Beruflich Dokumente
Kultur Dokumente
Page 1 of29
SUMMARY PAGE
1, NAME OF COMMITTEE
2, TR.EASURER NAME
3. TREASTIRER ADDRESS
7. CANDIDATENAME
8. TYPE OF REPORT
9. PERIOD COVERED
10. CERTITICATION
E I hereby certify and state, under penalties of false statement, that all of the information set forth on this
Itemized Campaign Fanance Disclo€ure Statenent for the period covered is true, accurate and
complete.
SEEC FOR]II20
Itemized Campaign Finaace Disclosure Statement
CONNECTICUT STATE ELECTIONS HN T.'ORCEMENT' COMMISSION
Rev. 1/08
SUII{MARY PAGE
TOTALS
NAMEOFCOMMITTEE FII-INGDI]F TJA'I€
COLUMNA COLUMN B
This Period AgPresate
l6a Total Small Food and Beverage Rec€ipts at Fair (Section Ll ) lo,to +o.oo
l6b. Tot8l Proceeds from Small purchases at Tag Sales, Auctions or Other Sales (Section L2) lo,no *o.oo
16c. Total Purchases ofAdverfising in a Prosam Book (Section L3) lo,lo t71O.OO
17. Total Monetary ReceiDts (add totals for lines l3-l6c) 11,15$,OO *3,79s.OO
20. Balance on hmd at close of R@orting Pqiod (Subtract line 19 from line l8) *1,36{},rA r;1,360.88
28. Experses lncurred by Committee Durins this Period bul Not Peid {Strtion S) to.+"0
28a. Total Out$snding Exomes lncurred bv Cmmitte still Unnard (Section S) $o,O{0
Page 3 of29
NAMEOF COMMITTEE
FILING DUE DATE
Is mtributoralobbyis!spsrse, lf@tributimisinex€ssofS400toa@didslemmi&€forachiefseurive
[ fl
odependflrchildofalobbyist? "* offiw of a municipality des otributo o busines hdshe aswiaJed uth I
EI *"
have "*
mtract wilh seid municiDaliry vslued it more rhil $5000? lJ No
ls this mkibution miated with a ontributor principal of state @ntlactq tr
fuadraising evmt listed in Sstion l1? tr Yd Is a
Is@ntdbutorslobbyislspqrse.
or de!€rdest chiid qfa lobbyist?
n Ys lf mributio
qlii6
exes
n
of $400 to a sndidare @mis@ for a clricf sative
is in
ds mt ibrttr tr businw hdsie mwiated wi$ have a
of a muicipslity
Yes
tr No n
mtEct witfi sid municipality vahed af nm the $5000? No
ls this @rributi@ ffisiated with I
ftndraisingevotlisedirswtioLt? n Y6
li;*],jffi:#'#XT,trFmpe{tivcstEkffit'a fl'o EI,.,o
lf yes, iisl Evst # E No
cdmmsr the [J g**niu. LJ
mher rs wifi L"gi.lutiu"
ls @ntributors
or depmdent child of
lobbyisE
a
sp{W,
lobbyist?
f Yes lf mtributim is in sress of $4@ to a odidate mmitte fs s chief qstive
offier of a municipality dcs mtribulf tr burinas hdshe osiated wi$ have a
n"o
E No ffitBct with said municimlity valued a1 mm thm $5000? [*o
Is thrsmbibution $wiated with a Is mtributo a principrt of srale @nr.actor or prsptrtive sraie mtsaclofl
fisdmising evst listed in Section Ll? fl v"' lfvs'indiute*'ftichbrmchqbmcheof
[ El
"u, ",
Ifyes,listEvflt# E D **"" fl r*,0*""
"o
Date R6eived Aggregate Cqributim
fl cu"t E penwt chwr I a*r*u"-o I payrcttoeauatm fl t*ro,* 09/2312009 $100.00 $100.00
ls ffitributor a lotrbyist, spuse, tr Ys lf mtribution is in exc6s of $40O to a wdidate cmmitte for a chief *eotive tr Yes
lobbyist?
ffi"'H::'*:L,ffffff#;ml#"**""wio'havea n
or dcpod€nt child ofa
E No No
ls this mribution mciated with a f-.1 Yes ls mnributor a principal of $ate @otutor s pcp*tive siete @Eactofl
fwdnising evsl listed in Swtion L l' lJ [ E
lf ye. indiere which bach o brmchc of f-1 Tl "* ""
liy6, list Evflt # tr No qovemmmr rhe (nfaci is with lJ Lx@rve l-! kg$alrve
ls couibutor
or dependent child
a lotrbyist, spose,
ofa lobbyist?
