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CANDIDATE’S REPORT

(to be filed by a candidate or his principal campaign committee)

1.Qualifying Name and Address of Candidate 2. Office Sought (Include title of office as OFFICE USE ONLY
well
DAVID MCCORMICK Report Number: 78282
Parish President
200 Saint Agnes Drive
Terrebonne Date Filed: 9/10/2019
Bourg, LA 70343

Report Includes Schedules:


Schedule A-1
Schedule A-2
Schedule B
3. Date of Primary Schedule E-1
10/12/2019
Schedule E-2
This report covers from 6/3/2019 through 9/2/2019

4. Type of Report:

180th day prior to primary 40th day after general

90th day prior to primary Annual (future election)


X
30th day prior to primary Supplemental (past election)

10th day prior to primary

10th day prior to general Amendment to prior report

5. FINAL REPORT if:

Withdrawn Filed after the election AND all loans and debts paid

Unopposed

6. Name and Address of Financial Institution 7. Full Name and Address of Treasurer
(You are required by law to use one or more BECKY MCCORMICK
banks, savings and loan associations, or money
200 Saint Agnes Drive
market mutual fund as the depository of all
Bourg, LA 70343

SOUTH LOUISIANA BANK


4343 Highway 24
Bourg, LA 70343

9. Name of Person Preparing Report BECKY MCCORMICK


Daytime Telephone 985-209-2139
10. WE HEREBY CERTIFY that the information contained in this report and the attached 8. FOR PRINCIPAL CAMPAIGN COMMITTEES ONLY
schedules is true and correct to the best of our knowledge, information and belief, and that no a. Name and address of principal campaign committee,
expenditures have been made nor contributions received that have not been reported herein, committee’s chairperson, and subsidiary committees, if
and that no information required to be reported by the Louisiana Campaign Finance Disclosure any (use additional sheets if necessary).

This 10th day of September , 2019 .

David McCormick 985.856.9296


Signature of Candidate/Chairperson Daytime Telephone
(To be signed by Chairperson only if report by
principal campaign committee)

Becky McCormick 985-209-2139


Signature of Treasurer Daytime Telephone
Form 102, Rev. 1/98, Page Rev. 3/00

Report Number: 78282 Page 1 of 20 DAVID MCCORMICK


SUMMARY PAGE

RECEIPTS This Period

1. Contributions (Schedule A-1) $ 15,858.00

2. In-kind Contributions (Schedule A-2) $ 395.00

3. Campaign paraphernalia sales of $25 or less $ 0.00

4. TOTAL CONTRIBUTIONS (Lines 1 + 2 +3) $ 16,253.00

5. Other Receipts (Schedule A-3) $ 0.00

6. Loans Received (Schedule B) $ 5,000.00

7. Loan Repayments Received (Schedule D) $ 0.00

8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7) $ 21,253.00

DISBURSEMENTS This Period

9. Expenditures (Schedule E-1) $ 18,650.79

10. Other Disbursements (Schedule E-2) $ 3.00

11. Loan Repayments Made (Schedule B) $ 0.00

12. Funds Loaned (Schedule D) $ 0.00

13. TOTAL DISBURSEMENTS (Lines 9 + 10 + 11 + 12) $ 18,653.79

FINANCIAL SUMMARY Amount

14. Funds on hand at beginning of reporting period $ 0.00


(Must equal funds on hand at close from last report or -0- if first report for this election)

15. Plus total receipts this period $ 21,253.00


(Line 8 above)

16. Less total disbursements this period $ 18,653.79


(Line 13 above)

17. Less in-kind contributions $ 395.00


(Line 2 above)

18. Funds on hand at close of reporting period $ 2,204.21


Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 2 of 20 DAVID MCCORMICK


SUMMARY PAGE (continued)

INVESTMENTS Amount

19. Of funds on hand at beginning of reporting period (Line 14, above), amount held in
$ 0.00
investments (i.e., savings accounts, CD’s, money market funds, etc.)

