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Contributions from Individuals <br />Pg 2 of <br />Use this form to report individual contributions aver $50 or contributions under S50 if form CRO <br />Amendment��Y j <br />❑ Yes ® No k <br />1205 is not used <br />1. Committee Full Name (and Fund if applicable) <br />2.1D Plumber <br />BAILEY FOR CABARRUS <br />CAB-R81N22-C-001 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Job TitlelProfession <br />d. Comments <br />SKILLED LABOR <br />THOMAS NUNN <br />127 MELBOURNE DR <br />CHINA GROVE, NC 28023 <br />c. Empioyer's Nam elSpecifie Field <br />CABARRUS COUNTY <br />e. IIection Sum to Date <br />$ 1,000.00 <br />f. Prior <br />g. Account Code <br />It. Form of Payment <br />i.In-Kind Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />❑ <br />01 _ <br />Check <br />11/24/2025 <br />$ 1,000.00 <br />❑ <br />$ <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 />J SCOTT PADGETT <br />693 UNION ST S <br />CONCORD, NC 28025 <br />c. Employer's Nam elSpecific Field <br />NOT EMPLOYED <br />e. 13ection Sum to Date <br />$ 500.00 <br />f. Prior <br />_. .�...._ <br />❑ <br />g. Account Code <br />._............._..._........... ._........__ <br />OI <br />h. Form of Payment <br />.__......_ ..........._.._......_ <br />Check <br />i. In -Mud Description <br />.__.. _ __.......�......—I..-..-.., _......._....._.... <br />j. Date (mmlddlyyyy) <br />__..........._................�.._.. <br />I211812025 <br />k. Amount <br />$ 500.00 <br />❑ <br />$ <br />r13 <br />t- <br />$ <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Job'Iitle/Profession <br />d. Comments <br />OFFICER <br />_..,.—,_......_.._.._...... <br />CHRIS SMITH <br />9777 BOWMAN BARRIER RD <br />MT PLEASANT, NC 28124 <br />c. Employer's Name/Specific Field <br />CABARRUS COUNTY <br />SHERIFF'S OFFICE <br />e. Election Sum to Date <br />$ 700.00 <br />f. 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 />Check <br />12129/2025 <br />$ 700.00 <br />4. Total only this Page <br />$ 2,200.00 <br />5. Total of ALL CRO-1210 Pages <br />(This line must be on fine 6 of Detailed Summary Page CRO-1104) <br />$ 4,250.00 <br />CRC)-1210 NC State Board of Elect April 1.UU 1 <br />