Oxford Dtc

SEEC FORM 20 Itemized Campaign Finance Disclosure Ststement CONNECTICUT STATE ELECTIONS ENTORCEMENT COMMISSION Rev. l/08

SUMMARY PAGE I.NAME Otr'COMIYtrTTES

lOxtorU Democratic Town Committee 2. TRICASIIPNN NA1tllN

Fint

Mr

]ufrx

I-an

c

John

Rogers

3. TREASURERAI}DNNSS

Sh€t Add$s

ZTPLre

Stalc

95 Good Hill Rd

Oxford

d ELNCfiON/f,ET'EREI{DI'M DATE

06478

CT 6. DISTRICTNUMBUN

5, O!'FICE SOUGrVI (Cottiolctc onlv tfCanifrddc C*tttniltectr

t8.J-ir

(mn/ddlylyy)

7.

CANDIDATI N]IME {Cuwlele only ilCan&Me ot E#lordom Conadtee}

fitle

Fird

last

MI

tuffix

f, TI|DT fln ttF.DfrllT a(-hrlr flnr Dr*r

1l

l0

January

filing

f

7th day preceding

primary f'

7th day preceding

referendum f:t Initial Contribution (PACs

3f April l0 Fi July l0

I

filine

filing

October

l0

filing

s'l 30 days following

primary

r

7th day preceding

election f Deficit

ii

l2th day preceding (State Centrrl

!:. IndeDendent Exoenditure -"'t=a-riiion

;r #;;"'

9-

i

election

Cmnilta

t-. 45 days following

referendum

il

or Disbursement

oNLf)

Amendmat io Type of Report:

{", Termination

Only)

45 davs. following election not held in November

i ca

Pfxrrllt a.}vT,r*1rl Beginning Date

r-0

Ending Date

oTtoltozoo

thru

09/30/2009

rll a-r.DTrff(.rTrrlN

L*

I hereby certiff and state, under penalties of false statement, that all of the information set forth on this ltemircd Campeip Finance Disclosure Stetemcnt for the period covered i$ true, accurate and complete.

John G Rogers PRINTNAME OF SIGNER

PENAITY FOR FAI:E STATEMENT IS PAMSIIABLE BY FITVE NOI TO EXCEED il,(W, ORIMPRISONMENT FORNOTMONE THANONE YEAR. OR BOTE

10t13t2009 DATE (mn/dd/yyly)

SEEC FORM 20 Itemized Campeign Finrnce Disclosure Statement

TOTALS NAME OF CQMb,IIITEF,

FILINGDTIEDATE. 10113/2009

COLUMN A

Oxford Democratic Town Committee

ll.

Tlriq Perind

Balance on hand January I of current year for Ongoing and Par1y Committees OR Balance on hand tom day Committee was formed for all other committees

COLUMN B Assresate $14,042.58

$14,745.18

12. Balance on hand at the besinnine ofReportine Period

$3,57s.00

$4,457.00

$0.00

$0.00

$22.00

$80.00

$0.00

$0.00

$0.00

s0.00

$1,330.00

$1,410.00

94,927,00

$5,947.00

18. Subtotals (add totals in line 12 + line 17 in Column A; and in line I I + l7 in Column B)

$19,672.18

$19,989.58

19. Expenses Paid by Committee (Section P)

$1

13. Contributions received from Individuals (sections A and B) 14. Receipts from Other Committees (Sections Cl and C2) 15. Other Monetary Receipts (Sections D-K)

l6a. Total Small Food

and Beverage Receipts at Fair (Section

Ll)

Town Committeq ONLY

l6b.

Total Proceeds fiom Small Purchases at Tag Sales, Auctions or Other Sales (Section L2)

l6c.

Total Purchases of Advertisine in

Municipal and Tottn a

Proeram Book (section

L3\ Committea ONLY

17. Total Monetary Receipts (add totals for lines l3-l6c)

'1

,469.1

1

$11,786.51

$8,203.07

$8,203.07

$0.00

$o.oo

$526,2s

$616.25

$0.00

$0.00

24. Receipts of Organization Expenditures (Section O)

$0.00

$0.00

25. Beginning Loan Balance

$0.00

$0.00

$0.00

$0.00

20. Balance on hand at close of Reporting Period lSubtract line

19 from line I 8 in both Columns)

21. In-Kind Donations not Considered Contributions Received (Section L4) 22. In-Kind Contributions Received (Section

M)

23. Refundable Deposit to Telephone Company (Section

N)

25a

*

I^"." Received (sectinn

25b.

*

Interest and Penalties on Loan

$0.00

$0.00

25c.

-

Payments on l,oan

$o.oo

$0.00

25d. Total Outstandine Loan Amount

$0.00

$0.00

26. Campaign Expenses Paid by Candidate (Section Q)

$0.00

$0.00

27. Expenses Incurred on Commitlee Credit Card (Section R)

$0.00

$0.00

T)\

28. Expenses Incurred by Committee Durine this Period but Not Paid (Section S) 28a.Toleit Ourstanciing Expenses incuned by Committee stiii Unpaid (Section S)

$0.00 !*n nn

MONETARY RECEIPTS {Sections A-K) IAME OF COMh/IITTEE Oxford Democratc Town Committee

A; 'lotal

't0/13/2009

eoEtrtbution$ from Small Contrib'utorr-Received thl$ Period

{Sae ins'rtetidfts far dcftttt

Paqc 3 of 17

N-INGDIIEDAT.E

iat of *tull Crmtibii*l

ONLF

Sfilitiit*rtiirfiit;

,

0.00

s

B. Last

NmE

MI

Rzeszutek 197 Riggs Street

Oxford

(. .r

Is contributor a lobbyist, spouse, or dependent child ofa lobbyisf

a

Is this contribution associated with

fj'

5

i

Payroll Deduction

f,

fil l

Is conributor a lobbyist, spouse or dependent chilO o:t u foUUvisfi

.

Is this contribution associated with a

fundraising event listed in Section I/ycs, list Event #

Ll?

Principal Ocouptim

llp Uo(F

,

CT

06478

Self

branches with: fl

tto

Guillet

4ip Codc

CT

06478

Yes

If contribution

No

municiFliry

Method of contribution: i:i Cash !i, Personal Check

is in excess of $400 to a candidate committee for a chief executive officer of a does contributor or business he/she is associaM with have a confract with said valued at more than $5,@0? uo

f. Yes fi

branches with: fr

wo

CrediVDebit Card f

f'l

Payroll

Muction i*

Money Order

rsl

Mover

Aggrcgil9 cmmoE@s

tullc

336 Forbes Ave

New Haven

spouse,

ordependentchildofalobbyisfl

Is this contribution associated with a fundraising event listed in Section Ll? IJyes,lisl Evant

0M78

Contributior

lNffiorBmproyq

Self

excess of$400 to a candidale committee for a chiefexecutive offrcer ofa municipality does confributor or business he/she is associated with have a oonfract with said municipality valued at more than $5,000? ila No

No

fl Yes

Is contributor a principal ofa state contractor or prospective state confactof !i"l Yes IDa, indicate which branch or branches fr No of govemment the contract is with: f Executive i-: Legislative

t-*l Yes

f-:

Tifle Searecher

,rpl.ffi

$500.00

Amunt ol

Ifcontribution is in

?31 Yes

itl

ct

$500.00

Principal OcorJntim

c

James

Method of contribution: Casn nii Personal Check

f,

0812112009

MI

wgAffiss

#_

ot Emproy€f

Town of Oxford

DAte Kecaved

f:

Contribution

ls conhibutor a principal ofa state contlactor or prospective state contractor? 'Cr Yes I/yar, indicate which branch or {--1 No of government the contract is Executive Legislatiue

Yes

LNtNme

Is contributor a lobbyis!

Narne

$25.00

Amunt of

Pnicipal Ocmpstion

Jlale

Oxford

municiplity

$25.00

Tax Collector

nuu Duq^{rest

PO Box 492

fl

08/1 1/2009

MI

Karen

#_

fi fii

Is contributor a principal ofa state confactor or prosp€ctiv€ state contractor? Yes No fycs, indicate which branch or of govemment the contract is Executive Legislative Aggrcgate cmtnbutims Datc Recoived

Yes

First

lfi ii,

of

Contribution

rmPo)

itate

or

$500.00 Amount

Lawyer

Check i-- CreOiVneUit Card .{, Payroll Deduction 1] Money Order

Is this contribution associated with a fi.rndraising event listed in Section Ll? If ya,list Event

$500,00

is in excess of$400 to a candidate committee lor a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said lli Yes i4 No municipality valued at more than $5,000?