20. Of funds on hand at close of reporting period (Line 18, above), amount held in
$ 0.00
investments

FINANCIAL SUMMARY Amount

21. Candidate’s personal funds


(Use of personal funds as either a contribution or loan to the campaign should be
$ 5,000.00
reported on Schedules A-1 or B.)

22. Contributions received from political committees


$ 0.00
(From Schedules A-1 and A-2)

23. All proceeds from the sale of tickets to fundraising events


(Receipts from the sale of tickets are contributions and must also be reported on
$ 0.00
Schedule A-1.)

24. Proceeds from the sale of campaign paraphernalia


(Receipts from the sale of campaign paraphernalia are contributions and must also
$ 0.00
be reported on Schedule A-1 or Line 3, above.)

25. Expenditures from petty cash fund


$ 0.00
(Must also be reported on Schedule E-1.)

SPECIAL TRANSACTIONS - total for the election This Election

26. Total amount of contributions received from political committees for both the primary
$ 0.00
and general elections combined since the first report filed for this election.

NOTICE
The personal use of campaign funds is prohibited.* The use of campaign funds must be related to a
political campaign or the holding of a public office or party position . However, campaign funds may be used to
reimburse a candidate for expenses related to his campaign or office , to pay taxes on the interest earned on
campaign funds or to replace articles lost, stolen, or damaged in connection with a campaign.

Excess campaign funds may be returned to contributors on a pro rata basis, given as a charitable
contribution as provided in 26 USC 170(c), given to a charitable organization as defined in 26 USC 501(c)(3),
expended in support of or opposition to a proposition, political party, or candidacy of any person, or
maintained in a segregated fund for use in future political campaigns or activity related to preparing for future
candidacy to elective office.

*The prohibition on the personal use of campaign funds does not apply to campaign funds received prior to July 15,

Form 102, Rev. Rev. 3/98, Page Rev. 3/00

Report Number: 78282 Page 3 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

GERALD ARCENEAUX 08/01/2019 $100.00 $100.00


117 Hotard Street
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

DYLAN AUTHEMENT 08/01/2019 $25.00 $25.00


4238 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

SEAN AUTHEMENT 08/01/2019 $25.00 $25.00


4238 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

BATT TRANSPORT, LLC 06/26/2019 $2,000.00 $2,000.00


P. O. Box 2116
Houma, LA 70361

POLITICAL COMMITTEE? PARTY COMMITTEE?

BIO SOLUTIONS, LLC 07/01/2019 $1,000.00 $1,000.00


2515 Cummins Road
P. O. Box 20427
Houma, LA 70360
POLITICAL COMMITTEE? PARTY COMMITTEE?

BIO SOLUTIONS, LLC 07/20/2019 $1,500.00 $2,500.00


2515 Cummins Road
P. O. Box 20427
Houma, LA 70360
POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $4,650.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 4 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

KRISTINA BOBBITT 06/17/2019 $100.00 $100.00


211 Lyles Street
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

CHARLENE BOQUET 08/01/2019 $25.00 $25.00


111 Plantation Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

FERDINAND BOQUET 08/01/2019 $25.00 $25.00


111 Plantation Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

SKIP BOUDIER 08/14/2019 $500.00 $500.00


204 Chantilly Drive
Houma, LA 70360

POLITICAL COMMITTEE? PARTY COMMITTEE?

