Staffieri For Mayor 10-27

SEEC FORM 20 Itemized Campaign Finance Disclosure Statement CONI{ECTICUT STATE ELECTIONS E1\*FORCEN{ENT CON{\'ISSION Rev. l/08

Ofiicial Use Onlv

Page

I of 17

SUMMARY PAGE liNA*{E OFCOM]T{TTTEE

.

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tr.itr*n.Na MFI

Title

Las2/ __Lj bas

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First

*,-L.n*-

Suffix

.'

-:a:::::::;::ijii";;ii;;t:it;;:,;;;:,,-!l;i;:,111',i1i,11:1:ti; Street Address

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l/ / e,q lo< oL'.i e

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f; '.TWpU'.::,f.l|]'

n

oG*g

c--r-

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mur/dd/rnry) 'r" lI

Titl

Zlp Code

State

'S*o

N{I

C^*l,o",

ffi.

iuffix

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QIiPI'|Illf /f'ktdr::llaa Rnil

January 10 hling

fl

7th day preceding primary

n

7th day preceding referendum

fl

30 days follorving primary

[

45 days follorving relerendum

U Initial

Contribution or Disbursement (PACs

D April

10

hling

l-l .Iulr' l0 filins

[7th

D October 10 fi1ing

[J l2th

n

D Deficit

day preceding elecrion day preceding election

fl

ONL|)

Amendment to T,vpe of Report:

Termination

(Slqte Cefltrsl Committea Only)

I

s.,

Independent Expenditure

E

Primf,r)

FF,RI{:}Tir'€OVtRtr..n

E

fI45

days follorving election not held in November

Elecrion

,.:ii,:: .:

Beginning Date

lt /0/drla9

Ending Date

tl

/a/ao/"?

thru

ii'

I hereby certifu and state, under penalties of false statenent, that all of the information set lorlh on this ltemized Campaign Finance Disclosure Statement for the period covered is true, accurate and complete.

ASURER (SlGNATURE)

-

**-'?

PRINT NAME OF SIGNER

PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED SI,OOO, OR IMPRISONMENT FOR NOT MORE TH,1^i ONE YEAR, OR BOTH.

i;jiii

i?eT

Ei; Pri

'i:I

SEEC FORM 20 Itemized Campaign Finance Disclosure Statement CONNEC'I'ICUT STATE ELECTIONS ENFORCENIEN'I' CONTT'IISSION

Page 2 of 17

Rev. 1/08

TOTALS INGDIIF DA:|E:::

NnMFjnI' anM]l{{.f1f.Fli

/6-- ,12- '?co7

-( o.., o t-

S-*a{#i" ..

COLUMN A This Period

1

2. Balance on hand

a1

7,

the beginning of Reporting Period

t

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

Y/, Da a-r^o' ob

16a. Total Small Food and Beverage Receipts at l-air (Section

i7.

Ll)

h

ase

I Advertisins in

a

ir line 12 + line

17

J-e,

6.

L. t

g,3oo,60

in Column A: and in line I I + 17 in Column B)

/' ,r' t3, 3 ,lt

,a/. ?z 47

q4

19. Erpenses Paid by Committee (Section P) 20. Balance on hand at close ofReporting Period (Subtract line 19 from iine I 8 in both Columns)

-{

9 a t,?r

'1,s1

3'l ,g /f

tgc.l ,w

&

F, t_x

23. Refundable Deposit to Telephone Company (Section N)

&

K, q

24. Receipts of Organization Expenditures (Section O)

&

q

25. Beginning Loan Balancc

&

A

25b

*

T,nun. Received (Section D)

6.'

x

f

Interest and Penalties on Loan

&

K

X

a

K

8\

t'

4

25c. -

l5d.

M)

Payments on Loan

Total Oulslanding Loan Amount

26. Campaign Expenses Paid by Candidate (Section Q)

&

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

6

28. Expenses Incuned b)' Comn-rittee During this Period bur Not Paid (Section S) 28a. Total Outstanding E.xpenses lncuned b,v Cornmittee

still L)npaid (Section

S)

\

,ao

g3 g "f | ,8f &

22. In-Kind Contributions Received (Section

ac

34, g ti ao

d

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

oo

'a

b' X

Municipal and Town Prosram Book (Section L3) Commitlees ONLY

Total lr,lonetan'Receipts (add totals for lines 13-16c)

18. Subtotals (add totals

X-r-b. *u

?S\

To*-n Committees ONLY

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

15c Tolal P

Ag 3 qtt'ol)

:fG, t:e

Other l\4onetary Receipts (Sections D-K)

l6b.

a

a

1.1. Receipts lrom Other Committees (Sections C1 and C2)

i5.

ts

Asgregate

xt.

Balance on hand January 1 of current year for Ongoing and Parti' Comrnittees OR Balancc on hand from daY Committee q'as formed for all other comnittees

l1

COLUMN

Vi c\

I. NAMF.OF COMMITTFS

Sl..

{4',n., #-

I\IONETARY RECEIPTS (Sections A-K'l

Page 3 of 17

ri:i\I4:rflr

n irv|

,r]r:rt:

rF

,/b"."7)-/ao'1

aF

$ nVjra,eo

i

'' g;,, Ii6iniiba, €onttitrutiuns f*.nm.ndivialthii

First- , l I A.a >t ti l, P-t

'*i3"o* /r^

Princioal Occuoalioo

Kesldetrtlal Stleet Address

+

lrp Looe

C),***,,f 'y'r,u.

D fl

a Ll? I b. /A * C I

ls thrs corrtrrburron associated witb fundraising event listcd in Section

IJ.y-es,listEvent#

n

No

-F E

ofa

Is contributor a principal

t'lo

Check

I

CreditDebit Card

D

Pa1'roll Deduction

I

with:

Money Order \1I

Xc sr= rr'.('

,l)--.)

'-l'-

ll"r,,.^

l,/o, .-

Is contributor a lobbyist, spouse, or dependent child of a lobb-vist?

n [

A

/O-14'c7

No

fr Y"t

lB

Check

n

No

n

Ft'"t

(-l^* Ior,t

{csjdential Sqeet.{ddress /

spouse. fl ordependentchildofalobbl,ist? n Is contributor a loUbyist,

Pavroll Deduction

I

nYes ENo

'nT

ft

,.llo

Check

fl

'flJ

spouse, fl

ordependentchildofalobbyist'l n Is this contribution associated with a fundraising event listed in Section Ll? If)'es,list Event

#

Personal

Check

fl

o€ 1Dn,L,

Yes

No

foi

D Yes I

$5.000?

I

.ro

Money Order N{I

/,4.,n,

No

Itate

7

I Yes nuo

Pnncioal Occunarion

ltp Code

J*Z d'

Aggregate confibutroDs

/

/rS/ot

' '---L-/-a^sO.

n

/V51 (f, iu,{

l

f-

f,hrqlrcef.

Amount of Contribution

v

arne 01 LmDl()\'er

eT' ^/;, Q-7' I'1: i^'.; - l'1^,.-l-,,-.t"t nn ^t Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa ?rF

trjrl

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

nYes []No

! Yes KNo

Is contributor a principal of a state contractor or prospective state contractor? Ifyes, indicate rvhich branch or branches of govemment the contract is Executive Legislative

with: Date

Method of coqtribution:

tr Castr {

a candidate committee

ofa state contractor or prospective state contractor? IfJ,es,indicate u,hich branch or branches ofgovenrment the contract is with: I Executive n Legislative

I

-

/oe,ca

Amount of Contribution

ls contributor a principal

No

o'"'

7o..".# KJ

Is contributor a lobbvist,

Yet

CredilDebit Card [1 Payroll Deduction

- j',,

(eirOeDtlal )trcct AOffesS

R.r..

^"7T:'#"'*

Date Recerved

N{ethod of contribution: Casn Personal

fl

Code

A 64q2,

municipaliw valued at more than

# /D'l&

'ryi::"'ff:,

11p

No

J q4,*

7e/arfaq

/f

Yes

n

a chiefexecutive ollic'er ofa municipality does contributor or business he/she is associated r.vith have a contract with said

No

a ts Ll? fl 'A 7

D

Aggregate conb butions

i{I )Iate

Ifcontrittutron is in excess of$400 to

Yes

Is this connibution associated rvith fundrarsins event listed in Section

Amount of Contribution

Name of Emplol'er

Money Order

'F,rtnLor--

S-*L ll""k

tt l-hne, Lo^"

lisiEvent

Aggregate contflbut !ons

tofrz/a1 / 4 4, ca PrircipalOccupation e, t I ' .S <)+- <wpl"r<J

is contributor a principal ofa state contractor or prospective state contractor? {fyes, indicate rvhich branch or branches ofgovemment the contract is rvith: D Executive D Legislative

Credit/Debit Card

I-art Naine

fles.

