Itemized Campaign Finance Disclosure

SEEC FORM

20

'

Itemized Campaign Finance Disclosure

Statement

CONNECTICLTT STATE ELECTIONS ENTORCEMENT

COMMISSION

Rev. l/08

.,.ri', t:' -' ,=- ,

..",..

Pase 1 of 17

SUMMARY PAGE l.NAME OFCOMMITTEE

A Nuro.E<-.1 nnil-)e: E{e,.r 2 TREAsTT*np

U

NAM*. U

&.

litle

L,,.c{ *-

"

20c:*,

Lst

MI

ft1rs

ar

/'Yla'.:

Sultrx

[rt-^

t*

3. TRLAST]RN,R ADDRf,,SS Street

Ad&ex

Ciql

/o'y'(o'rrsr

J)zrb.-t

4. trLECTION/R*FER*IDT'M DATE (mn/dd/rrrry)

i

l) r.

turr.f

Y

5r.

l--

/rrhrl: (lno Rnw\

tr

7th day preceding referendum

tr April l0 hling

U 30 days following primary

[

45 days followingreferendum

tr

tl

7th day preceding election

tr Deficit

il

l2th day preceding election

E

January

tr

l0 filme

7th day preceding primary

tr

Initial Contribution or Disbursement (PAC| ONLY)

July l0 iiling

Foctober E

9.

6. DISTRICTNUMBER

eor

onlv if Candidore or E$loratom Committee)

l-D"n I r-I

q TVPD flI'D['DnD'r

I

Itta

C*^rl r N

li-

S. OFFICE SOU cFlT (Connlete ontv tf Catlatfue Commtuee)

tIoz f tooq

cAitnmAfnr NLlfE (Connilete title lFirst '1.

Zip Code

State

l0 tiling

(Stste

lndependent Expenditure tr ElElection

Primary

I

Amendment to Type ofReport:

Termination

Centd Cmminees On$)

845

days following election not held in November

PnRIf)n.f|VF.RT'.I)

Ending Date

Beginning Date

thru

10.

lr>

{ov{aoaq

(]ERTIFICATION

I hereby certi! 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.

/) *fV+A,_

/

Vc"-^ t^,

TREASURER OR DEPUTY TREAS{'RER (SIGNATURE)

I

LtNOn

L.l-z-rSc-o

PRINT NAME OF SIGNER

ta(usb"ct DATE (mm/ddflyy)

PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1.OOO. OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.

iflfi!

0[T 5 irn 9:51

SEEC FORM 20 Itemized Campaign Finance Disclosure Statement CONNECTTCUT STATE ELECTIONS ENT'ORCEMENT COMMISSION Rev. 1/08

Page2

oflT

SUMMARY PAGE TOTALS NAME OF COMMITTEE

A

h)rr, ,

FN,ING DI}F. DATF,

fu.;'n (J

i

nc --

)

6 lt ,, Jk lXlrrurrf .)dts;Q

to l9/oq

UULUIVIN A

UULLJMN

This Period

*a.u*

t1. Balance on hand January 1 of current year for Ongoing and Party Committees OR Balance on hand fiom day Committee was formed for all other committees

{ o .cro

12. Balance on hand at the besinnhe of Reoortins Period

s

13. Contributions received from Individuals (Sections A and B)

t

14. Receiots from Other Committees (Sections Cl and C2) 15. Other Monetary Receipts (Sections D-K)

l6a. Total Small Food and Beverage

Receipts at Fair (Section

LI)

Town Committees ONLY

16b. Total Proceeds from Small Purchases at Tag Sales, Auctions or Other Sales (Section L2)

l6c. Total

Prrrchases

H

Assresate

Municipal and Town of Advertisins in a Propram Book lSection L3\ Committees ONLY

17. Total Monetarv Receiots (add totals for lines l3-l6c) 18. Subtotals (add totals in line 12 + line 17 in Column A; and in line l1 + 17 in Column B) 19. Expenses Paid by Committee (Section P) 20. Balance on haad at close ofReporting Period (Subtractline 19 from line l8 in bothColumns)

7, f,J3.oo

5Z).o*

s

7,

J.]3.on

qiZoo

t/5*o."o

*

I =s-s- .Oo

t' 3ff

s J,?)E-.c-ro

S

l SZ.l "<:,-,

l,

'ch

1)X.ao

sl.*l?&.ro fi-], J) K.co { {, qrz.o? H v, gYa.o3 $D,r?f.?r * ar.7gi gl

21. In-Kind Donations not Considered Contributions Received (Section L+) 22. In-Kind Contributions Received (Section

M)

*9l

..ro

tr *ql.6e

23. Refundable Deposit to Telephone Company (Section N)

24. Receipts ofOrganization Expenditures (Section O) 25. Beginning Loan Balance ?-52

*

T.."r" Received /seciion T)\

25b.

*

Interest and Penalties on Loan

25c. -

_**

Pavments on Loan

25d. Total Outstandine Loan Amount 26. Campaign Expenses Paid by Candidate (Section Q)

+

ffo.o.,

28. Expenses lncurred by Committee Dunng this Period bul Not Paid (Section S)

fr I r()c: .rq H o -c,--

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

{o"or-,

27. Expenses Incrmed on Committee Credit Card (Section R)

h c), cc; $' { r sto.:?

MONETARY RRCEIPTS (Sections .A-K) VAME NF (-rrMMITTFF

*

A [,-]e-,":']4rrc]nn]r\(;

A.

Page 3 of 17

F'II-INGDIlF DATF,

tnlg lnl s 4L7. c:c

Qtie.s €a,r ]"ylaucrr J(}O,9

Total CoftlributiodSfrom Small Contributots-Received this Period ONLY

lSee instnntions for definition of Small

Subtotal Section

Contribnor)

I

B. Itemized Contributions from Individuals Nme

Lmt

MI

Xtt

oJuk."

Lln

l\h^"',,ir

(esldstial Sft€fl Address

t€ spouse,

tstontriLrutor a lobbyist,

A

rrdependentchildofalobbyist?

E F

Method of contribution

Cash

p

Check

Persona]

fl

t tlr:a #rl rue

A

1rl +"e

D

Payroll Deduction

E

Castr $.personal Check LmtNme

or{'l".

Address

I

#_

\ume or Dmproyq

aip Code

(z,{v+

S od-p'y'

o'fr.)a(l Ih r'rJ',CrS

I

Payroll Deduction

fl

MI rlate

rT

'bo

6

LOOe

Nane ot EmDlorg

n{.-LifE ",c

u-

s.,'tF

dGY'q

cr.a'n

spouse, [-l F

ordependenrchildofalobbyist?

Is this contrrbution associated with

a

fundraisingeventlistedinSectionLl?

(

#_

Method of contribution:

rersonal Check

E

Tt,L *(ir,'.',n

Amount of

Contribution

trg?"or

fl

Payroll Deduction

I

taltlaT

Money Order MI

rf.

'IilE

Priqqipal Occupation

Yes

Aggregate cortnbutlons

hlS0. "o

(rr', ttl) rrr., f ,'t'n4v;,r-lar

me ol bmDlovtrv

1ip Code

aY-rJ

D

FNo

6

S'IF/R lh'e| w I.," n

is in excess of $400 to a candidate committee for a chiEf execuiive ofhcer of_a f4i n+in5 municipality iloes contributor or business he/she is associated with have a contract with said u,e.,h)l E Yes fl No municipality valued at more than $5,000?

Ilcontributio$

Yes

uo

fl p'

No

Dcr,'-lo r-

ofgovernmentthecontractiswith: EExecutive lLegislative

fl.--u.-,

A+n:n.lt..- 4,,.*

Yes

Sloe. ao

Prhcipal Occupation

Is contributor a principal of a state contractor or prospective state contractor? .It,es, indicate which branch or branches

Yes

'"lLgr-*

ls contributor a lobbyist.

llp

E fl

Aggregaie eontnbutrotrs

4 igalae

Money Order

Date Received

{esidential Stret Address

btoc,...c

excess of $400 to a candidate committee for a. chief executive.offtcer "t."&{i{) municipality does contributor or business he/she is associated wrth have a contract with said D Yes E[ No municipality valued at more than $5,000?

7l-tro

' L^/ ar^

Amount ot

Contribution

If contnbutiot is in

No

I

contractor?

ofgovernmentthecontractiswith: flExecutive flLegislative

Yes

Lglj4ple

Ifyes. list Event

fuipcipal Occupation

branches

T,Io

D Cash $.nersonal Check D CrediilOeblt Card

fl

C;

Yes

Aggregale conmDunons

Is contributor a principal of a state contractor or prospective state fyes, indicate which branch or

Yes

Method of contribution:

Cash

n

,

Is this contribution associated with a fundraising event listed in Section Ll? Ifyes,list Event

I

il-+.

itate

l*tnr' td_

spouse, E "p.

E

ENo

SV.ai co 9'rn'.nl lhanc stl-

MT

ELst

ordependentchildofalobbyist?

$Afa.CI.

fl

l{-f,-,n** rr'l "ft- tlcl ll br b:

Is contributor a lobbyist,

ilcp , *r'l

municipality does conftibulor or business he/she is associated with have a contract with said Yes Etr N" municipality valued at more than $5,000?

CreditDebit Card

r

xe",

ia lat(a1

Money Order

Date Re€ived

tr

,

If contribution is in excess of $400 to a candidate committee for a chief executive officer of a

Yes

FNo ! E

E

n}.o

'4r" o

n ,,,e-

Method of contribution:

1t,

l*l-,a

with:

J^ I

Is this contribulion associated with a fundraising event listed in Section Ll? fyes, list Event #

<esrdmlral Shffil

No

First

ls contributor a lobbyist, spouse, or dependent child ofa lobbyist?

N)

,,:

Is contributor a principal ofa state contractor or prospectivg state contractofl I/yes, indicate rvhich branch or brancbes E Executive E Legislative of govemment the contract is

Yes

Credit/Debit Card

LalLNme

tesidential

tb

Date igceived

:

lL, ^,
lrp Loag

fr47 /'tL.d

excess of$400 to a candidate comlnittee ior a chielexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said E Yes B No municipality valued at more than $5,000?

No

I F

tlale

Contribution

IfcontributiQf is in

Yes

Ll?

fundraising event listed in Section f-1,es, list Event #

Amount of

l{ \-,, *: J-.. tffi'ru:"lit ^,, Vi\lLJ

-bl

i.

Isthiscontribulionassociatedwitha

I

Princioal Occumtion

€ a{^c.Q"-

Is contributor a principal ofa state contractor or prospective slate contmctor? f/e,r, indicate which branch or Executive D Legislative ofgovernmentthe contract

Yes

branches iswith; I

No

Credit'/Debit Card

fl

Payroll Deduction

n

Money Order

I tzc{ af

n F

Amount of Contribution

sai?.

n.:

* fln'.;-tf ,8)

Yes

No

Aggregate c@tnbutrons

t t5r:,c;c

&f

, i t'o.o

SUBTOTAL Section B-This Pagt l$"1'

TOTAL of additional Section TOTAL OF AI.I. CONTRIBUTIONS FROM INDMDIIALS (Sections A &B) (Enter totol on !!!!

lj

of

B Pages

t's,

rSt

L,a.u

tlot *ry l!84 l'7 .zzs.<

t{AME OF COMMITTEE

{ lrker:BqCnqni -frsle.i .d l-otal Contffbution$lfrom Small eb

,

tSee

instnrtiomfor defnition

of Small

IPTS

€s; ffi

/& lq/&

Collributor)

Subtotal Section

tribu

LrorNme

Hnrn[ tt\ln tt n't 34 ( i"ri*ft t ld

R:,J^onQ I)r rt'tu

(eltdsrllal \tr&t Addrss

S+

lsconflbutoralobbylst,spouse, cr dependent

fl Yes chrkl ola lobbyist? ts *u

Is this contritrution associated with a tundraisirrg cvent listed in Section Ll? ftes. lisl Event # Method of contribution

D Casn *;1st

p

I

Personal

Check

E

Lrtll,c-A 8qSts Is contributor a l6byist, spouse, D yes or dependent child ofa lobbyisr? F *o

Method of contribution:

fl Yes I

fersonal Check

fl

I

)late

^/>---

Method of contribution: D Cash lF-Personal Check

a Ll?

branches with: I

E

payroll Deduction

E

yes

a l?

il

payroil Deducrion

D

Amount of Contribufior

A,ritsu, ,.;, G, lt

hp Code

eGqlJr

tmDlo\

it*/a

s

$loc.n

fl

Ftiocioal Ckcumtior

#ei;{;;

]t', itate

r:-i'

Nane ol Employq

lip Code

a.-q tK

f| E

yes No

Aggregate cootritrutions

9 I r i-la?

Money Onler

r'r, t l-c?-

\-h-

yes No

fl

yes

$Joc.a..

Is contributor a principal ofa state contractor or prosp€ctive state qlntractor? fyes, indicate whioh branch or of govemment the contract is Executive Legislative

J-.

Is this contribution assooiated with fundraising event listed in Section L fyes. hst Event #

D Cash Fpersonal Check

ft:

I

FLNo

Prurcioal C)ccumtion

branches with: fl

\Esroqtrrut5uel AoorsS

Methtd ofcontnbution:

MI

First

D Fl

,*)

Ag8regale coninbulrdrs

?l,rlaq

Money Order

itate

n

RGived

Date Rsceived

scontributoralobbyist,spouse. rrdependentchildofatobbyist?

6il

a chiefexeculive ofrcer ofa municipality does contributor or business he/she is associated with have a contraci rvith said municipality valued at more than $5,000? DYes [] No

El Credir/DeUit Canl

b tfartrrrd Ar:e

AuqS

Ifcontributiol is in excess of$400 to a candidate committee ior

El. No

| ,*-np a

Saca..,

I

/ ilt rcr.; , Kr,*r'1u (!run

EYes DNo

Yes tco

,sL{!me

Amount of (lontributior

is contributor a principal oia slate oontractor or prospeciive state c.ontrautor'l fl,es, indicate \afiich branch or of govemment the contract is Executive Legrslarive

hnr.h,

I

)]iqr

&

tY-u (8

.t'j

a-#;T",'

Qccupation

Ndne ofE

1p Code

Stco.,'G.1

E ytx & wo

is in excess of $400 to a candidate comminee for.a chief execulrve olircer cf f, munioipaliry does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000?

"l) lo,ci

E

oii-ffilJ '-' said '' "-l -

J'ILIr-14\F u

If coniributicb

l[<> 7F

Ko,-c[, ahu n

F

I aq

ftirci;nl

MI

Fi.!i

Is this contribution associated with l'undraising event listed in Section Itcs, list Event #

'lhi

payroll Deduuion f1 Money Order

+a t) d)tr,-b.{

CrejiyDebit Card

{rn€-Tf; L)r.

+

No

brznches lvilh:

Dale

ls contributor a lobbyist, spaus€, or dependent child ofa lobbl..ist?

