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Amendment <br />Contributions from Indh iduals <br />Pg 5 of <br />❑ Tes [9 so <br />Use this farm to report individual contributions over 550 or contributions under S50 if form CRO 1205 is not used <br />L Committee ku11 ?time (aFud � u�d if aP�pli�sblr)........................................................................................................ <br />.............................................................. <br />�. iD Number <br />COMMITTEE TO ELECI' KRIS i-EL SWAYLE <br />3. Contributor information ❑ Add ❑ Remove <br />a. Full Name. -Mail ng Address & Phone <br />b. Job Title.'Profession <br />d. Comments <br />(inrlude city-, atste, & zip) <br />_._------------------------------------------------------------------------------------------------ <br />............................................................................... . <br />SELF-EMPLOYED <br />KRISTEL SWAYZE <br />c. Employer's Name -Specific Field <br />........:......_...............................I--.......................... <br />PO BOX 21 <br />CONCORD, NC 28026 <br />KS IMAGE SOLUTIONS <br />e. Election Sum to Date <br />S 1,576A ] <br />f. Prior <br />• <br />& Account Code <br />h. Form of Pa} -meat <br />•.. • ..........- ....... <br />9. In -Kind Description <br />j. Date (mm4&!y)yy) <br />k. Amount <br />El1' <br />1-3456 <br />In -Kind <br />PENS <br />03/19/2026 <br />5 343.23 <br />❑ <br />123456 <br />In -Kind <br />RACK CARDS <br />O4/13/2026 <br />$ 331.70 <br />LE] <br />123456 <br />In -Kind <br />LIP BALM <br />06/30/2026 <br />S 901.48 <br />3. Contrnbutor Information ❑ add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />b. Job Title.•Pmfession <br />•—•------------------ —--- --------- -------------.............---...-- -- ----I— <br />d. Comments <br />•...................................................... <br />(include city, state. & rip) <br />-............................................................................................................................................................. <br />REALTOR <br />DAKEITA VANDERBURG-JOHNSON <br />c. Employ-er'sNameiSperific Field <br />.. .................................................................................. <br />PO BOX 188 <br />CONCORD, NC 28026 <br />ALLEN TATE <br />e. Election Sum to Date <br />..... W................................................ <br />S 130.8 i <br />f. Prior <br />.................._............._..................... <br />g. Account Code <br />h. Farm ofPsymeat <br />..................................................... <br />i. In -Kind Description <br />j. Date (mm/ddlyM) <br />k. Amount <br />❑ <br />123456 <br />Credit Card <br />02/15/2026 <br />$ 100.00 <br />❑ <br />123456 <br />In -Kind <br />MEET & GREET <br />02/23/2026 <br />$ 30.81 <br />CATERING <br />❑ <br />5 <br />4. Total onh- this Page $ 1,707,22 <br />5. Total of ALL CRO-1210 Pages <br />(rk" Pine mutt be on >nee 6 of Dtmiled Suwvwi Pcfe CRt7-I I00! $ 3,801.71 <br />CRO-I2I 0 NC Stitt Soard n: Electinn, Aprd -Do-. <br />