EFTA Document EFTA01378403

Page I I Place of Birth: NC Voter Information Registration Date: 10/10/2008 Last Vote Date: 11/4/2008 Party Affiliation: REPUBLICAN Active Status: ACTIVE Status: VERIFIED 4: North Carolina Voter Registration Registrant Information Name: Residential Address: Home Phone: SSN: Date of Birth: Gender: Race: Place of Birth: Registration Date: Last Vote Date: Party Affiliation: Active Status: Status: 5: North Carolina Voter Registration Name: Residential Address: Home Phone: