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SEEC FORM 20

Itemized Campaign Finance Disclosure Statement


CONWNCTTCUT ST,{TE, UI,NCTIONS ENT'ORCEM INT
COMMISSION
Rev. 1/08 I oflT

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',

E lnitial Contribution or Disbursemenl


n 7th day Preceding Primary tr 7th day preceding referendum
oNL')
fl January 10 filing eACs

fl 30 days following PrimarY tr 45 days following referendum


I Amendment to
fl April 10 filing
pltft auy preceding election I Deficit Type ofRePofi:
tr July 10 filing

il 12th day Preceding election fl Termination


E October l0 filing
(Stile Cenial Cummiltees OnlY)

D Independent ExPenditure ! 45 days following election


tr piiman ElElectron
not held in November

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

A AJ*x.. -Ee-lnfi;nt^ *{-t'ltr7 ,{Ai{WqorZc{d i e> la t /Zl:x>'


LJ UULUMN A UULUMN rJ
This Period Assresate
1l Balance on hand January 1 of cunent year for Ongoing and Party Committees OR
Balance on hand from day Committee was formed for all other committees $ f,. c,-
12. Balance on hand at the besinnina of Reoorlins Period
tl;,;4s-.?l
I3 . Contributions received from lndividuals (Sections A and B)
$ l, s*ef. c,c t'8, 7g t'.o;,
* /atc, (;ci q I s? <.r;
14. Receiots from Other Committees (Sections Cl and C2)

15. Other Monetary Receipts (Sections D-K) * lsz c'(-j

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)

24. Receipts oforganization Expenditures (Section O)


\-:
25. Besinnine Loan Balance

25a. -F Loans Received {section D)

25b. * Interest and Penalties on Loan

25c. - Payments on l-oan

25d. Total Outstandine Loan Amount

26. Campaign Expenses Paid by Candidate (Section Q) --_


27. Expenses Incured on Committee Credit Cald (Section R)
tJ r..
\L2sJ
J. Y ,:,,!- ta L;+tr " oi
q--

28. Exoenses Incurred bv Committee During this Period but Not Paid (Section $)

28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)


I. MONETARY RECEIPTS (Sections A-K) Page 3 of 17
\IAME OF COMMTTEE lN,TNG DIJF, DATF

siu...' i&L\,r''rrrirrt '*


ll 'l'otal i*4 !-n -t [J: l'I16offi' ,("'crq /t1 {} , h}rrr,,
A. Contriffi*tions liot'1Smalt Contribdtors-Received this Period ONLY
(See instructiotts for definition of Small Contribuor) Subtotal Section -i $ ?ti . c,o
B. Itemized Contributions from Individuals
t*'S";
Ii
Fust^
d{or'ra !A- ,h """$li3l'l-l Amount of
Contribution
a9$dgnn&
>F*t
-12, Lfi'tr, e 5b-
Add.9SS

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

[s contributor a lobbyist, spouse,


(.- I

E Yes
Jx.ri;=- I
;lde
n'-*
i*,-J .
I

is in excess olM00 to a candidate committee for'a chief executive officer of a


If contribut{!}r
&;5-n*
or dependent child of a lobtryist? ENo municipality does contributor or business helshe is associated with have a contract with said
municipality valued at more than $5,000? [ Yes E
No
Is this contribution associated with a fl Yes Is contributor a principal ofa state confactor or prospective state contractor? fl Yes
Fundraising event listed in Section Ll? F *o fyes, indicate which branch or branches fl No
fyes, list Event # ofgovemmentthecontractiswith: DExecutive ELegislative
Method ol contribution Aggregate coutnbutloDs
tr Cash p
:
'TfiTo'v
Personal Check D Credit/Debit Card E Payroll Deduction I Money Order
/a"u-, I # Ae . .*r:
LutFme tn *flffi
Aln,'{
<esrdfl ttal
t,'^ f,';)n
:ilrffi Address
Ioi,{ r, ,
;tate
I
rrp L9u€
3ry:l r... i i'i''?::.i,'-= rs'tr:) Amount of
Contribution