LSINM

Is contributor a lobbyist, spouse or dependent chilO oiu iotityistf

{i

Ifcontribution

Yes No

e fi

il

07t28t2009

MI

Method of contribution: Personal

t.mployd

Ol

Memry Corp

Errol Oxford

Casn C:

NU?

Money Order

Firsi

Skyers (6dslnal street Addffis

f.

06478

branches with: f,

Credit/Debit Card

LstNm

rgrg@ua

,rp L4oe

CT

Is contributor a princigal of a state contsctor or prospective state contractoil Yes I/ycs, indicate which branch or lt$ No of govemment the conmd is Executive Legislative Ag8rc8ate FnttrDutlms Date R€caiYed

Yes

lundraisingeventlistedinSectionLl? ?il No fyes, list Event # Method of contribution: 1-: Cash i.i, Personal Check

itale

Contribution

If contribution is in excess ol $400 to a candidate commitee for a chief executive olficer of a municipality does contributor or business helshe is associated with have a contract with said l*i Yes f No municipality valued at more than $5,000?

Yes

l\o

i'.

Armunt of

Logistics

(e$qflllil5rc4ffi8

E:

Prircipal 0ccupatioq

Robert

No

Dale

f-' Credi@ebir Card

{l

Payroll

Muction C

Money Order

Reived

Aggreg4e

08/31/2009

$100.00

$100.00

SUBTOTAL Section BThis Pagr

$1,125,00

TOT.{L of sdditlonel Section B Pagos

$2,450.00

TOTAL OF ALL CONTRIBUTIONS FROM INIIIVIDUALS (scctions A &Bl Entet tatot

u

Linc 13 oisutnmrv Paee)

$3,575.00

I- MONETARY RECEIPTS

/Secfions

A-l(l

Pase 3 of 1?

in IN{:l}lIF naTte:

{AM$- OF 'OMMfTTF--E

Oxford Democratic Town Committee

A.

10113t2009

fo-tll Contributioru fnom Smrll ContributotpRcceived this Period ONIiY " lsee hutruoians fa defrnition otsmall Coftribr&oil Subtotel ScctiriE I $ R- Ifentizerl f-nnfrihufinnq frarn fndivldrrole FiEl

Iast Nmle

Drayton-Rooers {esdmtisl

Street

MI

Oxford '.i; Yes lg;.

ls this contribution associated with a fundraising event listed in Section Ll? fyes, list Evant # Method ol contribution: C Castr :!: Personal Check

i*' Yes

with:

f

fi

CrediVDebit Card

Payroll Deduction C: Money Order

I

John

I

Oxford

spouse, fl

ordependentchildofalobbyist?

{l

ls this contribution associated with a frmdraising event listed in Section Ll? I/yas, list Event # Method of contribution: Personal

Check

l,

No

C Yes frNo f]

Payrolt Deduction

fyes,

:rp

CT

06484

Iist Event #

Method of contribution:

i1'Cash Fl

Personal

fw

or EmPrqyr

Self

branches oigovernmentthecontractiswith: fi Executive ^I/yer, indicate *trich branch or

fi

Payroll Deduction

i'

Rffiived

Money Order

CT

il

Yes

i..f,;

No

f,Legislative Aggrcgate

cmtnbutrus

$1,000.00

Retired

'lPeo(F

$1,000.00 Amolnt of

Prircipal Occupatim

CT itdc

contractor?

09/09t2009

MI

Oxford

Contribution

lNreortmProycr

06478

is in excesr of$,10O to a candidate committee for a chiefexecutive ofTicer ofr municipality does contibutor or business he/she is associated with have a contract witi said {', Yes l$i No municipality valued at more than $5,@0?

Ifcontribution

Yes

No

ril

of

Contribntion

ts contribuior a principel of a state contractor or prospective state

A@e33

r;

Amonnt

Builder

Lre

rlalc

$500.00

lYes

10 High Ridge Road

Is this conbibution associated with a fundraising event listed in Section Ll?

$500.00

Principal Ocopatim

D

James

f'

Aggrcgaemrwtr63

09/08/2009

m

'{*' Yes S' No

CrediVDebit Card

spous€, f;"

Legislative

is in excess of$400 to a candidate committee for a chiefexecutive officer ofa municipaliS does conEibutor or business he/she is associated with have B contract with said municipality valued at more than $5,00O? CNo

No

Murphy

a lobbyist,

l*l Executive f.

Drte Recsiv€d

'ft Money Order

Ftrst

ordependentchildofalobbyist?

el Yes {r'No

state contractror or prosp€ctive state con$actor?

Date

f:

Amount of Contribution

Ifcontribution

Yes

-stNam

confibutor

ofa

with:

Shelton

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

$s00.00

Nffioi.hryloys

06478

indicate which branch or branches ofgovernment the conuact is

98 Blue Berry Lane

fi

$572.00

Retired

llpLre

fyes,

CrediVOebit Card

spouse, f.i

c6mD$lms

Principal Occupatio

c

CT

Is contributor a principal

nus)u@4rc5

(wodEil srg

MI

Anthony

Melhod of contribution: fi Cash !?, personat Check

f;

Ag8regalc

Yes

lS, No

09/04/2009

rl{t€

Firsl

ordependentchildofalobbyist?

fr

Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive ofTicer ofa municipality does contributor or business he/she is associated with have a contract with said ilii Yes iir No municipality valued at more than $5,0O0?

Yes

D'Souza

ls contibutor a lobbyist,

{i

D*e Rwived

Fist

ls contributor a lobfuist,

Town of Oxford

Is contributor a principcl ola state contmctor or prospective stat€ contractor? fyes, indicate which branch or branches of govemment the contract is Executive Legislatrve

No

95 Good Hill Rd

ls

06478

fl Yes f;

u& DrgAffu65

"*O LBtNm

lpL(E

CT

is in exsess of$40O to a cardidat€ committee lor a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said municipalif valued at more than $5,00O? No

LstNam Rooers

t,

Ital6

Ifcontribution

No

t!i

Amount of Conlribution

1st Selectman

Adress

Is contributor a lobby'ist, spouse, or dependent child of a lobbyist?

*

Princioal Ocrupation

MaryAnn

95 Good Hill Rd

0.00

Yes

No

Is contributor a principal ofa stale contractror or ptospective state contractor? fyes, indicate which branch or branches Executive d*! Legislative of govemment the contract is

with:

{i

TOTALOF'ALLCOrrRIBUTI(}NStr.ROMINDmIittAL${$.ctiomA

,/f'l'r

/c/t''/?

/'

3i

Yes

No

AggrcBe

DateRmived

Check f.: CreditDebit Card Cl Payroll Deduction i--' Money Order

fi

09/09/2009

$100.00

$100.00

SUBTOTAL Scctio* hThir Page

$2,100.00

TO?AL of rddttiorel S€ction'B P*gcs

$0.00

&WEittdtotdatit*ttloffiur *P*el

$2,100.00

?r"

J ,4,

MnlVf'.TAn\/ R|I(-IIIPTS fSenfinnr

A-ICI

fAM€ nF l.rnhrl\rtfT1iEl

Pase 3 of 17 $T r}Jal

nt''l rttTE 10/13/2009

Oxford Democratic Town Committee

A;

llsm Sm|tt Uonffibutolls-fieceive{l mls tsenod. (,Ill,Y

I otal {-ontnDuuons

lsee

instra*iow for itefinitionofSnall

:'''

ffibttalt

"

SubJoalStctionI

0.00

$

B, ItemLea Contributlons from Indfuidusls -stNre

Fitrr

MI

Aiksnoras

(esocnnar

su€t

s

Housewife

Aooress

spouse, fl lobbyist? t-'l

contributor a lobbyist,

rr dependent child of a

itate

Zip Code

CT

oat78

Oxford

785 Oxford Road

Nffi

Method of contribution: Cash i!-. Personal Check

{l

'f

No

j:Yes

'f Yes f'

Dats

fJ Payroll Deduction

CrediVDebit Card

f,

Money Order

Fi$r

Is this contribution associated with a fundraising event listed in Section Ll? I/yes, list Event #

f:

Personal

$100.00

Principal Ocruoatim

rIgE

1lp Uodg

CT

06478

Check

il

$100.00 Amoutrt

of

Contribution

NUla of Employs ofTicer

ofa

municipality does contributor or business he/she is associated with have a contract with said r.l yes fr No municipality valued at more than $5,000? Yes

Is contributor a principal of a state conFactor or prosp€ctive stale

No

branches with: I Executive f.

lndicate which branch or olgovemment the contract is

fyas,

CreAitfnebit Card {l: Palmll Deduction

LsfiNffi

Ii, Money Order

e

iiJ

yes No

Legislative

o9l'17t2009

MI

Firsl

contractor?