MANDERLY BOUDREAUX 08/01/2019 $25.00 $25.00


164 Bienville Blvd.
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

RODNEY BOUDREAUX 08/01/2019 $25.00 $25.00


164 Bienville Blvd.
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $700.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 5 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

KAREN BRASHER 08/01/2019 $25.00 $25.00


4438 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

MORGAN BRASHER 08/01/2019 $25.00 $25.00


4438 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

ANGEL CARRELL 08/13/2019 $1,000.00 $2,500.00


4016 Benton Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

ANGEL CARRELL 08/09/2019 $1,500.00 $1,500.00


4016 Benton Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

TRAVIS CARRELL 08/13/2019 $500.00 $500.00


4016 Benton Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

DEBBIE CHIASSON 08/01/2019 $25.00 $25.00


96 Wayside Drive
Houma, LA 70360

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $3,075.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 6 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

JEREMY CHIASSON 08/01/2019 $25.00 $25.00


96 Wayside Drive
Houma, LA 70360

POLITICAL COMMITTEE? PARTY COMMITTEE?

GLENDA DEROCHE 06/03/2019 $1,000.00 $1,000.00


936 Blimp Rd.
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

JEROD DEROCHE 06/03/2019 $1,000.00 $1,000.00


936 Blimp Rd.
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

LEROY DUBOIS 08/01/2019 $50.00 $50.00


107 Montegut Street
Montegut, LA 70377

POLITICAL COMMITTEE? PARTY COMMITTEE?

CHARLES DUPLANTIS 08/01/2019 $25.00 $25.00


4237 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

THERESA ELLENDER 08/01/2019 $25.00 $25.00


4425 Highway 24
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $2,125.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 7 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

WALLACE ELLENDER 08/01/2019 $25.00 $25.00


4425 Highway 24
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

ANNETTE FORET 08/01/2019 $50.00 $50.00


636 Engeron Street
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

PATTY GUIDROZ 08/01/2019 $25.00 $25.00


4237 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

GULF/INLAND CONTRACTORS, INC. 07/08/2019 $1,000.00 $1,000.00


216 Industrial Ave. B
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

NANCY GUZZO 06/07/2019 $50.00 $50.00


203 Plum Street
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

NANCY GUZZO 08/01/2019 $25.00 $75.00


203 Plum Street
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $1,175.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 8 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

ROSARIO GUZZO 08/01/2019 $25.00 $25.00


203 Plum Street
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

GARETH HENRY 08/08/2019 $9.30 $9.30


293 Cottage Way
Thibodaux, LA 70301

POLITICAL COMMITTEE? PARTY COMMITTEE?

HOUMA PLAZA INC. 08/08/2019 $500.00 $500.00


960 D Grand Caillou Rd.
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

INTEGRITY OILFIELD SERVICES 06/19/2019 $2,000.00 $2,000.00


3675 West Park Ave.
Gray, LA 70359

POLITICAL COMMITTEE? PARTY COMMITTEE?

KELLY JOHN 08/01/2019 $25.00 $25.00


4438 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

TODD JOHN 08/01/2019 $25.00 $25.00


4438 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $2,584.30 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 9 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

VINCENT KREAMER, JR. 08/01/2019 $25.00 $25.00


4150 Bayouside Dr.
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

LANA LABAUVE 08/19/2019 $23.70 $23.70


1429 LA 55
Montegut, LA 70377

POLITICAL COMMITTEE? PARTY COMMITTEE?

TREVOR LAPEYROUSE 08/01/2019 $250.00 $250.00


150 Presque Isle Drive
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

LARRY LEBLANC 08/01/2019 $25.00 $25.00


125 Aubrey Drive
Houma, LA 70360

POLITICAL COMMITTEE? PARTY COMMITTEE?

ROY LEBOEUF 08/30/2019 $500.00 $500.00


101 Tyler Christian
Houma, LA 70361

POLITICAL COMMITTEE? PARTY COMMITTEE?

KATY LEDET 08/01/2019 $100.00 $100.00


201 Plantation Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $923.70 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 10 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

HOPE LIRETTE 08/01/2019 $50.00 $50.00


5005 Bayouside Drive
Chauvin, LA 70344

POLITICAL COMMITTEE? PARTY COMMITTEE?

HIMAYA MALA-MICHEL 08/01/2019 $25.00 $25.00


803 Douglas Drive
Houma, LA 70364

POLITICAL COMMITTEE? PARTY COMMITTEE?