\.1 *rt"rlr ru,. l&'ll '* i&


spoude, I Yes
Is confibutor a lobbyist,
t1s -hr-l:.
If
,t: tlC,,i th rto,
contributi@lis in excess of $400 to a candidate committee lor a ch ief executive Sf cer of a l'J
ordependentchildofalobbyist?
P *o municipality does contributor or business he/she is associated with have a ct-rntract frith said
mumcipality valued at more than $5,000? EYes E
No
Is this contribution associated with a I Yes Is contributor a principal ofa state contractor or prospective state fl Yes
cont{actor?
fundraising event listed in Section L1?
FNo fyes, indicate which branch or branches Ano
f1es, list Event # of govemment the contract is with: I Executive U Legislative -
Method of contribution: Aqgf egal€ contribulions
D Cash F*ersonal Check I CreditlDebit Card I Palroll Deduction I Money Order t*f c61zm* F 57' . c'.r
DhNme
ff,
i$fi ss.r
t
i),r,,J d (-
MT

..)
)rincioal

{ 'i?.r4
Occupatior
J.r^': r *-0'i*
, Amount of
Contribution

frrli"i 'Rir,* fios'-


(e5rosua JusI Aotress I itate llp Lode Nme of Emolorer t, .-

3 $tlr 4.,?s
-

ftQ. iltrto,f"r' f tr /ttllv(ii E'1l0.tr


s contrib@r a lobbyist, spouse, D Yes lf
contribution is in excess of M00 to a candidate committee lor a chief execulive olhcer of a
)r dependent child ofa lobbyist?
F No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? D Yes E- No
ls this contribution associated with a fl Yes Is contributor a principal ofa state contractor or prospective state contractor? E Yes
f'undraising event listed in Section L1? *" fyes, indicate which branch or branches F Wo
fyes, list Event # F ofgovernmentthecontractiswith; EExecutive flLegislative
Method of contribution: uale Kecqved
E Cash finersonal Check I Crexiit/Debit Card D Payroll Deduction fl Money Order rofts-lzrl(Y? frT,:;;,,,'r.,
SUBTOTAL Section B-This Pagt f svi'.,x
TOTAL of additional Section B Pages / / Sii.ert

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

H Nt;e? i1r tl/r^ i 11 * * {'*': e tt J,5.r- iVlt':iilr,--)'ael'? t it h.1 | ? firiq


A. Total Contributlons frordgmall Contribrltors-Received this Period ONLY
g t;r)-O6
I

/See instructiare for definition of Small Contributor) Subtotal Section A

B. Itemized Contrihutions from Individuals


La{t Nme MI. Amount of
l\re,'Y L"" Vrzlrtj n
-'ry--
c_.
Nme or EmDlovg t 'l)'.,i
Contribution

.t;':;f-' rlri " -T,,di.," t


State 1ip Code

i'f"i*qT"H',-' t o.-r ,*,ltQ^c J) p,-A* /-r t -1t,3*i fj ii" F3*c,-0';


Is contributor a lobbyist, spouse" fl Yes If contributiofls in excess of$400 to a candidate committee for a chief executive officer ofa
or dependent child of a lobbyist? FNo municipality does contributor or business he/she is associated wrth have a contract with said
municipatity valued ai more than $5,000? E Yes I No
Is this contribution associated with a fl Yes Is contributor a principal ofa slate contractor or prospective state contractor? fl Yes
fundraisingeventlistedinSectionLl? F No fyes, indicate which branch or branches F rso
fyes. list Event #_ ofgovernmentthecontractiswith: EExecutive lLegislative
Date Regeived Aggregate contnbuhols
Method of contribution:
n Casn plfersonal Check fl Credit/Debit Card I Payroll Deriuotion fl Money order tol c1 I Zcc=I ?g ec,: 4=,
"{ Ftst€ MI Prircipdpccupatiog Amount of
ff^#u* rl-eru rla*
lesld&bdset
. \r: ,ryl K( n /*,|-fr,-
Nme ol hmDlovu
Contributi,on
Addess
i;q ffi;;ls*"-tf rfr4. l),^g*
)late
l(
lrp Uode
t')r" Lr l!( ffn: d;",-,..?, r, l{,. ( :xrf'\ $go,or:
Is contributora Q$byist, spouse, fl Yes Ifcontributionls inexcess of $400 to a candidate committee lor a chiefexecutive officer of!
or dependent child of a lobbyist? p- No municipality does contributor or business heishe is associated with have a contract with said
municipality valued at more than $5,000? [ Yes E No
Is this contribulion associated with a fl Yes Is contributor a principal ofa state contrastor or prospective state contractor? fl Yes
t-undraising event listed in Section L1?
Ifyes.list Event #_ F"o f]es, indicate which branch or branches
of govemment the contract is wilh: E Executive Legislative fl F"o
Method of contribution: Date Received

