Becker, Rick_2020-MidYear\n,ndment
Disclosure Report Cover I ❑ \,, 0 No
Use this form for general report and committee information, must he signed and submitted along with oIhcr dcimIl d forms.
Do not use this form to u date in I(,rm;iiwn
CRO -1000 NC State Board of Elections August 2008
a. Full Name
c. 11) Number
Committee to Elect Rick Becker
FJM29B
b. Mailing Address (include City, State and Zip Code)
d. Date Filed
6603 Sadler Rd
Waxhaw, NC 28173
07/23/2020
WL L 2 3 2020
a Phone Number
(704) 843-5870
Union CO. Elections
2. Report Year Period Start Date (mm.'dd/yy)
.Priod n ate
5. Treasurer Full Nameormilg
_Wo III 111 _ulu
Illi 311 211_111 Frederick Becker III
J6. D2e of Committee Check One
9. Type
of Report check onl • one tvDe of re ort
one cat o
® Candidate Campaign ❑ Party
Municipal
State/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent
El Expenditure ❑ Joint Fundraiser
❑
Thirty-five day
Quarterly
❑ Pre -referendum
❑ Legal Expense Fund
❑
❑
Pre-primary
Pre-election
❑ First
❑ Second
❑ Final
❑ Supplemental Final
7. T of Fund (if opplicabte, check one)
❑ 'Booster Fund"
❑ Building Fund
❑
Pre-mnoff
❑ Third
❑ Annual
Semi-annual
❑ Fourth
❑ Special
®
Mid Year
Semi-annual
❑ other.
❑
Year End
❑ Mid Year
Special Report Name
❑
❑
Final
Special
❑ Year End
❑ Final
8. Number of Fundraisers this Report.`
0
❑ Special
11. Account Information
11. Account Information
a. Financial Institution Fail Name
a. Financial Institution Full Name
First National Bank
b. Purpose
c. Account Code
b. Purpose
c. Account Code
General
Campaign
1
d. Period Begin Balance
d. Period Begin Balance
Account
$ 141.94
$
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 Boar f tions.
Frederick Becker III
�� iar. G 07/23/2020
Printed Name of Signer
Signature of Appointed Treasurer
Dais
FOR OFFICE USE ONLY �t
Date Received: Q: � a6
Employee: Delivery Method
❑ Normal Mail
Date Postmarked:
Employee: ❑ Registered Mail
® Hand Delivered
Date Scanned:
Employee: El Electronically Filed
❑ Signer has not received
Date Data Entered:
Employee:
mandatory training
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
Use this form to summarize all disclosure renortine Innnn and to total monctary information.
CRO -1100 NC State Board of Elections August 2008
-ommittee Full Name and Fund if applicable)
2. T
of Report
3. ID Number
Committee to Elect Rick Becker
Mid -Year Semi -Annual
FIM29B
Start of Election Cycle: January 1, 2019
Total this
Re ortin Period
Total this
Election C ele
4)
5)
6)
7)
8)
9)
10)
11)
Cash on Hand at Start
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
119) Interest on Bank Accounts
11b) Contributions from Not -for -Profit Organizations
11c) Outside Sources of Income
ltd) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1205)
(CRO -12 0
(CRO -12
(CRO -12 0)
(CRO -14 06!1
(CRO -12
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
141.94 $
$
304.47
$
1,205.00
$
$JUL 2 3 2020
$
CA WAP4MR, $
$
$ $
$ $
$ $
$ $
$ $
12)
TOTAL RECEIPTS (Add 1ines5, 6, 7, 8, 9, 10, Ila, Ilb, llc, 11d and Ile)
$
0
$
1,205.00
13)
14)
15)
16)
17)
Disbursements
13a) Operating Expenditures
13b) Contributions to Candidates/Political Committees
13c) Coordinated Party Expenditures
Aggregated Non -Media Expenditures
Loan Repayments
Rehmds/Reimbursements From the Committee
In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
$
1,367.53
$ $
$ $
$ $
$ $
$ $
$ $
18)
TOTAL EXPENDITURES (Add fates 13a, 13b, l3q 14, 15, 16 and 17)
$
0
$
1,367.53
191
ADNWQ��
20)
21)
22)
23)
24)
25)
26)
27)
28)
Cash on Hand at End (Add lines 4 and 12 together, then subtract lute 18)
Non -Monetary Gifts Given to Other Committees (CRo.1330)
Outstanding Loans (incl. ones from other campaigns) (CRO -14.30)
Debts and Obligations owed By the Committee (CRO -1610)
Debts and Obligations owed To the Committee (CRO -1620)
Account Transfers Within the Committee (CRO -1720)
Administrative Support (CRO -1710)
Forgiven Loans (CRO -1440)
48 -Hour Notice Reports Sum (CRO -1200)
Contributions to be Refunded (CRO -1215)
$
$
$
$
$
$
$
141.94
3185.01
$
$
141.94
$ $
$ $
$ $
CRO -1100 NC State Board of Elections August 2008
Outstanding Loans
Amendment
Pg 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 full.
