REPORT (CHECK ONE) ([.29- DAY PRE-ELECTION NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION 1 11- DAY PRE-ELECTION P.O Box 185, Trenton, NJ 06625-0185 "BI 20- DAY POST-ELECTION (608) 202-8700 or Tok Free Within NJ 1-886-313-ELEC (3532) ver ts, ‘Web site tip /mww elec stale ry us! PRE BTTE OR CoRRNTTEE We aH) HARRY STY STREET ADDRESS PO BO Amendment ats Nol rumor as [ooeae | etree buUMO, 276% fecuntY ELECTION DISTRICT OR MUNICIPALITY BEL Ce Dumont ELEC RECEIVED FOOT PRT? Price SOUGHT DEMOCRATIC DUN CILPELSON AUN 3.0 2010 [ELECTION TYPE PRIMARY _[_] MUNICIPAL TL Lop (CHECK ONE) RUN-OFF [5] SCHOOL DO NOT ATTEMPT TO COMPLETE TABLES | AND I UNTIL SUMMARY TABLES “sppROPRIATE SCHEDULES HAVE BEEN COMPLETED ‘CUMULATIVE TO jaoiei ascerre ‘1, MONETARY CONTRIBUTIONS OF $300 OR LESS 2 MONETARY CONTRIBUTIONS IN EXCESS OF $300 AND ALL CURRENCY CONTRIBUTIONS [Schedule A} 3 IN-KIND CONTRIBUTIONS OF $300 OR LESS 4 IN-KIND CONTRIBUTIONS IN EXCESS OF $200 [Schedule 6] 5 LOANS RECEIVED IN EXCESS OF $300 AND ALL CURRENCY LOANS [Schedule C} © SUBTOTAL (ao Lines + THRU 5)|* 7 REFUND OF EXCESSIVE CONTRIBUTIONS [Adjustment Schedule] 8 TOTAL CONTRIBUTIONS © ADD FUNDS TRANSFERRED FROM PRIOR CAMPAIGN 10 TOTAL RECEIPTS + BSS URSEVENTSGAIPRGN EPENSES OS TOF DeDURaevENTScrveR Scene 20) SEA er CONTRIBUTIONS MADE ON BEHALF OF OTHERS {[Pro Rata Amount Schaduloe 1(0) and 2(0)] IN-KIND CONTRIBUTIONS OF $300 OR LESS (TABLE |, LINE 3) IN-KIND CONTRIBUTIONS IN EXCESS OF $300 (TABLE |, LINE 4) sus TOTAL (ADD LINES 4 THRU 6) pal REFUNDED DISBURSEMENTS [Schedule F] of so-so | ro erin useramsincels of BB00.001SCHEDULE A Monetary Contributions in Excess of $300 and All Currency Contributions PRR SC~SY Wi EMPLOYER NAME CONTRIBUTOR ADDRESS EWPLOVER ADDRESS |_________ ]GHECKIF__— AGGREGATE AMOUNT|DATE(S) RECEIVED [AMOUNT(S) RECEIVED THIS PERIOD] evrscucv OI [e RB ENPLOYER NAME, CHECK IF __— [AGGREGATE ANOUNT|DATE(S) RECEIVED —AMOUNT(S] RECEIVED THIS PERIOD] jourrency O) |s s [OCCUPATION | CONTRIBUTOR NAME JEMPLOYER NAME [CONTRIBUTOR ADDRESS: EMPLOYER ADDRESS [SHECK IF _— | RGGREGATE AMOUNT DATETS) RECEIVED —JAOUNT(S) RECEIVED THIS PERIOD] jourrency 0] Js s [OCCUPATION CONTRIBUTOR NAVE EMPLOYER NAME CONTRIGUTOR RODRESS [EMPLOVERADORESS — ISHEGR TF — | AGGREGATE AOUNT| DATE(S RECEIVED —[AMOUNTIS) REGENED THIS PERIOD| currency C1 |g is SCCUPATION CONTRIBUTOR NAM EMPLOYER NAME, CONTRIBUTOR ADDRESS [EMPLOYER ADDRESS CHECK IF | AGGREGATE ANGUNT DATE(S) RECEIVED —JAMOUNT(S) RECEIVED THIS PERIOD| currency O |s 8 fOCCUPATION pt {COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE $ ~O- (COMPLETE THIS LINE FOR LAST PAGE USED) GRAND TOTAL s -o— "ioc