Keep Oxford Green

SEEC FORM 20 Itemized Campaign Finance Discloslre Sfatement COiii{iCTiCi'T STATE ELECTIONS EI\T.ORCI,MEN'I' COMSTISSION Rev. l/0E

I of17

SUMMARY PAGE 1.

NAME OF COIr{ltdIITEE

Fc.d G.a-qr\

e C h 2. TREASIJRER NAME fitlo First

Tr *n:.u't-Q-{

L6t

*-I-c"*-""**

Sufrx

C c."r J-\d

G,

3. TREAS{-IRERADDRESS

.\f 4.

ELECTION/REFERENDU]VI DATE

(mm/dcvyyyy)

7.

Ciw

Go*+--.tor5 \\)f tKd

.\)

h Lo .d

5. OFFICE SOUGHT (Comolzte onlv if Candidate Comineel

State

'o"tL

CT

6. DISTRICTNUMBER

\)I

It-3--c9

CANDIDATI, NAJvIE (Complete only if Curdidde or Exploraton Committee) First

Ltrl

MI

iuffx

8. TYPF OF RFpORT {Check One Box)

D

tr

7th day preceding primary

D

7th day preceding referendum

D April l0 fiiing

tr

30 days fbllowing primary

E

45 days following referendum

D

tr

7th day preceding election

I

Deficit

D

12th day preceding election

D Termination

January l0 filing

tr

Initial Contribution or Disbursement (PACs ONLI)

July l0 filing

BOctober

10

filing

I

Amendment to

g-l

(State Centrol Committea Only)

E

9.

Independent Expenditure EElection

Eltimary

'tr

Type ofReport:

^^r-c-.i -\

tr 45 days following election not held in November

PERIOD COVERED \ri

Beginning Date

Ending Date

_

5} \'t

C8 -a^L-

(3

IN

9

thru \e*C8"-*1

,.! ,'*;

' -

v

_ c? *J

!..

<*) r r- \ =i-'':- -13 *'3i (-\ i",. =

t,:"

gr

-f

'R,PTTr'l.-ATIrlN

I hereby certiry 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.

{*'.^-...* C C+c; \* TREASIJR,ER OR

DEPUry TREASURER (SIGNATURE)

PRINT NAME OF SIGNER

to-r:* aca) DATE (mm/dd/yyn')

PENALTY FOR FAISE STATEMENT IS PANISHABLE BY FINE NOT TO EXCEED il,OOO, OR IMPNSONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.

J

el5

SEEC FORM 20 Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENT'ORCEMENT COMMISSION Rev, l/0{l

TOTALS \IAME OF COMMITTEE

FILING DIIF. DATE

(*V tFrTtag 6z,w

I

UOLUMN A

COLT/MN B

This Period

Agsresate

g

1. Balance on hand January I of current year for ongoing and party committees oR Balance on hand from day Committee was formed for all other committees

3. Contributions received &om Individuals {sections A

14. Receipts from Other Committees (Sections

Cl

g

d

12. Balqnce on hand at the beeinnins of Reportins period i

f,

laf

and B)

7"

>'

)

raJ /.J*J

anrl C2\

15. Other Monetary Receipts (Sections D-K)

16a Total small Food and l6b. Total

Beverage Receipts at Fair (section

Ll)

Town committery

oNLy

Pmceeds from Small hrchases at Tag Sales, Auctions or Other Sales (Section L2)

Municipal and Town

16c. Total Purchases of Advertisine in

!7. Total Monetary Receipts

a

Prosam Book (section

|.3\ Comixees ONLY

(add totals for lines l3-16c)

18. Subtotals (add totals in line 12 + line l7 ilr column A; and

L.l

line I I +

17 in

column B)

to

3,!{,{3

)vq,f3

19. Expenses Paid by Committee (Section P) 20. Balance on hand at slose ofReporting Period (Subtnact lirre I 9 from line 18 in both Columns)

8Yc. s t

to37

r7

Jyvl: fYO,

aJ

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

M)

t) 36

t),f d

23, Refundable Deposit to Teiephone Company (Section N)

24. Receipts oforganization Expenditures (Section O) 25. Beginning Loan Balance

-25L +

Loans Received (Section D)

25b.

i

Interest and Penalties on Loan

25c.

-

Payments on Loan

25d. Total Outttanding Loan Amount 26. Campaign Expenses Paid by Candidae (Section Q) 27, Expenses Incurred on Committee Credit

Cad (Section R)

28. Expenses lncurred bv Committee Durins this Period but Not Paid (section S) 28a. Total Outstanding Expenses Incuned by Committee still Unpaid (Section S)

J ci')

I. MONETARY RECEIPTS Section B. Additional Pase

a Jt'{a4} B.