Aggrcgale contnbuums

Date Rec€ived

Method of contribution:

f.: Casn

!,

Aggrcgale contnbuhms

If contribution is in excess of $400 to a candidate committe€ for a chiefexecutive

rrdependentchildofalobbyist?

Yes

i-ii No

Retired

Oxford

160 Country Club Dr.

f'

09/1412009

MI

(e$omna )Effi A@6s

fl

R*ived

Peter Bunzl

spouse, !*; Yes fS No

No

branches with:

Bunzl

contributor a lobbyist,

Emplqyc

Is contributor a principal of a state contractor or prospective state contractor? I/yo, indicate which branch or Legislative C Executive of govemment the contract is

i'i: No

-stNffi

.s

Or

If contribution is in excess of $400 to a candidate committee for a chief executive offtcer of a municiplity does conuibutor or business he/she is associated with have a conbact with said

Yes

municipality valued at more tlnn $5,000? Is this contribution associated with a fundraising event listed in Section L I ? fyes, list Event #

Amount of Contribntkln

Prinoipal Occupatio

Lynn

$350.00

Principal Ocopotim

$250.00 Arnount

of

Contribution GsdeDtal Slrest Address

itale

--ity

Niln€ or

lip Codc

ffiploys

Coble ls contributor a lobbyist, spouse, or dep€ndent child ofa lobbyisf

ii

No

'r

Is this eontribution associated with a

findraising event listed in Section Ll {fyes, list Event # Method of contribution: ("; castr 'S. Personal Check

is in excess of$40O to a cardidate committee for a chiefexecutive oflicer ofa municipality does conEibutor or business he/she is associated with have a contract with said municimli8 valued at more than $5,000? l , Yes fi No

Ifcontribution

Yes

Yes

Is contributor a principal of a state contractror of prospective state contractor? f/es, indicate which branch or branches fa Executive d: Legislafive oigovemment the contract is

No

?

with:

Daic Rffiived

l:

Credit/Debit Card

-st Nue

fl

Payroll Deduction

{''

Aggrcgete

n Yes s]

No

cmtnbutros

Money Onder Prircipal O,coptim

MI

First

Amount

of

Contributbn (csidmtial Strest Addrss .s

lify

C fl

contributor a lobbyist spouse,

)r dependent child ofa lobbyisfl

Is this contribution associated with a fundraising event I isted in Section L I ?

Ifyes.list Event

#_

Method of contribution: Personal Check Casn

i

f,

r:

Code

lNme

of Enrployc

is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,00O? f. Yes ifr No

No

{il

lip

If contribution

Yes

{*l

itatc

Yes

Is contributor a principal ofa stale contractor or prospective stale contraciofl fyes, indicate which branch or branches Executive {*: Icgislative of government the conlract is

No

Credit/Debit Card

ti

with:

fi

Date

Rmived

fi !i

Yes

No

Aggretale mtnburons

Payroll Deduction l'L Money Order

SUFTOTAL Scction FThis Pagt

$350.00

TOTAL cf sdditiond Sceffor BP*ges

$0.00

TOTAL OFALL CONTRIBTflONS tr.f{OM INDMDUALS fStctiom A &Bt (Enta totat

lfvp/71)tvL

ott

/-Q*S o r

Line 13 of Sarrvlpry Page}

2

$350.00

l.

MONETARY RECEIPTS (Sections A-K)

Page 6 ?Ir

NAMEOF COMMITTF,F

INfr bl

rF

I. Anonvmous Contributions

/^Sr€crr?

ddltr atmuil of

o811212009

ulrs $13.00

coins $o.oo

09/0912009

$13.00 $s

the lills rcceivel) TotaI

Amul

$l

$0.00

$r

biil

$0.00

coins

$lo

$9.00

uus $9.@

uius

$0'00

65

616

$o.oo

g1s

6i11

$0'00

Arnount Rcceivcd

22.00

s ,. .:..

.I: fnfereef frrim lleriosits Datc

Date R€sived

.,..

:

:

.i

in A[thorized Aetountr.,

RffiiYcd

Totrl $0.00

$0.00 NarE of InstitutioD

Nm

ofln$itution

Sbed Addr6s

Stlel

Addrcss

lity

li

10/13/2009

Oxford Democratic Town Commiftse

)ate Reeived

of

na.'E

ist*e

lcr

Zip Code

City

Zip Codo

CT

Amount Reccived

$

0.00

tr(. Miscelleneous Monctar.v RcceiDts not Considered Contributions Date of

Nmc Strst Addr6s

Amount Reccived

ZipCo&

State

City

Tmsctim

CT Desiption

$ Date of

Nam

Strst

$0.00

Amounl Receivcd

ZipCo&

City

Address

Trsrsctim

CT Dcsiptioo

s Nru Stre€t

Date

Add$s

ofTmsrtim

Amounl Reccivcd

Zip Codc

Stat€

City

$0.00

CT Description

$0.00

$

Totd Sectioa K

s

0.00

:'

$umtltriy of Other Monet*ry Recciptr ($ectfonr, I)-K}, 0.00

Totrl Loans Received this Period (Section D) Totel Receipts from Entities other thsn Individuals or Other Committees (Scction E)

+

0.00

Totrl Amount Transferred from Afliliated Business Treasury (Section F)

+

0.00

+

0.m

+

0.00

+

22.00

Totrl Amount of Interest from Deposits in Authorized Accounts (Section J)

+

0.00

Total Miscellaneous Monetary Receipts not Considered Contributions (Seetion

+

0.00

Totel Amount Transferred from Affiliated Labor Union or Othcr Orglnization Treasury (Section

Totrl Amount of Personal Funds of the Candidete Received this Period (Section IO Total Amount of Anonymous Contributions (Section

I)

Tatnl of Othcr Motretnt? celpb. tAdd Scction! II'K) (Enta total on Line I5 of Sunu'avlry PWe)

K)

G)

22.OO

II.

F'TJNDRAISING EVENT ACTIVITY

Oxford Democratic Town Commiftee r utrumsttrg Date of

[vcnl

Fur&ais

F

10t24t2409 Subpart

1: (All

ol

Peg.eT

11

ilt ltr'rtftrrF,rraTr

YAME OF{IOMMTTTF]I

Lettcr

A

ehotr:

Dcmiption

10/13/2009

Steet Addrcss

225 Greal Hill Road

Pasta Dinner

tjity

ttrte

ZipCo&

Seymour

CT

06483

Commi6ea)

Was this flrndraising event hosted at a personal

residence?

$

Yes (I/yes,

go to Section 1,4 In-kfud Donetbus not Considcrtd Contributions ma& by hos(s) for foo4

and complete required information for purchases beverage and invitations.)

lii No {3 Yes (fyer, go to Section

Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual of up to $50?

l!| Nn

LfYes (Uyes,

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

tlrv^

Il In-kild

Donedous not Considcred Contributions

and complete required information. )

go to Section L2 Procecds fmm Tag Salg Auctfu4 or Other Salc

of

Dotrrled ltems.)

Subpart 2: (Town Committea and Municipal Candidale Committees ONLY) Were there purchases of advertising space in a pmgram book associated Yes (f/yes, go to Section lJ Purchascs of Advcrtising Spacc in a Progrem Book with this and complete required information.)

$

firndraiser?

