HomeMy WebLinkAboutCFR-01.06.2021-Pitts. KevinCANDIDATE 1 OFFICEHOLDER
FORM CIOH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 Filer ID
2 Total pages filed:
The C/OH Instruction Guide
explains how to complete this form.
7
3 CANDIDATE /
MS /MRS / MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
Kevin
Dtile
..NICKNAME .....................»»..»».LAST................................................................SUFFIX......
.BAN O 6 2021
Pitts
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
ADDRESS / PO BOX; APT / SUITE #; CITY;
ZIP CODE
Date n liver n n
ON 101tot r—i
Receipt#
lAmouni
❑Change ofAddress
Georgetown, TX 78628
Date Processed
.Date Imaged
5 CAMPAIGN
MS / MRS / MR FIRST
MI
TREASURER
NAME
NICKNAME'.. .....��......................LAST.....................������.�.................��������.........SUFFIX..........................................�.�...............�.����.��...�......
6 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
7 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
8 REPORT
TYPE
January 15 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
9 PERIOD
Month Day Year
Month Day Year
COVERED
07/01/2020 THROUGH
12/31/2020
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary
Runoff El Other
General
Special
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT (if known)
Georgetown City Council District 5
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CANDIDATE 1 OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS COVER SHEET PG 2
2of7
13 C / OH NAME
Pitts, Kevin
14 Filer ID
15 NOTICE
This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM
candidate / officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL
consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
COMMITTEE TYPE
COMMITTEE NAME
El Additional Pages
❑ GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS,
TOTALS
OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY)
$ 750.00
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 2,000.00
EXPENDITUREW
TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURES
$ 0.00
4. TOTAL POLITICAL EXPENDITURES
$ 483.40
. W CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE
REPORTING PERIOD
$ 4,687.54
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY
OF THE REPORTING PERIOD
$ 0.00
17 AFFADAVIT
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 Ode.
ROBYN LOUISE DENSMORE
My Notary ID 1I 125WO56
Exp WApi 15, 2022
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
}{-�
Sworn to and subscribed before me, by the said this the day
Of
.20 to certify which, witness my hand and seal of office.
Ag,atu,eofficer
adminlstenng Printed n e of Office admtnlstenng Tit e of a icer administering a th
Farms provided ay I exas ttnics Gommisston www.eintcs.state.tx.us vp=stvtt v.u.A,•+z7o�1UUu
SUBTOTALS - CIOH
FORM CIOH
COVER SHEET PG 3
3of7
18 FILER NAME
Pitts, Kevin
19 Filer ID
20 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL AMOUNT
1. rX_j SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS
$
2,000.00
2. F1 SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3. SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4. SCHEDULE E: LOANS
$
5. SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7, SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
$
8, SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9. 7X SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS
$
483.40
10. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11. SCHEDULE I: NON -POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
❑ SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
12.
TO FILER
$
wncn roc
Forms pravidea by I exas tinics t ommission www.eUuuZi.sLdLeAA.U� vuia u" .1ivvv
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:Sch:
1/2 Rpt: 4/7
2 FILER NAME
3 Filer ID
Pitts, Kevin
4 Date
5 Full name of contributor out-of-state PAC (ID#: )
7 Amount of Contribution ($}
09/25/2020
Borenstein, Mark
$100.00
............................................................................................................................................................
; 6 Contributor addressCity; State; Zip Code
804 Canyon Springs Dr
Cedar Park, TX 78613
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Office Manager
Date Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of Contribution ($)
09/24/2020 Islam, Rashed
$50.00
............................................................................................................................................................ .
Contributor address; City; State; Zip Code
11901 Palisades Pkwy
Austin, TX 78732-1242
Principal ouuupation / Job title (See Instructions)
Employer (See Instructions)
Management
Date
Full name of contributor out-of-state PAC (OP: )
Amount of Contribution ($)
09/25/2020
Kaatz, Kelly
$50.00
................................
Contributor address; City; State; Zip Code
347 Esperanza Trl
Johnson City, TX 78636
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Analyst
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of Contribution ($)
11/17/2020
Smith, Bradley
$500.00
Contributor address; City; State; Zip Code
30303 Oak Tree Dr
Georgetown, TX 78628
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Entrepreneur
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of Contribution ($)
11/17/2020
Smith, Lori
$500.00
.......................................................................................................................................................... .