\

I

i..,

Is contributor a pnncipal ofa state conbaotor or prospective state contractoll fyes, indicate rvhioh branch or of govemment the contract is El Executive l:grslarrve

a

Nine

r4f;

Yes

f] Yes in SectionLl? F *o

Is this conribution associated with

Lecn-i

-

Sz:1fi.'fh

municipality valued at more than $5,000?

CreaiyOebit Card

kri"rr"

fundraisingeventlisted fyes, iisl Evenl #

\ilne L\l tlnDlovg

I

excess of $400 to a candidate committee ior a chief executiu- oti""i municipal ity does contributor or business he/she is associaterj with have a conlmct with

n"tarce^ue-

(€somnd Strtrt Address

Code

cGrrt

Amount ol C'ontributio

u

Date Recei\ ed

a }tl€l Adffess

p

lp

:

14ic rl,

Cash

fJ(-r.

Ourupation

llJl4'v 7ta4s

If contributif,n is in

EN"

Nue

fl

iduals Drinci1ynl

MI :tate

I $ LFL3. c,C

h

r^

( i J^, F ',

^F

I).

loo,ao U;.k n*

"-1,

Amount of C'ontributior

S E?r. a.,

*

Ifcontributiofr is in excess of$400 to a candidate commiftee 1bf a chiefexeculive officefofa mulicipality does contributor or business he/she is associated witi have a contract wilh said municipaiity valued at more than $5"000? DYes D No yes

is contributor a principal ofa state contractor or prospective state contractor? Ites^ rndlcate whicb branch or ofgovernment the contract is Executive D Leeislative

branches with: fl

F_ No

fl !;

yes No

Aggregate 6ntnbutions

I

CreditrOebit Card

fl

payroll Deduction

D

Money Order

E ltolaE

$ fc" cr, SUBTOTAL Section B-This Pagr

TOTAL of additional Section B Pages TOTAL OF ALL CONTRIBUTIONS FROM INDMDUALS {settions A & B} {Enter totd on Line 13 of Sumnwry Pase)

SSf

(

0r)

6, '

u,2t 6 "06

L23 .dc

EIPTS

Page J

of I

Amount of

Contribulio

spouse, I ordependentchildofalobbyist? F ls contributor a lobbyist.

Is this conribution associated with a lundraising event iisted in Secrion L1 fyes. list Event # Method ol conlribution

?

*'iac.6o If contributidn

Yes

is in excess of $400 to a canilidate commifiee municipality does contributor or business helshe is associated municipality valued at more than $5,000?

ruo

a;il

with"hief have

IYes DNo

I Yes bNo

et*rtt""

"fi,"*.1"

a conlracl with said

Is conkibutor a principal of a state contractor or proslJective stale fyes, indicate which branch or

branches

contraclofl E

yes

Ekl-to

ofgoverrunentthecontractiswith: t]Executive ELrgrslarrve

Aggregate contnbutions

:

D Cash [fopersonal Check E CrediVnebir Card

I

payroll Deilucrion

D

Money Order

.4.munt of Contributio;

ks-a , spouse, fl dependentchildofalobbyrst? F

Is oontributor a lobbyist,

yes

is in exccss of 9400 to a candidate fbr a chiefexocut municipalily does contnbutor or business helshe is associated with have a conl municipaliry* valued at more than $5.000?

No yes

branches with: fl

No

fyes,

Cash

fl

Personal

Check

I

fl yes 'El No

Is contributor a principal ofa slate contractor or prospective state contractor? {f1es, indicatewhich branch or of govemment the contract is Executive Legislative

I

Methorl of contribution:

tr

"a

EYes ENo

a

fl fundraisingevenrlistedinsectionLl? F Iist Event # ls this contribution assooiated with

If contribution

Aggregate coDtnbuti(Ds

CrexiitOeU;t Card

I

payroll Deductron

D

-* S2.

Money Order

oa Amount of Contribufior

$ ls contributor a lobbyist,

spouse, D

dependenrchildofalobby.isr?

a in Section Ll?

Method of contribution:

E Cash p

Personal

Check

fl

E F

3c"co

lfcontribution is in excess of$400 to

a candidate committee for a chiefexecutive officer ofa municipaliry* does contributor cr business he/she is associated with have a contract with said municigality valued at more than $5,000? No

14" No

Is this contribution associated u'ith

t'undraising event listed .It'es, list Event #

yes

!Yes

yes

Is contributor a principal

ofa

B

state contractor or prospective state

.f,yes,indicatewhichbranchorbranches of govemment the contract is with: il Executive !

No

Credil,Debir Card

fl

payroll Deducrion

D

contractor? f]

yes

-El no

Legislative

Money Onler

ktlN*

Amount of Contributior

VO

*ri-"oc spouse, D yes or dependent child of a lobbyist? E- No ls contributo{dlobbyist,

Is this contibulion associated with f'undmising event listed in Section Iftes, list Event # Method ol contrrbutkrn:

I Cash fu"rronal

Cher.k

fl

a Ll?

If contribution

is in excess of $400 to a candidate committee fbr a chief execulive ol}i{ier oia municipality does contributoror business helshe is associated with have a contract with said municipality valued at more than $5,000?

D Yes F-No

DYcs ENo

fl E

Is conlribiltor a principal ofa state contractor or prospectivs state contractot? fyes, indicate whioh branch or olgovernment the contract is Executive Legislarivc

branches with: I

I

yes No

Aggregale contributiors

CrediLiDebir Card

[J payroll Deduction

fl

f

Money Order

;ei

ao

SUBTOTAL Section B-This Page TOTAL of additional Section B TOTAL OF ALL CONTRIBUTIONS FROM INDTWDUALS {Sections A &B} (Enter total on Line

13

Pages

4 ao

\lcu

:SJ.Ga aLi

I

ARY

tions A-

Jofl

NAME qF COMMITTEE

A tile Lu'beun n'r ny A. Total Contribitions froriiS(Sez instrailions

fr:t € LJ -{Ar- N\ar i rrr Jrnq

for dtrtil:ition of Smal t Contributod

Subtotal Section

temized leqt Name

lJt>i rlcl 'An
9'{ii?;*fi5ts?"+ Is contrrb\tor a lobbyist. spouse, or dependent child ofa lobbyist?

U

t\{l rtate

r,

Ifcontribution

.4

$

?

Ve3"oo

from

Fis(

-laSSe-lfi

lr) q

Prpgipal Occupalion

ute ot L.lnDlovs ^

Zip Code

Sp/F"Ii],rn"' C^" I

H*Va t

-,'

Amount ol Conlributio

( 'on*r^< ('fu.,,--

dl5zo.odO

is in excess ofM00 to a oandidaie corunittee for a chlefexe,cutive o{ficer ofa municipality does contributor or business he/she rs associated with have a contract with said munioipality valued at more than $5,000? -E[ No

Yes

ET No

D Yes

Is this contribution associated with i-undraising event listed rn Section .f1as. list Event # Method olcontribution:

D Cash ,.8

'Jd

Personal

Check

a Ll?

I

yes

,E[

No

ls cnntributor a principal

state contraotor or prospective state

I/yes. indicate which branch or branches of govemment the contract

fl

CredirlDebir Card

ldtNme

!

payroll Deduction

D

is

with:

aLTl-'i-:7,".,

lobbyist, spouse. )r dependent child of a lobbr-ist?

a event iisted in Section Ll?

Is this contribution associated with

{,1'es, list Evenr #

ft V-

5

xp Lo(k

le OI

{4i-fl;'^.

iP

^

D

Ifyes"indiaate *trichbranchorbranches of govemment the contract is with: D Executive

No

CreilitDeUit Card

U

payroll Deduction

E

Money Orcler

{ot. l?nyes

ordependentchildofalobbyisr?

E p-

3tr* 1J.,,,..

8

u

'bv I .q

MI

hr. t#,sor:

ls contributor a lobbyist,-lpouse,

Amount of Contributior

{-

JEv-in

Is oontributor a principal ofa state contractor or prospective state

'Tt

5ret Addr6s

DmDt0Vg

S4

t8

dr-"

ee

..r, J.&:. Oz

Aa,r',,n L"u.

UYes DNo

Yes

ft{-r. /^ lfi+-l {esrdentlal

*&io.

Dale I tmived

Cash !-Personal Check

Legislative Aggregate contributions

l--o ,^v1
Method oi contribution:

I

E

yes

,EI' Iio

V I , Ifcontributid is in excess of $400 {o a candidate committee tbr a chiefexecutrve offlcer ofa municipality does contributor or business he/she is associated with have a contract with said municipaliry- valued at more than $5,0O0?

f| Yes $No

s contributor a

Y? ttate

De,-6*

A.,ro

Executive

oontractoll D

Prmcipl L)cuparim

6rian

r-i n

fl

slt tla4

Money Order

Fr*t-

(esidmtial Str€t Addr6s

fundraising

ofa

;tale

Lt'

contraclor? [ yes Ef No Legislative Aggregate contributiqs

t Joa

.

o<:

Priucipal Ocoupation

Amount of Contributior

n,r;-$ ie-

Nme ol hmDlovs

ouw4 #.*"i?'. r ol{t .;Ponhaoi

.rp

Liode

.ao $toe.q-

lf contritrution is in excess of $400 ro a candidate commiti'ee for a chieliex""*iuJ omierXru

Irfo

municipalir)- does contributor or business he/she is associated with have a contracl with said municipality valued at more than $5,000? No

fl Yes []

Is this contributian associated with i-undrarsing event listed in Section I/yes, list Event # Melhod of contribution:

D Cash peersonal Check

a Ll?

F

ft F

' lt\ct/,, t

l-p

indicate which branch or of govemment the contract is

D

payroll Derluction

o'hor^., {'f

contnbutora ldbbyist,

Is this conribution associated with l-undraising event listed in Secrion Ifes. list Event # Method of contribution:

D Cash F"Personal Check

Yes

No

D

Monery

order

Y

MI

lzr:(

Princioal

G

c:i

Legislative

E

yes ruo

* too. c)d

Ocomtim

itate

fi=

a I yes Ll? lp-t'to

,rp

Drr i'?: O

L6e

!3{,eof

ls contributor a principal

ofa state contractor or prospective state contractor? indicate which branch or olgovernment the contract is Executive D Legislative

Cre
E

Payroli Derluclion

fl

Money Order

E

(lontributior

*

6E f7.oe

yes

D \[hNn

branches with: I

fyas,

Date Rzueived

fl

contractor? []

rrde cql zrrd Emploir_ -lZ u'r.r d'F o&,Yd3 6srrrt,-r )r An.r i S> J rttt,*f )€-tJ rnc..r,If conlribution is in excess of $400 to a candidate committee $r a lhlJf nmio "if, municipality does contribulor or business he/she is associated witi have "*J"ti* a contract wilh said municipality valred at more than $5,000? I Yes fl No r$t

spouse, I )rdependenrchildofalobbyist? 8 s

branches with: il Executive !

fyes,

Dale Received

ftrra n<-

rdmtlal Stret Addrss g

Is conlributor a principal of a state contractor or prospective state

No

creairroeUit Crard

l-X{Nme

Vn

Yes

Aggregale

laa{cE

flso

ailtnbutlDls

r>

SUBTOTAL Section B-This

Page

TOTAL of additional Scction B Pages TOTAL OF ALL CONTRIBLTTIONS FROM INDTVIDUALS (Sections A & B) (Enter total on Line

13 o! Summary Page)

y5a. c!C 5,4 ta (k) 7,2'z 3.oO

I.

EIPTS (Secfions A-K)

Pase J of

l

NAME OF COMM]TTEE

"lj /uz.r.r -*\e
inshnions for definition

of Small

('ontrihnnrt

.).rS'rr

Addr-ess

D

F

Is this contribution associaled with

a

tundraisingeventlistedinSectionLI?

f;'es. list Event #

l-.

^

{ate

irp Clode

municipality does contributor or business he/she is asscciated

h,u

t)b

yes

wth

I Yes fl

have a contract with said

Is contributor a principal ofa state contractor or prosp€ctive state contractoll fyes, indicate which branch or ofgovernment the contract is D Executive E Legislative

No

branches with:

[]

payroll Deducrion

fl

MI trale

h.L:-, If

yes

.Y*

S-sz

ryiffipal Oocupatio

fiJ" G

lip Code

ne

fl-

yes

S

r'Jo

Aggregate confributions

ilBloe

Monev Order

'[h,u*-ru*

fl

,c, OC

No

Date Rqcei ved

a

Contributio

h a_

t,{

municipaliry- valued at more than $5,000?

CredlrtOebitC:ard

iffqi.T;lknrb T\r iobblst, spouse,

rr dependenl child of a lobbyist?

Nane ofEtn

No

1;:

Amount ol

h

-o lqyq

contributi{fis in excess of $400 to a candidate corunittec for a chief exei:urive officer oi'a

FJu-a'e,ll contltutor

-}{,-{l

ingipqf Ocguparior

Yes

4s\Nme

ls

Pr

\.i-,* If

il E

$t83.os

ndi

W)

Method of contriburion:

fICash F.personal Check I

a

Subtotal Section 4

Fjr,rl,

TV'",j i-= lsrderlt,al Stret ir++f4.",+horn"Q ?Adr ls contributor a lobbyist. spouse. or dependent child ofa lobbyist?

nr -L*t-,

aa Amount of

-

,fi

Contributiol

ane 01 bmplo).tr

otrt{lY

Ssz-e a

AJ &A t*

nti

contributirNr is in excess of MCo to a canriidate co**iitee u chiere"ecutive otliccr munrcipalitytoes contributor or business he/she is associated with have a contract with said municipalify valued at more than $5,000? No

t-P_No

fl Yes D

a

ft fundraising event listed jn Section L I ? A list Event # Is thjs contribution associated with

yes

is contributor a principal ofa state contractor or prosp€ctive state contractoil fres, indicate which branch or of govemment the contract is Executive Legrslatrve

branches *'ith: fl

No

fyes.

Method of contribution.

