Change Of Officer Resignation/appointment-Chairman Form printable pdf download

Change of Officer Resignation/Appointment - Chairman

Name of Campaign Entity:_________________________________________

Entity #___________________

Resignation of Committee Chairman

In accordance with §13-207(d)(1) of the Election Law Article, Annotated Code of Maryland, I hereby resign as Chairman. And, I

hereby certify that I have returned all records relating to the campaign finance entity to the remaining officer or the candidate and I have

completed all of my campaign finance reporting responsibilities.*

_______________________________________________________ __________________________________________________

Signature of Resigning Officer

Date

Printed Name of Resigning Officer

*Depending on when you file your resignation, you may remain liable for the next Campaign Finance Report. Call the State Board of Elections to clarify your reporting

responsibilities. In addition, it is recommended that you file a statement with your resignation reporting your committee or entity’s cash balance, the amount of money in

the checking account, and any outstanding obligations.

Appointment of New Chairman

Date

Is the Chairman also the

Full Name:

of Birth:

Candidate?

Yes

Residence Address:

Mailing Address: (will be made available to the public)

_________________________________________________________________

Number, Street, Apt. or Suite Number

___________________________________________

City State, and Zip Code

Contact Phone (for Board use):

Public Phone:

E-Mail Address:

Fax:

(

)

(

)

I am a registered voter of:

County: _______________________

I accept the appointment of Chairman until the final Campaign Finance Report required by §13-311 of the Election Law Article is filed or until a successor is duly

chosen and qualifies. I understand that I am required to follow the provisions of Title 13 of the Election Law Article, Annotated Code of Maryland with regard to the

manner in which this committee receives, spends, and reports money or valuable things to support/oppose state and local candidates or ballot issues. I understand that if I

wish to resign, I must do so in writing, on the proper form, and file the resignation with the State Board of Elections.

____________________________________________________________________________________________________

Signature of new Chairman

Date

Acknowledgment of new appointment by Treasurer.

____________________________________________________________________________________________________

Signature of current Treasurer

Date

For Board Use Only

The above information is correct: yes / no

If no, our records show:

Acct#: ___________ Candidate ID# (if applicable): ___________

Name: _____________________________________________________________________________ County: _________________________

Address: ______________________________________________________________________________________________________________

The signed statement authorizes local boards to make changes in records in all categories except party affiliation. Notice of changes must be mailed to

the voter. Date notice sent ____________

Staff Initials: ______________________

State Board of Elections

Division of Candidacy and Campaign Finance

151 West Street, Suite 200/P.O. Box 6486, Annapolis, MD 21401-0486

(410) 269-2880 (800) 222-8683 ext. 4

SBE/CCF 13-207C Revised 07/2007