Kerekes Campaign

SEEC FORM 20
Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08
Electronic Filing
Office Use Only
Page 1 of 125
SUMMARY PAGE
1. NAME OF COMMITTEE
Committee To Elect Jeffrey Kerekes
2. TREASURER NAME Title First

harry
MI
I
Last
David
Suffix
3. TREASURER ADDRESS Street Address

441 Chapel St Apt 1-6
City
New Haven
State
CT
Zip Code
06511-5844
4. ELECTION DATE
Mayor
5. OFFICE SOUGHT (if applicable)
6. DISTRICT CODE (if applicable)
7. CANDIDATE NAME Title

Mr
First
Jeffrey
MI
P
Last
Kerekes
Suffix
8. TYPE OF REPORT
7th Day Preceding Primary
9. PERIOD COVERED
Beginning Date
Ending Date
07/01/2011
thru
08/30/2011
10. CERTIFICATION
I hereby certify and state, under penalties of false statement, that all of the information set forth on this Itemized Campaign Finance Disclosure Statement for the period covered is true, accurate and complete.
Electronic Filing
harry David
09/06/2011
3:15:57 pm
SIGNATURE
PRINT NAME OF THE SIGNER
DATE CERTIFIED
PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000, OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.
Page 2 of 125
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08
SUMMARY PAGE
TOTALS
NAME OF COMMITTEE
FILING DUE DATE
09/06/2011
COLUMN A
This Period 11. Balance on hand January 1 of current year for Ongoing and Party Committees OR Balance on hand from day Committee was formed for all other 12. Balance on hand at the beginning of Reporting Period 13. Contributions received from Individuals (Section A and B) 14. Receipts from Other Committees (Sections C1 + C2) 15. Other Monetary Receipts (Section D-K) 16a. Total Small Food and Beverage Receipts at Fair (Section L1) 16b. Total Proceeds from Small purchases at Tag Sales, Auctions or Other Sales (Section L2) 16c. Total Purchases of Advertising in a Program Book (Section L3) 17. Total Monetary Receipts (add totals for lines 13-16c) 18. Subtotals (add totals in line 12 + line 17 in Column A and in line 11 + 17 in Column B) 19. Expenses Paid by Committee (Section P) 20. Balance on hand at close of Reporting Period (Subtract line 19 from line 18) 21. In-Kind Donations not Considered Contributions Received (Section L4) 22. In-Kind Contributions Received (Section M) 23. Refundable Deposit to Telephone Company (Section N) 24. Receipts of Organization Expenditures (Section O) 25. Beginning Loan Balance 25a. + Loans Received (Section D) 25b. + Interest and Penalties on Loan(s) 25c. - Payments on Loan(s) 25d. Total Outstanding Loan Amount 26. Campaign Expenses Paid By Candidate (Section Q) 27. Expenses Incurred on Committee Credit Card (Section R) 28. Expenses Incurred by Committee During this Period but Not Paid (Section S) 28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)
$2,349.84 $6,025.00 $0.00 $23,952.00 $0.00 $0.00 $0.00 $29,977.00 $32,326.84 $8,688.47 $23,638.37 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
COLUMN B
Aggregate
$0.00
$8,900.00 $0.00 $23,952.00 $0.00 $0.00 $0.00 $32,852.00 $32,852.00 $9,213.63 $23,638.37 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Page 3 of 125
I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE FILING DUE DATE
09/06/2011
A. Total Contributions from Small Contributors-Received this Period ONLY

(See instructions for definition of Small Contributor) Subtotal Section
$0.00
B. Itemized Contributions from Individuals

Last Name First Name MI Name of Employer
Winston
Patrick
self-employed
Amount of Contribution Principal Occupation
Residential Street Address
City
State
Zip Code
1897 Chapel St
New Haven
CT
06515
Is contributor a lobbyist, spouse, or dependent child of a lobbyist? Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
_ _
Yes No
_ X
If contribution is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she associated with have a contract with said municipality valued at more than $5000? Yes No Is contributor a principal of state contractor or prospective state contractor? If yes, indicate which branch or branches of government the contract is with:
_ _ _
_ _
Yes No
_
Yes
No
Executive
Legislative Aggregate Contribution
Date Received Personal Check

_
Cash
Credit/Debit Card
Payroll Deduction MI
Money Order
07/01/2011
$15.00
Amount of Contribution
$15.00
Last Name
First Name
Name of Employer
Winston
Shirley
Principal Occupation
City
State
Zip Code
1897 Chapel St
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/01/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Gardner
Bettie
F
City
State
Zip Code
294 Bassett St
New Haven
CT
06517
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/01/2011
$10.00
$10.00
Page 4 of 125


09/06/2011
Gardner
Theodore
City
State
Zip Code
22 May St Apt 2
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/01/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Balco
Cat
City
State
Zip Code
40 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/01/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Bartlett-Josie
Christine
City
State
Zip Code
1 University Pl
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/01/2011
$30.00
$30.00
Page 5 of 125


09/06/2011
McGregor
S
City
State
Zip Code
20 Batter Ter
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/01/2011
$30.00
$30.00
Last Name
First Name
Name of Employer
Xia
Tian
City
State
Zip Code
5 Honeycomb Ln
North Haven
CT
06473
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/01/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Battles
Wendy
City
State
Zip Code
148 A Everit St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/02/2011
$10.00
$10.00
Page 6 of 125


09/06/2011
Plasse
Bruce
City
State
Zip Code
148A Everit St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Sobieski
Danielle
City
State
Zip Code
36 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/02/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Mill
Daniel
Universal McCann
City
State
Zip Code
36 Lyon St
New Haven
CT
06511
Project Analyst
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/03/2011
$75.00
$75.00
Page 7 of 125


09/06/2011
Bixby
Nathan
City
State
Zip Code
309 McKinley Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/03/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Boyce
Don
City
State
Zip Code
177 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/04/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Boyce
Elizabeth
City
State
Zip Code
177 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/05/2011
$25.00
$25.00
Page 8 of 125


09/06/2011
Erlanger
Joshua
P
City
State
Zip Code
85 Church St Unit 3S
New Haven
CT
06510
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/06/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Grennan
Alex
City
State
Zip Code
40 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/06/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Lee
Richard
City
State
Zip Code
70 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/06/2011
$20.00
$20.00
Page 9 of 125


