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Becker, Rick_2020-YearEndAmendment Disclosure Report Cover E3 _Yes No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Do not use this form to update inkirm,.uion . L Committee Information 12/31!1_1120 Frederick Becker III a. Full Name e of Re rt check only one n' to of report irrm one cure nor r. IU Somber Committee to Elect Rick Becker State/County FJM29B b. Mai ft Address (indude City, State and Zip Code) e. d. Date Filed 6603 Sadler Rd Independent F-1 Expenditure E] ,loin Fundraiser E]Thirty-five day Waxhaw, NC 28173 JAN 2 0 2021 01/20/2021 e. Plante Number d Union Co. Elections (704) 843-5870 2. Report Year eriod Stmt Date ( IMM Period End Date S. Treasurer Full Name 2020 07/01/2020 12/31!1_1120 Frederick Becker III T of Committee Check Thu e of Re rt check only one n' to of report irrm one cure nor ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent F-1 Expenditure E] ,loin Fundraiser E]Thirty-five day Quarterly E]Pre-referendum Legal Expense Fund d ❑ Pre-primary ❑ First ❑ Final ❑ "Booster Fund' ❑ Pre-election ❑ Second ❑ Supplemental Final ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ 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 p 11. Account Information 11. Account Information - a. Financial Institution Full Name a. Financial Insulation Full Name First National Bank It. Purpose e. 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 Board of Elections. Frederick Becker 111 01/20/2021 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: Employee: Delivery Method ❑ Normal Mail Date Postmarked: Employee: ❑ Registered Mail ® Hand 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-210OA-E to make committee changes. CRO -1000 NC State Board of Elections August 2008 Amendment Detailed Summary ❑ , e, ® .a Use this form to summarize all disclosure reverting forms and to total monetary information. 1: Committee Full Name (end Fund if applicable) 12. Tv a of Re ort 3. ID Number Committee to Elect Rick Becker Year -End Semi -Annual FJM29B Start of Election Cycle: January 1, 2019 Re Period Total 'rota) this Election Cycle 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 I la) Interest on Bank Accounts 11b) Contributions from Not -for -Profit Organizations lie) Outside Sources of Income lid) Legal Expense Fund — Other Sources 11 e) Exempt Purchase Price Saks (CRO -1205) (CRO -1210) (Cao -1220) (CRO -1230) (CRO -14 (CRO -1 (CRO- 50) (CRO- (CRO -1250) (CRO -1270) (CRO -1265) $ $ 141.94 $ $ 304.47 $ $ 1,205.00 $ $ $ $ $ L5� D $ $ $ 0, EleCtlo E $ $ $ $ $ $ $ 12) 13) 14) 15) 16) 17) TOTAL RECEUTS (Add lines 5, 6, 7, 8, 9, 10, Ila, llb, 116 lld and lie) Disbursements 13a) Operating Expenditures (CRO -1310) 13b) Contributions to Candidates/Pofitical Committees (CRO.1310) 130 Coordinated Party Expenditures (CRO -1310) Aggregated Non -Media Expenditures (CRO -1315) Loan Repayments (CRO -1410) Refunds/Reimbursements From the Committee (CRO -1320) In -Kind Contributions (CRO -1510) $ 0 $ 1,205.00 $ $ 1,367.53 $ $ $ $ $ $ S $ $ $ $ $ 18) TOTAL EXPENDITURES (Add lines 13a,13b, 13t; 14, 15, 16 and 17) $ 0 $ 1,367.53 19) 20) 21) 22) 23) 24) 25) 26) 27) 28) Cash on Hand at End (Add lines 4 and 12 together, then subtract line 18) Non -Monetary Gifts Given 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) Account Transfers Within the Committee (CRO -1720) Administrative Support 0-1 0)$ Forgiven Loans (CRO -1440) 48 -Hour Notice Reports Sum (CRO -2200) Contributions to be Refunded (CRO -1115) $ 141.94 $ 141.94 $ $ 3185.01 $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of F3ections August 2008 Outstanding Loans Amendment Pg I 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. I.. ` F F Z.ID Nt)mber Committee to Elect Rick Becker FJM29B 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments Woodworker Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 e. Start Date (mm/dd/yyyy) c. Employer's Name/Spedfic Field 