D castr

p

Check

Personal

I

E

payroll Deducrion

fl

Aggregate contnbutims

fla.ziae

Money onler

ffi;crlcr

''kt'l

Lr,r;{- K i.ifl,';:Xfuspouse,

iilac,a*o,..t 6l laV6a

fl ordependentchildofalobbyisr? E Is contributor a lobbyist,

F ttate

yes

$6:.oo

Pnnuipal O'ccupation n

r€ tmployq

ts-f +)

Nme ot

Ip L.Ode

r.l

Ifcontribution is in excess of$40o to

Amount of Confributior

d

S

a

6c) sa.a

a candidate committei for a chiefexecutive officer ola municipaliry* does contributor or business he/she rs associated with have a contract with said municigality valued at more than $5.000? No

No

fl Yes D

a fl l-undraising event listed in Section Ll? $ .I/.yes, list Event Is this contribution assoclated with

yes

Is contributor a principal

ofa

state conlractor or prospective state

If1es,indicale which branch orbranches

No

#

of govemment the contract is

with:

fl

Date

Reeiral

Method of contribution:

D castr pe-.sonal check D creairrnerit card sl.*lme

tl

payroll Deduction

I

MI

}l^a {a. '

ttate

L"b * If

Aue

spouse, I yes tobbyist? p.. No

ls a lobbyist, or dependent child of a

Ylez

Money order

rst-

Ynf ,2ts

3il"ffi,'ru'i contributor

fl

Date Received

credit/Debit card

E yes Nu E z -

.'r--

lrp

Executive

I

contractor? E yes Eh.No Legislarive Aggregale conlnbuttoDs

{ L&.o.'

lot

Prilciru.l Occumtion

L-ode

:Y,,q IK

fl{*f,;1r t\h'natt rtn r-G..., llr t l lAo ..' l^l (

l4me ot Emplo] qJ..--

Amount of Contributior

$

t?. oc

oontribufroh is in excess of $400 to a candidate committee lbr a chief executive oliicei ofa municipality does oontributor or business heishe is associated with have a contmct with said municipality valued at more than $5,000? No

[f Yes D

Is this conribution associated wilh fundraising event listed in Section I/yes. list Event # Method of oontnbution:

U Casfr

p

Personal

Cher:k

I

a Ll?

yes

D *u F

Credit/Debir Car
[

yes ls contributor a principal ofa state contractor or prospective stale contractor? ..p_No fyas, indicate which branch or ofgovernment the contract is Executive Legislarive

bmnches with: !

E

payroll Deduction

I

Money order

n

azl'3li5l

AeCregate @nlributions

*Jlo.

oc,

SUBT0TAL Section B-This Page

fiaoo" o3

TOTAL of additional Section B Pages G,,b.)..TOTAL OF ALL CONTRIBLITIONS FROM INDMDUALS (Sections A & B) (Enter total on Line

13 of Summarv Pa*e)

oG

3 .da

ONETARY

Jofl

s

Vb'

&O Arnount o{

Conlribulio s

conlribulor a iobbr ist. spouse, fl yes dependent child of a lobbvisr? 'p.. wo

If conlribution is in excess of $400 ro a oandidare committee io. municipalit}

does contributor or business he/she is associated

IYes I

municipality valued at more than $5,000? Is fhis contributitrn associated rvith lundmising event listed in Section fyes. list Event # Method of contribution

D casn

ts

a Ll?

I

yes

{ loo.co

aitGfI"eut,Gi?fr"offi

with

have a sontmot with sairl

No

Is contributor a piincipal ofa state contractor or prospective state contractor? yes ,F*-No If yes, indicate whicb branch or of govemment the conttact is E Executive Legrslatrve

branches with:

V_Wo

[

E

:

Personal

check E crerlit,t)ebit card

fl

payroil Deduction

fl

Money order

AmoDnt of Clontributio

Sacqi

spouse, ufl y", 0rdependentchildofalobbyisr? F No ls this ctntribution associated wilh fundraising event listed in Section fyes" list Event #

*

Ifcontributi*}rsinexcessof$4001oacandidate"o'n-'lttffi

ls contributor a lobbyist,

a I yes Ll? ptUo

municipality does contributor or business he/she is associated with have a conlract rvith sairi municipality vaiued at more than $5.0O0? DYes ENo Is contritrutor a principal ola state contractor or prospective stale fyes, indicate l'hich branch or ofgovernment the contract is Execulive

branohes with: E

I yes No I Legislative A contrtujtor?

\O.

Method of eontribution:

D custt !-fersonal Check D crsditDenitcard

fl

payroll Deductron

D

Money order

Amount of (lontribrtinr

lib -o

spouse, I yes dependentchildofatobbl.ist? E. lto

Is contributor a lobbyist,

a f'undraising event listed in Section Ll? Is this contribution associated with

E

Personal

io'nrffi

municipality does contributor or business he/she is associated with have a contract with said municipality valued at more ihan $5,000? RNo

lYes

"Jf. yes

f1'es. list Elenr # <11-

E cash )El

If oontributiorlls in excess of $400 to u .undiaur"

Is contribulor a principal ofa state contmctor or prospective state contmctor? D yes fyas, indicate which branch or Eh No of govemment the contract is Executive E Legislatrve

No

branches with: fl

check E creaitoeuit card

fl

payroll Deducrion

D

Money order

Amount of Contributior

i.

lscontribGlralobblisr.spouse. ordep€ndentchildofalobbyrst? Is this conrribution associated with f'undraising event listed in Section fyrs. lisr Evenr#

A

Method of contnbution:

B cash I

Personal

Check

fl

B a Ll?

S 3co. o.r

t;

Ilcontribution is in excess oT$400 to

No

municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5.000? Yes 'F-lto

a

candidateffi

fl

$. b

yes Nn

credit/Debit card

ls contributor a principal ofa state contractor or prospective state contractor? f-yes, indicate which branch or of govemment the contracl is Executive D Legrslatrve

branches with: fl

fJ payroll Deduction

n

Money order

fl yes '{t No "

#r:c.

oo

SUBTOTAL Section B-This

TOTAL of additional Section B Pages TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS (sections A B) (Enter total on Line 13 of Summary &

75?"o1 cld

LLl"oc

L MONETARY RECEIPTS

(Sections A:K)

NAME OF COMMITTEE

-K?<^,,-rn

/-

A.

ftka: in e 4{p 'fotal Contribntions frod]Small Con

(See instructions

L6tNme

ii]

;:{;

1t

I

Is contributor a lobbyisi, spouse, or dependent child of a lobbyist?

Evenr

J)e

# r"a-

f:-

itate

rh"t

"

f'lo

fyes,

ofa

fl

indicate which branch or

.{q.

spouse, I Yes FrNo

Is this contribution associated with a fundraising event listed"in Section Ll? fyes, list Event # Method of contribution: E Cash \Fpersonal Check

;

ritate

1

If contributioh is in

p-v"' fl No

PriDcipal

A

*Ol.e v -H n -o{yw

I F-

Is contributor a lobDyist, spouse, or dependent child ofa lobbyist?

ls this conlribution associared wirh lundraising event listed.ir Section fles, list Event

# .L

a Ll?

i-r

Is contributor a principal

ofa state contractor or prospective I/yes, indicate which branch or branches

fl

payroll Deduction

with:

U

"-

I\-rb.,

.EA No

E

Legislative

S

No

*ca

lp Lode

I

6e.tlr x

cfA

1\me oI tmotovtr

Amount of

er

Contribufion

A

Method of contnbution:

Cash $Personal Check

a Ll?

E

Ilo

ofa

contractor? D yes

state contractor or prosp€ctive state

branches E with: E Executive E Legislative r

fyes,

indicate which branch or of govemment the contract is

I

payroll Deduction

fl

fi lftarzt A-o^^:

r

ir

t

l-zo-o<)

Prircilpl ftcupation

Amount of Contribution

I-Nttt-n* t)

Nme ol EmDlovtr /

1ip Code

bt^rf'tg

q,,

If contribution

Yes

l4

(

I

Ikt,t

u

..\',:rv'r

ho',

is in excess of $400 to a candidate committee for a chGf ex6cutive ofTicer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than 95,000? EYes E No

'ft=Yes

|

rlale

b

wo

Aggregate eonttbutiotrs

q /aa1o.j

Money Order

Credit/Debit Card

^n.-

$-l

ja."'o

E E

yes Is contributor a principal ofa state contractor or prospective state conlractor? f7es, indicate which branch or r 5o ofgovernment the contract is U Executive E Legislative

branches with:

no

Date Received

I

Stsa or

f ;J,{ of Dr'-fz'r

EYes

Is contributor a principal

Elc-yes

lobbyisr? 'FNo

this contriburion associated wirh t'undraising evenr lisled in Section

oa

municipalily does contributor or business he/she is associated with have a contract with said municipaliry valued at more than $5,000? ENo

Credit/Oebit Card

spouse, il

]oc.

Pri4cipal Occuparion

itale

/t--'l.

Aggregate contnbutior s

l& laq

Date Receired ,

Ts

I

Executive

yes

fl

contractor?

state

If contributioh is in excess of 9400 to a candidate committd,e for a chief exe"utiu.ffi"". of u

Yes

'1 7l', z r,bp\l-L Sl-.

Ifyes.listEvent#

I

9

Money Order MI

t{-z I I

le

rr dependent child of a

$3de,,rr

llc.--

DYes

Fint

.eslomlit:l sareet Address

s contributor a lobbyist,

Nme of Employd

0Lvrf

Method of contribution:

E Cash pJersonal Check E

Contribution

exsess of $400 to a candidate committei ior a cttier e"ecutiue omce. oG municipality does contributor or business he/she is associated with have a conlract with said municipality valued at more than $5,000? UNo

Credit/Debit Card

n

Amount of

'!+{}( JSP t t\ t k,-\.

.rp Looe

of govemment the contract is

#;-sffiti,..rk-])n.

Llrr

t lr.i. -,,.

OccupatioD

Date Received

E

S t:"a.rr.-r

Aggregate contn buhoD s

I lt /o9

MI

J} r^b'r

ls contributor a lobbyist, or dependent child of a lobbyist?

-6t Nme

branches

payroll Deducrion [1 Money Order

n r n'{-h

?i Eetl
Contribution

[ yes RNo

contractor?

state contractor or prospective slate

Date Received

[<-tf ;

LrstNme

Wtdaft\tr* )..frii,"; P.r.ut,,-*

tlr",Vol

Is oontributor a principal

CreditiDebit Card

Srfr€t Address

Anount of

(lf{;,

ofgovernmentthecontractiswith: flExecutive ELegislarive

E Cash S.lersonal Check E

ksrdmlal

Prhcioal Ocruoation

p Code

Method of contnbution:

-T\}ff

3.as

lYes E

RYes

'E

$ +t*

is in excess of$400 to a candidate cornmitlee lor a chidfexecutiveqolhcer;ia municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than 55,000? No

BNo

Is this contribution associated wilh a fundraising event lisred in Secrion Ll?

MI

)a rlCl fr,'

Ifcontributiorl

Yes

ta /a/ aq

B. Itemized Contributions from Individuals

ry-

+i,,* i rt: , I ilve

tanq

Subtotal Section d

Fsst-

n

Steet Address

If)tes,list

Cor- fYlau n{

for ilefnition of SmallCgntributor)

,

L,,Ja*so esrdentlal

a

""--, "t

]ILINGDUEDATE

E

Payroll Deriuction

D Money Order

1l n{aq

Aglyegate conlributions

S t sl"oa

SUBTOTAL Section B-This

Page

TOTAL of additional Section B Pages TOTAL OFALL CONTRIBUTIONS FROM INDwIDUALS (sectionsA &B\ (Enter total on Line 13 of Summarv Pase)

{'i il}. cia tI &io.oc

*].>lz

r

-l

Y RECEI

3ofl

otal Contributibns fro

(.

instructionsfar defrnition of Small Contri

.do Amount ot

Contribulio

tt 52.c,.:

spouse. f] yes p_No

Is t:ontribufor rronfrbuloraa lobbyist. iobbyist. spouse. dependenr chjld of a lobbyist?

tf contributiof is in excess of $400 to u.undidut"-"oilmilil8 achief executive muntcipality does contributor or business he/she is associated with havo a conlmcl municipality valued at more than $5,000? Yes l..to

I

a

Is thrs coniribution assocrared wilh fundrarsing er cnt ltsted in Secr ion L

. I

If yes.listEtent# 9-

n Cash

F:Personal crheck

\a-V"s

i

fI

Is contributor a principal ofa state contraotor or prospective state conlractoll fTeg indicate which branch or bmnches ofgovernment the contract is D Executive D L_egislative

N"

with:

fl

D

Yes

*JNo

AggreEate

credir/Debir card

D

pa1roil Deduction

I

Money order

Amount of Cortributioi

spouse, l--l depenJenrchitdolatobb)ist? )3

Is contributor a lobbyist,

Is tfiis conrrihulion associared with tLrn.iraisrng event lisleJ in Seution IJ

les.lisl

Evenr d

-!--

Method of contri bution:

U Castr

a Ll?

Ffersonal Check

il

ff r:?".,a

yes No

ll

ccnlfibulion is in excess of $400 to a candidate committe€ tbr a ch ve ollicer ola municipality does contributor or business he/she is associated with have a oontract with said municipalify valued at more than $5,000? fl Yes E No

EI_yes

h

is contributor a principal ofa slate contrastor or prospective stale contractor? yes rel, tgo fles, indjcate which tfanch or of govemmentlhe contract is Executive fJ Legrslarive

[

branches witl: fl

Nu

Date Rrceir ed.,

CrerlitlOeUit Card

fl

payroll Deducrion

fl

Money Orrier

lal i (or Amount of

flontributior

$ t St."o [email protected].*ioffi Is this contribution associated with a

i'un.lraising event listed in Section f1es. Iisr Event,v

LIt

g

municipaliq does conlrtbutor or busrness he/she is assocrated with have a contracl with municipality valued at more rhan $5,000?

sard

)ttvt )

Is contributor a principal ofa state contractor or prospective state contractor? yes 'Gtr No fles, indicate which branch or ofgovemment the conlraot is Executive Legrslative

tr

[

branches rvilh: fl

-?

fl

Method of contribution:

U Cash pf'ersonal Check E CreAilDebit Card [J payroil Deduction D

Aggregafe

Mongy Order

Amount of {-'tntributior

spouse, n yes lobbyist? ,F* *o

s contributor a lobbyXt, ,r dep€ndenr child of a

Is this contriburron associateJ wilh l'undraising cvenl listetj in Se(llon

fyes

list Evenr

# -4-

a Ll')

,'chcr{ h V'olo

Ilcontribulipn is in excess of $400 to

ofl

a candidate 1- u chieiexecurive officei municipality does contributor or business he/she is"orn-itt"" associated with have a contract with said municipality valued at msre than $5,000?

,

nYes INo

\e_-yes

Is contributor a principal

fi-No

fyes,

ofa stale contractor or prospective slate indicate which branclr or

branches

tt:t"u.

contractor? D yes

E

ofgovernmentthecontractiswith: IExecutive ILesislative'

nn

Method of contnbution.

[J casn EPersonal check

fl

credit/Debit card

fl

payroll Deduction

fl

Money o'der

SUBTOTAL Section B-This

TOTAL of additional Section B Pages TOTAL OF ALL CONTRIBUTIONS FROM INDIWDUALS {sccrions A & B} (Enter total on Line !-j

LL).ad

Nlr, \'B€<\ nflin c

A. Total Contributidns (See inst 'uctions.for

il;'pru,?+'B+.

r

Is contrrbritor a lobbyist. spouse, or dependent r:hild ofa lobbyist?

Y

n

$ouse, D child of a lobbyist? p.. a

Is this rontributron associared

*ilh

lwdraising erent liste{l4Seetron

Event# .zL-

Method of contribution:

I Cash ptersonal -tll{me I

Check

Yes

a Ll?

[]

E 'D

r 3

Method of contribution: U Cash \p*ersonal Check

rr

n

F

ls thrs contribulion asstrialed with lundraisrngevcnt lrsteri rn Scction fles. lisr Evenr

a Ll?

