Becker,Rick_2025-35-DayAmendment
Disclosure Report Cover I ❑ Yea ® No
Use this form for general report and committee information, must he signed and submitted along with other detailed forms.
Do not use this form to update information
1. Committee Information
a. Full Name
c. 11) Number
Committee to Elect Rick Becker
FJM29B
b. Mating Address (include City, State and Zip Code)
d. Date Filed
6603 Sadler Rd
_ _
10/01/2025
Waxhaw, NC 28173
e. Phone Number
(704) 843-5870
Z. Report Year 3. Period Start Date (mmlddlyy)
4. Period End Date
5. Treasurer Full Name
----
{mm/dd'vv
Frederick Bucks
III
302i 07,01 2025
o9 I3 '_t)_15
6. Type of Committee Check fine)
9. Type
of Re rt c/leek only one gype of report rout one cute or
® Candidate Campaign ❑ Party
Municipal
Slate/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ Joint Fundraiser
❑ Expenditure
®
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Leg Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. Type of Fund (if applicable, check one)
❑ 'Booster Fund"
❑ Building Fund
❑
Pre -runoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
p Special
❑
Mid Year
Semi-annual
❑ Other:
❑
Year End
❑ Mid Year
10. Special Report Name
❑
❑
Final
Special
❑ Year End
❑ Final
❑ Special
8. Number of Fundraisers this °Report
rl
11. Account -Information
11. Aeoulat Information
a. Financial Institution Full Name
a. Financial Institution Full Name
First National Bank
b. Purpose
c Account Code
b. Purpos COUNTY
a Account Code
General
APJ ,E
Campaign
1
T
OCT 1 2025
Account
d. Period Begin Balance
d. Period Begin Balance
$ 241.46
_
$
RECEIVED
CERTIFICATION
I certify that the Committee or Fund is in compliance with
all applicable provisions of Article 22A, 22B, & 22D -22M of Chapter 163 of
the NC General Statutes and that no funds are commingled with prohibited or other non -disclosed funds. I further certify that this report is
complete, true and correct and that I have been trained by the NC S_tgle�3oard o E�lef�tons.
Frederick Becker IQ
-- `9 .
10/01/2025
Printed Name of Signer
Signature of Appointed Treasurer
Date
Ft OR OFFICE USE ONLY
Date Received:
Employee:
Delivery Method
❑ Normal Mail
Date Postmarked:
Employee:
Registered MailHand
Delivered
Date Scanned:
Employee:
Electronically Filed
❑ Signer has not received
mandatory training
Date Data Entered:
Employee:
Please Note: This form cannot be used to amend committee information such as the committee address, treasurer, assistant treasurer,
custodian of books information, or account information.
You must amend the Statement of Organization CRO -2100A -E to make committee changes.
CRO -1000 NC State Board of Elections August 2008
Amendment
Detailed Summary ❑ Yes ® No
l ise this form to summarize all disrlo�wc renoriine lormc unci to anal monetary information.
