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Contributions from Individuals <br />Amendment <br />Pg 6 of 11 ❑ Yes ® No <br />Use this form to report individual contributions over$50 or contributions under$50 if form CRO 1205 is not used <br />1. Committee FuII Name (and Fund if applicable) <br />BAILEY FOR CABARRUS <br />2. Ill Number <br />CAB-R8 I N22-C-00 1 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />JASON GILMORE <br />965 MOUNT PLEASANT RD W <br />MOUNT PLEASANT, NC 28124 <br />b. Job TitlelProfession <br />LAW ENFORCEMENT <br />d. [_ommen ts <br />............. ... ... .... .................... -... - - <br />c. Employer's NamelSpeciGc Feld <br />CABARRUS COUNTY <br />e. Election Sum to Date <br />$ 100.00 <br />f. Prior <br />❑ <br />g. Account Code <br />01 <br />It. Form of Payment <br />CrcditCard <br />i. In -Kind Description <br />j. Date (mmlddlyyyy) <br />01/12/2026 <br />k. Amount <br />$ 100.00 <br />❑ <br />S <br />❑ <br />5 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & xip) <br />BRIAN HEINTZ <br />4650 NC HWY 73 <br />CONCORD, NC 28025 <br />b. Job TiIle lProfession <br />PUBLIC SAFETY <br />d. Comments <br />c. Employer's Name/Specific Field <br />ROWANICABARRUS CMTY <br />COLLEGE <br />e. Election Sum to Date <br />$ 100.00 <br />f. Prior <br />❑ <br />g..Account Code <br />01 <br />h. Form of Payment <br />Credit Card <br />i. In -Kind Description <br />j. Date (mmlddlyyyy) <br />01/ 10/2026 <br />k. Amount <br />$ 100.00 <br />❑ <br />5 <br />❑ <br />5 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, ;Mailing Address & Phone <br />(include city, state, & zip) <br />_..... .... _.—...... <br />❑IANE HONEYCUTT <br />353 THRIVEMORE CIRNW <br />CONCORD, NC 28027 <br />b. Job TitlelProfession <br />d. Comments <br />REAL ESTATE <br />c. Fmployer's Namc/Specific Field <br />DIANE HONEYCUTT <br />e. Election Sum to Date <br />$ 250.00 <br />C I'rior <br />❑ <br />g. Account Code <br />01 . <br />h. Form of Payment <br />Cheek <br />i. In -Kind Description <br />_. <br />j. Date (mmlddlyyyy) <br />01/29/2026 <br />k. Amount <br />$ 250.40 <br />❑ <br />$ <br />4. Total only this Page <br />g 450.00 <br />5. Total of ALL CRO-1210 Pages <br />(This line must be online 6 ofDetuiled .Summery Page CRt7-II pp) <br />8,400.00 <br />C RO-I2I0 NC Stale 8oardof Elections April 2007 <br />