Laserfiche WebLink
Outstanding .Elan3 <br />Amendment <br />Pg <br />or •3 ❑ Yes ® No <br />Use this form to report any outstanding loans received during a previous reporting Period and until the loan is paid m full. <br />1. Committee e <br />2.IDNmu ber <br />(2ol t m; itee. -,� oec t 3r,,-03PGt$ LLERK OF C-'Mc <br />3. Lender Information ❑ Add ❑ Remove <br />A. FOR Name, Ma7ing Addrem & Phone <br />b. Job USt/Profession <br />d. Comments <br />(isdnde dty, state, & dg) <br />►�I1.L.7 �►1c ' �+Pr�ti ` 3i'" <br />Ito 31 01� Gf RRkD7'� �/ii] <br />L•�� '`f`L[5 C�k3GcA1i <br />Employees <br />e. Start Date (mmlddlyM) <br />Can <br />r- NameAspeci& Fidel <br />l it <br />—,� - <br />0,97 <br />1►F L ' ■ <br />C End Date (mWdd/yM) <br />g• Rateh. Security Pledged <br />i ChWual Loam Am mut <br />j. ReaaabdW Loau BaWaee <br />,j <br />7 <br />oon <br />$ 4 000 L� <br />Ic k mll Name orL fnsEitation <br />L Lean Number <br />3. L,ender hformation ❑ Add <br />❑ Remove <br />a. FRO Name, Matting Address & Phont <br />b. lob rMelProriwoun <br />d. Comments <br />(indudt city, state, & 29p) <br />(2�_rkk or cou.k; <br />cr b I l 0—h a � o+t L � R €] <br />� LDS ter` r J <br />d4ey <br />e. Start date (mmlddlyyyy) <br />G EmpkryrYa NamelSpetifie Field <br />G�zfa� scar <br />.�� -3 v I <br />% r' <br />/Vj .l 1 ! CI` C , <br />r. End Date (mmj"iy y) <br />f`v�f3 <br />g. Rate h. Seem* Pledged <br />L CWWg 19 [.man Amomt <br />j. Reim2h ft Loam Balance <br />cya <br />h. Fop Name o[iamfing Fnsmutiom <br />L Laasi Number <br />3. lE.crider Information ❑ Add ❑ Remove <br />a_ Full Name, Mailing Address & Phone b. Sob ThidProksm-we d. Comments <br />(inrlmde city, state, & zip) <br />la Lr 11rYe.i�f't�r,' rtL7,'�} CrLGP2{' <br />� Start hate (mmlddlS'Y9Y) <br />639 OLD C 4AR _,o f i� G �U r,v c. Faeapda►yer's NamrJs ie FFstd <br />CprlCoYc�r �Cr aSOai / 0`'f0 �f/�Lo1c <br />'� L 4oc C End Date (mmldd► ") <br />g. Rate h. Seem6ty Pledged <br />i Original Loan Amount j. Remsiai Loan Balaree <br />% � 000 U� $ :.,z It oo <br />h. Full Name of Lendimg instibstieo L F.aam <br />Nmmbcr <br />4.766loRtthis Ps a �G <br />S. Total of ALL CRO-1430 Pages <br />llhb Aen&Wbe orrTire 2l 0fDdaWSkn&awyPaW C1eo_lreoJ <br />CRO -1430 NC State Board of Electi m F7ee.&.::, TO 7 <br />