Subpn 3:

{f

No

(Town Committea ONLY)

tl Yes (Itss,

Did your committee sell food or beverage at a fair or similar mass gathering held within the state?

enler Totel Rcceipts ftom small purrhascs here)

lar No

FEtr{lrabhl fivcEt f Date of

Fudiis

10/04/2009 Subpart

Letl€r

A

Lffitin:

Demiptiol

'Made in Ct" Fair

lity

StsEtAdrcss

Colonial Tavem

Oxford

Srd.

ZrpCob

CT

06478

1: (All Comnittea)

U Yes (fycs, go to Section L+ In-kind

Was this fundraising event hosted at a personal residence?

llonetirns not Coliiderrd Contributbrs

and cornplete rcquired information for purchases beverage and invitations.)

ma& by hos(s)

fo'r food,

fi:No Did this fundraiser include iterns donated by

a business

entity of up to

$l0O or items donated by an individual ofup to $50? Was this fimdraiser a tag sale, auction, or other sale of donated

with purchases from an individual ofup to

$50?

items

fi Yes (t/fes, go to Section L4 In-kind Donations nol Considered Contributions - xr^ and complete required information. ) ,5 {J Yes ({/yes,

go !o Section L2 Proceeds from Tag Sale, Auction, or Other Salc

of

Ilonatcd ltems.)

{}

Subpart 2: (Tawn Committea and Municipal Candidqte Contmiuea ONL\ Were there purchases of advertising spac€ in a program book associated &, Yes (I/yac, go to Section l,: Purchases ofAdvcrtising Spece in e Program Book with this and complete required information.) No

fimdraiser?

f,

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

t_t

Yes (I/tes,

entel Total Rccelpts from small

nurcharyhelf

t.l No

SIIITOTALS€ctionLr(ToqaConrnifrwoMf)TotelRceeiptrThirPrgd

+

$0.00

t Pagd

$0'00

TOTAI. of *dditiond Scetion Lr Pcgcs

TOTAL OFALL nnCEfftS fnOM SDCTION

Ll (Enrswda*Line l6aof

Surrtlrurty

$0.00

II. FTJNDRAISING IIAME OFCOMMITTEE

EVENT ACTryITY

Pnge 9 of 17

llt rr{n il}F na.I*

.

Oxford Democratic Town Committee

L{. Sqrcfiesec sJAdvsrti$ing h

NmofPuchmr

e

't0t13t2909

Prograu Bsok Municioat Caditu& l'USrnes!

South Britain Country Store Street Addrc$

'lty

667 South Britain Road Nane

S. Britain

Enttty 5Ae

CT

ZtpCode

06487

qfhrchffi

€, Yes

CNo

Addrss

lry

Haddam

Stale

CT

Zip Code

06438

Nane ofPurchaser

Stret Addrss

E. Hartford

State

CT

Zip Code

t?lYes

06108

l-t No

ofPurchm

Business

Winding Drive lnc Address

Entrty -rry

PO Box 1138

Woodbury

Stale

CT

Zip Code

t.i

06798

fiNo

Name ofPurchaser

Entlty

)reet A(xtrcss

itty

779 Exeter Road

Lebanon

jt&e

CT

Zip Code

06249

NmofPrrchffi Stret Addr6s

Milford

State

CT

ifi

06460

fiNo

Yes

Business

Best Buddy Biscuits Str€et Add€ss

W. Haven

Ststo

CT

ZipCo&

fi? yes

06176

ENo

Nanp of Purchmr

A&s

Datc Received

Oxford

Stale

CT

Zip Code

iii

06478

$'No

Purchascr

Stro€rt Address

Rmived

Date

09/01/2009

W. Haven

Jtate

CT

ZipCo&

06516

NmofPmhaq

Yes

$ v"t $No

Entity -rfy

7 Oak Glen Hill Road

Derby

Stat€

CT

zip Codc

06418

NarcofPuchag

-rfy

1243 Peck Land

t.) Yes C' No Busines Enttty

Barbara J West Streel Address

$s0.00

10t4t2009A 09to1noog

AggregatePrcllM for All Evats

$50.00 Aggrcgate

EY{t #

$s0.00

10t4t2009A Dste Rec€ived

Aggrcgate Pmchasq

for All Evmts

09t02t2009 Elcil

#

$s0.00

10tu2a09A 09t02t2ao9

Aggegsle Purchsses tbr All Evats

Evtrt#

$50.00

10r4l2009A

Aggregale

Cheshire

Stale

CT

ZipCn&

$

06410

C, No

NmofPuchrer

Yes

Plainville

Stsle

CT

ZtpCa&-

06062

fi

Evflt #

$50.00

'tot4t2009A Rffiivod

Aggregsle Purch$el

for All Evmts

09/08/2009 EYenl #

$50.00

10t4t200sA Date Rtreived

Purche*c

$50.00 Amo[trt of Purchasc

$50.00 Amonnt of Purchasc

$50.00 Amounl of Purchesc

$50.00 Amount of Purchasc

$50.00

Amunt of Purchasc

$50.00 Amount of Purchasc

$50.00 Amoult sf Purchasc

$50.00 Amount of Purchesc

$50.00

Amunt of Purchrsc

$50.00 Amo[trt of Purchesc

$50.00 Arnount of Purchesc

$60.00

$60.00

SUBT.OTAL $ectior Lr-Thir Page

$610.00

Entity Jlty

Aggrcgale Puchse for All Evmls

Anpunt of

fd All Evats

Business

Jennifer Lynn Firmin

$s0.00

10/4/2009A 09/08t2009

PurchM

for All Evmts

Evat #

Date

PwhNs

for All Ev€Dts

09/01/2009

Business Date Re€eived

Bead Original Street Addres

Aggregstc Purchases for All EYsnts

Event #

Dale Received

All Evmt!

$50.00

10/M/2009A

09t0,4.t2009

ulty

111 Anderson Ave

fs

Evctrl #

Business Dalc l{csrv€d Entrty

Southem Relishes

AggjegatcPwhM

0B/25/2009

Entlty Llty

370 Quaker Farms Rd

$50.00

10t4t20094

Business Date Rffiived

Doris Pouch Petrochko

Aggr€g8t€ Purchascs for All Ev€nts

Evmr #

Entity Lny

25 Bishop Street

15 McKesnan

08t19/2009

tP"o lNo 1AAt2009A

ZipCo&

NmofPwhrcr

$50.00

10/4/2009A

Eval #

Entity Llry

94 Thompson

Aggrcgat€ Prches for AU Evmts

Evmt#

Business Date Rwived

Analiese Designs

Street Addrcss

Yes

Business

Lebanon AG Products

Nurc of

Yes

Entity Urty

358 Bumside

Sfcet

f;

lNo

Business

Cata Di Roma

Stret

08/1812009

Entity -

PO Box 123

Namc

Canwi$s oNl,yt

ttusmesl Date Rtrived

Crystal Connection Stsret

and Towa

Date Resived

Yes

{], lto

09i09/2009

Aggreg$e Pwchaser

Evetrt #

10t4t2w9A

TOTAL of rdditional Section [,r

Pascs

TOTAL OF ALL PURCHASES OF AIIVEITTISINC IN A PROGRAM B00.IK (Enter tdal o* Liae I6e of Sutwtury Pase|

$720.00 $1,330.00

IL

F'T]NDRAISING EVf,NT ACTTVITY

Page 9 of 17

m rNnf)IIF:rtATE

\IAMII fiF {rfIML{TTTFE

Oxford Democratic Town Commiftee

10/13/2009

L3. Purchgscs of Advertisins in a Prosrsm Book Ofunicba Canditutu and NmeofPmhm

Entity

JGS Consulting Sfre€t

jlty

Ad&ss

330 Menyin Ave

Milford

State

CT

ZipCo&

06460

NreofPmh*r

€r Yes

0No

Srst Addrss 93 Vincent Rd

-rty

Bristol

State

CT

Zp Code

06010

fi Yes t.:

No

Business

Christine L Bassette

1014/20094

S. Glastonbury

Stet€

CT

Zip Codc

t?Yes

06073

t

Nme ofl\rchm

1No

Business

Peter M Petrochko Strect Addres8

370 Quaker Farms Rd

Oxford

Strte

CT

Zip Code

fr

06478

{ltNo

NmofPwcbffi

yes

Business

Anthony Cocchiola 18 Falls Ave

Oakville

State

CT

Zip Code

06779

NmeofPmhm

F v.t

I lNo

Business

Dare

urty

Seymour

StaIC

CT

ZipCork

ofl83

NreofPwchrcr

iS Yes

{l llo

Business

Rreived

09/1 1/2009 Evcnt #

10/04/2009A Datc Rewived

09/15/2009 Event #

1014t2009A D*eRwived

09/16/2009 Evmt #

10t24t2009 Dce Reived

Entity

MichaelH Horbal

#

10/4/2009A

Entity jrty

sF*t A@Hts

E!flt

Entity jrty

Rsivcd

09/09/2009

Entity lrty

Address

77 Tryon St

52 Main St

Evmt #

Entity

NreofPwhm

Str€rt Address

o9t17t2009 Evml #

14t24t2009 Date Reeived

Entity SE€t Adftss

lity

State

ZipCo&

N@ ofPwhasrr

SY"t {j No Business

Ad&ss

lity

StaJe

ZipCa&

iil

Yes

Aggr€grte hrchsses

fix All Evots

$50.00 Aggcgstc Prrchrc! br All Evaa

$50.00 hrchffis

Arnonnt of Purchase

$50.00 Amount of Purchasc

$50.00

for All Evenls

Arnount of Purchese

$60.00

$60.00

Aggregaro

Aggrqrate PrrchtrE!

fu All Evmts $60.00 Aggregate

Purches

for All Ev6tg

$250.00

Armnnt of Pnrchasc

$60.00

Amunt of Purchasc

$250.00

for All Evats

Anonnt of Purthrsc

$250.00

$250.00

Aggr€gatc Puehd€s

AggegatcPuche!

Amotnt of

for All Evcnls

Purchase

Aggrcgale Purc.iaser

for All Evmts

Amount of Purchese

ABgregale Puchaser for All Events

Amount of Purchasc

Aggr%ate Purchase for AII Evats

Amonnt of Purchesc

A\ggrcgate

Amount of Purchasc

Aggr atePwhffi fo AII Evcns

Arnount of Pnrchase

Evenl #

Date Reccived

Entity Strect

Conminea ONLV)

09112120a9

Bus mess Dale

Bethany Home Crafts

Str€l

Town

t'usrnesl DateRmeivd

Evsnr #

$No Name of Pwhaser

Business

Date

Reeived

Entity Strcst Address

City

State

ZipCo&

&.yes

Evmt #

fiNo Business D8!€ R@iv€d

NmofPuchag

Entity SEeet

Ad&ss

City

Stat€

ZrpCo&

l3r yes

Event #

CNo NtmofPwhm

Business

Date

Rffiived

Entity Stret

Address

lity

State

ZipCo(&

il

Yes

Purchs€! for All Evmls

Event #

f,No NarcofPuchas

Business

Dare Reeived

Entity Street Ad&ess

lity

State

ZipCo&

€i

Yes

Evsnt #

fiNo

SUBTOTAL See$en I;-Thb Pegt TOTAL of edditionel Section Lr Pagcs

TOTAL OF ALL PURCEASES OFADYf,RTISING rN A PROGRAM DOOId (Entet total

on

Line Itu of Sur''''glry Page)

$720.00 $0.00 $720.00

IN. NONMONETARY RECEIPTS trIT

IN': ff IF

'IA{E

10/13/2009

Oxlord Democratic Town Committee

M. In-Kind

Contributions

Nam

Type ofContributor:

Peter Bunzl )ffi

;qi

Aoqfes !'-:

Yes

ofa lobby'isf

i!i

No

)ate Rewived

09/30/2009

$ tt

elp Loce

06478

6

Yes

No

Dffiiption

fETC

CT

Oxford

10 Sioux Drive

08/2112009

Committee Phone/E-Mail line.

Ci

lii

arp Code

No

Individual

Ca

Committee Other (.4p$caHe unly to R€seadun Qnmtnex)

# _*

ASSregale

Descriptim of In-Kind Cmtribution

Town Clerk Campaign Signs

litv

)Ee

Reived

I

{*.

$481.25

fi f;

aiD Code

latr marxct Contribution

Committee

{*.,, A$nr (,lwucaote

ualy to Refaadum

If contribution is in excess of $400 to a candidate commi$ee for a chief executive o{ficer of

No

municiplity,

Comiteu)

a

does contributor or business he/she is associated with have a confract with said municipality valued at more than C No \ggregale cmmDurms Descriptim of In-Kind Cmtribution

Is this contribution associated with

a Ll?

f: Yes

$5,000?

*' yes d*' No

$0.00

Nam litv

)me

ZiD

C i*, f1

Co(b

CT Is contributor a lobbyist, spouse, or dependent child of a lobbyisfl )ate Rewived

C

Valuc of thb

Individual Committe€ Othet (Applicablc ont! to Rdaendum Cummine*)

municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? f Yes fr No f--$

Yes

-!

No

.t

Dmiptim

of In-Kind

rggrgE4r cuuruuuo

Cutritutim

$0.00

Name

lair iurrllca

Typ€ olContributor:

lity

5rde

f, fl fi

CD Cod6

CT

Committee

A$er l,lp4xanemlyto R{audtmConmtdu)

t*":i Yes

{lr

Ifcontribution is in

No

it li

Date Received

N. Refundsble Depmit

to Teliphone Company,'

Natr oflndiYidud

$526.25

TOTAL of eddftionrl Scctior M Prgec

$0.00

Stre€t Addres

(NOTEi Mb

IotqT oN LfuE 22 Of SE/'|U,WY PAgC)

*da

nrc&el lrrubto

FiFt

6

R6idmtisl StrEr Addss

$0.00

SUBTOTAL Section M-Thb Prgr

TOTAL OF AI,r- IN-KIND CONT*IBUTIONS ENI&

Narne of telephore

Vrlue of thir Contribution

Individual

excess of$400 to a candidate commisee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a conFact with said f Yes llli No municipality valued at more than $5,000? Ag8rcgarc co!m( Demiptim of b-Kind Cmributim Yes Is this contribution associated with a No frmdraising event listed in Section Ll? $0.00 fyes, list Event #

Is contributor a lobbyist, spouse, or dependent child ola lobbyist?

Contribntion

Ifcontribution is in excess of$400 to a candidale committee for a chiefexecutive officer ofa

Yes No

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

Addtffi

$o.oo I'sir Mffkct

Type ofContributor:

Addr6

$481.25 Value of thb

Individual

Yes

fundraising event listed in Section Ifes, list Event #

Last

sntnbutnns

Type ofContributor:

Is contributor a lobbyist, spouse, or dependent child ofa lobbyisfT

Contribution

C Yes

{: Yes SNo

CT

Sts6t

Fair Mariret Velne of this

fr {:'.

06478

$45.00

is in excess of$400 to a candidate committee lor a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? !!t No

Is this contribution associated with a fundraising event listed in Section Ll? If yes,lisl Event

lhcct Ad&cs

Itre€t

$135.00

Ifcnntribution

Yes

Narc

)ate

{ggrcBuE @nmouuo

of In-Kmd Cmtrihrtion

Typ€ ofContributor:

-lry

Reeived

Committee Othet (,cpdi"unk oaly to Rqqerdurn Comminees)

Feir Market Velut of thk Contribution

a candidate commitlee lor a chiefexecutive officer ola municipatity does contributor or business he/she is associated with have a contact with said .f' Yes ti: No municipality valued at more than $5,ffi0?

Margaret Potts-West

Is contributor a lobby'ist, spouse, or dependent child of a lobbyisfl

Individual

Ifcontribution is in exces of$400 to

Is this contribution associated wilh a lundraising event listed in Section L l? {f/es, list Event #

5re€a Ad(lress

Dare

CT

Oxford

Is contributor a lobbyist, spouse,

or dependent child

n*m

:we

-Iry

160 Countrv Club Dr.

ll oflT

Page

VAMF NF fY}MM'1"T'1F

rcfert orly lo dtanex. of @o.rtb

bcrrefrttlrcc',/frnilttQ,

MI

I

4

$526.25 rrdY&tds fiot,

nd dqost,s trrdi bythc csmfitea) Amount of

oate Oeposit tutade

Deposlt

State lap

crl

Code

oryany City

State

ZipCcdp

CT Totel Section N (Eter totd on Liae 23 olSunawry Pagel: .

