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Conhibutions from Individuals <br />Amendment <br />pg 6 of 14 MY. ❑ --wa <br />Use ttis form to revort individual contributions over S50 or contributions under Sao if form CRO 1205 is not used <br />L C�Fa Name F i t.............................. _.ID Neer <br />M..._...................................................-----------------•-------•---• •----------- -- -------------...'......_.......................................................... <br />COMMITTEE TO ELECT KRISTEL SWAYZE <br />3. Conn ibutor Information ] Add ❑ Remove <br />a. Fall.Name,1iailiag Address & Phone <br />b. Job Tide Pmfessinn <br />.............................................................. <br />d. Comments <br />•.... <br />(include city, state. A rap) ........ <br />.................................................._............ ..................... -•--- .................. <br />VICE PRESIDENT <br />GARRETT 1ENIO <br />c. Employ er's Name6periHc Field <br />..............._......._—...—._.-_..----------... �w.W.__.......... <br />401 CHANNING CIRCLE <br />CONCORD. NC 28027 <br />GRIFFIN STAFFORD <br />e. F1ertion Sum to Date <br />HOSPITALITY <br />5 100.00 <br />f Prior <br />--------------- <br />t Account Code <br />----------_..__.......W......_......................-------..._................._....... <br />h. Form of Payment <br />i. In-Izimd Description <br />................................. .........................................................................I......... <br />j. Date (mmld&y)Ty) -- <br />ls. Amount <br />❑ <br />123456 <br />Credit Card <br />02/05/2026 <br />S I00.0() <br />❑ <br />5 <br />❑ <br />5 <br />3. Cakar Ia�rmauott ❑ add ❑ Remove <br />a. Full Name, Iliailing Addresa Phone <br />b. Job Tide.Profession <br />I...........-..........m........_......m................... .. <br />d. Comments <br />....-----......._..................................... <br />(include city, state, dE zip) <br />m..m...m................._ ..... ...m...... ................................ — <br />Rl: ITRED <br />CHERYL KELLING <br />c.Emplo►er'atiame;SpeciS.cField <br />_.............: .......................................... .................................. <br />512 WINFIELD BLVD SE <br />CONCORD, NC 28025 <br />RETIRED <br />e. Election Shur to Date <br />................................................................... <br />S 100.00 <br />f. Prior <br />g. Account Code <br />h. Form of Payment <br />i In -Kind Description <br />j. Date (mmidd�}y) <br />k. Amount <br />.......................................................... <br />---------------- <br />© <br />---------------------------------------------------------------- <br />123456 <br />-----------........------------....-------.........W...................................................................................�...........----•--------------- <br />Check <br />02/02/2026 <br />5 100.00 <br />❑ <br />S <br />❑ <br />S <br />3. Contributor Informarkm ❑ AM ❑ Rrmove <br />a. Fall.Name, Slaiiing Address & Phone <br />b. Job Tide(PYofession <br />d Comments <br />........................................_.. <br />(include city-, atate,& zip) <br />....................................................__..............._._.................................................. <br />-..........................................................• <br />RETIRED <br />- - - <br />MARI E KLUTTZ <br />c. Employer`sNamelSperifie Field <br />...................... .................................................... <br />93 CUMBERLAND CT SW <br />CONCORD, NC 28025 <br />RETIRED <br />e. Election Sttm to Date <br />.................................................................... <br />5 75.00 <br />f. Prior <br />1-- ............. <br />C, Account Code <br />.............. ............... <br />b. Form of Payment <br />.............. ...................-............... ................................................... <br />i. In -Bind Description <br />-..............---....__- <br />j� Date (numldd,"-yy] <br />---- ---- •-----------------........................................................_............ <br />k. Amount <br />❑ <br />123456 <br />Credit Card <br />02/02/2026 <br />75.00 <br />❑ <br />S <br />❑ <br />S <br />d. Total only this Page <br />g 275.00 <br />5. Total of ALL CRO-1210 Pages <br />(]Iris Finr xsurr 3r vx Fins 6 ajllsrarTad Swtreararti Pair CI:D-IIO�) <br />j 12,334.45 <br />CRO-1210 `:C Slue Board oz Electiva3 April 2007 <br />