1. Committee Full Name ` d Fund if applicable)
7- T
e of Report
3. ID Number
Committee to Elect Rick Becker
+ —
r 35- C'A lj
FJM29B
Start of Election Cycle: January 1, 2024
Total this
Reporting Period
Total this
Election Cycle
4)
Cash on I land at Start
$
241.46
$
350.46
5)
6)
7)
8)
9)
10)
11)
Aggregated Contributions from Individuals
Contributions from Individuals
Contributions from Political Party Committees
Contributions from Other Political Committees
Loan Proceeds
Refunds/Reimbursements To the Committee
Other Receipt Sources
Ila) Interest on Bank Accounts
llb) Contributions from Not -for -Profit Organizations
Ile) Outside Sources of Income
11d) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CR04265)
$
150.00
$
150.00
$ 1000.00 $
1000.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12)
13)
14)
15)
16)
17)
TOTAL RECEIPTS (Add lures 5, 6, 7,8,9, 10, Ila, lib, 11c, Ild and Ile)
Disbursements
13a) Operating Expenditures (CRO -1310)
13b) Contributions to Candidates/Political Committees (CRO -1310)
13c) Coordinated Party Expenditures (CRO -1310)
Aggregated Non -Media Expenditures (CRO -1315)
Loan Repayments (CRO -1420)
Refunds/Reimbursements From the Committee (CRO -1320)
In -Kind Contributions (CRO -1510)
$
1150.00
$
1150.00
$ 5.00 $
114.00
$ $
$ $
$ $
$ $
$ $
$ $
18)
TOTAL EXPENDITURES (Add fares 13a, 13b, 13c, 14, 15, 16 and 17)
$
5.00
$
114.00
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
Cash on Hand at Fnd iadd Imus 4 and 12 together, then subtract lure 18)
MTAUN
Non -Monetary Gifts Gisen to Other Committees (CRO -1330)
Outstanding Loans (incl. ones from other campaigns) (CRO -1430)
Debts and Obligations owed By the Committee (CRO -1610)
Debts and Obligations owed To the Committee (CRO -1620)
NIt7t,l COUNI.(
Account Transfers Within the Comt�i� p)GN FINAN( F (CRo-1720)
Administrative Support_ OCT Q 12025 (CRO -1710)
Forgiven Loans CRO.1440)
48 -Hour Notice Reports SumRECEIVEdCRO.2200)
Contributions to be Refunded (CRO -1215)
$
$
$
$
$
$
1386.46
3185.01
0.00
$
1386.46
-
$ $
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2008
Amendment
Aggregated Contributions from Individuals Page I of I ❑ Yes No
Optional form used to report NC Contributions From Individuals of $50 or less
1. Committee Full Name (and Fund if apThenble) 2. In Number
( ommiti�c to Hcct Rick Meeker I JM29B
3. Contributor Information
a. Amend
b. Account
Code
of Payment
C. Form of
d. In -Kind
Description
C. Date
(mmiddiyyy
Amount
F� Add
Cash
08/28/2025
$ 50.00
Remove
F-1 I Add
Cash
08/28/2025
$ 50.00
Remove
Add
Cash
08/28/2025
$ 50.00
Remove
Add
$
Remove
Add
$
Remove
Add
$
Remove
Add
$
Remove
Add
$
Remove
Add
$
F-1 Remove
,U
F-1 Add
$
Remove
Add
$
Remove
Add
$
Remove
Add
$
Remove
U
Add
$
Remove
Add
$
FMJ Remove
Add
$
Remove
M Add
$
M Remove
Add
$
Remove
Add
uw_)E
CAMPAIGN FINANCE
$
Remove
Add
MI
oc� N25
$
M Remove
M Add
RF_C DV ED
F
$
Remove
Add
$
Remove
4. Total only this Page
I. $ 150.00
5. Total of ALL CRO -1205 Pages
(This line mus! beon fine 5of Detailed Summary Page CRO -/100)
$ 150.00
CRO -1205 NC State Board of Elections April 2007
Amendment
Contributions from Individuals Pg I of I ❑ Yes ® No
Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used
1. Committee Full Namo (and FuDtlifs applicable,)
2. In Number
Committee at Elect Rick Becker
PJM29B
3. Contributor Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Prnfesvinn
d. Comments
Candidate/Municipal
Finance Officer
Frederick Becker
6603 Sadler Rd
Waxhaw, NC 28173
e. Employer's Name/Specific Field
Town of Mineral Springs
e. Election Sam to Date
$ 1000.00
L Prior
g. Account Code
h. Form of Payment
1. to -Kind Description
J. Date (mm/dd/yyyy)
k Amount
❑
1
Check #441
08/28/2025
$ 1000.00
❑
$
❑
$
3. Contributor Information
,;; Add ❑ Remove
a. Full Name, Mailing Address &Phone
(inclade dry, state, & zip)
In. Job Title/Profession
d. Comments
Q Employer's Name/Specific ESeld
e. Election Sam to Date
$
E Prior
g. Account Code
It. Form of Payment
1. In -Mad Description
j. Date (mm/dd/yyyy)
k Amount
❑
$
❑
$
3. Contributor Informat1oq : ❑ Add ❑ Remove j
a. Full Name, Mailing Address & Phone.