09/06/2011
Hausladen
Douglas
City
State
Zip Code
123 York St Apt 20G
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/06/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Orefice
Andrew
City
State
Zip Code
138 Lawncrest Rd
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/06/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Wilson
Michael
P
City
State
Zip Code
57 Pearl St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/07/2011
$25.00
$25.00
Page 10 of 125


09/06/2011
Gacek
Paul
Retired
City
State
Zip Code
83 Pearl St
New Haven
CT
06511
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Campion
Susan
C
City
State
Zip Code
82 Morris Cove Rd
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$35.00
$35.00
Last Name
First Name
Name of Employer
Siedlarz
Lisa
City
State
Zip Code
53 Pearl St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/07/2011
$20.00
$20.00
Page 11 of 125


09/06/2011
Cotlier-Cassell
Moira
City
State
Zip Code
51 Pope St
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Buterbaugh
Kevin
City
State
Zip Code
8 Townsend Ave
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Buckholz
Michelle
City
State
Zip Code
108 Kneeland Rd
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/07/2011
$25.00
$25.00
Page 12 of 125


09/06/2011
Marathas
Catherine
City
State
Zip Code
845 Robert Treat Ext
Orange
CT
06477
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Cox
Katha
City
State
Zip Code
235 Townsend Ave
New Haven
CT
06512
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Cronin-Ozyck
Rosemary and Christopher
YBHH
City
State
Zip Code
603 Quinnipiac Ave
New Haven
CT
06513
RN
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/07/2011
$50.00
$50.00
Page 13 of 125


09/06/2011
Landolfi
Frank and Amalia
self-employed
City
State
Zip Code
730 Whitney Ave
New Haven
CT
06511
Daycare Provider
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Turcio
Louis
City
State
Zip Code
18 Rock St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/07/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Cox
Bernard
J
City
State
Zip Code
235 Townsend Ave
New Haven
CT
06512
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/08/2011
$50.00
$50.00
Page 14 of 125


09/06/2011
Virtue
Aidan
City
State
Zip Code
229 Townsend Ave
New Haven
CT
06512
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/08/2011
$30.00
$30.00
Last Name
First Name
Name of Employer
Virtue
Max
City
State
Zip Code
229 Townsend Ave
New Haven
CT
06512
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/08/2011
$30.00
$30.00
Last Name
First Name
Name of Employer
Virtue
Roxanne
City
State
Zip Code
229 Townsend Ave
New Haven
CT
06512
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/08/2011
$30.00
$30.00
Page 15 of 125


09/06/2011
Marino
Kim
City
State
Zip Code
10 S Side Dr
Wallingford
CT
06492
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/08/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Agostinelli
Blanche
City
State
Zip Code
120 Braeside Dr
Hamden
CT
06514
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/08/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Braffman
Elaine
A
City
State
Zip Code
229 Kneeland Rd
New Haven
CT
06512
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/08/2011
$25.00
$25.00
Page 16 of 125


09/06/2011
Lack
Sylvia
City
State
Zip Code
60 Lyon St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/09/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
McArdle
Patricia
City
State
Zip Code
83 Lyon St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/09/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Butler
Peter
City
State
Zip Code
487 Townsend Ave
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/09/2011
$25.00
$25.00
Page 17 of 125


09/06/2011
McManus
Leah
City
State
Zip Code
708 Orange St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/09/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Schiavone
Joel
Seck
City
State
Zip Code
740 Quinnipiac Ave
New Haven
CT
06512
Real Estate
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/09/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Evans
Deborah
City
State
Zip Code
242 Alden Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/10/2011
$25.00
$25.00
Page 18 of 125


09/06/2011
Ranney
Pat
City
State
Zip Code
312 St John # 2
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/10/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Shoop
Donald
E
City
State
Zip Code
225 Townsend Ave
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/11/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Bresnick
Johanna
City
State
Zip Code
84 Lyon St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/11/2011
$10.00
$10.00
Page 19 of 125


09/06/2011
Arias
Dimitri
City
State
Zip Code
84 Lyon St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/11/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Saracco
Raymond
City of New Haven
City
State
Zip Code
843 Orange St
New Haven
CT
06511
Fire Fighter
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/11/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Marathas
Alex
City
State
Zip Code
13 Bishop St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/11/2011
$25.00
$25.00
Page 20 of 125


09/06/2011
Oppenheimer
Mark
City
State
Zip Code
155 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/11/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Abraham
Elizabeth
City
State
Zip Code
132 Mansfield St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/11/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Stockmann
Jason
City
State
Zip Code
132 Mansfield St Apt 2
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/11/2011
$20.00
$20.00
Page 21 of 125


09/06/2011
Smart
Jerry
City
State
Zip Code
21 Lyon St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/12/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Adams
David
City
State
Zip Code
95 Lyon St Fl 3
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/12/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Bishop
Christine
City
State
Zip Code
250 Everit St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/12/2011
$25.00
$25.00
Page 22 of 125


09/06/2011
Karagozian
Ohan
City
State
Zip Code
62 Asylum St
New Haven
CT
06519
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/12/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Tortora
Richard
City
State
Zip Code
92 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/12/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Virtue
Brian
Christopher Martins Restaurant
City
State
Zip Code
229 Townsend Ave
New Haven
CT
06512
Restauranteur
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/12/2011
$340.00
$340.00
Page 23 of 125


09/06/2011
Marcuse
Deborah
City
State
Zip Code
93 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/13/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Klise
Linda
City
State
Zip Code
33 Pearl St # 2
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/13/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
DeSiato
Laurie
City
State
Zip Code
1515 State St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/13/2011
$10.00
$10.00
Page 24 of 125


09/06/2011
Kalt
Marisa
City
State
Zip Code
172 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/13/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Nugent
Patrick
City
State
Zip Code
172 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/13/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Schimmer
Russell
City
State
Zip Code
90 William St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/13/2011
$10.00
$10.00
Page 25 of 125


09/06/2011
Nelson
Kenneth
City
State
Zip Code
79 Lyon St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/13/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Wheeler
Britt
City
State
Zip Code
233 St John St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/13/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Harvey
Donald
Yale University
City
State
Zip Code
23 Bishop St
New Haven
CT
06511
Professor
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/14/2011
$250.00
$250.00
Page 26 of 125


09/06/2011
Bishop
Robert
City
State
Zip Code
250 Everit St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/14/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Papa
Susan
City
State
Zip Code
999 Forest Rd
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/14/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Griffith
Jane
City
State
Zip Code
270 Alden Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/14/2011
$10.00
$10.00
Page 27 of 125


