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$
75'f,'t''
|,
e. rtemJ;J Contributions from Individuals Fnst KeilOelillrl \lleet r\OOIC;S
Is contnbutor a lobbyrst- spouse, or dependent child ofa lobbyist?
I D
fr
a:t Nmc
fl" i.e
7
1,",2
rty
l!
spouse, n
Yes
No
a frndrarsing crent iisted ln Seftron Il? flzs. list tventY :^9' /,co loQ Method of contribution: n Cash ( Personal Check
3e-lqs*n
Y.^. s contributor a lobbyist, spouse, Ll rrdependentchildofalobbyist? 4 a
ls this connihutron associated urth tundraisina event listed rn Sectiotr L
ast
I
t U, f ,4 f a ci
fl
f,r
fl
Payrolt Deduction
*t tlt
n
fr[ D
L",,J f k",u,,
No
D
Payroll Deduction
)J47.,,,,/ /<
a
Eventu tl/Ao/tq Personal
ff aa "t-t: ua-
n Yes B ryg=.-
$5,000?
n
n
n
I
Ml
A-{a,
Yes
Aggregate contnbutlons
L{a,
ltqios
oo Amount of Contribution
Principal Occupation
I
itare
aa
[]No
Name of Employer
lZip Code
c7* lL4Lllf
committee for a chief executive otficer of a rnunicipality does contributor or business he/she is associated rvith have a contract rvith said fl Yes D No municipality valued at more than $5,000?
No
ffi D
-1,
aQ
I
ffiootoacandrdat€
Yes
Is this contribution associated rvith fundraisrng evcnt listed in SgctronTll"
Method of contribution:
of Employer , ,
Jame
Ls-tt
Money Order
Firsr
I n
Amount of Contribution
n
L D,t,*, e^s La.fA
lip Code
4
Xo
Aggreg
,
PrircigalOccupatio" ar
with:
lrtu
fi Cash n
Cr
fl
6yf'*fot
I^*
itate
Vda'ar' Yes
DLegislative
Is contributor a principal ofa state contractor or prospective state contractor? Ifyes, rndicate rvhich branch or branches Legisiative Executive ol govemment the contract is
Yet
CreditDebit Card
is contributor a lobb,vist. spouse, or dependent child of a lobb-vist?
/ f<
contractor'? D
Date Received,
n
Amount of Contritrution
l
.r
M l-laarl('
lj/,i/{
Money Order
municipality valued at more than
?
contnbutrons
tf ii in e*c"ss of $400 to a candidate committee for a chief executlve officer of a "tion municipality does contributor or business he/she rs associatcd witF, have a contract with said
No
'6e-//. ,
fles.
'Jrnre ofErnolover
Zrp Code
oigoternm.ntthecontractiswith: IExecutive
Yes
Nme-
lrsr
I n,.' ,, as L
Ifyes-indiciterthi"hbranchorbranches
No
"'*Kr. ''kiu*
I-a
Method of contribution: Personal Check tr Cash
itate
,, ,,
Princrlal Olcupalron.
I
Yes
nNo
ii-l1ao
Is contributor a principal ofa state contractor or prospective state
Credit/Debit Card
1
Irsi rvent
*'
/,o*J fJ,,
Yet
iesrdentral Sreet Address
es.
Aggre gate
atlaofoq
Money Order
Date Received
I
D
* $400 to a candidate committee for a chief executiv'e officer of a " contributor "t*tt "l or business he/she is associated.,vith have a contract with Said "*tribrt'*does municipality n yes D No municipality- valued ai moie than $5,000?
8,, t' o ,', ts c- c'',
fl
fl
/e,tt
ii
ff D
ls this contribution associated with
Nmv
Payroll Deduction
'""'?:"
ordependentchildolalobbyisfl &
Last
fl
CreciiLDebit Card
//,-
Is contributor a lobbyist,
Namc of Ernployer
[.]Df
Date Recpived ;
I
sidenrial Street,\ddress
I
b
ls contributor a principal ofa state contractor or prospective state contractor? {fyes, indicate which branch or branches n Executive fl Legislative ofgovernment the contract is with:
I'es
a cL)
" 1g ol ust,n
alp Lode
L-r
a candtdate committee for a chiefexecutive officer ola munictpality does contributor or business he/she is associated rvith have a contract q'ith said !Yes ENo municipalrty valued at more than $5,000?
No
DNo
flcs. l:stL\cnLh /\q f !c lp'l
N{ethod of contribution: Personal Check D Cash
itate
Amount of Contribution
Prircipal Occupation
Ifcontributronlis in excess ol$.100 to
Yes
f,
ls this contribution associated with a fi.rndraisrng erent listed in Scction \ I I
L
[l]A.t,,,,
1i,,./,,,"L,, q+ F;J
O 4o'
MI
,--) I u -L^t?.t{t
ls conrributor a pnncipal ofa state contractor or prospective state contractor? I/ye.s, indicate rvhich branch or branches Legislative Executive oigovernmettt the confact is
Yes No
with:
Check D Credit/Debit Card
n
Payroll Deductron
D
Mone; Order
$.c,.ac Yes
ENo
fl
fl
Date Rece,)ved
n
Aggregate cootributions 1
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