$0.00 $0.00

III.

NONMONETARY RECEIPTS

Prge

{I.IN{T rlIIE

iJA*tE nn flalt l,ft'r'TEF

12oll7

NA.TF.

O. Nou-lWoectrry Reeeip$ of Orgrnizition Expcnditurel Mrdo By: Lesktrctive,Lcrdershtri Lui*lntivc Caueuii ahd Psrfrt ComrlritteG'. Wme of

itret

Cmiree pegiskifv.Iaiaaship, Legkffile

Caucus, antl

ONL0

Puty Comnin$

|

Nm

of

Tremm Date

Addrcss

lity

Ndie R*iv€d

\ggr€s,atc Domtims

ZipCo&

$0.00

CT

Experditut (se.

Purpose of

Description of Donation

f,A ONLY)

Nan€ of Comitte€ (Legifltattve lza.lerchip, Legtsldl'ive Caucus, and Party Comniltea

f-i B

{:lC

Date

f,

E

Notie Rmived

Fair Merkct Vslue olDonstion

$0.00 Purpose of Exp€trditw (see iastruabns)

De*ription ofDonation

{-i,

Comittee {LegMAtle t*adership, Legblatlve Cuus,

and

Pilly

ONLV

Committes

$0.00

\ggrcgsta Donttims

Zip Code

CT

Name of

ial/,ra ctiots)

D

{_-,

lNme of Trc8ffi

itreet Addrss

lity

Feir Mrrtet Value of Donntion

I

Nm

of

If1 BfiCfiDC-E

$0.00

Trcuro Dsle Notie Recsived

itr€t Addffis

Fair Mcrket Value

ofDoaatbn Aggregale Donatims

Zip Co&

lity

CT

$0'00 Purpsc of FrQmditurc (see instnclions)

)escripd"-n ofDomtion

N. of

i;A {-:B !'c lzudsshiP,IzgbldvcCaturs,asdPartyCnnineaONLY)

DalG

Notie R@ival

$0.00 Prrpose of

of Domtion

itrfrt

p"ttv

tonmina

ONLY)

lNure

of

Expaditrc

(se.

tnstndius)

flp 1-:g fiP

f'l *ii

Fair Merkct Value ofI)onation

\ggregata Donntims

Zip Co&

CT )eription

$0.00

lNarcofTlm

Itr€tAddrcs lity

D !.E

:..1

(,*s

$0.00

Trecum D*e Notice Received

Addrms

Feir Merk€t Valnc

ofl)onstbn \ggregate Donalims

ZipCo&

:ity

$0.00

CT )e*ription ofDonation

N.

Cil rf B ric '{iD i:'D V,Izgbbtlle

"tU

Caucus, and Part! Committe*

ONLY)

lNme

of

Trcma Date

its€r{ Address

lity

Notis Rwived

\ggrcgate

Zip Co&

lrrpos

of Donation

Domtim

of Expmdiuue (see ingndfut;s)

C;A $18 niasoutn

Fair Market Valne ofDonetftrn

$0'00

CT )mripfim

$0.00

f.c flD f.o

$0.00

lNmofTreaw Date

itre.d Address

Notie R*ived

Fair Market Valuc of l)onrtion

lity

Stale

Aggregare Domtims

ZipCo&

ET

$0'00 lrsposg of Erpaditue (sce inslructiols)

)mription ofDondim

{Totel Sectirm Q (Enter taal

A rl B {.rc f: D i'E

o*Li*

21 of Saaawy P,8SL

$0.00 $o.oo

IV. EXPENDITURES \t A

Page 13

10/13/2009

Oxford Democratic Town Committee

P:i' ExDen$es Paid. by

'

Nmc of Pavc

)ste

City

71 Oxford Road

code)

ouoo

OVHD

fi f,

flfr

"

ffi olP&rc

Offic

tr

*

131

1

Evmt #

Deposit (2) Phone Lines Offe

Cmdidat{s)N8m (iIawlicaDl4

of Expenditure (iI awlicabL). ftr { . Coordinated with reimbursement sought {l Coordinated without reimbuaement sought f: Independent

[J Supported

Sought

UopposC

l-. Organization (see Instruoions) NaE

of

'

Pse

$

fin f,c i-.n lin

fl

)d€ of Palmsnt

-ltv

225Great Hill Road

Seymour

(by

ot

Amounl

vlethod ofPayment

7t30t2w9

Lqrc

06483

CT

tl f'

i,a !.Br.c

10t24t20094

Deposit Fund Raiser - Pasta Dinner

E

Officc Sought

Candidat{s) Nen€ (if aWlicable)

f'ype of Expenditure Glawlicabl+. Coordinated with reimbursement sought Coordinated without reimbursement sought !"-j Independent Organization (see In$ruaions)

E

Supported Opposed

s

!iDI_,tr ,ale or

ralmar

sign A Rama

Sa€t Addr6s

City

35 Eagle Road

Danbury

rurpos€ or Dxpmouc Oy eode)

#, 131 2 Debit Card

i? check

f

ption

FNDR

f

4rp

Jtate

-

lrQa(utw

codc)

t*

240.00

United Methodist Church

5[d4ffi3

rupos

Amount

Vlethod ot Payment

€; Ctrecf

600.00

ADebitcad

0il78

CT

'

Dt!On

ralmr

7t2912009

Zip Code

'Tre

Oxford OVHD

Supported opposed

s

City

tbywde)

u

Sougbt

)aic ot

t'urpo3€ ol bxp€norhre

0

Event #

AT&T

Oxford

Check #- 1 31

H""dqr"ters Rental

Bf.cfl DeE

SAed At8lrss

fl

((apphcailQ

Coordinated with reimbursement sought Coordinated wi*rout reimbursement sougltt Independent Organization (see Inslruclions)

Anmunt

Method of Payment

{:t Debit card

06478

Cmdidat{s) Natc

fype of Expenditure (l! applicabk)'.

{li

CT

ofPryGd

7t28t2409

APLre

$ete

Oxford

ruPos€ ar Exp@arw

fl

eomni&.

Caldwell Banker

rreel Addtess

.by

ol17

fi t}.ri+ftilf '.iT.F.,

L,fil rtr frArnttT'T'tl?.

italc

alP

CT

8/312009

Loce

06810

Amounl

Method ot Payment

'

ghrgl g 13't3

f;

Debit card

100.00

Evml#

phon

Deposit (50) Campaign Signs

A-Sign

Cmdid*{s)Nc

l1,pe of Expenditure (If owltcrble|.

Qf

GCoordinated with reimbursement souglrt lfir Coordinated without reimbursement sought

fl

Officc Sougbt

Supported EI opposed

whcabtd

ifihdependent

l{i Organization

(see

Instradons)

LA l rB i C !tD !

-

Nanr of Pave

)ate of

"ode)

ii

Ltp Lo{&

rmc

-rty

Ansonia

'

CT

8/3/2009

06401

AImtrnt

Method of Payment

€. Check

fr

#-

1

314

Debit Card

Event #

DtioD

A-Sign

400 24x18 Campaign Signs Candidate{s) Nae (iJ applirailc)

lype of Expenditure Gl twucabr4'. !i Coordinated with reimbursement sought 'fr Coordinated without reimbursement sought

fJ

Palmilt

Arrow Printers

Stet Address 3't 1 Main Street ruPos or t{pm(trtue (by

500,00 E

OffieSoughr

DSupported

Eopposea

Independent

s

organizatiol 6ee lpilructions)

fln f n rl.c {lo fi

e

SUBTOTIIL Scction F-Thb Prgc

$2,340.00

ftg@fllgg

$9,129.11

TOTAL of rdditbnal

T^T^' A6 nl-&IsIDltE r r wDrNc,ES iurtuur. ^

900.00

pAID By CO1,!1,{ITTEE @nler tAd aa Liae !9

alfiemary P4e}

rt{{ ,ao 9rritvv.rr

aa

IV. EXPENDITURES

Pagc 13 of

rii

r.Nat

10/'t3/2009

Oxford Democratic Town Commiftee

Fi Exoanig Pdal Nm

'

ofPave

Tzl4Main St iby

b$ Committee )d€ of Payfitent

Prime Publishers lnc

c"de)