09/06/2011
Vantine
Melissa
City
State
Zip Code
204 Wooster St Fl 1
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/14/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Smith
Sheri
E
City
State
Zip Code
92 Clark St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/15/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Smith
Mark
City
State
Zip Code
92 Clark St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/15/2011
$35.00
$35.00
Page 28 of 125


09/06/2011
Pillsbury
Charles
City
State
Zip Code
247 Saint Ronan
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/15/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Pocengal
Edward
City
State
Zip Code
218 Willow St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/15/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Braffman
Elaine
A
City
State
Zip Code
229 Kneeland Rd
New Haven
CT
06512
X
_ _
Yes No
_ _
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/15/2011
$25.00
$25.00
Page 29 of 125


09/06/2011
McIntyre
Magdalena
City
State
Zip Code
64 Pearl St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/15/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
DeSiato
Carmen
City
State
Zip Code
119 Linden St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/16/2011
$75.00
$75.00
Last Name
First Name
Name of Employer
Treat
John
City
State
Zip Code
243 A Front St
New Haven
CT
06513
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/18/2011
$10.00
$10.00
Page 30 of 125


09/06/2011
Corden
Cynthia
City
State
Zip Code
3A Hughes Pl
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/18/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Cunningham
Jan
City
State
Zip Code
8 Reservoir St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/18/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Diedrich
Mallory
City
State
Zip Code
116 Townsend Ave
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/18/2011
$10.00
$10.00
Page 31 of 125


09/06/2011
Anderson
Edward
City
State
Zip Code
123 York St # 1C
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/18/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Carroll
Barbara
City
State
Zip Code
165 Hyde St
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/18/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Sehnal-Hanson
Virginia
A
City
State
Zip Code
11 Grove Ave
Wolcott
CT
06716
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/18/2011
$25.00
$25.00
Page 32 of 125


09/06/2011
Jarema
Jason
City
State
Zip Code
441 Chapel St Apt 2A2
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/19/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Duarte
James
F
City
State
Zip Code
267 Greene St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/19/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Hamilton
Wendy
City
State
Zip Code
267 Greene St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/19/2011
$10.00
$10.00
Page 33 of 125


09/06/2011
Melotti
Christine
City
State
Zip Code
138 Wooster St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/19/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Dondy
Lise
City
State
Zip Code
43 Autumn St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/19/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Kaplan
William
City
State
Zip Code
43 Autumn St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/19/2011
$10.00
$10.00
Page 34 of 125


09/06/2011
Hyman
Pam
G
City
State
Zip Code
8 Woodland Ter
Prospect
CT
06712
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/19/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Ott
Jeffrey
M
City
State
Zip Code
441 Chapel St Apt 1C
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/20/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Ross
D
City
State
Zip Code
111 Park St
New Haven
CT
06510
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/21/2011
$20.00
$20.00
Page 35 of 125


09/06/2011
Campion
Paul
F
City
State
Zip Code
82 Morris Cove Rd
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/21/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Newberry
James
City
State
Zip Code
30 Ruby St
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/21/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Gallagher
Emily
City
State
Zip Code
50 Derby Ave
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/21/2011
$10.00
$10.00
Page 36 of 125


09/06/2011
Mensz
Pawel
City
State
Zip Code
287 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/21/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Pierre
Patrick
City
State
Zip Code
817 Grand Ave # 301
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/21/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Ridky
Brad
City
State
Zip Code
190 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/21/2011
$10.00
$10.00
Page 37 of 125


09/06/2011
Losty
Douglas
City
State
Zip Code
PO Box 120713
East Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/21/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Persson
Lynn
City
State
Zip Code
262 Milford Point Rd
Milford
CT
06460
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/21/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Schaefer
Christopher
City
State
Zip Code
84 Second St 2nd St )
New Haven
CT
06519
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/22/2011
$10.00
$10.00
Page 38 of 125


09/06/2011
Ferrucci
Ralph
City
State
Zip Code
201 Summit St
New Haven
CT
06513
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/22/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Holmes
Jessica
City
State
Zip Code
31 Nash St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/22/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Sloat
Joshua
City
State
Zip Code
111 Clinton Ave
New Haven
CT
06513
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/22/2011
$20.00
$20.00
Page 39 of 125


09/06/2011
Stein
Shelley
City
State
Zip Code
652 Prospect St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/22/2011
$11.00
$11.00
Last Name
First Name
Name of Employer
Poynter
Catherine
City
State
Zip Code
31 Nash St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/22/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Papantones
Melissa
City
State
Zip Code
98 Alden Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/22/2011
$10.00
$10.00
Page 40 of 125


09/06/2011
Sachs
June
E
City
State
Zip Code
396 Saint Ronan St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/23/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Kafoglis
Chris
City
State
Zip Code
20 Autumn Stg
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/23/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Kafoglis
Nancy
B
City
State
Zip Code
20 Autumn St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/23/2011
$10.00
$10.00
Page 41 of 125


09/06/2011
Eisenstat
Dana
City
State
Zip Code
55 Autumn St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/23/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Felder
Allen
City
State
Zip Code
460 Stevenson Rd
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/23/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Berger
Timothy
City
State
Zip Code
50 Autumn St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/23/2011
$10.00
$10.00
Page 42 of 125


09/06/2011
Cameron
David
R
City
State
Zip Code
31 Loomis Pl
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/23/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Eisenstat
Stanley
City
State
Zip Code
55 Autumn St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/23/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Fitzpatrick
John
City
State
Zip Code
1631 Chapel St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/24/2011
$20.00
$20.00
Page 43 of 125


09/06/2011
Oliva
Daniel
J
City
State
Zip Code
47 Mustang Dr
Shelton
CT
06484
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/24/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Morin
Gerald
City
State
Zip Code
817 Grand Ave # 303 )
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/24/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Cohen
Paulette
City
State
Zip Code
189 Everit St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/24/2011
$15.00
$15.00
Page 44 of 125


09/06/2011
Perry
Bobsie
City
State
Zip Code
71 William St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/25/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Jeter
Nannie
City
State
Zip Code
99 Brooklawn Cir
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/25/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Jeter
Liz
City
State
Zip Code
96 Brooklawn Cir
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/26/2011
$10.00
$10.00
Page 45 of 125


