Professional Documents
Culture Documents
SUMMARY PAGE
\ i1
-\ d\*
Lst
!{f: T
t
/ \i i le"t
3. TREASURERADDRESS
Addres.""".-".-t
Ll, itir_=f,f-
'jj
{V;1u;1i {'* t',
Beginning Date
ii
l a I d; {1 f.}<-,1',
-ffi
Statement, that all of the information se1 ficrth on this Itemized Campaign Finance
I hereby certifu and state, under penalties of false
and aomplete'
Oi..ioror. Statement for the period covered is true, accurate
t /'t
-\u--i/-7j .r/ \*. 1 It
LtLt,-)ri @
\
--:l 'r-
,.: l; ,l -t .-ll - {-t? L-'
PRINTNAME OF SIGNER
TREASURER OR DEPUTY TREASL]RER (SIGNATURT)
TO EXCEED
PENALTY FOR FALSE STATEMENT IS P(]NISHABLE BY FINE NOT
sl,iol,bRlMinISoNMENr ioR Nor MzRE rIuN oNE vEAR' oR BorH
itjijii *ri3ft: pr':
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
CONNECTICUT STATE ELDCTIONS f, Ntr'ORCEMENT COMMTSSION
Rev. 1108 Page 2 of 17
SUMMARY PAGE
TOTALS
NAME OF COMMTTTFE FII-ING DI'F- DATE
l6a. Total Small Food and Beverage Receipts at Fair (Section Ll) Town Committees ONLY
1 6b. Total Proceeds from Small Purchases at Tas Sales, Auctions or Other Sales (Section L2)
* ff"a, +qtcl.oc,
Municipal and Town
l6c Tofal Prrc-hases of Advertisins in a Prosram Book (Section L3\ Committees ONLY
*
17. Total Monetary Receipts (add totals for lines l3-l6c) "l,b?c'..c ?, Y &'., 8'"c tr
18. Subtotals (add totals in line 12 + line 17 in Column A; and in line 1l + 17 in Column B)
sL/:,vti.?l &4,.1c-ts crr
*'4 uE,s
19. Expenses Paid by Committee (Section P) ,S t* 1 (.! () {L n?
20. Balance on hand at close ofReporting Period (Subtract line 19 from line 18 in both Columns)
h QrL qi fi ?1 6 it
21. In-Kind Donations not Considered Contributions Received (Section L4)
{t gS .Lt\- t oi qa.vf
23. Relirndable Deposit to Telephone Company (Section N)
28. Exoenses Incurred bv Committee During this Period but Not Paid (Section $)
Ji r*r *
itale Ip Lode
J5
\me or bmpro)'7
-*1^ Int_
* 53..t
is contributr{r a lobbyist, spouse, tr Yes Ifcontribr-(idn
"'11.."{
is in excess of $400 to a candidate committee
for a'chief executive ofircer ofa
or dependeYt child of a lobbyrst?
tr No munioipality does contributor or business he/she is associated with have a contract with said
municipaliry valued at more than $5,000? EYes D No
Is this contribution associated with a I Yes ls contributor a principal ofa state contractor or prospective state contractor? [ Yes
lundraising event listed in Section Ll? F No f/es, indical€ which branch or branches F No
.Ifyes, list Event # of govemment the contract is with: tlExecutive E tcgislative
Method of contribution:
tr Cash p Personal Check E Credit/Debit Card fl Payroll Deduction I Money Order
"&Vf#,1-:o*,+ ^ffi,'#*;::
.ltli'{me-- M^ Princifal Qgcuparior Amount of
(. 'it L).<"-t\,+l-* +. -dl'{Ln.-^* , e Contribution
(esldsrual 5trret
X-i)lc,.l"'*s.\,'* )t
Address
E Yes
Jx.ri;=- I
;lde
n'-*
i*,-J .
I
..)