8nt2009

zip

Souths

I Woodbury

til

Amount

Check #_ 131 5

f-r Debit Card

06798

CT

Method of Palment

Legal Notice of Oxford Caucus

M|SC

E Supported D oppor"a

Cmdidarc(s) Nme

of Expenditurc (if adtccblc). Coordinated with reimbursement soughl ej Coordinated without reimbursement sought Independent i Organization (see Inslruetions)

\xrl

(if

wlitobte)

fl i

s

{".q, f:B f.c flD flE me of Ps€

'

sh€t

,ate or rEy]rmr

Arrow Printers

Addrcss

Ansonia

rxpsolw

Poo"

or

6.code)

lrpe of Expenditure

A-Other

f: f:

D"posit (1ooo) Magnets IJ Supported Dopposed

Officc Sought

Organization (see Inslrua/ions)

!rA r-B!.C

Strest

)ate of Palmal

qr E

City

Qqralrc

code)

SlalC

Danbury

'

PaYF

Amount

vlethod ofPayment #- 131 7 D€bit Card

i? check

C

06810

Evmt #

Final Paymt - 50 3X4 Signs

fta {1 R l-.c lD

ffiol

8t1412W9

,rp Uode

CT

ption

A-Signs

u

Office Sought

Cmdidal{s) Name (ifappficablQ

Type of Expenditure (f appfic able) : C Coordinated with reimbursement sought r- Coordinated without reimbursement sought Indeoendent Organization (see Instructions)

I f:

tl

Supported opposed

s

'frr Memoo or ralrnenl

Southbury

'

rEposg or Exp@urw

code)

811412009

arp Cod€

City

386 Main St South

'lale

CT

06488

Amoutrl

lircheck

il

#-]t]9-

Debit Card

Evmt #

otion

A-DM

Type of Expendirure Qf tmucablc): lfJ Coordinated with reimbunement sought l{i Coordinated without reimbursement Jought l{1 Independent f1 Organization (sec InsTrucdons)

Deposit (2500) Trifolds

U

OtEcc Sought

Cmdidat{s)Namc (if aplieable)

fl

supported opposed

s

!-,A 1.,B:.C.(rDi.I

"

)ale of Palm€nt

ttalc

Urty

385 Main St South

Southbury

rurlroF

or

200,00 Amount

Method of Payment

Southbury Printing Centre

lEHA@SS

rrQ4olrF

(b'ode)

705.75

Southbury Printing Centre

strest A&lress

Nme uf Pavca

200.00

Sign A Rama

Add6s

nupos

$

l.Di'E

35 Eagle Road

(by

Debit card

Event #

Independent

amofPrye '

(by

ii; Ctrect* 1316

(if applicable)

::': Coordinated with reimbunement sought il: Coordinated without reimbursement sougbt

34.30 Amount

Method ofPayment

fi

06401

CT

Cmdidat{s)Nm

Gf awlicable)-.

811312009

,rp Code

Jt$e

-rty

311 Main Street :urpos

l7

riltF nAfF

CT

8/3/2009

zrp Lo@

06488

fi

#-

1314

Debit card

Event #

ohon

Final Paymt - Trifolds

A-DM

Candidat{s) Nuro

fy,pe of Expenditure (if aplicable):

!i

Coordinated with reimbursement sought C Coordinated without reimbursement sought C Independent .".i Organization (see Instructions)

ra flnflc

f,: check

Ofre

Sougbt

ESupported

(tfWlieabl4

tropposed

393.81

Cni-n SUBTOTAL Stction P-.Thir Prgc

TOTAL af rddition*I S+liq! TOTAL OFALL r-I..PENSES PAID BY C9MMITTEE (Entertaalen line

f? P) i-1 1ot) 'tTL

19

lffJ

$1,533.86

qlryll

af S4ngiaty Page)

0{-9

Q4 EA? EA

Pagc 13 of 17 ,!

I !

!

\I.TME

CJF

":r

r':r1

!'r:

lllll::

:r

::':l

:'l::::

'::l::l::':::::::::::

::!lr

-r:'!:l:l::

--1

COIVI\{ITTEE

10/13/2009

Oxford Democratic Town Commiftee

,'-r' .

e nirtinsgsPnld b,v Comr illteG',.:.: ffiilr

)alc of

)es

ffil$ oFErcuaditrus RCW Oy codc)

'

f

Reimburser nent Hea, lquaters oPening

ff

Cmdidst{s) N3ffi

Ivoe of ExPenditrue (if aPPlkabk): i1 Coordinated with reimbunement sought fi Coordinated without reimbursement sought

fi

'1r,.:..':',.

...r'1,,..

il (.'nmrtsl

I

(il aryltcable)

opposed

Independent

3v

codc)

ffi;;-*ymt

A-Signs

csdldate,(s)

Irw

of Expenditure ({awacable): f. Coordinated with reimbursement soug'ht Ci Coordinated without reimbursement sought

fr Independent fr Organization

r;ll

ff

r

[-Jsrrmrted

Iopposed

aWlicaW

Gf

s Date of

AT&T

ffi--lst*e

oanbury I crl

35 Eagle Road

ffiimfgxpenditurc

rW'*a"t

)esnDuotr

lap

C:ilddate(s)

fi

1322

ilvmt#

;::

|

#-

Debit Card

[-] Suonorted tr opposed

s

Organization (see Iniltudions)

r- ^ f - {*n fln fi

Anow Printers

of Exoendinre

cod€)

'Pto"

A-DM

fwe of Expenditure 6f awlicahle)" i.fl Coordinated with reimbursement soughl Coordinated without reimbursement sought 'O Independent

D.oosit (25 00) Trifolds

Cmdidat{s)Nm

i?check#-l€9-

9/3/2009

Lip Code

CT

Ansonia

't Main Street

Pmse

Jtalo

City

IE€t Ad&"ss

65.08 AmouDt

)8te of Payrenr

'

'

(by

gcheck

ooato

1,410.07 Amount

v{ethod ofPaYment

(ifW6catl{

Coordinated with reimbursement sought Coordinated without reimbursement soughl Independent

Nffi ofPav*

31

Prymt

s/31/200s

co
Phone Bill 8123 -9122

OVHD

I'voe of Exoenditure (tf awlicable):

C

Eveil #

4oo 24xl8 sisns

1

S-tr*tAd&es

il f' *

06401

(see Instruc'lions)

A i-'B !,C

**ott**

-

fi ctrect *- 1321 n Debit card

8/31/2009

Code

CT

Ansonia

311 Main Street

lip

it&te

City

iilctedrlress

Amoort

Method of PaYment

)rle of Palmmt

Anow Pnnters

ffiofExoendinre

82.60

L$

{.Af;B:..:ci:D1:r;

;

#-

r-) Organization (sce Inflruttions)

ffi;fFne.-

'

Amotrt

oeuit card

Eveot

otrotr

1

ii.i check #- 1320

06478

CT

Oxford

160 Country Club Dr'

l: :,

Method of PaYment

8t29/2009

ZipCo(b

itstc

City

IFwt Adrcss

Palmt

,'r:,i. .'l

$'

06401

Debit Card

Event #

i=:: ii:::i: tr opposed -fl(ttmrted

(if applicaile)

.

