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Outstanding Loans <br />Amendment <br />pg _ of :3 - ❑ Yes © No <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 Fnll Name and Fund if applicable) <br />2.ID Number <br />4o C ke-vv-, q Cmoki <br />3. Lender Information ❑ Add ❑ Remove <br />n- Full Name, Mailing Address & Phone <br />(include city, sMeer, & sip) <br />b. Job TideMrofession <br />d. Comments <br />Cf e w K at Cp L .v+ <br />Vl t-l.ri W& Vli !Q►� H `Bt�yr� �i P1�o�5 <br />` <br />�iloxr, ryer <br />i ce rtin Lin e. %4 �m t o <br />Ganexrd: NC AsoA� <br />e. start Date im�adryyyy) <br />G Employer`s Nan�elSpeciSc Field <br />dS + 1 <br />1 <br />'� �', fro G <br />f. Ena Hate (mmradlyyyy) <br />g. [fate <br />h. Security Pledged <br />i. Original Loan Amount <br />j. Remaining Loan Balance <br />D % <br />NLk <br />$ 5i oao <br />$ SjaG� a <br />k. Fall Name Lending institutiao <br />L Loan Number <br />rof <br />lY Ltq <br />3. Lender Information ❑ Add ❑ Remove <br />a. Fall Name, Mailing Address & Phone <br />(include city, state, & up) <br />b. Job TiddlProfession <br />d. Comments <br />C~i ex k 61 Cclwct <br />�-[� <br />L�1�7C�Y�'U� �h <br />��r i , r <br />I ►--k4l" W f,0914 "Bi,,-r-BA,-.0s <br />tn !�) <br />i �� o� t�-0ttif•�C+S <br />5zoPenr,I �h� �� � � i O � <br />W r,r C74 ! o�g0 <br />e. Start Date (mu>tddlyyyycr)o"% <br />G Emp[oyeName/Specific'a Name/Specific Field <br />03 08 o l <br />�, -+ <br />(c hoc <br />L End Date (mmldd/yM) <br />t,4a <br />g. Rate <br />It. Security Pledged <br />i.Original Loan Amount <br />j. Remaining Loan Balance <br />%1V <br />H <br />$ l [7a <br />$ ooO r�u <br />r <br />k. Full Name of Leading Institution <br />i. Loan Number <br />l �f 11 <br />3. Lender Information ❑ Add ❑ Remove <br />a Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Job I idelProfession <br />d. Comments <br />•'t ''� <br />Wdt�-.rr}m ��I'k+�-Q�N rt� "�A�65 <br />nt�� <br />M,fnI � G 104 <br />_'od Pe-- ri`ft � �j <br />,c:oyr -r tic � 90A <br />e. Starr Date {mmlddlyyyy) <br />` k mployer`s Nantel5peti6c FFieldt7 <br />01 4 I [`-� <br />G Roc. <br />r End Date (mmtddlyyyy) <br />id <br />g. hate <br />h. Security Kedged <br />L Original Loan Amount <br />j. Remaining Loan Balance <br />% <br />C)$ <br />cod <br />$ C21(UUp <br />1�I oa <br />k. Full Name of Lending Institution <br />i. Loan Number <br />4. Total only this Pa e $ S C cx <br />5. Total of ALL CRO-I430 Pages <br />[This line muss be on lim 21 ojDwailedSummary Page CRO-11M) $ <br />CRO-1430 NC. state Board of Elections December 2007 <br />