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Becker Termination Report
Becker Termination Report
Becker Termination Report
Image# 202205229512620314
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REPORT OF RECEIPTS
FEC
FORM 3
AND DISBURSEMENTS
For An Authorized Committee Office Use Only
PO BOX 1114
ADDRESS (number and street)
Check if different
than previously BISMARCK ND 58501
reported. (ACC)
CITY STATE ZIP CODE
January 31 Year-End Report (YE) (c) 30-Day POST-Election Report for the:
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
5. Covering Period 04 01 2022 through 05 19 2022
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
BOLES, JASON, D, ,
Type or Print Name of Treasurer
M M / D D / Y Y Y Y
BOLES, JASON, D, ,
05 22 2022
Signature of Treasurer [Electronically Filed] Date
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109.
Office
Use FEC FORM 3
Only (Revised 05/2016)
Image# 202205229512620315
SUMMARY PAGE
FEC Form 3 (Revised 05/2016)
of Receipts and Disbursements 2 2 / 26
PAGE
Page
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
Report Covering the Period: From: 04 01 2022 To: 05 19 2022
COLUMN A COLUMN B
This Period Election Cycle-to-Date
6. Net Contributions (other than loans)
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
COLUMN A COLUMN B
I. RECEIPTS Total This Period Election Cycle-to-Date
04 08 2022
City State Zip Code
Transaction ID : RBBJR75E9W3RKSXNFUBB
BISMARCK ND 58502
04 19 2022
City State Zip Code
Transaction ID : R7ENUJC9SC3BH5VY7C4K
DICKINSON ND 58601
05 18 2022
City State Zip Code
Transaction ID : RV5KYS2QR4XRMRJJ5HQP
BISMARK ND 58502
05 10 2022
City State Zip Code
Transaction ID : RMXFMM5CWZ6UWZTSRB7S
TAVARES FL 32778
3491.39
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
93.42
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
421.26
TOTAL This Period (last page this line number only).....................................................................
, , .
2041.30
TOTAL This Period (last page this line number only).....................................................................
, , .
1000.00
TOTAL This Period (last page this line number only).....................................................................
, , .
1591.00
TOTAL This Period (last page this line number only).....................................................................
, , .
1422.97
TOTAL This Period (last page this line number only).....................................................................
, , .
936.89
TOTAL This Period (last page this line number only).....................................................................
, , .
4782.55
TOTAL This Period (last page this line number only).....................................................................
, , .
2952.78
TOTAL This Period (last page this line number only).....................................................................
, , .
5150.88
TOTAL This Period (last page this line number only).....................................................................
, , .
1594.00
TOTAL This Period (last page this line number only).....................................................................
, , .
3944.00
TOTAL This Period (last page this line number only).....................................................................
, , .
29422.44
Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address
Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
Memo Item
State: District:
500000.00
TOTAL This Period (last page this line number only).....................................................................
, , .
500000.00
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
,
,
.
500000.00
,
,
500000.00
.
,
,
.
0.00
TERMS Date Incurred Date Due Interest Rate Secured:
(If none, enter 0)
.
M M / D
M
03M / D
07 D / Y Y Y
2022 Y
12 31 D / Y Y Y
2022 Y 0.00
% (apr) Yes ✘ No
List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Name of Employer
BECKER, RICKY, C, , SELF
Mailing Address Occupation
PO BOX 1114 DOCTOR
Amount
City
BISMARK
State ZIP Code
58502
Guaranteed
Outstanding: ,
,
.
500000.00
ND Transaction ID : GJJ43NMKD2KW5RPFE8JC
2. Full Name (Last, First, Middle Initial) Name of Employer
Amount
City State ZIP Code Guaranteed
Outstanding: ,
,
.
3. Full Name (Last, First, Middle Initial) Name of Employer
Amount
City State ZIP Code Guaranteed
Outstanding:
,
,
.
4. Full Name (Last, First, Middle Initial) Name of Employer
Amount
City State ZIP Code Guaranteed
Outstanding:
,
,
.
0.00
TOTALS This Period (last page in this line only).................................................................
, , .
0.00
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.