Legislative

t

Date Received

Method of contribution: Cash Personal

n

I

N

lfcontributioh is in excess of$400 to a candidate conrmittee for a chiefexecutive officer ofa muricipality does contributor or business he/she is associated rvith have a contract rvith said

Yes

n

Executive

5-D,

LVR

municipality valued at more than $5,000?

a I?

Is this contribution associated with fundraising event lisled in Sectron L f.1'es. Irst Etentt

fl

Received

hp Code

ttate

r

b",

I Yes !No

state contractor or prospective state contractor?

f1'es, indrcate u,hroh branch or branches

Fvs1.-1

Residential Strdet Address

7--

DYes INo

y..

of govemment the contract is

Lxt Nme

it

Ifcontrrbution(is in excess of$400 to a candidate commrttee ior a chiefexecutive officer ola municipality does contributor or business he/she is associated rvith have a contract \\'ith said municipality valued at more than $5.000?

Yes

Date

Method of contribution: frCastr Personal

(t oto.

olo\ er

1-a^ 0 /" Vt9

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

Amount of Clontribution

-q lnr,-.^n ' l' ,oo't

T

Credit/Debit Card

fl

Payroll Deduction

I

Money Order

n

Recelved /

fl

I Yes lNo

f

{fr'a

Aggregate cortnbutrons

/tr /t=-/01 SUBTOTAL Section B-This Page

-

"i {a 7.Ssn

TOTAI, OFiALIiICONI]RTBUTIONS'FROM II\{OIVIDUAI.S

a

(SCCIiON*:A:

& B)

7

'

,niv,*

l.

NIO\ETARY RECEIPTS (Sections A-K)

Page 4 of 17 :TIr:IN(?:

Nrtf,tEnc cntftffiEF

€+^{+t' e-r-; J4r

Ill'lf

l-l

ATF

la*)-/an7

A)i a f'C*: \me

Neme of Committee

\ddress

of Treasurer

Is this contribution associated rvith

Amount of Contribution

a I Yes f1,es, list fl No Event#

fundraistngeventlisted in SectronLl? fate

litr-

Name of Committe

Aggregate

Zip Code

\ame ol freasurer

e

Address

ls this contrrbution associated

*'ith

Amount of Contribution

a il Yes fyes, ltsl [ No Event#

fi.urdraisrngeventlisted in SectionLl?

Name of

A.glregate Cootn

Date Received

Zip Code

'rty

Name ofTreaswer

Comitlee

-{ddress

Amount of Contribution

thiscontributionassociatedwitha D Yes {fyes, list

lrndraising event listed in Sectron L1?

Event #

Aggregate Contn butlons

Date Received

r1}

fl No

.,lme of Treaswer

ame of Comrnittee

Address

ls this contribution associated with

Amount of Contribution

a fl Yes If yes,lst [ No Event#

firndraisrngeventlisted in SectionLl?

Aggregate

Zip Code

Nme of Treasuer

Name of Committee

ddress

ls this contribution associated with

fundrarsing event listcd in Section lty

Name of

State

Yes

Amount of Contribution

If yes, lisl

No Event #

Aggregate

Date Received

Zip Code

a I

Ll? fl

Nme of Treasuer

Comittee

a I fl

Is this contrbution associated *ith fimdrarsing event listed in Section L 1?

Address

Zip Code

_rn

Yes

No

Amount of Contribufion

If yes,bst Event #

Date Recelved

Name ofTreasrrer

{ame of Conmittee

Amount of Receipl

)ate Received

Address

itate

rty

Zip Code

D

!

Reimbwsement for shared Payment for goods and

ffi

Nme of Treasuer

Ad&ess

Date Received

)tate

1t}

Zip Codc

D

tl

expense

sen'ices

[l

Surplus

Distribution

Amount of Receipl

Reimbrrsement for shared expense Pavmcnt for goods and sen'ices

ilrnTOTAt

I

Surplus

Distribution

r\

Se.itign.C,;lhis Fagq,

::::

\)r.\

TOTAL of aildilr9na'I:Section C PLgcs

iil*ar.

11rr

ni;i,1on,ru

E

CSNiRfBUTIONS

.RE{'FJJTS

Entnililal on.Lini'14 nf.Sniiniary

Paagl.

:

-Ar

I. MONETARY RECE,IPTS Section B. Additional Pase ai

i ar- nE

g/-e^nilnnr 1-& n',;

{}-

/1 aqo r B. Itemized FJ's-, f(o '&

Lasr Mme

lga

)reglsqesr

-

ry /-,,,.,*

.

I

L'^

1.s.,

spouse, fl" ordependentchildofalobbyist? [ Is contributor a lobbyist,

fyes. list Event

I

Check

I

D E

No

with:

(

a contract

L,

n

Check

I

MI

O{a

Name of F-nrnlo\ d

1.*'4,/1

Lt?a'/

t-_r

A'nF^7

E Yes I

$5,000?

No

u'ith:

D

Payroll Deduction

u'"?ol#

I

!

I

ed ,

Yes

No

'ilo*

Is contributor a lobbyist,

4 o t.t-c

MI

Principal Occupation

LOOe

Nme ot

Amount of Contribution

Method of contribution: tr casl l( fersonal Check

Yes

No

a fi L1? [] Ifyes,listEvenr# lD .' / L 'a Q with

fundraising event listed in Section

Personal

fl

Check

D I

No

E

Payroll Deduction

'fu,"], Yes

Itucipal

hp Code

O;glpatiop . / Ke-J: n.-d

ame 01 l,mploJ'er

t',llt

n

I

n

to/tL/af

Money Order

PincWcuvatio"fGr*

MI

No

S

r"

.

Jtate

Zip Code

cf 6[,tV3

I Yes !No

/o-t

'n

Aggregate conmbuhons

ReceiJed /

NanreotErhprol'er

municipaliS,valued at more than

$5,000?

E y"r

4ti^

C - ^ r,, I

Amount of Contribution

(
CrediVDebit Card

n

No

Is contributor a principal of a slate contractor or prospective state contractor? f,r'es. indicate n'hrch branch or branches I-egislative Exccutive of govemment tlie contract is

*ith:

I

Payroll Deduction

D

Money Order

I

n

Date Receir ed

fl

Amount oi Contribution

a chief\xecut'ive officer of a municipality does contributor or business he/she i.s associaled rvrth have a contract *'ith said

l-temf /D . 14 tJA fersonal Check

faa'ta

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

u & Y". l_" D No

Casn

l!{I

with:

Is this contribution a-ssociated rvith lLrndrlrsrng erent lrstcd rn SecLion I

N'lethod of contribution:

No

A.ggregate contnbutrols

t

Is conb-ibutor a principal ofa state contractor or prospectlve state contractor? fyes, indicate u,hich branch or branches Legislative Executive of govemment the contract is

Yes

J

"

I

Received

Yes

/a/aq/u,z

Money Order

1(.},

Is contribuior a lobbyist. spouse, or dependent child ofa lobbvist?

lrsi

fl

I

a candidate committee for a chief executive officer of a municipality does contributor or busrness he/she is associated with have a contract *'ith said municipality valued at more than $5.000? lYes f]No

o"hi,..1

l.

E

tr

If contributioh is in excess of $400 to

CredilDebit Card

";);"/il;.I*","+-,"

fles

I

Dcte

Method of contribution:

n^

Payroll Deduction

6

spouse, !

Is this contribution irssociated

a{\

n

itate

ordependentchildofalobbyist? [

I

r,r,ith:

;flf,^es

is contributor a lobbyist,

LlYme

nYes nNo

First

,ruiil'.i-H "* /1,.

.bmployer

Is conlributor a principal ofa state contractor or prospective state contractor? Ifyes. indicate *'hich branch or branches Legislative of govemment the contract is Executive

CreditiDebit Card

,.-an/rr

I

adrl')

l)ate

I

LTltNme i

@ Cash

:lp

a candidate committee for a chief executive officer ol a municipality does contributor or business he/she is associated rvith have a contract with said municipality valued at more than $5,000?

I Yes XNo

#_

\7-

^ is in excess of $400 to If contribution

Yes

ordependentchildofalobbyist? [J No Is thrs contribution associated rvith a fundraising event listed rn Section L I ? {f1'es,list Event

,Ale

,/o

Joa.n

Aggregate cootnbutrons

to /os /eQ

Money Order

tr E

r"rna dnn

p,l ;; /rffil;)"tr",.1' spouse, fl

/oD, ae

Amount of Contribution

Principal Occupation

,rP LOOe

,Ate

Yes

ENo

ggregatg contnbutrons

Is contributor a principal ofa state contractor or prospective state contractor? If yes, indtcate rvhich branch or branches Legislative Executive of govemment the contract is

Yes

CrediilDebit Card

I

fl

a candidate committee,/for a chief executive officelof a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than No

No

n X

rvith said

ro/as/d?

