SEEC FORM 20

Itemized Campaign Finance Disclosure Statement

CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08

SUMMARY PAGE
,l
r'i.

t''

t TIIT',{SIIDIP
fitle

N,A.ltIE
First

.,

MI
I

Last

* bc."LtqAcS.

3,
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/n.s
' * r:" .Statc
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, =.; Lrp Lode

Suffix

TREASURER

ADDRESS +
)

i=

#,CS*/ l,,tn,'?o. J
(nr/dd/yyyy)

Street

Ad&ess

City ,,--\

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L7rr t:i;*ti--*A

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6. DIS'TRCT T.{IJMBER. '

::

ll-bg-aart
Iitle irst I tl
:;i,|"#

l"tny'.
MI

ffi
fl !
D
January 10 filing

A,rfl,o n,
tl [
n
7th day preceding primary 30 days following primary 7th day preceding election day preceding election Cowiie* Onb)

'*'sL
u
[1

sfi

iuffix

".,
I
E
Initial Contribution or Disbursement
(PACs ONLY)

Tth day preceding referendum 45 days following referendum

April

10

filing

Amendment to Type ofReport:

July 10 filing

I
E

Deficit
Termination

S fl

O"tob"t 10 filing
Tndependent Expenditure E Election fl

D l2th

(Stltte Central

Primary

E 45 days following election

not held in November

tii
Beginning Date Ending Date

'i

C^/^Dl-&art

thru

B ci_tc_ea tt

I hereby certifu and state, undr penalties of false statement, that all of the information,
Disclosure Statement for tt,re period covered is true, accurate and complete.

set forth on this

Itemized Campaign Finance

It,

SURER OR DEPUTY

(SIGNATURE)

- L,.,,- t -'-/ b",s Luu"^--. 4 SIGNER-NAME

PRINT OF

/0 -bl-ldtl
DATE (mm/dd/yyyy)

PENALTY FOR FALSE STATEMENT IS PWISHABLE BY FINE NOT TO EXCEED 8I!OO, OR IMPRISONMENT FOR NOT MORE TIAN ONE YEAR, OR BOTH.

tt;llti{;T 4 rrif:a*

SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
CONNECTICUT STATE ELECTIONS trNFORCEMENT COMMISSION
Rev, 1/08
Page 2 of 17

SUMMARY PAGE
TOTALS
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F-n'llriii re,nalS'.';ll;:;;=,' ';;,;i; ,,;ii.;,.. ,i:;1;';;j1;t,:,.::', ;i - I a D? a COLUMN B COLUMN A

l0

"

ll

This Period
Balance on hand January I of current year for ongoing and Party committees Balance on trand from dav Committee was formed for all other committees Ralance on hand at the besinnins ofReporting Period
and
:.:;i ir 111;j.;

sgresate

}\
i,iilii

3. Contributions received from Individuals (Sections A

Receints from Other Committees (Sections

B)

/D 4?o,41 ?, l st',,*
Xb.

It

a V6, *o &

l4

Cl

and C2)

15. Other Monetary Receipts (Sections D-K) 16a. Total Small Food and Beverage Receipts at Fair (Section

&

Ll)

Town committees oNLY

6_

B
N
eo

16b. Total Proceeds from Small Purchases at Tag Sales, Auctions or Other Sales (Section L2) Municipal and Town l6n Tofcl Prrrchases ofAdverfi a Prosram Book (Section L3) Committees ONLY

17. Total Monetary Receipts (add totals for lines l3-16c)

18. Subtotals (add totals in line 12 + line 17 in Column A; and in line 1l 19. Expenses Paid by Committee (Section P)
20. Balance on hand at close ofReporting Period (Subtract line
21.
19 &om

+I7

in Cotunx]

g)

19rx 4',el
/:

q J 1-{,aa
I

t5:c,

L 4ao,oo
a' "4ry Vqb, *q ''14 /o' u o

line

18 in both Columns)

I I .1 ?,vt
h
&.

.1

g'7, 7s

l7,7bB,t&
7,

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

ta?,1? &
\x

22. In-Kind Contributions Received (Section

M)
N)

23. Refundable Deposit to Telephone Company (Section

d, )o
N

R
-

24. Receipts of Organization Expenditures (Section O)

25. Beginning Loan Balance

tl
?s

7\c

+
*

Received (Section D)

h
N

25b.

Interest and Penalties on Loan

Payments on Loan

25c. -

& \'

x
&

s'

25d. Total Outstandine Loan Amount

26. Campaign Expenses Paid by Candidate (Section Q) 27. Expenses Incurred on Committee Credit Card (Section R) F
Incrrmed hv C ittee Durins this Period but Not Paid (Section

&
&
$)

&
b='

7R

28a. Total Outstanding Expenses Incurred by committee still Unpaid (Section S)

t)

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MONETARY RECEIPTS (Sections A-IC)

Page 3 of 17
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S'/- *#t er;

Last

OFfOMMITI-FF

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Actn?

,/

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$ /, J64,u"
Namd i ,*t
MI
Principal Occupation
Name of

Ho,.Jo

'u':r"iT::')"ht pt
Is contributor a ldbbyist,

-.

