Loading...
Becker,Rick_2021-Year-endAmendment Disclosure Report Cover I ❑ Yes ® No Use this form for general report and committee information, must be signed and submitted along with other detailed forms. Du not use this form to update information 1. Cotnmiaec Informs r __ a. Full Name c. ID Number Committee to Elect Rick Becker FJM29B It. Mailing Address (include City, State and Zip Code) d. Date Filed 6603 Sadler Rd 01/14 2022 Waxhaw, NC 28173 e. Phone Number (704) 843-5870 2. Report Year 3. Period Start Date (mmidd/yy) 4• Period End Date 5. Treasurer Full Name mmiddt Frcderlck Becker III 2021 1(V1'1 'll'1 I' "1 2021 6. Type of Committee Check One 9. Type of Report check only one type of report om one tate o , ® Candidate Campaign ❑ Party Municipal State/County Referendum ❑ PAC ❑ Referendum ❑ Organizational ❑ Organizational ❑ Organizational Independent E] Expenditure E]Joint Fundraiser E]Thirty-five day Quarterly ❑ Pre -referendum ❑ Legal Expense Fund ❑ Pre-primary ❑ Pre-election ❑ First ❑ Second ❑ Final ❑ Supplemental Final 7. Type of Fund (ifapplimble, check one) `,i ❑ 'Booster Fund" ❑ Building Fund ❑ Pre -runoff ❑ Third ❑ Annual Semi-annual ❑ Fourth ❑ Special ❑ Mid Year Semi-annual ❑ Other: ® Year End ❑ Mid Year =:}.Q. Special Report Name ❑ Final ❑ Special ❑ Year End ❑ Final ❑ Special S. Number of Fundraisers this Report 11. Account Information 11. Account Information a. Financial Institution Full Name a. Financial Institution Full Name First National Bank It. Purpose a Account Code It. Purpose c. Account Code General Campaign 1 d. Period Begin Balance it. Period Begin Balance Account $ 223.33 $ 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 Bo offj'lections. Frederick Becker 111 01/14/2022 Printed Name of Signer Signature of Appointed Treasurer Date FOR OFFICE USE ONLY Date Received: Employee: Dclivery 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 -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 revortina forms and to total monetary inthnnation. -Committee Full Name land Fund if applicable) 2. Type of Report Committee to Elect Rick Becker Year -End 3. ID Number _ FJM29B Start of Election Cycle: January 1, 2020 Total this Reporting Period Total this Election Cycle 4) 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 Ila) Interest on Bank Accounts 11b) Contributions from Not -for -Profit Organizations llc) Outside Sources of Income Ild) 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) (CRO -1265) $ 223.33 $ 141.94 $ $ 100.00 $ 255.00 $ 1005.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 12) 13) 14) 15) 16) 17) TOTAL RECEIPTS (Add lines 5, 6, 7, 8, 9, 10, Ila, Ilb, Ile, Ild and Ile) Disbursements 13a) Operating Expenditures (CRO -13I0) 13b) Contributions to Candidates/PoNtical 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) $ 255.00 $ 1105.00 $ $ 768.61 $ $ $ $ $ $ $ $ $ $ $ 5.00 $ 5.00 18) TOTAL EXPENDITURES (Add lines 13a, 13b, 13c, 14, 15, 16 and 17) $ 5.00 $ 773.61 19) 20) 21) 22) 23) 24) 25) 26) 27) 28) Cash on I I a n (1 a t F rrtl t 1 eld lines 4 and 12 together, then subtract line 18) tion -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 Cortu(CRO-1620) Account Transfers Within the Committee �J (CRO -1720) Administrative Support (CRO -1710) Forgiven Loans Union Co. Board 01 Elections (CRO -1440) 48 -Hour Notice Reports Sum (CRO -2200) Contributions to be Refunded (CRO -1215) $ 473.33 $ 473.33 $ $ 3185.01 $ $ $ $ $ $ $ $ $ $ $ CRO -1100 NC State Board of Elections August 2008 Amendment Contributions from Individuals Pg I of I ❑ Yea ® No Use this form to report individual contributions over $50 or