N{oney Order

*-l-

-A

'14

of 6

If contribwl'on is in excess of $400 to

Yes

Kesrdentral Sr*et Addresv

[

Payroll Deduction

e-

D [

i)4r^

n

Date Reeir

Method of contribution: Personal

n

ti81u",.,..=An

/

lr'ctn

'^

a chief executive officer

ls contributor a principal ofa state contractor or prospective state contractor? If,es, indicate u'hich branch or branches Executive D l-egislative of govemment the contract is

Yes

?^

Is this contribution associated rvith a fundraisrng event listed in Section Ll? {f1'es, list Event #

srYme

LlnDlovur,

municipality does contributor or business he/she is associated with have municipalitv valued at more than $5,000? [ Yes E llo

CrediLDebit Card

Is contributor a lobb_vist, spouse, or dependent child ofalobbyist?

$

o1

Date Received

-o Kesroenrral Jtrej!+otress / lci n ,> '' Yn,,,"*

Casn

-t-_L

No

'"tY^

tr

irp Code

tate

i

n o'l*n

Amount of Contribution

AEb i\me / rla4 L o^' '# t I n

If contribution-Kin excess of $400 to a candidate committey'lor

#

dl

,n,

Prbcipal Occuprtion

IVlI

Yes

Is this contribulion associated u,ith a fundraising event listed in Section Ll ? ]r4ethod of contribution: Cash Personal

ContriUutions from Individuals

Iu-f

C/*,, o

.eslucnTlal

t4'J2 --"6o fl

I

t a /rz

/

/a?

fl

Yes

d,.*o

I e1). ffi

Aggregate contrlbutlons

d

4f.

oo

SUBTOTAL Section B-This Page

vage /

x \z. /), lr

J

of /3

MONETARY RECEIPTS

I.

Section B. Additional Page NT

A

N'E AD

FII -ING r)ITF, 'AIA'I']:mE

S*

1{,

e.; {: -

Fint 1r

i ('"-l^ {

l

J".; 1a,-) #a

ij'o;"n'o*ss"

E Yes []No

Check

n

X

v"t DNo D

Payroll Deduction

,r?-iln,-

r

tr

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

fl

D

/b -){"'9q

Method of contribution: Personal Check

E

D

?

tr tr

Is coritributor a lobbyis{ spouse, or dependent child ofa lobbyist?

Is this contribution associated with a fiindraising event listed in Section Ll

?

fyes, list Event # _

E

J

fl

MI

,'l

,+-. J^ r€

&*1"

ifate

ln.,^

l7-

E

tr

Is this contribution associated with a fundraising event listed in Section L1?

I/yes,listEvent* /D' lL-aQ

l/a

1rp

E

Yes

ts.

No

E

t"t

D

Payroll

]s'1 - -/-"

^,l* -\*

No

E Yes KNo

fyes. list eventH /a //b/dQ

[]Yes DNo

kuction fl

with:

0

Date

Rffived.

D C*fr Q

Personal

itate

:r

/

ba

Check

I

I

D

/ta'

Yes

nNo

' n

Nmeol bmployq ^

rp Uode

(:,1'

9b!.t(

o

Amount of

Contribution

I

K

branches with: fl

I otl

Payroll

Muction D

-//o*b7

/oo,oo

fl Yes DNo

-

j t-t t' /nf *\W*fr^,,no*".*

/1,o"

, ' t)onb.,

,E

/ol7a

Money Order

Mi

-lN ^

o.,}

Aggregale cmtnbutlotr

)

to /r-t/aq Princioal Occmatim pt,J

Money Order

Amount of

Contribution lJare

1ip

I

a

cr

Code

6llr

Nme of .tlmptoyq

t-- . ,.. N.g

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

a chief executive officer of a a contract with said

municipality does contributor or business he/she is associated with have D yes E No municipali$ valued at more than $5,000?

fifl v""

Is contributor a principal ofa state contractor or prospective state conkactot? fyes, indicate which branch or branches

No

olgovemment t}re contract is

with:

Date

Method of contribution:

" *',

for a chief executive officer of a is associated with have a contract with said

Is contributor a principal ofa state coiltractor or prospective state conlractor? l-,l. Yes No fyes, rndicate which branch or Executive D kgislative o}government the contract is Aggregaie conmDu! Date Rweived

Credit/Debit Card

Is this contribution associated with a fundraisrng event listed in $ectiol L I ?

Nar' '3ro

Ifconkibudon is in excess of$400 to a candidate committ# for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said E Yes ,X No municipality valued d more than $5,00@

Yes

.,

Ml ,',^u

.*

. ir"'-'

Contribution

Is contributor a principal ofa state contractor or prospective state confactol? fyes, indicate which branch or branches Legislative Execuhve olgovemment the contract is

lY7 ,h6

Is contributor a lobbyist, spouse, or dcpendent child of a lobbyist?

Amount of

tmptoy€t

Name oI

Loce

A 6 r\J*/

municipality does contributor or business hey'she municipality valued at more than $5,000?

tesrden0al strget Agdress

t}c,

No

4rya,n

$4O0 to a candidate committee

Ro^

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

Check

/do'*

Yes

€^c;rze-c

-

No

C."diynebit Card

l; -.<J";;; ?'J

Personal

fl fl

Principal Occupation

MI

fl

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fl Yes ENo

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I. MONETARY RECEIPTS Section B. Additional Pase NAMF,OF CC)MMITTFF

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MONETARY RECEIPTS Section B. Additional Pase

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t o/2 /of

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D Yes ENo

Nme oi.Umployer

/ la,oo u^ ^ 1",.1

Amount of

Contribution

ff2T,:1,

if contribution is in excess of $400 to

a candidate committee for a chief executive officer of a municipality does conFibutor or business he/she is associated with have a contract with said O Yes I No municipality valued at more than $5,000?

Yes No

.8,

Amount of

Contribution

))c

ofa state contractor or prospective state contractor? indicate which branch or branches I Fxecutive n Legislative of govemment the contnct is with:

Yes

Is contributor a principal

INo

fyes,

Credit/Debit Card

fl

Payroll Deduction

I

Money order

lo

fl Yes INo

Afi,*

Aggregate contnbrtrons

Date Recerv€d

Method of contribution:

E casn &

E

"L4,

Is this contribution associated with a fundrarsins event listed in Section Ll?

/ %:*

pqgpatlopr / / SalJ- - a-+^'?layed

ofgovemmenttlrecontractiswith. IExecutive flLegislative

dentgrytreet Af dress

D

5:o,r+

Aggregale coofibuhoDs

Is contributor a principal

Yes

l,l1

n

Yes

INo

Nme olEmploytr

alp uooe

nA

D

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? B yes E No

Fint

Is contributof a lobbyist, spouse, or dependent child of a lobbyist?

Amount of

Contribution

If contrlbution is in excess of MOO to a candidate committee for

Credit/Debit Card

"W: l"^ x-/n,; .?v 'k"ti ar- L)..

Event

I

/o/a/o?

Money Order

Method of cqnqibution:

lii

.

E

Date

E Cash ftPersonal Check E

t-x

oI

:rp

MI

Is this contribution associated with a fundraising event listed in Section L1?

/o-e,

AggreSare conmDunoN

DareReceivfl I

Is confibutor a lobbyist, spousc, or dependent child of a lobbyist?

No

Legislative

Is contributor a principal ofa state contractor or prospective state contractor? ftss, indicaJe which branch or branches Executive kgislative of govemment the contract is

[]No

Kesroennar

fyes,

E

Executive

ta/r a /a? | 2s1p (rA,a( iJ^ /s1{',"", \me tmolovs Ls€ aA qto C /n ol /"-b, MI

Credit/Debit Card El Payroll Deduction

X vss, StreetA0{lr6s - )i , Dn C.*,."*l '1o11"- 1)

Resr

E

Yes

Money Order

Lgtrlsl.flme

fyes, listEvent #

with:

fl

El

a candidate committedfor a chiefexecutive qfftcer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? [ Yes E No

l8- /(*a?

Method of contribution:

Amount of

Contribution

" Ifcontribution is in excess of$400 to

Evo

Is this contribution associated with a fi.mdraising event listed in Section Ll?

Huction El

"7"1, L

I Yes []No

contributor a lobbyis! spouse, ofa lobbyist?

rr dependent child

fl Cash (

E

'^4/,

),T':X::"<J

/

Employer

Lrarc Kecerveo ,

Check D CreaitfOeOit Card

i

fyes, listEvent#

t

S" /J ! , atn zlu/ o
ofa state contractor or prospective state contractor?