Lst Nme'

rltst

{'4L'on t>Z

MI

F

Personal

Check

E

!D

(r-

LOqE

branchorbranches the contract is with: E Executive E

Ifyes,ndicatctvhich

F*o

of govemment

I

Payroll Deduction

E

M

//Q4'1

t)

1tD

Lme

tF

c$v

L/

Yes

El

No

E

Credit/Oebit Card

a

D

l-l

?

Yes

fyes,

D Yes 6No I

?

COdE

06?

tf

indicate which branch or

D

I

payroll Deduction

Et\

, .-

E

M]

*4n

Method of conu-rbution

{tasfr I

Personal

Yes

fftqo 1

Amount of Contribution

rbc*rrf

oAfrta

,/4.(

(6 yctvc'€"

I

''ry

Payroll Deduction

iw ,fi/:dt,)

D

? "r

Money Order MI

Lr

rI&e

contractor? E

t - o1

fi

Yes

No

Aggregate ontrrbutlons

t3 t.f

3

Priacipa.l Oeupation

ap Lqoe

Amount of Contribution

**w*{7e

o6t hl^

Nme of bmployer

If contribution

is in excess of $400 to a candidate committee lor a ch ief executive otlcer of a municipality does confibutor or business he/she is associated with have a contract with said municipality valued at more than $5,000? fl Yes EL4(o

Yes

Is contributor a principal of a stae contractor or prospective state contactor? fyes, indicate which branch or of govemment the contract is El Executive El Legislative

Yes

ENo

branches with: uale Keceiveo

CrediriDebit Card

E

Payroll Deduction

D

Money Order

l7:.f e

E

Ifyes,indicatnwhichbranchorbranches ofgovernmenttie contract is with: E Executive D Legislative

Fuo

E

contractor? E

/t2..t

Nme of EmDlover

Code

:

Check

ttz.il

Aggregale @ambunons

Is contributor a principal of a state contractor or prospective state

@No

fl

Amount of Contribution

(f

*l*t'f

1

p/Z<:s

L lp

tt*r

Principal Ocqupation

$5,000?

Yes

uftittil /sttt ?

t

fl Yes ffno

7-

Money Order

;tate

ll,q &eJ

ls this confrbution associated with a tundraising event listed in Section L1 fyes. list Event #


a candidate committee for a chiefexecutive oflicer ola municipality does contributor or business hdshe is associated;urlth have a contract wrth said municipaliry valued at more than Yes 4J'No

slsenua Dreet Addrss

D

Yo.

Ifcontribution is in excess of$400 to

Credit/Debit Card

Is contributor a lobbyisg spouse, or dependent chiid oia lobbyist?

No

fr;#A 4,:*$

branches

Method of contribution:

Check

Yes

AggtEgare conmouuoas

ofgovemmentthecontractiswith: EExecutive ELegislative

jrty

Is this contribution associated with a fundraising event listed in Section LI fyes, list Event #

D

CT

n

ls contributor a principal of a state contractor or prospective state

G2lo

raAu trt Residenhll Stiret Add6s

)36

EFNo

S'C*(art Ct,a*s"t/<-

municipalityvaluedatmorethan$5,000?

Credit/Debit Card

Is contributor a lobbyist, spousq or dependent child ofa lobbyisfl

V& oc

Ifcontribution is in excess of$400 ro a candidate committee for a chiefexecutive officer ofa municipality does contributor or business hey'she is associated with have a conFact with said

LtrtNarc

Personal

E Yes

Pdncipal Oeupation

(;

itate

l*j'ta

spouse, E Yes lobbyisfr rEF, No

Is rhis contrrburion associated wrth fundraising event listed in Section Ll fyes, list Event #

Amornt of

fltTrt? 6)

fi7-ar-o9

Money Order MI

an)

Is contributor a lobbyis! or dependentchild ofa

Method ofconFibution: D Cash El Penonal Check

I

El Payrotl Deducrion

THatY* .d

s

or rsrploye!

contactor? E lfi branchorbranches the contract is with: E Executive D Legislative

First

f*,{utn "I7 ff i:ffio'r,t/,,

EI

Nmc

Date Reeived

Check

's

fyes, indicatewhich of govemment

Last Nilne

I Casir

Jrsa.

Is contributor a principal of a state contractor or prospective state

Method of contribution: Personal

sntnbltrons

Princiiral Ocupatiou

municipalityvaluedatmorethan$5,000?