/, lrtv '.y'o Yes

ctt-r

4
State

Amount of Contribution

,-1,,

C-r

4rp

Code

lflployer

A /. L}/F

ordependentchildofalobbyist?
Is this contribution associated

spouse, fl .F
with

No

is in excess of $400 to a candidate committee for a chief executive officer ofa municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000?

Il contributiod

lYes INo

fundraisingeventlistedinSectionLl? fyes, listEvent# /\qlS il - A"

Method of contribution: Cash Personal

[[ E

Yes

Is contributor a principal of a state contractor or prospective state contractor?

Yes

ft,oo
Amount of Contribution

No

ofgovemrnentthecontractiswith: fl Executive ILegislative

Date Received

{/yes, indicate which branch or branches

ENo

Check fl

Credit/Debit Card

fl

Payroll Deduction

Money order
MI
itate

at

Aggrcgate contrrbuhons

-ea - tt

A--O,ca

Last

Natpq

I ''hol,^on

''& i' -, t A pkr

RJ
"'i,)o,
Yes

Principal Occupation
Name ol bmployer

;T."#:T;T:,
Is

jl*,Joo !r

lip Code

tLs:iZs*

spouse, E. or dependent chila oia toUUyist'i X

contributoralobbyist,

No

a fundraising event listed in Section Ll? fyes,lisiEvent# AQ t< t /' 1

Is this contribution associated

with

'd Y"t D No

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

If contrrbution is in dxcess of $400 to a candidate committee for

Is contributor a principal

ofa

state contractor or prospective state contractor?

Ifyes,indicate which branch or branches

of govemment the contract is

with:

Executive

I Yes []No

?i*
Amount of Contribution

Legislative
Aggregate confrbutions

Method of contribution: Personal tr Cash

fr

Check

I
-

Credit/Debit Card

Payroll Deduction

Money Order MI

Lastpp
1-l,
Kesrdentlal streel

D8-fre-it
ry:i""""".'""'J1.,-

tt u*z. ^ a
Address

""2{1

7,,,
'Ute
:rp Uode

H,'/ RJ Yes Is contrlbutor a lobbyist, spouse, I ordependentchildofalobbyist? E, No

14
Is this contribution associated

tl \", ^h;o /

"Yur

?:-r 4&'// f' I

.Yi'[tYu
fl

H 'tl',,fl

*1, *,- *-, i;l

excess of $400 to a candidate cominittee for a chief executiv'e officer of a municipality does contributor or business he/she is associated with have a contract with said Yes No municipality valued at more than $5,000?

Ifcontributidr is in

with

fundraising event listed in Section

Ll?

,fyes. listevenr#

4tI /,5'/l-4
Check

E fI

Yes No

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

tr tr

Yes

/;-r *
Amount of Contribution

No

ofgovemmentthecontractisv/ith: DExecutive ILegislative

Aggregate contnbuhons

Method of contribution:

tr

Cash

-""'Wz//
(esldenhal Sfteet Address

Personal

CrediL/DebitCard

Payroll Deduction

Money Order MI

ltts!,7-?
f I
Yes

bI

--t'l-tt
'Et tt q e:r-

Principal Occup3gon

t. q 'Jn'-ri,, e*t''

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

--/:-. n
a

-1+ liry-,-r t /-/* -bq

No

n* ^, u

rtata

?f- aa wF
$5,000?

rp Looa

Nme 9l hmployer

E.

a candidate comri-rittee for a chief executivd officer of a municipality does contributor or business he/she is associated with have a contract with said No mrinicipality valued at more than

ll. t,',= -** S,.,--^(

Ifcontributionlis in excess of $400 to

E Yes ! n

Is this contribution associated with

firndraisingeventlistedinSectionLl?

Ifyes,listEyenr# Ctg l5:{/

Method of contribution:

-q

fr E

Yes

No

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

with:

fl

tr tr

Yes

No

/"<'i '*

Aggregate contrl

fl

Casn -flfersonal Check

Credit/Debit Card

Payroll Deduction

Money Order

-6-tr

3$,f
/.. .1.t 6

:::= ;, :','::= .,, . =;-L.-TI..--IEI'.:i::'::=,r, fuurrolqs=lnonnrrcDrVrDrr _ +b+rit'6itAiEiE;

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r

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MONETARY RECEIPTS (Sections A-K)

iII IN(l DI 'F /e -tB.-]o// DATF
:

Page 4 of 17

S:J.- 1#,
Name of Commiltee

pn

: -t ,.

I't

a. ,, o

i. i . :: r::: Cl. Contrib'iitions from Other Committees

:

{me

of Treasuer

\ddress

Is this contributron associated with fundraising event listed in Section L I ?