Lrrtnk bp.b,, If

D

yes

fl

Payroll Deduction

-q(

I)t

"*"-{}"fr (€

,rp Code

AuVtx

D

Contribulior

?opo Co*sh,rt.-

S

tlZ.ca

a

fl $.

I

toft/<:g

Money Onier MI

itaie

rrp

*

l:?.,>",

Principal Occupatior

ari,a,

rk>'.t

Lo&

6nt

s["iff;']l,

Ct. ot*+tY

Amoilnt of

.<\Dn ,/'e 1-r,t'rt s+-.

Contributior

rh ; r i,cxe t' Sckt*, { 1:?"

c

Iicontributiotr is in excess of$4ff) to

a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said municipalis valued at more than $5,000? Yes No

Yes No

fl

tstVes

U

Is contributor a principal ofa state contractor or prosp€ctive state contractor? fyes, indicate which branch or of govemment the contraot is Executive Legrslatrve

branches with: fl

No

CreaitOeU;t Card

E

Payrotl Deduction

'Y)',nc 't+r

[] 'B

Is rhis conrributron associated with tundraising erenl Iisted g,section I/ycs. list Event

# ./-

Fpersonal Cher;k

Amuntof

fi nn-l<--n rJtrf

branches with: fl

.

Method olcontribution:

u^

yes Is contributor a principal ofa state contractor or prospective state contractor? No fl,es, indicate which branch or olgovemment the contract is Executive Legislatrve A8grsgate sontnbutiqls

No

/_)

>f

?

t\-o.

Principal Occupation

municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5.0O0? IYes ENo

.

fi

ttale

t

l,c{ t /og

Money Order

contributiol is inexcessof $400loacandidatecommittee t-orachief Ixecutive6flcerof

.Sh.,. h'tcort< T>r:

Cash

I Yes F* No

fl

fl E

Yes

No

Date Reeived

U

s contributor a lobblilt, spouse, rr dependent child of a lobbyist?

[]

Payroll Deduclion

L.*tk*

Is contributor a lobbyiSf,spouse, or dependent child ofa lobbyist?

I

I

CrerlitDebit Carcl

.t f n{J^a-[qh tt a-fr

Itr

branches with: fl

Ifes,

No

Y x-l-on

(of
a-

ofa state contraslor or prosprctive state contractoil indicate which branch or of govemment the contract is Executive D lrgislailve

Is contributor a principal

Firr'

Address

Llil-fme

#t jz.o .l

tsmproytr

x-l IYes

Credit/Debit Card

"?) .h., Arsp contributor iobbyist,

,

Lrr

is in excess of$400 to a candidate commitlee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said municipality valued a! more than $5,000? DNo

No

o<Str€t

I/yes, list

rlp L.ooe

(4, /1,iV(k

Contributio

Atsgregale contributions

Casn tspersonal Check

or dependent

rtate

Amount of

^

ko l-,re &

{

Ifcontribution

Yes

42-,t Is

Prirpip*.Qccupation

MI

f,irbq

CZ.oa

$

I

ized Contritrufions

t.''0

A__

Method of contriburion:

Lesidmtial

(ot ?/o

llYhu ar--,%o(E PeiiodTNllf Subtotal Section,4

a VJes Ll? fi No

ls thrs Lontnhulion associated with lundrarsurg erent lisred in Section

V.p

t .&rr

B.

oli

fyes. listEvent#

,

delinition of Small Contributor)

frtSt-*

Latr1$rse

{-rtlo

from Slnall Contribrltors-Received thi$

t Nase

I

*

3ofl

PTS fSections A-K

ARY NAME OF COMMITTEE

fl

Yes

*o

ti*''r";****""" tof tlog Amount of L Tit?Hi') ; Tz /-. /w^n."p (-.ontributior N&e bmDlors Li ocrl tx V.c il o:, J-; :. l-#l(^o|Lfr sffa"

D

Money Order ll

z{t*

;tale

I-h r

h,t

ot

rp Llode

U

Oc't

If contributioh is in excess of M00 to a candidate corfrminec lbr a chief executiv*iffrcer df u Q.U f municipaliS does conffibutor or business he/shc is aisociated with have a conlracl wilh sard ' \f \municipality valued at more than $5,000? Yes

[]

-BLYes r L.l? b no

CredittDebit Card

hNo

Is contributor a principal ofa state contractor or prospective state contractor'1 D Yes No fyes, indicate whioh branch or ofgovernment the contract is Executive Legislative Aggregate mtnbutrons Dare RrcciYed

branches with: fl

E

Payroll Deduclion

fl

Money Order

1

fl

brlaq

I

S tga. cx

SUBTOTAL Section B-This Page

! r;m, q)

TOTAL of additional Section B Pages n TOTAL OF ALL CONTRIBUTIONS FROM INDMD{.IALS (sections A &B\ (Enter totut

on

Line 13 of Summarv Pase)

o qxl 7

.co

Y RECEI

Sofl

5 . ()(J Amount o{

Contritrulio

lsconlributoral6bbyist-spouse. dependentchildofalobbyist? Is this conrrrburion associaled wlth lundraising cvent listed in Seclion f;'es. lrsr Eventil

E F

a Ll'

3-

yes

It contnbutiofr is in ercess ol$400 to

ca;didute;;*mm

Nu

$5,000?

\B.yes

tf

h"r'rL"r^ L.Q*

a municipality itoes contributor or business helshe is associated with have a conlract with sai{l municipaliry* valued at more than No

E yes D

Is oontributor a principal ofa state contraotor or prospective state {lontracloL) I/yas, indrcate which branch or ofgovernment the contract is Executive E Legrslative

fl .E

branches wilh: fl

Nu

,St:2."u

yes Nu

Method olcontribution:

D Cash p:*'ersonal Check

fl

Credlr,rf-lebir Card

!

payroll Detluction

fl

Money Order Amount of Contribufior

State

isconffibutoralobbyist,spouse, dependenr

D child ofa lobbyisr? F

Is rhis conu ibutron associared with

Iundraisirgevenr lrsredrAsection fyes, list Event# J-

a Llo

ftt:2"q,

&.

yes

If contributiorf is in excess of $400 1o a candidate co*rmiftee i-or

a chie-f executrve ofticei irf a municipality does contributor or business he/she is associated with have a contract with saiti municipalitl vaiued at more than $5.000? Yes

No

fl

E- y*t

fi

ENo

is contributor a principal ofa state contractor or prospective stale cdlntractor? E yes indicate which Lrranch or )EI" nfo ofgovernmentthe contract Executive Leeislative

No

branches iswith: fl

fler,

I

Method of contribution:

I cash p

check E creliyneuit caril

Personal

I

payroll Deiluction

fl

Money

o*ier Amount of (lontrihutkrr

spouse, f] 'p"

is contributor a lobbyist, or dependent child ola lobbyist?

a

Is rhrs conrribution assmiared wirh l'undrarsing event listed in Section Ll

lfyes.

lJ),4 yes

Itcontribution is in

excess of$400 to a candidate committee for a cttiEt-""""utlue oirt.o oru municipality does contributor or business he/she is associated wift have a contracl with said municipality valued at more than $5,000? No

No

fl Yes I

o

listEvent# a

)6p-Ve:

'f|

Is contributor a principal ofa state contractor or prospective stale .Ifles, indicate whicb branch of government the contract is Executive

orbranches with: fl

No

contractor?-\f,L D yes

No fl Lesislatrre / -

Merthod of contribution:

E Castr Fpe.sonal Check E

CreairOeUir Card

I

payroll Deduction

D

Money Order

Amount of C-ontributior

lscontributoralobbyful,spouse, dependenr child of a lobb;

ist?

Is this contribution associated with a l-undraising event Iisted in Section Ll fyeg list Event #

t t sa,aa

I

yes

F

^o

?

is in excess of M00 to a candidate committee 1br a chief municipality does oontributor or business he/she is associated with have a contract with said munlcrpalrty valued at more than $5,000?

DYes ENo

ls contributor a principal ofa state contractor or prospective state confactor? f-les, indicate which branch or of government the contract is Executive D Legislative

Melhod of contributron.

Vasn

fl

Personar

I \fL /'

branches with: I

Aggregale

cher'k EcreditrDebitcard Epayrolr Deducrion DMoneyorder

yes Nu

snlibuti0[s

s'tsrl"oo

SUBTOTAL Section B-This Page

TOTAL of additional Section B Pages TOTAL OFALL CONTRIBUTIONS FROM INDIWDUALS (Sections A & B) (Enter total on Line

13

I.

MONETARY RECEIPTS {Sections.4.-K)

$AMTOFCOMMIITEE

Ner-n: rlas}nnlne.{l A. l'{lt*l crntribtutions

ffi)

Wnrt

Q t ) *{ti-

of

PaseJoflT FILING DTJE DATE

JocsQ

la lQl c>q

from fmall contritfutors*Received this perioelONtf

.(See infiracii,ins for definition of Sma!!

,

Contrib*ar)

Kt

fV nn c. i l/ r:r

)rq:rlAddfess ,_

\Pinr{lc-

.-l

Is confibutor a lobbyist,

*r;4.e:a

spouse, E p.

Is t.his contribution associated wirh fundnising event iisted in Section f-res, list Event #

*irppal Oeumtior

MI

fVnrl*./; n-e S*, F'tttt r f

Ra.

ordependentchildofatobbyisr?

c; tse

If contlibution

!p Lwe

t\{..4Y4

Cash

No

fl

a I Yes Ll? p.tto

E

CreAit,OeUrr Carrl

il Yes branches trio Sh. with: D Executive E Legislarive t

-

Paymll Deducrion

I

fl-;#.-

,*?"aa+. Sr.

I Yes ..p No

ts contflbutor a lobbyist, spouse, cr dependent child of a lobbl'ist?

ls this conIibutron associarcd with lundrarsingevent lrstc,l tn Sgdtion fyrs. Iisi Erent

#

fl

indicate which branch or of govemment the contract is

/yes,

"1X*qa+fo .TT6ry

;9--

a l,l?

Aggr atecoltlrbutions

MI

(T

)tale

D-rrb.t

o sl rr

Money Or.der

/ot

S

L*

,rp Code

0te\.1i3

ls contributor a principal ofa slatg contractor or prospeclive state fyes. indicate which branch or ofgovernment the contract is Executive

EAYes

tl tlo

E

branches with: I

E

Credit,OeUit Card

Payroll Deducrisn

E

Money Order

''l..^
il.rco

3,r$ ls contribu{dra lobbyist, spouse, F or dependent child cfa lobbyisfl rp

n'r\

O'1

Ml

Dar:id

>trHAffiss

^'t

$ga:c.

Yes

E[wo /

itate

u

.'-7--

(

hndraising event listed in Section fyes, list Event #

Ll?

occup+ioD I a Aha r'.|*-otf

Nme of EffDloyer

llp LNS

oaVoi

J-/-

/F

^ ^ I t>; .

f] Yes Fno

I Yes E-No

f] Yes *$"tlu

branches with: I

D Castt Fcyersonal Check D CreditlOeUitCud

I

Payroll Deriuction

'{\.^.

LctNme

Ynkotrz

I

I

Money ortler

u ibte .--r-:-

vl.

n.r./

z

tz lO'l

(

ff'F'#.;o

Prircipal Ocapation

I\lr

Amount of

rrS€

Contribution

Nme ol L,mployer

1ip Code

s

a1^\.t*2

ti.o:

If contlibution

is in excess of $400 to a candidate commillee lor a chiefexecutive ofilcer of a municipality does contributor or business he/she is associated with have a contract rvilh said

Yes

)F* No a Ll?

fl

&., /Y't(\t/-

rit I hnvw

Is this contribution associated with iirndraising event listed in Section ryJes, list Event #

ft3o.oc

Cne )

Is conlributor a principal of a state contractor or prcsp€ctive state oonFactor? I/yes, indicate which branch or of govemment the contract is Executive Legislatrve Dale Rccsived

U

^

Amount of

Contribution

exsess ofS4OO to a candidate committee for a chieli:xecutive officer ola municipality does contributor or busioess he/she is associated with have a contract witi said

No

Methcd of contribution:

Is contributofl a-lobbyi st, spouse. or dependent child ofa lotrbyist?

S.f;7, o.

f zr:,log

Principal

municipaliry- valued at more than $5,000?

municipaliry* valued at more than $5,000? Yes

p.No

$Personal Check [J Credit/Debit Card

fl Yes D No

Is contributor a principal ofa stat€ contractor or prosp€ctive state oontractor? fl,€s, indicate which branch or branches of govemment the contract is with: I Executive I Legrslative Date Reaived

Melhod of contributirin:

fl Cash

contrastor? fl

! Legislative

Ifcontribution is in

Yes

Isthiscontributionassociatedwitha

"

"no

a chre-f execulive o{Ticer of a

.I

mrmicipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? [1 Yes El No

(t a s>eJf, re$ffiH

o)h', d)0nc>( t

Amount of Clontribution

J X "t-{-; ql. ^*U T?tr/Su n .l},,,,,r,

if contributidn is in excess of M00 to a cardidate committee lor

Name

I

on

Aggregaig srtributrous

Castt Fpersonal Check

i-{tr'"#''

zi"

Itire14rl Occupalion

Method of contribulion:

[]

tr;j'.oo

Iscontributoraprincipalofastatecontractororproslxctivestateconfactor?

Date Re*ived

E6Penonal Check

Amount of {--ontribution

*le
is in excess of M00 to a candidate commifiee for a chief executiv" ot$"t,rf u municipality does contributor or business he/she is associaterl wilh have a contract with said municipality valued al more than $i.000? Yes No

Yes

Method of contribution:

I

s

B. Itemized Contributions from Individueln

LwtNme aesrogllll.&

Subtotal Seetion ,{

fl

Payroll Deduction

I

Money Order

os-/e zlo?

fl Yes RNo

ASStegal9 co!trrbutrons

fl {i,

cr, Page

{3lo,o

Pages

FA,:?o,o:

TOTAL OF ALL CONTRJBUTIONS FROM INDMDUALS (Sections A &B) (Enter total on Line 13 of Summary Page)

*7.zzz.ct

SUBTOTAL Sectior B-This TOTAL of additional Section B

I.

MONETARY RECRIPTS fSeelinns A-K)

Page 3

A N
A'

(See instracryrys Jor defixitiott of Small

Contrib*or)

l(3

Subtotal Section

t

?lo9

$*(,,3" or\

.

B. Itemizcd Contributions from Individuals

'(\or-,,f ir.s-

,, r'1, ,,

x-"rh.,-Pi;i;

"

At-e I

Is contritlutor a lobbyist, spbuse, or dependent child ol'a lobbyist?

.F&

Is this contribution associated wiih fundmising event listed in Section fyes, lst Event #

Melhod oi contribution:

I

Castr Fpersonal Che,ck LstNue

-Tan A<,r lesrdenhal Shet I )(-ts} re Lr Address

fl

Method of contributron

pasn

E

contractor? il yes branches lotto ofgovernmentthecontractiswith: D Executive E Legislative'

[J

\

rY

nnra, r

E

;tale

r

fli-t.

fl

isr?