EFCash El

Aggregate

a chief executive officer of a municipality does contributor or business he./she is associated with have a contract with said

No

fl

Legislative

If contribution is in sxc€ss of M00 to a candidate committee for

Yes

Is this contribution associated wirh a ilmdraising event listed in Section L1? fyes, list Event #

Yes

.E} No

Contribstion lutre

-lry

fl El

ts";.aa

contactor? fl

P"/J*re

Money Order

6Wt

Is contributor a iobbyist, spouse or dependent child ofa lobbyisd

ur guPloyq

7DLrr'v tj/-l o'i/4€CI

Is contributor a principal of a state contractor or prospective state

Credit/Oebrt Card

Dr*

r9

Mffi

ur excess of$400 to a candidate commiEee for a chiefexecutive ofFccr ofa muaicipality does contributor or business he/she is associated wtrg have a contract with said municipality valued at more than $5,000? E Yes ffXo

Yes

' C1

Ani6unt of Contribution

Ifconribution is

L6tNme

4n*4Kt 'YT*fr;;;"

| 11

Principal Occrpation

Method of contribution:

D Castr

.-

/r't

{eTrfe,B.F7

trae

E

#_

rNrlnlTF DATF

Itemized Contributions from Individuals

u {/Atu)

I Yes pto

Is this contribution associated with a fundraisrng event listod in Section Ll? Ifyes,list Event

Fn

/*n-v

Tecfr fS*e,r; Q a+D

ls contributcr a lobbyis! spouse, or dependent child oia lobbyist?

fi$r;>>t,/

7-)z e1

E f,l

fao";' Yes

No

Aggrcgarc conmDuuors

fca

,

sl

SIJBTOTAL Section B-This Paee

Page i

1 ,3f

t.f J

ot I

) ndj

III.

NONMONETARY RECEIPTS Section M. Additional Pase

:'&f "Yt4rers GFrVzj Nme

M. In-Kind Contributions

Ti:rL* ftas{&-ft /

/6

Tlpe of Conmbutor:

-'",lyr1l*S

64.*zu Ge.qr( Eun spouse. E lobbyisr? &

Is contributor a iobbyist, or dependent chilci ofa Date Received

Lt

Zip Code

.t6Y

Committee Other lapptcable only to Refuudum

If conurbution is in excess of$400 ro a ca,rdidate committee for a chief executive officer ofa municipalif

Contribution

Comittu)

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

E Ycs dxo

a D Ll? 6

Yes

Description of In-Kiad Contribution

lity

spouse, D lobbyisr? D

is conrributor a lobbyist" or dependent chiid ofa Date RecciYed

Yes Uo

5tde

n.f 6

I I j

4!p Codo

Fair Market

Individual

Value of thiS

Committee Other (Applicoble only to Refoendum Committeu)

ContributioD

Ifcontribution is in excess of$400 to a candidate committee fbr a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract lvith said municipality r,alued at more than $5,000? Yes No

fl

Is this contribution associated with a fundraising event listed in Section Ll? {r,yes. Iist Event #

E

Yes

I

Description olln-Kind Contributioa

Aggrcgate contnbudons

ENo

Narne

rarr &larKeI Value ofthis

Type ofContributor:

Strcct,-\ddress

5t8te

-rty

spousc, D lobbyist? D

is contributor a lobbyist. or dependent child ofa

Yes No

Zip Code

Committee Orher (Appliubte onl! to Refsudum Committbu)

Sircct Addr..-ss

rl)'

Yes

Descriprion of hr-Kind Contribution

yes

Aggregate contn bunons

No

Jtate

Zip Code

Fair Market

Type of Contributor: tndividual Committee

D I n

Value of this

Contribution

Orher (Applicoble only to Reftendum Conmitteu)

lfcontribution

rs in excess of$400 to a candidate committee for a chielexecutive otTicerofa municipaiity does contibutor or businels hdshe is associated with have a contract fith said municipaliry valued at more than $5,000'l ENo tggrcgoto Dcciption of In-Kind Contribution ls this contributron associatcd with a D yes lundraising evcnt lisred in Section Ll? E No

lleccivcd

f,les, list [vent

No

DYes

c

#

Nanrc

r urr ytarKet Value of this

Type of Contributor: Addrcss

-:rty

spouso. D Ycs lobbyist? D lo

Is contributor a lobbyist, or dependent child of'a Datc ltcccivcrl

iiate

Zip Code

Individual

yes

Dccription of In-Kind Contribution

Aggregtre conmDunons

No

lsr f fflarRet Value of this

Type ofContributor: itate

-rry

Is contributor a lobbyist. spouse. or dependent child ofa iobb.vtst?

E Yes Duo

n

Committee Other (Appliuble ohlt to Refoudunt Commiueq)

EYes

a D Ll? D

Natne

Datc Rcceived

I D ]

If contribution is in excess of $400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he./she is associated with have a sontract with said municipality valued at more than $i.000? ENo

ls thrs conrnbution assocjated with I'undraising event listed in Section f-r''es, list Event #

Street Address

Contribution

D Yes

ll I l' ff

Nlrnc

spousc. D !

