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Amendment <br />Contributions from Individuals <br />Pg 4 of II ❑ Yes ® No <br />Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used <br />1. Committee Full Name (and Fund if applicable) <br />BAILEY FOR CABARRUS <br />x. U) Number <br />CAB-RMN22-C-001 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city,state, & zip) <br />BENITA CONRAD <br />5503 PEACHGROVE CT <br />HARRISBURG, NC 28075 <br />b. Job TitlefFrofession <br />_..... <br />ACCOUNTANT <br />d. Comments <br />. .. ....... . .. ... <br />c. Fmployer's NamelSpecifie field <br />CABARRUS COUNTY <br />SHERIFF'S OFFICE <br />e. Election Sum to Date <br />$ 100.00 <br />1'. Prior <br />❑ <br />g. Account Code <br />01 <br />h. Form of Payment <br />Check <br />i. In -Kind Description <br />j. Date (mmlddlyyyy) <br />02/05/2026 <br />k. Amount <br />$ 100.00 <br />❑ <br />$ <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Dame, Mailing Address & Phone <br />(include city, state, & zip) <br />JASON CROSSMON <br />20314 QUEENSDALE DR <br />CORNELIUS, NC 28031 <br />b. Job Tite/Profession <br />r1;•i'1 <br />SERGEANT <br />it. Comments <br />c. Employer's NamelSpeciric Eield <br />CABARRUS COUNTY <br />e. Election Sum to Date <br />$ 500.00 <br />I. Prior <br />❑ <br />g. Account Code <br />p i <br />It. Form of Payment <br />Credit Card <br />i. In -Kind Description <br />j. Date (mmlddlyyyy) <br />01/19/2026 <br />k. Amount <br />$ 500.00 <br />❑ <br />$ <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & xip) <br />KEVIN CRUTCHFIELD <br />9817 MT PLEASANT RD <br />MIDLAND, NC 28107 <br />b. Job 7itle/Profession <br />d. Comments <br />OWNER <br />e. Employer's NamelSpecifie Field <br />CASCO SIGNS <br />e. Election Sum to Date <br />$ 250.00 <br />I. Prior <br />g. Account Code <br />h. Form of Payment <br />Check <br />i. In -Kind Description <br />j. Date (mmlddlyyyy) <br />02/05/2026 <br />k. Amount <br />0 <br />01 <br />$ 250.00 <br />❑ <br />$ <br />❑ <br />$ <br />4. Total only this Page <br />$ 850.00 <br />5. Total of ALL CRO-1210 Pages <br />(This line must he on line 6 of Derailed Summary Page CRQ-11 tlp) <br />$ 8,400.00 <br />CRO-1210 n.[_. Siate Fluard of Elee[ ions Aprd 2007 <br />