Becker, Rick_2021-MidYearAmendment
Disclosure Report Cover ❑ Yes ® No
Use this form for general report and committee information, must he signed and submitted along with other detailed forms.
Du no; use this form to update infornruion
1. Committee Information
:1. I' ulI Nalill'.
_--.-......---.
c. ID ]umber
Committee to Elect Rick Becker
FJM2913
It. Mailing Address (include City, State and Zip Code)
d. Dale Filed
6603 Sadler Rd
Waxhaw, NC 28173
08/02/2021
e, Phone Number
(704) 843-5870
2. Report Year
3. Period Start Date tmm/dd yyl
d. Period End Date
5. Treasurer Full Name
- —
tmmtaa
-,-2021
Frederick Becket 111
00,30,2021
6. Type of Committee jCheck One
9. Type
of Report check os!y one rvoe of report i-om one tate gor j
® Candidate Campaign ❑ Party
Municipal
Stale/County
Referendum
❑ PAC ❑ Referendum
❑
Organizational
❑ Organizational
❑ Organizational
Independent ❑ Join[ Fundraiser
❑ Expenditure
❑
Thirty-five day
Quanerly
❑ Pre -referendum
❑ Legal 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
❑ 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
11. Account Information
11. Account Information
a. Financial Institution Full Name
a. Financial Institution Full Name
First National Bank
b. Purpose
c. Account Code
b. Purpose
e. Account Code
General
Campaign
1
d. Period Begin Balance
Account
d. Period Begin Babette
$
$ 141.94
CERTIFICATION
1 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 Bol d of E ctions.
Frederick Becker 11I
08/02/2021
Printed Name of Signer
Signature of Aptiquated'Ereiciprer
Date
FOR OFFICE USE ONLY
b
Date Received: N6 d o� A I
Delivery Method
Employee:
❑
Normal Mail
Date Postmarked:
Employee: ❑ Registered Mail
Date Scanned: RESEALED
® Hand Delivered
Employee: E] Electronically Filed
' /—
❑
Signer has not received
A1 i
Date Data Entered: h�J 0 2 221
Employee:
mandatory training
Please Note: This f&WBAhAQs14Uil SW,@6nd 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 E] Yes ® No
Use this form to summarize all disclosure reporting forms and to total monetary information.
L Committee Full Name (and Fund if applicable)
2. Type
of Report
3. ID Number.',,"
Committee to Elect Rick Becker
Ycar-End Semi -Annual
FJM29B
Start of Election Cycle: January 1, 2021
Total
Re ortin PPee riod
'rota) this
Election Cycle
4)
i
6)
7)
8)
9)
10)
l 1)
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
Ila) Interest on Bank Accounts
I lb) Contributions from Not -for -Profit Organizations
llc) Outside Sources of Income
l ld) Legal Expense Fund — Other Sources
11 e) Exempt Purchase Price Sales
(CRO -1203)
(CRO -1210)
(CRO -1220)
(CRO -1230)
(CRO -1410)
(CRO -1240)
(CRO -1250)
(CRO -1250)
(CRO -1250)
(CRO -1270)
(CRO -1265)
$
$
141.94
$
$
141.94
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
12)
TOTAL RECEIPTS (Add lines 5,6, 7,8,9, 10, Ila, 11b, Ile, Ild and Ile)
$
0
$
0
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
Refunds/Reimbursements From the Committee
In -Kind Contributions
(CRO -1310)
(CRO -1310)
(CRO -1310)
(CRO -1315)
(CRO -1420)
(CRO -1320)
(CRO -1510)
$
$
$ $
$ $
$ $
$ $
$ $
$ $
18)
TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17)
$
0
$
0
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 -Montan 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 (CRO -1710)
Forgiven Loans (CRO -1440)
48 -Hour Notice Reports Sum (CRO -2200)
Contributions to be Refunded (CRO -1215)
$
$
$
$
$
$
$
141.94
3185.01
$
$
141.94
$ $
$
$ )
CRO -1100 NC State Board of Elections August 2008
Union Co. Board of Elections
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 Cull.
