)N5 <br />CRO-2100A NC State Board of Elections November 20i9 <br />