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Amendment <br />Disbursements P9 _ of _ ❑ Yes ❑ <br />Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political <br />committees and coordinated narty exneliditures. <br />1. Committee Full Name and Fund if applicable) 2. ID Dumber <br />COMMI I-I:I; 1'0 i:l,];C 11Zi:)131.1Z I KIRK <br />3. Type of Disbursement Please use separw C120---L ornis or each e o Disbursement <br />[Operating Expenses ❑ Contributions to CandidatesToiitical Committees ❑ Coordinated Party Expenditures <br />4. Payee Information D Add D Remove <br />a. Full Name, Mailing Address & Phone <br />include city, state & xf <br />b. Coordinated Committee lame <br />& Comments <br />ROBERT KIRK <br />1193 MANOR OAK PLACE NW <br />CONCORD, NC 28027 <br />c. Level Registered (Specify) <br />❑ Federal ❑ County: <br />State ❑ Municipality: <br />e. Election Sutra to Date <br />$ 100.00 <br />f. Account Code <br />g. Form of payment <br />h. Purpose Code <br />1. Date (mmJddiyy7y) <br />j. ,Amount <br />k. Required Remarks <br />01 <br />CHECK <br />O <br />12/24/2025 <br />$100.00 <br />REFUND OF <br />CONTRIBUTION <br />4. Paw Information El Add D Remove <br />a. Full Name, Mailing Address & Phone <br />include city, ante, & xi <br />b. Coordinated Committee Name <br />d. Cumenen6 <br />MICHAEL ANDERSON PHOTOGRAPHY <br />38 UNION ST S <br />CONCORD, NC 28025 <br />c. Level Registered (Specify) <br />❑ Federal ❑ County: <br />❑ State ❑ Municipality: <br />e. Election Sum to Date <br />$ 250.00 <br />f:.►ecount Code <br />g. Form of Payment <br />h. Purpose Code <br />1. Date (mmlddlyyyy) <br />j. Amount <br />k. Required Remarks <br />flI <br />CHECK <br />O <br />12/24/2025 <br />$250.DO <br />Consultant- <br />WDIA <br />4. Pavee Information ❑ Adel ❑ Remove <br />a. Full ;game, Mailing Address & Phone <br />include city, state, & zip) <br />b. Coordinated Committee lame <br />d. Continents <br />c. Level Registered (Specify) <br />❑ Federal ❑ County: <br />❑ Stalc Municipality: <br />e. Flection Slum to Date <br />E Account Code <br />g. Form of Payment <br />h• Purpose Code <br />i. Date (mmlddlyyyy) <br />j. Amount <br />k. Required Remarks <br />$ <br />Page $ <br />5. Total only this <br />6. Total of ALL CRO-1310 Pages <br />(This line goes in fuse 13a of Retailed Summary Page CRO-1100 f Operating Expenses) $ <br />(This fine goes in Line 13b of Detailed Summary Page CRO-1100 if Contrib to CandidatevFoLwcaf Comm) <br />(This line goes in fine 13c of Detailed Sunimarp Page CRO-1100 if Coordinated Parry Expenditures) <br />7. Purpose Codes(List detailed expenditure code in QQ above <br />A• - Media E" - Printing C" - Fundraising D - To Another Candidate <br />E _ Salaries F" - Equipment G - Political Party H" - Holding Public Office Expenses <br />I - Postage .l - Penalties K" - Office Expenses Q" - Donation to Legal Expense Fund <br />O" - Other <br />* Codes require detailed explanation in reuired remarks field ) <br />CRO-1310 MC State Board of Elections December 2009 <br />