SEEC FORM 20

Itemized Campaign Finance Disclosure Ststement

CONNECTICUT STATE ELECTIONS ENTORCEMENT COMMISSION
Rev. l/08

SUMMARY PAGE
I.NAME Otr'COMIYtrTTES

lOxtorU Democratic Town Committee

2. TRICASIIPNN NA1tllN
Fint I-an ]ufrx
Mr John c Rogers
3. TREASURERAI}DNNSS
Sh€t Add$s Stalc ZTPLre
95 Good Hill Rd Oxford CT 06478
d ELNCfiON/f,ET'EREI{DI'M DATE 6. DISTRICTNUMBUN
5, O!'FICE SOUGrVI (Cottiolctc onlv tfCanifrddc C*tttniltectr t8.J-ir
(mn/ddlylyy)

7. CANDIDATI N]IME {Cuwlele only ilCan&Me ot E#lordom Conadtee}

fitle Fird MI last tuffix

f, TI|DT fln ttF.DfrllT a(-hrlr flnr Dr*r

1l January l0 filing f 7th day preceding primary f' 7th day preceding referendum f:t Initial Contribution or Disbursement
(PACs oNLf)
3f April l0 filine s'l 30 days following primary t-. 45 days following referendum
il Amendmat io
Fi July l0 filing r 7th day preceding election f Deficit Type of Report:

I October l0 filing ii l2th day preceding election {", Termination

(State Centrrl Cmnilta Only)
!:. IndeDendent Exoenditure
-"'t=a-riiion i
;r #;;"' 45 davs. following election
not held in November

r-0
9- Pfxrrllt a.}vT,r*1rl i ca
Beginning Date Ending Date

oTtoltozoo thru 09/30/2009

rll a-r.DTrff(.rTrrlN L*

I hereby certiff and state, under penalties of false statement, that all of the information set forth on this ltemircd Campeip Finance
Disclosure Stetemcnt for the period covered i$ true, accurate and complete.

John G Rogers 10t13t2009

PRINTNAME OF SIGNER DATE (mn/dd/yyly)

PENAITY FOR FAI:E STATEMENT IS PAMSIIABLE BY FITVE NOI TO EXCEED

il,(W, ORIMPRISONMENT FORNOTMONE THANONE YEAR. OR BOTE
SEEC FORM 20
Itemized Campeign Finrnce Disclosure Statement

TOTALS
NAME OF CQMb,IIITEF, FILINGDTIEDATE.
10113/2009

Oxford Democratic Town Committee COLUMN A COLUMN B

Tlriq Perind Assresate
ll. Balance on hand January I of current year for Ongoing and Par1y Committees OR
Balance on hand tom day Committee was formed for all other committees $14,042.58

$14,745.18
12. Balance on hand at the besinnine ofReportine Period

13. Contributions received from Individuals (sections A and B) $3,57s.00 $4,457.00

$0.00 $0.00
14. Receipts from Other Committees (Sections Cl and C2)

15. Other Monetary Receipts (Sections D-K) $22.00 $80.00

l6a. Total Small Food $0.00 $0.00

and Beverage Receipts at Fair (Section Ll) Town Committeq ONLY

l6b. Total Proceeds fiom Small Purchases at Tag Sales, Auctions or Other Sales (Section L2) $0.00 s0.00

Municipal and Tottn

$1,330.00 $1,410.00
l6c. Total Purchases of Advertisine in a Proeram Book (section L3\ Committea ONLY

17. Total Monetary Receipts (add totals for lines l3-l6c) 94,927,00 $5,947.00

18. Subtotals (add totals in line 12 + line 17 in Column A; and in line I I + l7 in Column B) $19,672.18 $19,989.58

19. Expenses Paid by Committee (Section P) $1 '1

,469.1 1 $11,786.51

20. Balance on hand at close of Reporting Period lSubtract line 19 from line I 8 in both Columns) $8,203.07 $8,203.07

21. In-Kind Donations not Considered Contributions Received (Section L4) $0.00 $o.oo

22. In-Kind Contributions Received (Section M) $526,2s $616.25

23. Refundable Deposit to Telephone Company (Section N) $0.00 $0.00

24. Receipts of Organization Expenditures (Section O) $0.00 $0.00

25. Beginning Loan Balance $0.00 $0.00

25a * I^"." Received (sectinn T)\

$0.00 $0.00

25b. * Interest and Penalties on Loan $0.00 $0.00

25c. - Payments on l,oan $o.oo $0.00

25d. Total Outstandine Loan Amount $0.00 $0.00

26. Campaign Expenses Paid by Candidate (Section Q) $0.00 $0.00

27. Expenses Incurred on Commitlee Credit Card (Section R) $0.00 $0.00

$0.00
28. Expenses Incurred by Committee Durine this Period but Not Paid (Section S)

!*n nn
28a.Toleit Ourstanciing Expenses incuned by Committee stiii Unpaid (Section S)
 MONETARY RECEIPTS {Sections A-K) Paqc 3 of 17
IAME OF COMh/IITTEE N-INGDIIEDAT.E
Oxford Democratc Town Committee 't0/13/2009
A; 'lotal eoEtrtbution$ from Small Contrib'utorr-Received thl$ Period ONLF
{Sae ins'rtetidfts far dcftttt iat of *tull Crmtibii*l Sfilitiit*rtiirfiit; , s 0.00

B.
Last NmE MI Prircipal 0ccupatioq Armunt of
Rzeszutek Robert Logistics Contribution
(e$qflllil5rc4ffi8 itale ,rp L4oe NU? Ol t.mployd
197 Riggs Street Oxford CT 06478 Memry Corp
Is contributor a lobbyist, spouse, (. Yes If contribution is in excess ol $400 to a candidate commitee for a chief executive olficer of a
or dependent child ofa lobbyisf .r l\o municipality does contributor or business helshe is associated with have a contract with said
municipality valued at more than $5,000? l*i Yes f No
Is this contribution associated with a i'. Yes Is contributor a princigal of a state contsctor or prospective state contractoil Yes il
lundraisingeventlistedinSectionLl? ?il No I/ycs, indicate which branch or branches lt$ No
fyes, list Event # of govemment the conmd is with: f,Executive Legislative {i
Method of contribution: Date R€caiYed Ag8rc8ate FnttrDutlms
1-: Cash i.i, Personal Check fj' Credit/Debit Card 5 i Payroll Deduction f, Money Order 07t28t2009 $500,00 $500.00
LstNm Firsi MI Principal Ocouptim Amount of
Skyers Errol Lawyer Contribution
(6dslnal street Addffis itate llp Uo(F , or rmPo)
Oxford CT 06478 Self
Is conributor a lobbyist, spouse fil Yes Ifcontribution is in excess of$400 to a candidate committee lor a chiefexecutive officer ofa
or dependent chilO o:t u foUUvisfi . l No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? lli Yes i4 No
Is this contribution associated with a e Yes Is contributor a principal ofa state confactor or prosp€ctiv€ state contractor? Yes fi
fundraising event listed in Section Ll? fi tto fycs, indicate which branch or branches No fii
I/ycs, list Event # of govemment the contract is with: fl
Executive Legislative fl
Method of contribution: Datc Recoived Aggrcgate cmtnbutims
E: Casn C: Personal Check i-- CreOiVneUit Card .{, Payroll Deduction 1] Money Order 08/1 1/2009 $25.00 $25.00
LSINM First MI Pnicipal Ocmpstion Amunt of
Guillet Karen Tax Collector Contribution
nuu Duq^{rest Jlale 4ip Codc Narne ot Emproy€f
PO Box 492 Oxford CT 06478 Town of Oxford
Is contributor a lobbyist, spouse Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent chilO oiu iotityistf No municiFliry does contributor or business he/she is associaM with have a confract with said
municiplity valued at more than $5,@0? f. Yes fi
uo
Is this contribution associated with a lfi Yes ls conhibutor a principal ofa state contlactor or prospective state contractor? 'Cr Yes
fi.rndraising event listed in Section Ll? ii, wo I/yar, indicate which branch or branches {--1 No
If ya,list Event #_ of government the contract is with: fr
Executive Legislatiue f,
Method of contribution: DAte Kecaved Aggrcgil9 cmmoE@s
i:i Cash !i, Personal Check f: CrediVDebit Card f'l Payroll Muction i* Money Order 0812112009 $500.00 $500.00
LNtNme f rsl MI Principal OcorJntim Amunt ol
Mover James c Tifle Searecher Contributior
rgrg@ua wgAffiss tullc ,rpl.ffi lNffiorBmproyq
336 Forbes Ave New Haven ct 0M78 Self
Is contributor a lobbyis! spouse, ?31 Yes Ifcontribution is in
excess of$400 to a candidale committee for a chiefexecutive offrcer ofa
ordependentchildofalobbyisfl itl No municipality does confributor or business he/she is associated with have a oonfract with said
municipality valued at more than $5,000? ila No fl Yes
Is this contribution associated with a t-*l Yes Is contributor a principal ofa state contractor or prospective state confactof !i"l Yes
fundraising event listed in Section Ll? f-: No IDa, indicate which branch or branches fr No
IJyes,lisl Evant #_ of govemment the contract is with: f Executive i-: Legislative
Method of contribution: Dale Reived Aggreg4e
f. Casn nii Personal Check f-' Credi@ebir Card {l Payroll Muction C Money Order 08/31/2009 $100.00 $100.00