09/06/2011
Jeter
Nannie
City
State
Zip Code
99 Brooklawn Cir
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/26/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Rogers
Margaret
L
City
State
Zip Code
73 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/26/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Lovett-Graff
Sharon
City
State
Zip Code
352 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/26/2011
$10.00
$10.00
Page 46 of 125


09/06/2011
Lee
Mary Brett
City
State
Zip Code
70 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/26/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Strycharz
Heather
City
State
Zip Code
147 Willow St # 2
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
07/26/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Bailey
Matthew
B.C. Bailey Funeral Home
City
State
Zip Code
487 Townsend Ave
New Haven
CT
06492
Funeral Director
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/27/2011
$50.00
$50.00
Page 47 of 125


09/06/2011
Locklear
Heather
City
State
Zip Code
462 Poplar St
New Haven
CT
06513
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/27/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Johnson
Keith
City
State
Zip Code
462 Poplar St
New Haven
CT
06513
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/27/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
McMahon
Cherell
City
State
Zip Code
55 Parker Pl
New Haven
CT
06512
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/27/2011
$10.00
$10.00
Page 48 of 125


09/06/2011
Doyle
Lorraine
Milford Management
City
State
Zip Code
806 State St
New Haven
CT
06511
Property Management
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/27/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Tureck
Marlene
City
State
Zip Code
76 Winchester Ave
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/27/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Tureck
Jerome
City
State
Zip Code
76 Winchester Ave
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/27/2011
$25.00
$25.00
Page 49 of 125


09/06/2011
O'Connell
Heather
City
State
Zip Code
441 Chapel St Apt 1D
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/27/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Rountree
Terrence
City
State
Zip Code
124 Englewood Dr
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/27/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Rountree
LaShell
City
State
Zip Code
124 Englewood Dr
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/27/2011
$10.00
$10.00
Page 50 of 125


09/06/2011
Messore
Cristi
City
State
Zip Code
425 Whitney Ave Apt 9
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/27/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Broniek
Paul
City
State
Zip Code
47 Pearl St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/28/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Brown
Breisha
City
State
Zip Code
12 Russo Ter
New Haven
CT
06513
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/28/2011
$10.00
$10.00
Page 51 of 125


09/06/2011
Brown
Bernice
City
State
Zip Code
12 Russo Ter
New Haven
CT
06513
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/28/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Brown
Eric
City
State
Zip Code
12 Russo Ter
New Haven
CT
06513
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/28/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Knezek
Stephen
E
City
State
Zip Code
151 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/28/2011
$10.00
$10.00
Page 52 of 125


09/06/2011
Knezek
Victoria
City
State
Zip Code
151 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/28/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Ebrecht
Ronald
City
State
Zip Code
254 Everit St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/29/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Smith
Patrick
City
State
Zip Code
563 Orange St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/31/2011
$25.00
$25.00
Page 53 of 125


09/06/2011
Nash
Virginia
City
State
Zip Code
21 Anderson St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Clemens
Kitty
City
State
Zip Code
137 Foster St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Lemar
Roland
City
State
Zip Code
6 Eld
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/31/2011
$25.00
$25.00
Page 54 of 125


09/06/2011
Lemar
Anika Singh
City
State
Zip Code
6 Eld St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Casella
Diane
City
State
Zip Code
563 Orange St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Casella
Ed
City
State
Zip Code
563 Orange St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/31/2011
$10.00
$10.00
Page 55 of 125


09/06/2011
Ye
Pei
City
State
Zip Code
43 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Kerekes
Jeffrey
P
City
State
Zip Code
43 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$15.00
$15.00
Last Name
First Name
Name of Employer
Chieppo
Christian
D
City
State
Zip Code
142 Greenwich Ave # 1
New Haven
CT
06519
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/31/2011
$10.00
$10.00
Page 56 of 125


09/06/2011
Chedderton
Kerry
City
State
Zip Code
142 Greenwich Ave # 1
New Haven
CT
06519
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Lindstrom
Tina
City
State
Zip Code
22 Anderson St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Siedlarz
Kevin
City
State
Zip Code
53 Pearl St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/31/2011
$10.00
$10.00
Page 57 of 125


09/06/2011
Naracci
Robert
City
State
Zip Code
678 Orange St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Applegate
Ian
City
State
Zip Code
71 William St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Badurek
Gabriel
City
State
Zip Code
830 State St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/31/2011
$10.00
$10.00
Page 58 of 125


09/06/2011
Gall
Lucinda
City
State
Zip Code
463 Whalley Ave Unit Q
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Clemens
Susan
City
State
Zip Code
80 Vista Ter
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
07/31/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Heimer
Alison
City
State
Zip Code
56 Cold Spring St .
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
07/31/2011
$10.00
$10.00
Page 59 of 125


09/06/2011
Guerrera
Steven
City
State
Zip Code
1037 Townsend Ave
New Haven
CT
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/01/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Rogers
Britton
City
State
Zip Code
817 Grand Ave Unit 403
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/01/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
McClure
Beverly
City
State
Zip Code
227 St John St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/01/2011
$10.00
$10.00
Page 60 of 125


09/06/2011
Nelson
Glenn
City
State
Zip Code
850 Edgewood Ave
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Alechnowicz
Robert
City
State
Zip Code
848 Edgewood Ave
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Piscopo
Jeanette
City
State
Zip Code
490 Woodward Ave # 2
New Haven
CT
06512
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/02/2011
$20.00
$20.00
Page 61 of 125


09/06/2011
Lockery
Gena
R
City
State
Zip Code
520 Chapel St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Vitale
Elizabeth
City
State
Zip Code
30 Westwood Rd
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/02/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
MacInnes
Glenn
City
State
Zip Code
100 Temple St # 215
New Haven
CT
06510
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/02/2011
$10.00
$10.00
Page 62 of 125


09/06/2011
Fisher
James
City
State
Zip Code
105 Marvelwood Dr
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Hagearty
Kathleen
City
State
Zip Code
11 Raynham Rd
New Haven
CT
06512
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Bianchine
David
City
State
Zip Code
1370 Ella T Grasso Blvd
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/02/2011
$20.00
$20.00
Page 63 of 125


09/06/2011
Maccinnus
Jill
City
State
Zip Code
100 Temple St # 215
New Haven
CT
06510
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Hogan
Patrick
City
State
Zip Code
196 Crown St
New Haven
CT
06510
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/02/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Meehein
Michael
City
State
Zip Code
357 Central Ave
New Haven
CT
06510
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/02/2011
$10.00
$10.00
Page 64 of 125