JENNIFER MARCEL 08/01/2019 $25.00 $25.00


303 Foster Drive
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

KAINE MARCEL 08/01/2019 $25.00 $25.00


303 Foster Drive
Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

JANET MCKIM 08/01/2019 $25.00 $25.00


701 Douglas Drive
Houma, LA 70364

POLITICAL COMMITTEE? PARTY COMMITTEE?

GERALD MICHEL 08/01/2019 $25.00 $25.00


803 Douglas Drive
Houma, LA 70364

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $175.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule)
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 11 of 20 DAVID MCCORMICK


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)

BLAISE PELLEGRIN 06/07/2019 $100.00 $100.00


216 Plantation Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

KELLIE PELLEGRIN 08/01/2019 $25.00 $25.00


203 Plantation Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

MIKE PELLEGRIN 08/01/2019 $25.00 $25.00


203 Plantation Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

BECKY THERIOT 08/01/2019 $25.00 $25.00


4238 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

ERIC THERIOT 08/01/2019 $25.00 $25.00


4238 Country Drive
Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

BLAINE VEDROS 08/19/2019 $250.00 $250.00


309 Everette Drive
Houma, LA 70364

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $450.00 N/A

5. TOTAL (complete only on last page of this schedule) $ 15,858.00 N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule) $ 0.00
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 12 of 20 DAVID MCCORMICK


SCHEDULE A-2: IN-KIND CONTRIBUTIONS
The following information must be provided for all in-kind contributions to your campaign having a monetary value in excess of
$25. In-kind contributions include the donation of tangible property, the use of tangible property, or the services of employees
paid by a person other than the candidate or his business. In Column 1, check if the in-kind contributor is a political
committee or a party committee. Any in-kind contributions a candidate makes to his own campaign must be reported here.
Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported
on the Summary Page.
1. Name and Address of In-Kind Contributor 2. In-Kind Contributions this Reporting Period 3. Total this Election
a. Description(s) b. Date(s) c. Amount(s)

KRISTINA BOBBITT Cake for fundraiser 08/01/2019 $50.00 $150.00


211 Lyles Street dinner

Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

BUCKHORN RENTALS, LLC Jambalaya for 08/01/2019 $150.00 $150.00


292 A Equity Blvd. fundraiser dinner

Houma, LA 70360

POLITICAL COMMITTEE? PARTY COMMITTEE?

DAVID CARRELL Fish for funraiser 08/01/2019 $120.00 $120.00


4016 Benton Drive dinner

Bourg, LA 70343

POLITICAL COMMITTEE? PARTY COMMITTEE?

TREVOR LAPEYROUSE Drinks for 08/01/2019 $75.00 $325.00


150 Presque Isle Drive fundraiser dinner

Houma, LA 70363

POLITICAL COMMITTEE? PARTY COMMITTEE?

4. SUBTOTAL (this page) $395.00 N/A

5. TOTAL (complete only on last page of this schedule) $ 395.00 N/A

6. IN-KIND CONTRIBUTIONS FROM POLITICAL COMMITTEES

SUBTOTAL (this page) $0.00 TOTAL (complete only on last page of this schedule) $ 0.00
Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 13 of 20 DAVID MCCORMICK


SCHEDULE B: LOANS RECEIVED
The following information must be provided for each loan or line of credit received this reporting period, even if it has been
repaid. Also, complete this schedule for loans received in prior periods that are still outstanding. Separate loans must be
reported separately, even if from the same source. Any personal funds a candidate loans to his campaign must be reported
on this schedule.

