Jones,Clayton_2025-Org-report-AmendmentNORTH CAROLINA
State board of Elections & Ethics Enforcement
Loan Proceeds Statement
This Statement is used to report detailed information about a new loan and is required to accompany the
Loan Proceeds Form in the report for which the loan is initially disclosed. If the loan is from an individual,
the lender's signature is required on this form.
This Statement is to be filed with the Election Board where the committee's reports are filed.
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Name of committee to receive loan: " Int,1rM) Por- bd ed jt' NG fnA)
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Person or committee to make loan: ('/�t,l�o�� Lee .To,)e s
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Date of loan to committee: O 7/27/ 2 o2' 5—
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Name of{lending institution and account number (source):
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Amount of loan: (ic)CJ, ()°
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Description (if in-kind loan):
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Names of all parties responsible for payment of loan (guarantors):
Sel 1'
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Period of loan:
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Rate of interest of loan: O
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Security pledged for loan: U
Z�e Q �c�Nes , acknowledge that all of the information
(P on lending money to committee)
provided is complete, true, and accurate. I further understand I may not forgive a loan
that h,;�sy n outstanding balance to any source.
of of
/i/i°/z,z 5 -
Date Signed
/� e �
of Treasurer Date Signed
CRO -6/00 Loan Proceeds Statement