09/06/2011
Elser
Richter
City
State
Zip Code
1980 Chapel St
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/03/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Schwartz
Edward
S
City
State
Zip Code
854 Quinnipiac Ave # 8
New Haven
CT
06513
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/03/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Schwartz
Diane
City
State
Zip Code
854 Quinnipiac Ave # 8
New Haven
CT
06513
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/03/2011
$10.00
$10.00
Page 65 of 125


09/06/2011
Smart
Jerry, Jr
City
State
Zip Code
314 Shelton Ave
New Haven
CT
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/03/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Smith
Nikki
City
State
Zip Code
1 Brewery Sq # 5327
New Haven
CT
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/03/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Palm
Noah
Yale Univ.
City
State
Zip Code
152 Temple St
New Haven
CT
06510
Scientist
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/03/2011
$50.00
$50.00
Page 66 of 125


09/06/2011
Donohue
William
T
City
State
Zip Code
24 Cottage St
New Haven
CT
06510
retired
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/03/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
James
Nicole
City
State
Zip Code
43 Sylvan Ave
New Haven
CT
06519
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/04/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
James
Jerlene
City
State
Zip Code
43 Sylvan Ave
New Haven
CT
06519
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/04/2011
$10.00
$10.00
Page 67 of 125


09/06/2011
James-Evans
Jacqueline
City
State
Zip Code
78 Orchard St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/04/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Green
Sandra
City
State
Zip Code
78 Orchard St
New Haven
CT
06519
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/04/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
James
Willard
City
State
Zip Code
43 Sylvan Ave
New Haven
CT
06519
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/04/2011
$10.00
$10.00
Page 68 of 125


09/06/2011
Evans
Benjamin
City
State
Zip Code
78 Orchard St
New Haven
CT
06519
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/04/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Badus
Alina
City
State
Zip Code
95 Lyon St # 2
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/04/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
DiBenedetto
Kim
City
State
Zip Code
89 Newhall St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/04/2011
$25.00
$25.00
Page 69 of 125


09/06/2011
McCormack
Elizabeth
C
City
State
Zip Code
66 Pendleton St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/04/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Concannon
Orla
City
State
Zip Code
2701 2nd Ave N
Seattle
WA
98109
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/04/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Donohue
William
Retired
City
State
Zip Code
24 Cottage St
New Haven
CT
06510
Retired
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/04/2011
$50.00
$50.00
Page 70 of 125


09/06/2011
McDonald
Gene
R
City
State
Zip Code
68 Hallock St
New Haven
CT
06510
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/05/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Hindenlang
Jane
City
State
Zip Code
33 Bishop St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/05/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Firla
Mark
City
State
Zip Code
32 Chambers St
New Haven
CT
06513
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/05/2011
$25.00
$25.00
Page 71 of 125


09/06/2011
Wimer
Kathleen
City
State
Zip Code
160 Foster St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/05/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Griffin
Kellie
City
State
Zip Code
196 Willard St
New Haven
CT
06515
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/05/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Joseph
Annie
A
City
State
Zip Code
97 Division St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/05/2011
$10.00
$10.00
Page 72 of 125


09/06/2011
Puleo
Joe
City
State
Zip Code
160 Foster St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/05/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Berman
Mona
City
State
Zip Code
78 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/06/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Strauch
Peter
E
City
State
Zip Code
78 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/06/2011
$10.00
$10.00
Page 73 of 125


09/06/2011
Martson
Olivia
City
State
Zip Code
228 Dwight St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/06/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Martson
Sven
City
State
Zip Code
228 Dwight St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/06/2011
$49.00
$49.00
Last Name
First Name
Name of Employer
Oetjen
Robert
M&O Corporation
City
State
Zip Code
109 Linden St
New Haven
CT
06511
Engineer/Contractor
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/07/2011
$50.00
$50.00
Page 74 of 125


09/06/2011
Ye
Peihe
Phy Solutions
City
State
Zip Code
1649 W 2nd St
Brooklyn
CT
11223
Web Developer
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/08/2011
$300.00
$300.00
Last Name
First Name
Name of Employer
Guerrera
Lisa
City
State
Zip Code
1037 Townsend Ave
New Haven
CT
06512
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/08/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Guerrera
Stephanie
City
State
Zip Code
1037 Townsend Ave
New Haven
CT
06512
X
_ _
Yes No
_ _
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/08/2011
$10.00
$10.00
Page 75 of 125


09/06/2011
Reddoch
Tom
City
State
Zip Code
218 Willow St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/10/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Naclerio
Matthew
City
State
Zip Code
235 Wooster St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/10/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Tiernan
Lee
K
City
State
Zip Code
2 Lincoln St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/11/2011
$45.00
$45.00
Page 76 of 125


09/06/2011
Socci
Adrienne
Yale New Haven Hospital
City
State
Zip Code
31 Lyon St
New Haven
CT
06511
Physician
X
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/12/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Lamar-Sterling
Chris
City
State
Zip Code
108 William St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/13/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Greene
Ann
City
State
Zip Code
158 Porter St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/14/2011
$25.00
$25.00
Page 77 of 125


09/06/2011
Bright
Jay
Self employed
City
State
Zip Code
180 Livingston St
New Haven
CT
06511
Architect
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/15/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Bright
Grace
Yale University
City
State
Zip Code
180 Livingston St
New Haven
CT
06511
Librarian
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/15/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Kearney
Patrick
City
State
Zip Code
51 Rock Creek Rd
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/17/2011
$25.00
$25.00
Page 78 of 125


09/06/2011
Provenzano
Albert
City
State
Zip Code
200 River Rd
Stratford
CT
06614
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/19/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Cocco
Emiliano
City
State
Zip Code
2 Hine Pl
New Haven
CT
06510
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/23/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Crispiels
Giada
City
State
Zip Code
2 Hine Pl
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/23/2011
$25.00
$25.00
Page 79 of 125


09/06/2011
Readal
William
City
State
Zip Code
883 Orange Ave
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/23/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Jarcho
Laurie
City
State
Zip Code
883 Orange St
New Haven
CT
06511
X
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
08/23/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Henchel
Deborah
City
State
Zip Code
355 Alden Ave Unit E
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/23/2011
$25.00
$25.00
Page 80 of 125