SUBTOTAL Section BThis Pagr $1,125,00

TOT.{L of sdditlonel Section B Pagos $2,450.00

TOTAL OF ALL CONTRIBUTIONS FROM INIIIVIDUALS (scctions A &Bl Entet tatot u Linc 13 oisutnmrv Paee) $3,575.00
 I- MONETARY RECEIPTS /Secfions A-l(l Pase 3 of 1?
{AM$- OF in IN{:l}lIF naTte:
'OMMfTTF--E
Oxford Democratic Town Committee 10113t2009
A. fo-tll Contributioru fnom Smrll ContributotpRcceived this Period ONIiY
" 0.00
lsee hutruoians fa defrnition otsmall Coftribr&oil Subtotel ScctiriE I $

R- Ifentizerl f-nnfrihufinnq frarn fndivldrrole

Iast Nmle FiEl MI Princioal Ocrupation Amount of
Drayton-Rooers MaryAnn 1st Selectman Conlribution
{esdmtisl Street Adress Ital6 lpL(E
95 Good Hill Rd Oxford CT 06478 Town of Oxford
Is contributor a lobby'ist, spouse, '.i; Yes Ifcontribution is in exsess of$40O to a cardidat€ committee lor a chiefexecutive officer ofa
or dependent child of a lobbyist? lg;. No municipality does contributor or business he/she is associated with have a contract with said
municipalif valued at more than $5,00O? fl Yes f;
No
ls this contribution associated with a i*' Yes Is contributor a principcl ola state contmctor or prospective stat€ contractor? fr Yes
fundraising event listed in Section Ll? t!i No fyes, indicate which branch or branches lS, No
fyes, list Evant # of govemment the contract is with: {i
Executive f;
Legislatrve
Method ol contribution: D*e Rwived Ag8regalc c6mD$lms
C Castr :!: Personal Check f CrediVDebit Card fi Payroll Deduction C: Money Order 09/04/2009 $572.00 $s00.00
LstNam Fist I MI Principal Occupatio Amount of
Rooers John I c Retired Contribution
u& DrgAffu65 rl{t€ llpLre Nffioi.hryloys
95 Good Hill Rd Oxford CT 06478
ls contributor a lobfuist, spouse, fl Yes Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive ofTicer ofa
ordependentchildofalobbyist? {l No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,0O0? ilii Yes iir No
ls this contribution associated with a C Yes Is contributor a principal ofa state contractror or prosp€ctive state con$actor? el Yes
frmdraising event listed in Section Ll? frNo fyes, indicate which branch or branches {r'No
I/yas, list Event # ofgovernment the conuact is with: l*l Executive f. Legislative
Method of contribution: Drte Recsiv€d Aggrcgaemrwtr63
* t, Personal Check l, CrediVOebit Card f] Payrolt Deduction
'ft Money Order 09/08/2009 $500.00
$500.00
"*O
LBtNm m Principal Ocopatim
Firsl Amonnt of
D'Souza Anthony D Builder Contribntion
nus)u@4rc5 rlalc :rp Lre fw or EmPrqyr
98 Blue Berry Lane Shelton CT 06484 Self
ls contibutor a lobbyist, spouse, f.i Yes Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa
ordependentchildofalobbyist? fi No municipaliS does conEibutor or business he/she is associated with have B contract with said
municipality valued at more than $5,00O? CNo lYes
Is this conFibution associated with a '{*' Yes ts contribuior a principel of a state contractor or prospective state contractor? il Yes
fundraising event listed in Section Ll? S' No branches
^I/yer, indicate *trich branch or i..f,; No
fyar, list Event # oigovernmentthecontractiswith: fi Executive f,Legislative
Melhod of contribution: Date Rffiived Aggrcgate cmtnbutrus
fi Cash !?, personat Check f: CrediVDebit Card fi Payroll Deduction i' Money Order 09/09t2009 $1,000.00 $1,000.00
-stNam Ftrst MI Prircipal Occupatim Amolnt of
Murphy James CT Retired Contribution
(wodEil srg A@e33 itdc
'lPeo(F lNreortmProycr
10 High Ridge Road Oxford CT 06478
ls confibutor a lobbyist, spous€, f;" Yes Ifcontribution is in excesr of$,10O to a candidate committee for a chiefexecutive ofTicer ofr
ordependentchildofalobbyist? f' No municipality does contibutor or business he/she is associated with have a contract witi said
municipality valued at more than $5,@0? {', Yes l$i No
Is this conbibution associated with a r; Yes Is contributor a principal ofa stale contractror or ptospective state contractor? fi Yes
fundraising event listed in Section Ll? ril No fyes, indicate which branch or branches 3i No
fyes, Iist Event # of govemment the contract is with: {i
Executive d*! Legislative
Method of contribution: DateRmived AggrcBe
i1'Cash Fl Personal Check f.: CreditDebit Card Cl Payroll Deduction i--' Money Order 09/09/2009 $100.00 $100.00

SUBTOTAL Scctio* hThir Page $2,100.00

TO?AL of rddttiorel S€ction'B P*gcs $0.00

$2,100.00
TOTALOF'ALLCOrrRIBUTI(}NStr.ROMINDmIittAL${$.ctiomA &WEittdtotdatit*ttloffiur *P*el

,/f'l'r /c/t''/? /' ?r" J ,4,

 MnlVf'.TAn\/ R|I(-IIIPTS fSenfinnr A-ICI Pase 3 of 17
fAM€ nF l.rnhrl\rtfT1iEl $T r}Jal nt''l rttTE
Oxford Democratic Town Committee 10/13/2009
A; I otal {-ontnDuuons llsm Sm|tt Uonffibutolls-fieceive{l mls tsenod. (,Ill,Y
lsee instra*iow for itefinitionofSnall ffibttalt :''' " SubJoalStctionI $ 0.00

B, ItemLea Contributlons from Indfuidusls

-stNre Fitrr MI Prinoipal Occupatio Amount of
Aiksnoras Lynn Housewife Contribntkln
(esocnnar su€t Aooress itate Zip Code Nffi Or Emplqyc
785 Oxford Road Oxford CT oat78
s contributor a lobbyist, spouse, fl Yes If contribution is in excess of $400 to a candidate committee for a chief executive offtcer of a
rr dependent child of a lobbyist? t-'l No municiplity does conuibutor or business he/she is associated with have a conbact with said
'f Yes f'
municipality valued at more tlnn $5,000? No
Is this contribution associated with a j:Yes Is contributor a principal of a state contractor or prospective state contractor? f' Yes
fundraising event listed in Section L I ? i'i: No I/yo, indicate which branch or branches i-ii No
fyes, list Event # of govemment the contract is with: C Executive fl
Legislative
Method of contribution: Dats R*ived Aggrcgale contnbuhms