tr Cash Stpersonal Check


E Credit/Debit Card n Payroll Deduction L Money Order roltzlZt"s ffru;:.;.
'lvlrt*.*-*-o *P. Principal Ocopariou Amount of
'*frTL,''pl-',,^ M r] fi t-ft. -J-1.7-rfu^q"--,..- Contribution
GSTCSUA SrSr A4tresil itate 1p Llode Nme oEmlover
FriB' *.>
ai 3 {& ;t K;nzE5v--.
Is contributor a lobbyist, spouse, Yes
&rtu*c
Ifcontnbutionis in
C{*god hb.r.r."to, lr
excess of $400 to a candidate committee trr a chief executive officer ofa
Lo,rmu,n,L {'stlrto
or dependent child of a lobbyist? FNo municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? E Yes fl No
Is this contibution associated with a I Yes Is contributor a principal ofa state conuactor or prospective state contrastor? U Yes
fundraising event listed in Section L1 ?
Y'No Ifstes,indicatewhichbranchorbranches E No
I/yes, list Event # oigovemment the contract is with: E Executive f) Legislative r
Date Rrceived ApgreBale aootnbuttons
Method of contribution:
D Casn Sfersonal Check E Credit/oebit Card E
Itt*-.
Payroll Deduction I Money Order lol;e Ocopation
/r-,:rfi H IsZ <E:
Pr[rcip*] 4 Amount of
>KAre'/1 ?h. Ke l-i r-r lL Contribution
*"'':*- *Y*'^T,
?'.f*
-8 ,,^rt cr f),rh.^ r;
itate lip Code
CEt'l6
Nme of Employtr
$1[i rL'
Is contributor a lobbyist, spouse, EI Yes If contribution * '\*lc\-
in excess of $400 to a candidate committee lor a chief executive ofFtcer of a
municipality does contributor or business he/she is associated with have a contract with said
or dependent child oia lobbyrst?
F"u municipality valued at more than $5,000? E Yes D No
Is this contribution associated with a n Yes Is contributor a principal of a stiato contractor or prospective state contractor? E Yes
fimdraising event listed in Section Ll?
fyes, list Event #
F*o I/-yes, indicate which branch or branches
of govcmment the coniract is with: E
Executive E Legislative Fto
Date R€eived A ggregate contrlbutrons
Method of contribution:
E Cash $fersonal Check n Credit,Debit Card I Payroll Deduction I Money order lo/zz l2 .r'J *'152 oe
SUBTOTAL Seetion B-This Pagt Frpo.ou.

