“This form can be olectronicaly fied at: wurw.clec.ni.gov ibs SUPPLEMENTAL CONTRIBUTOR INFORMATION FORM C-1 a FOR STATE USE ONLY_| is 4 NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION 18 : P.O. Box 185, Trenton, NU 08525-0185 es . (608) 202-8700 or Toll Froe Within NJ 1-889-313-ELEC (3532) wawelec.nj. gov ‘GONTRIBUTIONS REPORT TYPE (CHECK ONE) (Commitee spending under the Re reporting threshold (Ac or 2 flor oe.) who received 2 conrbuton in Yxcess of $300 nthe aggregate fam one 240 inthe election, Fay cuore cash cortautars, Lamang 1 Comat recoing a conratonin excess t 1600 he ngiregete orm oe sence Sarg hth 13 day bolo the election vot, an incu the Cay ote eceton fe Hour Non) Dyes ON SECTION I. CANDIDATE, JOINT CANDIDATES, OR POLITICAL COMMITTEE INFORMATION | Rensat re AAR \eionte. Becton ys RUBS ake Oo Ronck BOE Resear nicipality ee oppertee Aes era ep i Say Ca : [Bee Soe a = *(area) Day Telephone Poittcal Party Grea) Evening Telephon L SECTION I. CONTRIBUTION INFORMATION (Receipt Types. Currency or Check; B = In-Kind; | Dato Regoived riigior Npmo e L Wed > cS kee ae ae ioe Aagress (uber and Seeet Cy, Sate, Zin Spee) ey ent ee Ue Sse Brick ozs, | — ENSss Oazupation (individual ‘Recgppiyee [Check ® | Desciption, in-kind Contibution IL eR | Cireney - | Enayer Name (acca Employer aling Adcrets (Findiaualy Date Received ‘Contributor Name ~ | aes amir a Sree, i, Sates ee pa $ $ | Occupation Tada Receipt Type [Ghecki? | Dasenpion, in-kind Contr buon Jewrency _O _ Employer Nome (indica [Employer Maling Address WF InGua | ‘Date Received Contributor Name Address (Number and Street, City, Stat, Zip Code) ‘Aggregate Amount ‘Amount ~ $ 5 ‘Sazupation (Taal Receipt Type [Check? | Descrpton, tn Kind Govtibuton Currency ‘Employer Name (dividual Employer Maing Aadrass (indy Date Received ‘Contributor Name Address (Number and Street, City, State, Zip Code) ‘Aggregate Amount “Amount s 5 | Scction Unaadualy Receipt Type [Check | éscrpion, Fin kind Caniibuton [Currency Employer Name (If Individual) [Employer Malling Address (if Individual) (COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL,THISPAGE 8. | (COMPLETE THis LINE FOR LAST PAGE USED) GRANDTOTAL 5 Candidate Teasirer€ grate { Date nd Pe ot A)ryg Tae rao once Tas fame aT re asi you play ao wos Fue eS. 7A ona eaten rita eb nd eon