1. Name and address of lender 2. a. Date* 8/20/2019 b. Interest rate 0.00 %(a.p.r.)
DAVID MCCORMICK
c. Amount borrowed* . . . . . . . . . . . . . . . . . . . . . . $ 2,000.00
200 Saint Agnes Drive
Bourg, LA 70343 d. Balance due . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,000.00

*For lines of credit, give the date the line of credit was first committed
at Item 2a and list only the amount actually drawn at Item 2c.
OPTIONAL: Total amount of credit available $

3. Endorsers/Guarantors 4. Repayments this period


Date Principal Interest

(Enter the full name and address of each person or entity that has (List payments of principal and interest separately. If separate amounts are
endorsed, guaranteed or otherwise secured the loan or line of not known, list all payments under principal. )
credit.

1. Name and address of lender 2. a. Date* 8/26/2019 b. Interest rate 0.00 %(a.p.r.)
DAVID MCCORMICK
c. Amount borrowed* . . . . . . . . . . . . . . . . . . . . . . $ 3,000.00
200 Saint Agnes Drive
Bourg, LA 70343 d. Balance due . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,000.00

*For lines of credit, give the date the line of credit was first committed
at Item 2a and list only the amount actually drawn at Item 2c.
OPTIONAL: Total amount of credit available $

3. Endorsers/Guarantors 4. Repayments this period


Date Principal Interest

(Enter the full name and address of each person or entity that has (List payments of principal and interest separately. If separate amounts are
endorsed, guaranteed or otherwise secured the loan or line of not known, list all payments under principal. )
credit.

Report Number: 78282 Page 14 of 20 DAVID MCCORMICK


SCHEDULE E-1: EXPENDITURES
Use this schedule to report information on all campaign expenditures for this reporting period. An “expenditure” is any
payment made for the purpose of supporting your election to public office and includes monies spent for the campaign’s
general operating expenses. Any payments made that are not “expenditures” should be reported on SCHEDULE E-2:
OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may
assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Recipient 2. Expenditures this Reporting Period
a. Date(s) b. Purpose(s) c. Amount(s)

AMERICAN FOUNDATION FOR SUICIDE 08/10/2019 Suicide Prevention Walk $ 250.00


PREVENTION
199 Water St. 11th Floor
New York, NY 10038

LOUISIANA SECRETARY OF STATE 06/19/2019 Voter's List $ 330.00


8585 Archives Ave.
Baton Rouge, LA 70809

BANNERS ON THE CHEAP 06/05/2019 Advertisement Banners $ 300.01


11525 A Stonehollow Dr., Suite 100
Austin, TX 78758

BUILD A SIGN ENTERPRISE 06/24/2019 Advertisement signs $ 1,588.80


11525 A Stonehollow Dr., Suite 100
Austin, TX 78758

DAVID CARRELL 07/01/2019 Canvassing $ 250.00


4016 Benton Drive
Bourg, LA 70343

COOPER LIFE FUND 08/11/2019 Cancer Patient Benefit Run $ 40.00


276 Riverwood Dr.
Houma, LA 70360

CYPRESS BAYOU EMBROIDERY 07/18/2019 Embroidery on Campaign shirts $ 49.48


240 Company Canal Rd.
Bourg, LA 70343

ELLENDER MEMORIAL HIGH SCHOOL 08/01/2019 Advertisement $ 75.00


3012 Patriot Dr.
Houma, LA 70363

3. SUBTOTAL (optional) $2,883.29

4. TOTAL (optional - complete only on last page of this schedule)


Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 15 of 20 DAVID MCCORMICK


SCHEDULE E-1: EXPENDITURES
Use this schedule to report information on all campaign expenditures for this reporting period. An “expenditure” is any
payment made for the purpose of supporting your election to public office and includes monies spent for the campaign’s
general operating expenses. Any payments made that are not “expenditures” should be reported on SCHEDULE E-2:
OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may
assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Recipient 2. Expenditures this Reporting Period
a. Date(s) b. Purpose(s) c. Amount(s)