09/06/2011
Welbourne
Penny
Yale University
City
State
Zip Code
47 W Park Ave
New Haven
CT
06511
Catalog Librarian
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/25/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Hobbs
Cynthia
City
State
Zip Code
484 Whitney Ave # 4A
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
08/26/2011
$40.00
$40.00
Last Name
First Name
Name of Employer
Naclerio
Matthew
City
State
Zip Code
235 Wooster St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
08/26/2011
$25.00
$25.00 $6,025.00 $6,025.00
Total of Section B
TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS
(Sections A & B)
(Total on Line 14 of Summary Page)
Page 81 of 125
I. MONETARY RECEIPTS (Section A-I)


C1. Contributions from Other Committees
Name of Committee Name of Treasurer
09/06/2011
Address
Is this contribution associated with a fundraising event listed in Section L1? State Zip Code Date Received
Yes No
If yes, list Event #
City
Aggregate Contributions
Total of Section C1
Page 82 of 125


C2. Reimbursements. Payments. or Surplus Distributions from other Committees
09/06/2011
Address
Date Received
Amount of Receipt
City
State
Zip Code
Reimbursement for shared expense Payment for goods and services Surplus Distribution
Total of Section C2
Page 83 of 125


D. Loans Received this Period
Name of Lender
09/06/2011
Source of Loan: Bank
Street Address
City
State
Zip Code
Is there a cosigner or Guarantor of this loan? Yes
Amount Received
Candidate Individual
Name of Cosigner/Guarantor
Other Committee
No
Street Address
City
State
Zip Code
Date Received
Total of Section D
Page 84 of 125


E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONLY)
Name
09/06/2011
Street Address
Date Received
Amount Received
City
State
Zip Code
Aggregate Contributions
Total of Section E
Page 85 of 125

09/06/2011
F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLY)
Is this transaction associated with a fundraising event listed in Section L1? Yes No If yes, list Event # Date of Receipt Amount
Total of Section F
Page 86 of 125

09/06/2011
G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Organization Committees ONLY)
Date of Receipt Amount
Total of Section G
Page 87 of 125


H. Personal Funds of the Candidate Received this Period (Candidate Committees ONLY)
Date Received Amount Method of Payment Cash Personal Check
09/06/2011
Credit/Debit Card
Total of Section H
Page 88 of 125


I. Anonymous Contributions
Date Received $ 1 bills $ 5 bills $ 10 bill coins
09/06/2011
Amount
Total of Section I
Page 89 of 125
I. Monetary Receipts (Section A-I)


J. Interest from Deposits in Authorized Accounts
Name of Institution Date Received
09/06/2011
Amount Received
Street Address
City
State
Zip Code
Total of Section J
Page 90 of 125


K. Miscellaneous Monetary Receipts not Considered Contributions
Name Date of Transaction
09/06/2011
Democracy Fund
Street Address City
08/19/2011
State Zip Code
Amount Received
16 Windsor Rd
Description
North Haven
CT
06473
Matching Funds
$6,952.00
Name
Date of Transaction
Democracy Fund
Street Address City
08/24/2011
State Zip Code
Amount Received
16 Windsor Rd
Description
North Haven
CT
06473
Grant
$17,000.00
Total of Section K
$23,952.00
Page 91 of 125
II. FUNDRAISING EVENT ACTIVITY


L1. Fundraiser Event Information
Location: Street Address City
09/06/2011
Fundraising Event #
Date of Fundraiser Letter
Description
State
Zip Code
Subpart 1: (All Committees) Was this fundraising event hosted at a personal residence? Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual of up to $50? Was this fundraiser a tag sale, auction, or other sale of donated items? Subpart 2: (Town Committees and Municipal Candidate Committees ONLY) Were there purchases of advertising space in a program book associated with this is fundraiser? Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass gathering held within the state? Yes No Yes No
If yes, go to Section L 4 If yes, go to Section L 4
Yes
No
Yes
No
If yes, go to Section L 2
Yes
No
If yes, go to Section L 3 If yes, enter Total Receipts

from small purchases Total of Section L1
Page 92 of 125


L2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items
09/06/2011
Name of the Purchaser Last Name
(Individuals ONLY)
First Name
MI
Method of payment: Cash Personal Check Date Received Credit/Debit Card Event #
Aggregate Amount of Purchases
City
State
Zip Code
Items Purchased
Total of Section L2
Page 93 of 125


L3. Purchases of Advertising in a Program Book (Municipal Candidate and Town Committees ONLY)
for All Events
09/06/2011
Name of Purchaser
Business Entity Yes No State
Event #
Date Received
Amount of Purchase
Street Address
City
Zip Code
Aggregate Purchases for All Events
Total of Section L3
Page 94 of 125


L4. In-Kind Donations Not Considered Contributions
09/06/2011
Name of the Donor
Donation given by: Individual Business Entity
Fair Market Value of Donation
Street Address
City
State
Zip Code
Aggregate value for this event
Description of Donation
Date Received
Event #
Total of Section L4
Page 95 of 125
III. NONMONETARY RECEIPTS


M. In-Kind Contributions
09/06/2011
Name
Type of Contributor: Individual
Fair Market Value of this Contribution
Street Address
City
Committee Other
State
Zip Code
If contribution is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more
Yes No Yes No Date Received
Is Contributor a lobbyist, spouse, or dependent child of a lobbyist?
Yes No
Is contributor a principal of state contractor or prospective state contractor?
Is this contribution associated with a fundraising event listed in Section J1?
Description of In-Kind Contribution Yes No
Aggregate contributions
If yes, list Event#
Total of Section M
Page 96 of 125


N. Refundable Deposit to Telephone Company
09/06/2011
Last Name (Individuals Only)
First Name
MI
Date Received
Amount of Deposit
City
State
Zip Code
Name of Telephone company
Street Address
City
State
Zip Code
Total of Section N
Page 97 of 125


O. Non-Monetary Receipts of Organization Expenditures Made By Legislative Leadership, Legislative Caucus, and Party Committee
09/06/2011
Street Address
Date Notice Received
Fair Market Value of Donation
City
State
Zip Code
Aggregate Donations
Description of Donation
Purpose of Expenditure A B C D E
Total of Section O
Page 98 of 125
IV. EXPENDITURES

P. Expenses Paid By Committee
Name of Payee Date of Payment Method of Payment
X Check # 114
09/06/2011
Amount
Docuprint and Imaging