;tate Zip Code )ate Received

a fl Yes Ifyes,list fl No Event #

Aggregate Contnbuhons

Amount of Contribution

lity

Name of

Comittee

lmg of lieasuer

A.ddress

Isthiscontribution associatedwitha
f,rndraising eventlisted in Section itate
Zip Code l)ate Received

Ll? [

fl Yes Ifyes,list
No
Event#

Amount of Contribution

rtv

Aggregate Contnbulrons

Nme of Comittee

Nme of Treasuer

\ddress

Isthiscontributionassociatedwttha
fundraising event listed in Section
State

Ll? ! No

E Yes lfyes,list
Event #

Amount of Contribution

lity
Comittee

Zip Code

Date Received

Aggregate Contnbutions

Name of

)Jme oi I reasuer

Address

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

State

a I Yes lfyes,list E No Event#

Aggregate

Amount of Contribution

Crty

Zip Code

Date Received

Name of Committee

Nme of Trecwer

Address

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

tate

a ! Yes fyes, lisl [ No Event #

Aggregate ConErbutrons

Amount of Contribution

City

Zip Code

Date Received

Name of

Comittee

Nme of Tresuer

Address

Isthiscontributionassociatedwitha
fi.rndraising eventlisted in Section
itate
p Code

Ll? !

I Yes Ifyes,list
No
Event#

Amount of Contribution

-lrty

)ate Recerved

Aggregate Contributions

.........l'.CrReimhursements.Pavments.or:SurnliisDistributionsfromo
Name of

Comittee

Nme of Treasuer
)ate Received

Ad&ess

Amount of Receipl

fity

itate

Zip Code

fl I

Reimbursement for shared Payment for goods and

of Treasuer

services

expense

Surplus

Distribution

Name of ( iommrttee

'Jue

Address

)ate Received

Amount of Receipl

-'rry

State

Zip Code

I I

Reimbursement for shared Payment for goods and

services
:

expense

Surplus

Distribution

SI;'BTOTAL Section C-This Page

-SJ-

' ' TorAr.oF

Ar.r.

coMil,ltrrEE coNTRrnurrons mvxni:in:sLzw*,r,rt

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I.
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MONETARY RECEIPTS (Sections A-K)

ifl f lvll rr|I':m,:,n:{:TF
'

Paee 5 of I?

^4"14,orlame of Lender

r, J-,^ /\
litv

A-,4 O

f'
Source ofLoan:
Jtate
4,rp

la-ta-Je//
Code

;treet Address

E Bank

I !

Candidate

Is there a Cosignel or Guarantor of this loan?

Amount Received

Yes (if yu list

{me

of Cosigner/Gurmtor

name and address

of

I
City
State

Individual

other
Committee

Cosigw,Cuarantor)

DNo

itreet Address

Zrp Code

Date ofReceipl

Name

oflender
Ity
itate
4rp Code

Source ofLoan:

Is there a Cosigner

Amount Received

rEeet Aoffess

n Bank
D
Individual

fl fl

or Guarantor of
Candidate

this loan?

D
other
/-nmmiftee

Yes

(ifu6

list

\,lme of Cosigner/Guumtor
State

name and address o;f

C osi gler/Guarentor)

ENo

Street Address

-rty

Zip Code

Date oi Kecerpt

Gtdl:saddii:D
Name of Entity

ZT

Amount Received
Zip Code

Name of Entitv

Streeta&Fffi

)ate Received

Amount Received

City

itate

4ip Code

GgregateTmmfrm

Name ofEnoty

Street Address

)ate Reeived

Amount Received

lity

Itate

4rp Cod

Aggrcgate

lti*:ri#
Date of

$K
Total Transfers

Receipt
with

Amount

Date of

Receipt

Amowtt

Is this transaction associated

D Yes lfyes,list

Is this transaction associated with

fundraisingeventlistedinSectionLl?

E No Event#

fundraisingeventlistedin

a E Yes lfyes,list SectionLl?[ No Event#-

\n
s Total Transfers

Date of Receipt

Date of Receipt

Amount

Amount
$

&
>t\ /i\

Date ofReceipt

Method of payment:

Method of payment:
Date of Receipt

Total Amount Received

tr tr

Amount

Cash Personal Check CrediVDebit Card

Amormt

I Cash D Personal Check n CredilDebit Card

I.
:

MONETARY RECEIPTS (Sections A-K)

:j.iii.

Page 6 oI 17 Fff
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iilrlt-1:::f111P 11t,

.Q*zf*,e,
)ate Received

t-

lYr>-,

I. Anonym6us Contribu tions $pecifv dollar amount

AmoMt
Date Received

,f:r.

r
of the biik
Amormt

,/'D
,iiiied)

-i s *Q A /t
Total Amount Received

$1 bills

$5 bills

$l bills

$5 bills

coins

$10

bill_

coins

$10 brll

t.-Date Received

,:.

-i- lnteie-st'ii"m nenosits in A,uthorized AcCounts

Date Received

ar

Amomt

Amout

Total Amount Received

Nme of lnstitution

Nmg of lnstrtutlon

St eet Address

Street Address

ciry

State

Zip Code

City

Shte

Ztp Code

rc
Name

misceiflneori$ Monetarv Receipts

;;a C";;llier;d contriSl6oo;f

Date of

-:;:."