TOTAL of additional Section B Pages F 5Qf.ccr


Pl
TOTAL OF ALL CONTRIBUTIONS FROM I|{DMDUALS (Sections A &B) (Erter total on Line 13 of Summnry Page) s-{....-
MONETARY RECEIPTS (Sections A-K) Page 3 of 17
\AME OF COMMITTF,F, FII,ING DIIE DATE
,*+ F;i.,ii F-r,-" r.li''il-l r'4i ^ r."rf"u: u..; J]'- f"tr|a os trl'"- .*rj*-'rr,d? t't f.a--) /:2 it'.,<::
A. Total Contribu6ons from'Small Contripufors-Received this Period ONLY
g 116, r..S
lSee instractiotts fot defrnition ofSmall Contributar) Subtotal Section i
B. Itemized Contributions from Individuals
tast Fi6l-- Amount of
)me
f"1 r"l t l,.F-: ri {{, t_ Contribution
Emplolq -
*v-
I \,,
ttal9 :rp Lode rfaqe or
{ rrd( .-1,r,r.,I\
_
F;'{i} ,;e,
''**,r'i}v,
; !t'7 l':{,d i} \i lA,,r,
Is contributor a lobbyist, spouse, fl Yes tf contribrrtiq{ is in excess of 5400 to a candidate committee lor a chiefexecutive ofhcer ofa
ordependentchildofalobbyist? D No municipatin"toes contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? E Yes No fl
ls this r.:cntribution associared with a $.Yes Is contributor a principal ol a state contractor or prospeotive state oonFactor? il Yes
fundraising event listed in Section Ll ? E No -I/yes, indicate which branch or branches E No
If yes,lkr Evenr r ,;{ t$_ ofgovernmentthecontractiswith: EExecutive ILegislative
Aggregate contnbutrQls
Method of contribution:
u Casn
'p+ersonat
Check [J Cre<iit/Oebit Card tl Payroll Deduction fl Money Order I r":! i {= l}{'r.'" * r :-ei. r.'.-'i
L6tlgue Firsr ,41 Plincipal Occupatiou Amount of
i' f i^l iil;a i"-?1Yl.rLt Contribution
Itv'\
'J,)i ,' f >-*
rtate :lp Loog
/';f. *itk
Nme ot bnployer
$J i3, *
Iscontributoralobbyist,spouse, fl Yes If contrib$iild is in exoess of $400 to a candidate commiftee for a chief executive ofTicer oi a
0rdependentchildofalobbyist? F No municipality does contributor or business he/she is associated with have a contract viith said
municipaliry- valued at more than $5,000? [J Yes fl No
Is this contribution associated with a '$ Yss Is contributor a principal ofa state contractor or prosp€ctivg statg contraclor? [ Yes
tundraising event listed rn S-ection Ll? tr No fyes, indicate which branch or branches C No
f;'es. Iist Event# , "|.*'t ofgovernmentthecontractiswith: EExecutive DLegislative
Date Reeived Aggfegate contnbutlons
Method of contribution:
I Cash $rPersonal Check E Credit,oebit Card D Payroll Deduction E Money order it'/ i I /ri.rs-: $"/.r ?i "et,',
Lasr
^Iaff
t"{ii'seli-}'r {*
fosi )
fTi t+
ML-
t Principal Occupation Amount of
Contribution
(esrdental Str€l Address 1q itale lip Code Nme of Employet
4s&
J k *-lt- ,, i f,,'btl* .,,*
Is contributor a lobbyist, spouse, fl Yes If contritruthh is in excess of $400 to
a candidate committee for a chief executive officer of a
or dep€ndent 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? il Yes E No
Is this contribution asso{riated with a I Yes ofa state contmctor or prosp€ctive state
Is contributor a principal contractor? [ Yes
lundraisingeventlistedinSsctionLl? E No fyes, indicate which branch or branohes D No
I/yes, list Event # ofgovernmentthecontractisviith: IExecutive !Legislative
Dat€ R*eived Aggregale c@fibut1qs
Method of contribution:
E Cash p-fersonal Check fl Credit/Debit Card fl Payroll Deduction fl Money order {{:ftsl2rr.=
^l s jt''e:'o
-6t Nme First MI Principal'Ocwpation Amount of
Contribution
Lesdeltial Sheet Address jrty fate 4ip Code Nme of lrplQyer

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

SUBTOTAL Section B-This Pagt &i5r,oa


TOTAL of additional Section B Pages tl, r"ti.t,o
6,.s"=s ..'.
TOTAL OF ALL CONTRIBUTIONS FROM INIDMDUALS {Sections A &B\ (Enter total on Line 13 of Summary Pase)
I. MONETARY RECEIPTS (Sections A-K) Paue 4 of I
$AMEOF COMMITTEE FII ,TNG DI TF DA TF.