-

ifl organization (see

79.50

Instruclions)

r,lA r:B iq_E!_t-E

"*ott*o vorD - volD ;tre€i Addrcss

Voit

ffi

Method or raymenl

)aie ofPaymenl

- Void

f:

Check

Amount

#-_.-

{]i Debit card Evmt #

)escriptioa

E6FoTEsnditure tv ode)

lype of Expenditure (tJ aPPucabl4: 6 Coordinated with reimbursement sought 'iJ Coordinated without reimbwsement sought dI hdependent ?l oreanizatron (sec Instructions)

- "----

-'l

ri s rllc rl o

Cmdidat{s)

I

^e^-

l-lsunDofted

c^Iolr

-

(ifaplieablQ

flopposed

rn s{I'TmA'.,sectloaP'TiirPrgc: '.. --:

$1,637.25

t

rTAt nf qrldifmnrl Sretion P PeCeg 4i 'lfrrtAIr'1rF

-

i\ai*6Etui-"d

J-'''_-4

frilDlT t ovfrw

7qL

oY-L

AA7

tF

ry. rir

^

iiE rif rlntr[fi f

EXPINDITURES

Pagc l3 of 17

fft tN

i.F]t

t$tD frAllE::

10/13/2009

Oxford Democratic Town Committee

r Narc of Pwe

385 Main St Soulh sd€)

(by

Ir

Southbury

9/9/2009

iii

l*

'

I l*:s f.c

{:l

Ll

Offce Sought

Supported

tr

oppor"d

700.00

n fin

)ate ol

ralmtrr

Oxford

rutpose ol Expendrm

)ercriotion

!y code)

'

RCW

06478

CT

160 Country Club Dr.

Evcnt #

Paym't for Magnets Offe

Cmdidat{s) Nmp $f ap&caffi)

fype olExpenditure 0f aw&cable): :-: Coordinated with reimbursement sought il Coordinated without reimbursement sought

€: ctect *- 1326 n Debit card

9/9/2009

,rp Code

rlSc

City

LlSupported

Sougbt

Eopposed

lndependent

s

Organization (see Inslrudions)

aAi-.Br.cl.DrrE NmofPnc

-

)ale ofPalm€nt

Expmom

mdc)

fy pe

5ra€

City

fl

opposed

rayrenl

Southbury

'

Z,tp

CT

9t17t2009

Uodc

06488

(sec

!:A

NreofPne ' tret

32t-

r$ check #-1 $ uebit card Event #

onm

4000 Campaign Letters Offic

Cmdidd(s)Nam

E Supported E opposeo

Sought

(fapp0cattlc)

n c frn f,r )ato of

ode)

Palmrt

Amount

Method of Payment

Beacon Falls

Expmouo

Jii che{k #- 1329

Zrp eo{b

ilale

Clty

CT

fi

06403

Debit Card

Evml #

nooo

POST

lype of Expenditure (d applicablc): fi Coordinated with reimbursement sought li Coordinated without reimbursement sought

M"iling seMce (4597) Pamplets offis Cmdidatds) Naur

ESupported EOpposed

Sougbt

(if awUcabl4

Independent

-

860.15

Automated Mailman lnc

Addrcss

or

s

Inslrucllons) f,l l-:

104 N Main rurpos

445.20 AInoltnl

Method ol rayment

Independent

iiJ Organization

iJ

f,l Supported

$ JAt€ Ol

Iype of Expenditure flf awucoble)l l{J Coordinated with reimbursement sought Fi Coordinated without reimbursement sought

e

OfreSougbt

(ifawliuile)

Southbury Printing Centre

385 Main St South rupose or ExPaqw (bvcode) A-DM

(by

Debit Card

F-vmt #

Cmdidatds) NatrF

of Expenditure (il adictbl+:

Strcet Addr6s

lfi

check #. 1 327

100 18x24 CamPaign Signs

fl Coordinated with reimbursement sought f' Coordinated without reimbursement sought C Indeoendent 'i Organization (see Ingrudions) flr f n {-c tin f,ir

'

ili

ption

A-Sign

ImofPrye

Amount

v{ethod ofPayment

il

06810

CT

Danbury

9t14120A9

1lp Uodc

ttale

L-rty

35 Eagle Road {by

295,02

Sign A Rama

sEet A(tress rupose or

Amounf

vlethod ol Payment

Peter Bunzl

'M4ffi63

.

AImunt

check #- 1925 f:t Debit Card

06488

CT

Cmdidat{s)Nmle (lf applicaN)

Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Inslructioas)

ffi ofPave

i f

Iethod of Payment

(4700) Brochures

A-OTH

pe of Expenditure (if applicablQ:

fr fj fr i

)atc ofPaytn€nl

Southbury Printing Cen$e

s

Organization (see Instructions)

r]DrE '. 4 tlB f:c SUBTOTAI, SecttuI f-Tbb Prge

Tt}TAl:ofedditioqllEgqd6! !

//P Dtrrwflt-

voJ

a4

L

1,110.58 $3,410.95

!t1 4{n q5

IV. EXPENDITURES

Pegc trII

IN{:

r}T

'F

l3 of 17

NAfF 10/13/2009

Oxford Democratic Town Committee

P; Ero&n$es Patd by Committre NmofPwe

-

itr€t

)ale of

Oxford Wolverine Football

Addrcss

CT

Oxford

or Hpodm mde) A-Ofi

rurpos (by

onon

i ii

Check #-

1

330

Evert #

Pur"h"s" Ad oxford High School Football Booster

E E

Office Sougbt

(if aplicable)

Supported

opposea

lndeoendent

s

Organization (see Inslructions)

{ a IIB f.c tllo f r

'o :Eg

Ulty

AWeSS

rupog

ot

Amount

Method ofPaymtnt

)84

100.00

zip Bar lnc

codc)

CT

'

ExPfloue

9/19/2009

,rp Lo@

rtAl€

Oxford

7 Old Famr Road Oy

lii

{]r Debir card

o&{78

Cmdidate{s) Name

fype of Expendihue (if applicablQ: {] Coordinated with reimbursement sought ili Coonlinated without reimbursement sought

Arnount

Method of Palment

9/1 1/200S

Zip Co&

Jtsrtc

'[Y

Palml

il

04t78

gvml #

Dtrm

POST

Mail Service - 4700 PhamPlets Candidat{s)

lEx

of Expenditure (if appttcablQ'. i..; Coordinat€d with reimbursement sought C: Coordinated wilhout reimbursement sought

#- 1331 Debitcard

ie check

Offe

N.rlc

U Supported

Sought

fl

6awtiu@

opposed

f,. Independent

f:

Organization (see Inslrua/ions)

i_,c,

to

r--

928.00

s i-.6 f. p i-' B )at€ of Palmml

Str*t Adr6s

City

35 Eagle Rd

Danbury

rurpN {by

or

-

ilpstrere

codc)

State

Dcscription

A-Sign

I'

S

il

9/18/2009

4rp Code

S

lj

0a+78

Check #- 1 332 Debit Card

Evsot #

Final Payment - (100) 18P4 Campaign Signs Offie

E

Soughr

il

Glaw$uile)

Coordinated with reimbursement sought Coordinated without reimburs€ment sought Indeoendent organization (see Instructions)

Supported

opposed

s

t;a I Rt a r'D:1 ,f,

ffiofPw€

'

Method ol

wr

itate

Urty

Southbury

385 S.Main Street r ulNw

raym€il

'

codo)

A-DM

l{

Independent

Organiation

912212009

Zip Co{b

(see

s

fr

06488

Amotrnt

check

*-1!33--

Debit card

Evmt #

Final Payment (4700) Brochures Cadidot{s)Nre

Iype of Expeldirure Gf twauhle)'. ,'S Coordinated with reimbursement sought fJ. Coordinated without reimbu$€ment sought 311

CT

Lotion

ryuuruE

(if

Ofrcc Sougbt

w$ufie)

Ll

SuPPortEd

tr

0pposed

s

Instructions)

!.,A i..iB 1.C ItDi.E

-

Narc of Pryw

132.50

Southbury Printing Centre

StrEt Addres

(by

CT

Cmdidx{s)Nm

t1,pe of Expendirure 6lawacabl4'.

C

Arnount

vlethod oiPayment

sign A Rama

)atc of Palmnt

786.55 Amount

Method of Payment

Caldwell Banker

)reet Affiess

Lrry

71 Oxford Rd

Oxford

rurpose or $p@oue (by code)

ilste

'

olron

OVHD

CT

'fi

#-

1334

Debit card

Evmt #

Offce Sought

flSupported

(ifappbcable)

Coordinated with reimbunement sought '$ Coordinated without reimbu$ement sougltt Independent i'-t Organization (see In stru ctions)

{it Check

f:i

06478

Rent - Democratic Town Committee Headquarters

Cmdidat{s) Name

lype of Expenditure (if aryticable):

9t2412009

alp Looe

DOpposed

fi

f-l

f B

{-:

c r: D f'

s

E

$UBTOTAL Scctioa P-Thk Pegc

92,il7.05

PPige

$o.oo

ffiTAL TOTAL oF ALL EXPEI{SES PAID BY COI#'{ITTEE

600.00

of rdditionsf Sceliqg

@@

fl-)Dtlrrftfit' P63 F+T

6. E,a AE