(include city, state, & zip)
b. Job Title/Profession
d. Comments
UN ON OOUNT�
CAh9PQIGNpNANC'
C
c. Employer's Name/Specific Field
e. Election Sum to Date
$
E Prior
g. Account Code
d Fo o enl
L to -Kind Description
J. Date (mm/dd/yyyy)
It. Amount
4. Total only this Page $ 1000.00
5. Total of ALL CRO -1210 Pages $ 1000.00
(7his finemust be on line 6 ujDerailed .Sum iary Page CRO4100)
CRC) -1210 NC State board of Elections April 2007
Amendment
Disbursements P9 unk) of I El Yes z No
Use this form to report expenditures from the committee for; operating expenses, contributions to candidate/political
owijniit,u:ind coordinated 1XITIN C\IIC[IChlLIFCS
1. Committee Full Name (and Fund if applicable) . �ID Number
Commiac, is ElQct Rick l3cckcr FUM2913
3. Type of Disbursement (Please use seto CRO -1310 Jbirms for each type of Disbursement.)
ZOperating L\I,en,,, El Contributions to Candidates Political Coninfl(wc, ow&w,i,d Pam lxpenditur,,
4. Payee Information Add I I [I Remove
a. Full Name, Mailing.Nddress & Phone
(include city, state & zip)
b. Coordinated Committee Name
d. Comments
Union County Board of Election
PO Box 1106
Monroe, NC 28111
(704) 283-3809
c. Level Registered (Specify)
❑ Federal E] County:
❑ State municipality:
e. Election Sum to Date
$ 5.00
E Account Code
g. Form of Payment
h. Purpose Code
L Date (nuWftyyyy)
J. Amount
k. Required Remarks
1
Ck#115
0
07/07/2025
$5.00
Filing Fee
4. Payee Information Add Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
e. Election Sam to Date
c. Le el Registered (Specify)
[-] Federal 13 County:
E] State E] Municipality:
E Account Code
g. Form of Payment
It. Purpose Code
L Date (mm/ddlyyyy)
j. Amount
k. Required Remarks
4. Payee Information Add El Remove:!'
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Coordinated Committee Name
d. Comments
UNION 00
CANWAIGN ANCE
Q Level Registered (Specify)
❑Federal 0 County:
El State Municipality:
e. Election Sum to Date
1. Account Code
g. Form o
se Code
i. Date (mm/ddiyyyy)
j. Amount
k Required Remarks
5. Total only this Page
$ 5.00
6. Total of ALL CRO -1310 Pages
(This line goes in line 13acj Detailed Summary Page (110-1100 if Operaling Expenses)
(This fine goes in line 131, of Detailed Summary Page CRO -1100 if Contrib to Candidates/Political Comm)
(This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Party Expenditures)
$ 5.00
7. Purpose Codes (List detailed expenditure code in (h.) above)
A* - Media B* - Printing C* - Fundraising D - To Another Candidate
E Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses
I Postage i - Penalties K* - Office Expenses 0* - Other
* Codes require detailed explanation in required remarks field (k)
CRO -1310 NC state Board of EleCLIMIS April 2(K)7
Outstanding Loans
Amendment
Ile 1 of 3 ❑ Yes ® No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in lull.
1. Committee z. m xnmh�
�
Committee to Elect Rick Becker FJM29B
3. Lender Information❑ Add [] Remove
a. Fug Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Wood" orker
Candidate
Frederick Becker 111
6603 Sadler Rd
Waxhaw, NC 28173
e. Stan Date (mm/dd/yyyy)
a Employer's Name/Specific Field
04/07/2000
Self
L End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
L Original Loan Amount
J. Remaining Loan Balance
0 °a
None
$ 1,380.01
$ 1,380.01
Is. Full Name of Lending Institution
1. Loan Number
3. Lander Information ❑ AAiid
" ❑ Remove
a. Full Name, Mailing .Address &Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Finance Offier
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
a Start Date (mm/ddtyyyy)
e. Employer's Name/Specific Field
10/27/2011
Town of
Mineral Springs
L End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
L Original Loan Amount
J. Remaining Loan Balance
0 %
None
$ 500.00
$ 500.00
k Fug Name of Lending Institution
1. Loan Number
3. Lender Information ❑ Add ❑, Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd UNION COUP+ I
Waxhaw, NC 28173 CAMPAIGN FINANCE
OCT 01 2025
a Stan Date (mmldd/yyyy)
c. Employer's Name/Specific Field
2/28/2013
Town of
Mineral Springs
L End Date (tttm/dd/yyyy)
g. Rate
h. Security Pledged
L Original loan Amount
J. Remaining Lona Balance
0 %
I None
$ 5.00
$ 5.00
L Fug Name of Lending Institutiou
L foan Number
4. Total only this Pae L
$ 1,885.01
5. Total of ALL CRO.143Q.Pages
(This Cine most be on lute 21 of Detailed Summary Page CRO -1100)
$ 3,185.01
CRO -1430 M�m[c tin:ud nt I lecGons December2007
Outstanding Loans
Amendment
PR 2 of 3 0 Yes No
Use this form to report any outstanding loans received during u pre% ious reporting Period and until the loan is paid in full.
