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Amendment <br />Contributions from Individuals <br />Pr, 13 of 14 ®Ica ❑ -No <br />Lase this form to rev ort indmdual contributions over S 5 0 or contributions under S 5 0 if form CRO 1205 is not used <br />1. C_.a._i_u...d..ieFal.Nmeand Fund ifa <br />...- .................... <br />ID <br />COMM1TiEE TO ELECT KRISTEL SWAY,ZE <br />3. Camir> utor Information ❑,add ❑ Remove <br />a. FtLu .N qme, Mailing 'lddreas & Phone <br />b. Job TitlwPiofeasion <br />-•----------------------------------------.......... - .............. ................... <br />d. Comments <br />• ......................-...............m..-.. <br />(include city, state, & zip) <br />..................... .......................................... ---- ...... ..-- <br />RETIRED <br />TIMOTHY VAUGHN <br />c. EmployeezName�Sperific Field <br />............................ <br />1229 PENDLETON DRIVE <br />KANNAPOLIS, NC 28081 <br />RETIRED <br />e. Election Sum to Date <br />S 1,000,w <br />L Prior <br />.................... <br />g. Account Code <br />.................................................................................................. <br />It. Form of Payment <br />i. In -kind Description <br />....•--------------------------------.....-....................................-m <br />j. Bate (mmlddlfyyy) <br />...-..m -- - <br />k Amount <br />.......................... <br />❑ <br />1234�6 <br />Credit Card <br />01/24/2026 <br />S 1.000.00 <br />❑ <br />S <br />❑ <br />S <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name. N{aiiiae Address & Phone <br />b. Job TidwPmfesaion <br />... ................................_... W...................... <br />d. Comments <br />..................... - - - ....... ........-.-..--... <br />(include city, state. &- zip) <br />... ............................... <br />RETIRED <br />JAN WHITE <br />r. Employer's i�TameiSperifir Field <br />-- - - ........................�. <br />616 ROTHMOOR DRIVE NE <br />CONCORD,NC 29025 <br />RI BRED <br />e. Election Sum to Date <br />S 100.00 <br />L Prior <br />....--. <br />g. Account Cade <br />W...........................................................................•--•--•------------ <br />h. Form of Ps} -meat <br />i. in -Kind Description <br />.-.................... ........... .-.... <br />j. Date (mm d&"-FF) <br />......------------------------------------ .-..............-. <br />li Amount <br />...... --.----- _ ...., _._...................... <br />0 <br />123456 <br />Cheek <br />01 /21/2026 <br />$ lf]O.i10 <br />❑ <br />S <br />❑ <br />5 <br />3. Contnbutor Information ❑ add ❑ Remove <br />a. Fail Name, N4ailivag 'address & Phone <br />b. Jab Tide Profesaiou ............................................... <br />d. Comments ...................... <br />(include rity-, state, & zip) <br />W............._.................................................................. <br />HAIRSTYLIST <br />CARL DEAN WIKE JR <br />C. Etapwer'aNamaISpedfic Field <br />2579 OLD ASHWORTH LN NW <br />CONCORD, NC 28027 <br />SELF-EMPLOYED <br />e. Election Sum to Date <br />----...................................................... <br />S 200.00 <br />L Prior <br />.................................................................................-..........----------•------------- <br />g. Arcount Code <br />h. Form of Payment <br />i. In -kind Description <br />--.........................................-... <br />j. Date (tmealdil y-y y) <br />......_............_.......I..........-........_ <br />is. Amount <br />-•.-.-W............. _...................... <br />0 <br />123456 <br />Cheek <br />02/04/2026 <br />S 200.00 <br />❑ <br />S <br />❑ <br />S <br />4. Total oaf this Page s 1,300.00 <br />5. Total of :'11U CRO-1210 Pages 5 12,334.45 <br />(nit line ntLrr ba on hne 6 01 larded Sr+mtreen Pops CID-1100) <br />CRO-1210 NC State Board of tlecuty u Apra ZW <br />