Pringjgrl Oqcupation

1ip Code

-n Nme ol tmployer

'4o+"

6f^4w

AFgregate contnbutlons

t Ufi

lct

MI

I )*

Amount of

Contribution

Saf.oc

No

branches

I

Payroll Deducrion

Rurl a tdttu fti.\,1r

I

MI )tare

1lp cQde

C;^ nuqyf

Amount of

Nm€ ot b,mployer

I Yes fl

municipaliry* valued at more than S5,0O0t

h:o,uo

]go

branches with:

Palroll Deduction

U

b8

Money Order MI

-b.r,.,

Var k- H"o e

spouse, n Yes F *o

s contritlutor a lobbyist, rr dependenr child of a lobb,risr?

I F

fl $!

Is contributor a principal of a state contractor or prosp€ctive state contractof/ .fyes, indicate which branch or olgovemment the contract is U Executive Legislative

I

yes No

Aggregalg cootfl butlons

/azlaq

#Jo.oo

Principal Ocruparion

Bf-, reo

Amount of

Contribution

rtare

,rp

Lwe

$sa, qr

Nm€ ol bnploler

ryaqt K

If contributi{n is in exoess of M00 to a candidate committee for a chief executive ofticer of a municipality does contributor or business he/she is associated municipaliry* valued at more than $5,000? Yes

witi

have a contract with said

DYes DNo

ofa state contractor or prospeclive state contraotor? indisale which branch or of govemment the contract is Executive D l-egislative

Is contributor a principal

No

fles,

branches wiihr fl

Credit,Debit Card

!

Payroll Deduction

[J Money Order

AY

fl E

Yes

l.lu

AgStegate cotrtnbutrons

Date Rewi\:ed

D

"66

municipaliE does contributor or busioess he/she is associated with have a contract with said

{gsldmlral Suefi Addr$s

Metirod of contnbution: pCasn Personal Check

a:

Contribution

q

ls this cortribution associaled w-ith a fundraising event listed in Section Ll? f1.es, list Event #

B

If conltibution is in excess of $400 10 a candidate committee for a c-hiefexecutive olTicer ofa

n

No

Principal Ocapaliou

No

CreditDebit Card

Yes

A&grcBarc c4$Erouuo

aYl Klar

Money Order

3-Kecerrerl

I

E

Yes

iist Event #

Check

contractor? . D

ofgovernmentthecontracliswith: DExeculive flLeerstative

I Yes event listed in Section Ll? pNo

Method of contribution:

a,,

.il

ls contributor a principal of a state contractor or prospective state I/yes, indicate which branch or

Credit/Debit Card

,

.

xln

fl Yes E

municipalit) valued al more *ran $5.000?

fl Yes FNo

Isthiscontributionassociatedwitha

Personal

leo

Date Reaive.l

Check

Is contribulor a lobbyist. spouse. or depcndenr child of a lobb;

fl

nY

Money Order

a candidate committee fo'r a chief execulive ofTicer ofa municipality does contrrbutor or business he/she is associated rvith have a contract with said

No

'Sdlnfol'. L Q.n.

I t"9

Payrctl Deducrion

Ifcolrtnbution is in excess of $400 to

Yes

Ailnza t* 5 r

*3T.

o&"qlk

ls contributor a principal of a state contactor or prospective state I/yes, indicate rvhich branch or

-tJi

D

4

)ECash E

I {o, ao

NaEe o1 ti.lnployq

Zip Code

:

Personal

-qslNme

fundraising

l\-\!l

DYes

I Yes p'Uo

a in Section Ll?

of

in excess of$400 to a candidate committee tbr a chiefexecutive ot'llcer ofa muntcipality does contributor or business he/she is associated with have a contract rvith said municipality valued al more than $5,000? f]No

No

Is this contribution associaled with

iundraising event listed ftds, list Event #

ttate

t"Q16r-g-

fl F

.Amount

Contribution

Il contributior(F

Yes

Credir,OeUit Card

r. lpouse,

Prircipal Oaupalion

T)urh--

a Ll?

Is contributoralobbyisq or dependent child of a iobuj4ist?

fyrs.

:y.rl
Contribiltoitffi

S*rall

Lst Naft

C;

of l7

;II"IN{i DIIF DATF

NA[48 OF COMNJI]'TEE-

laz lnq

fi Lo,

oa

SUBTOTAL Section B-This Pagr b

TOTAL of additional Section B Pages TOTAL OF ALL CONTRIBUTIONS FROM INDMDUALS {Sections A &B) (Enter total on Line 13 of Summnrv Pa*e)

*13J-.4d

A,6li'or s ?,.2:i,

"

r {AMF NF CNMMITTEE

l.-lre*l t4pc-i n n i nq,= u L) {me of Comnittee '-T\n , t 9.flr= .'

Pn B"'n

!+",".fsrd

NTt-lNtr.,TARY RT],CEIPTS (SECtiONS A-K)

r-r ionrrihnfions

TiV4Tan

from Otber Committees mofTrmuq

I rn.-{;e s this

[ {-K -} K

assoc. ated wlth a event listed il r Section L

contribution

lndraising

gL

'l

}cr4rl

ql

';loq 'lme

Is this oontrlbutlon asso(

\ddress

fundraising event listed State

?FN r

hst

fr j-a

#-

.co

Contributions

sti )'art LI

?tr

Amount of Contribution

)s .ljrJss' lrst

o

Event#

Aggregat e Contributiols

Received

1ip Code

Event

of Treasuq

Section L

i

R-{tJ..

EY€ s fJes, r

1ip Code

o1l1

F{r.INGDIIE DATE

6i";C"r flwu*r J-c:r:1

NmeofComittre

lity

Page 4

lDate

Nme ofTrefffl

NmeofComitt*

LI

ls thrs contnbutlon asso(

Addrss

fundraising event listed rn Section ,tate

City.-

?tr Io

L

Amount of Contribution

,'JJi'e$' lrsl Event #

Aggrege te Contributions

Rmeived

Zip Code

95

lDate Name of

Naffi ofTreasftr

Comittee ls this contribul

Addr6s

fundraising eve nt listed in Section L ?

Amount of Contribution

fl Yes l/yes, list E No Event# _

r-::::7::;ffi*__-

State

lity

lip Codt

.lmofTrroru

NmofComittee ls

Ad&ess

th$ contrlbuuon

ass

fu ndraising event liste, in Section

itate

:ity

Zip Code

L ?

Amount of Contribution

E Yes fYes' list D No Event#

Reerved

Date

lAgCreCarc I

NmofTrmus

Nme of Cqmittee

Is this contribution associated with

\ddress

fundraising eventlisted itat€

lity

Zip Code

Date

a fl Yes fyes,

Amount of Conlribution

list

in Section Ll? f] No Event#-

RMlved

l^ggrcBarc I I

tttl

{me olCominee

^- c----r.,- T\i-+*:k,t+i^na frnm nther Cnmmittegs e2. l(ellnbufsements' ravmctrrs' w' ""' { Nme of Treasuer Amount of Receipt

DateE;A;;A Address

itate

lity

Zip Code

Reimbursement for shared expense tr Surnlys fr Paymentforgootlsandservices Distribution

fl

.

Nme of Treasuq

iffidffeoffittre

Amount of ReceiPl

)ate Re*iYed Address

lity

itate

p

il

fr

Reimbwsement for shared Payment tbr goods and

expense tr.Surnlys

sen*ices

#

Distribution

SUBTOTAL Section C-This Page

TOTAL of additional Section C Pages

TrlTAL f)[' AIL {]OMI\1lrl-llrl' ut 1\l nI'U rrulrD ^r\u rwLD" '" '""'-'

Ti '"-- "'- -''--

14

of Summarv Pase)

Sso.co

{

S?' .a

$ S'O. 6d

VAME oF coMMIr-rEE

il

fu

h

s

-r

I

t. MONETARY RECEIPTS (Sections A-K) erk.i .{}-r.n"- ffi4u1of" J{?C? lru.nvcpueoars

'F tscu. r'in.tyr() o U

qJ

1

D. Loans Received this Period

*meoflada

**)r.,1

;tf,eet Address

Is there a Cosigner

Source of l-oan: itafe

-rty

I ganl

Zrp Code

D

or Guarantor of this loan? D Yes (if

Candidate

i.es

Amount Received

!is/

name and address oJ

.Jme of Cosigner/Gtrililrt0r

n

Individual

I

Cosigner/(;uarantor)

other

fl

Committee iheet Ad&ess

{me

Pqgc i nf

r:9 lr:4 I s,r:r rel="nofollow">e

t'ity

Stat€

of Lendq

Source of Loan: irty

ilreet Address

I eank

Zip Code

Jtate

D

Is there a Cosigner

n state

Individual

I

Candidate

this loan? Yes frfyo'li"r

nme

other

and address

of

Cosigrcn(iuarantor)

ENo

C^-*:*-,

Date of Reeipl

lZip code

Total Section D

E. Receipts from Entities other than Individuals or Other Committees Nane ofEDtit!

Amount Rmeived

or Guarantor of

fl

Nme of Cosignu/Guumtor Street Address

No

Dal€ ol K€cerpl

Zip Code

(Referendum Commifiees

$

ONLY

i'{g}<s*i

Jteet Address

)ate Received

rtale

-trt)'

Amount Received

Aggregate Llotrtnbutlons

aip Code

Nme of Entity Steet Address

)ale Re€ived

lity

itate

Amount Received

Aggregate Contnbutlons

Zrp Code

PUUry

Street Address

Amount Rmeived Zip Code

Total Section E

)ateofReceipt

F. Amount Transferred from Affiliated O-"rnt :_)/l7

Business Treasury (Business Entitv Committees ONLY)

Date of

Receipt

Amount

Total Transfers

( Is this transaction associated with

ftu'rdraising event listed in Section

a I yes lfyes,lisl LI? E No Event # _

a fl yes lfyes,list El No Event # _

Is this transaction associated with fundraisirg event listed in Section Ll?

G. Amount Transferred from Affiliated Labor lJnion or Other Orsanization Treasurv Date of Receipt

-"V

$

(otoanizotion CommitTees ONLYI Total Transfen

Date of Receipt

Amount

$

Amount $

H^ Personal Frrnrls of fhe Candidafe Received fhis Period Method of payment.

Date of Receipt

Amounl

T*-^ P.r,"d

S

ni;

rS?. s<

r

Oo

fl !. fl

Method of payment: Date of Receipt

Cash Personal Check

Credit/Debit Card

(Cnndidnte Conmirpes (INLY)

I

Cash Personal Check

I

CreditDebit Card

D Amount

'l otal Amount Received

*

/5?.&

L

MONETARY RECEIPTS (Sections A-K) TILING DIJE DATE

NAME OF COMMITTFF-

\ Nzrrl Bec)n'1: r\
fYVt t./1,/-Ar-!rtq

l.Hnonymous Contribu tions $oecifv

t

alQ ln?

dollar amount of the bitls received)

Total Amount Received

Date R@lved

Amout

)ate Resived

Page 6 of 17

$i bills _

$5 bills

_

$1 bills

coins

$l 0 bill

_

coins

$5 bills

_

_

$10 bill $

J. Interest from Denosits in Authorized Accounts Date Recived

\rnourt

Date Re@ived

Nme of lnstihrtion

Nme ol

Sheet Ad&ess

Street Address

lity

Itale

Zip Code

-

Total Amount Received

Zip Code

State

Ciry--

$

K.

Miscellaneous Monetarv Receipts not Considered Contributions Date of Tresaction

Nme

Strfrt Ad&ess

State

City

Z1p

Amount Received

eodc

tl-ar&-rDewiption

s

Nue

Dale of Trmsaction

Zrp Code

State

City

Street Addrms

Amount Received

,1,*4*/la_ Dewiption $ Dale of Tmsaction

Nme

Zip Code

Stale

City

Street Address

Amount Received

i^*J-)u-

Dewiption $

Total Section K

r illn

Summary of Other Monetary Receipts (Sections D-IQ Total Loans Received this Period (Section D) Total Receipts from Entities other than Individuals or Other Committees (Section E)

+

Total Amount Transferred from Affiliated Business Treasury (Section F)

+

Total Amount Transferred from Afriliated Labor Union or Other Organiz*tion Treasury (Section Total Amount of Personal Funds of the Candidate Received this Period (Section

II)

G)

+ +

-4L-r^,a "

-nI t^{a--'ll-t v\-u .--ilJ'-\A--{

$ I n],

c..

Total Amount of Anonymous Contributions (Section I)

+

Total Amount of Interest from Deposits in Authorized Accounts (Scction J)

+

---.r,( _,lr-v<--e-_

Total Miscellaneous Monetary Receipts not Considered Contributions (Section K)

+

a*Ar!/.rz

Total of Other Monctary Receipts

(Add Sections D-Iq

(Enter total on Line 15 of Sammnry Page)

r-il ;.ti_-s._

-l rSr: " oo

II. FUNDR{ISING EVENT ACTWITY {AME OT COMMITTEE

t

L).pi*r

-J4eq'inn;np * ffifulJ {}rr: fTlartnT &acss {J U

pnse

j

otr1

TTI,ING DIIE DATF,

I t'nla/aq

L1. Fundraiser nvedt Information L@aliol:

Description

lfafe

Subpdrt I :'(Ail Committees) Was this trndraising event hosted at a personal residence?

StreetAddress

rly

L3 &;2alx++,' d) X"

es

;!

(Ifyes,

go

Zip Code

State

D*,-/'*

oe v{x.

lo Section L4 In-kind Donations not Considered Contritrutions

and complete required information for purchases made by host(s) for food, beverage and invitations.)

No Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual ofup to $50?

fl

Yes (.I/yes,

XNn DYes

with purchases from an individual ofup to $50?

ti*^

go to Section

I;t In-kind Donations not Considered Contribufions

and complete required inlormation.)

(f.r"" Donated Items.)

Subparl 2: (Town Committees and Municipal Candidale Committees ONLY) Were there pruchases of adverlising space in a program book associated Yes (fyes, go to Section L3 Purchases of Advertising Space in with this fundraiser? and complete required infomation.)

I

a

program Book

trNo Subpart 3: (Town Committees ONLI) Did your committee sell food or beverage aI a fair or similar mass gathering held ra,'ithin the state?

Fundraisins Event (Ja #4 Date of Fudr-aisr

iairlnq

Lettq

Description

tr

Yes (fyeq

tr

No

_>

enter Total Receipts from small purchases here.)

-ocation:

a %r{*,',l ?otl* L1 L(,^r,.).n'lln S+

Subparti: fi)lt Committeesl

Was this firndraising event hosted at a personal

J

d residence?

SYes

:ity

State

Ouoh.,

Q_l

Zip Code

OaV{

3

(fyes, go to Section L4 In-kind Donations not Considered Contributions and complete required information for purchases made by hos(s) lor 1bod, beverage and invitations.)