1. Committee Full Name (aml Fund if applicable) 2.111INumber
Committee to Elect Rick Bucker FJM29B
3. Lender Information Add Cj Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
it. Comment;
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mmlddtYYYY)
e Employer's Name/Specific Field
09/27/2013
Town of
Mineral Springs
E End Date (mmldd/yyyy)
g. Rate
h. Security Pledged
i. Original 1,aan Amount
J. Remaining Loan Balance
%
None
$ 200.00
$ 200.00
k. Full Name of Lending Institution
1. Loan Number
3. Leader Information El Add El Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
h. Job Tifle/Prafession
it. Comments
Finance Offier
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mm/ddlyyyy)
c. Employer's Name/Specifle Field
10/25/2013
Town of
Mineral Springs
E End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
L Original Loan Amount
J. Remaining Loan Balance
None
$ 200.00
$ 200.00
k. Full Name of Lending Institution
1. Loan Number
3. Leader Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Title/Profession
d. Comments
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
UNION COUNTY
CAMPAIGN FINAMCF
nrT 0 A 20
e. Start Date (mm/ddjyyyy)
c. Employer's Name/Specific Field
07/14/2015
Town of
Mineral Springs
E End Date (mmlddtyyyy)
g. Rate
h. Security Fledged
i.Original Loan Amount
J. Remaining I[Anu Balance
0/
0 0
r— F2�
NontRECEWL"
$ 500.(X)
$ 500.00
k. Full Name of Lending Institution
L Loan Number
4. Total only this Page $ 900.00
5. Total of ALL CRO -1430 Pages
(This line must he on line 2) ol'DelailedSunrmn Page CRO -1100)$ 3,185.01
CRO -14.30 H 'd'o I "i ...... December 2007
Outstanding Loans
Amendment
Pg 3 of 3 ❑ Yes ® No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
L CommittgeFull-Name and F z. m Number
Committee to Elect Rick Becker FJM29B
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(Include city, state, & zip)
b. Job Tine!Profession
d. Comments
Finance Officer
Candidate
Frederick Becker 111
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
10/15/2015
Town of
Mineral Springs
f. End Due (mm/dd/yyyy)
g. Rate
It. Security Pledged
I.Orfgiaal Loan Amount
j. Remaining Loan Balance
0 ^r
None
$ 300.00
$ 300.00
k. Full Name of Lending Institution
1. Loan Number
3. Leader Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Tide!Profession
d. Comments
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mWdd/yyyy)
c Employer's Name/Specific Field
10/30/2015
Town of
Mineral Springs
& End Date (mm/dd/yyyy)
g. Rate h. Security Pledged 4 Original Loan Amami
J. Remaining Loan Balance
0 None $ 100.00
$ 100.00
k Full Name of Leading Institution
1. Imo Number
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, slate, _,&,
b. Job Title/Profession
d. Comments
REC Els CD
L Start Date (mm/dd/yyyy)
C. Employer's Name/Specific Field
L End Date(mm/dd/yyyy)
g. Rate
It. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
L Full Name of Lending Institution
1. Loan Number
4. Total only this Pae > 300,00
5, Total of ALL CRO -1430 Pages
S 3,185.01
(This Grta mall be an Use 21 of Detailed Summary Page CRO -1100)
CRO -1430 NC State Board of Elections December 2007