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Becker, Rick_2019-YearEndAmendment Disclosure Report Cover I ❑ Yea ® No Use this form for general report and committee information, must be signed and submitted along with other detailed fors. Do not use this form to update information is coram � f•mtitwa .:: . , .. ,, . , a. hull Name c. ID Number FJM29B d. Date Filed Committee to Elect Rick Becker b. Mailing Address (include City, State and Zip Code) 6603 Sadler Rd 01/24/2020 Waxhaw, NO 28173 e. Phone Number (704)843-5870 2. Report Year Period Start Date tmmaa;jy9 4• Period End Date ;, Treasurer Full Name mm/dd/v Frederick Becker III 9 I U " 'U `/ I I _'0I'1 only one type of 're art ' ojjMMEjcck ne 9. Tyw of Report check om one care o . ® Candidate Campaign ❑ Party State/County Referendum Municipal ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent ❑ F-1 Expenditure Joint Fundraiser E] Thirty-five day Quarterly E]Pre-referendum❑ Legal Expense Fund 7.TyW of Fund tit a ❑ Pre-primary ❑ First ❑ Final ❑ "Booster Fund" ❑ Pre-election ❑ Second ❑ Supplemental Final ❑ Building Fund ❑ Pm-mnoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ® Year End ❑ Mid Year WSpecial Report Name ❑ Final ❑ Special ❑ Year End ❑ Final 9. Number of Fundraisers this Re ❑ Special 11. Account Information 11. Account Information a. Fiaanrial lnsfitution Fug Name a. Financial Institution Full Name First National Bank b. Purpose a Account Code b. Purpose c. Account Code Genesi UNION COUNTY Campaign 1 CAMPAIGN CE d. Period Begin Bahace d. Period Begin Balance Account JAN 2 4 2020 $ 581.79 $ 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 State and�°'� �le �'ons. Frederick Becker 111 01/24/2020 01/24/2020 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Delivery Method Date Received Employee: ❑ Normal Mail Registered Mail Date Postmarked: Employee: ® Hand Delivered E] Electronically Filed Date Scanned: Employee: ❑ Signer has not received mandatory training Dale 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 Stale Board of Elections August 2008 Amendment Detailed Summary ❑ Yes ® No Use this form to summarize all disclosure reporting forms and to total monetary information. 1. Committee Ful (and Fund if Committee to Elect Rick Becker Year -End Semi -Annual FJM29B Start of Election Cycle: January 1, 2019 Total this Period Total thisReporting Election Cycle 4) Cash on Hand at Start $ 581.79 $ 304.47 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 11b) Contributions from Not -for -Profit Organizations Ile) Outside Sources of Income 11d) Legal Expense Fund — Other Sources Ile) Exempt Purchase Price Sales (CRO -1205) (CRO -1210) (CRO -1220) (CRO -1230) (CRO -1410) (CRO -1240) (CRO -1250) (CRO -1250) (CRO -1250) (CRO -1270) (CRO -1265) $ $ $ $ 1,205.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) 13) 14) 15) 16) 17) TOTAL RECEIPTS (Add tines 5, 6, 7, 8, 9, 10, Ila, 11b, Ile, Ila and 11e) Disbursements 13a) Operating Expenditures UNION COUNTY (CRO -1310) P N FINANCE 13b) Contributions to Candidates/Pb6tical Committees (CRO -1310) 13c) Coordinated Party Expenditures AN 24 20 (CRO -1310) Aggregated Non -Media Expenditure CEI lEQ(CRO-1315) GV V Loan Repayments (CRO -1420) Refunds/Reimbursements From the Committee (CRO -1320) In -Kind Contributions (CRO -1510) $ $ 1,205.00 $ 439.85 $ 1,367.53 $ $ $ $ $ $ $ $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 439.85 $ 1,367.53 19) Cash on Hand at End Add lines 4 and 12 together, then subtract tine 18) $ 141.94 $ 141.94 20) 21) 22) 23) 24) 25) 26) 27) 28) Non -Moneta � Gifts Given to Other Committees Outstanding Loans (incl. ones from other campaigns) Debts and Obligations owed By the Committee Debts and Obligations owed To the Committee Account Transfers Within the