Individual

is in excess of $400 to a candidate committee for a ciliefexecutive officer ofa municipality.', does contributor or business he/she is associated with have a contract with said municrpality valued at more than $5,000? ENo

ls this cnnliihirlion :Lcsociaied rvith lundtulilng ovsnl. lisl.cd in S;clruri L ,fyas, list Event #

ls contributor a lobbyisr, or dcpendent child ol'a lobbyist'.,

I fl J

lfcontribution

c

Dalo Rcccivsd

-:

n36

Agregate contributions

tottj f rrt-

No

Type of Contr-rburor:

Strcel Address

itlccl

Value of this

b{o

Nme

Dare

),{

Fair Market

,

Individual'

Yes

Is this contribution associated wrth fundraising event listed in Section f_res, list Event #

f -)l-'t'j

)IAT9

ff I j

Zip Code

[ I

n

.individual

Contribution

Comminee

If contribution is in excess of $400 to a candidate committee for a chiefexecutive officer ofa municipality does confibutor or business hdshe is associated with have a conEact with said municipality valued at more than $5,000? DNo

EYes

a

ls thrs contribunon assocrated with tundraising event listed in Section L1? I/,!,es. list Evenr #

E [J

yes

Description of In-Kind Conrribution

A€eEgate contributions

No

SUBTOTAL Section M-This Page

II Page \

t7. t

of

I

Lj!

i1

llt

,'

\

ry.

Page 13 of 17

P. Expenses Paid by Committee

'l',t*+Y - //he/V /t- ( "o""'^T'i )^ &47 {ltafiqna 4t.,\ Nrc

EXPENDMI]RES

ofPave

o.'"*)A-5iqO

EffiDUON

{|frt,

D

.

Coordinated without reimbursement iought lndependent

D

Organization

aG6r ?

EVMI F

ai}/,v(

5

1t2.,.:

Supporea

j

Opposed

Instrudions)

ry@

JaF

7'tl-",

te

A".vlsrJ tA.

rKus{

S'rQfi

rype ot Expendttue (if dPptbabte): Ll Coordinated with reimbursement sought E Coordinated without reimbursement sought

Mernoo or rayment

Ol -rayment

C7 '',ff'r ur

fy

ltt na*p|7 A^

E E

Office Sougbt

nl fln trc trD trE A /A^:u f ftturve s r^/ (

(byode)

Amoutrt

)ff 7 "r/ _4, trneUtCfr'-

Sfate

('7*

Method ofPayment

ggt',nva

Ce&drate(s) Nme (tf applicable)

Iype of Expendirure (if aplriubrz): | ,l Coordinated wrth reunbursement sought

(see

)atc of Paymat

Amount

5lcheck# l7e

l7z,

D nebit caro

t-.n

Evat#

Cedidateis) Nffi (tfappltcable)

Offre

Esupported

Sought

EOpposed

El Independent

E

Organization (see Instrudtons)

tls trc trn

tr,1

Ee

Nme of Paye

)ate ofPayErat

Strcet Ad&ess

Clty

rurPos€ or ExPonolure codc)

Dgscnptron

State

Method ofPayment

Amount

E Check #E Debit Card

Zip Codo

Event #

1Uy

Iype of Expenditure (if

Cildidate(s) Nme

appt icabte):

E E

Coordinated with reimbursement soughr Coordinated without reimbursement iought Independent

E

Organization

E

Nme ot Paye Street

(see

E

Sought

Supported

D Opposed

Instrudions)

tra trR nc nD nr'

S -)ate

Ad&s

r ur Pose ur (by code)

Offie

(tf applicable)

itate

-try

of Pawent

Meilrod ot Paymgnt

E

Zip Code

n

lxp@otMe

Amount

Check # Debit

cara-

EYmt #

Type of Expenditure (if oryticabte): LI Coordinated with reimbursement soughr E Coordinated widrout reimbursement Jought Independent

Uildtdate(s) Nffi (dapplimbla)

Office Sought

E

Supported

D

Opposeo

fl

D

Organization (see Instructions)

Nrc ofPaye

tra DB Dc trD [E )ate of PalmeDt

ib€et Address

City

itate

Method of Payment

n

Zlp Uode

E fufpose ot l,xpendtue 'by code)

)6criptioo

If

pe of Expendirwe (iJapptiuble): l=l Coordinated wtth reimbursemenr sought D Coordinated wi$out reimbursement sought Independent

Cmdidate(s) Nme

check

Amounl

#_

Debit Card

Ev€ut #

Ofre

Sought

ESupported

{iftpplicable)

Eopposed

fl

E

Organuatron {see InstTudions)

trI

DB

trc

ND f]E

s

SUBTOTAL Section P-This Page

TOTAI

of additional Section P Paees

TOT.{L OF ALL EXPENSES PAID BY COMMITTEE (Entet total on Line 19 of Summary

Page)

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i