1. Committee Full Name (and 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
a Start Date (mm/dd/yyyy)
a EMPby
Self
J U L 2 3 2020
nion Co. Efer inns
04/07/2000
E Emd Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
LOnglam as
J. Remaining Loan Balance
0 %
None
$ 1,380.01
$ 1,380.01
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 Offier
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
10/27/2011
Town of
Mineral Springs
f. End Date (mm/dd/yyyy)
g. Rate
h. Secaity Pledged
L Original Loan Amount
J. Remaining Loan Balance
0 %
None
$ 500.00
$ 500.00
k. Full Name of Leading Institution
1. Loan Number
3. Lender Information ❑ Add aGatltie
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job Tiae/Pmfession
d. Comments
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
a. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
2/28/2013
Town of
Mineral Springs
f. End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 rye
None
$ 5.00
$ 5.00
k Fug Name of Lending Institution
1. Loan Number
$ 1,885.01
$ 3,185.01
CRO -1430 NC State Board of Elections December 2007
Outstanding Loans
\mcndment
Pg 2 of 3 ❑ A c� ® Ao
Use this form to report any outstanding loans received during a previous reporting period and until the hnm i� paid in lull.
1. Committee Fall Name and Fund if applicable) 2. ID Number
Committee to Elect Rick Becker FIAP_�10
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
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
09/27/2013
Town of
Mineral Springs
L End Date (mm/dd/yyyy)
g. Rate
h. Security P
1. original Loan Amount
J. Remaining Tuan Balance
0 %
None
1111 9 3 70711
$ 200.00
$ 200.00
L Full Name of Lending Institution
1. Loan Number
Union Co. Elections
3. Lender Information ❑ .add ❑ 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
e. Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
10/25/2013
Town of
Mineral Springs
E End Date (mm/ddlyyyy)
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 %
None
$ 200.00
$ 200.00
k. Full Name of Lending Institution
1. Loan Number
$. ° ' er 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
e. Start Date (mm/dd/yyyy)
C Employer's Name/specific Field
07/14/2015
Town of
Mineral Springs
L End (late (mm/dd/yyyy)
g. Rate
h. Security Pledged
L original Loan Amount
j. Remaining Loan Balance
0 %
None
$ 500.00
$ 500.00
IL Fug Name of Lending Institution
1. loan Number
4. Total only this Pae
5. Total of ALL CRO -1430 Pages
(This line must he on line 21 of Demikd Summon Page CRO -11
$ 900.00
$ 3,1$$.01
CRO -1430 V(' State Board of Elections 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 umil the loan is paid in full.
L Committee Fall VOW.if applicable) 2. ID Number
Committee to Elect Rick Becker F)M2913
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
a Start Date (mm/dd/yyyy)
G Employer's Name/Specific Field
10/15/201$
Town of
Mineral Springs
L End Date (mm/dd/yyyy)
g. Rate
L Secm'1
L Original Loan Amount
J. Remaining Loan Balance
0 %a
None
$ 300.00
$ 300.00
k. Full Name of Lending Institution JUL 23 2020
1. Loan Number
Union Co. Elections
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing .Address & Phone
(include city, state, & zip)
It. Job Title/Profession
d. Comments
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mm/dd/yyyy)
a Employer's Name/Specific Field
10/30/2015
Town of
Mineral Springs
E End Date (mm/dd/yyyy)
g. Rate
h. Security Pledged
i. Original Loan Amount
J. Remaining Loan Balance
0 %a
None
$ 100.00
$ 100.00
L Full Name of Lending Institution
1. Loan Number
3. Lender Information ❑ Add ❑ Remove
a. Full 'same, flailing Address & Phone
(include city, slate, & zip)
b. Job Title, Profession
d. Comments
e. Start Date (mm/dd/yyyy)
a Employer's Name/Specific Field
L End Date (mm/dd/YYYY)
g. Rate
h. Security Pledged
i. Original Loan Amount
j. Remaining Loan Balance
L Fug Name of Lending Institution
1. Loan Number
4. Total only this Pae
$ 400.00
5. Total of ALL CRO -1430 Pages
(This line must he on line 21 of Detailed Summary Page CRO -1100)
$ 3,185.01
CRO -1430 w ti.c_ It. , 1,< I "i6m. December 2007