Committee — Administrative Support Forgiven Loans 48 -Hour Notice Reports Sum Contributions to be Refunded (CRO -1330) (CRO -1430) (CRO -1610) (CRO -1620) (CRO -1720) — (CRO -1710) (CRO -1440) (CRO -2200) (CRO -1215) $ $ $ $ $ $ 3185.01 $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Disbursements PR I of I ❑ yes ® No Use this form to report expenditures from the committee for; operating expenses, contributions to candidate political committees and coordinated party expenditures 2. ID Number Committee to Elect Rick Becker FJM29B ���71310 forms for each type o Disbursemenl. Operating Expenses ❑ Contributions to Candidates Pohiind ( munwict, ❑ ( .,ordinamd Pum 1=_spcndimres 4. Pa ee Mu . �;, Add El Remove a. Full Name, Mailing Address & Phone (include city, state At zip) h. Coordinated Committee Name it. Comments USPS 5912 Waxhaw Hwy Mineral Springs, NC 28108 (704) 843-3713 c Levet Registered (Specify) ❑ Federal ❑ County: State ® Municipality: e. Election Som to Date $ 922.00 L Account Cockg. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) j. Amount k Required Remarks 1 Ck #986 1 10/22/2019 $350.00 Postage for Post Cards a. Full Name, Mailing Address & Phone include city. stn & zipj b. Coordinated Committee Name d Comments Office Max 1030 W Roosevelt Blvd UNION COUNTY Monrce,NC28112 CAMPAIGN FINANCE (704) 226-9977 JAN 211 2020 Level R rtered (Specify) E] Fede al E]County: ❑ State ® Municipality: e. Election Sum to Date $ 131.26 g. Form of Pay s L Date (mm/dd/yyyy) j. Amount k Required Remarks Ck #987 A 10/22/2019 $35.25 Printing Post Cards rPayee ation ""' ' "' Add Remove ng Address & Phone include city, stn!!, & zipl h. Coordinated Committee Name d. Comments Capital One PO Box 71087 Charlotte, NC 28272-1087 1-888-763-5655 c. Level Registered (Specify) ❑ Federal ❑ County: ❑ State ® Municipality: e. Flection Sam to Date $ 309.27 L Account Code g. Form of Payment h. Purpose Code L Date (mm/dd/yyyy) k Required Remarks 1 Ck #988 A 11/11/2019 Credit Card forCardstock$ ;$54.60 Total O(This line goes in line 13a of Detailed Summary Page CRO.1100 if Operating Expenses) (This line goes in line 13b of Detailed Summary Page CRO -1100 if Contrib to Candidates/Politica (This line goes in line 13c of Detailed Summary Page CRO -1100 if Coordinated Porfv Expenditure sl 439.856. $ 439.85 7. Purpose Codes List detailed e e code inh. 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 J - Penalties K* - Office Expenses 0* - Other * Codes require detailed explanation in required ipoplaTU field Uma -i MO NC Sate Board of Elections April 2007 Outstanding Loans Amendment P{; I of -1 ® Yes ❑ No Use this form to report any outst;mdin, loans rcceivcd during a previous reporting period and until the loan is paid in full. L Committee Full Name Fund if applicable) z. ID Number Committee to Elect Rick Becker FJM29B 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Tide/Profession d. Comments Woodworker Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 e. Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 04/07/2000 Self E End Date (mm/dd/yyyy) g. Rate d Security Pledgedi. Orlginai Loan Amount J. Remaining Loan Balance 0 mn None $ 1,380.01 $ 1,380.01 L Full Name of Leading Institution 1. Loan Number 3. Lender information ❑ `` Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) UNC b. Job Title/Profession d. Comments Finance Offier Candidate Frederick Becker III NI- Fl 6603 Sadler Rd GPPI0 Waxhaw, NC 28173 N 2 4 Z02 �C 1\j e Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field 10/27/2011 Town of Mineral Springs t End Date (mm/dd/yyyy) g. Rate _ h. Security Pledged t Original Loan Amount J. Remaining Loan Balance e,None 0 7 $ 500.00 $ 500.00 k Full 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 Waxhaw, NC 28173 a Shat Dau (mm/dd/yyyy) c. Employer's Name/Specific Field 2/28/2013 Town of Mineral Springs t End Date (mmldd/yyyy) g. Rate h. Security Pledged L Original Loan Amount J. Remaining Loan Balance 0 T None $ 5.00 $ 5.00 IL Full Name of Leading Institution I. Loan Number 4. Total onl • this Pae --'— .