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Contributions from Individuals <br />Amendment <br />Pg 2 of 5 ❑ Tea Im No <br />Use this form to report in&iclual contributions over S50 or contrihutions under S50 if form CRa 1205 is not used <br />1. Camemittee Eau Nsmelad > if a p ae� <br />.._...........•-• •-•-• •-•-• •-•-• .............. ....................._..........................................-..-- <br />�------ er <br />COMMITTEE TO ELECT KRIS'TEL SWAYZE <br />3. Contributor Information ❑ kdd ❑ Remove <br />a. Full Name, Uailinr Address & Phone <br />b. Job Title.Trofeszion <br />---- ---- <br />d. Comments <br />............................................ ... <br />(include city, state, & sip) <br />.....-•----- --------------------------- -- - ......... .........................._ ...__..._.-...-.................— <br />RETIRED <br />ALICE DAVIS <br />c. Employer'sNameiSpeciitcField <br />- - -- - .-... -..... .......... <br />446 WINFIELD BLVD SE <br />CONCORD, NC 28025 <br />RI -I l-IRED <br />e. Election SUM to Date <br />5 250.00 <br />f. Prior <br />-......................................................................... <br />g. Account Code <br />h. Form of Payment W <br />i In -Bind Description <br />...._.......................................... ............... .----------- <br />j. Date (mm dd.,"Ty) <br />-------------------- - --- ..---............---............................---------- <br />k Amount_ <br />❑ <br />123456 <br />Credit Card <br />02/15/2026 <br />S 2%00 <br />❑ <br />S <br />❑ <br />S <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />B. Job Tit a?mfession <br />... .........m...-.-.-..---------- _.-........ <br />d. Comments. ......... <br />........ ............... _—.--...._.................... <br />(include city, .state, & zip) <br />--------------- ----------------- --.....W. .....W_......... ............................. - ... -... <br />RETIRED <br />DIANE 110NEYCUTT <br />c. Emplayer'sNaffielSperifirField <br />........................................... --------- ---- <br />353 THRIVEMORE CIRCLE NW <br />CONCORD, NC 28027 <br />RETIRED <br />e. Election Sam to Date <br />S 280.81 <br />L Prior <br />- <br />6 ?Amount Code <br />............................................................................ <br />h. Form of Payment <br />• <br />i In -Bind Description <br />.........................................---- ------ <br />j. Date (mm)dd?"ly) <br />------------•-------._----- W....W.......................... <br />k Amount <br />..--------- -------- <br />❑ <br />123456 <br />In -Kind <br />ME LT & GREET <br />02/23/2026 <br />S 30.81 <br />CATERING <br />❑ <br />S <br />❑ <br />S <br />Caeglribefsr Wormation ❑ Add ❑ Remove <br />a. Full Name, ]Sailing Address & Phone <br />b. Job Title.Fmfessfou <br />...... • • •.........__................................................... <br />d. Comments <br />(include city, state, & zip) <br />_..._..__...._._........................ _--....rv.W <br />RETIRED <br />HO WARD HURLOCKER <br />c. Employer'aName."Sperifc Field <br />................w."I'll <br />6617 MT. OLIVE ROAD <br />CONCORD, NC 28025 <br />RETIRED <br />e. Election Sum to Date <br />(704) 791-3244 <br />S 100.00 <br />E Prior <br />.............._...................................-- <br />g. Arcount Code <br />h. Form of Payment <br />i. In -Kind Description <br />.................. ............._......--..-_----------- <br />i Date (umilddl})7y) <br />--....._........................... .__....--- <br />k Amount <br />-------- -----.-W._......._.......................... <br />❑ <br />123456 <br />Credit Card <br />02/18/2026 <br />S 100.00 <br />❑ <br />S <br />❑ <br />S <br />4. Total onh this Page <br />S 380.81 <br />5. Total of All CRO-121O Pages <br />(Kris Ihu aemt irr on iiRr tf pf Drmr7rd Strirurran• Pater CItOE-I100j <br />S 3,801.71 <br />CRO-1210 NC State Board c: E= _ !izn: Ipnl lVU <br />