{/yes, indicate which branch orbranches of govemment the contract is

'K" h *"-

.s

Occupatim

a candidate committee for a chief executive ofltcer of a municipality does contributor or business he/she is associated with have a contract with said mudcipality valued ai more than $5,000? F yo D No

No

Method of contribution:

tr

\ame of

CT "p6d,l/F

3-7,to

If contributioh is in sxcess of $400 to

Yes

FYo

Is this contribution associated with a fundraising event listed in Section Ll? .I/ya, lisiEvent * t_X t L -o?_

with said

/?5^

/tG /oQ

Priocipal

L@e

itate

1,4^h-

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

to

Money Order

:i\----.t t

''D'-L't A,-

a contract

fl fl

,r"r:;1n

*'^ k'StrelAd&ess

Amount of Confribution

Yes Is confibutor a principal ofa state contractor or prospective state contractor? No fyes, indicate which branch or branches of govemment the conkact is with: fl Executive fl Legislative Aggregate conhbuhons Date Raqved

UNo

s /O -ib 'fi'

/

a chief executive officer of a

IYes INo

mrmicipality valued at more than $5"000?

E[ Y*

/

fleT't"st

664r

Yes

Is this contribution associated with a fundraisins event listed in Section Ll?

t- )

Nme of Employer

lsutle

-1t,

iJo

n

MI

I

fa-fn cr<-

r)ATF

lC *.42-2ad7

'NliNIF.

/r t"/a? SUBTOTAL Section B-This Pase

4

{o.P

I. MONETARY RE.CEIPTS Section B. Additional Pase I'N ING NI IF NATtr

J3+.(4i*-: Jj',C

C-t

I

MI

-P n -)e[,

:;;^y;"::YL^,t A"

I I

Is contributor

a lobbyist, spouse, or dependent child of a lobbyist?

Method of contribution: D Cash Penonal Check

ft

ttate

:7-

lrp LJXe

1$ v"s

i;,:t;l; n:;,', J

with:

I

Credit/Debit Card

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

2U

Payroll Deduction

fl

State

" l:,.

Cr

n Lz/r o

D

I

Yes

with:

**4r'.-'.

Event

)

I fl

# I t, ib -cq

Method of contribution:

tr st

Cash

^{

Payroll Deduction

I

Personal

Nme

Check

fl

Fl Y* ENo

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

Payroll Deduction

fJ

I

o

NameottmDlovef ,

try

.-:1

]/z-

'

/

b'1

l:mre lap

lc;-l of

Priucipal

Oaupallg7

Lme

we

lpprPyJIT vl ,

d 4'ttY

Cash

(

No

Xvo

I At'n

[]No

Check U Credit/Debit Card

n-9eft jlk

Iscontributoralobbyist,sfouse, I Yes ordependentchildofalobbyist? fl No Is this contribution associated with a flrndraising event lisieil in Section L1?

fyes. lisiEvent#

Ib-tL-o

[ yes f]

Persona]

Check

n

Amount of Contribution

No

I

Payroll Deduction

fl

taL/a1 I iou4 .

Money Order MI

f ,r

-*,n.d

zrp Lme

i

J/""Jn

brl 6L

1iltr

U I

yes No

/N.n

lAggregatesntrlbutr,

Ao-y,'a Amount of Contribution

J

or EmProytr

lNme

If contridution 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 *,ith said municipatity valued at more than $5,000? fl Yes I No

$, v"s []No

Is contributor a principal ofa state contractor or prospective state contractor? fyes, indicate which branch or branches of government the contract is with: fl Executive I Legislative

Credit/Debit Card

I

Payroll Deductron

D

Moncy Ordcr

to

n u

Yes

l\o

Jz,n

Aggregate cotrtrrbuhons

Date R6eived

Method of contnbution:

{Castr I

?

J I D.''

Kz,hls

DateRtreived/ /

Fys--2

z5Tr:'i'T:*, /, ttal

/ fo.^

Aggegate contnbuhom

Is contributor a principal of a state contractor or prospective state contractor, I/res, indicate which branch or branches of govemment the contract is with: D Executive D Legislative

-l/"

Personal

or

4.."/.d

fl Yes D No

M00 to

Method of contribution:

tr

I

a candidate committee for a cbieGiecutive off&iof a municipality does contributor or business he/she is associated with have a contract with said

If cb-ntribution is in excess

Yes

Lst Nahe

L

MI

municipalityvaluedafmorethan$5,000?

*

t n

to/z/of

Money Order

t

1-, /u

s{ O

ls this eonkibution associated with a fundraising event listed in Section L1? *A1 .I/yes, lisi Event )O

Amount of Contribution

lttr ( ,J" :., + -k,[r

lZrP Lode

DateRmived

D

Card

fl

Omatim

Is contributor a principal ofa state contractor or prospective state contractor? I/yes, indicatewtrichbranch orbranches of govemment the contract is with: E Executive il Legislatiue

Fint

*i)^)""Wfl6r"rl

ur

hincinal

$4O0 to a candidate commi$& 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? D yes fl No

No

-CredirDebit

i<

itate

Lrrb"

4 ro''o

Aglfegate cotrmbutrotr

/

l''{a,t or

If confibutiob is in excess of

Yes

I

Qt ou, c- zv

I

r

Yes

ENo

/o/'o /"q

Money Order MI

lity---1 j

Is this contribution associated with a fundraising event Iisted in Secrion LJ?

fyes, lisi

n

o*''fln*don,

lobbyis! spouse,

a

D

Is contributor a principal ofa state contractor or prospectiye state contmctor? I/yes, indicate which branch or branches of government the contract is Executive f1 Legisiative

.El N"

Lasl Nase

:r dependent child ofa lobbyist?

Amount of Contribution

municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? D yes U No

Credit/DpbitCard

);%'K)Ti,;- Al

-4-a,*

e-e

/d--4,

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

Yes

No

Aggegate contrlbuhoro

R€sved

Date Reeived

Personal Check

ls contributor a

fl

Yes

Y':,T:T", ,l*t J=..V p,"F:?"! 't\n 3*-..^

lip Code

Method of contribution:

D C*fr fr

E

to /ta/a ?

Mooey Order MI

-rto^c'-s 'zl"

INo

Is this contribution associated with a fi.mdraising event listed in Section L1? ,fyes, list Event #

I fl

Is contributor a principal of a state contractor or prospectivs state contractor? I/yes, indicate which branch or branches of govement the contract is Executive Legislative

lNo

Fist i

:(srqeuua DE€t ruoress

Name ot bmployer

ob,{t 8

Date

fl

Amount of Contribution

excess ofM00 to a candidate committee for a chief executive ofhcer ofa municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,(F0? fl Yes D tto

Last Name

I

llincipal Occupation

Ifcontributibn is in

I'to

"a?'

lO

2-1,

Yes

Is this contribution associated with a fundraising event listed in Section Ll? -Ilyes, list Event # -/ 6

qL-

ltemized Contributions from Individuals

'F,.

Fitst

l.a$-Nme

5-a

/a.-A2- Aatf

f4urun'

/tt/rq

t

qj:''

SUBTOTAL Section B-This Page Page

(nn.o"

of lJ

I. MONETARY RECEIPTS Section B. Additional Pase ?II TNr} NI

5{o {,'",-;

-L'^

(

I-ast

Name

.

/"1

1*q /1tq14^a-th

'*,7,*

^d I Yes ENo

Is contribrltor a"fo6byist, spouse, or dependent child of a lobbyist?

itate

tfft Name

Personal

Check

f]

I Payroll First ,)-

J

tr tr

a Ll? -b?

ls this contribution associated with firndraising event listed in Section / 6 -/4 fyes, list Event Personal

iesloeuDa Jtreet Aooress

sa --, a -\tm

.s

mi

Check

E

Ir I

e tr

3r

Amount of Contribntion

Name ofEmployer

offictr of

a chief executive

{yer,

E

Payroll Deduction

fl

a

fl fl

Yes

No

-i--4.*

^r^

fl

,c k itate

n7--

rp Lme

),lame

6/'ilr

E fl

Is this contribution associated with a fundraisrns event listed in Section Ll? I/yes. lisT Event /O

-il -a?