No Did this fundraiser include items donated by a business entity of up $100 or items donated by an individual ofup to $50?

1o

Was this frmdraiser a tag sale, auction, or other sale of donated items with purchases from an individual ofup to $50?

!

Yes

(.I/yes, go to Section L,t In-kind Donations not Considered Contributions and complete required inlormation. )

Xl N^ E Yes (fyes,

go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale of Donated ltems.)

E

Subpart 2: (Town Committen and Municipal Candidate Committees ONLY) Were there purchases ofadvertising space in a program book associated tr Yes (.I/yes, go to Section L3 Purchases ofAdvertising with this fi.rndraiser? and complete required information..) tr No

3: (Town Committees ONLY) Did your oommittee sell food or beverage at a fair or similar mass gathering held within the state?

Space

in

a Program Book

Subpart

E

Yes (ffes,

f]

No

enter Total Receipts

SUBTOTAL Section Lr (Town Committees

TOTAL OF ALL RECEIPTS FROM SECTION

Ll

from small purchases

Ol{Il)

hg3!

Total Receipts-This Pagr

TOTAL of additional Section Lr

Pages

l6a of Summary

page,

(Enter total on Line

++

TI. FUNDRAISING EVENT ACTWITY NAME OF COMMTTEE

:-6 uti nn\ nr *

Ne

Gr

Fbls .t

l't1au

LY Proceeds frim Tag

Nme

Saleo

F6r,r -f,i. A"rrr<s Lx_ r\Y I t{cv, ald (i L A-trttrnhi, tl S+. 'J)* rL'u Pwhmed

Nme of

Puchmr

\ast

(rndiviauisoxtn

/

-I-sh

2nnffi

Ariction, or Other Sale of Donated Items MI

I

Meflod ofpayment:

ElCasfr E

ttate

Items

ctr

Pase 8 of 17

FII-INGDIIEDATE

Jate Reqerved

Zip Code

f](-LI lY

Personal

Check

Event

_

f:Yl-z,z/r'tA

E

CredivDebir Card

Purchas

#

*f

,

(tndividuatsINLY

MT

D o,.., &J* ( {. lLtt br.b.*

l{ Of $+-,

i>G;;ti,.=

KeSrdelrhAlJ;treet Addr$s

Method of oalment:

E

X-C*t,'

la&

Itm }trcnNd

Zip Code

6u.rt F

"iivTX\

Personal

Check E Credit/Debit Card

Evmt#

r,,q

o{Puchrer Last Nms In(lividuatsoNLY) Ff4i:U" (esrdmbat Strd ArtrirR( ^ 'lme

lQ T): v o ,r Au"t me of Purch6fr

Slff

Ro'*h let fu"J r,rL,1,1+- c'T Jtate

I-AQI

Nme

LA,t,

ll, I S')t I

t Address

{fL5"La:,-Aa.k Dr. br.A., *lI*

t

fi,n;

fl?rsS

0NLY1 K9:IgeAal street Addr{ss

sJbr

G

5 {a.l/.r"t {1rtn {efr Itm Purch&*d I

i --Sb1ir+ Pwchrer )NLy) qr+d

Method of payment:

IZlCash El PersonalCheck E

Jate Re@ved

4ip Code

G6\ ba M]

r'zr.(e-

0t t'+zloq

lip Code

L,

Cte',

t{

tt

#

C*h [f

Personal

/de Ke@lvm

a{ lzziaq

MI

tt,,,,s ot.

Purchases

Check

E

CrediL/Debil Card

'IaI€

( r,

l->.-.

Zip Code

fi*{ tr

Aggregat€ Amount of Purchases

Event #

I

hSlcu

Method of payment: Personal Check Casn Date Reeived .vent#

E

ts

Aggregate Amount of

i. P/O.dt

/

Method of payment:

)Q

tlale

Eletrt

Credit/Debitcard

/c.c.

itYl3Zlnq

E

CredillDebit Card

Aggregate Amount of Purchases

s-f.crc

I

U

Lgsl Nme

endividuars

.r

r#

of Puchmer Lrntt;Nme 'lme 'rndividads

Nme of

MI

nt

-:l -Tsh;,^ fs

(In.tiiduatruNLn (esldetrtral

{C: ln;+,R

Aggregate Amount of Purchasts

&

,

2- -Tshi d-s

N

.oo

ir{-

Nme of Puchaer Ldt Nue

o"msru"h*"d

Aggregate Amount of

n i Sa,

lJ;.'a (s. Kl^" t.l"^^ hte

l;Sffi"Tffir," A.",e ItffiPuehased

MI Zip Code

ht^9 tV

Method of payment:

\E! Cash E

Date

Personal

Rffiived

nx

Check El

Aggregate CreditrDebit Card

Evffit#

lzz l
Amount of Purchases

I

Fj-".tu

I T5hrr,l,li}ft

of

Purchaer Lasllame

tndividuatsziiy (esrdmtal

stf

€t

( lh* ilfr.fella

D.t,.,.

Address

cft

l?-S.''rre#\ D" h-q-.b* trm nrcnffid t1 f_:_ 4'-i 5r"lrls

Method of payment: Personal

ECastr E

Zip Code

rt.,{ tV

Date Received

s Ltzlal

Check

tl

Aggregate Credit/Debit Card

Amount of Purchases

Event #

Sricn

I

.a

\lme of Purchmr I-mt

TndivituatsoNLn .NJ.,

5.;+

.

ItemsPuchased

w^ A*'

*?-:h

;

-7 o l-O V

wd

Adtress

.

Method of payment:

ft"

Zip Codc

0(*4 tY

-Ecash

D

JaIe Keq:lveo

I

cx{

Personal

l2zlaT

Check E Credit/Debit Card

u*".l

Aggregate Amount of Pu rchases

hto.a

f+s

'T'r]:ttiq",." "

{a T-Iand+.ct A't Item Pucha*d {

rtate

T)"h*

'ime of Puchroer L6t Nme Irdietutuats oLrLY) (egoennal

z

?,^l n

{-SfAZCC:

r'+rr,

&=

First

Nggre

*l-sh;nr

b-t.b

q

Method of navment:

&rCasir'

itate

lip

cT-.

CfuW

Codg

Dale Recsrved

"D

Check Evert#,

Personal

o{lazlcn

E

Credit/DebitCard

Aggregate Amount of . Purchases

$s*. o.,

J

SUBTOTAL Section L2-This Page

TOTAL of additional Section L2

Pages

'I'OTAL OF ALL SMALL PURCIIASES FROM TAG SALES, AUCTIONS OR OTEER SALES OF DONATED ITT,MS {Enler lntnl on Line l6h of ,9umman Ptsp)

$ ?cl.oa

$x&s.oo S3SS-

ur

II. FLINDRAISING

EVENT

ACTIVIry

Page 8

\IAME OF COMMITTFF

hJp,r)'y'v")nn|/\e *E>tt o ,Drr'lhattrtrlaag L2.

T

eeds

Last

Nure

I

"4 k:^e=of^,trl' i -T-shi rf

Items

Purchaied

\me

of

bn

FitSr*

U

<srdmhai slreel

rn

t r Sa,rF ime .,f Purchrser Lasr-Ilmc rnttividuat
q

Affiesg

I

I

I 1 sh,'rF

Qndividuats())Ln ( lnlg( v tesrdtrlial Slr€et .\ddrN Items

Pucha*d

NaDe

oiPuchaser Lst Nme

(tndividuots

Sh) 11-

o,\Lr') \/tl

l'i+€q

i

*l--

Nane of (I n

Puchrcr

(7

diidu ils

Sh:

oNLn:V

rts

Resrdsrtlai Stleet Ad&ess

I {L' {ts ', A.t -Lp(-rac IteruPurchased

t -rtsr',

'lane of

t,ii,,i,i

;

rl

(-:.

')

hlrb..U

()uard

lesidmti.a+€tr€t Address

::ity

\.

lbq ; 'L

legidmtial Stre

Itffis Puchasd rJme of

r{{

Puchrcr lj{Nane

Kesldstral's'g€t

lr;ftik

Itflns Purchased

{

r.

r';

'mte

B-r*

)taa€

"l\ "-1", -T3- Shl /{<

Indivi{tuatr()NLn-R,

IY

{

A,€

|

Au+

'-T-Sr^l r$-

MI

Credit/Debit Card

Aggregate Amount of Purrhasm

S:

Date Received

a pl.azft*

Check

Credit/Debit Card

cr'

I

$s"cc

Check n

Event

Credil,/Debit Card

t

fi

ttate

rJr.,

C{.

av

-

lezlat

lip Code

/v-.tL

rw MI

Check

fl

CreditDebit Card

lip Code

I

tf

Zip Code

0u9

ty

Rffived

avlzalol I

Date

\El Cash D

0u9tY

)ate

Rewived

nrlzz laq

Method of oar

me

b Castr fl Zip Code

O{"vo t

Personal

)ale

Purchascs

Check EI Credit/DebirCard

Recellecl

nt:

E

CredrL/Debil L'ard

('heck E

II

icn

Aggregale Amount of Purchases

*

I

lF-vst

oct

Purchases

Elent n

Personal

cy lzzlcn

Checl'

f

Aggregate Amount of

$

I

I I

Aggregate Amount of

is

lF-vert #

Metiod olpalment Zip Co,ie

El Credit/Debit Card

/

fl

Aggregate Amount of

h/o..,u

[]

avl:.zlnq

$.ca

Purchases

Evmt #

Method of payment: vs,*ash Personal

Aggregate Amount of Purchases

event #

Method of payment: Personal Check Cash Datc Reeiaed Evetrl #

F

f"o.t

S

Melhod of payment:

""X#'"t*t"n

Aggregate Amount of Purchases

I

Method of payment. IZlCash Personal

Aggregate Amount of Purchases

Elent #

Method of payment: B.Cash [f Personal

"t\Yiiztm

E

EtCash E PersonalCheck D CreditDebitCard

l"fa"n<s

,} l-O f-

AddJess

il

I

Method ofpayment: E[ Cash D Personal

)ale Reelved

Uo{e

06qtg

lrAq fc\

n r4-o

\me of Puchm Latllame (lntliviluuLtONLfi

tale

1lp

CT: a,q lg

r;,na-tprr IXr-b.r tmPutlased U i T-!Ll r,f iK

Ar,<-FtV

Firft

Purchmr -tas{{dne

inin T1p "t'

ot hzla9

E

''h rlo ^

o. . 4<

rT

1ip Code

MI

?trA^.A

fC

L6t Nme

MI itale

er55;*ibark-D, brrb--U Items Purchased

C.; ll

itate

borb

5- +

t{J -tlQcr

lip Code CIc

tate

ir.r.+

e

7 lYrr*n# ;n

Check

I

NmeofPuchas LANme

I

MI

| 4\r ).nr-L

,t)-,a.lr'

i

l4z ll'o,Y;c, .

itmrsrt*hed

1)i.,Qt?

)c U /yrrlrf

.

11

5

lip Code

l^l}n;S'.o

AcktJess

(eslddlllal:ket

fl

I Er&it

P-)',n;

k" c-', A ^d.i IremsPurchas,fii 5

Method of payment: Personal 3Zl Cash Datc Reaived

U

Purchur lls\N;dne

(tn{tividuatroNl-y)

MI rtate

rb.-

| rc/qt

or Other Sale of Donated Items

Sale, Auc

;;;:.:;;":;:';ff',)E)lq*,.p l"'*B^n {me ol Purchrcr

of I7

to, (n cx

,4ggregaae

Crcdrt/Debit Card

Purcbases

#

Siaut

SUBTOTAL Section Lz-This Page

TOTAL of additional Section L2

Amount ol

Pages

TOTAL OF ALL SMALL PTIRCIIASES FROM TAG SAI,ES, AT]CTIONS OR OTHER SALES OF DONATIED ITEMS fFnlm lolol nn Linp I6h nf ,lummnrv Papel

* tJ*. a 4 3oo, -dJ

355:

II. FUNDRAISING EVENT ACTIVITY {AME OF COMM]TTEE

q (€ q r fWua sf zooq ; - &sfrom The {b r ^nL2.^Pr"oceeds Sale. Auction,'or Other Sale of Donated Items

Nme o1-Puchmer --Lc{Nanre

(1nnA;

/1

I

Ksrdelrtral Street Address

5ta

Item

(

oiPurchryr

'trme 'tndividuats

'ia

,

t)NI-Y) I* i*C--k

Jaa f triit'-,r. kJ)r it*.

itate

Zip Code

(.;

2i^t L-n,t{e I {*."p

litu

P

lq.

TY.LLI N

MI

;.fu-A

r-b

" F

hi^i K MI

irst

L,nrcer: rtate

I

Zip Code

(11.

fri-il ";., -t-sr"lr+ l' "Jia.rr.*^ l4p"{ ', n i

I

Puchuer Ltstd\ame

(tnditiduats2NLY)

Address^

j-

$ndiidusls

ONLYT

i-PLJ rilnrf

(o

Check

E

CrediLDebil Clard

Aggregate Amount of Purchases

Event #

F

'|Rl-l: n

l#LNme

n,r

A^,

I

puchrer Lat(Nme Indili,taalroNLn ( Vn Uq

,o

,iane of

{ .

oY l+z {a?

Check

Event #

E

C.,-,

Aggrcgtte Credit/Debil Card

Amount of Purchases

f

I

I

ltv

rt /vilorbc

Code

Ar^J*z

Ll51Nane

Zip Cade

D

ico

Aggregate Cre.liuDebtl Clard

#

Check

Evmt

I

Credir/Debit Card

I

I Method t.rt'payment: I E,Castr E Personal Check )ale Recei!ed evmt #

n{l)zlm

f

of

D

Credit/Debit Card

Purchases

n

CrediLDebitCard

Check

-

p"oo

$ fl

Aggregate

CredirrDebitCard

Amouut of Purchases

F-venl #

12? loq'

Aggregale Amount of Purcbases

ltz/c>?

Reqived

P,P

Aggregatc Amount of

gicrho

I

Q

Method ofpayment: SCash fl Personal Date

Aggregatc Amount of

die

Personal Check Fvent #

lDate Rmired

o^

Purchases

I

I

Amunt of

hi

I

arlz4aq

"qtx

Ylfash

Zio

IAIE

Method of payment. \El Cash EI Personal

'\BlCash D

iXffif;'i'ry" rtt'T)r. \ tirnr"* t/ ['r m J I '-l Sh:r't{rryofPurchm 'fr ,rol\ +a nii,ni,iiiin C, rr kv,r'l< Itr (T ht,4t ? ttrmsPuchaed Id lllr<s{_ Arre J) rh,, T .f, - '-fS Lt; r{-s Nrune {me Puuha*r ',iii,ii,"i,"iff.,t!t,tn
Elat

Melhod of payment: Personal

%r;=hn< -

nyla3loq

Method of payment:

tuu[Ik

Check

Personal

MI

Zip Code

rtate

\E Castr ll

F

t\{l "l ,-:,r

Method of payment:

"Hi"li"le

o,s'^ itate

bi

l{ r0.

