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Amendment <br />Contributions from Individuals <br />Pg __L of <br />® Yes ❑ No <br />Use this form to report individual contributions over$50 or contributions underS50 if form CRO 1205 is not used <br />1. Committee Full Name and Fund if applicable <br />2. ID Number <br />COMMITTEE TO ELECT MISHELL WILLIAMS <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & zip) <br />b. Job Title/Profession <br />d. Comments <br />EXECUTIVE. DIRECTOR <br />KIAN SADJAD[ <br />NC <br />c. Employer's NamelSpecific Field <br />NC DEMOCRATIC PARTY <br />e. Election Sum to Date <br />$ 3,000.00 <br />C Prior <br />g. Account Code <br />h. Form of Payment <br />i. In-IGod Description <br />j. [We (mmlddlyyyy) <br />k. Amount <br />❑ <br />In -Kind <br />WEBSITE BASED <br />PROGRAM <br />I I : [ 8/2025 <br />S 3,000.00 <br />❑ <br />g <br />3. Contributor Information ❑ Add ❑ Remnve <br />a. Full Name, Mailing Address & Phone <br />(include city, state, & tip) <br />b. Job'litlelProfession <br />d. Comments <br />HOMEMAKER <br />MISHELL WILLIAMS <br />5209 BUTTERNUT DRIVE <br />CHARLOTTE, NC 282 1. 5 <br />c. Employer's NamelSpecific Field <br />NOT EMPLOYED <br />e. Election Sum to Date <br />$ 500.00 <br />f. Prior <br />g. Account Code <br />h. Form ofPay ment <br />i. In -kind Description <br />j. Datr [mmlddlv}yv) <br />08; 22; 2021; <br />k.:Imount <br />;00.00 <br />❑ <br />MW <br />Check — <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Fu[I Name, !Bailing Address & Phone <br />(include cift,slate, &tip) <br />b. Job TitlelProfessi on <br />d. Comments <br />NOT EMPLOYED <br />WENDY N1 WOOD <br />717 UNION STREET SOUTH <br />CONCORD, NC 28025 <br />e. Employer's Name/Specific Field <br />NOT EMPLOYED <br />e. Election Sum to Date <br />$ 75,00 <br />F. Prior <br />g. Account Code <br />h. Form of Payment <br />i. in -tend Description <br />,j. Date (mmlddlyyyy) <br />k. Amount <br />_ ...................... <br />❑ <br />MW <br />Credit Card <br />12/04/2025 <br />$ 75,00 <br />❑ <br />$ <br />4. Total only this Page <br />3,575.00 <br />5. Total of ALL CR.O-1210 Pages <br />{This line arrest he on litre d of Desired .5ummaq Page CRO-II44} <br />$ 3'%75.00 <br />CRO-1210 NC State Board of Elections April 2007 <br />