-;'j:

Trmaction

Amount Received

Sreet Address

City

State

Zip Code

Description $ Name
Date of Trmactron

Amount Received

Street Ad&ess

City

State

Zip Code

Description

Nme

Date

of limachon

Amount Received

Street Address

City

State

Zip Code

Descnptron $

,)\
Total Loans Received this Period (Section D) Total Receipts from Entities other than Individuals or Other Committees (Section E) Total Amount Transferred from Alfiliated Business Treasury (Section F)
Totat Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Section + +

K{
X LL

d.
"s

G)

+ + +
+

d
h

Total Amount of Personal Funds of the Candidate Reeeived this Period (Section Total Amount of Anonymous Contributions (Section I) Total Amount of Interest from Deposits in Authorized Accounts (Section J)

tI)

Total Miscellaneous Monetary Receipts not Considered Contributions (Section K)

'&

jsectt..gtD-r; Tpp$o.ihai',monett= =.+.et.4.,i 1x".f1!f {W:ili-tAj:ikh- j,ni,:i:s _gniiiiry rage) . i:'";1i'i.,1ffi

II.
,:::.:;;1
NI

FTJNDRAISING EVENT ACTIVITY

rli rr.n:.nlitf i,ri*.i-n
r

PageT

ofll

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Fmdr-aiser

e--r
I
I

+t i.t

ul,

&,

o,^

/8.- j6 ,;0//

Fundraislns
Date ol

aq* /t< rt q
1: (All
Committees)

Even[tt Lener

Description

Clo,n

G"k"

"u;Wff+"
'\
.XNo

?. l''_-$z-

*: LTI bL{t'3

inte

Zin Code I

Subpart

Was this fundraising event hosted at a personal residence?

I Yes (fyes, go to Section l.z+ In-kind

Donations not Con ridered Contributions

and complete required information for purchases ma< le by host(s) for food, beverage and invitatrons.)

Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual ofup to $50?
Was this fundraiser a tag sale, auction, or other sale of donated items with purchases from an individual ofup to $50?

Df*N^

I Yes [/yes, go to Section L,l In-kind Donations and complete required information.) \.
DYes

not Considered Contributions

.d un

of Gfyes, go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale Donatd Items.)

Subpart

(Town Committees and Municipal Candidale Committees ONLY) Were there purchases ofadvertising space in a program book associated il Yes (Ifyes, go to Section L3 Purchases ofAdvertising Space in a Program Book and complete required information.) with this fundraiser?

2:

X *o

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

I Yes (If yes, ertet Total

Receipts from small purchases here)

No
rl

.t

r'li:!iii1:;;.r'=:j:::l:t:i'li;ttt,;E
Letter Description

' ....

Fundraising Event
Date of

Fudiliser
1: (All

Location: , Street Address

6L-oq-tt
Subpart

Q,.,;

3rlP"

V: t/q 3 , q.,,t ca-

iN

Sgr"*n l.-

lsar

ZipCode

a6fPs

Committees)

Was this fundraising event hosted al a personal residence?

fl Yes (fyes, go to Section

V[No

's) for food, and complete required information for purchases made by hos beverage and invitatio rs.)

L 4 In-kind Donations not Considered ( ontributions

Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual ofup to $50?
Was this fundraiser a tag sale, auction, or other sale of donated items with purchases from an individual ofup to $50?

il Yes (fyes, go to Section

L4

In-kind Donations not Considered Contributions

dN.
I

and complete requlred information.)

X
tr

Yes (Ifyes, go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale of Donated Itcms.)

Subpart with this

Subpart

2:

(Town Comminees and Municipal Candidate Committees ONL|)"

Weietherepurchasesofadvertisingspu""itraprogrambookassociated

fundraiser?

ffiYes
No

(Ifyes,gotoSectionL:PurchasesofAdvertisingSpaceinaProgramBook
and complete required information )

Didyour committee sell food or beverage at a fair or similar mass

gathering held within the state?

3:

(Town Committees ONLY)

fl Yes gf]'s, enter Total Rectipts from small

Purchases

here]

tr

a.a.:aa:aaaa:a,:;.::aji

i'.:!.:.:.::::,::.:

;;i$t-+'_.t*;?.ii

+ ----.-

TI. FUNDRAISING EVENT ACTTVITY

t

Page 8 of 17 Fl{,:fjrlG:l}t1i
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Name of

K .. ,. .-l*|n /Ul ^,,

Last

TFr

!i

n
M1

/)-t0",-7o//
ems,
Method of payment:

:#t:=ft?;1 s.fi.iiffi [Eis';ia;'i*';tiaa";;'aln'.;i ;ft:###t;1t:.ft

First

Puchroer

Nme
:rty

(nnivinuals ONLY)
Residentral Street Address

E Cash El
itate
Zip Code Date Recei

Personal

Check

Aggregate Credit/Debit Card

Amount of
Purchases

Event #

Items

ltchar

Nane of

Puchmer

Last

Nme Ity

First
;tate

MI
Zip Code

(Individuqls ONLY)
Resldentral Street Address

Method of payment:

UCash E

PersonalCheck
Event #

Aggregate

Credit/Debitcard

Amount of
Purchases

Date Received

Items Puchased

{me

of

Puchaer

Last

Nme
irry

! ust itate Zip Code

MI

Method of payment:

Tndiiduals ONLI)
tesldentral Sheet Address

trlCash E

PersonalCheck
Event #

ff

Aggregate Credic/Debitcard

Amount of
Purchases

Date Recei

items Purchased

.{me of puchasr Last Nme Tndiiduols ONLI)

Kesrdentral Sheet Address

Firsl itate

MI
Zip Code

Method of payment:

ECash [f

PersonalCheck
Event #

Aggrgate Credit/DebitCard

Amount of
Purchases

-rty

Date Received

tems .t

Nme of Puchcer Lst Nme (Iruliiduals ONLY)

Resrdental Street Address
Items Purchased

First

MI
rarc
4rp

Method of payment:

fl Cash E

Personal

Check trl Credit/Debit

Aggregatc
Card

Amount of
Purchases

)tv

Lode

)ate Received

Event #

Nme of Puchmer

Last

Nme )tv

rst
itat

MI
Zip Code

(ndiiduals

Method of payment:

ONLV)

ECash E

PersonalCheck
vent #

Aggregate

Credit/Debitcard

Amount of
Purchases

Resrdenttal Street Address

Date Recerved

Items Purchreed

{me

of

Pwchroer Lmt Nme

-rty

First itate

Tndiiduals ONLI)
{esrdeDhal Street Address

Method of payment: E Cash Personal

tl

Check

Aggregate Credit/Debit Card

Amount of
Purchases

Zip Code

Date Received

Event #

ltems hrchased

'Iame of

Puchcer

Last

Nme ,rE

First
tate

Method of payment:

Tndividuots ONLY)

ECash []

PersonalCheck
Event #

Aggregate Credit/DebitCard

Amount of
Purchases

(sldental Street Address

ltems Puchased

Zip Code

Date Received

,{me of

Puchmer

Last

Nme
-rry

Fist
itate Zip Code

Method of payment:

Tndividuals ONLY
Kesrdentral Jtreet Address

[] Cash I

Personal

Check
#

Credit{Debit Card

Aggregate Amount oI
Purchases

Date Received

Evflt

Ifems Puchased

>\
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5)

TI. FUNDRAISING EVENT ACTIVITY

tl*lvffi :6t!'rCOMMl.T:tFtr,
:1I T\T1] TiI:TE:T] I TE.

Page 9 of 17

S-:L J-{',"
Nme of Puchreer

Y.,,,
t

d;;.*iiiii58l$f'Ad$ili*#+li'

aF id
State

/b 1D -2atr
fiookrtrtqnicip"r c",ndifii;';ii-iii:6i-;.d,
lJusmess Date Received

ti

rn
Amount of
Purchase

Gr',,,.,-L^ ?.o-"I

E,-L/"Urtv

Aggregate Puchaes

Entity

61- 08- tl

for All Events

Street Address

A Ll,"

..A,-il

Sl

''D"
lity

(r

Zip Code

L'//r

tr

fl No d6 cr l
Entity

Yes

ll'q
Aggregate Puchdes for AII Events

u?J^c,u*
Amount of
Purchase

Nme of Pwchmer

Business

Date Received

Street Address

State

Zip Code

n Yes fI No
Business

Event

Nams of Puchaer

Date Received

Entrty
Street Address

Aggregate Puchdes for All Events

Amount of
Purchase

City

State

Zip Code

fl fl

Yes

Event #

No
Date Received

Name of Puchcer

Jusiness

Entrty
Street Address

Aggregate Pwchrues for A11 Events

Amount of
Purchase

City

State

Zip Code

tr No
Nme of Puchcer

Yes

Event #

Business Date Received

Entity
Street Address

Aggregate Puchses for All Events

Amount of
Purchase

:ity

Stat

Zip Code

Yes

Evflt

DNo
Aggregafe Puchdes

Nme of Pwchreer

Business Date Rereived

Amount of
Purchase

Entity
Street Address

for All Events

City

State

Zip Code

Yes

Event #

ENo
Nme of Pwchmer
Business
Date Received

Entrty
Street Address

Aggregate Puchdes for All Events

Amount of
Purchase

lity

State

ZipCode

il fl

Yes

Event #

No
Aggregate Puchdes lor All Events

Nme of Puchcer

Business Date Received

Amount of
Purchase

Entlty
Street Address

lity

Shte

ZipCode

il
Nme of Puchcer
Street Address

Yes

Eved #

tto
Aggregate hrchGes

Business l)ate Received

Amount of
Purchase

Entrty

for All Evens

lity

State

Zip Code

Yes

Evmt #

DNo
Aggregate Purchtres

Name of Puchmer

Business Dafe Received

Amount of
Purchase

Entity
Street Address

for All Events

lity

State

Zip Code

fl

Yes

Event #

ENo
Name of Puchmer

B uslness

Date Received

Entlty
Streel Ad&e SS

Aggregate Puchcel for All Events

Amount of
Purchase

lib,

State

Zip Code

tr tr

Yes No

Event #

Nme of Puchruer

Business Date Received

Aggregate Puchdes

Amount of
Purchase

Estity
Street Address

for All Events

lity

State

Zip Code

fl

Yes

Evqt

[]No
:,4' i. t.-: :

dffi"'^
.

TOTAL: of additiona!,Sectit

ii:G.

