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Contributions from Individuals <br />Amendment <br />Pg __L of 3 ❑ Yes.... ®FNo <br />Use this form to report individual contributions over $50 or contributions under $50 if form CRO t205 is not used <br />1. Committee Full Name (and Fund if applicable) <br />2. ID Number: •,:, . <br />BAILEY FOR CABARRUS - — --------- - — - <br />-CAB-R81N22-C-001 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Job Title/Profession <br />d. Comments <br />NO JOB TITLE -ry <br />JOHN BINGHAM <br />16924 CABARRUS RD <br />MIDLAND, NC 28107 <br />c. Win pioyer's NamelSpecifie Field <br />NOT EMPLOYED <br />e. IIeetion Sum to Date <br />$ 500.00 <br />f. Prior <br />g. Account Code <br />h. Fbrm ofPsyment <br />1.In-Kind Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />❑ - _ <br />01 <br />Check <br />11 / 10/2025 <br />$ 500.00 <br />F <br />1$ <br />3. Contributor Information ❑ Add •❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Job Title/Profession <br />d. Comments <br />NO JOB TITLE <br />ANN CANNON T--- <br />PO BOX 1210 <br />CONCORD, NC 28025 <br />c. Employer's No Field <br />NOT EMPLOYED <br />e. Fie ction Sum to Date <br />$ 1,[10Q.00 <br />f. Prior <br />_..—.. r--- <br />13 <br />g. Account Code <br />-- ....__._..-.. ..-....--... <br />01 <br />h. Form of Payment <br />_..._ .__ <br />Check <br />i. In -Kind Description <br />_ <br />j. Date (mmlddlyyyy) <br />11/10/2025 <br />k. Amount <br />$ 1,000.00 <br />❑ <br />$ <br />❑ <br />$ <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & aip) <br />b. Job Title/Profession <br />d. Comments <br />SALVAGE BUSINESS -- <br />W <br />CLYDE DRYS JR <br />5895 RIWR RD <br />ROCKWELL, NC 28138 <br />e. Employer's Nam elSpeeiFie Field <br />CLYDE DRYE <br />e. IIeetion Sum to Date <br />$ 300.00 <br />E Prior <br />g. Account Code <br />h. Form of Payment <br />i. In -Kind Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />© <br />01 <br />....... . _..... .... <br />Check <br />T 1112412025 <br />$ 300.00 <br />4. Total only this Page <br />$ 1,800.00 <br />5. Total of ALL CRO-1210 Pages <br />(This line must be online 6 ofDetailed Summary Page CRO-II00) <br />8 4,25Q.00 <br />CRO-12 j0 NC State Board of Elections April 2007 <br />