1. Committee Fall Name and Fund if applicable) 2. ID Number
Committee to Elect Rick Becker FJM29B
3. Under Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Joh Title/Profession
d. Comments
Woodworker
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
a Start Date (mm/dd/yyyy)
c. Employer's Name/Specific Field
04/07/2000
Self
L End Date (mm/dd/yyyy)
g. Rate
L Security Pledged
i. Original Loan Amosot
j. Remaining Loan Balance
0 %
None
$ 1,380.01
$ 1,380.01
It. Full Name of Leading Institution
1. Luso Number
3. Lender Information ❑ Add ❑ Remove
a. Fall Name, Mailing Address & Phone
(include city,staW &zip)
b. Job Title/Profession
d. Comments
Finance Offier
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
a start Date (mm/dd/yyyy)
c, Employer's Name/Specific Field
10/27/2011
Town of
Mineral Springs
L End Date (m atchl/ yy)
* Rate
h. Security Pledged
L Origioal Loan Amount
J. Remaining Loan Balance
0 %
None
$ 500.00
$ 500.00
k Fall 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
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
b. Security Hedged
L Original Loan Amount
j. Remaining Loan Balance
0 %a
None
$ 5.00
$ 5.00
k Full Name of Lending Institution
1. Loan Number
--,-�•VrCL7
4. Total only this Pae
$ 1,885.01
5. Total of ALL CRO -1430 Pages 3 J d
(This line must be on line 21 of DeWled Summary Page CRO -11011) $ 3,185.01
CRO -1130 \t �",Hi December 2007
Outstanding Loans
Amendment
1'g 2 of 3 ❑ Yes ® 1,O
Use this form to report anv outstanding In;uu received during a prcciouv reporting, period and until the loan is paid in full.
Name and Fund if applicable)
2. ID Number
Committee to Elect Rick Becker
f1N1_013
3. Lender Information ❑ Add ❑ Remove
a. Full Name, Mailing Address & Phone
(include dty, state, & tip)
b. Job Title/Profession
d. Comments
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mm/d(Vyyyy)
c. Employer's Name/Specific Field
09/272013
Town of
Mineral Springs
E End Date (mm/dd/yyyy)
g. Rate
k Security Wedged
L Original Loan Amount
j. Remaining Loan Balance
0 %
None
$ 200.00
$ 200.00
k Full Name of Lending Institution
1. Lao 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 111
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mm/dd/yyyy)
e. Employer's Name/Specific Field
10/252013
Town of
Mineral Springs
L Had Date (mm/dd/yyyy)
g. Rate
k Security Wedged
L Original Loan Amount
J. Remaining Loan Balance
0 %
None
$ 200.00
$ 200.00
L Full Name of fending 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
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 Date (mmldd/yyyy)
g. Rate
k Security Wedged
I. Original Loan Amount
j. Remaining Loan Balance
0 go
None
$ 500.00
$ 500.00
L Fug Name of Lending Institution
1. tan Number
4. Total only this Pae "—
$ 900.00
S. Total of ALL CRO -1430 Pages.� ' • nn tt
(This fine must he on line 21 of Dduded Summary Page CRO -1100) �" J L 21L1 $ 3.185.01
CRO -14.0 Ni 1RC r I i,,, rd u l Lica a nIN _.-_t„nrs December 2007
Outstanding Loans
Amendment
P4 i of ❑ Yes ® No
Use this form to report any outstanding loans received during a previous reporting period and until the loan is paid in full.
MEN611ttm FO Name and Fund if a ticable) 2. ID Numbs
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
Finance Officer
Candidate
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
e. Start Date (mm/dd/yyyy)
a Employer's Name/Specific Field
10/15/2015
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
$ 300.00
$ 300.00
Is. Full Name of Leading Institution
1. Loam Number
3. Lender Information ❑ Add ❑ Remove
a. Full Name. Mailing Address & Phone
(include city, state, & zip)
b. Job Tine/Profession d. Comments
Finance Officer
Candidate
e. Start Date (mm/dd/yyyy)
Frederick Becker III
6603 Sadler Rd
Waxhaw, NC 28173
a Employer's Name/Specific Field
10/30/2015
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
$ 100.00 $ 100.00
Is. Full Name of Lending Institution 1. Loan Number
3. Lender Information ❑ Add
a. Full Name, Mailing Address & Phone
(include city, state, & zip)
b. Job TilleTrofession d. Commessm
e. Start Date (mm/dd/yyyy)
c Employer's Name/Specific Field
L End Date (mm/dd/yyyy)
g. Rate
It. Security Pledged
L Original Loan Amount J. Remaining Loan Balance
k. Full Name of Lending Institution 1. Loan Number
4. Total only this Pae $ 400.00
_
5. Total of ALL CRO -1430 Pages
(This line must be on line 21 of Derailed Summary Page CRO.1100) $ 3,185.01
"
CRO -1430 u,_ i i t i i December 2007