)rincioal
{ 'i?.r4
Occupatior
J.r^': r *-0'i*
, Amount of
Contribution
3 $tlr 4.,?s
-
TOTAL OF ALL CONTRIBUTIONS FROM INDWIDUALS (Seetions A &B) (Enter total on Line 13 of Summary Pase) '/,:,::-cr'
I- MONRTARY RHCRIPTS (Secfinns A-K) Page 3 of 17
{AMF, OF COMMITTF,F, iI] ING DI TF NA TF
Is contritrutor a lobbyist, spouse, E Yes If contribution is in excess of M00 to a candidate commiftee for a chief executive officer of a
ordependentchildofalobbyist? E tto municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? D No EYes
I
Is this {ronfibution associated with a Yes Is contributor a principal of a state contIactor or prospective state contractor? [ Yes
fundraisingeventlistedinSectionLl? [ No fyes, indicate which branch or branches I t'to
fyes, Iist Event # of govemment the contract is with: E Executive Legislative [l
Date Re€ived Aggregate contnbuuons
Method of contribution:
D Cash D Personal Check n CreditDebit Card I Payroll Deduction E Money Order
fu}€irr: "'r:r*L...i,.-;r'rl rr<.'. --.. #ard<.'r .{*'rt"* }t}''iaL..ir-rr'---" .Jdr :{i} I /tr/S*} J'}i^,ti*,,
,,J u Ct. tontributions frLm Other Committees
Nme of Comittee Nme of Tremuq
,rn., ,i,. or, , o t" t-l-. J i'i,' ljg. u- o. r' r..l r'o.. - fe ^.::,,-,, i l L.ir,,,. i-l/.-"
Addr*s
i 3tr-,:.1 ,,az r'\ 57";3-,- [s this contribution associated with a D yes lfyes,list Amount of Contribution
I .;"tr' .- } t
City ;
'{
',j
rl
Nme of Committee {me of Treaffer
Addrms
Isthiscontributionassociatedwitha fl yes lfyes,list Amount of Contribution
fundraising event listed in Section Ll? E No Evenr #
Cit! Statc Zip Code Date Received Contributions
lASeresate
Nme of Comittee Nme of Treasuq
\ddress
lls this contribution associaled with a fl yes fyes. list Amount of Contribution
llundraising
event listed in Section Ll ? E No Evenr #_
liry Zip Code
Address
Is this contribution associated wilh a E yes fyes, list Amount of Contribution
fundraising eventlisted in Section Ll? D No Event#
City State Zip Code Received Cotrributims
lDate lAeereeate
Tf)TAL f)tr' ALL COMMITTI'.[., CONTRIBI]TIONS AND RECRTPTS (Entpt totnl nn Linp 14 of Summnrv Pase) fi."t n 6 .ert
[,'i;'4tt)
II. FTINDRAISING EVENT ACTIWTY Page 8 of 17
NAME OF COMMITTF-E FII,IN("i DIIE DATE
Itw Puchased
ltm Pwchased
ltems Puchased
tiffi ltuchased
Item Puchased
Itffi Purchased
Itsm Puchased
ltems Puchapd
TOTAL OF ALL SMALL PURCIIASES FROM TAG SALES, AUCTIONS OR OTHER SALES OF DONATED ITf,MS
lFnta lntnl nn f .ine f 6h nf ,lnmmnn Pnoe)
rfS". o*
III. NONMONETARY RECEIPTS Page 1l of 17
I c/ I
i-i
f/ acq'
fundraising event lisied in Section Ll ? pr:l_Jo if't ! l{r',-*,* t-4 ;-1,+ rF *s*r**{ tk"rrt".!*
fyes, list Event # frs-,
NaFe^ F Type ofContributor: Fair Market
lo r ri ril^ n Ft.i E i-l- .[l Individual Value of this
)ueq AgqeSL I uode fi Comminee Contribution
i r: r/aX* Sir- T)'+r* 4:-
I lr i",i.ti l{, n o4,het (Applicable only to Referendum Committees) sf, a.
