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Amendment <br />Contributions from Individuals <br />PR 1 of <br />® Yes ❑ Na <br />Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used <br />1. Committee Full Name (and Fund if applicable) 2. 1D Number <br />I <br />COMMITTEE TO ELECT ROBERT KIRK <br />3. Contributor In€ormation ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Join 77rWProfesaion <br />d. Comments <br />OWNER <br />TRENTPROPST <br />829 DAVIDSON DRIVE NW <br />CONCORD, NC 28025 <br />c. Employer's Name/Specific Field <br />PROPST BROTHERS <br />COMMERCIAL FUEL <br />_ <br />e. Election Sum to Date <br />$ 1,000,00 <br />f. Prior <br />g. Account Code <br />h. Form of Payment <br />i. In -Kind Description <br />j. Bate (mm/ddlyyyy) <br />k. Amount <br />01 <br />CHECK <br />12l18/2025 <br />S 1,000.00 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Job TitlelProlession <br />d. Comments <br />NO JOB TITLE <br />ROBERT KIRK <br />1193 MANOR OAK PLACE NW <br />CONCORD, NC 28027 <br />c. Employer's NaarelSpeciftc Field <br />NOT EMPLOYED <br />e. Election Sum to Date <br />$ 299.00 <br />f Prior <br />g. Account Cade <br />h. Form of I'ayment <br />i. 1n-Kind Description <br />J. Date (mmlddlvyyy) <br />k. Amount <br />® <br />01 <br />CHECK <br />12/24/2025 <br />S I00.00 <br />3. Contributor <br />Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state. & zip) <br />b. Job 7'itic/Profession <br />d. Comments <br />c. Employer's Name/Specific Field <br />e. Election Sum to Date <br />f. Prior <br />g..Account Cudc <br />h. Form of Payment <br />i. lu-=d Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />❑ <br />$ <br />4. Total only this Page $ 1,100.00 <br />5. Total of ALL C RO-121 Q Pages <br />$ I,i00.U0 <br />(This line must he on fine 6 of Detailed Summary Page CRO-1100) <br />CRO-1210 NC Stwl Board or Elections April 2007 <br />