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Amendment <br />Contributions from Individuals <br />Pg 4 of 14 ® Yes ❑ No <br />Use this fora: to resort individuAl contributions over S50 or contributions under S50 if form CRO 1205 is not used <br />......... Cwr�Eit�ae i�ittll NIrei Fib. .......................... <br />_..-,.._.._.,.-..-......-........M ...,.... .- <br />ID Nust6cr <br />COMMITTEE TO ELECT KRISTEI, SW AYZE <br />3. Contributor information ❑ :add ❑ Reraow <br />a. Full name, Xfai"r, Address & Phone <br />IL Job TitlaTmfesaion <br />....... ................................... ....... <br />d. Comments <br />...... ..........-.. ............................................. <br />{include city, state, & sip) <br />............._............................................ <br />RETIRED <br />CYNTHIA S FERTENBAUGH <br />c. Employer's N me+Specific Field <br />..-............................................................... <br />5620 VILLAGE DRIVE NW <br />CONCORD. NC 28027 <br />RETIRED <br />e. Election Sum to hate <br />- ------------- ..................... -............ .... <br />S 100.00 <br />£ Prior <br />g. Account Code <br />h. Form of Pa} -meat <br />........................... <br />L In -Bind Description <br />................ .. <br />j. Date (mmldd.�j-3-y) <br />...... ..... _...................-...------------------ ..........................m.. <br />lz Amount <br />.......... .-•--------------- <br />❑ <br />123456 <br />Check <br />02/12/2026 <br />S 100.00 <br />❑ <br />S <br />❑ <br />5 <br />3. Contributor Wormation ❑ Ud ❑ Remove <br />a. Furl -Name, Mailing Address A Phone <br />b. Job Tide.'Profeasion <br />W.......................................... ......... <br />d. Comments <br />....- ....... ........------------------- .................... <br />(include city, state. & zap) <br />- •--.........................................I..........................- <br />ATTORNI-Y <br />MICHAEL P FISCHE;R <br />c. Employer'aNamelSperiftc Field <br />• ---•-------------- ..--.-................................................... <br />6258 CHAMAR CIRCLE <br />KANNAPOLIS. NC 28081 <br />BRADLIEY. ARANT, BOULT. <br />e. Election Sum to Date <br />CUMMIMS. LLP <br />S 750.00 <br />i Prior <br />..--•........................................................... <br />g. Amount Cade <br />h. Form of Payment <br />... • -. -- •------•--- ..........................m_._- <br />i. In -triad Description <br />-.-...............................................-.. <br />j. Date (mmldd+yyyy) <br />--------- ----•--._.............. _ <br />Is Amount <br />......... ----•----- �-...-......_.................. <br />13 <br />123456 <br />Check <br />02/04/2026 <br />S 750.00 <br />❑ <br />S <br />❑ <br />S <br />3. Contributor Information ❑ -idd ❑ Remove <br />a. Full Nwne, hl JWe Address & Phone <br />b. Job TitlerProfession <br />W........... -----------------------........................... <br />d. Comments .. <br />................................................. <br />(include ciiy state, & rap) <br />... ...........— ------------------ ._..... _.... .................................. _.. <br />RETIRED <br />THOMAS GRADY <br />c. Emplayeez. NamerSpecifie Field <br />m.............................................................. <br />345 NORTHGATE BLV D <br />CONCORD, NC 28025 <br />RETIRED <br />e. Election Sum to Date <br />.........------------- <br />S 100.00 <br />L Prior <br />tY Account Code <br />h. Form of Payment <br />W......................... ...... ....__.----------------- <br />i. In -Kind Description <br />..... .�... m <br />j. Date (mmiddly m) <br />.._.............. -............. ................ <br />h. Amount <br />------------ _...... ......._._........ __.......... <br />13 <br />123456 <br />Check <br />01/28/2026 <br />S 100.00 <br />❑ <br />S <br />❑ <br />S <br />4. Total ouh- this Page _ 950.00 <br />5. Total of AU CRO-1210 Pages <br />5 12,334.45 <br />[T�s L N►i!S( q► DA Tina 6 D%liemr7ad $t�ataUarj' PRy�e G1tD-110U) <br />CRO-1 210 ::C State Board of tdectums Apra ZW : <br />