tr Ys lf mtribution is in qs5 of 1400 lo a Hdidate cmmit!re fqr a chief qotive
ofier of a mmicipaiify ds wtributF q businm hdshe assisled wilh have a
E "",
tr No mmc *iti uid muici$litv vabed at mw thffi $5000? f]*o
Is this mribution utriated with s
f-l Ys ls mtributor a ptimiFl of state @ntrcb. d pMpe{tive state mtr-dslor?
fifidrajsrng evmt lisred in Swtion Ll' u n E *o
lf ys, indicate which bmh o brmche of n f-'l "*
lf yes, list EvHt # E No d^-.frh..,,hF.tuka.r,r r;* l-l Exodre l-l trgisletive
ls ontributoratobbyistspqsq fl
ordepmdeltchildofatobbyist? "*
lf qtribution is in exes of $400 to a wdidst€ mmit@ fo( a chief qqtive
oflica of a municipality dffis @ntributtr q busins bdshe uwiated with have a
n Yes
Is this@tribution ssGiated wth a ls @ntlibutor a principal of Sal€ mntracior or pmpatjv€ state mEactotl
tirdrusrng evol listed in Sstion LIl LI Ye$
lf ys. indiate wtrich branch or brmchd of
[
"*
tr No
TOTAL OF ALL COI.{TRIBUTIONS FROM INDrVIDIIALS (sections A & B) (Torat on Line t4 ofsunuary pag:e) $1,1sO.OO
Paee20 of29
IsContributoralobbyist,
depsdent child ofa lobbyist?
spou*, or
f]
"* lr @ntdhrtor S primipal of 6tale @nhactor or ppspectire Etate @ntraclo/l n Yes
tr No tr No
09/12/2009
Aggr€grte @tributims
ls this c@tdbution 6@iated with a fundni$iilg rymt Docription of ln-Kind Cotribution
lisql in Sedie Jl? I t",
procurred 2 cell phones for campaign use
E]*"
lfyes, lirl Evenfd $153.00 $63.00
Sfate Zip Code lf @triburion is in ercs of 5400 to I rudidat€ mmi$€ for a chief
exqtive o$cr of a municipality dcs ontributq s busines hdshe is fl "*
CT 06478 Dde R@ivcd
Nsisred with have a @tmct *ith said municipality valued at mqe f] *o
ls Contributora lobbyist,
dependent child
spo*,
ofa lobbyist?
or
f] ,* ls @tdbllgr a principal of sH6 @nfador or posp€diw state @tsac{o? n Y6
E] ^o
tr No
09/17/7009
Aggregrte cmtdbutims
@tributio! ffiiated with lilndnisiog evflt Dtription of ln-Kiod C@Fibutiu
n"*
ls this a
li$ed in Se.iitr ltt
State
CT
ZipCde
06478
:xn'i#:;:'ffinff:[ffi;TTlr"'J;T::
owiated with have a moe
onract with said municipality vatued ar
[ '*
fl
Dlt€ Rffiiv€d
"t
or
ts Cmtributor a lobbyisl spdw,
depodent child ofa lobbyist?
l--l U",
ls @nhibltor a pdncipal of Etat€ ffitrador or pEspecrive stale @ntrador? tr Y6
El *" tr No
09l20/2009
tV. EXPENDITURES
n cmrdiurea'irrr'eobumsrslll applicable)
{if t] oepced
tr C@rdioated with@t reimt ur*mmt wpbt
Dave Haversat and Dave First S€lectman and
n hdeoerd*t
Yish Selectman
n o*eniaho (selutuctiry)
flo [* f]" [o f], $1.s00.00
n lndepqdsr
tr Otes izairq{Eehvt&criw)
IV. EXPENDITURES
tr Cmroinatedwittr'smburemenrswehr
(if sppliqble) tr oppmed
t] oryoialioa(setretuctiw)
lo fl" n. flo fl u $399.50
-]yge
of Erpanditure (f qpliablel Nme
Cudidat{s) Ome Sdght tr Supported
fl a*****th@rr€imbu,:mmrssht
n Independqt
TV. EXPENDITURES
OVHD
[,*',*.0
Century 21
Dewiption
rental for campaign headquarters
tr organiatim(eel6mcr@r)
fl^ f]s [c lo f]' $600.00
Daaiption
100 campaign signs
Type of ExperdituE fy' qtp licable) othe. cedidatds) Nme office Soght I S"m-t"o