This form must be filed with the Election Commission prior to a campaign accepting or dispersing any funds in support of a candidate.   Indicate in the first section whether the form is an amendment (for the first filing, check the "No" box).   Complete Section 1: Candidate and Candidate Committee Information.   Complete Section 3: Committee Treasurer.   Complete Section 5: Depository Information (bank account data).   Both the candidate and the treasurer must sign this form.   Complete the exemption section only if your campaign qualifies to be exempt from filing Campaign Finance Reports.   An exemption indicates that the candidate will not accept more than $100 from a single source other than the candidate and the campaign in total will not accept or disperse more than a $1,000 in a calendar year. The committee remains exempt until it is no longer eligible and a new Campaign Registration Statement (EB-1 Form) is filed.

Go to Campaign Registration Statement - Learn about the next form: Ethics Statement Return to Nomination Packet Forms list Return to Campaign Finance Data list

This Web site was created to assist citizens who are considering a bid for elected office. This cursory review does not replace the candidate's responsibility to review Chapters 5-12 of the State Statues governing the election process.