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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 GO TO PAGE 2 l orms proviaed i7y i exas tinics L;ornrnission www. eirti ub.s Late. tx. u 5 V ci aivi i v �L. L.-4vj . uc V 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