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

itale Zip Code


lundraising event listed
Date Reaeived
in Section Ll?"F No Event#_
Aggregate Coutdbutious
rii Ir {-'r'
fi
, -,-,:
{"! -

Huir $ l-e .,t L'(8^ I "-- ,


I L,/
^.l"=
,-. !- 'i,-.
Lr ,r'I t_ &' 1u;;i: fr-
Nme of Cornmittee \me ofTreafftr

affiess Amount of Contribution


Is this contribution associatedwith a fl yes lfyes,list
fun&aising event listed in Section L1? [ No Event #
lit] State Zip Code Date Received Aggregate Cootributions

Nme of Comittee Nme of Treasuq

\offoss Amount of Contribution


Is this contribution associated with a E Yes fyes, list
firndraisingevent listed in Section Ll? fl No Event#
li ]*
tt
lstate
tl
lzip Code

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

Nme of Comittee Nme of Treasug

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

(-l flaiml. rr 1s Ilar f< or Srrrnlrrc Tliafrihrrfinnc finm nflrar f-nmmi*foo<


{me of Clomittee Nme of Treasuer

Addrcss )ale Received Amount ofReceipl

rty itate Zip Code


! Reimbursement for shared expense E Surplus
I Payment for goods and services Distribution
\me ot ( .trme of Treasuer

Address )afe Recqved Amount ofReceipt

-rty rtate Zip Code


D Reimbursement for shared expense fl Surplus
I Payment lor goods and services Distribution

SUBTOTAL Section C-This Page S/r*o..',;


TOTAL of additional Section C Pages

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

i+ Al*,.,-,', 6<-<it:,ttinc * Ftt+ *, ,&',- illoi+or'*.rlq,rcdr I tb/,s^l/2,.r,5


() Lz. Pfdceeds from Ta[ Sale, Auction, or Other Sale of Donated Items
{ue of Puchser Laj+Nme MT Method of payment: Aggregate
Intlividuals|)NLY)
aesrqqilra JregI
Yo t ,, ,", i ,,
Aocless
Ra,a*-** r!'e- E Cash li
Personal Check E Credit/Debit Card Amount of
/l )Iale ZipCo& Date RE€ived . Purchases
4 (a
'\,i,lr.* /+Lw tle .&, * f'- lX,,V rY t0la€, /ziir+, s 55.':+
{l .f€< i-lri r*3 LrY hi s:.,,rn #*"0 Tl $i.irF
Nme of Puchaser last Nme First V MT Method of payment: Aggregate
(Individaals ONLY) E Cash E
Personal Check E Credit/Debit Card Amount of
-riy itate
Resrdertial Street Address 4ip Code Date Reeived Evmt # Purchases

Itw Puchased

{me of Puchaser Last Nffie !'rst MI Method of payment: Aggregate


Individuals oNLn E Cash E
Personal Check E Credit/Debit Card Amount of
(esrdmhal Street Addess litt' itate 4ip Code Date Received Event # Purchases

ltm Pwchased

{me of Puchffiff Last Nme Firsl M Melhod of payment: Aggregate


Tadiiduals ONLY) D Cash E Personal Check fl Credit/Debit Card Amount of
{esidential Stueet Address lity Itate Zip Code Date Re@ived Evmt # Purchass

ltems Puchased

Nue of Puchmer Last Nme First MI Method of payment: Aggregate


(Indiidauls ONLY) ECash E PersonalCheck [f Credit{DebitCard Amount of
Residiltial Street Address -ity ;tate 1ip Code Dale Recaived Elent # Purchases

tiffi ltuchased

'{meofPwhrer LstNme !st M] Method ofpalnnent; Aggregate


'Individusls ONLY) E Cash E
Personal Check E CrediilDebit Card Amount of
Kesldeutlal Street Address lt! itale Zip Code Jate Recelved Event # Puruhass

Item Puchased

,lme of Pwchmer Lst Nme First Method of payment: Aggregate


Indiiduals ONLYI D Cash D Penonal Check E CredilDebit Card Amount of
(esidential Strest Address lity rtarc 1ip Code Date Rccaived lvent # Purchas

Itffi Purchased

{me of Purchaser Last Nme Firsi Method ofpayrnent: Aggregate


'Individtals ONLY) fl Cash E
Personal Check fl Credit/Debit Card Amount of
KesldeDtral Str*t A{idress li! itate Zip Code Date Reeived F,vent # Purchases