Street Address City
07/01/2011
State Zip Code Purpose of Expenditure (by code)
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
Type of Expenditure (if applicable)

_ _ _ _ _
Candidate(s) Name (if applicable)
Office Sought
_ _
Supported Opposed
Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A
_
E Date of Payment Method of Payment

X Check # 103
$0.50
Name of Payee
Amount
Staples
Street Address City
07/01/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$25.49
Name of Payee
Amount

Street Address City
07/05/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$3.69
Page 99 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Staples
Street Address City
07/07/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$4.08
Name of Payee
Amount
Staples
Street Address City
07/10/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 107
$7.94
Name of Payee
Amount
Staples
Street Address City
07/10/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Clip Board
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$4.25
Page 100 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Signals - 37 Signals, LLC

Street Address City
07/13/2011
30 N Racine Ste 300

Description
Chicago
IL
60607
Misc *
Debit Card Event #
Software
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 108
$24.00
Name of Payee
Amount
Gary Doyens
Street Address City
07/13/2011
30 Birch Dr
Description
New Haven
CT
06515
OFFICE
Debit Card Event #
STaples, rentals
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$108.97
Name of Payee
Amount
Amazon
Street Address City
07/13/2011
1200 12th Ave Sou

Description
Seattle
WA
98144
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$52.89
Page 101 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount

Street Address City
07/15/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$7.42
Name of Payee
Amount
Staples
Street Address City
07/15/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$7.56
Name of Payee
Amount
Discount Office Items

Street Address City
07/16/2011
302 Industrial Dr
Description
Columbus
WI
53925
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$149.00
Page 102 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Vertical Response
Street Address City
07/16/2011
501 2nd St Ste 700

Description
San Francisco
CA
94107
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$46.00
Name of Payee
Amount
Staples
Street Address City
07/22/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$21.04
Name of Payee
Amount
Fedex Office
Street Address City
07/25/2011
30 Whitney Ave
Description
New Haven
CT
06477
OFFICE
Debit Card Event #
copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$1.44
Page 103 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Grand Vin Fine Wines

Street Address City
07/25/2011
28 E Grand Ave
Description
New Haven
CT
06513
FOOD
Debit Card Event #
Wine
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$35.21
Name of Payee
Amount
BJ's
Street Address City
07/25/2011
555 Universal Dr
Description
North Haven
CT
FOOD
Debit Card Event #
Food
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$75.95
Name of Payee
Amount

Street Address City
07/26/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$24.46
Page 104 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Staples
Street Address City
07/26/2011
80 Boston Post Rd
Description
Orange
CT
06477
OFFICE
Debit Card Event #
Flexi Name Bdg wht

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$7.98
Name of Payee
Amount
Trader Joe's
Street Address City
07/26/2011
560 Boston Post Rd

Description
Orange
CT
FOOD
Debit Card Event #
Food and Drinks

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$57.94
Name of Payee
Amount

Street Address City
07/26/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$42.32
Page 105 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Trader Joe's
Street Address City
07/26/2011
560 Boston Post Rd

Description
Orange
CT
FOOD
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 109
$169.10
Name of Payee
Amount

Street Address City
07/27/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 110
$9.57
Name of Payee
Amount
Harry David
Street Address City
07/29/2011
441 Chapel St
Description
New Haven
CT
06511
OFFICE
Debit Card Event #
copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$107.86
Page 106 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Staples
Street Address City
07/30/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Clasp env
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$1.38
Name of Payee
Amount
Staples
Street Address City
07/30/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
env
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 111
$16.47
Name of Payee
Amount
Robin Hayes
Street Address City
07/30/2011
21 Lyon St
Description
New Haven
CT
06511
FOOD
Debit Card Event #
Food
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$21.98
Page 107 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Staples
Street Address City
07/30/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Ltr Lgl
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 109
$19.33
Name of Payee
Amount
Harry David
Street Address City
08/01/2011
441 Chapel St
Description
New Haven
CT
06511
OFFICE
Debit Card Event #
copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$9.57
Name of Payee
Amount

Street Address City
08/01/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$16.48
Page 108 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Staples
Street Address City
08/03/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Black Ink
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$111.64
Name of Payee
Amount
Staples
Street Address City
08/03/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Legal
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$24.49
Name of Payee
Amount
Fedex Office
Street Address City
08/04/2011
30 Whitney Ave
Description
New Haven
CT
06477
OFFICE
Debit Card Event #
copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$6.59
Page 109 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount

Street Address City
08/04/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$13.83
Name of Payee
Amount
Fedex Office
Street Address City
08/05/2011
30 Whitney Ave
Description
New Haven
CT
06477
OFFICE
Debit Card Event #
B&W S/S copies

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 112
$5.32
Name of Payee
Amount
Modern Pizza
Street Address City
08/07/2011
State Street
Description
New Haven
CT
FOOD
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$40.00
Page 110 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Planet Pizza
Street Address City
08/08/2011
State
Description
New Haven
CT
FOOD
Debit Card Event #
pizza
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 112
$40.00
Name of Payee
Amount
Harry David
Street Address City
08/08/2011
441 Chapel St
Description
New Haven
CT
06511
FOOD
Debit Card Event #
Pizza for meeting

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$40.00
Name of Payee
Amount

Street Address City
08/10/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$7.00
Page 111 of 125
IV. EXPENDITURES

X Check # 3456
09/06/2011
Amount

Street Address City
08/11/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$34.56
Name of Payee
Amount

Street Address City
08/11/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 108
$34.55
Name of Payee
Amount
Yale Station
Street Address City
08/12/2011
Elm Street
Description
New Haven
CT
06511
POST
Debit Card Event #
stamps
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$1.08
Page 112 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Interlogy
Street Address City
08/13/2011
www.interlogy.com
Description
Wwwinterlogycom
IL
Misc *
Debit Card Event #
software
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$9.95
Name of Payee
Amount
S37Signals
Street Address City
08/13/2011
30 N Racine Ave
Description
Chicago
IL
Misc *
Debit Card Event #
Software
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$24.00
Name of Payee
Amount
Interlogy
Street Address City
08/13/2011
www.interlogy.com
Description
Wwwinterlogycom
IL
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$9.95
Page 113 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Envelope Mall
Street Address City
08/17/2011
238 N Oakley Blvd