naa Econ Lew efor Canrsioe aca 05 z romeSCHEDULE B In-Kind Contributions in Excess of $300 (CONTRIBUTOR NAME MA [EMPLOYER NAME CONTRIBUTOR ADDRESS: EMPLOYER ADDRESS [ASGREGATE AMOUNT] DATE(S) RECEIVED TAMOUNTIS) RECEIVED THIS PERIOD 3 OCCUPATION DESCRIPTION OF IN-KIND CONTRIBUTION(S) CONTRIBUTOR NAME EMPLOYER NAME CONTRIBUTOR ADDRESS: EMPLOYER ADDRESS DATE(S) RECEIVED JAMOUNT(S) RECEIVED THIS PERIOD| 5 [SCCUPATION DESCRIPTION OF IN-KIND CONTRIBUTION(S) [CONTRIBUTOR NAME EMPLOYER NAME. [CONTRIBUTOR ADDRESS EMPLOYER ADDRESS [AGGREGATE AMOUNT| DATE(S) RECEIVED |AMOUNT(S) RECEIVED THIS PERIOD| is § [SSCUPATION DESCRIPTION OF IN-KIND CONTRIBUTION(S) CONTRIBUTOR NAME EMPLOYER NAME, [CONTRIBUTOR ADDRESS: EMPLOYER ADDRESS [AGGREGATE AMOUNT| DATE(S) RECEIVED [AMOUNT(S) RECEIVED THIS PERIOD] S. 8 OCCUPATION pare ‘OF IN-KIND CONTRIBUTIONS) {COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE s -0- (COMPLETE THIS LINE FOR LAST PAGE USED) GRAND TOTAL s 0 ‘ew ey Bsn ter Enlouaman Gaerne Jonah 306 3 FORM RYLoans Received in Excess of §300 and All Currency Loans. SCHEDULE G TENDER NAME EMPLOYER NAME TENDER ADDRESS EMPLOYER ADDRESS OCCUPATION (CO-SIGNER NAME [EMPLOYER NAME | COSIGNER ADDRESS ——_JEnIPLOVER ADDRESS SSCS TS OCCUPATION [AMOUNT(S) RECEIVED THIS PERIOD DATE(S) RECEIVED TENDER NAME ‘CHECK IF currency C1 $ ‘TOTAL AMOUNT OF LOANS RECEIVED THIS REPORT PERIOD Foe aE Ow oe Con a NAME TENDER ADDRESS EMPLOYER ADDRESS a —__ ‘OCCUPATION ‘CO-SIGNER NAME EMPLOYER NAME CO-SIGNER ADDRESS EMPLOYER ADDRESS OCCUPATION AMOUNT(6) RECEIVED THIS PERIOD 3 DATE(S) RECEIVED [AGGREGATE AMOUNT CHECK IF currency L) TomeADJUSTMENT SCHEDULE Refund of Excessive Contributions PAYMENT DATE | CHECK NO PAYEE NAME AND ADDRESS REFUNDED AMOUNT Ap (COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE (COMPLETE THIS LINE FOR LAST PAGE USED) GRAND TOTAL Nev iver Een Los Envaren Gonna Tanany 5 . Tome002 “Aamnuer ‘wrssuueg Wowan.na mE) UMND KOSI HN (aasn 390d 18V1 YO 3NN SIHL aLaTANCOH (Q3SN 30vd AYBAT HOd INN SIMA BL TAINO) ¥/ ‘ALIN. SNUYOESH SIHL LNNOWY VIO ‘SSHYAY QNY BNYN AAV,ra vaios L $002 “heme “vassiumuey wwowaDIO Ng MEF UOnDN APSIOF AN, WLOLONVED (aasn 30vd 1S¥1 YOs SNM SIL ala aWCOt BOVE SIL “TWLOL (aasn aovd ANaA3 HOS UN SIL aLaTANOD) o/ suaH1o ANNOWY ANNONY TINd ‘SS3UCQY ANY ANN ABA VIVO ‘SLNAW3SUNAaSIO - (Gz FINGSHOS8002 Yueruer uokssuiuing risweoqu me voRDeES ABSzOF oN ‘SAA LLINMOO/SALVGIONYD 4 STWH39 NO CNV OL JAVW SNOILNAILLNOO 40 WLOL GNYES (az aNv (a): S31NG3HOS WO’ NNNT100 .S¥3HLO INNONY VLE - 04d. 3HL OY JWIOL aNvs Is TINGIHOS GaSN BO¥d 1SV1 904 SINT ONIMOTIOS BHA 3L1ANOO BOVd SIHL “WLOL (GSN 3Ovd ANIAI HOS BNI SIKL