Itsm Puchased

{meofPuchcs LstNue First Method of payment: Aggregate


Tndividuals ONLq E Cash E
Personal Check fl Credit{Debit Card Amount of
<csrdqltlal St€t Addrcss rty ;tate Zip Code Date Reeived EveDt # Purchases

ltems Puchapd

SUBTOTAL Section L2-This Page frrj'.*,


TOTAL of additional Section L2 Pages

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

\IAMF .)F CNMMITTF'I] ?ILING DI]E DATE

ftir,",, ,&-c'1"-rrtirr(, * '.fr,i.€,.t .LL,, t t lu.G(i/'- )JCrt t,< y't'l /2rtt'.fi


U lvt. ln-fina Coniributions
Type ofConfibutor: Fair Market
Individual Value of this
ft Contribution
)reet AddIAss
: a f^ i . JJ-r, ft ttate 4rp Code fl Committee
1.'-) t*-l ,-r 6, L3;:-g'^ '; '!*; i * rt)*", q../ /..t, ".',4
I JL'r"C n OIher (Applicable oilly to Referexdum Committees)
4 r?;*
ls contributor a lobbyist, spouse, I Yes Ifcqfitributionis in excess of$400 to a candidate committee for a chiefexecutive officer ofa
or dependent ohild of a lobbyist? municipality does contributor or business he/she is assooiated with have a contract with said
$.No municipality valued at more than $5,000? fl Yes
Eb.No
)ate Received Is this contribution associated with a E Yes Description of Il-Khd Contribution

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

i ofz .fi z a"t


Is this confribution associated with a
fundraising event listed in Section Ll ?
Ifyes, lbtEvenl#
D Yes
qF. No
I grt .r."' tt t t f<c K.
$"^'e:t*'"*
*r*:.*o
Type ofContributor: Fair Market
iln ir r€-{rr.1
iI
_\:
Fa lt.-t p.. Individual Value of this
Contribution
SheetAddress . ;laie Zip Code El Committee t-
i.'i J{: vr,a'-s ( k ,' .# h-n.b* {L &; Vrs Q Olher lApplicable only to Refoendum Committe$) q E{..f?
Is contributora loLrbyist, spouse, E Yes If cortribution is in excess of $400 to a candidate committee for a chief executive oflicer of a
or dependent child of a lobbyist? municipaliry, does contributor or business he/she is associated with have a contract with said
SElJf,{o
municipaliry valued al more than $5,000? E yes E No
Desuiption of In-Kind Contribution {ggregate sontnt utrans
Date Re€ived ls this contribution associated with a I Yes
I{a falz<fs .i Z'"s'b e;i]r.fai$pn 4r-
tufu'/7c'*4
fundraising event listed in Section
I./yes, list Event #
Ll?
F"o l,tan {e..'.|s ")4 jt
Type ofContributor: Fair Market
'rq. lndividual Value of this
heet Addrss )ralE_ 4rp Looe fi Committee Contribufion
tt
nci k(i'r'lr.e- f .r*,-.l- lb",- a;- er, V {6 I Other (Applicable only to Refaudum Cammiftees) $ 3')+{
Is contributor a loUbyist, spouse, fl Yes If conifibutionis in excess of $400 to a candidate committee for a chief executive o{ficer of a
or dependent child ofa lobbyist?
P*o municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? E No fl Yes
Dewription of tn-Kird Contribution . 4ggregate cootnbulrons

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

Total Section N (Enter total on Line 23 of Summrv Page) 3- 1]. ri r\


IV. EXPENDTTURES Page 13 of 17

{AMF, OF COMMITTEF, FII ING il]F DATF.

Fl hr'rrr', 'T4r:trt,r,llrr(: G',1€'i.G"-r?'htirx-..'lrr-T I ln/.X:/?tlt->ri


U {J
P. Exbenses Paid bv'Committee
Nanq4fPayee )ate of Palmerl Method of Payment Amount
-D-r -1" -, /'o : / )t'lta*l-e r* I ol t: {,fi 'p,check #=-i Oi- frFy?.sT
'3ili'ht ',{r,' o {*
JU
..tlt,-b" c1-.
State arp

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.
$

\meol'P3yee I t )ate of Palment Method of Payment Amount


\ I G I $€ '-{ {t isg i :;i"l; ni{
,
I
4rp Looe
t t{15-ftos1 Elcheck # 10:..- 4 i,, erv. se
C'ry, Jtate