FACEBOOK INC. 08/12/2019 Facebook advertisement $ 25.00


1 Facebook Way
Menlo Park, CA 94025

FACEBOOK INC. 08/13/2019 Facebook Advertisement $ 25.00


1 Facebook Way
Menlo Park, CA 94025

FACEBOOK INC. 08/16/2019 Facebook Advertisement $ 35.00


1 Facebook Way
Menlo Park, CA 94025

FACEBOOK INC. 08/23/2019 Facebook Advertisement $ 50.00


1 Facebook Way
Menlo Park, CA 94025

FACEBOOK INC. 08/31/2019 Facebook Advertisement $ 65.00


1 Facebook Way
Menlo Park, CA 94025

FLAWLESS PRINTING 2 07/05/2019 Screen-printing campaign $ 456.03


1313 E. Tunnel Blvd. Suite A shirts

Houma, LA 70363

FLAWLESS PRINTING 2 07/01/2019 Deposit on screen-printing $ 357.50


1313 E. Tunnel Blvd. Suite A campaign shirts

Houma, LA 70363

FRANKLIN PRESS INC. 07/15/2019 Chronic Voter's List $ 163.42


1391 Highland Rd.
Baton Rouge, LA 70802

3. SUBTOTAL (optional) $1,176.95

4. TOTAL (optional - complete only on last page of this schedule)


Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 16 of 20 DAVID MCCORMICK


SCHEDULE E-1: EXPENDITURES
Use this schedule to report information on all campaign expenditures for this reporting period. An “expenditure” is any
payment made for the purpose of supporting your election to public office and includes monies spent for the campaign’s
general operating expenses. Any payments made that are not “expenditures” should be reported on SCHEDULE E-2:
OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may
assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Recipient 2. Expenditures this Reporting Period
a. Date(s) b. Purpose(s) c. Amount(s)

HARLAND CLARKE CORP. 08/21/2019 Campaign account checks $ 21.85


15955 La Cantera Parkway
San Antonio, TX 78256

HOUMA COURIER 08/16/2019 Advertisement $ 799.00


3030 Barrow Street
Houma, LA 70360

HOUMA COURIER 08/20/2019 Advertisement $ 1,499.00


3030 Barrow Street
Houma, LA 70360

KWIK KOPY BUSINESS CENTER 06/24/2019 Advertisement Koozies $ 255.08


7712 Main St.
Houma, LA 70360

LOWE'S HOME CENTER, LLC 06/11/2019 Stake posts for banners $ 65.71
1592 Martin Luther King Blvd.
Houma, LA 70360

NAMI SCREEN & DESIGN 07/20/2019 Advertisement Koozies $ 515.00


2509 Volpe Dr.
Chalmette, LA 70043

PURE BUTTONS 06/09/2019 Advertisement Buttons $ 44.40


4930 Chippewa Rd.
Medina, OH 44256

RUSHING MEDIA 08/27/2019 Advertisement $ 650.00


6160 West Park Ave.
Houma, LA 70364

3. SUBTOTAL (optional) $3,850.04

4. TOTAL (optional - complete only on last page of this schedule)


Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 17 of 20 DAVID MCCORMICK


SCHEDULE E-1: EXPENDITURES
Use this schedule to report information on all campaign expenditures for this reporting period. An “expenditure” is any
payment made for the purpose of supporting your election to public office and includes monies spent for the campaign’s
general operating expenses. Any payments made that are not “expenditures” should be reported on SCHEDULE E-2:
OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may
assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Recipient 2. Expenditures this Reporting Period
a. Date(s) b. Purpose(s) c. Amount(s)

SARAH - SEEKING ACTION RAISING AWARENESS 08/31/2019 Drug Overdose Awareness $ 100.00
& HOPE Candlelight Vigil