Check

E

Is contributor a principal

I/yer" indicate which

D

Payroll

{v". ENo

ofa state contractor or prospective

E

Credit/Debit Card

A

fl Yes DNo

ls this contribution associated with a fundraising event listed m Section Ll? If yes. tisT Event H

i!21/L'!f;-

Huction fl

Rffived

/aa'm

Aggregarp mrrDuDom

/

Ll rt,.*o

to/, /u ?

lr{oney Order

MI

Amount of

Contribution

*

;tate

Nme oI

ap usre

tmDroyer

n.L

aa+tf,

Palroll Deduction

I

I

,/r*tt

"#

E Yes ENo

//,r* ,o &*Jnn ),

ttate

:r

oV

c-rit*

Princip{Oaupagipn t / J> /+ - €q D lor.ol

MI

J

Jn.^

rggregare auuouuorN

;

td/a/t'7

Money Order

Nme

Llp Loce

/f/t/(

oi.tfiployer

Amount of

Contribution

/

If contribution is in excess of M00 to a candidate committee for a chief execr{ive 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? E Yes il No

Evo

Is contributor a priraipal ofa state contractor or prospective state contractor? fyes, indicate which branch or branches of govemment the contract is with: fl Executive I kgislative

DNo

Date

I

fl Yes INo

state contractor?

branch or branches

Is contributor a principal ofa state contractor or prospective state contractor? ,I/yes, indicate which branch or branches of govemment the contract is with: D Executive E Legislative

5'3. '.$haPc.'-<{ /\'e

Method of contribution: ,{ Castr I Penonal Check

Contribution

a chief executive offr&r of a municipalrty does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,00O? E yes E No

No

/,

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

Amount of

'3 " +,.;J

If contribiltion is in excess of $400 to a candidate committed for

Yes

Frst / I

t

of Emplot'u

Date Raeived

Method of contribution:

Ocuoation /

a candidate committee for a chiefexecutive officer ofa municipality does contributor or business hey'she is asscciated with have a contract with said municipality valued at more than $5,000? E yes E No

k durQ, t'U"^-ln

tJ. A,-

Personal

Princinal

Ifcontributlon is in excess of $400 to

CrediyOeUit Card

str€t Addx6s

*

'

MI

I

216,64

/o/ts/o1'

Money Order

rs/

nff\,1JretJAddless

f,p Lme

Date

Penonal Check

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

{esrdenftar

itate

vo.*

Aggregate conmDunons

ofgovernmenttlrecontractiswith: EExecutive ILegislative

/ /t/m hnD

fiC^tt

MI

A

t

ta/?/a? 4e*.t' PrircipalOccupatqtl, I , / 'K.*r.d.

Is contributor a principal

No

E[vo INo

astN?me

E

Rffeived

Money Order

I

EI No

ofa state contractor or prospective state contractor? indicate which branch or branches of govemment the contract is with: I Executive E Legislative

Yes

U Yes trl No

IO -/4-c'i

Method of contribution:

IVQ

n

'2--1,

ls this contribution associated wilh a fundraising event listed in Section Ll?

Kesrdfl tral

n Yes

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

No

^/ (jLJ

contributor a lobbyis! spouse, ofa lobbyist?

D Cash p

Yes

Credit/Debit Card

rr dependent child

{/yes, listEvent#

No

ht,709 L / A le.,^ /)tt f't If contribution is in €xcess of $400 to a candidate committee for

rt5l/) ' /,/"

-$t^aqe I Vn l^^{tnn

ll

Date RtreiYed,.

Method of contribution:

ft

I

|

/

t

#

Deduction

a-^.o 'ivfrJ

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

-tL

Is contributor a principal ofa state contractor or prospective state contractor? Ifyes, ndicate which branch or branches D Executive fl Legislative of govemment the contract is with:

Credit{Debit Card

/jA" r /; (eslomud }tre€t AddreSS qq C1"". l,t, ^/
t1 Cast

.fi V"s fl

$5,@0?

Date

Method of contribution:

n Cash Q

)8n€orEmproyBr

Amount of

Contribution

a candidate committee for a chief executive ofhcer of a municipality does contributor or business he/she iq associated with have a contract with said

ENo

t,9

il(L-/" -*

Loce

Lqe2

b

If contribution is in excess of M00 to

FYo

Is this contribution associated with a f,ndraising event listed in Section L I ? ffyes, list Event

1rp

:-r

1.,o,-

municipatity valued at more than

* i6 -ll

-J a c7

--?2

B. Itemized Contributions fiom Individuals Fint I MI Principal Occup?tion E nTt nee:' A.c' ir'ts

---l /

ie'sidential SFget

NATF

lo

oro,

l

-7{r* ll, ;1: Addrss

TF

Credit/Debit Card

fJ

Payroll Deduction

fl

Money Order

Receiv$

/

fl Yes []No

Aggegate contnbunons

lo/16/x f

/ Do,*

*7?5n"

SUBTOTAL Seciion B-This Page Y^g"

/4

4 nt,e

,f

13

I. MONETARY RECEIPTS Section B. Additional Pape

-sLCt",

!.II IN(l nITF NATF

vl^, o r-

G./-

/n -Jt-A tc7

B, [r) ) h^,^ cr^n

f

t /-t .l b? (;"-,,.", +r. ---I <-rr

spouse, fl ordependentcbildofalobbyist? D

Is cnntributor a lobbyist,

Is this contribution associated with fundraising event listel in Section fyes, list Event #

No

Personal Check

lobbyist,

fi n

I

No

fJ

Credit/Debit Card

Payroll Deduction

D

spouse, D E

yes No

a

Is this contribution associated with

fi.mdraisingeventlistedinSectionll? fyes, list Event #

n

Check

n

I fl

Yes

Check

Personal

fl

fl Yes U No

fl

Palroll Deduction

I

MI itate

:rp Code

branches with. n

No

I

Payroll Deduction

fl

Personal

itate

MI

hincipal Occupatim

ilp Code

Nme of Fnployu

fl Yes INo

Is contributor a principal ofa state contractor or prospective state contractor? df}es, indicate which branch or branches of govemment the contract is D Executive D Legislative

with:

!

Money Order M]

\ry

I fl

Is contributor a lobbyist, spouse, or dependent child of a lobbyist? Is this contribution associated with fundraising event listed in Section /yes, list Event #

a Ll?

itate

Principai Ocmpation

\me ol bmptoyfl

4rp Code

a chief executive officer of a municipality does contributor or business he/she is associated with have a contract u,ith said mrinicipality valued at more than $5,000? [ Yes D No

No

Is contributor a prirrcipal ofa state contractor or prospective state contractod fyes, indicatc which branch or branches of govemment the contract is Legislative Executive

Yes

No

with:

fl

Date Reccived

Method of contribution:

Check

fl

Amount of Contrihution

If contribution is in excess of M00 to a candidate committee for

Yes

I fl

n Yes fI No

Aggregate conkrbutrons

Date Rrceived

Check C Credit/Debit Card E Payroll Deduction

Sa€t Address

Personal

Amount of Contribution

a chief executive officer of a mruricipality does contributor or business he/she is associated with bave a contract with said municipality valued d more than $5,00O? [Yes []No

Uo

First

! Cash D

"

Aggregate mnttrbilUoos

If contribution is in excess of M00 to a candidate committee for

Yes

Nme

n Yes D No

Money Order

Method of contribution:

Residentral

Amount of Contribution

Principal Occupatioa

ls contributor a principai of a state contractor or prospective state contractor? I/yes, indicate utrich branch or of govemment the confact is Executive D kgislatit

Yes

'tty

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

mln-tlutros

fl

E fl

lesidflhal Stret Addrss

-ast

Aggregate

Money Onder

Fist

spouse, E E

Yes

DNo

excess of$4O0 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business hdshe is associated with have a contract v.ith said municipality valued at more than $5,000? E Yes No

CreditDebit Card

ordependentchildofalobbyist?

I

Ifcontribution is in

No

NtNme

ls contributor a lobbyisl

.''

Amount of Contribution

DateRffiived

Method of contribution:

D4

JAo't-d

ofa state conFactor or prosp€ctive state contractor? I/yes, indicate which branch or branches of govemment the contract is with: E Executive E Legislative

Yes

a Ll?

/

Narne 01 bmptoytr

at more than $5,000?

lity

Is this contribution associated with fundraising event listed in Section /yes. list Event #

No

Principal Ocirpation

ls contributor a principal

No

Address

spouse, I [

Yes

AggIegate contrrbuhoN

)o /tz /o7

1ip Code

First

contributoralobbyis!

[ fl

$40O 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

CrediyDebit Card

>rdependentchiidofalobbyist?

I

//r,*/

If conaibution is in excess of

LiltNme

fl Cash E

k^

Dale Rssved

Method of contribution: Casn Personal

D Castr fl

EmDlover

E:-.