{l
Cash i!-. Personal Check 'f CrediVDebit Card fJ Payroll Deduction f, Money Order 09/1412009 $100.00 $100.00

-stNffi Fi$r MI Principal Ocruoatim Amoutrt of

Bunzl Peter Bunzl Retired Contribution
(e$omna )Effi A@6s rIgE 1lp Uodg NUla of Employs
160 Country Club Dr. Oxford CT 06478
.s contributor a lobbyist, spouse, !*; Yes If contribution is in excess of $400 to a candidate committe€ for a chiefexecutive ofTicer ofa
rrdependentchildofalobbyist? fS No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? r.l yes fr No
Is this contribution associated with a !, Yes Is contributor a principal of a state conFactor or prosp€ctive stale contractor? e yes
fundraising event listed in Section Ll? No lndicate which branch or
fyas, branches iiJ No
I/yes, list Event # olgovemment the contract is with: I Executive f. Legislative
Date Rec€ived Aggrcgale contnbuums
Method of contribution:
f.: Casn f: Personal Check il CreAitfnebit Card {l: Palmll Deduction Ii, Money Order o9l'17t2009 $350.00 $250.00
LsfiNffi Firsl MI Principal Ocopotim Arnount of
Contribution
GsdeDtal Slrest Address --ity itale lip Codc Niln€ or ffiploys
Coble
ls contributor a lobbyist, spouse, ii Yes Ifcontribution is in excess of$40O to a cardidate committee for a chiefexecutive oflicer ofa
or dep€ndent child ofa lobbyisf No municipality does conEibutor or business he/she is associated with have a contract with said
municimli8 valued at more than $5,000? l , Yes fi No
Is this eontribution associated with a 'r Yes Is contributor a principal of a state contractror of prospective state contractor? n Yes
findraising event listed in Section Ll ? No f/es, indicate which branch or branches s] No
{fyes, list Event # oigovemment the contract is with: fa Executive d: Legislafive
Method of contribution: Daic Rffiived Aggrcgete cmtnbutros
("; castr 'S. Personal l: fl {'' Money Onder
Check Credit/Debit Card Payroll Deduction

-st Nue First MI Prircipal O,coptim Amount of

Contributbn
(csidmtial Strest Addrss lify itatc lip Code lNme of Enrployc

.s contributor a lobbyist spouse, C Yes If contributionis in excess of $400 to a candidate committee for a chief executive officer of a
)r dependent child ofa lobbyisfl fl No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,00O? f. Yes ifr No
Is this contribution associated with a {*l Yes Is contributor a principal ofa stale contractor or prospective stale contraciofl fi Yes
fundraising event I isted in Section L I ? {il No fyes, indicate which branch or branches !i No
Ifyes.list Event #_ of government the conlract is with: fi
Executive {*: Icgislative
Date Rmived Aggretale mtnburons
Method of contribution:
i
Casn f,
Personal Check r: Credit/Debit Card ti Payroll Deduction l'L Money Order

SUFTOTAL Scction FThis Pagt $350.00

TOTAL cf sdditiond Sceffor BP*ges $0.00

$350.00
TOTAL OFALL CONTRIBTflONS tr.f{OM INDMDUALS fStctiom A &Bt (Enta totat ott Line 13 of Sarrvlpry Page}

lfvp/71)tvL /-Q*S o r 2
 l. MONETARY RECEIPTS (Sections A-K) Page 6 of li
NAMEOF COMMITTF,F ?Ir INfr bl rF na.'E
Oxford Democratic Town Commiftse 10/13/2009

I. Anonvmous Contributions /^Sr€crr? ddltr atmuil of the lills rcceivel)

)ate Reeived Amul TotaI
o811212009 $13.00 09/0912009 $9.00 Arnount Rcceivcd

$l ulrs $13.00 $s uius $0.00 $r uus $9.@ 65 616 $o.oo

coins $o.oo $lo biil $0.00 coins $0'00 g1s 6i11 $0'00
s 22.00
,. .:.. .,.. : : .i
.I: fnfereef frrim lleriosits in A[thorized Aetountr.,
Date R€sived Datc RffiiYcd Totrl
$0.00 $0.00 Amount Reccived
NarE of InstitutioD Nm ofln$itution

Sbed Addr6s Stlel Addrcss

lity Zip Codo City Zip Code

ist*e
lcr CT $ 0.00

tr(. Miscelleneous Monctar.v RcceiDts not Considered Contributions

Nmc Date of Tmsctim Amount Reccived

Strst Addr6s City State ZipCo&

CT
Desiption
$ $0.00
Nam Date of Trsrsctim Amounl Receivcd

Strst Address City ZipCo&

CT
Dcsiptioo
s $0.00
Nru Date ofTmsrtim Amounl Reccivcd

Stre€t Add$s City Stat€ Zip Codc

CT
Description

$ $0.00

Totd Sectioa K s 0.00

:'
$umtltriy of Other Monet*ry Recciptr ($ectfonr, I)-K},
Totrl Loans Received this Period (Section D) 0.00

Totel Receipts from Entities other thsn Individuals or Other Committees (Scction E) + 0.00

Totrl Amount Transferred from Afliliated Business Treasury (Section F) + 0.00

Totel Amount Transferred from Affiliated Labor Union or Othcr Orglnization Treasury (Section G) + 0.m
Totrl Amount of Personal Funds of the Candidete Received this Period (Section IO + 0.00

Total Amount of Anonymous Contributions (Section I) + 22.00

Totrl Amount of Interest from Deposits in Authorized Accounts (Section J) + 0.00

Total Miscellaneous Monetary Receipts not Considered Contributions (Seetion K) + 0.00

Tatnl of Othcr Motretnt? celpb. tAdd Scction! II'K) 22.OO

(Enta total on Line I5 of Sunu'avlry PWe)
 II. F'TJNDRAISING EVENT ACTIVITY Peg.eT ol 11
YAME OF{IOMMTTTF]I ilt ltr'rtftrrF,rraTr
Oxford Democratic Town Commiftee 10/13/2009

r utrumsttrg [vcnl F ehotr: Steet Addrcss tjity ttrte ZipCo&

Date of Fur&ais Lettcr Dcmiption

10t24t2409 A Pasta Dinner 225 Greal Hill Road Seymour CT 06483

Subpart 1: (All Commi6ea)
Was this flrndraising event hosted at a personal residence? $ Yes (I/yes, go to Section 1,4 In-kfud Donetbus not Considcrtd Contributions
and complete required information for purchases ma& by hos(s) for foo4
beverage and invitations.)
lii No
Did this fundraiser include items donated by a business entity of up to {3 Yes (fyer, go to Section Il In-kild Donedous not Considcred Contributions
$100 or items donated by an individual of up to $50? and complete required information. )
l!| Nn
Was this fimdraiser a tag sale, auction, or other sale of donated items LfYes (Uyes, go to Section L2 Procecds fmm Tag Salg Auctfu4 or Other Salc of
with purchases from an individual of up to $50? Dotrrled ltems.)
tlrv^
Subpart 2: (Town Committea and Municipal Candidale Committees ONLY)
Were there purchases of advertising space in a pmgram book associated $
Yes (f/yes, go to Section lJ Purchascs of Advcrtising Spacc in a Progrem Book
with this firndraiser? and complete required information.)
{f No
Subpn 3: (Town Committea ONLY)
Did your committee sell food or beverage at a fair or similar mass tl Yes (Itss, enler Totel Rcceipts ftom small purrhascs here)
gathering held within the state?
lar No
-
FEtr{lrabhl fivcEt f Lffitin: StsEtAdrcss lity Srd. ZrpCob
Date of Fudiis Letl€r Demiptiol