Method of payment: El Cash D Personal

Code

ltr

-T-Sa;r+ -

Kesrdstral 5tree1 Address

Acc.',

lio

;tat€

'P-)

5k"clz'r^'AA

ItemPucheH Pucher

lnzlng

)ate Receired

4ip Code

/,7

5e-'U ,, l[eU.rlP,,t Df: TJ, il;;ffiffir----: -

Nme of

Re€rved

*v

Date Received

Zip Code

tWe

J)

( FnfZp lur-ru /

.ddress

Residmtial Street

fl

)

Latf N{ne

t,ii,,i,i,ii,ii.n

MI

;tate

il

41

'l-5]l;r+

Iteiu I'ucha*d

Nane of

Method oi pay,ment: EfCash Personal Llate

orvf

Vkt'-n rh,, CT

I t_ Shirt

,laE of Puchrwr l-aslAme IadiidqakI)NI.Y) Gt" /^', 7 f , {esrddltial Str*t Address A

5

#

-T--<1.';r*

Last ry4ne

,ime of Puchmr

MI

Bruno

Sr,,; - ba r kT,V J\o rL',,

Purchased

I of l7

-ilesi

lUar".-i (tndi.vittutLsour.n

Pagc

i,a

Aggregate

Check E Credi/Debit

tsvenl

t

Card

Amount of Purchascs

#

W

7o.au

I

ol

I Firsl

Lcst

Rsidotial )l\ret Address

kr \"

lisnsPurchard

(J

)tat€

_,

;.U-A*-

i -f .

-

4

Sh,

rl-

lv rJa-, J

(r-t-:" ^t.

Zip Code

r>"{ t t(

Method 0f payment: '\g3 Cash D personal

Cbeck E CrediyDebit

Card

Pu

Ja[e Kecel\'d

^Y

lJslaq

I

TOTAL of additional Section L2 Pages TOTAL OF ALL SMAI,I, PURCILA.SES FROM TAG SAI.ES' AI]CNONS OR OTHER SALES OF DONATED ITEMS

Line

16b

rcbases

fr S.c,
SIIBTOTAL Section L2-This Page

(Enter total on

Aggregate Amount of

ol Summan Paeel

*ff.

CId

s30d, e (}

f36s. 0*

It.

FUNDRAISING EVENT ACTIVITY

8of17

or Other Sale of Donated Items Cash fl

Personal

Check

E

Credit/Debit Card

Aggregate Amount of Purchases

*:la'

-r, Cash D

Personal

Check tl Credi/Debjt Card

Aggregatc Amount of Furchases

f=.e

E

-T:

Aggregate

Method of payment:

Gl Cash CI

Personal

Cheok El CredivDebit

Chrd

Amunt of Pnrchas€s

tfi

i 4c)

+t. of

Puchaw Lsl Nme

,duubuNLYl

fi--k)

Cash fl

n.f

Personal

Clheck

D

Credit/Debit Card

Aggregate Amount of Purchases

$

-T_:

S

A: Method of payment: Cash Personal

I

Check

E

Credit/Debit Card

Aggregate Amount of .

f

9- -I= srn:

Nme of

r.oc

puchrcr LslNue

Method ofpayment:

Cash D

Personal

Check

f}

Purchases

l,:.oo Aggregate

CredirDebit Card

,Amount of Purchascs

Vt

p Method ofpayment: Cash Personal

[]

fl

Check

E

CrediriDebil Card

o.o,

Aggregale Anrount of

Purcha*s

fflo.o. Method of payment: EL.Cash fl Personal

Check [f

C--redit/Debit Card

Aggregate Amount of Purchases

b lo.oo

9fl Cash EL Personal Check E

Aggregate CrediLT)cbit Card

Amount of Purchases

'T-

srj-.e Sh;

r St'BTOTAL Section L2-This

Page

TOTAL of additional Scction L2

Pages

TOTAL OF ALL SMALI, PURCIIASES FROM TAG SALES, AUCTIONS OR OTHER

SAT,ES OF T}ONATND

ITEMS

*

?o.* 1Li^.aa 5

"oo

II.

L2.

roceeds from

Nme of Puchas

FUNDRAISING EVENT

Sale Auc

ACTIUry

Sofl?

or Other Sale of Donated Items rd ofpayment:

Cash E

(Iadividutls 0NLY)

Personal

Check EI

Credil,rDebil Card

Aggregate Amount of . Purchases

$;.*,

lMethod of payment: personal \ltr Cash

D

Check

[]

Credir/Debit Card

Aggregatc Amount of Purchases

ts-.co iMethod of payment:

&l Cash

fl

Personal

Check

[]

CrediLDebit tlard

Aggregate Amount of Purchas€s

Sfoo

-r :wry Ge,*[€)

n

Cash D

Aggregate Personal

Check E]

CrediVDebit Card

Amount 0f Purchasts

S tS.ao Method of payment: El Cash Lf Personal

Check E Clredit )ebit

Llard

Aggregate Amount of Purebascs

{i.co i Method ofpayment: Personal

E

Cher;k

[]

CreditiDebit Card

Aggregate Amount of Purchases

S

t

sloo

T-Sl..t Method ofpayment: El-Cash Personal

E

Check

F

CrediUDebit Card

Aggregale Anrount of Purchases

{fo" Cash D

Personal

Check

F

Aggregate

Credit/Debit Card

Amount of Purchases

fr I o"oo

-r Clash

E

Personal

Check

E

Aggregat€

Credit/Debir Card

Amount of Purcheses

$ {o.oa SI-IBTOTAL Section L2-This Pege

TOTAL of additional Section L2

Pages

TOTAL OF ALI- SMALI, PURCTLdSES FROM TAG SALES, AUCTIONS OR OTHER SALES OF DONATED ITEMS

s

ctd

*J{ta,

aa

s:r4l

a

TI. FUNDRAISING E!-ENT ACTIVITY .IAME OF COMMITTEE

.L'rou F5, c;on in(r

-ffi Lz. Froceeds

ljsl \ilne (IndividuulsotYL{) Nme of Puchm Re

Address

I ^

ime

of

Yuv

L+ T
I tofel,

from'Tas SaIe. Auctiori. or Other Sale of Donated Items MI

I k;Z

a"'j irrJ"..rnA Dr.

ItsnsPlrchased .

2r l4A,nttnr )eae

I l-rrsJ

[lJ-lon,

FeT

le tt

Sofl7

fl

aip C'ode

Cie-t.l

Method tif payment: El Cash Personal

iflr*.

a[v2Y

Da{e

Rrceived

ai lzz ln i

Cheok

E

CreditDebit Card

Purchases

Event #

/

tJo.

-€

furchaw I ul

Inlividuali o.\l.V) (srdsltral Stteet Addrcss

I

Firsl

MI

Method of payment: Pcrsonal Clash

E

n

I

ilale

rr)_

Cheok

fl

Credil,/Debh Card

aa

Aggregate Amount of Purchases

Event #

Date Received

Zip Code

Aggregatc Amount of

Itsns Purchased uf Purchmer Llsl Nme tlndiiduals ONLY)

{ue

I Street Addrcss [1ems

MI

First

Method of payment: Cash Personal Check Date Reeived Event #

n

Method ofpayment: personal E Cash

fl

fl

'rty

ttate

lip

Code

ll

Aggregate ClreditrDebit tlard

Amunt of Purchass

Prrchawd

ime

of Purchasm 'lndividusls

Ldt Nilne

Firsl

MJ

D

oNLY)

(€Std$raal

iltr€t

A{rdms

rly

itate

i)ate Reerved

Zip Code

Check

Clredil,/Debit Card

Aggregate Amount of Purchascs

Event #

t@sPuchffid Nme of Purchawr L6t Nane

MI

First

Method ofpayment: Cash Personal

fl

(IndividaflLt ONLV

Rsidmtral Strsct Addrcss

ilate

rfy

lip

E

Dale Re@ived

Code

Clheck

E

flredit/Debil Card

Aggregrte ntmount of Purchases

F,vs)t #

Items Purchared

.Jane of

Fis{

Purchroer -t-trt Nms

MI

'Indiidutls {)NI"I)

Resrdmha.l Street Address

ilate

:lty

lip Code

Method of payment: D Cash El Personal Check Dale Received I Evmt #

I

Method of payment: Personal Cl Cash

F

Credil/Debit Card

Aggregale Amount of Purchases

Items Puchased

'lme of Puchcer 'Indiiduds ONL!) lesidatial

l {s1

Last Nane

Street Address

il

lit]

itate

Zip Code

Date

Recived

Check

Aggregate

Credi/Debit Card

Arnount of Purchases

lEvent #

Items Pufchasd

,lme of Purcharr L6t Nffie Indivitluils QNLY) Residmiial Stret Address

First

Method of payment: E L-ash Personal

I

Itate

li.r-

Zip Cod€

DaJe

Re€ived

Check

lErent

t]

Credit/Debit Card

Aggregate Amount of Purchases

4

Itms Plrrcha€rl

{me

First

of Purcharer Last Nane

Method of payment: E Cash D Personal

'Individutls 0NLf) Ke$dsbal Str€i Address

iity

itate

Zip Code

)ate

Recerved

I

Check E tlreditrDebit

Card

E\ ent #

Aggregate Amount of Purchases

iiems Purehased

SLiBTOTAL Section l-2-This Pege

TOTAL of additional Section L2 Pages TOTAL OF ALL SI,[.{LL PT]RCTLASSS FROM TAG SALES, AUCTIONS OR OTHER SALES OF DONATED ITEMS lF.ntet tntol nn Line l6h of Sumntaw Pape)

#ao" I a:s, & d-: s'

oa

IT. FUNDRAISING EVENT ACTryITY {^Nm

nu.nN^nrrEE ,ft f\}er

&lptt

r

-fi,r,^ lYlcrUr)r

Nme of Donor

An'lo Addr:q

Duqrm*la

5reet

bq ?

",

k4P

r:i n,n n cr ,-_

*J'oo4

;' I

"

,J

tlib'_

State

*rr ; {* ^rfDonor

'?;'{Lz',

Lr

Zip Code

Donation given State

zaiLnd.'q* S-*tf * t J)ann.t ** cS {p"<-o- fn[.r

(-r

DeilllpliDn of doration -.

Name ofDonor

Zip Code

6av

City

YTffTAT. ('ryl

{ i-r? c\o **,,+=

o'""1

Donation Elndividual State

Aggregate value

Dat€ Recerved

Evelt #

:iry

State

Dercriptior ofdonatior

:irr

State

Individual

given

Business Entrry

by: E

State

Degiption of

Evflt

by: fl

Aggregate value for this

I)ate Recsveal

F,vent

given

Dewription ofdonation

by: I

)ate R€cerved

Evmt #

given by:

Description of donation

State

5"Pii.c4-

Fair Market Value ofDonafior

Fair Market Value of Donatior

Fair Market Value of Donatior

Fair Market Velue of l)nnatior

evflt

Business Entity

Aggregate value ior this

Donation City

e*

T)rnct{.'f

#

Zip Code

Nmre of Douor

Streel Address

Business Entity'

Donation fllndividual State

fc)

#

Ltp L:ode

Name ofDouor

lity

Fair Market Value of Donation

Aggregate value for this ev%t

Donation IIndividual lity

f.lr-t1*.

flml

Donation fl

given

Street Address

Business Entir)-

Evot #

Nme of Donor Street Address

Individual

Dale Ke@lveo

Date Received

Dewription ofdonation

by: E

Aggregate value for this

Zip Code

SF-ttcs-

this event

Zrp eode

of Doror

Steet Ad&ess

Business Entify

fu

Donation il given

Nme

by: fl

Zip Code

Nme of Donor

&r^r-{-.$

A

t1r:n l-

tl

Desaiption of donation

Street Address

f2$Jndividual Business Entity

Aosrepate value lbr this evmt

[r

Fair Market Value of Donation

Sa.rio

by: I

given Sireet Address

Y

"9A

/r:e

CI

T),-rc
l'-\ =-d*'tc, !.+l <;? d ( -[ tr]1l-J

\-j

EveDt# -

I

r

Business Entiq

Aggregate value for ihis evmt

0e tJ tE Cerl

Individual

by: tl

glven

L)eknDlron ol donahorr

Name

c1? /er?

La. In-Kind Donations Not Considered Contributions Donation p

JJt,-L., ,,rAs *l-, S{*. -h,"rAr:,'I-,rlv' .{ 1r} t.c o fit* I

Page l0 of 17

trfl IN1lDITF I)ATF

evfll

D Individual

D

Business Entitv

Zrp Code

Aggregate value for this evert

Date Received

Evetrt #

SUBTOTAL Section Ll-This Page TOTAL of additional Section Ln Pages

TO'IAL OF ALL IN-KIND DONATIONS NOT CONSIDERED CONTEEIITI:ONS (Enter total on Ane 21 d

Fair Market Value of Donatior

Fair Market Value of Donation

III.

NONMONETARY RECEIPTS

Page

1l oflT

IILING DI'E DATE

NAME OF COMMITTEE

FJ lr) a"rtTi,lz,crlnrr i'rte, --- G"t.o, ln fT'ldtt sr A{}oci I lo l"i r",a J t) ld In-rina Conjributions **"ftL Fair Market Type ofContributor: Value of this n i la T).a cca**n [l Intlividual rq )tale lp L.ooe Contribution t Committee 'r'-q*"'fi O|het l.lpplicable onlJ to Refetendum Committees) i', z r. ht#.'{+ tr J\r.rb t Ae.rii X ] frs-r?..n Is contributor a lobbyist, spouse, I Yes If cor*ribution is in excess of M00 to a candidate committee ior a chief executive officer of a or dep€ndenr child of a lobbyist?

rhvlcx

p.No

municipality does contributor or business he/she is associated with have a contract wilh said municipality valued at more than $5,000? Yes

#

r

'T).r

,i

spouse, ! fl

ordependentchildofalobbyist?

lofrlcq

Yes

No

flNo

q/"ri;vr

\rr]r

Yes

No

Ag8tregar9

9onnDuilons

TFa?

oo -trair Market

Type ofContributor:

-r|t

l-p l) -

Is'contributor a lobbyist,

a p Ll? '[

A

'T,)I IL'a,o, K^rrtl , itreet Address

-'ff,r#';:;'sf,T. fl

ls this contribution associated uith fundraisingevenl listed in Sectron fyes, lisi Event ,

Jtate

Zrp Code

4"- f!^

-t

[[ ll I

tt

i{

Individual

Value of this

Lommrttee Other (Applicable unly to Referenttum Committex)

Contribution

If cqltribution

is in excess of $400 to a candidate committee for a chief executive officer of a municipalit) does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000?

