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Awe 11 dw al11 <br />Contributions from Individuals Pg 9 of 4 j ❑ Yes ® No <br />Use this form to report individual contributions over $50 or contributions under$50 if form CRO 1205 is not used <br />7CO��Tl,�TEE TO ELECT DAN REDDING <br />lnfUrmxtianAdd ❑ Remove <br />lailing Address S Phone <br />(include city, state.& zip) <br />b. Job'Iitle/Profession <br />d. C'omments <br />NOT EMPLOYED <br />DEBORAH VARVA <br />NC <br />(972) 415-8811 <br />e. Employer's Name/Specific Field <br />NOT EMPLOYED <br />C. Election Sum to ❑ate <br />S 500.00 <br />f. Prior <br />g. Account Code <br />h. Form orPsyment <br />i. In -Bind Description <br />j. Date (mmiddlyyyy) <br />k. Amount <br />❑ <br />A <br />Debit Card <br />06/11/2025 <br />$ 500.00 <br />❑ <br />S <br />❑ <br />$ <br />. Contributor Information <br />b. Job 71delProfesslon d. C'omments <br />a. I-ull Namc. titailing Address & Phane <br />(include cite, state, & xi1)) <br />NOT EMPLOYED <br />DORSEY WARD <br />572 DOGWOOD COURT <br />CONCORD, NC 28025 <br />c. Employer's NamelSpecific Field <br />NOT EMPLOYED <br />e. Election Sum to bate <br />S 500.00 <br />f. Prior <br />R. Account Code <br />h. Form of Payment <br />i.In-hind Description <br />j, bate (mmlddlyyyy) <br />k. Amount <br />❑ <br />A <br />Debit Card <br />06/18/2026 <br />500,00 <br />❑ <br />s <br />❑ <br />s <br />4. Total only this Page S 1,000.00 <br />5. Total of ALL CRO-1210 Pages S 4,1 13.78 <br />M .:.,. <br />is bye online 6 nfDeruiled Suinmury Fugse ` i!0 <br />CRO-1210 NC State Board of Elections April 2007 <br />