Is contributor a lobbyist, spouse, I Yes If coltributionis in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? \s.*o municipalitl does contribulor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? No fl Yes I
Dexription of ln-Kind Contribution
)ate Rereived
IrlZu'{Za.*
Is this contribution associated with a
fundraising event listed in Section L1?
Ifyes,list Event #_
-f]
P"o
Yes
7 ta,rrs.(tr'.! rr lzur-u-(6lr-3
Eai"r"^).^, l"r. /.o.".d "rt*s
ts.-t
Nme Type ofContributor: Fair Market
Value of this
! Individual
Contribltion
Jtreet Address -rty itate lip Code E Committee
n OIhet (Appficable unly ts Refqendum Committea)
Is contribulor a lobbyist, spouse, I Yes If contribution is in excess of
$400 to a candidate committee lor a chiefexecutive officer of a
or dependent child of a lobbyist? ENo municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? E Yes [] No
De*ription of In-Kind Contributiqn Aggr9gate coilnbutlors
Date Received Is this contribution associated with a D Yes
fundraising event listed in Section Ll ? lNo
fyes. f ist Event H _
SUBTOTAL Section M-This Page I qs'.qs
TOTAL of addifional Section M Pases
TOTAL OF ALL IN-KIN1D CONTRIBUTIONS (Enter total on Line 22 of Summnrv Pase) I Qf-v \
(NOTE: This se.lion rcIers only lo advunees of dcposits b! individaals from
N. Refundable Deposit to Telephone Company persmal funds to benefit the comtniftee, not depnits made by the commiltee.)
Last Nme of hrdividual Fi6t MI Date Deposit Made Amount of
Deposit
ResideDhal Sffeet Address lL rly )tate I Zrp Code
:=- i!
Nme of telephone compuy ft.l"t.L(_
Steet Ad&ess Ciryt State Zip Code
S{e
Looe
q/5" E Debit Card
rwpose oI LlpeDdlilre u,escqprron . I Evefi #
tbrcode) -y'a5f- /+., rl D.rr\ Srlitiv,ttr i i ,l' d-r {'&t*#r,i<,r l,*.*{*.r
lype of Expenditure (if applicqble). Cardidate(s) Nme J ,Dffice{ought E Supported
I Coordinated with reimbursement sought (if appltcable) I opposed
E Coordinated without reimbursement sought
fl Independent
E Organization (see Instructions)
!s trc nn trr
il,c.
$
l):.rbu L-I
,n I 'r t
L't+Y' /X h D"bit curd
Pu4)ose ol Bxpen&ture Event #
tbcoad /),;)711 i), e L; i ; *, h ; rrt, Ctl r,"l) (;,''. l.l d,"I.{r''zi'lt"r,*'e,*
Type of Exlrcnditure (if tppltcablel. Cardidate(s).$me Office Sought U Supported
E Coordinated with reimbursement sought (if applicsble) E Opposed
I Coordinated without reimbursement sought
fl Independent
fl Organization (see Instructions)
$
trn trs trc tro trn
--
Nmot-Pavee / )ate of Palment vlethod ofPayment Amount
llIi-, ,:*{i-a,^ }:i*-.',r i
itale Zip Code
fal'Sf7al:q Ecrr"ct* /ctj S er?. ao
fu.&u { ,, {y"yt 8l E Debit card
rurpose oI Ixpmdme Jgsnplou t Event #
(by code)
ff')r"b.i D-':,rn k- t:,i,",- tJait* I ,.ler-',.|.6rr-'.1*
Iype of Expenditure (if applicsble): tmdidate(s) Nme Offie Sought U Supported
E Coordinated with reimbursement sought (if swlicable) fl opposed
fl Coordinated without reimbursement sought
E Independent
D Organization (see InsTructions)
$
tra tr]n flc fln trr
^*"lt)[,Lir {.('.-r 1*]l.e .,.