275 Gabasse St.


Houma, LA 70360

SIGNS ON THE CHEAP 06/05/2019 Advertisement signs and $ 1,265.21


11525 A Stonehollow Dr., Suite 100 bumper stickers

Austin, TX 78758

SOUTH TERREBONNE HIGH SCHOOL 07/29/2019 Advertisement $ 110.00


3879 Hwy. 24
Bourg, LA 70343

TERREBONNE HIGH SCHOOL 08/08/2019 Advertisement $ 75.00


7318 West Main Street
Houma, LA 70360

TERREBONNE PARISH CLERK OF COURT 08/06/2019 Candidate qualifying fee $ 225.00


7856 West Main St. #100
Houma, LA 70360

THE PLASTER PAINT COMPANY 07/23/2019 Advertisement Signs $ 1,950.00


5142 Bayouside Dr.
Chauvin, LA 70344

THE PLASTER PAINT COMPANY 08/28/2019 Push cards $ 960.00


5142 Bayouside Dr.
Chauvin, LA 70344

THE PLASTER PAINT COMPANY 09/02/2019 Campaign paraphernalia -fans $ 300.00


5142 Bayouside Dr.
Chauvin, LA 70344

3. SUBTOTAL (optional) $4,985.21

4. TOTAL (optional - complete only on last page of this schedule)


Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 18 of 20 DAVID MCCORMICK


SCHEDULE E-1: EXPENDITURES
Use this schedule to report information on all campaign expenditures for this reporting period. An “expenditure” is any
payment made for the purpose of supporting your election to public office and includes monies spent for the campaign’s
general operating expenses. Any payments made that are not “expenditures” should be reported on SCHEDULE E-2:
OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may
assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Recipient 2. Expenditures this Reporting Period
a. Date(s) b. Purpose(s) c. Amount(s)

THE PLASTER PAINT COMPANY 07/10/2019 Push Cards $ 475.00


5142 Bayouside Dr.
Chauvin, LA 70344

THE PLASTER PAINT COMPANY 07/15/2019 Car Magnet advertisement $ 140.00


5142 Bayouside Dr.
Chauvin, LA 70344

THE SIGN STATION 08/10/2019 Advertisement - billboard $ 2,700.00


PO Box 3508 space

Houma, LA 70361

THE SIGN STATION 08/13/2019 Advertisement - billboard vinyl $ 1,600.00


PO Box 3508
Houma, LA 70361

TOUPS NOTARY PUBLIC 06/20/2019 Notary service - affidavit for $ 15.30


189 Simmons Dr. ethics filing

Houma, LA 70363

WENDY BERGERON PHOTOGRAPHY 07/05/2019 Photo for Billboard $ 25.00


285 Palm Ave.
Houma, LA 70364

WGUO GUMBO 94.9 07/03/2019 Radio Advertisement $ 800.00


5921 West Main St.
Houma, LA 70360

3. SUBTOTAL (optional) $5,755.30

4. TOTAL (optional - complete only on last page of this schedule) $ 18,650.79


Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 19 of 20 DAVID MCCORMICK


SCHEDULE E-2: OTHER DISBURSEMENTS
This schedule is used to report those disbursements that are not “expenditures”; that is, monies paid by the campaign that
are not paid for the purpose of supporting, opposing or otherwise influencing the nomination or election of a candidate to
public office. Examples include the payment of taxes or the refund of contributions. Disbursements should be reported on
this schedule only if they have not been reported elsewhere in this report. The explanation of the disbursement should state
the reason the payment was made by the campaign.
1. Name and Address of Recipient 2. Date(s) 3. Explanation(s) 4. Amount(s)

SOUTH LOUISIANA BANK 06/28/2019 Monthly Debit Card Fee $ 1.00


4343 Highway 24
Bourg, LA 70343

SOUTH LOUISIANA BANK 07/31/2019 Monthly Debit Card Fee $ 1.00


4343 Highway 24
Bourg, LA 70343

SOUTH LOUISIANA BANK 08/30/2019 Monthly Debit Card Fee $ 1.00


4343 Highway 24
Bourg, LA 70343

5. Total OTHER DISBURSEMENTS during this reporting period $ 3.00


Form 102, Rev. 3/98, Page Rev. 3/98

Report Number: 78282 Page 20 of 20 DAVID MCCORMICK

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