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II.
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FUNDRAISING EVENT ACTIVITY

trrr

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-e

iNl: ntIFnATT

':

Page

l0 of 17

S;1^11r ar.
Name ofDonor Street Address

/-

t/ ,/a -r a &oia f If. ro xirrJ Doo"tion. Not considered contributions '.j Donation fl Individual givenby: D Business Entity
City
Jtat

-;o

Fair Market
Value of Donatior

Zip Code

Aggregate value for this event

Description of donation

Date Received

Evmt #

Name off)onor

Donation D
given

Individual
Business Entity

Fair Market
Value of Donatior

by: I

Street Address

City

itat

Zrp Code

Aggregate value for this event

Descnption ofdonatiotr

Date RecelYed

Event #

Nme of Donor
street Address City
State

Donation fl
given
Zrp Code

by: I

Individual
Business Entity

Fair Merket
Value of Donatior

Aggregate value for this evenl

Description of donation

Jat9 Kgcerved

Event #

Name ofDonor

Donation I
liw
State

givenby: I

Individual BusinessEntity

Fair Market
Value ofDonatior

Street Address

Zip Code

Aggregate value for this event

Description of donation

)afe Kecer

Ev@t #

Nme of Donor
Jtrget Adtress

Donation n
given
City
State 'Ltp Code

by: I

Individual
Business Entity

Fair Market
Value ofDonatior

Aggregate value for this event

Descnphoo ofdonation

)ate Received

Event #

Name ofDonor

Donation I
given
City
State

Individual
Business Entity

Fair Market
Value of Donatior

by: I

Street Address

Zip Code

Aggregate value for this event

Description of donation

Date Recerved

Event #

Nme of Donor
Sfreet Address

Donation E
given
City
State Lrp Code

by: I

Individual
Business Entity

Fair Market
Value of Donatior

Aggregate value for this event

Description of donation

)ate Received

Event #

Name of Donor

Donation E

givenby: I
City
State

Individual
Business Entity

Fair Markct
Value of Donation

Street Address

Zrp Code

Aggregate value for this event

Description of donation

Date Received

Event #

& &
&

III.
IEA:M:fl r(]F.,eOkfl\;,tJn:1'rr-':'::

NONMONETARY RECEIPTS
;it.:il$la rtTfii.rrn tf F

Page

ll

of

17

^S'1Name

#l ",-.: +',-

/ ubt'

ot':..ii4i'

lb -la -"Jr tr
tfiftifi
p Uode

;co"rribri{iuni;;
Type ofContributor: I Individual E Committee

Fair Market
Value of this

lneet Address

irty

itate

Contribution

Other (Applicable only to Referenclum

Comiltee)

Iscontributoralobbyist,spouse,

ordependentchildofalobbyist? fl
D ate

Yes

No

If contribution 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 $5,000?

EYes INo

Received

Is this contribution associated with a fi.rndraising event listed in Section L1 ?

I Yes ENo

Description of In-Kind Contribution

Aggregate conmbuuons

Ifyes,listEvenl#
Name
Stl-eet Address

_
-'rty
State

Lrp Cod

Type of Contributor: I Individual I Committee

Fair Market
Value of this

Contribution

Other (Applictble only to Referendum Comitteu)

Is contributor a lobbyist,

ordependentchildofalobbyist? [
) ate

spouse, I

Yes

No

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 Yes No municipality valued at more than $5,000?

Ifcontribution is in excess of $400 to

fl

Received

a I fi.rndraising event listed in Section L1? E .fyes, list Event # _

ls this contribution associated with -rty

Yes

Description of In-Kind Contribution

Aggregate contnbutlons

No
Type of Contributor:
,itate

Name

Fair Market
Value of this

Jtreet Address

hp eode

I I I

lndividual
Committee
Other @pphcahle only to Refaendw Comittea)

Contribution

Iscontributoralobbyist,spouse,

ordependentchildofalobbyist? [
Date Received

Yes

No

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

If contribution is in excess of $400 to

IYes

Is this contribution associated with

firndraisingeventlistedinSectionLl?

fyes. list Event

Name itreet Address

#_

I il

Yes

Description of In-Kind Contribution

Aggrcgate contnbubons

No
Type of Contributor:

Fair Market
Value of this

'try

State

Zip Code

I fl I

Individual Committee
Other (Applicableonly to Refoendum Comittea)

Contribution

Is contributor a lobbyist,

ordependentchildofatobbyist?
Date Received

spouse, I [

Yes

No

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

EYes INo

Is this contribution associated with

firndraisingeventlistedinSectionLl?
I/yes- list Evenl #
Nme
Street Address

I D

Yes

Description of Ia-Kind Confibution

Aggregate contnbutrons

No

Iype ofConfibutor:

Fair Market
Value of this

lity
Yes No

itate

Zip Code

I fl I

Individual Committee
OIher (Apphcable only to Refumdum Comittea)

spouse, ! ordependentchildofalobbyist? E
Is contributoralobbyis!
)ate Received

a chiefexecutive oflicer ofa municipality does contributor or business he/she is associated with have a contract with said [ Yes U No municipality valued at more than $5,000? Aggregate oontrrbutrons Description of h-Kind Contribution Yes Is this contribution associated with a No flmdraising event listed in Section Ll? fyes, list Event # _

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

I fl

\
!;i::::!!i":'i:'',',: i;i1:-:;;1;;':;t iiiii;,i';1i;':*1,;,r,rl.:rrr.l.l'r'r1..,, :ii ,bTd;f.a.?@AfE: ihis
.i-]i.+nal Section