#

a 'EL Yes Ll? 6 No

DescriDtion of In-Kind Cotrtributiotr

,uzqid,

irr

Nme

-(Lr

{+*d

-&'.*

h3.K). &

P4-a',1 0a,^l--.-

lair Market

Type of Coitributor: -

Is contributor a lobbyist,

spouse, I E

itate

rr)'

f] fl Z

arp Code

Individual

Valne of this

Committee Olhet Upp6cable on\' to Refercndum Commiltees)

Contribution

If{rontribution is in excess of $400 to a candidate committee for a chiefexecutive officer of a municipality, does contributor or business he/she is associated with have a contract with said mwicipality valued at more than $5,000? D Yes No \ggregate Dewriptiou of lu-Kild Contributior ls this contribution associated with a I Yes ftmdraising event listed in Section L1? [ No fl'es, list Evenr #

ordependentchildofalobbyist? )ate Re@ived

Yes

No

fl

Nmc

liarr ,v|arKet

Type ofContributor:

Street Address

:rt]'

Jtate

I E

Zrp Code

I Is contributor a lobbyist,

spouse, n U

Individual Committee Olher (.lpplicable ofrlj to Referendum Committees)

Yes

If contribution

No

EYes

Nme

Individual

ralr vtarKer Value of this

Committee

Contribution

Type ofContributor:

Street Address

li'y*

Is contributor a lobbyist,

spouse, I [

ordependentchildofalobbyist? Date Received

Value of this (-'ontribution

is in excess of M00 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 than $5,000? ENo A ggregate coDtributions Derription of In-Kjnd Contributior Is this contribution associated with a I Yes t'undraising event listed in Section Ll? D No Ifies, list Event #

ordependentchildofalobbyist? )ate Re€ived

a$e*

EYes INo

ls this contribulion assocrated with Iundraising event lrsred m Section ..1J1 f.1'es. Iist hvcnt

Street Address

Q

Yes

No

'tate

I fl I

Zlp Code

C4her (,tpplicable only to Referendam Commiltea)

Ifoontribution is in exoess of$400 to a candidate committee fbr a chiefexecutive oflcer ofa municipality does contributor or business he/she is associated with have a contract rvilh said municipalily valued at more than $5,000? D Yes No

tl

Is this conlribution associated with a

lundraising evenl listed in Section Ll Ifyes.list Event #

?

[] Yes INo

{ggregat€ contnbutroDs

Description of In-Kiud ContributioD

_

SUBTOTAL Section M-This Pase TOTAL of additional Section M Paees

TOTAL OF ALL IN-KIND CONTRIBUTIANS (Enter total on Line

N. Refundable Deposit to Telephone Company Lmt Nme of Individual

First

Residential Streel Address

CF

Nme of telephole Street Add{ess

22 of Summarv Pape)

f

k;r

co

no

I f9?.ar

(NOTE: This section refers only lo ailvances of

deposits hy individuuls from personal funds to benelit lhe committee, not dcposits made bt the committee

M itate

I

I

Dare Deposir Made

Zip Code

company

-:rt)'

{,S9r.

Srate

Ztp Code

Total Section N (Enter total on Line 23 of Summan Pape)

Amount of Deposit

bc.cc

\AMI

*l

IV. EXPENDITURES OF COMMITTEE

AJu,or

?

Page 13

ffi

LIQ

p E'*

ilprfi a-ftqnCi.s St

lluye

i

Yq

!

u\.t L){ .,lc

_:revg ^

Frr

Date of Paymeut

q-

Stafe

&"b.,

9l ,sfq

Zip Code

e-V{tr

frDrv

to Method of Pavment

Elchcck

5

oeurr

('oordrnated with rermbursemenl soughl LJ CoortlinatcJ witiout reimbursemcnt soughl Ll Independent

tr

)ongh

(if applicable)

L-.J

t O ?3 c-a__--

D

tr.r tre trc trn Dn lol;sVt n I

ifi,li* " -t

""

kancis

rurpose ol Experditue

oycoae) t1 pe

Supporria Opposed

AD

s )ats 01 Po-trKnl

" d)t,,h^n *s l+\U

S< F.

0t tbt:

^re (if apptict

of Erpendiru

LJ Coordinated with reimbur 'sement sough Ll Coordinateii rvithout rern bursemenl sor ght lndependenr

)tale

arp

1(azrc1

Lode

O;u tx XU')r1er (aw .frtlq"n I.'J ,^.,. I

Mern0d of payment

Evert #

f]supportE D opposed

Organization (see Inaru :tions)

ne trn 0c Un trs Payrent 12 i;.? Gq .q u u+ l laziq i!. LN ffi.i= f,*{}dz.i Ot Vl& G. w\unpnon 3 '1A ozt'r des)
$

NgpFe

-

Jate ot

State

ftI apptkt LJ Coordinated with rermbur semenl soughl U Coordinated wrthout reim bursement sou ghl

Zip Code

Soughf

(if applieoble)

Bcrrecr

Amount

* 3Jo.u*

#@L

U Debit t'ard

IrYent #

u

I

supp,r.rea Opposed

Organization {see Instrutlions)

trr flc

Un Dn

$

S:;3,T ?asiy^asl+,

'

:s?J{;?;q rurpos ot Exptrditure

si

Expendttute (if applica LJ Coordinated with reimbur rement sought LI Coordinared without relml )urs€ment sou lndependerrt

Organization

ofParre

(see Instru<

5tate

cr.

?ffit*n,.,1; ,. p

,rp

qbvlar

L-ode

aa"vl*

r:l I

..-,-

-..'

-

Method t)f Payment

SSor

pchecr * O?-l I neurt car.t

-)o

-

Evelt #

tl-

I

i

OfficSlSought

(if appticable)

E U

tht

Supported Opposed

tions)

Ar trn; tlc

trn ln

\t- #- f -}tni^:sl-i l$u Nanrg:

ofPalment

Dale

Dntb.r-

'ry*oficer (&' Ai>nl Iype oi

"-BruaA,,,a, tot''"'& tu €-ff IOr

rur!,ose ol L.xpstdrture

s Date

Wtn;+.

Ilpe of Frpndit we tif lppticohte):

LJ ('oordlnaterj with rermbursement sought LJ ('oorrfinated u ilhoul rcimbursen)enl soughl LJ Independent

I

V{ethod ofPayment

hdepndent

tr.1

I I

r?aV: L

Ll Debit Card

sought

(if applicahle)

.4mount

pcnecr # OqS

fl

fl I

b'/ao 'O3

Organization (see Instructions)

sreel ll4trss

E

Amount

EveDt #

Igrc ol Lxpendit urc 0f qpptkobt4.

fl

:J ri

mittee

-uJvv

2 { i::,i,J; 1 '\c

Stre€t,n

(ttl code)

_-_r

of

flt^:,*

State

P"""c!-a-5,8/\ tr r\ a ,K.' (if aFp$cable)

NJLI

Ir+

Zrp ('ode

of Palment

{oliq

loc-rrq

Method of Paynrent

Echeck

oOS''

Ll Dehrt Card

.{p ?ca nct 'lrr-L< tr Soughl

Amount

Sa5?.cp

L'-veDf S

El Supported

ICrpposeri

Organization (see Instructions)

tra Ds Dc trn Dr SUBTOTAL Secrion p-This page

TOTAL of additional Section p papes

J,tf)l J,,

G

,z

f49.V 7

Tn**t-i q q, ?ffe. o?

\AME OF COMMITTE;

Date of Paymeirt

55i2-txpffiditue llt I {.;.r9" '*Y"' A --Sra rul rurpose ot

ol Expcn<jitute

i*

zrp L.Ne

flo.-rs{*rn F;';,. I )o9J

U

)ougi

(if applitahle)

NUJ€

(see

Instructions)

ffi

*0.) Fl\j

Nanmf Pave

z:re zl

$ fate ol l'a)-ntilt

l lzdo?

atp Lode

lStde { )Cartc.e lC,i ot" V l-J ktfier vr;dsd t-r rlr lrs t$.:Sill'(15

D-€-

Me1n0o

Amount

fl

Check * LJ Debit Card

t't.{ t ,oY

;TB

I

5ought

(if applicable)

ol payment

\I-ClLr.'t-^d*l

4Wrrpuoll

nsupportJa

fl

oppose
/ser 'Instruclioas)

trs Dc trn ln

tr,r -_-

M

t*-?r.,'a

jr- L

)ate ot Palment lState

lcr.

lZrp Code

loc v nt 0--"$ *.,1".u|, c.r-e"-..{- fj^ {t

I Fr, rn P

- _.-r-..*..-,'

s

I

##s+ !-.n.,,. Ll

1,

E Supported fl opposed

t

Cnortiinated wirhr )ut reimbursement sou ght Indepenrient

fJ Organization

g

*

.

-

,1r)-

) pe of Expendirure ( Ll C0ordinated wilh relmbu15ement sought

I I

fl* (\ tul ;-l-r Caad el

Amount

Pa)

rupose ol Ex?srdihue

I

E

Check # Debrr

Independent

Organization

tra trn Uc Dn trt ol € -Pa. Pt- O; lt, tot

'llaz@

nu\.

(iJ appticohtc,

LJ ('oordlnaled with reimbursement soughl Ll ('oordrnaleJ withoul reimburscmcnt soughl

fl

Msthod of Pal ment

ues( ,npnon

q fv^tf'ma

of

I talq'ffi

P. Exr rcnsgs Paid by Committee 1t1

13

lFrLrNG Dr.rE pATE

t-{
M pe

page

,

4 Nl€rrl Era\i

T_r

%

EXPENDITTIRES

IV.

%

tv gyp',.uutzt.

Coordinated with reimbuxemenl soughl LJ Cooldinated wrthout reimbursemenl sought Ll Indeprndenr Organization (see Instructions)

Otii€

(if tppEcsble)

l lza(a1

Vethod of Payment

fl

Amount

t3?, c L

Check #

gR"bil,?'%; rtdQ

ccck{ait

ab fl

SouBhl

Suppotrea

D Opposed

I

trA Dr Uc fln Dr

f,, f /v. Ji;fr+LfoY fltn ;n {l-

.)

n.P

rurpow ot Expmditurs

tot*oo

FA)

17

n I

fs'ee

-gaq

il

1f

ot'

D Check # trpeurtqgnr^

Ot,4 oi

G,r r.,l,

t',uWJiIf1

Amounl

4t,.T{

I

Event #

r_8

SouBht

(if applicable)

D Supporred flopposecl

L1\'

L

Oranor

Zip Code

/rJ

(if upplicable)

Method olPayrnent

t61r (og

D

ef. 6eq)-)

l.-r :^.{*-Q cF ( - r ll4SS{ S

Coordinated wrth r elmbursement sought Coor,linated witho :t reimbursemenl soup hr Indepentlent

D Organization

]o[

late of Pawent

0,t

rurpose 01 Expendih(e

llpe of Expnditure

Cr

,rp Code

Method of Payment

ln

trT,

?o '-','*a l< Jns1.r --tr1 'A*+'yPn=+ (b)-6de).FNlD

5tate

raFrcnt

Inslructions)

DB trC

Nmg of Par're

U D

Ansort io

Coordinated with 'eimbursement soughl Coordinared wirh( ut reimbursement sou ht Independent

D Organization

*Lzf

'fdlbr *F,'-

r{-

Tlpe of Expenclture c

E

$ Jale 01

r\ tol t ICQ
Amount

tg'rl.l

Clheck #

€?ibJf^19^."d I

t

bve0t #

.fA fl

Supported

flopposed

(see lnstructions)

trl Ds Dc Do t

E

SIIBTOTAL Section p-This page

fOTAL

of additional Section p pases

-I-crtqL

.t

L. z9 Z:

G-g. d)

q,g g,z o?

ry.

EXPENDITURES

A ilsr-r) -i1p*,',

{t rt"r

.J

A? rJ

J- ti+ r r

-#i'r lThu.ra .a./}r:f} I

E

trs€-

'fr Viru I

1/v rhYu . .t

ofExpoditure

rbr

r

Foc o { FrvD

cude)

\ne ot'\'endor

Vrc Steet

i r t y-vr-

vY:-

Address

55

O

n

Li.rn fi 0

z Pl; {. k)" i,c

t

Pupose ofExpenditure

(brcode) Nac.pt

p|'

-5 iG hJ

'Vant-u

l.'\,r?

<,5e<-'l-c'r t oli

Zip Code

State

Tixx' 1"ta9

-.'

z

_it

I'arnrl:l< n l^'rr')r-r {.

lc,.rr

l laslrn

St,:-3i

O

\ f aCc l

9lze(ar

Crtrr

ifu,.o
Zip Code

State

f )-"', ..* ?} )e$nprion \)

::' t4^t".{#,+ (bycode) FN) DA

J?

a L41'1 aag-4<;t Pa,k l,:ltlcci .c,n.{.',i !€J

C:t

G

* L.{Ad&€rB

S.rPer

l4i

I

Vot-l

kef"

g State

\1.

l"!L"lr',

Fo.lD / mgDP

lip Code

P"i ht^Ut'>, CC<-?{_a', I pQ,fky 9.t9frlies f+r- tc:l tlaq -h,^r4roiLr [*".',n l^

Descriprion

NgnegfVmdor

Qo( r?L;r. 5FPupose of Expaditure

ftycode)

pAJD/L

'4,"1< nAi c: )e$npbon 4r> [b= ;ca- G

ffi , {o.- lR P n.}a ts to + D..n&"..o fu.+ Rl h*

)tale

Purpose ofExpaditure

Ov"o0")

FN Dpl

Oa Vor Cockh,lfl
Purpose of Expotrditue (by code)

State

r,*-u " 0^

}-en+^ t cf q laS5es

(;

0LLl-11

lc{r(OiCe<_{c{art -H-r S*in{ra , !;a,

State

Purpose ofExpendihue (by code)

|

,lctt

ta

euentS<8 Amount

{

+"3r

Amounl

#

Date of Tr@saetion

)e$nptrou

g

ru""t#afu6

EYilt

State

q8

4ip Code

)esnptran

City

zcl, t"z

Amount

Date ofTransactior

City

Amount

e"""t#.)-6

ta(1(
Zip Code

Nme of Vmdo1

Street Address

\

Date of Trmsaction

Nme of Vendor

Street Ad&ess

Tmsactio[

lao{ot

1a

rrp Code

r ral,ioq?;,ffi*,'."t

Street Addrels

Dercription

2 (5

Date of Trilsaction

c LL S* C*r rvtc-- , .t Add{ejls r

1l

Evilt#

Date of

1

Purpose of Expmditrue

rbrcode)

r?1er-

$q r "cr

.

Ijgs\ofVmdor

Sheet

a

Event #

C;.1 .r.

I

Pupose of EXgflditure

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Page 15 of 17

]II,INGDIIE DATE

IAME OF COMMITTRF,

Amount

lip Code

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SUBTOTAL Section R-This Page

TOTAL of additional Section RPages TOTAI, OF' AI,I, RXPRNSRS INCI]RRED ON COMMITTEE CREDTT CAFjD (Enter total on Line 27 of SummArv PaSE)

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SUBTOTAL Section T-This Pase

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TOTAL of additional Section T Pages TOTAL OF ALL REIMBI]RSEMENTS TO COMMITTEE WORKERS AND CONSIJLTANTS

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