HomeMy WebLinkAbout2022.05.02 - 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 OFFICE USE ONLY
NAME D�C „ VD
NICKNAME LAST SUFFIX
Baskett `
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER 1150 Praire Wind MAY 2 2022 -o
ADDREMAILINSS Stephenville, TX 76401
City of Stephenville
Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION 1
OFFICEHOLDER Date Hand-delivered or Date Postmar
PHONE (254 ) 413-8315
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
(Residence or Business) 5+Crkt/1 t,I L / 7N 7t Yv
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE (
30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
4 / 1 / 22 THROUGH 5 / 1 / 22
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)
David Baskett
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) $ 2 500.00
EXXPAENS ITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.TOT $
4. TOTAL POLITICAL EXPENDITURES $ 2,308.30
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
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.
774
Signature of Candidate or Officeholder
Please complete either option below:
(1)Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the day of
20 , to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
OR
(2) Unsworn Declaration
� ) / p
CiZ
My name is54?/I.t.1^ rr'�� ��c,V\ , and my date of birth is ` ( 1 -
My address is S4 ,N+1ICn �+ Dr. , Si k<Avt ILc, , TX , '74 '1G( us A-
(street) `7`�( / (city) (state) (zip code) (country)
Executed in �i��'f County,State of I 'l ,on the 211: day of 4` a
Y ,20d
(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)
David Baskett
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. ■ SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 2,500.00
2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. ■ SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 2,308.30
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: 1
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
David Baskett
4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of contribution ($)
� /)-1
Austin Brown ,
5-a U v °
6 Contributor address; City; State; Zip Code 2,
S'ville TX 76401
8 Principal occupation /Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-state PAC (ID#. ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation /Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
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 Fl
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/ Vages/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)
1 David Baskett
4 Date 5 Payee name
1 ),-)
Beneath the Surface News
6 Amount ($) 7 Payee address; City; State; Zip Code
200.00 5 1w_,tv,76. %X 76 c(v
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE Advertising Campaign Ad
OF
EXPENDITURE
(c) Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
l / Payee name
Li , ) 4 Quality Printing
Amount ( Payee address; City; State; Zip Code
879.96 460 S Graham St. Stephenville, TX 76401
Category (See Categories listed at the top of this schedule) Description
PURPOSE Printing Mailer/Flyers
OF
EXPENDITURE
Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
L1( /) '
United States Postal Service
Amount ($) Payee address; City; State; Zip Code
1 ,228.44 USPS
Category (See Categories listed at the top of this schedule) Description
PURPOSE l(,,�� { , � LP rv1
OF \C�1r y PoSi7y.— U'Xf Tor J• ..,,,1C/s'
EXPENDITURE 0 f
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
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020