04/07/2000 Self L End Date (mm/dd/yyyy) g. Rate L Seem* Pledged L Original Loan Amount J. Remaining Iran Balance 0 % None $ 1,380.01 $ 1,380.01 L 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 Offier Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 e. Start Date (mm/ddlyyyy) c. Employer's Name/Speci6 Town of Mineral Springs JAN 2 lunion 711] 10/27/2011 na ce Punta as yyyy) g. Rate h. Security Pledged L Original Loan Amoun 'ng Loan Balance 0 % None $ 500.00 $ 500.00 L Full Name of Leading tustitution L Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (induce dry, state, & zip) b. Job Titie;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 2/28/2013 Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate L Security Pledgedi. Original Loan Amount J. Remaining Lose Balance 0 %a None $ 5.00 $ 5.00 L Full Name of Leading Institution 1. Loan Number 4. Total only this Pae $ 1,885.01 S. Total of ALL CRO -1430 Pages (This line must be on line 21 of Detailed Summary Page CRO -1100) i $ 3,185.01 CRO -1430 N(S[x, Bnurd nr I leclions December 2007 Outstanding Loans Amendment Pg 2 of 1 ❑ ye` 0 \o Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in Dull. 1. Committee Full Name and Fund if applicable) 2.1D Number Committee to Elect Rick Becker 17AL''(13 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (Include city, state, & zip) b. Job TitilwProfession d. Comments Finance Officer Candidate Frederick Becker lll 6603 Sadler Rd Waxhaw, NC 28173 a Start Date (mm/dd/yyy� 09/27/2013 c. Employer's Name/Specific Field Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate h. Security Pledged L Original Loan Amount j. Remaining Loan Balance 0 °/a None $ 200.00 $ 200.00 k. Fug Name of Leading Institution I. Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, sailing 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/ddlyyyy) c Employer's Name/Specific Field 10/25/2013 Town of Mineral Springs f. End Date (mm/dd/yyyy) g. Rale It. Security Pledged L Original Loan Amount J. Remaining Loan Balance 0 %a None $ 200.00 $ 200.00 k. Full Name of Unding Institution L Loan Number 3. Lender Info a. Full Name, sailing Address & Phone (include city, state, & zip) b. Job TideTrofession eW Finance Officer ! Co. Eley Candidate Ions a Start Date (mm/dd/yyyy) Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 c. Employer's Name/Specific Field 07/14/2015 Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate It. Security Pledged L Original Loan Amount J. Remaining Loan Balance 0 %a None $ 500.00 $ 500.00 L Full Name of Leading Institution 1. Loan Number 4. Total only this Pae 5 900.00 5. Total of ALL CRO -1430 Pages (This moor he On line 2l of Detailed Sumo gPage CRO -1100) , 3,1$5.01 ,s CRO-1430 S( til,: H��.,i d d I Ica toe. 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. . COmmltteC _ ., and Fund if applicable) 2. 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 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 10/15/2015 Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate b. Security Pledged 1. Original Loan Amount J. Remaining Loan Balance 0 % None $ 300.00 $ 300.00 k. Full Name of Leading Institution 1. Loan Number 3 i ender 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 10/30/2015 Town of Mineral Springs E End Date (mm/dd/yyyy) g. Rate It. Security Pledged L Original Iran Amount J. Remaining Loan Balance 0 %a None $ 100.00 $ 100.00 Ic Full Name of Lending Institution L loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Title/Profession d. Comments nn �� 2 �3L��L • e. Start to (aw/dd/yyyy) _ c. Employer's Name/Specifiteld 021 Union Co. EI of a (mm/dd/yyyy) g. Rate h. Security Pledged L Origloal Loan Amount j. Remaining Loan Balance % $ $ IL Fail Name of Lending Institution 1. Loaa Number 4. Total only this Pae S 400.00 5. Total of ALL CRO -1430 Pages (This fine must be on line 21 of Detailed Sam=" Page CRO -1100) $ 3,185.01 (RO-tall) V tic, li, I l"I'wi, December 2007