 A referendum concerning the name change was held in Macedonia on 30 September 2018, with voters overwhelmingly affirming support for EU and NATO membership by accepting the agreement, albeit with a voter turnout of just below 37 percent, lower than the 50 percent threshold needed to validate the result.After the agreement was ratified by both sides, it entered into force from 12 February 2019.On March 27, 2020, the United States, as a treaty depositary, received The Republic of North Macedonia’s instrument of accession to the North Atlantic Treaty, making North Macedonia the 30th NATO Ally.