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Amendment <br />Disbursements Pg I of 1 ❑ Yes ® No <br />Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical <br />comnuttees and coordinated nartv emenditures <br />1. Committee Full Name and Fund if applicable) <br />2. 11) `timber <br />COMMITTEE TO ELECT PAM ESCOBAR <br />3. Type of Disbursement (Please use selrarale CRO-1310 fnrrns fi)r each iyi) ' tit Di.�hurscemc nf. <br />IM Clperahng Expenses Contrihutions to CandidateslPolitical COittnttLLces ❑ t 006!:,iC.l 1':u r E pcndnurc <br />4. Payee Information ❑ Add ❑ Rc mox c <br />a. Full tiame. Mailing Address & Phone <br />b. C000rdinated C'ommittcr \anre <br />d. [ umments <br />inelnde eitl, sta(e, & xip] <br />CABARRUS COUNTY BOARD OF ELECTIONS <br />c. Levei Registered (Speeify) <br />❑ Federal El County: <br />❑ State ❑ Municipality: <br />369 CHURCH 5T N <br />CONCORD, NC 28025 <br />e. F]ettiun tium to Date <br />50.00 <br />f. Account Code <br />g. Form of Payment <br />h. Purpose Corse <br />i. D;rte (nuu'elet'er}N) <br />121/0112025 <br />j..Aniount <br />$ 50.00 <br />k. Regnired Remarks <br />Check <br />2026 CANDIDACY FILING <br />5. Total only this Page <br />$ 50.00 <br />6. Total of ALL CRO-1310 Pages <br />(This line goes in line 13a of Detailed Summary Page CRO-1100 ifOperrrting Expenses) <br />50.00 <br />(This line goes in lure 13b of Detailed Summary Page CRO-1100 ifConrrib to Candidares/Pofitical Comm) <br />(This lure goes in litre 1.3c ufDetaiied Summary Page CRO--1100 if Coordinated Part• Expenditures) <br />7. PUrpO5e Codes (List detailed e\ponditure code in th.) abov c) <br />A* - Media B* - Printing C* - Fundraising D - I o AnotherCan didate <br />E - Salaries F* - Equipment G- Political Party H* - Holding Public Office IApenses <br />I - Onstage J - Penalties K* -Office Fxpenses Q* - Donation to Legal Experts Fund <br />O* Other <br />* Codes require detailed explanation in required remarks field(k) <br />CRO-13IO NL' State Board of Elections iteceMNr ztxly <br />