10/04/2009 A 'Made in Ct" Fair Colonial Tavem Oxford CT 06478

Subpart 1: (All Comnittea)
Was this fundraising event hosted at a personal residence? U Yes (fycs, go to Section L+ In-kind llonetirns not Coliiderrd Contributbrs
and cornplete rcquired information for purchases ma& by hos(s) fo'r food,
beverage and invitations.)
fi:No
Did this fundraiser include iterns donated by a business entity of up to fi Yes (t/fes, go to Section L4 In-kind Donations nol Considered Contributions
$l0O or items donated by an individual ofup to $50?
- xr^ and complete required information. )
,5
Was this fimdraiser a tag sale, auction, or other sale of donated items {J Yes ({/yes, go !o Section L2 Proceeds from Tag Sale, Auction, or Other Salc of
with purchases from an individual ofup to $50? Ilonatcd ltems.)
{}
Subpart 2: (Tawn Committea and Municipal Candidqte Contmiuea ONL\
Were there purchases of advertising spac€ in a program book associated &, Yes (I/yac, go to Section l,: Purchases ofAdvcrtising Spece in e Program Book
with this fimdraiser? and complete required information.)
No f,
Subpart 3: (Town Committea ONLY)
Did your committee sell food or beverage at a fair or similar mass t_t Yes (I/tes, entel Total Rccelpts from small nurcharyhelf
gathering held within the state?
t.l No

SIIITOTALS€ctionLr(ToqaConrnifrwoMf)TotelRceeiptrThirPrgd $0.00

TOTAI. of *dditiond Scetion Lr Pcgcs + $0.00

t
TOTAL OFALL nnCEfftS fnOM SDCTION Ll (Enrswda*Line l6aof Surrtlrurty Pagd $0'00
 II. FTJNDRAISING EVENT ACTryITY Pnge 9 of 17
IIAME OFCOMMITTEE . llt rr{n il}F na.I*
Oxford Democratic Town Committee 't0t13t2909
L{. Sqrcfiesec sJAdvsrti$ing h e Prograu Bsok Municioat Caditu& and Towa Canwi$s oNl,yt
NmofPuchmr l'USrnes! Date Resived Aggrcgat€ Prches Anpunt of
South Britain Country Store Enttty for AU Evmts Purche*c
08/1812009
Street Addrc$ 5Ae ZtpCode Evmt#
'lty €, Yes $50.00 $50.00
667 South Britain Road S. Britain CT 06487 CNo 10/4/2009A
Nane qfhrchffi ttusmesl Date Rtrived Aggr€g8t€ Purchascs Amo[trt of
Crystal Connection Entity for All Ev€nts Purchasc
08t19/2009
Stsret Addrss lry Stale Zip Code Evmr #
-
f; Yes $50.00 $50.00
PO Box 123 Haddam CT 06438 lNo 10t4t20094
Nane ofPurchaser Datc Received AggjegatcPwhM
Business Amonnt of
Cata Di Roma Entity fs All Evmt! Purchasc
0B/25/2009
Stret Addrss Urty State Zip Code Evctrl #
t?lYes $50.00 $50.00
358 Bumside E. Hartford CT 06108 l-t No 10/M/2009A
Namc ofPurchm Business Date Rmived Aggregstc Purchases Amounl of
Winding Drive lnc Entrty for All EYsnts Purchesc
09/01/2009
Stret Address -rry Stale Zip Code Event #
t.i Yes $s0.00 $50.00
PO Box 1138 Woodbury CT 06798 fiNo 10t4t2009A
Name ofPurchaser Dale Received AggregatePrcllM
Business Amount of
Lebanon AG Products Entlty for All Evats Purchasc
09to1noog
)reet A(xtrcss itty jt&e Zip Code Eval #
tP"o
$50.00 $50.00
779 Exeter Road Lebanon CT 06249 lNo 1AAt2009A
NmofPrrchffi Business Date Rwived Aggrcgate PwhNs Amunt of
Analiese Designs Entity for All Ev€Dts Purchasc
09/01/2009
Stret Addr6s Llry State ZipCo& EY{t #
ifi Yes $s0.00 $50.00
94 Thompson Milford CT 06460 fiNo 10t4t2009A
NmofPwhrcr Business Dste Rec€ived Aggrcgate Pmchasq Amount of
Best Buddy Biscuits Entity for All Evmts Purchasc
09t02t2009
Str€et Add€ss Lny Ststo ZipCo& Elcil #
fi? yes
$s0.00 $50.00
25 Bishop Street W. Haven CT 06176 ENo 10tu2a09A
Nanp of Purchmr Business Date Rffiived Aggegsle Purchsses Amoult sf
Doris Pouch Petrochko Entlty tbr All Evats Purchasc
09t02t2ao9
Sfcet A&s Llty Stale Zip Code iii Yes Evtrt#
$50.00 $50.00
370 Quaker Farms Rd Oxford CT 06478 $'No 10r4l2009A
Nurc of Purchascr Business Dalc l{csrv€d Aggregale PurchM Amount of
Southem Relishes Entrty for All Evmts Purchesc
09t0,4.t2009
Stro€rt Address ulty Jtate ZipCo& Evat #
$ v"t $s0.00 $50.00
111 Anderson Ave W. Haven CT 06516 $No 10/4/2009A
NmofPmhaq Business Date Re€eived Aggrcgale Puchse Amunt of
Bead Original Entity for All Evmls Purchrsc
09/08t2009
Street Addres -rfy Stat€ zip Codc Evflt #
t.) Yes $50.00 $50.00
7 Oak Glen Hill Road Derby CT 06418 C' No 'tot4t2009A
NarcofPuchag Busines Date Rffiivod Aggregsle Purch$el Amo[trt of
Barbara J West Enttty for All Evmts Purchesc
09/08/2009
Streel Address -rfy Stale ZipCn& EYenl #
$ Yes
$50.00 $50.00
1243 Peck Land Cheshire CT 06410 C, No 10t4t200sA
NmofPuchrer Business Date Rtreived Aggreg$e Pwchaser Arnount of
Jennifer Lynn Firmin Entity fd All Evats Purchesc
09i09/2009
Street Addrcss Jlty ZtpCa&- Evetrt #
Stsle
fi Yes
$60.00 $60.00
15 McKesnan Plainville CT 06062 {], lto 10t4t2w9A

SUBT.OTAL $ectior Lr-Thir Page $610.00

TOTAL of rdditional Section [,r Pascs $720.00

TOTAL OF ALL PURCHASES OF AIIVEITTISINC IN A PROGRAM B00.IK (Enter tdal o* Liae I6e of Sutwtury Pase| $1,330.00
 IL F'T]NDRAISING EVf,NT ACTTVITY Page 9 of 17
\IAMII fiF {rfIML{TTTFE m rNnf)IIF:rtATE
Oxford Democratic Town Commiftee 10/13/2009

L3. Purchgscs of Advertisins in a Prosrsm Book Ofunicba Canditutu and Town Conminea ONLV)
NmeofPmhm t'usrnesl DateRmeivd Aggr€grte hrchsses Arnonnt of
JGS Consulting Entity fix All Evots Purchase
09112120a9
Sfre€t Ad&ss jlty State ZipCo& Evmt #
€r Yes $50.00 $50.00
330 Menyin Ave Milford CT 06460 0No 1014/20094
NreofPmh*r Bus mess Dale Rsivcd Aggcgstc Prrchrc! Amount of
Bethany Home Crafts Entity br All Evaa Purchasc
09/09/2009
Srst Addrss -rty State Zp Code
fi Yes E!flt #
10/4/2009A
$50.00 $50.00
93 Vincent Rd Bristol CT 06010 t.: No

