HomeMy WebLinkAboutCFR-07.25.2023-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 I MRS I MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
Mr. Joseph Jordan
NAME...
..... ..... ........... ............ ........... ........ ........ I ...............
Date Received
NICKNAME LAST SUFFIX
Jake French IV
4 CANDIDATE /
ADDRESS I PO BOX; APT I 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
MS /MRS / MR FIRST MI
Rece pl�
Amount $
6 CAMPAIGN
TREASURER
Mr. Evan
Oats Processes 3
'
NAME...........................................................................
NICKNAME LAST SUFFIX
Date Imaged
l2 i2oZ3
Hein
IL
oZ
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
Georgetown
g
TX 78626
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 8lh day before election Exceeded Modified
Final Report (Attach CIOH - FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
l / 15 / 2023 THROUGH 07 / iS / 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 I 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)
COMMITTFF TYPF
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 8/1712020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
15 C/OH NAME
FORM C/OH
COVER SHEET PG 2
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$ 0
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 150.00
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
6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$4,039.01
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election Code.
2
Z :Z2
Signature of Candidate or Officeholder
*Rr °i4 ROBYN LOUISE DENSMORE
;r Notary ID #125657056
My Commission Expires Please complete either option below:
'�ioF+e April 15, 2026
1 (1) Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by _ x�{t�l�iV this the G� I day of 1
20 Z-i to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed n e of officer administering oath Title ci officer administering aat
(2) Unsworn Declaration
My name is _
My address is
Executed in
and my date of birth is
(street) (city) (state) (zip code) (country)
County, State of on the day of , 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
Sch:1/1 Rpt:3/7
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers)
4 Date
5 Full name of contributor ❑ out-of-state PAC (IDA: y
7 Amount of contribution ($)
2/10/2023
Sandra Sigman
6 Contributor address; City; State; Zip Code
$150.00
706 W Cimarron Hills Trl, Georgetown, TX 78628
8 Principal occupation / Job title (See Instructions) g Employer (See Instructions)
I
Date Full name of contributor ❑ out-of-state PAC (ID# y Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PACT (ID#: 1 Amount of contribution ($)
Contributor address; City, State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PAC (IDII. y Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal nrruination / 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/Fund raising 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 Glft/AWards/Memohals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries=ageslContractLabor 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
$31.39
225 Varick Street, 12th Floor New York, NY 10014
a
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(c) Check if travel outside of Texas- Complete Schedule Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
2/10/2023
PayPal Holdings, Inc.
Payee address; City; State; Zip Code
Amount ($)
$5.73
2211 North First Street, San Jose, CA, 95131
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Fees
Fee
OF
EXPENDITURE
❑ Check iftraveloutside ofTexas.Complete ScheduleT. ❑ Check if Austin. TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
2/10/2023
Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$4.50
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule) Description
PURPOSE
Fees Fee
OF
EXPENDITURE
❑ Check if travel outside of Texas, Complete ScheduleT. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memodals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesMages/Contract Labor Other (entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl:
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers;
Sch:2/4 Rpt:5/7
4 Date
5 Payee name
2/15/2023
Squarespace, Inc.
6 Amount ($)
7 Payee address; City; State; Zip Cr-4-
$31.39
225 Varick Street, 12th Floor New York, NY 10014
8
(a) Category (See Categories listed al. the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(c) Check if travel outside of Texas Complete Schedule ❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
3/15/2023 Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the lop of this schedule)
Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule Check if Austin. TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
4/15/2023
Squarespace, Inc.
Payee address; City; State; Zip Code
Amount ($)
$31.39
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
Advertising Expense
Website
EXPENDITURE
❑ Check if travel outside of Texas Complete Schedule ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Palling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/ContractLabor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1.
2 FILER NAME Jake French
3 Filer ID (Ethics Commission Filers)
Sch:3/4 Rpt:6/7
4 Date
5 Payee name
5/15/2023
Squarespace, Inc.
7 Payee address; City; State; Zip Code
6 Amount ($)
$31.39
225 Varick Street, 12th Floor New York, NY 10014
8
(a) Category (See Categories listed al the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(c) Check if travel outside of Texas. Complete Schedule Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
6/15/2023 Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
AdvertisingEx ense
p
Website
OF
EXPENDITURE
Check if travel outside of Texas, Complete ScheduleT. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
6/29/2023
Squarespace, Inc.
Amount ($)
Payee address; City; State; Zip Code
$20.00
225 Varick Street, 12th Floor New York, NY 10014
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
Fees
Fee
EXPENDITURE
Check if travel outside of Texas. Complete Schedule Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Glft/AWards/Memodals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME Jake French 3 Filer ID (Ethics Commission Filers)
Sch:4/4 Rpt:7/7
4 Date 5 Payee name
7/15/2023 Squarespace, Inc.
6 Amount ($)
7 Payee address; City; State. Zip Code
$31.39
225 Varick Street, 12th Floor New York, NY 10014
a
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule El Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
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 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 Schedule 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 SCHEDULEAS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020