contributions under $50 if form CRO 1205 is not used t. Committee FWI Name (and Pond if applicable) 2. In Number Cummiuer its Elect Rick Becker FJM2913 3. Contributor Information ❑ Add ❑ Remove a. Full Name, \tailing Address & Phone (include city, state, & zip) b. Job Tide, 'mfession d. Comments Municipal Finance Officer (Candidate) Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 c. Employer's Name/Specific Field Town of Mineral Springs Municipal Government e. Election Sum to Date $ 755.00 E Prior g. Account Code h. Form of Payment i. In -Bind Description J. Date (mm/dd/yyyy) k Amount ❑ In -Kind Poll Handouts 11/01/2021 $ 5.00 ❑ $ ❑ $ 3. Contributor Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) In. Job Title/Profession d. Comments e. Election Sam to Date Mineral Springs Councilman Retired Tobacco Sales Jerry Countryman PO Boz 418 Mineral Springs NC 28108 c. Employer's Name/Specific Field Town of Mineral Springs Municipal Government $ 100.00 f. Prior I g. Account Code It. Form of Payment 1. In -Kind Description j. Date (mm/dd/yyyy) k Amount ❑ 1 Ck #8195 10/20/2021 $ 10 Jul ❑ $ 3. Contributor Information a. Full Name, Mailing Address & Phone (include city, state, & zip) 0. Job Titk/PrOtgsba d. Comments Equine Race Director Virginia Carrington Price C C t ` E PO Box 215 t V Mineral Springs NC 28108j�l ' t ' �`= e Employer's Name/Specific Field Charlotte Steeplechase Assoc Horse Racing e. Election sum to Date $ 150.00 L Prior it. Account Code k Form of Payment i. In -Kind Description j. Date (niWdd/yyyy) k Amount ❑ 1 Ck #6626 11/9/2021 $ 150.00 ❑ $ ❑ $ 4. Total only this Page $ 255.00 5. Total of ALL CRO -1210 Pages S 2.55.00 (This line must be on fine 6 of Detailed Summary Page CRO.1100) CRO -1210 NC State Board of Elections April 2007 In -Kind Contributions .Amendment Pg 1 of 1 ❑ Fes ® No Use this form to report non-monetarV contributions, donations, i,,00ds or services IL Committee Full Name (and Fund if applicable) 2. ED Number CummitlLi 11) 1 Li 'RIA Bcckcr IJV_'"113 3. Contributor Information ® Add ❑ Remove a. Full .Name, Mailing Address & Phone (include city, state, & zip) Frederick Becker III 6603 Sadler Rd Waxhaw NC 28173 b. Ivpe of Contributor c. C ommenu, ❑ Individual ® candidate ❑ Party ❑ PAC ❑ Referendum ❑ Other Receipt Source d. FJecdou Sum to Date $ 5.00 e. Description E Date (muni/dd/y"y) g. Fair Markel Amount Poll Handouts/Uaflets 11/01/2021 $ 5.00 3. Contributor Information a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Type of Conlrihutor c. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC ❑ Referendum d. Election Sum to Date ❑ Other Receipt Source $ e. Description f. Date (mmlddlyyyy) g. Fair Market Amount $ $ $ 3. Contributor Information El Add Remove a. Full Name, Mailing Address & Phone (include city, state,&zip) b. Type of Contributor c. Comments ❑ Individual ❑ Candidate ❑ Party ❑ PAC Referendum ❑ Other Receipt Source d. Election Sum to Date $ e. Description E Dale (mm/dd/yyyy) g. Fav Market Amount $ $ F4. Total only this Page $ 5,00 5. Total of ALL CRO -1510 Pages (This line must be online 16 of Detailed 5.00ed Summary Page CRO -//DO) i CRO -1510 NC State Board of Elections April 2007 .a Amendment Outstanding Loans 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 Foil Name and Fund if applicable) 2. In Number Committee to Elect Rick Becker FJM29B 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) b. Job Titie/Profession d. Comments Woodworker Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 e. Start Date (mm/dd/yyyy) a Employer's Name/Specific Field 04/07/2000 Self L End Date(mmldd/yyyy) g. Rate h. Security