-= $ 1,885.01 5. Total of ALL CRO -1430 Pages This line mum be on line 21 of Detailed Summan• Page CRO.1100) $ 3,185'01 CKU-!430 Nt vi It r.. I I_,aons December 2007 Outstanding Loans Amendment Pg 2 of 2 ® Yes ❑ No Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full. 7C) 2. ID Number Committee to Elect Rick Becker FJM29B 3. Lender Information IAdd ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Joh Title/Profession it. Comments Finance Officer Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 e. Start Date (mmldd/yyyy) c Employer's Name/Specific Field 09/27/2013 Town of Mineral Springs E End Date (mm/ddtyyyy) g. Rate It. Smartly Pledged L Original loan Amount J. Remaining Loan Balance 0 None $ 200.0() $ 200.00 L Fall Name of Lending lastitutloa L Loan Number 3. Lender Information ❑ Add ❑ "`Remove a. Full Name, Mailing Address & Phone liocludecity, stage, &zip) b. Job Tide/Profession d. Comments Finance Off icr Candidate _ Frederick Becker III UNIONu"' ' 6603 Sadler Rd OAMPP LGN F Waxhaw, NC 28173 AN 2 4 R SCENE Start Date (mm/dNyyyy) c. Employer's Name/Specific Field 10/25/2013 Town of Mineral Springs f. End Date (atm/dd/yyyy) & Rate It. Security Pledged L Origiaal Loan Amount J. Remaining Loan Balance 0 % None $ 200.00 $ 200.00 k Fall Name of Lending Institution 1. Loan Number 3, Lender Informatioa ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession it. Comments Finance Officer Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 2.8173 e. start Dale (mmldd/yyyy) a Employer's Name/SpeciBe Field 07/14/2015 Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate _ h. Security Pledged L Original Loan Amount J. Remaining Lam Balance 0 rn None $ 500.00 $ 500.00 L Full Name of Lending Institution 1. Loan Number 4. Total only this Pae $ 900.00 5. Total of ALL CRU -1430 Pages (This line mu be on hit(: it ofDetalled Summary Page CRO -1100) S 3,185.01 CRO -1430 KtS "; ll... 7'h i I duo inns December 2007 Amendment Outstanding Loans Pg 3 of 3 ❑ Yes ® No Use this form to report any outstanding loans received durine a previous reporting period and until the loan is paicl in full. licable) Committee to Elect Rick Becker 2. Ill Number FJM29B 3. Leader Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b..Iob Title/Profession d. Comments Finance Officer Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 e. Start Date (mm/ddlyyyy) a Employer's Name/Specific Field 10/15/2015 Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate h. Security Pledged L Original Loan Amount I. Remaining Iran Balance 0 % None $ 300.00 $ 300.00 k. Fall Name of Lending Institution L [neo Number 3. Lender 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 (mm/ddtyyyy) c. Employer's Name/Specific Field 10/30/2015 Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate b. Security Pledged I. Original Loan Amount j. Remaining tAau Balance 0 %n None $ 100.00 $ 100.00 k. Full Name of Lending Institution L Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, staI COUNTY b..Iob Title/Profession d. Comments GAMHAIGN FINANCE JAN 2 4 2020e. RECEIVED Start Date (mm/dd/yyyy) c. Employer's Name/Specific Field f End Date (mm/dd/yyyy) g. Rate It. Security Pledged L Original Loan Amount j. Remaining Loan Balance IL Full Name of Leading Institution 1. Loan Number 4. Total only this Page $ 400.00 5. Total of ALL CRO -1430 Pages $ 3,185.01 (This line mast be on line 2l of PeraUed Summary Page CRO.1100) (RO-1430 N( Siaia Board III I I—r.Lma December 2007