NreofPwhm Business Dare Rreived Aggregaro hrchffis Arnount of

Christine L Bassette Entity for All Evenls Purchese
09/1 1/2009
Str€l Address lrty Stet€ Zip Codc t?Yes Evcnt #
$60.00 $60.00
77 Tryon St S. Glastonbury CT 06073 t 1No 10/04/2009A
Nme ofl\rchm Business Datc Rewived Aggrqrate PrrchtrE! Armnnt of
Peter M Petrochko Entity fu All Evmts Pnrchasc
09/15/2009
jrty
Strect Addres8 Strte Zip Code fr yes Event #
$60.00 $60.00
370 Quaker Farms Rd Oxford CT 06478 {ltNo 1014t2009A
NmofPwcbffi Business D*eRwived Aggregate Purches Amunt of
Anthony Cocchiola Entity for All Ev6tg Purchasc
09/16/2009
sF*t A@Hts jrty Evmt #
State Zip Code
F v.t $250.00 $250.00
18 Falls Ave Oakville CT 06779 I lNo 10t24t2009
NmeofPmhm Business Dce Reived Aggr€gatc Puehd€s Anonnt of
Entity for All Evats Purthrsc
MichaelH Horbal o9t17t2009
Str€rt Address urty StaIC ZipCork Evml #
iS Yes $250.00 $250.00
52 Main St Seymour CT ofl83 {l llo 14t24t2009
NreofPwchrcr Business Date Reeived AggegatcPuche! Amotnt of
Entity for All Evcnls Purchase

SE€t Adftss lity State ZipCo&

SY"t Evenl #

{j No
N@ ofPwhasrr Business Date Reccived Aggrcgale Purc.iaser Amount of
Entity for All Evmts Purchese

Strect Ad&ss lity StaJe ZipCa& iil Yes

Evsnr #

$No
Name of Pwhaser Business Date Reeived ABgregale Puchaser Amount of
Entity for All Events Purchasc

Strcst Address City State ZipCo& &.yes Evmt #

fiNo
NmofPuchag Business D8!€ R@iv€d Aggr%ate Purchase Amonnt of
Entity for AII Evats Purchesc

SEeet Ad&ss City Stat€ ZrpCo& l3r yes Event #

CNo
NtmofPwhm Business Date Rffiived A\ggrcgate Purchs€! Amount of
Entity for All Evmls Purchasc

Stret Address lity State ZipCo(&

il Yes
Event #

f,No
NarcofPuchas Business Dare Reeived Aggr atePwhffi Arnount of
Entity fo AII Evcns Pnrchase

Street Ad&ess lity State ZipCo& Evsnt #

€i Yes
fiNo
SUBTOTAL See$en I;-Thb Pegt $720.00

TOTAL of edditionel Section Lr Pagcs $0.00

TOTAL OF ALL PURCEASES OFADYf,RTISING rN A PROGRAM DOOId (Entet total on Line Itu of Sur''''glry Page) $720.00
 IN. NONMONETARY RECEIPTS Page ll oflT
VAMF NF fY}MM'1"T'1F trIT IN': ff IF
'IA{E
Oxlord Democratic Town Committee 10/13/2009

M. In-Kind Contributions
Nam Type ofContributor: Feir Market
Peter Bunzl ;qi Individual Velut of thk
)ffi Contribution
Aoqfes -Iry :we elp Loce $ Committee
160 Countrv Club Dr. Oxford CT 06478 tt Othet (,cpdi"unk oaly to Rqqerdurn Comminees)
Is contributor a lobbyist, spouse, !'-: Yes Ifcontribution is in exces of$400 to a candidate commitlee lor a chiefexecutive officer ola
or dependent child ofa lobby'isf i!i No municipatity does contributor or business he/she is associated with have a contact with said
municipality valued at more than $5,ffi0? .f' Yes ti: No
Dffiiption of In-Kmd Cmtrihrtion {ggrcBuE @nmouuo
)ate Rewived Is this contribution associated wilh a Yes
09/30/2009 lundraising event listed in Section L l? 6 No Committee Phone/E-Mail line. $135.00 $45.00
{f/es, list Event #
n*m Typ€ ofContributor: Fair Mariret
Margaret Potts-West fr Individual Velne of this
Contribution
5re€a Ad(lress -lry fETC arp Code Ca Committee
10 Sioux Drive Oxford CT 06478 {:'. Other (.4p$caHe unly to R€seadun Qnmtnex)
Is contributor a lobby'ist, spouse, Ci Yes Ifcnntribution is in excess of$400 to a candidate committee lor a chiefexecutive officer ofa
or dependent child of a lobbyisfl lii No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? C Yes
!!t No
Descriptim of In-Kind Cmtribution ASSregale sntnbutnns
Dare Reeived Is this contribution associated with a {: Yes
08/2112009
fundraising event listed in Section Ll? SNo Town Clerk Campaign Signs $481.25 $481.25
If yes,lisl Event # _*
Narc Type ofContributor: latr marxct
Value of thb
fi Individual
Contribution
lhcct Ad&cs litv )Ee aiD Code f; Committee
CT {*.,, A$nr (,lwucaote ualy to Refaadum Comiteu)
Is contributor a lobbyist, spouse, I Yes If contribution is in excess of $400 to a candidate commi$ee for a chief executive o{ficer of a
or dependent child ofa lobbyisfT {*. No municiplity, does contributor or business he/she is associated with have a confract with said
municipality valued at more than $5,000? C No f: Yes
Descriptim of In-Kind Cmtribution \ggregale cmmDurms
)ate Reived Is this contribution associated with a *' yes
fundraising event listed in Section Ll? d*' No
$0.00 $o.oo
Ifes, list Event #
Nam Type ofContributor: I'sir Mffkct
C Individual Valuc of thb
Itre€t Addr6 litv )me ZiD Co(b i*, Committe€ Contribntion
CT f1 Othet (Applicablc ont! to Rdaendum Cummine*)
Is contributor a lobbyist, spouse, C Yes Ifcontribution is in excess of$400 to a candidale committee for a chiefexecutive officer ofa
or dependent child of a lobbyisfl No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? f Yes fr No
Dmiptim of In-Kind Cutritutim rggrgE4r cuuruuuo
)ate Rewived ls this contribution associated with a f--$ Yes
fundraising event listed in Section Ll? -! No
.t
$0.00
fyes, list Event #
Name Typ€ olContributor: lair iurrllca
Vrlue of thir
f, Individual
Contribution
Sts6t Addtffi lity 5rde CD Cod6 fl Committee
CT fi A$er l,lp4xanemlyto R{audtmConmtdu)
Is contributor a lobbyist, spouse, t*":i Yes excess of$400 to a candidate commisee for a chiefexecutive officer ofa
Ifcontribution is in
or dependent child ola lobbyist? {lr No municipality does contributor or business he/she is associated with have a conFact with said
municipality valued at more than $5,000? f Yes llli No
Demiptim of b-Kind Cmributim Ag8rcgarc co!m(
Date Received Is this contribution associated with a it
Yes
frmdraising event listed in Section Ll? li
No
$0.00 $0.00
fyes, list Event #
SUBTOTAL Section M-Thb Prgr $526.25
TOTAL of eddftionrl Scctior M Prgec $0.00

TOTAL OF AI,r- IN-KIND CONT*IBUTIONS ENI& IotqT oN LfuE 22 Of SE/'|U,WY PAgC) $526.25
(NOTEi Mb *da rcfert orly lo dtanex. of @o.rtb 4 rrdY&tds fiot,
N. Refundsble Depmit to Teliphone Company,' nrc&el lrrubto bcrrefrttlrcc',/frnilttQ, nd dqost,s trrdi bythc csmfitea)
Last Natr oflndiYidud FiFt MI I oate Oeposit tutade Amount of
Deposlt
R6idmtisl StrEr Addss 6 State lap
crl
Code