Money Order

Itate

municipali{ valued

<6rdflial Str€t

Nme ot

MI

lity

ordependentchildofalobbyist?

fl

I

le10

fl Yes n

SlI€t Ad&ess a

A

Is contributor a principal of a state contractor or prospective state contractor? fyes, indicate which branch or branches of govemment the contract is with: I Executive I Legislative

Yes

First

Is contributor

lip Code

Amount of Contribution

a candidate committee for a chief executive'ofhcer of a municipality does contributor or business he,/she is associated with have a contract with said municipality valued at more than $5,000? No

Last Name

s

(:T'

t/

N un;q

Date Raeived.

Method of contribution:

<esrdennal

;iate

,L

Pmcipal Occupation

If contribution is in excess of $400 to

Yes

a Ll?

MI

vl5a4y ee n

''.A^to"

<es'0(iluil Jtreet Aooress

D Casn ,Q

Itemized Contritrutions from Individuals

Fnt 1, ,

Last Name/

Credit{Debit Card

I

Payroll Deduction

D

n

D

u

Yes

No

Aggregate sntnbuhons

Money Order

SUBTOTAL Section B-This :Page

v^g"

/J

./ oooo'

'f/3-

I. rT^

N'IONETARY RECEIPTS (Sections A-K)

Page 6

FJIINGTD{IE I}ATE

l,fil flE J-lltrAtl?rfiF

,Sla K-i"

4t-

'vl

,ta --/2Jaa

uro-

l-i;A;tmori:ton trirUtdrsi'iip #*i'iitil,a*", )aie Reccrl ed

I

to lra/ o? $i

bills

coins

Date Recerved

Amomt

5-Z

"y

E 1i14re a, e4)

'f otal

AmoEt

, s-<, $1 bills

$5 btlls

_

coins

bill

lntL.n

$

10 bill

$

-

Amomt

Amoml

Date Received

J"v,

B4

Total Amount Received

-

Name of lnstitution

Nane of Instimtion

reet Address

Street,A.ddress

Crty

f

a

J-,rnteiest f.aiit Date Received

17

Amount Received

$5 bills

$10

",

of

Slate

Zip Code

State

City

Zip Code

&,

S

K.'lUi".tU"*" Name

"*tan'Receipts

Street Ad&ess

noiConsideredContributions

ciry

Date of Tresaction

Amount Received

Zip Code

Statc

Description

e.

s Date of

Nme

Sreet -{ddress

Ctt)

Trmaction

Amount Received

Zip Code

State

Desinprron

X Date

Name

Street Address

cilr'

ol lrmactron

Amount Received

Zip Code

Sate

Description

4 S

s

fotal 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 ,,lffiliated Labor Union or Other Organization Treasury (Section

G)

+

'a

\ \ \

Total Amount of Personal Funds of the Candidate Received this Period (Section H)

+

Total Amount of Anonymous Contributions (Section I)

+

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

+

1\

Total N{iscellaneous l{onetarl'Receipts not considered contributions (section K)

+

b

Tothl of O'theiMon*ary ReCCipts (Add SectionsD-Iq (Entir total on Line t 5 of Summory Page)

&

4-D. oc

J-C. oo

II. v

A

MF,,{}F', r'C}1\ll\'r:tTi,:FF

..,-

-q+-. (;{,' # Date of Fmdmiser

Mo

Subpart

1: (All

,/o..1 ),-?6a? t'

Li. Fundraiser Event Information lq

Locatron: StreetAddress

L

St"J;"

Lener ll )escnptlon

/D-/4,'o?

Page 7 of 17 flI.::nTr: :r)I:TE. rt A.rF

'

Fundraising Er ent

FUNDRAISTNG EVENT ACTIYITY

i',,. 8s"-*

a ?5 l!a,.n .Y{*..'*

l' lo-"*d"r"uv "-e.st

)tate

Zip Code

o6(/t

*7-

?,-*1,1

Committees)

Was this fundraising event hosted at a personal

fl Yes

residence?

(f1,es. go to Section L4 In-kind Donations not Considered Contributions and complete required informalion for purchases made by host(s) for food, beverage and invitations.)

El No

n Yes (fyes, go to Section

Did this fundraiser include items donated b.v a business entif of up to S100 or items donated by an individual ofup to $50?

I-4

In-kind Donations not Considered Contributions

and complete required information. )

.Xl N^

IYes (fyes, go to SectionL2

Was this fundraiser a tag sa1e, auction, or other sale of donatcd items u'ith purchases from an individual ofup to $50?

Proceeds from Tag Sale, Auction, or Other Sale

of

Donated Items.)

EI N" (Town Committees and trfunicipal Candidate Commitlees ONLI) Were there purchases ofadvertising space in a program book associated tl Yes (f1'es.

Subpart

2:

go to Section L3 Purchases ofAdvertising Space in a Program Book and complete required information.)

rvith this fundraiser?

ts Subpart j: (To**n Committees ONLI) Did your committee sell food or beverage at a fair or sin-rilar mass gathering held rvithin the state?

n

No

Yes (f1'es,

enter Total Receipts from small Purchases

herel

D No . a,:): t: ::a:.:

: :: : :

::

:',

aa::

: : ::1'!.1

:, | :

::

ri.::

Fundraising Event # f)ate of Frrndrarser

Subpart

Lener

Description

Location: StleetAddress

1: (All Committees)

Was this fundraising event hosted at a personal

go to Section L,l In-kind Donations not Considered Contributions and complete required infomation for purchases made by host(s) for foodbeverage and invitations.)

residence?

[ Yes (f1es,

n No ! Ycs (f1,es- go to Section L'+ In-kind Donations

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

not Considered Contributions

and complete iequired information.)

l-l xl^

I Yes (fyes, go to Section

Was this fundraiser atag sale, auction, or other sale of donated items rvith purchases from an individual ofup to $50?

L2 Proceeds from Tag Sale, Auction, or Other Sale of

Donated Items.)

tr

2:

(Town Committees and Municipal Candidate Committees ONLL) Weie there purchases of advertising space in a program book associated D Yes (fyes, go to Section L3 Purchases of Advertising Space in and complete required information ) u'ith this fundraiser?

Subpart

Zip Code

State

lit_v

a

Program Book

UNo

Subpart 3: (Town Committees ONLI) Did your committee sell food or beverage at a fair or similzir mass gathering held u'ithin the state?

s.rrs.

TqfAL

fl

Yes (fyes,

enter Total Receipts

from small purchases here]

LNo

s

9.q"tylt'rli,oii'iCa .o.

"ifii*ipls

Tbii"net

:t::;::::::=::'1j:,';i:,: .,:::,::.1;li.i.::::::,:::t':it::::;:;::ti:-1,.:.liiri,ii::r:l::::,',+.i1,ji:

TOr.ail

of additional Section Lt Pages

+ ..-

:a!t: ;i

6

IV. EXPENDITIIRES

Page 13 of 17 trII InlG ]'}I Ttr' }A :TE]::l

NAMF,I')F T:r)MMI"ITEF

5-+d Nme

$C"-.;

Aq n !i-

J-'1,^

e*p5ils*rtiA rC,druffi

n.A

Sh..t;

Cit_vf

brcode)Q

r-

04 ct

11

/o --f- Dq

Zrp Code

A[,Va

Cmdidate(s)

Nme

3

3

/a

al

-/A -

Supported

opposed

Organization (see Instuctiorc)

4f'

tra trB !c trl trn )ate

Street Address

':p.-1,,

r{r

A[eu{Lu"n Au* (blcode) A- D14 I

//

Amount

Debit Card

I fl

Office Sought

(ifapplicable)

Coordinatcd rvrth reimbursement soughl Coordinated rvithout reimbursement sought Independent

Dcnec*.#

I

vent #

sL A,J-.-,r"- +,-l.A

4

Type of Expendilur e (if applicabl e).

fl

{ethod ofPayment

ate ofPaymsnt

r

(

I fl fl I

/o -;?- joc?

'")JJ1"

pe of Expenditue (if applbqble):

Coordinated with reimbursement sought Coordinated rvithout reimbursement sought independent

D

fl fl

J

itate

,lp Looe

cT-

o

ot l'a)ment

Meihod of Payment

/D -DL-6f

L.{t9

"i;;-ii]"- t1.,,,. /4u-

bv coae) z-d

6, y

//3V

Event #

l,n. ft!o'. fzrs

Cmdidate(s) Nme (if applicable)

Ll Supported

Office Sought

I

opposed

s],9'71' lo

fvpe of Expenditure (if

fl n

E

I

cittri- I /_.zzrb.l

State

c_-r

)escnDtlon

applicable).