Pledged i. Original Loan Amount J. Remaining Loan Balance 0 %n None $ 1,380.01 $ 1,380.01 IL 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 L End Date (mm/dd(yyyy) & Rateh. Security Pledged L Original Loan Amount j. Remaining Loan Balance 0 % None $ 500.00 $ 500.00 Is. FLfi Name of Lending Institution 1. Loan Number 3. Leader Information ❑ Add ❑ Remove a. Full Name, :flailing Address & Phone (include city, state, & zip) b. Job Tine/Profession d. Comments Finance Officer Candidate Frederick Becker III 6603 Sadler Rd Waxhaw, NC 28173 e. Snit Date (mm/dd/yyyy) c. Employer's Name/Specific Field 2/28/2013 Town of Mineral Springs c End Date (mm/dd/yyyy) g. Rate '. ty Pledged ..ons L Original Loan Amount J. Remaining Loan Balsam 0 % None $ 5.00 $ 5.00 k Full Name of Lending Institution I. Loan Number 4. Total only this Page $ 1,885.01 5. Total of ALL CRO -1430 Pages $ 3,185.01 (This line must be on line 21 of Detailed Sunman Page CRO -1100) CRO -1430 yr s1 "I K1,1111'd Peru un, December 2007 Outstanding Loans Amendment Pg 2 of 3 ❑ les ® No Use this form to report any outstanding loans received during it previous reporting period and until the loan is paid in full. I. Committee Full Name and Fond if a 'cable) 2. m Number Committee to Elect Rick Becker FJM2913 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 e. Start Date (mWdd/yyyy) a Employer's Name/Specific Field 09/27/2013 Town of Mineral Springs E End Date (mm/dd/yyyy) g. Rate b. Security Pledged L Original Loan Amount J. Remaining Lose Balance 0 % None $ 200.00 $ 200.00 IL Full Name of Leading Institution 1. Loan Number 3. Lender Information ❑ Add ❑ Remove a. Full Name, Mailing Address & Phone (include city, state, & zip) It. Job Title(Pmfession 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/dd/yyyy) g. Rate h Security Pledged i. Origim it Loan Amount J. Remaining Loan Balance 0 % None $ 200.00 $ 200.00 L Full Name of Lending Institution L Loam 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 28-173 e. Start Date (mm/dd/yyyy) a Employer's Name/Spedfic Field 07/14/2015 Town of Mineral Springs E End Date (mm/dd/yyyy) g. Rate It. Security Pledged - L Original Loan Amoumt J. Remaining Loan Balance 0 % None $ 500.00 $ 500.00 L Full Name of Lending Institution L Loam Number 4. Total only this Pae 5. Total of ALL CRO -1430 Pages (This fine must be on line 21 of Detailed Summary Page;,, $ 900.00 $ 3,185.01 CRO -1430 NC State Board of Elections December 2007 Outstanding Loans Amendment 119 a of 3 ❑ Sc. ® No Use this form to report any outstanding, loims received during a prey iuus reporting period and until the loam i�s paid in lull. Committee Full Name 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 Tide/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 It. Security Pledged L Original Loan Amount j. Remaining Iran Balance 0 % None $ 300.00 $ 300.00 it. 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 e. Start (Fate (mm/dd/yyyy) a Employer's Name/Specific Field 10/30/2015 Town of Mineral Springs L End Date (mm/dd/yyyy) g. Rate It. Security Pledged L Original Loan Amount J. Remaining Loam Balance 0 % 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, state, & Ain b. Job Title/Profession d. Comments e. Skirt Date (mm/dd/yyyy) c. Employer's Name/Specific Field f. End Date (mm/dd/yyyy) g. Rate h. Security Pledged L Original loan Amount J. Remaining Loam Balance IL Full Name of Leading Imstitution 1. Loran Number 4. Total only this Pae $ 400,00 5. Total of ALL CRO -1430 Pages (This One must he on One 21 of Detailed Summon Page CRL) -1100) $ 3,185.01 (RO-1430 V l' III "[ I mann' December 2007