M Pages

BT

D"
section refers only to advanees of tleposir by iitdividadlsJiom . -piirsonal fuids tn iiiit &e convaittee, "not aiposi* na:de by the co41t4i!!:e4
Last

Nme of lndrvldual

First

MI Itate
I

I Date Deposit Made

Amount of
Deposit

R"na6ffii5t'*tEffi*
Name of telephone compay Street Address

d;i7

Zip Code

City

State

Zip Code

:;+;;;iisi-ta;*

w;l+Ei#'ii{tiil[;i:iiiii

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III.
;
N

NONMONETARY RNCEIPTS
ef,r*a,,iJi:*.'+=
TrEr :,I

Pzge 12

oflT

,<J^I{l

:r t:,:i ar!:i:::.::'::::::-. ::;li r:Jri:ij.::itiii A:ME f+F:(]f )MM{:[TF.F.:::'

,,

vle., . rNme of Treaswer

:i:rtl

/d-ta'At//
inN!:

Name of

Coroittee (Legislafive Leadenhip, Legislative Caucug and Purty Comitteu ONLI)

itret Address

Date Notlce Rcerved

Fair Markef Value

of Donation

- rt-v

State

Zip Code

Aggregate Donations

Description of Donation

Purpose of Expendituc (see

iwlructiore)

I]A trB NC ID trE

Date Notice Received

Name of

Comittee (Legislative Leadenhip, Legislative

Caucas, and Purty

Comillea

ONLY)

rlme of Treasuer

Itreet Address

Fair Merket Value

of Donetion

liry
Description of Donation

State

Zip Code

Aggregate Donations

Purpose of Expenditte (see

Dn nB flc tro trn

Comittea
ONLY)

iwtructiorc)

Nue

of Comittee (Legislative Leadenhip, Legislttive Caucus, and Partlt

Nme of Trecuer
Date Notrce Recerved

ifeet Ad&ess

Fair N{arket Value

of Donation

lity
)escription of Donation

State

Zip Code

Aggregate Donations

tra trB LC trD EE

Comi*a
ONLV)

Purpose of Expenditve (see

irctructiow)

Name of

Comittee (Legislative Leadenhip, Legblative Caucus, and Party

Nme of Treasuer
l)ate Notice Received

treef Address

Fair Market Value ofDonation

lity
)escription of Donation

State

ZipCode

\ggregate DonatioN

Purpose of

DA trB f]C IO
Date Notice Received

Expmdifiie

(see

i6lructio6)

DN

Name of

Comittee (Legblative Leadenhip, Legislative Caucus, and ParS Comifie* ONLY)

Nme of Treasuer

itreet Address

Feir Market Value

ofT)onetion

lity
Descriptron of Donatron

State

Zip Code

Aggregate Donations

Purpose of Expenditwe (see

tra trB nc Dn trr

l)ate Notlce Received

imtructiore)

Name of

Comittee (Legiilative Leattenhip, Legblative Caucus, and Pqrl! Comittea ONLI)

Nme of Tremwer

;treet Ad&ess

Fair Market Value

of Donation

liry
)escription of Donation

State

Zip Code

Aggregate Donations

hupose of Expenditue (su irctructiow)

NA [B DC ND EE
Name of

Comittee (Legislative Leadenhip, Legislative Caucus, and Ptrty

Comilte*

ONLY)

Nme ot lieduer
Date Notice Received

ifreet Address

Fair Market Value

of Donation

lity
Description of Donation

State

Zip Code

Aggregate Donations

Purpose of

tra DB NC trn
tit

Expmditre

(see

irctrucliore)

trB
-.

::,:l ,i;::tii::,r.;lii,1ir::::::ti=:::::|::t+:::r:::::rl:i:i::::1r.lrr:'l:.:.i:-i:,::-::

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X)

rV. EXPENDITURES

Page 13 of 17

ua

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.

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i

P;"*-

*.'ir?ii
State

;ifi

[##6#fii*fu
)ate of Palment

NrfiofPayee --D I /*{ rr-c uJ I r'ro, fP

Uethod ofPayment

Amount

J'S

lvlo,,, SL rumose cxDenotluc (bycode)'7R AITt

or

Jlreel Addr6s -

tr

'Il n.9e}1t6-c'Fdidut"19N*"
(rf applicable)

Zip Code

&T- c'[401

atfi"frr
Office Sought

fl

Hcnec*.*1!\b
Debit card

?*)"#;" ,{/,Jr"{'

A, t/'/,, /}^^J"o,ru,
)ate ot Payment

Event #

cq-tf/l-q
! n
Supported Opposed

Type of Expendiixe (if applicable): Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

I I fl fl

Organization (see Instructions)

tll trs Ec trn trn

I

Nme of Payeq iueelAddress.

a';Aurt Szec czv k

-/ I

Method ot Payment

'

6 3.e8
Amounl

tl"L /,1/. 7/1e.a'""f

hupose ot b.KpeDdltue

Sf.

