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Amendment <br />Contributions from Individuals Pg of ❑ yes ❑ No <br />Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used <br />1. Contr uittee Full Name (and Fund if applicable) _ <br />2. ID Number <br />3. Contributor Information ❑ Add ❑ Remove <br />a. full Name, Mailing Address & Phone <br />(include city,state, & zip) <br />b. Job Title/Profession <br />d. Comments <br />e <br />, <br />%www*" �s61,1 <br />N� '1 �� �� <br />ga � <br />C. Employer's Name/Specific FieldCIO <br />e. Election sum to Date <br />$ <br />F. Prior <br />g. Account Code <br />h. Form orpayment <br />i, hi -Kind Description <br />J. Date (mmlddlyyyy) <br />k. Amount <br />d <br />G/I <br />f1��3 <br />$ �a <br />❑ <br />$ <br />❑ <br />$ <br />. Contributor Information ❑ Add ❑ Remove <br />Full ~lame, Mailing Address & Phone <br />(include city, state, & zip) <br />RECEIVED <br />IN -PERSON <br />JUL 9 7 2026 <br />CABARRUS COUNTY <br />h. Jub TitlelProfession <br />d. Comments <br />c. Employer's NamelSpeciCc Field <br />e. Election Sum to Date <br />$ <br />f. Prior <br />g. Account Code <br />h. Fo nen <br />i, n-Kind Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />❑ <br />$ <br />$ <br />r Information ❑ Add ❑ Remove <br />rName, iling Address & Phone <br />tate, & zip) <br />b. Job TitlelProfession <br />d. Comments <br />c. Employer's Name/Specific Field <br />e. Election Sum to Date <br />$ <br />f.Prior <br />g. Account Cade <br />It. Form of Payment <br />i. In -Kind Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />❑ <br />$ <br />❑ <br />$ <br />❑ <br />$ <br />4. Total only this Page <br />$ 5b <br />5. Total of ALL CRO-1210 Pages <br />line mast be on line 6 ofDotailed Summary Page CRQ-1100) <br />$ <br />yo(This <br />CRO-I2I11 NC Stitc Boaicl of G[cowns Apri12007 <br />