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Contributions from Individuals <br />Amendment <br />Pg 2 or I 1 ❑ Yes IN No <br />Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used <br />1. Committee Full Name (and Fund if applicable) <br />2. ID Number <br />BAILEY FOR CABARRUS <br />CAB-R8iN22-C-001 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />b. Job TitlelProfessioa <br />d. Comments <br />(include city, state, &'rip) <br />NO JOB -I-1 I LL <br />JACK 13AILEY <br />c. Fin ployer's Name/Specific Hield <br />611 EAST DAMERON AVE <br />LIBERTY, NC 27298 <br />NOT EMPLOYED <br />e. Election Sum to Date <br />$ 200.00 <br />L Prior <br />g. Account Code <br />h. Form of payment <br />i. [n - [find Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />❑ <br />01 <br />Credit Card <br />01/13/2026 <br />$ 200.00 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />b. Job Ti. tlelPrefession <br />d. Comments <br />(ioelude eity, state, & xip) <br />NO JOB TITLE <br />SUSAN BARE <br />c. Fmpioyer's Nam elSpecific Field <br />PO BOX 1225 <br />KANNAPOLIS, NC 28082 <br />NOT EMPLOYED <br />e. Election Sum to Date <br />$ 200.00 <br />f. Prior <br />g. Account C.'ude <br />h. Form of Payment <br />i. [n-[find Description <br />j. Date (mmlddlyyyy) <br />k. Amount <br />❑ <br />01 <br />Credit Card <br />01/1 112026 <br />$ 200.00 <br />❑ <br />$ <br />13 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />b. Job TitlelProfession _.._... <br />d. Comments <br />........ <br />(in cl nde city, state, & zip) <br />HR SPECIALIST <br />SHERRIBRAGG <br />c. Employer's Name/Specific Field <br />....... ,...... ... ---........ _.. _ .. <br />815 AILEEN AVE <br />KANNAPOLIS, NC 28081 <br />DAYMARK RECOVERY <br />e. Election Sum to Date <br />SERVICES <br />$ 100.00 <br />f. Prior <br />g. Account Code <br />h. Farm or Payment <br />i. In -Kind Deseription <br />J. Date (mmlddlyyyy) <br />k. Amount <br />01/19/2026 <br />$ 100.00 <br />❑ <br />01 <br />Credit Card <br />❑ <br />$ <br />❑ <br />$ <br />4. Total only this Page <br />$ 500.00 <br />5. Total of ALL CRO-1210 Pages <br />(This fine must be on line 6 ofDetailed Summary Page CRO-1100) <br />$ 8,400.00 <br />CRO-1210 NC State hoard of Elect ions April 2007 <br />