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Amendment <br />C'ontAbulions from Individuals <br />gg 9 of E4 <br />❑ Yea ❑ do <br />I.'se this form to report indaidual contributions over S50 or contributions under S50 if form CRO 1205 is not used <br />1. Ca=s we Full Name ( Fed Mp&otf) ......................................................................................... <br />iD Nu .ber..... ........ <br />COMMIT"]F.E 1'O ELECT KRISTEL S1WAYCE <br />3. Contributor information ❑ add ❑ Remove <br />a. Full Name. Mailing Address & Phone <br />b. Job TideAI'mfe%sion <br />d. Comments <br />(include state & <br />* �) .....................__......._....-_-- <br />.............................................. <br />RETIRED <br />................................................. ............. ...... <br />SCOTT PADGE'I"1- <br />c. Employer's ~Name Specific Field <br />.......................................................................................... <br />639 UNION STREET <br />CONCORD, PVC 28025 <br />RETIRED <br />e. Election Sum to Date <br />............................................. _ ......... <br />s 500.00 <br />E Prior <br />g Account Code <br />................................................ <br />h. Form of Payment <br />i. In -Bind Description <br />.................................................. .... <br />j. Date (m.middljjT) <br />k Amount <br />❑ <br />123456 <br />t'h�rk <br />01 m2rz026 <br />S 500.00 <br />❑ <br />S <br />is <br />3. Conwibwor Information ❑ Add ❑ Remove <br />a. Fun tiame,1iailing Address & Phone <br />b. Job Tide -Profession <br />& Commente <br />(include city, %tote, & zip) <br />.......................................................................................................... <br />............................ <br />RETIRED <br />...................._.-..._...----------------...-..--- ----- <br />SCOTT PADGE ]-I' <br />r. Employer'a NameJSpecifie Field <br />.....•-----------------------------------•-----•----•-•--•---......---------------- <br />693 UNION STREET S <br />CONCORD, NC 28025 <br />RETIRED <br />e, Election Sum to Date <br />S 500.00 <br />L Prior <br />............... <br />g. Account Code <br />............. _..... .......................... <br />h. Farm of Payment <br />........... -- — <br />L In -Kind Description <br />j. Date (mm ddiy-.yy) <br />k. Amount <br />❑ <br />I23456 <br />•• <br />Check <br />01/28/2026 <br />5 5000) <br />❑ <br />S <br />3. Contributor Information ❑ Add ❑ Remove <br />a. full tiame, Bailing Address & Phone <br />b. Job TitlePmftssion <br />d. Comments <br />(inelude city, state, & zip) <br />_.... .--- _............................._ _........ _.--------- <br />.........................I......................._..... _.......w--- <br />RETIRED <br />__--------------------------------------------------------- <br />LESLIE E. PLATT <br />c. Employer'sNamerSperifie Field <br />m................_.........-..........._............................. <br />3030 COPELAND ROAD <br />CONCORD, NC 28025 <br />RETIRED <br />e. Election Sum to Date <br />5 100.00 <br />f. Prior <br />& Account Code <br />.......................................... <br />h. Form of Payment <br />..... ......_.........-.-._..- <br />i In -kind Description <br />j. Date (mm:ddfy)yy) <br />k mount <br />❑ <br />123456 <br />Check <br />01/02/2026 <br />s 100.00 <br />❑ <br />S <br />❑ <br />s <br />4. TotaI 08h this Paige <br />S 1, l n0.00 <br />5. Total of T I CRO-1210 Pages <br />{Tltit line r.�ntrl'�run liar 6 oJDrrriird St17rfH1�71 Pr pa C7t:)-114a1 <br />5 12,334.45 <br />CRO I:I 0 tiC Stats Board of Electiow April ,',lip'• <br />