Narne of telephore oryany

Stre€t Addres City State ZipCcdp

$0.00
CT

Totel Section N (Eter totd on Liae 23 olSunawry Pagel: . $0.00

 III. NONMONETARY RECEIPTS Prge 12oll7
iJA*tE nn flalt l,ft'r'TEF {I.IN{T rlIIE NA.TF.

O. Nou-lWoectrry Reeeip$ of Orgrnizition Expcnditurel Mrdo By:

Lesktrctive,Lcrdershtri Lui*lntivc Caueuii ahd Psrfrt ComrlritteG'.
Wme of Cmiree pegiskifv.Iaiaaship, Legkffile Caucus, antl Puty Comnin$ ONL0 | Nm of Tremm

itret Addrcss Date Ndie R*iv€d Feir Mrrtet Value

of Donntion
lity ZipCo& \ggr€s,atc Domtims

CT $0.00
Description of Donation Purpose of Experditut (se. ial/,ra ctiots)

{:lC $0.00
f,A f-i B {_-, D f, E

Nan€ of Comitte€ (Legifltattve lza.lerchip, Legtsldl'ive Caucus, and Party Comniltea ONLY) lNme of Trc8ffi

itreet Addrss Date Notie Rmived Fair Merkct Vslue

olDonstion

lity Zip Code \ggrcgsta Donttims

CT $0.00
De*ription ofDonation Purpose of Exp€trditw (see iastruabns)
$0.00
{-i, If1 BfiCfiDC-E
Name of Comittee {LegMAtle t*adership, Legblatlve Cuus, and Pilly Committes ONLV I
Nm of Trcuro

itr€t Addffis Dsle Notie Recsived Fair Mcrket Value

ofDoaatbn
lity Zip Co& Aggregale Donatims
CT $0'00
)escripd"-n
ofDomtion Purpsc of FrQmditurc (see instnclions)
$0.00
i;A {-:B !'c :..1 D !.E
N. of lzudsshiP,IzgbldvcCaturs,asdPartyCnnineaONLY) lNarcofTlm

Itr€tAddrcs DalG Notie R@ival Fair Merkct Value

ofI)onation

lity Zip Co& \ggregata Donntims

CT $0.00
)eription of Domtion Prrpose of Expaditrc (se. tnstndius)
$0.00
f'l flp 1-:g fiP (,*s
*ii p"ttv tonmina ONLY) lNure of Trecum

itrfrt Addrms D*e Notice Received Feir Merk€t Valnc

ofl)onstbn
:ity ZipCo& \ggregate Donalims
CT $0.00
)e*ription ofDonation
Cil rf B ric '{iD i:'D $0.00

N. V,Izgbbtlle Caucus, and Part! Committe* ONLY) lNme

of Trcma
"tU
its€r{ Address Date Notis Rwived Fair Market Valne
ofDonetftrn

lity Zip Co& \ggrcgate Domtim

CT $0'00
)mripfim of Donation lrrpos of Expmdiuue (see ingndfut;s)
C;A $18 f.c flD f.o $0.00

niasoutn lNmofTreaw

itre.d Address Date Notie R*ived Fair Market Valuc

of l)onrtion

lity Stale ZipCo& Aggregare Domtims

ET $0'00
)mription ofDondim lrsposg of Erpaditue (sce inslructiols)
$0.00
{- A rl B {.rc f: D i'E
Totel Sectirm Q (Enter taal o*Li* 21 of Saaawy P,8SL $o.oo
 IV. EXPENDITURES Page 13 ol17
\t A L,fil rtr frArnttT'T'tl?. fi t}.ri+ftilf '.iT.F.,
Oxford Democratic Town Committee 10/13/2009

P:i' ExDen$es Paid. by eomni&.

ofPryGd Anmunt
Nmc of Pavc
' Caldwell Banker
)ste Method of Payment

rreel Addtess City $ete APLre 7t28t2409 fl Check #- 1 31 0

71 Oxford Road Oxford CT 06478 {:t Debit card
ruPos€ ar Exp@arw ouoo Event #
.by code) OVHD H""dqr"ters Rental
fype of Expenditure (l! applicabk)'. Cmdidat{s) Natc Offic Sougbt u Supported
fl Coordinated with reimbursement sought
((apphcailQ tr opposed
{li Coordinated wi*rout reimbursement sougltt
fi Independent
f, Organization (see Inslruclions) s 600.00
flfr Bf.cfl DeE
ralmr Vlethod ot Payment Amount
ffi olP&rc " AT&T
)aic ot

SAed At8lrss City Zip Code 7t2912009 €; Ctrecf * 131 1

'Tre ADebitcad
Oxford Oxford CT 0il78
t'urpo3€ ol bxp€norhre
tbywde) OVHD
'
Dt!On
Deposit (2) Phone Lines
Evmt #

Cmdidat{s)N8m Offe Sought [J Supported

ftr of Expenditure (iI awlicabL).
{ . Coordinated with reimbursement sought (iIawlicaDl4 UopposC
{l Coordinated without reimbuaement sought
f: Independent
l-. Organization (see Instruoions) $ 240.00
fl fin f,c i-.n lin
)d€ of Palmsnt Amounl
NaE of Pse ' United Methodist Church
vlethod ofPayment

5[d4ffi3 -ltv Jtate 4rp Lqrc 7t30t2w9 i? check #, 131 2

225Great Hill Road Seymour CT 06483 f Debit Card

rupos
(by codc)
ot lrQa(utw
FNDR
-
ption
Deposit Fund Raiser - Pasta Dinner 10t24t20094

f'ype of Expenditure Glawlicabl+. Candidat{s) Nen€ Officc Sought E Supported

tl Coordinated with reimbursement sought
(if aWlicable) E Opposed
f' Coordinated without reimbursement sought
!"-j Independent
f Organization (see In$ruaions)
i,a !.Br.c
s 100.00
!iDI_,tr
t* sign A Rama
,ale or ralmar Method ot Payment Amounl

Sa€t Addr6s City italc alP Loce 8/312009 ' ghrgl g 13't3
35 Eagle Road Danbury CT 06810 f; Debit card

rurpos€ or Dxpmouc phon Evml#

Oy eode) A-Sign Deposit (50) Campaign Signs

l1,pe of Expenditure (If owltcrble|.

Cmdid*{s)Nc Officc Sougbt fl Supported
Qf whcabtd EI opposed
GCoordinated with reimbursement souglrt
lfir Coordinated without reimbursement sought
ifihdependent
l{i Organization (see Instradons) 500,00
LA l rB i C !tD ! E
Nanr of Pave - )ate of Palmilt Method of Payment AImtrnt
Arrow Printers
Stet Address rmc Ltp Lo{& 8/3/2009 €. Check #- 1 314
-rty
3't 1 Main Street Ansonia CT 06401 fr Debit Card

ruPos or t{pm(trtue
(by A-Sign
'
DtioD
400 24x18 Campaign Signs
Event #

"ode)
Candidate{s) Nae OffieSoughr DSupported
lype of Expenditure Gl twucabr4'.
(iJ applirailc) Eopposea
!i Coordinated with reimbursement sought
'fr Coordinated without reimbursement sought
fJ Independent
ii organizatiol 6ee lpilructions)
fln f n rl.c {lo fi e
s 900.00

SUBTOTIIL Scction F-Thb Prgc $2,340.00

TOTAL of rdditbnal ftg@fllgg $9,129.11

T^T^' r r wDrNc,ES
A6 nl-&IsIDltE pAID By CO1,!1,{ITTEE @nler tAd aa Liae !9 alfiemary P4e} rt{{ ,ao
9rritvv.rr
aa
iurtuur. ^
 IV. EXPENDITURES Pagc 13 of l7
rii r.Nat riltF nAfF
Oxford Democratic Town Commiftee 10/'t3/2009

