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Outstanding Loans <br />Amendment <br />Pg -i of 3 - ❑ Yes to No <br />Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. <br />1_ CommittLeee Fail Name and Fund if a ble <br />Z. W Number <br />clexk-�, 0-� c4x4R j <br />3. Lender Information ❑ Add ❑ Remove <br />a. Fall Name, Mailing Address & Phone <br />(indede city, state, & zip) <br />b. Job TifloTmfenion <br />d. Comments <br />Ct ev-K o <br />cabo,.rTV-S cbWtl <br />�� L�r. e, N i�m t ❑ l- <br />c'p ncx rck, (3c a3oa S <br />e. Start Date (madddlyyyy) <br />t Employds lliamelSpeaField <br />eld <br />] 1 t 13 / aivc I <br />N C ROC, <br />E End Date (mmlddlyyyy) <br />HA <br />g. Rate <br />h. Security Pled <br />i. Drigiaal Loan Amount <br />j. Remaining Loan Balance <br />D % <br />NLk <br />ocw <br />V00. <br />k. Fall Name Lending insfita ion <br />L Lean Number <br />rof <br />=VLn <br />3. Lender 1afermation ❑ Add ❑ Remove <br />a. FA Namc, Miffing Address & Phone <br />(iaeEadt city, state, & zip) <br />b. Job 7-akIrmfcss on <br />d. Comments <br />C_` 31�w� cm,"'tt <br />W 11.-i4,n W A-KRPN ' Ti:-.r Res <br />n1o•r.,� t,� � : d�a Q� <br />� P��� Lam ��' Rom• � a �-�. <br />i.A>V)C� 1 't� <br />G Start Daft (mmlddryM) <br />c. Employees NamelSpcdfK Fwld <br />Ne- <br />iTU <br />1kC hoe- <br />i. End Date (mmlddlyyyy) <br />9 <br />g hate <br />h. Security Pledged <br />L Original Loan Amount <br />j. Remaining i mn Balance <br />% <br />. N/A --- ----E! <br />G �� u-fl <br />S fJO <br />k. bull Nxmcc of txudiag Insfisn"n <br />L Loan Nu aber <br />A <br />NIA <br />3. Lender Information ❑ Add ❑ Remove <br />a. Full Name, Ms7iag Address & Phone <br />(include city, st`Betoastair,& zip) <br />b. Job' ld e/Pmfesdon <br />d. Comments <br />0-Lz-, Ro V tLf�y�' <br />V-, (IiL vN i <br />W <br />W l Lts t` 9,- -BA-&G 5 <br />s c.,a fd <br />�+ <br />�3of1 Penn i..ci_j-)& Rn^ BUT <br />h, C <br />� start Date [a►mlddtyyrr) <br />c. Employer's NametSpeeific Field <br />f. End Date (mmlddly373') <br />g. Rate <br />h. Security Pledged <br />i. Original Loan Amount <br />j. Remaining Loan Balance <br />pia <br />LA <br />r a0a �� <br />$ <br />k. Full Name of Unding Insdtatioe <br />L Loaa Number <br />t <br />4. Total onij this pap $ 1� c cs❑ " <br />S. Total of ALL CRO-1430 Pages cc <br />CrM fine must be on fine 21 ofDotoW SU mtary Page C9¢I106) _ 4, o oo <br />CRO 1430 NC Slate Board of Elections December 20V <br />