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Amendment <br />In -Kind Contributions Pg 1 of 1 ® Yes ❑ No <br />Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund - <br />Use CRC]-1215 if In -Kind Contributions were or wilI he refiinderl within 7 days <br />1. Committee Fitll Name and Fund if applicable) <br />12. ID Number <br />COMMITTEE TO ELECT MISHELL WILLIAMS <br />3. Contributor Information <br />❑ Add ❑ Remove <br />a. Full Name, lllaiiing Address & Phone <br />(include city, stale, & zip) <br />KIAN SADdADI <br />NC <br />b. Type of Contributor <br />C. Corn men ts <br />Indwiduai <br />❑ C'andidate <br />❑ Party <br />❑ 1' AC <br />❑ Referendum <br />[] Other Receipt Source <br />d. Election Sum to Date <br />$ 3,000.00 <br />e. Description <br />E Date (mmlddlyyyy) <br />g. Fair Market Amount <br />WEBSiTE BASED PROGRAM <br />11/18/2025 <br />$ <br />3,000.00 <br />$ <br />4. Total only this Page <br />3,000.00 <br />S. Total of ALL CRO-1510 Pages <br />(This litre must bean line 17 of Detailed Vummary Page CRt7-11 o0) <br />$ <br />3,000.00 <br />L NO- I S 10 NC Slate board of Liect3ons December 2UU7 <br />