Fi Exoanig Pdal b$ Committee

Nm ofPave ' Prime Publishers lnc
)d€ of Payfitent Method of Palment Amount

zip 8nt2009 til Check #_ 131 5

Tzl4Main St Souths I Woodbury CT 06798 f-r Debit Card

iby c"de) M|SC Legal Notice of Oxford Caucus

of Expenditurc (if adtccblc). Cmdidarc(s) Nme E Supported

\xrl (if wlitobte) D oppor"a
Coordinated with reimbursement soughl
ej Coordinated without reimbursement sought
fl Independent
i i Organization (see Inslruetions) s 34.30
{".q, f:B f.c flD flE
me of Ps€ ,ate or rEy]rmr Amount
' Arrow Printers
Method ofPayment

sh€t Addrcss -rty Jt$e ,rp Code 811312009 ii; Ctrect* 1316
311 Main Street Ansonia CT 06401 fi Debit card
:urpos or rxpsolw Poo" Event #
6.code) A-Other D"posit (1ooo) Magnets
lrpe of Expenditure Cmdidat{s)Nm Officc Sought IJ Supported
Gf awlicable)-.
::': Coordinated with reimbunement sought
(if applicable) Dopposed
il: Coordinated without reimbursement sougbt
f: Independent
f: Organization (see Inslrua/ions) $ 200.00
!rA r-B!.C l.Di'E
amofPrye )ate of Palmal vlethod ofPayment Amount
' Sign A Rama
Strest Add6s City SlalC ,rp Uode 8t1412W9 i? check #- 131 7

35 Eagle Road Danbury CT 06810 C D€bit Card

nupos qr E Qqralrc ption Evmt #

(by code) A-Signs Final Paymt - 50 3X4 Signs

Type of Expenditure (f appfic able) : Cmdidal{s) Name Office Sought u Supported

C Coordinated with reimbursement sought (ifappficablQ tl opposed
r- Coordinated without reimbursement sought
I Indeoendent
f:Organization (see Instructions) s 705.75
fta {1 R l-.c lD 'frr
Memoo or ralrnenl Amoutrl
ffiol PaYF
' Southbury Printing Centre
strest A&lress City arp Cod€ 811412009 lircheck #-]t]9-
386 Main St South Southbury
'lale
CT 06488 il Debit Card
rEposg or Exp@urw
(by code) A-DM
'
otion
Deposit (2500) Trifolds
Evmt #

Type of Expendirure Qf tmucablc): Cmdidat{s)Namc OtEcc Sought U supported

lfJ Coordinated with reimbunement sought
(if aplieable) fl opposed
l{i Coordinated without reimbursement Jought
l{1 Independent
f1 Organization (sec InsTrucdons) s 200,00
!-,A 1.,B:.C.(rDi.I
Nme uf Pavca " Southbury Printing Centre
)ale of Palm€nt Method of Payment Amount

lEHA@SS Urty ttalc zrp Lo@ 8/3/2009 f,: check #- 1314

385 Main St South Southbury CT 06488 fi Debit card
rurlroF or rrQ4olrF ohon Event #
(b'ode) A-DM Final Paymt - Trifolds

fy,pe of Expenditure (if aplicable): Candidat{s) Nuro Ofre Sougbt ESupported

(tfWlieabl4 tropposed
!i Coordinated with reimbursement sought
C Coordinated without reimbursement sought
C Independent
.".i Organization (see Instructions) 393.81
ra flnflc Cni-n
SUBTOTAL Stction P-.Thir Prgc $1,533.86

TOTAL af rddition*I S+liq! qlryll

Q4 EA? EA
TOTAL OFALL r-I..PENSES PAID BY C9MMITTEE (Entertaalen line 19 af S4ngiaty Page)

f? P) i-1 1ot) 'tTL lffJ 0{-9

 Pagc 13 of 17
!'r: :r ::':l ::!lr '::l::l::':::::::::::
,! ! I ! ":r r':r1 lllll:: :'l:::: -r:'!:l:l::
\I.TME CJF COIVI\{ITTEE
--1
10/13/2009
Oxford Democratic Town Commiftee
,'-r' . 1 '
e nirtinsgsPnld b,v Comr illteG',.:.: ,'r:,i. .'l l: :, '1r,.:..':',. ...r'1,,..
Amotrt
;

Palmt Method of PaYment

ffiilr )alc of

ZipCo(b 8t29/2009 ii.i check #- 1320

itstc
IFwt Adrcss City
06478
fi oeuit card
Oxford CT
160 Country Club Dr' Eveot #-
ffil$ oFErcuaditrus )es '
otrotr
Reimburser nent Hea, lquaters oPening
Oy codc) RCW
ff il (.'nmrtsl
Cmdidst{s) N3ffi
Ivoe of ExPenditrue (if aPPlkabk): (il aryltcable) I opposed
i1 Coordinated with reimbunement sought
fi Coordinated without reimbursement sought
f Independent L$ 82.60
r-) Organization (sce Inflruttions)
{.Af;B:..:ci:D1:r; )rle of Palmmt Method of PaYment Amoort
ffi;fFne.-
Anow Pnnters
it&te lip Code 8/31/2009 fi ctrect *- 1321
iilctedrlress City
06401
n Debit card
Ansonia CT
311 Main Street Eveil #
ffiofExoendinre ffi;;-*ymt - 4oo 24xl8 sisns
3v codc) A-Signs
ff [-Jsrrmrted
csdldate,(s) r Iopposed
Irw of Expenditure ({awacable): Gf aWlicaW
f. Coordinated with reimbursement soug'ht
Ci Coordinated without reimbursement sought
fr Independent
fr Organization (see Instruc'lions)
s 1,410.07

A i-'B !,C r;ll 1

Amount
Date of Prymt v{ethod ofPaYment
**ott** AT&T
s/31/200s gcheck #- 1322
ffi--lst*e lap co<le
fi
oanbury I crl
S-tr*tAd&es Debit Card
ooato
35 Eagle Road ilvmt#
ffiimfgxpenditurc )esnDuotr
Phone Bill 8123 -9122
rW'*a"t OVHD
;:: [-] Suonorted
C:ilddate(s) |
I'voe of Exoenditure (tf awlicable): (ifW6catl{ tr opposed
il Coordinated with reimbursement sought
f' Coordinated without reimbursement soughl
* Independent s 65.08
C Organization (see Iniltudions)
r- ^ f - {*n fln fi AmouDt
' )8te of Payrenr
Nffi ofPav* ' Anow Printers
Jtalo Lip Code 9/3/2009 i?check#-l€9-
IE€t Ad&"ss City $' Debit Card
Ansonia CT 06401
31 't Main Street Event #
Pmse of Exoendinre
(by cod€) A-DM
'Pto" D.oosit (25 00) Trifolds
i=:: ii:::i:
Cmdidat{s)Nm
fwe of Expenditure 6f awlicahle)" (if applicaile) tr opposed
-fl(ttmrted
i.fl
Coordinated with reimbursement soughl
. Coordinated without reimbursement sought
'O Independent 79.50
-
ifl organization (see Instruclions)
r,lA r:B iq_E!_t-E Amount
)aie ofPaymenl Method or raymenl

"*ott*o vorD - volD - Voit - Void

f: #-_.-
;tre€i Addrcss ffi Check
{]i Debit card
Evmt #
)escriptioa
E6FoTEsnditure
tv ode)
c^Iolr l-lsunDofted
Cmdidat{s) I ^e^-
lype of Expenditure (tJ aPPucabl4: (ifaplieablQ
- flopposed
6 Coordinated with reimbursement sought
'iJ Coordinated without reimbwsement sought
dI hdependent
?l oreanizatron (sec Instructions)
- "---- -'l ri s rllc rl o rn
$1,637.25
s{I'TmA'.,sectloaP'TiirPrgc:
--: '..
t
rTAt nf qrldifmnrl Sretion P PeCeg
4i AA7 tF
'lfrrtAIr'1rF i\ai*6Etui-"d J-'''_-4

frilDlT t ovfrw 7qL oY-L

-
 ry. EXPINDITURES Pagc l3 of 17

rir iiE rif rlntr[fi f i.F]t fft tN t$tD frAllE::