Description
Chicago
IL
60612
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$88.08
Name of Payee
Amount
Modern Pizza
Street Address City
08/17/2011
State Street
Description
New Haven
CT
FOOD
Debit Card Event #
Pizza
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

_ Check #
$34.83
Name of Payee
Amount
Shogun Screenprinting
Street Address City
08/18/2011
41 Stevens St Bldg 1 ,Floor 4

Description
Waterbury
CT
06704
A-SIGN
Debit Card Event #
T Shirts
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$587.00
Page 114 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Fedex Office
Street Address City
08/21/2011
400 Boston Post Rd

Description
Orange
CT
06477
OFFICE
Debit Card Event #
Supplies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$148.89
Name of Payee
Amount
JM Signs
Street Address City
08/21/2011
6304 S Tex Pt
Description
Homosassa
FL
34448
A-SIGN
Debit Card Event #
Step Stakes
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

_ Check #
$1,525.50
Name of Payee
Amount
Target Stores
Street Address City
08/22/2011
200 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Cell Phone
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$53.15
Page 115 of 125
IV. EXPENDITURES

_ Check #
09/06/2011
Amount
Target Stores
Street Address City
08/23/2011
200 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Cell Phones
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$42.52
Name of Payee
Amount
p48HourPrint
Street Address City
08/24/2011
33 Farnsworth St Fl 2
Description
Boston
MA
02210
A-SIGN
Debit Card Event #
Door Hangers
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

_ Check #
$1,262.19
Name of Payee
Amount
STop & Shop

Street Address City
08/25/2011
Whalley Avenue
Description
New Haven
CT
06510
OFFICE
Debit Card Event #
Stamps
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$26.40
Page 116 of 125
IV. EXPENDITURES

_ Check #
09/06/2011
Amount
Staples
Street Address City
08/26/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #
Legal Paper
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

_ Check #
$10.41
Name of Payee
Amount
BJ's
Street Address City
08/26/2011
555 Universal Dr
Description
North Haven
CT
OFFICE
Debit Card Event #
Pouch
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 114
$27.63
Name of Payee
Amount
Claire's corner copia

Street Address City
08/30/2011
1000 Chapel St
Description
New Haven
CT
06510
FOOD
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$12.74
Page 117 of 125
IV. EXPENDITURES

_ Check #
09/06/2011
Amount
p48HourPrint
Street Address City
08/30/2011
Description
Boston
MA
02210
A-SIGN
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$399.86
Name of Payee
Amount

Street Address City
08/30/2011
27 Whitney Ave
Description
New Haven
CT
06510
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$7.42
Name of Payee
Amount
p48HourPrint
Street Address City
08/30/2011
Description
Boston
MA
02210
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$37.39
Page 118 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
p48HourPrint
Street Address City
08/30/2011
Description
Boston
MA
02210
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$866.87
Name of Payee
Amount
JM Signs
Street Address City
08/30/2011
6304 S Tex Pt
Description
Homosassa
TX
34448
A-SIGN
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$1,525.50
Name of Payee
Amount
Tyco
Street Address City
08/30/2011
262 Elm St
Description
New Haven
CT
06511
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$10.60
Page 119 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Yale Station
Street Address City
08/30/2011
Elm St
Description
New Haven
CT
06511-0099
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$44.00
Name of Payee
Amount
Staples
Street Address City
08/30/2011
430 Universal Dr
Description
North Haven
CT
06473
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$80.54
Name of Payee
Amount
Vertical Response
Street Address City
08/30/2011
501 2nd St Ste 700

Description
San Francisco
CA
94107
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$46.00
Page 120 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Interlogy
Street Address City
08/30/2011
www.interlogy.com
Description
Wwwinterlogycom
IL
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$9.95
Name of Payee
Amount
Interlogy
Street Address City
08/30/2011
www.interlogy.com
Description
Wwwinterlogycom
IL
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_

X Check # 114
$19.00
Name of Payee
Amount
Fast Signs
Street Address City
08/30/2011
310 Washington Ave

Description
North Haven
CT
06473
A-SIGN
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$303.17
Page 121 of 125
IV. EXPENDITURES

X Check # 114
09/06/2011
Amount
Media Temple
Street Address City
08/30/2011
8520 National Blvd Bldg A

Description
Culver City
CA
90232
OFFICE
Debit Card Event #

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$36.00
Total of Section P
$8,688.47
Page 122 of 125
IV. EXPENDITURES

Q. Campaign Expenses Paid By Candidate
Name of Payee (Name of Vendor who candidate paid directly) Date of Payment Purpose of Expenditure (by code)
09/06/2011
Is Reimbursement Claimed? Yes No
Amount
Street Address
City
State
Zip Code
Event #
Description
Total of Section Q
Page 123 of 125
IV. EXPENDITURES

R. Expenses Incurred on Committee Credit Card
Name of Issuing Institution Type of Credit Card: Visa Other Name of Vendor Purpose of Expenditure (by code) Date of Transaction Master Card Discover
09/06/2011
American Express
Amount
Street Address
City
State
Zip Code
Event #
Description
Total of Section R
Page 124 of 125
IV. EXPENDITURES

S. Expenses Incurred By Committee but Not Paid During this Period
Name of Creditor Event # Date Incurred
09/06/2011
Amount Incurred (Estimate or Actual)
Street Address
City
State
Zip Code
Purpose of Expenditure (by code)
Description
Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A B C D E
Office Sought
Supported Opposed
Total of Section S
Page 125 of 125
IV. EXPENDITURES

T. Itemization of Reimbursements to Committee Workers and Consultants
Name of Worker/Consultant Date of Payment
09/06/2011
Method of Payment Check #
Amount
Secondary Payee
Purpose of Expenditure Debit Card
Street Address
City
State
Zip Code
Description
Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A B C D E
Other Candidate(s) Name
Office Sought
Supported Opposed
Total of Section T

Kerekes Campaign

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SEEC FORM 20

2. TREASURER NAME Title First

3. TREASURER ADDRESS Street Address

5. OFFICE SOUGHT (if applicable)

6. DISTRICT CODE (if applicable)

7. CANDIDATE NAME Title

PRINT NAME OF THE SIGNER

FILING DUE DATE

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

A. Total Contributions from Small Contributors-Received this Period ONLY

B. Itemized Contributions from Individuals

Amount of Contribution Principal Occupation

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Residential Street Address

309 McKinley Ave

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address