ALS TANCO! vj] ALINNODALLVGIONVD NSIS VO ANAWAVd ‘SasyIWUUIDD/SAEPIPUED J9yRO 0} epew SUOANGUAUCD SINaWaSdNasid - (ae FINGAHSS:SCHEDULE E Outstanding Obligations Date Incurred Descnption tora]; OUTSTANDING| ‘OBLIGATIONS| ‘SCHEDULE F Refunded Disbursements Dats Full Name Address Desenition Amount s nA SCHEDULE F ToTAL|$ 79 ‘Nw ey Shr Low Elon Carre, no, 28 9 FomRSCHEDULE G Recipients of In-Kind Contributions. NAME OF RECIPIENT CANDIDATE/COMMITTEE N/A WATLING ADDRESS ‘OFFICE SOUGHT ELECTION DISTRICT OR MUNICIPALITY ELECTION DISTRICT OR MUNICIPALITY PAYMENT OATE ELECTION DISTRICT OR MUNICIPALITY PAYMENT DATE [ELECTION DISTRICT OR MUNICIPALITY PAYMENT DATE ‘or ay Cosin Law Elsner Cesena 228 © TonSTATEMENT OF CAMPAIGN DEPOSITORY AND CAMPAIGN TREASURER JOpening Balance, this report (insert closing balance of last report, or, tis 1s the frst report fed by ts entry for ths election, insert zara ) Funds Transferred from Prior Campaign Deposits (Inte iiaras!) Disbursements (include bank charges) (Closing Balance, this Report 2 WASYNETIN Ale, Dumont Ni 07698 "ADDRESS OF BANK OR DEPOSITORY es Er E CERTIFICATION | certfy that the statements on this document are tue, and that the contribution designated by law | am aware that any ofthe statements are willy false, may be subj éhelio Li Awou PRINT FULL NAME (CANDIDATE) bhGfo ee — = aa PRINT FULL HARE (CANDIDATE) SIGNATURE [CANOTDATE) PRINT FULL NAME [CANDIDATE] —_ ‘SIGNATURE (CANDIDATE) “hl PR ROOITE Ale Re NAME (TREASURER) — Bk rom — CIRERSURER) ‘Troseurers for Gubernatonal and Legislative candidates are required to racaiva training with the New Jereay Election Law Enforcement Commission Check here [1] if you hava completed the traning and enter your Treasurer Training 1D DECLARATION OF FINAL REPORT If ths 1s the final repor, sign applicable Declaration below as well as Certficaton above Chapter 65 of the Lews of 1963 requires that ail fing entities continue to fle reports with the Commission unti al campaign businass is wound up and the fund is dissolved conform wath the imitatons ment [J cert that al contnitons or athe monies rected by ths elation fund have been disbursed. that thee ae no outstanding toans or other obligations, and that the election fund has wound up its business and has been dissolved —ORTE PRINT FULL NAME (CANDIDATE) SIGNATURE (CANDIDATE) “DATE 9 PRINT FULL NAME CANDIDATE) SIGNATURE (CANDIDATE) DATE PRINT FULL NAME (CANDIDATE) ‘SIGNATURE (CANDIDATE) —ONTE——_s- PRINT FUL NAWETIREASURERT—— "SIGNATURE (TREASURER) Savana Eno Eireann Canes ana, th Tone ‘Xibiinr sna ertuchoe naar rad Paratts RASA 471411 anil atone rambers naa pstemea sama tte rnd onto