^
Oxford Democratic Town Committee 10/13/2009

r )atc ofPaytn€nl Iethod of Payment AImunt

Narc of Pwe
Southbury Printing Cen$e
9/9/2009 iii check #- 1925
06488 f:t Debit Card
385 Main St Soulh Southbury CT

(by sd€) A-OTH (4700) Brochures

Ir pe of Expenditure (if applicablQ: Cmdidat{s)Nmle Offce Sought Ll Supported

fr Coordinated with reimbursement sought
(lf applicaN) tr oppor"d
fj Coordinated without reimbursement sought
fr Independent
i Organization (see Inslructioas) 700.00
l* I l*:s f.c {:l n fin
ffi ofPave )ate ol ralmtrr vlethod ol Payment Amounf
' Peter Bunzl
City rlSc ,rp Code 9/9/2009 €: ctect *- 1326
'M4ffi63
160 Country Club Dr. Oxford CT 06478 n Debit card
rutpose ol Expendrm
!y code) RCW
'
)ercriotion
Paym't for Magnets
Evcnt #

Cmdidat{s) Nmp Offe Sougbt LlSupported

fype olExpenditure 0f aw&cable):
$f ap&caffi) Eopposed
:-: Coordinated with reimbursement sought
il Coordinated without reimbursement sought
i lndependent
f . Organization (see Inslrudions) s 295,02
aAi-.Br.cl.DrrE
)ale ofPalm€nt v{ethod ofPayment Amount
NmofPnc - Sign A Rama
sEet A(tress L-rty ttale 1lp Uodc 9t14120A9 ili check #. 1 327
35 Eagle Road Danbury CT 06810 il Debit Card

rupose or Expmom ption F-vmt #

{by mdc) A-Sign 100 18x24 CamPaign Signs
Cmdidatds) NatrF OfreSougbt f,l Supported
fy pe of Expenditure (il adictbl+:
fl Coordinated with reimbursement sought (ifawliuile) fl opposed
f' Coordinated without reimbursement sought
C Indeoendent
'i Organization (see Ingrudions) $ 445.20
flr f n {-c tin f,ir
rayrenl Method ol rayment AInoltnl
ImofPrye
' Southbury Printing Centre
JAt€ Ol

Strcet Addr6s City 5ra€ Z,tp Uodc 9t17t2009 r$ check #-1 32t-
385 Main St South Southbury CT 06488 $ uebit card
rupose or ExPaqw
(bvcode) A-DM
'
onm
4000 Campaign Letters
Event #

Cmdidd(s)Nam Offic Sought E Supported

Iype of Expenditure flf awucoble)l
l{J Coordinated with reimbursement sought
(fapp0cattlc) E opposeo
Fi Coordinated without reimbursement sought
lfi Independent
iiJ Organization (sec Inslrucllons) s 860.15
!:A n c frn f,r
f,l l-:
Palmrt Method of Payment Amount
'
NreofPne
Automated Mailman lnc
)ato of

tret Addrcss Clty ilale Zrp eo{b Jii che{k #- 1329

104 N Main Beacon Falls CT 06403 fi Debit Card

rurpos or Expmouo nooo Evml #

(by ode) POST M"iling seMce (4597) Pamplets
Cmdidatds) Naur offis Sougbt ESupported
lype of Expenditure (d applicablc):
(if awUcabl4 EOpposed
fi Coordinated with reimbursement sought
li Coordinated without reimbursement sought
e Independent
iJ -
Organization (see Instructions)
r]DrE s 1,110.58
'. 4 tlB f:c
SUBTOTAI, SecttuI f-Tbb Prge $3,410.95

Tt}TAl:ofedditioqllEgqd6! !
!t1 4{n q5

//P Dtrrwflt- voJ a4 L

 IV. EXPENDITURES Pegc l3 of 17
trII IN{: r}T NAfF
'F
Oxford Democratic Town Committee 10/13/2009

P; Ero&n$es Patd by Committre

NmofPwe Palml Method of Palment Arnount
- Oxford Wolverine Football
)ale of

itr€t Addrcss Jtsrtc Zip Co& 9/1 1/200S lii Check #- 1 330
'[Y {]r Debir card
Oxford CT o&{78
rurpos or Hpodm onon Evert #
(by mde) A-Ofi Pur"h"s" Ad oxford High School Football Booster
fype of Expendihue (if applicablQ: Cmdidate{s) Name Office Sougbt E Supported
{] Coordinated with reimbursement sought (if aplicable) E opposea
ili Coonlinated without reimbursement sought
i lndeoendent
ii Organization (see Inslructions) s 100.00
{ a IIB f.c tllo f r
)84 Method ofPaymtnt Amount
'o zip Bar lnc
:Eg AWeSS Ulty rtAl€ ,rp Lo@ 9/19/2009 ie check #- 1331

7 Old Famr Road Oxford CT 04t78 il Debitcard

gvml #
rupog
Oy
ot
codc)
ExPfloue
POST
'
Dtrm
Mail Service - 4700 PhamPlets

lEx of Expenditure (if appttcablQ'. Candidat{s) N.rlc Offe Sought U Supported

i..; Coordinat€d with reimbursement sought 6awtiu@ fl opposed
C: Coordinated wilhout reimbursement sought
f,. Independent
f: Organization (see Inslrua/ions) 928.00
i_,c, r-- s i-.6 f. p i-' B
to )at€ of Palmml vlethod oiPayment Arnount
sign A Rama
Str*t Adr6s City State 4rp Code 9/18/2009 S Check #- 1 332
35 Eagle Rd Danbury CT 0a+78 lj Debit Card

rurpN
{by
or
codc)
ilpstrere
A-Sign
-
Dcscription
Final Payment - (100) 18P4 Campaign Signs
Evsot #

t1,pe of Expendirure 6lawacabl4'.

Cmdidx{s)Nm Offie Soughr E Supported
C Coordinated with reimbursement sought
Glaw$uile) il opposed
I' Coordinated without reimburs€ment sought
S Indeoendent
il organization (see Instructions)
t;a I Rt a r'D:1 ,f,
s 132.50

Method ol raym€il Amotrnt

ffiofPw€
' Southbury Printing Centre
StrEt Addres Urty itate Zip Co{b 912212009 s check *-1!33--
385 S.Main Street Southbury CT 06488 fr Debit card
r ulNw
(by
wr
codo)
ryuuruE
A-DM
'
Lotion
Final Payment (4700) Brochures
Evmt #

Iype of Expeldirure Gf twauhle)'. Cadidot{s)Nre Ofrcc Sougbt Ll SuPPortEd

,'S Coordinated with reimbursement sought

(if w$ufie) tr 0pposed
fJ. Coordinated without reimbu$€ment sought
l{ Independent
311 Organiation (see Instructions) s 786.55
!.,A i..iB 1.C ItDi.E
Narc of Pryw - )atc of Palmnt Method of Payment Amount
Caldwell Banker
)reet Affiess Lrry ilste alp Looe 9t2412009 {it Check #- 1334
06478 f:i Debit card
71 Oxford Rd Oxford CT
rurpose or $p@oue
(by code) OVHD
'
olron
Rent - Democratic Town Committee Headquarters
Evmt #

Cmdidat{s) Name Offce Sought flSupported

lype of Expenditure (if aryticable):
'fi Coordinated with reimbunement sought
(ifappbcable) DOpposed
'$ Coordinated without reimbu$ement sougltt
fi Independent
i'-t Organization (see In stru ctions)
f-l f B {-: c r: D f' E
s 600.00

$UBTOTAL Scctioa P-Thk Pegc 92,il7.05

ffiTAL of rdditionsf Sceliqg PPige $o.oo

6. E,a AE
TOTAL oF ALL EXPEI{SES PAID BY COI#'{ITTEE @@

fl-)Dtlrrftfit' P63 F+T