,6e or raymenr
tc'{g {1rct;
vremoo or faymenr
t olsle ?
Method of Payment Amount
I r"tirr, -- tr
--,
& n&* Lt.
ItaIe 4,1p Code
rrreet
\.1*. 0/<
Adffess ' t
s cj+- itate Zip Code
t alzt le1 [] Check #_ frfit.?
/t:; N" *11o,.,.r,
rurpose oI ixpmdrture
il,* 'J-h rl:q Pi nhri iY 'pDebitCard 11d(t.3.
EveDt #
(by code)
fi *r*iif ft: ffi:t l-(tw',ott', t-,'t l.nri,od.t .i'l= [t"J3*t)
Iype of Expenditurc (d applicabte) .
Cmdidare(s) Nalhe Offie Sought Ll Supported
D Coordinated with reimbursement sought (if applicable) E Opposeci
f] Coordinated without reimbursement sought
I lndependent
fl Organrzation (see Inslruetions)
lme rav€
trl Dn trc trn trr s
oI /are or ralmenr Method ol Payment Amount
5lzr.ot.<s ii: [zof ze\ H',;rlei , sj
:,q\ E Check #-
ci
Zip Code
€+a o l+.-.,
(*/\ Zip Code
tc:lzuf z^e<>\ ta;<-r. sS
ffii"ru"rftu*o,' [t,. D..-b"+ ci. CE\ N
Purpose of Expro$ture
Descriptior I (ucll_cGou5"))
'r Evsrt #
(bycode)
A er* - l:Zf f.ayyroa ,tn i.ar,..:l au.l-4
Nme olVeudor Date ofTrarsactiol Amotrnt
Eveilt #
Purpose of Expmditue
(by code)
Descnption Eveut #
Purpose ofExpelditue
(by code)
)ercription EveDt #
Purpose of Expmditure
(by code)
)escription F,velt #
Purpose ofErpendinue
(by code)
)gscnption Eveni #
Purpose of Expurditue
(by ode)
)escnptior Event #
Purpose ofExpenditure
(by code)
ToTAI,otr.AI.I,ExPF],NsE'SINCl]RREDoNCoMMITTEECREDITCARD(Enter!ojpIo@ fr *:s. as
TV. EXPENDITURES Page 17 of 17
]II,ING DI]F. DATF-
NAME OF COMMITTEE
* IVaro Ea-l v,lfii nv - -lit, tt {:>,- lUhclC,f 3tX9 in la's Jz ,'lre-n
tEIt"*Hri"" to cJmmittee workers and consuttants
"in"i-dorr*ments
ta( 'W'ztxg
Lasl Nme of Worker/Consultill Fqsl MI
^ Method of Payment
FZt ['7,,,
11
l/Ytiilreiin (/ B fif. r".*,
lrcoa')fayre \ose of Expmdinrre
Scr,ecr*(]
Vr'.; '*a. pr; n l* Citj.'
bvcode)6
-C)Tfl ] Debit card
p Code
t., e.lV z-r
Qf #z,,ril,,
--7-- A"v /r ; Yrr.)C fU'.\
U
r) lass
';;F*
I '0AA "',J o .r *s
VYLau tdzi I C,a 44 ; ( n
rnt C*dtd"@)N*" kc,
Type of Expendrture (if appticLbte) . Ofice Sought I Supported
flCoordinated with reimbursement sought
(if appltctble) ! Opposed
D Coordrnaled without reimbursement sought
I Independent
E Orsanization 6ee lnsiructions)
- s
na I-'ln l-lc l-ln [f
r.
First MI Date ofPaymelt Amounl
Method of Payment
Seconda4 Pal ee
Purpose of Expmditure
(by code)
n Check #-
n Debir card
Descriptior
Derription
)urpose ofExpendrfue
Secoldary Pa1'ee
by code)
I Check #
E Debit Card
D"'"ifi;
TOTAL OF ALLRE
h1,? f-.6Y