Coordinated rvith reimbursement sought Coordinated u'ithout reimbursement sought Independent

r/'*f,r

4rp Looe

86{ltr

d1cr'""xx

fl

liJ-5:

Debit Card

Erent #

qss

Cmdrdat0$; N#e (if appliruble)

L,'

D

-e Soughl

Supported

D Opposed

s

Organizatron (see Instntctions)

trA trB f]C trO f]T

l),-".* No: l S, ,24,,s Zip )ae . TL^*,.,n/-. FL 33rbt kq.rc 41,^-L,L atC 'H::7,;. //\o, 1,, Tlu.rs ,r,r'cod.r/ / A _ V pl "rH

to f ,, f ,7

Code

I

(f app lirahle). Coordinated with reimbursement sought Coordinated rvithout reimbursemenl sought Independent

pe of Expendi tur e

D

fl

Organization

(s

ee

Cmdida2€(s)

Nme

E

0flice

/14

Debit Card

U D

Sought

(if upplictule)

Supported Opposed

Instructions)

J,33A.oB

tla trB nc !n trn Method olPayment

Nme tO

73 :1p LOOc

B

n peodrl

(by code)

Echect* Event #

l-\rmose ot ExDendrMe

I n

:+

=N/

Type of Expendilure (i,f applicable)'. D Coordinated wrth reimbursement sought D Coordinated rvithout reimbursement sought I hdependent fl Organization (see I nstructionsl

Dr trB trc lo

lql,u Amount

)ate of Pa\Dcot

NalDe{tra)ee,

5neet -{dtre)S

Amount

Method of Payment

)ate ot Pa),ment

S*n^/* /

_

Amounl

Card

Organization (see I nstructions)

tranBncDntr n'-[j]:* ll*. {",

Tl

Zch"cx# D Debit

ta

rof,^f

b,1I[

*

-Q, "t^Jru,r"f" Nme^A.e.

Cmdidat{s) (if applicablz)

ilct"ru+

fl

Amount

)/3?

Debit Card

F*iT-- ,i-

ro/16/o1

Office Sought

I

opposed

ne

li:lt:,it;;r,:

imm

iiiaii.sa'ffiiiii;,ttoo1suiio,vrasu1

,0c '7 ort q.xg fl L 33,/,X b'l'7 .a',

I

IV. EXPENDITURES Secfion P. Additional Pase VAMF r:}F ir)MMTTTFF I AA ^

SJz, 4,

n,

o

f,II ING

\lv

P. Nane ofPavee

s '/t uf () l,u i,, Sl

)ate of Palment

lq-t I 'y'o,-b t

!\rrpose ot Lxpendltue

I

Independent

D

Organization (see Instructions)

(blcode)

Ectrect# ll.tg fl Debit Card E\,ent #

r, " .sJn^ <-

D Supported fl opposed

/OIIice Sought

s )ate ol Pavment

ry

Jtate

Method ol Payment

o/n/,r

alp Loqg

Elcheck #

1 z,J-a Amount

.J

/Bq

Fr enr #

? Ef

Clmdidate(s) (if a]lplicable)

Sought

noppos.d

independent

s LJ-b,ca

Organization (see Instntctions)

tra trB Dc t]o no .S{,",J,o i 2t )Eeet Name of Par ee {odress

)ula,'^ (b-vcode)

)ate of Palment

/

!q:1

Sl

FN n ?

cr

Jtate

I

l)-J:q 'i':T:.-)",

Yurpose ol bxpendlhfe

A

r"

Lrp I ooe

b

/' Lllf

-.

Method of Payment

f $f,r

Amoun{

&cttecu* I i4 E

o

Debit Card

Lvent

C-J*u.', ^1"-u")-

Cmdidate(s) Nme (if applXable)

Type of Expendit\tre (if qpplicable) fl Coordinated rvith reimbwsement sought I Coordinated rvithout reimbursement sought

# J

/

ic/r/,/oQ fl

Office Sought

Supported

[1 Opposed

Indcpendent

Organization (see Instructions) [-"] a l-1 p l-l r- T-I

me

or ravee

' l,/,,;

vr'\ t

""')of'-f'.,

c^'

eu rrpctrdtuc^ rurpos€ (bycode) Fil n p n

01

n

M^*.

s+

s

Tl te or

I

(s e e

ofParee -

*"

Zip Code

, "fuf,u

(

a b'fo

^, on.o-- lci-" lT,J". 4- {:-J,n*u.r Candidate(s) Nmie

Achecu#

n

Event

Purpose 01 bxpendrtue

Q f l^/

Amount

/ll/,

#

/

,

I

Supported Opposed

s 14t1rc

Un

'Sil;

Type of Expcnditttre (iJ applicable) n Coordinated rvith reimbursement sought I Coordinate<1 rvithout reimbursement soughl .

c

Debit Card

D

Office Soug)rt

)ate ofPavment

i

"h-

f,td,c

to//d/oq

(if upplitable)

' V-',. {Ju^ Lot ;";;Tfil lhu, lw?",,l,

(bycode)

tvremoo ot raymenl

Instructions)

l.q. !B flc Dr

Name

Srare

f'JJ

of Expendihtre (d applicoble). Coordinated rvith reimbursement sought Coordinateti rvithout reimbursement sought lndependent Organization

ra]Dem

-c

T_vpe

! !

f"f

Amount

Ll Debrt Card b6(?3 t Et;'J"-. s,4.,w e i,(s h " o lo o q/,+frq,*]. -J, Oflice Nme I Supported

Type of Expendilur e (if app licab le). n Coordrnated with reimbursement sought n Coordinated without reimbursement sought

! I I fl

rafrz

66lrr

r{ethod ofPayment

(if'opplicable)

Dr trB nc nt !8, h^*J A ^-l-^^ t,(,.,1 frii,L,"^

Purpose ot L.xpendthue

I

alp Lode

Paveel

'-L,

D

tate

4-T-

Cmdidate(s) Nme

Type of Expenditure (if applirable). I Coordinated rvith reimbursemcnt sought fl Coorclinated without reimbursement sought

n n

)

n

""'ffI:*..'= * o, I

(b1,code),?osf

Nme gj

Expenses Paid trv Committee

eQQ.u

7t

T'}I TF.I'}A.TF'

/a --?r-J66?

6-",i e /-*

c^l

5At9

4:T-

lo /..t1

'CandidEte(s)

Nme

(if applicable)

,lp

Lode

r,

oL"lt{

plonn .,ou'/s

/q/r

/r,l ':/.-

1'

Oiice

Sought

Method of Payment

Dcheck*

fl

1L

Debit Card

Amounl

lQ

Er ent #

I I

Supported Opposed

lndependent

$

Organization (see Instructions)

SIIRTfITAIr Snn*ion P-rf-hit

Pa:s+

Fd

g,7t

JLI D) t

Pase

-<

of tJ

Pq

IV. EXPENDITURES Section P. Additional Pase tr'E NE

\T A

FIl,ING DIlE T}ATE

S+^ (V,r'ri 'AI/T/ITTtrF

4o'. f(aot a r P, Expenses Paid by'Committee -TTi.,^o- Ll" I-t ar,,s tt " tc/r e fcl c.-r- abfa I ;;- 1".i," J [,.,L u' Au. 3nuehte\ )escriotion, r ,\ (bycode) f tg.lQ 3,,j,;A * s ol.- /*^,*, f i' dt..'s* )ate ofPayment

)tleet Address

S

tate

arp Code

I

Purpose ot bxpendllue

Type of ExpendiluTe (iftpplicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent .

! n !

D

Cadidate(s) Nme

(

/4

--?2" .t

eaJ Amount

Method of Payrnent

Kcn""ux //{ n Debit Card #

Event

I

3

I

7a/tr/az

LJ Supported

OfEce Sought

!

(iJ applicable)

Opposed

s

Organization (see Instructions)

n,l ls []c nl trn **""'f,::^ tr'2 I €- s Ae.*a..rni, )ueetAddrFSs I J / 99- i *'r 81, ^oLrtl't 3-l)/-rb t o"'H-i'J,'o, rumose ol bxDendltue

nv',"a"t

fyi pB

f

fype of Lxpenditure (if applicable) . n Coordinated with reimbursement sought n Coordinated rvithout reimbursement sought

D

n

ir

itate

:t

641/7

r*,,a/,,/u?'

Cmdidate(s)

icfrof,:?

Zip Code

,frcn""u* E

ll | {

Debit Card

Event 4

/

i

/0/14/a7

k)t, eJ

Nme

Ll Supported

Olfice Sought

I

(ifappticable)

opposed

lndependent

s

Organization (see Instructions)

!a UB flc nD nE City

rurpose oI txpenolue (by code)

)escription

I'o" Type of Expenditvre (if applic able). I Coordinated with reimbursement sought fl Coordinated without reimbursement sought

n I

Oftrce Sought

L-J

I

Supported opposed

Independent

Organization (see Instructions)

J

trA DB f]C trD trI tate oI

Nare ofPayee

lity

St eet Address rurpose oI Expenorue (by code)

ifafe

raweot

e (if opp I ic flb le). Coordinated with reimbursement sought Coordinated without reirnbursement sougl.tt

Cmdidate(s) Nane

Amount

Method 01 Payment

[J Check

Zip Code

I

#-

Debit Card

Fvent #

)escription

lype of Expendittt

n n n I

aa

#

F-vent

Cadidate(s) Nme (if applicable)

a'/.