Contributor address; City; State; Zip Code
30303 Oak Tree Dr
Georgetown, TX 78628
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Entrepreneur
Forms provided try Texas Einics commission www.emics.state.tx.us version vl.i.4i5i tZ6 6
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form.
Sch: 2/2 Rpt: 5/7
2 FILER NAME
3 Filer ID
Pitts, Kevin
4 Date
5 Full name of contributor out-of-state PAC (ID#: )
7 Amount of Contribution ($)
09/25/2020
Walker, Jacob
$50.00
6 Contributor address; City; State; Zip Code........................................................................
108 Kyle Ln
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Engineer
Forms provide[t ny I exas Ltnics t;ommission WWW.einlcs.siaie.ix.us )JUJ i, Vl1 V 1.1.4'VUeLUOV
POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Event Expense Loan Repayment/Reimbursement
Solicitation/Fundraising Expense
Accounting/Banking
Fees Office Overhead/Rental Expense
Transportation Equipment & Related Expense
Consulting Expense
Food/Beverage Expense Polling Expense
Travel in District
Contributions/ Donations Made By
- Gift/Awards/Memorials Expense Printing Expense
Travel Out of District
CandidatelOfficeholder/Political
Committee Legal Services Salaries/Wages/Contract Labor
OTHER (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1
Total pages Schedule G:
2 FILER NAME
3 Filer ID
Sch: 1/2 Rpt: 6/7
Pitts, Kevin
4
Date
5 Payee name
12/14/2020
White, Todd
6
Amount ($)
7 Payee address; City;.. State; Zip Code
$100.00
Reimbursement from
Elpolitical contributions
intended
Georgetown, TX 78626
8
PURPOSE
(a) Category (See Categories listed at the top of this schedule)
(b) Description Check if travel outside of Texas. Complete Schedule T.
OF
Photography
Check if Austin, TX, officeholder living expense
EXPENDITURE
Campaign Photos
9
Complete ONLY if direct
Candidate/Officeholder name Office sought
Office held
expenditure to benefit
C/OH
Date
Payee name
12/13/2020
Wix.com LTD
Amount ($)
Payee address; City; State; Zip Code
$63.75
40 Namal
ElReimbursement from
political contributions j(
intended
Tel Aviv Israel
PURPOSE
Category (See Categories listed at the top of this schedule)
Description Check if travel outside of Texas, Complete Schedule T,
OF
Email addressH
Check if Austin, TX, officeholder living expense
EXPENDITURE
Hosting email address for URL
Complete ONLY if direct
Candidate/Officeholder name Office sought
Office held
expenditure to benefit
C/OH
Date
Payee name
12/04/2020
Wix.com LTD
Amount ($)
Payee address; City; State; Zip Code
$26.40
40 Namal
Reimbursement from
Elpolitical contributions
intended
Tel Aviv Israel
PURPOSE
Category (See Categories listed at the top of this schedule)
Description Check if travel outside of Texas, Complete Schedule T.
OF
Purchase of URL
Check it Austin, TX, officeholder living expense
EXPENDITURE
Purchase of URL
Complete ONLY if direct
Candidate/Officeholder name Office sought
Office held
expenditure to benefit
C/OH
Forms provided by Texas Ethics commission www.einics,siaie.ix.us VCSSfUII V i.l.4aocl000
POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking
Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense
Food/Beverage Expense Polling Expense Travel in District
Contributions/ Donations Made By - GifUAwards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/wages/Contract Labor OTHER (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G:
2 FILER NAME
3 Filer ID
Sch: 2/2 Rpt: 7/7
Pitts, Kevin
4 Date
5 Payee name
12/30/2020
Wix.com LTD
6 Amount ($)
7 Payee address; City; State; Zip Code
$293.25
40 Namal
Reimbursement from
political contributions
intended
Tel Aviv Israel
8 PURPOSE
(a) Category (See Categories listed at the top of this schedule)
(b) Description Check if travel outside of Texas. Complete Schedule T.
OF
Website Hosting
Check if Austin, TX, officeholder living expense
EXPENDITURE
Website hosting for kevinforgerogetown.com
9 Complete ONLY if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us version v1.1.4J5'LrbbSb