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Outstanding Loans <br />Amendmen tL«3 ve I N» <br />Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. <br />1.Committee Full Name (and Fund if applicable)2.ID Nuber <br />3.Lender Information []Add []Remove <br />a.Full Name,Mailing Address &Phone <br />(include city,state,&zip) <br />,0o° <br />e.StartDate (au/dd/yyyy) <br />$)e,0O . <br />i.Original Loan Amount <br />N @ Roe <br />c.Employer's Nae/Specific Field <br />b.Job Tide/Profession <br />h.Security Fledged <br />4 N/ <br />Wnn WARRg N "a"Bcs <br />139 0l 2HotKo <br />Co ncosv4 ,N C 3 60a7 <br />to-521-3037 <br />g.Rate <br />k.Full Nameof Lending Institution L.Loan Number <br />N/ <br />3.Lend er Information D Add []Remove <br />a.Full Name,MailingAddress &Phone <br />(iclude city,state,&zip) <br />Wumn BR "B a"'Bc6Gs <br />38 61l Cha lott e R n <br />Coned Nd 28027 <br />I <br />7 3 0 -52 1 -3097 <br />b.Job Tile/Prof ion <br />CuK or bar <br />CA0RRus C>wty <br />c.Eaployer's Name/Specific Field <br />Nd c a <br />e.Start Date (au/dd/yyyy) <br />f.Ead Date (nu/dd/yyyy) <br />/ <br />g.Rate h.Secrity Fledged <br />):i/no <br />i.Original Loan Amount j.RemainingLoan Balance <br />s 8,coo <br />k.Full Naare of LendingInstitution •Loan Nuber <br />N/a <br />.·-.-'..0 ··_Remove <br />a.Full Name,MailingAddress &Phone <br />(include city,state,&zip) <br />Wun WR "a''B AacG <br />[38 OLD CR6Te Bo <br />Concov±,M C 2817 <br />9980-521-3 0 8 1 <br />b.Job Title/Profession <br />C L rX or C r <br />Cass Coo0n <br />W@ oe <br />e.StartDate (mu/dd/yyyy) <br />f.Ead Date (am/dd/yyyy) <br />w/A <br />h.Security Fledged <br />$%N/ <br />l.Full Nameof Lending Insti t ution <br />i.Original Loan Amount <br />"3,ooo" <br />j.R iring Loan Balance <br />$ <br />L.Loa Number <br />5.Total ofALL CR0-1430Pages <br />,a -•a <br />(Thisline mustbeonline 21 ofDetailed Sau nary Page CRO-II0O) <br />4.Total only this Page <br />CRO-1430 NC State Board of Elections <br />•l $12 ,00o .° <br />.·!$2/,66o°°I <br />December 2007