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Home My WebLink About2022.04.18 - Campaign Finance Report CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. ` ,' 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER MR David D OFFICE USE ONLY NAME at E iiiC1\V//E I) NICKNAME LAST SUFFIX Baskett _ 4 CANDIDATE/ ADDRESS /PO BOX, APT/SUITE#; CITY; STATE, ZIP CODE APR if 2022 �' OFFICEHOLDER 1150 Prairie Wind Blvd ADDREMAILINSS Stephenville, TX 76401 City of Stephenville F. Change of Address I 5 CANDIDATE/ 1 AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postma OFFICEHOLDER PHONE (254 ) 413-8315 v Receipt# Amount$ 6 CAMPAIGN MS/MRS/MR FIRST MI , TREASURER MR Stephen R NAME Date Processed NICKNAME LAST SUFFIX McKethan Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE, ZIP CODE TREASURER 545 Hillcrest ADDRESS Stephenville, TX 76401 (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( 254 ) 722-4017 9 REPORT TYPE 1 January 15 I,/ 30th day before election Runoff i 15th day after campaign f j� treasurer appointment 1-- (Officeholder Only) I July 15 1 8th day before election Exceeded Modified 1 — ( Final Report(Attach C/OH-FR) I Reporting Limit 1 10 PERIOD Month Day Year Month Day Year COVERED / / THROUGH / / 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other Description 5 / 7 / 22 • General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) City Council Place 6 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME � 16 Filer ID (Ethics Commission Filers) Dc u; 3 I O_, 16c+-- 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ I/ l V O EXPENDITURE 3TOTALS . TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 4. TOTAL POLITICAL EXPENDITURES $ 9/ '3 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �Q $ BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15,Election Code. 751 , />n•"kI(, Signature of Candidate or Officeholder Please complete either option below: `�Pv ''/. ASHLEY GOOCH o ' Notary Public, State of Texas = •v= Comm. Expires 11-05-2022 '''";°;s Notary iD 130015491 e i NOTARY STAMP/SEAL 3;--ephth f �{Sworn to and subscribed before me by 1\j\LKA----laill� this the I LI I �1 day of O r t I , 2 (9 ,to ce ' which,witness my hand and seal of office. 03 IA lett elra)Cifi Si ature of officer administering oath Printed name of officer administering oath Title of officer administering oath op (2) Unsworn Declaration My name is , and my date of birth is My address is , (street) (city) (state) (zip code) (country) Executed in County,State of ,on the day of ,20 . (month) (year) Signature of Candidate/Officeholder(Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 1,900.00 2. SCHEDULE A2. NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 963.00 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $ TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of contribution ($) Dell Burdick 6 Contributor address; City; State; Zip Code I , 000 . 00 8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions) Date Full name of contributor out-of-state PAC(ID#: Amount of contribution ($) Rhyne Galley Contributor address; City; State; Zip Code 500 • 00 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($) ' Steve and Sara Vanden Berge Contributor address; City: State; Zip Code 1 00 • 00 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($) Nick Robinson Contributor address; City; State; Zip Code 1 J O ■ O O Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics state.tx.us Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME // 3 Filer ID (Ethics Commission Filers) DGuJ L3iGL�T 4 Date 5 Payee name 9/C 3/.22 <S t j f ��j�/e rr 6 Amount ($) 7 Payee address; City; State; Zip Code 6-k:0 3 `' v 5G2 C; wy S t(t -� Cf 0; 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF EXPENDITURE p ( {� I / Sl (c) Check if tray tlloutside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category(See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category(See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.Complete ScheduleT. Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020