HomeMy WebLinkAboutCFR-07.17.2023-French, JakeCANDIDATE / 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
OFFICE USE ONLY
OFFICEHOLDER
Mr. Joseph Jordan
NAME.................................................................................
Date Received
NICKNAME LAST SUFFIX
Jake French IV
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
Georgetown, TX 78626
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
(
PHONE
Receipt #
Amount $
6 CAMPAIGN
MS / MRS / MR FIRST MI
TREASURER
Mr. Evan
Date Processed
NAME.................................................................................
NICKNAME LAST SUFFIX
Date Imaged
Hein
7 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
Georgetown TX 78626
g
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
❑ January 15 ❑ 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
X❑ July 15 8th day before election Exceeded Modified Final Report (Attach C/OH - FIR)
Reporting Limit
10 PERIOD
Month Day Year Month Day Year
COVERED
1 / 15 / 2023 THROUGH 07 / 15 / 2023
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
05 / 06 / 2023
❑X General ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
Georgetown City Council District 6
Georgetown City Council District 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)
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$ 0
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
$ 150.00
...................
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALS EXPENDITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$0
...................
4. TOTAL POLITICAL EXPENDITURES
$249.96
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
..................
OF REPORTING PERIOD
$
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$4,039.01
LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election Code.
Signature of Candidate
or Officeholder
Please complete either option below:
(1) Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the
day of
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath
•
Title of officer administering oath
(2) Unsworn Declaration
My name is and my date of birth is
My address is
(street) (city) (state)
(zip code) (country)
Executed in County, State of on the day of
, 20
(month)
(year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
Sch:1/1 Rpt:3/7
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
2/10/2023
Sandra Sigman
...................................................................................
6 Contributor address; City; State; Zip Code
$ 150.00
706 W Cimarron Hills Trl, Georgetown, TX 78628
8 Principal occupation / Job title (See Instructions)
g 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 ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers)
Sch:1/4 Rpt:4/7
4 Date
5 Payee name
1/15/2023
Squarespace, Inc.
6 Amount ($)
7 Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule ❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
2/10/2023
PayPal Holdings, Inc.
Amount ($)
Payee address; City; State; Zip Code
$5.73
2211 North First Street, San Jose, CA, 95131
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Fees
Fee
OF
EXPENDITURE
❑ Check if travel outside of Texas. Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
2/10/2023
Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$4.50
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Fees
Fee
OF
EXPENDITURE
❑ Check if travel outside of Texas. Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers)
Sch:2/4 Rpt:5/7
4 Date
5 Payee name
2/15/2023
Squarespace, Inc.
6 Amount ($)
7 Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule ❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
3/15/2023
Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Advertising Expense
Website
EXPENDITURE
❑ Check if travel outside of Texas. Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
4/15/2023
Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
Advertising Expense
Website
EXPENDITURE
❑ Check if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers)
Sch:3/4 Rpt:6/7
4 Date
5 Payee name
5/15/2023
Squarespace, Inc.
6 Amount ($)
7 Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule ❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
6/15/2023
Squarespace, Inc.
Amount ($)
Payee address; City, State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Advertising Expense
Website
EXPENDITURE
❑ Check if travel outside of Texas. Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
6/29/2023
Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$20.00
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
Fees
Fee
EXPENDITURE
Check if travel outside of Texas. Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers)
Sch:4/4 Rpt:7/7
4 Date
7/15/2023
5 Payee name
Squarespace, Inc.
6 Amount ($)
7 Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule ❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
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 ScheduleT. ❑ 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