Laserfiche WebLink
Amendment <br />Contributions from Individuals PE � Qf 1 ❑ ves IS No <br />Use this fonn to report indi%iduea conttibutioris over 550 or contributions under 550 if form CRO 1205 is not used <br />1. Committee Full Name (and Fund if a ra let•• ..................................... <br />2. M Number <br />COMMITTEE TO ELECT ROBF RT KIRK <br />.Cmttributar Information ❑ _add ❑ Rem ust:e <br />a. Fulldame, Ifailing Address & Phone <br />h. Job Tltle:Pmfessian <br />d. Comments <br />(include city, state, & zip) <br />... ....................................................»..................»,....-.....,.„............................................................. <br />........................................ <br />NO JOB TITLE <br />............ <br />CAROL HOVEY <br />c, EKoployer'sName-5pecificField <br />....... ..................................................................................... <br />464 WINFIELD BLVD SE <br />CONCORD, NC 28025 <br />NOT EMPLOYED <br />e. Fleeticm Sam to Date <br />_.............................................................. <br />5 5135 <br />E Priaaw <br />g. Atcwmt Code <br />h. Form of payment <br />L In-liind Deseription <br />--- <br />}. Date (mm.'ddryy y y) <br />h. Amou nt <br />....................oi................................... <br />...... ............................ . <br />Credit Casd <br />................ ..................... _...... ........_._ ----------- <br />02l20i2026 <br />5 51.75 <br />❑ <br />5 <br />3. Cantrilnmr Iaforvmatit ❑ Add ❑ Remove <br />a. Full Name.11ailiagAddress & Phone <br />b. Job Title.Pmfession <br />...................................................................................................................................................... <br />d. Comments <br />(include city-, state. & sale] <br />................................................................................................................... _........................................... <br />SENIOR PASTOR <br />ALEX KIRK <br />c. ...... Emplarer'stiame�5pecifie Field <br />. <br />177 TIMBER CREEK PATH <br />CHAPEL HILL, NC 27517 <br />CHATHAM COMMUNITY <br />e, Election 5u= to hate <br />.................................................................... <br />CHURCH <br />5 257.54 <br />£ Prior <br />»--------- <br />Z. Account Code <br />--------------------- - _ <br />h. Form of Payment <br />.........._......-...--.-............. _ ......- <br />i. Ia--Kind Description <br />-................................................. <br />j. Date (mm dd.-M- •) <br />Is: Amount <br />❑ <br />D1 <br />Credit Card <br />02/22/2025 <br />$ 257.54 <br />❑ <br />5 <br />❑ <br />5 <br />3. Contt-ibutor In(01w:1rian ❑ Add ❑ Remave <br />a. Full Nam _Bailing Address & Phone <br />b. Job Title.Profession <br />d.. Comments <br />(include city, state. & xip) <br />........... ....................... .................... .................................................. ............................ .............. <br />---------•."......»........................•..................................................................._.................. <br />NO JOB TITLE <br />SUSAN SMITH <br />e. Fmplarer'sName-�5peri'fic Field <br />................................................................................ <br />5566 Village Dr NW <br />. <br />Concord, NC 28027 <br />NOT EMPLOYED <br />e. I':lection Sum to Dare <br />...........................1......... <br />100.00 <br />£ Prior <br />•---••---•--------- <br />g. Acronat Code <br />-------•--............-................_... <br />h. Form of Payment <br />........... ...—...................................... <br />i la -Bind Description <br />............. ........................... .......................................................................:...... <br />j. Date (mm. ddcvyyy) <br />lc Amount <br />.�............... _.........--------- .. <br />❑ <br />pl <br />Check <br />0630l2026 <br />5 100.fl0 <br />❑ <br />5 <br />4. Total oath- this Page C 409.29 <br />5. Total of :ALL CRO-1210 Pages <br />5 409.29 <br />1I7us Ime urw be on hue 6 of Ilrrcded 3„liinsars Pcge CRO-II00i <br />CRO-1 210 NC state Beard c: EIact0=i� April 20C <br />