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

)uefi Adtrlss. cit' State ,rP LOqg Kcr,""r.+f Qts


{'r q r.cv
tr'i l{td}+:; C-e'.ir#
rurpose or tsrym4lmt
J-kr"b.J {r frtu{itti' E Debit Card
F-vmt #
{bycode;
A.*1;T fl Z'ih,lt* i t r-,, F/.ttre I frrnd.,,ru.,r{-t
fype of Expenditure gf spplicable): Cmffdate(s)lilme Offica Sought E Supported
(if applicable) E
I Coordinated with reimbursement sought opposed
I Coordinated without reimbursement sought
fl Independent
I Organization (see Instructions)
$
tr,r trB nc nD flE
NmeofPavee, " /
Vr.i
!'
ll.q du,Lrl;shi 11t
)ate of PalmeDt

t olsle ?
Method of Payment Amount

Fc'""t* /OG { tJ\b,etr


-) Ad&pss
Street

I r"tirr, -- tr
--,
& n&* Lt.
ItaIe 4,1p Code

c(eV'J y n Debil card


Evmt #
{bycode)
6} * f\J$,'*JS #i'i o1.o r')rrtJ' ;,ir;y,>qn- 4,{-i
caididatd(s) Nme Office Sought
fype of Expenditure (if applicable). ISupported
(if applbable) EOpposed
E Coordinated with reimbursement sought
n Coordinated without reimbursement sought
El Independent
I Organization (see Instructions)
tr,1 Un Dc Dl Dr $

SUBTOTAL Section P-This Page fr ).9qr2, csi"

TOTAL of additional Section P Pages dar,',i


TOTAL OF ALL EXPENSES PAID BY COMMITTEE (Enter total on Line 19 of Summary Page) Fi.tr-? nl
TV. EXPENDITURES Page 13 ol 17

NAME OF COMMTTTFF, FII-TNG DIIF. DATF,

fr hJ.eer)'Bes=j/'lnine tr-ct*'ct {-;*}Jkuuf-.}@? I i&/.A'l/LriaQ


a) - P. txnenses Paid Lv Committee
Nme ollal,ge )ate ofPayment Method of Payment Amount

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

Ulff"iil. * #rr-rerr Sr,ra Jescnpt,on


itate
I)j.l" -, &-vrr =FftlitcarP-
rurposc or Dxpcllulufe
(bycode)
;\ -A-f ff I *t :
_I
L)4 oro12 o', ,' n DG, n,A ,, , , *s '*94 )
Ev€nt #

ype of Expenditure (if applieable): Cardidate(s) Nme Office Sought U Supported


E Coordinated with reimbursement sought (if applicable) fl opposed
E Coordinated without reimbursement sought
fl Independent
E Organization (see Inslructions)
$
tra En trc trn trn
Name ofPayee )ate ol Palment Vlethod of Payment Amount

Sfeet Addrss lity ilate 1,rp eode E check #


n Debit card
rupos€ 01 bxponfrnu9 )escription Event #
(by code)

Iype of Expenditure (if applicable): Cmdidate{s) Nme Ofica Sought LJ Supported


fl Coordinated with reimbursement sought (if tpplicable) I opposed
E Coordinated without reimbursement sought
I hdependent
I Organization (see Instructions) $
fl^ FIR nr- T'ln n
NMe ol Pavee -)ate ot Pament Method ot Payment Amounl

Street Ad&ess City itate Zip Code E Check #-


I Debrt Card
rurposg oI ixpmdrture )euiption Event #
(by code)

Type of Expenditurc (if applicabler. Cmdidate(s) Nme Oflice Soughl Ll Supported


(if applicable) E opposed
D Coordinated with reimbursement sought
tlCoordinated without reimbursement sought
E Independent
I Organization (see Inslructions)
trl trB t]c nD !
Nme of Payee )ate of Pament Method of Payment AmOunt

Sheet Address Cir)- ilate Zip Code n check #_


E Debit Card
rurlJosc or DxP6uNe )escription Ev ent #
fty code)

lype of Expenditure (if app6eable): Cardidate(s) Nme Office Sought lSupported


(if applicable) [J opposed
D Coordinated with reimbursement sought
fl Coordinated without reimbursement sought
E Independent
I Organization (see Instructions)
Uat]BtrctrDtr $