I Check #n Debit Card

Zip Code

Street Address

I

Amount

r{ethod ofPayment

Date ofPayment

Nane ofPayee

4 3,91 Amount

Method 01 Payment

I Supported n Opposed

Of6ce Sought

(if tpplicable)

hdependent Organization (see Instructions)

$

trA. DB f]C trD trE Date ofPaymenl

Nane ofPayee SS

[l n

City

Amounl

Method of Payment Check

#_

Debit Card

Event #

DescnptroD

(by code)

Type ol Expendilure (d applicable).

I I I n

Coordinated rvith reimbursement sought Coordinated without reimbursemenl sotlg].it lndependent

Cudidate(s) Nane (iJ tpplicable)

Soughr

fl

Supported

!Opposed

Organization (see Instrucrtons)

SUBTOTAL Scction P- this Pagc Page

J

42

4

3 6,qa

of J

IV. EXPENDITURES

I'age 17 of

-*, .J. ,^ l\a-, ".{

NAMEIOF'COMI4{'I'TFE

S-''\+a

{4,

u

T. Itemizatiiln

L.ast

Nme of Worker/Clonsultmt

M. lYo^.,." Pavec I ''/",n rLo 4.-o.r.t

/a * a7-aaa 7

of Reimbursemenfs to Committee Workers and Consultants

o""bk*l.

MI

Date of Pp;me4t

7t /o, /o 7 .bvcode)

'"J

/1o,, # 4I r',n'f
I

Cmdidate(s)

OR

{cn"ct* I

Nme

l/33

Debit Card

1-io Code

a6Vol

a"7*

$- A^J*,,s":

Tvpe of Expendilrr e (if applitable). I Coordinated rvith reimbursement sought D Coordinated u.ithout reimbursement sought

p, N

State

"'/h t,,nrn

Amount

Method of Payment

furpose ot Expendliue

iccor.;da4

De scnDtion

17

II INGN{IFI}A'lF-

f-l Suooorted

Office Sought

fl

(iJ applkahlz)

C)noosed

Independent

D

Organization (see Instructions) l-la l-1 n l-lc Last Nme of Worker/Consultalt

,L/4 -t'<

nD DE First

Llu",l,"'

I

K".

ro rurpose

iecondarj Clyee

er:" Ul,of"r^ L cl"[ L

1,14.

lltlr,

,,

fl Coordinated with reimbursement sought I Coordinated rvithout reimbursement sought E Independent n Organization (see Instructions) EA NR NC DD f] E

1,,.

Last Nme ol I\ orler

il^^ iecondm']ar

ee

SJ=* [. Lo, li"*

o I l'ad's

l-

irst

t

J s*opf^

co in (berci-

I-l

(s

ee

l-l

C

"ll

O61r{'

lwl* ./-

fl I

Office Sought

Date of PglmeDJ

NlI

I l)

ro

Me,n

Supported Opposcd

/rs/01

/ (o L;

brcode|

l"

Fi: t cF

_

Zip Code

Stat€

clqy

Screcr.* / lY4. n Debil Card

l_t-1.fi Amount

Method of Payment

\rpose of Expendrtue

rvl

I

p 1,"." 5

Type ol Expenditwe (if

I I I I

Zip Code

* First

Sbeet AddFlss

Dcscnption

ncheck# /13 J fl Debit card

c I-l n I-l n

Last Nme of Norker'Consultant

lir rq ,^

{

c1s

Amount

Instructions)

,r l-l n

il,', 1,, t3'n'

Supported Opposed

N4ethod ofPal,ment

/oq

JIAIE

t

5+,-L,u

Cmdiddte(s) Nme (d qpplicable)

n fl

t"T"I*

ot fil

.A-L,,

CitL

Type of Exp6nditwe (if hpplicfile) . ' Coordinated rvith reimbursement sought Coordinated rvlthout reimbursement sought Organization

PalDettt I

w*d")67f (c

4z't5

lndepender.rt

I !

\rpose ofExpenditwe

i

fl

Date of

f/.,,

/Luo^An"-

D

s[,t/g

Office Sought

N{I

Sfteet Address

Description

Debit Card

Zip Code

s 3i1ia I

r

nt

Jcrr"ru* f / 3-t-

n

(if apptirable)

I

Consultant

/o s /o"i bt Expendlture

C:T

u/-uno /u Cmdidlte(s) Nme

A mou

Method olPal'ment

State

J-./<-'- b 1

'Vpe of Expenditure' (if appticablQ.

,

w*4"1fl VL

cl}-:--r i

5treet Adffess

,2a y'tdtsr",, S* ""H,",

Pa\ment

Date of

NI1

app lica

,n

i^uln

ble).

Coordinated '"vith reimbursement sought Coordinated u.ithout reimbursement sought lndependent

landidate(s) Name 'if applicable)

I

OfEce Sought

Supported

l-l Onnosed

orgrnrzrlion lsee Instructionst

*31tr,

l-ln trs trc tro fl e $.

, :;;";-:

UBTCITAL

S

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glf i.o-n.l:I!E,te* t'a::

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TOTA' o.f,ad{lfiqnnf TOTALOF At.t REIMBIIRSEMEI\ITS

'O

CO

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1::.

Seiti.on,T,Plger

'II'OTKERS Al!{D CONS{]1-.TANTS

r'

{ iq,li {t f,'?A ta

l, t

,g'l

IV. EXPENDITURES Section S. Additional Page ?::|:::

FItlIN(}

fT]MM{TTtrF

NAMF,JrJF

Flol

"+t 4-Q,.-, h,^

o

I

.

T- itemit;iion

\ame of frorker ( on.'rltzn/

Ke,.

of Reimbursements to Commiitee tVoit<ers and Consultants

7a

Al-^.1,r I

(bvcode)

Citv

State

?D"

applicable)

.

I n fi

Coordinated rvith reimbursemenl sought Coordinated u.ilhout reimbursement sought lndependent

D

Organization (see Instructions)

La flB trc lD

Nane of

Wolker,Con'ulud I

llr^c

^ Pavee Vo

"'"3'ii Secondn

iu eet Ad&ess Citl _--r

)

Name

(s

Par

State

oi-

:

D. LLT IT

Cmdidate(s) Nme (iJ applirable)

Amount

Method of Pa.vment

&cnecu* t IV"4 D Debit

Card

Descsiption t

trtrtC{

I /Sy:fu it*.-= r"J. o/rrrT,, iroK. ).-..a

fi I

Office SoYght

ee

-/

'D^)J",

suppoffea

p,ru

Opposed

Method of Payment

n/sf7

.r.cn*r* 11/4 fl

Debit Card

bycod<) D FFlcr

T-vpe of Expendihtre (if applicuble):

Cmdidate(s) Name (if applicoble)

Coordinated with reimbursement sought Coordinated without reimbursement sought

Zip Code

Amount

)ate ofPalmetrt

Pwose ol hxDeDdrfue

State

n I

Supported Opposed

I nstructions)

ee

City

D

! I

(bl'code) A Zip Code

Street Addrss

n

n(v I. /)**jct, 5 *,Pol t €S

Purpose ofExpendltue

['\ DB Dc [n trn r,, f- t

(A

dtrFlCtr

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t " f,,fut

orBorka/c'ffit

Semndu

I l'12

?a,'eI

/JX"l"r^l- CLl

I

Organization

#

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Office Sought

s

Coordinated with reimbursement soughl Coordinated without reimbursement sought Independent

fl

fl

Date ofPayment

A"

T1,pe of ExpenditrrE gf app ticable)

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DE

' l)**L u

D

d6 Vt?

Cmdidate(s) Nme (if applicable)

C.,l-J),rl ,sca/1 -)i

Ju

fl fl

Zip Code

Ct-

-,[

lype of Expendlture (if

f ufo?

ltrpose oi bxpendltwe

A*

l\,*- lJorr,,

boa

{mou n(

Method olPayment

Date ofPayment

s

Secondar! Pavee,

Jtre€t.\ddrels

TIATF

16:J 7--(ao7

I

Ll--ts' he

']iI]F

Desqiohon.

J

/

l).1 s,/a l-l Sunnorled

Offce Sought

fl

opposed

hdependent Organization (spe Inslrucrions)

-

-

R

lt.ri

n,\ ns lc nD trE

*

Name of Worker/Consultut

..

:;;;

)ate ofPayment

tr1n /via n ..q

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