SUBTOTAL Section P-This Page br-'r:.cif


TOTAL of additional Section P Pages [;,,iva nri
TOTAL OF ALL EXPENSES PAID BY COMMITTEE @nter total on Line 19 of Summary Page) I ? s'd, i.ei,l
IV. EXPENDITURES Page 15 of 17

\IAMF. OF C(^IMMITTFF, ]II.ING DITF- DATE


* ti.;e,,- Arr.*r1r1'lr'\e - E'o/u: .i Cr..' /thct,-rt* =Jcz-1q I f xl /-z)/znrrz
1)
R Exnens[s Incurred on Committee Credit Card
Nnme of Issuins Institulion Type of Credit Card:
[-u\c frs{t. ' &trr Y.- t vi.a El Master Card I Discover t] American Express
{jr ;fB(-- lt ^tt 6 Sl.1_ge""',X L r*'r-ltu- $
-l\Or'br,i ( rr.F . {?",tFl 5 fl Other
Nane ofVeldor 2l
Amount
S+a O l<s Gt\ State -ip Code
rof ar izx>q * 3q7.56
Sreet Address

;;;;; iU* :tlaven l7''* . J)r' ,',i -i a,::*


crf,.ft V
Fxent #
Purpose ol Expelditure
(bycode)
Jq -C}l-H H t"r'^ P4'r tr) t4n"6l-",*1. 'Yt\*
Nme of Vendor Date ofTrmsastion

€+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

Street Address City' State lip Code

Eveilt #
Purpose of Expmditue
(by code)

Nme of Vendor Date of Trusaction Amount

Sheet Address City State Zip Code

Descnption Eveut #
Purpose ofExpelditue
(by code)

Nme of Vmdor Date of Trilsaction Amount

Street Address cib" State lip Code

)ercription EveDt #
Purpose of Expmditure
(by code)

Nme of Vendor Date ofTrmsaction Amounl

Street Ad&ess Chty State 1ip Code

)escription F,velt #
Purpose ofErpendinue
(by code)

{me of Vsrdor I)aie ofTrdrsaction Amount

Sheef Addr€ss cit- State 1ip Code

)gscnption Eveni #
Purpose of Expurditue
(by ode)

Nme of Veldor Date ofTrmsactiou Amount

Steet Address City State Zip Code

)escnptior Event #
Purpose ofExpenditure
(by code)

SI'BTOTAL Section R-This Page nl"iPc\


:%
TOTAL of additional Section R Pages

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

itreet Address City State Zip Code

Descriptior

Type of Expenditure (if applicable). Cedidate(s) Nue Office Sought E Supported


n Coordinated with reimbursement sought
(f applicable) E Opposed
E Coordinated without rsimbursemenl sought
! hdependent
fl Organization
- (see Instrudions)
$
I-la l-ln l-lc l-ln En
Last Nme of Worker/Consltmt First MI Date of Palmeut
Method of Payment Amounl

Secondary Paye 'upose


'by
ol -bxpmdture
code)
fl Check #=-
fl tebit card
Itreet Ad&ess City Slate Zip Code

Derription

Type ofExpenditurc (d appltuable): Cmdidate(s) Nme Offioe Sought f| Supported


(if qpplicable) E Opposed
D Coordinated with reimbursement sought
fl
Coortiinated without reimbursement sought
I
Independent
E Oreanization
- (see Inslructions)
$
nr [-lp nc nn FIF
I-ast Name of Worker/Consultal First N{i Date of Pa,vment
Method of Payment Amount

)urpose ofExpendrfue
Secoldary Pa1'ee
by code)
I Check #
E Debit Card

Cit) State Zip Code


Itreet Address

D"'"ifi;

Type of Expenditure (if applicable): Cardidate(s) Nme Office Sought ! Supported


n Coordinated with reimbursement sought
(if tpplicable) fl opposed
flCoordinated rvithout reimbursement sought
n Independent
n Organization
- (see Instruoions) $
T'l r l-'l p T'l. f-l n l-l I

SUBTOTAL Section T-This Page # lgfi,Lt


TOTAL of additional Section T Pages

TOTAL OF ALLRE
h1,? f-.6Y

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