'l

-'!.qd- I 'Uu*b-t
Descnpuon

Jtate

Cr c6(tg

Zrp Code

avf,7f,,
Office Sought

rcheck#1lb
Debit Card

ll

rbyiode)

-R.

lA,'
:

Fr rct
-

'

Iype of Expenditure (if sppticsble)

fl I fl I

Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Cmdidate(s/Nme (f tpplicable)

W{B

Event #

LJ Supported

opposed

Organization (see Instructions)

Nang-4fPayf ,-l
itreet Address

f]A trB tlc trn trr

, / I
)ate of P4ment

sv73,JY
Vethod ofPayment

Amount

. ,'*rz -\ l-, 7? /telS'

I
.

(bvcodel

Purpose

/hr F/,-oL.f{n
ol hxpendrture
I

s/

"2u^L,
Desc2ltion (
(if applitablz)
-

ttate

Lrp Loqe

C:r_

6 /e{/g

av f ,.rf,r
Office Sought

,&lcne*.* tlD'/aJ
D Debit
Card
Event #

f! t<r /A-tl

(-.t?.,n f) o .c, n
Cmdtdat{s$.Jme

-7:= l,;"{=

fype of Expenditure (if appti/antQ.

I I ! I

Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

fl

Supported Opposed

Organization (see Instructions)

!a trB nc trn trr

;

, /,
fale or raJment
itate

6{a,?'

Method oI rayment

Amounl

\tleet Address

zip Code

r,{

{o-z A.il"^"l,

il'Tti"pf[17n fl
D
Organization (see Instructiow)

l-

</uJ.

!l*^^o,,.*.

Type of Expenditure (if applicable)'. Coordinated with reimbursement sought Coordinated without reimbursement sought E Independent

33?/2 f,Tt,e" k","-'/ u^l*-, cc,.{ --GEGiatNm

FL
(rf applicable)

arf ,ef,r
Office Sought

fl

d:ch""k# /'D
Debit card

l3

Event #

Supported Opposed

-fl[ffV,
itreet Adtlres$

.Ua trB flc no nn

s 4 /-{ir.<
)ate of Palment

I ?,o * o*ors fic

,

Method olPayment

Amount

),tct

A) . Do. ut

Purpose oI tnxpendtue

&

4,t

'&L-'; l"
)siouonl-l

'?4
ilt Nme

4rD LOqe

iq a3Y
s,.,.,s
JOfficf J

arfutf ,,
Sought

&cn".u*tLD,Lf
I
Debit Card
Event #

tbycodet

Tll_S I Gfu

Vr.nu,",,ro

lo,n]';r, I la*,,
J

Iype of E-rpenditure (if applicable): I Coordinated with reimbursement sought

Cmdida*y'(s)

(if upplicqhle)

o n.l ^ Jt

D Supported

Opposed

I I

Coordinated without reimbursement sought Independent

Organization (see Instructions)

tr,q.

trB DC t]D trE

' 1
:

' ,'

SLjITOTAL

,, Section P-This Page

':

,1,{?/'q6 4 t t3.t" 8't ?'1, t?

tA

3gl 33

IV. EXPENDITURES
$AlwctF.eoili

Prge 14 of 17
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I

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ifeet
of Payee
Address

(/fcru of

:
jrty
Description

la -r0-2a17
r;#?;tEil;**n:a;!ffi ia;6i-.GE*aiatt"
Date of Palment

Vendor who candidate paid directllt)

Is Reimbursement Claimed?

Amount

itate

4rp Uode

D D
Event #

Yes No

rupose or ExpenqMe
(by code)

Nme of Payee fy'aru of l/endor who eudidale paid directly)

Street Address

Date of Palment

Is Reimbursement Claimed?

Amount

-''tv
Description

Jtate

Zrp Code

fl Yes Iuo
lvent #
Date ol Payment

rurpose oI Expenoiue (by code)

NMe

Ot

rayee

ufarc

oJ renaof wno ctn0&qte

pau ttecuy)
.iity
Description
Jtate

Amounl

Stret Address

Zrp Code

fl
F.venf # Date ofPayment

Yes

No

rupsc

or ExPe (by cqde)

Nme of Payee (Narc of Vendor who

Street Address

candidate paid directly)

ls Reimbursement Claimed?

Amount

lity
Description

itate

Zip Code l.-vmt #

Yes

ENo

rurpose or Exp@oue (by code)

Nme ol Payft (1Yaru

Street Address

oJ yendot who cmdtdste

pad diecUy)
Jrry itate
rp uode

uate oI rajment

Is Reimbursement Claimed?

Amount

I Yes INo
Event #

rurPosc or (by code)

Expflotuc

Description

Nme of Payee
Street Address

1'fy'c

re of Vendor who candidate paid directllt)

Jrty
Description itate

Date of Payment

Is Reimbursement Claimed?

Amounl

ap

Cod

I fl
Event #

Yes

No

ruPosc or Expenatu9
(by code)

Nue

of Payee (Naru of Vendor who candidate paid dbectly)

Date ofPayment

Is Reimbursement Claimed?

Amount

Street Address

City
Description

'tate

Zip Code
bvent #

tr

Yes

No

(by code)

NMe ol

Pzyee

(Naru

oJ yendor who csndidete paid direcily)

Date of Palmeot

ls Reimbursement Claimed?

Amoilnl

Sfeet Address

Crty

Jtate

Zrp Code bvenl

n
f

Yes

DNo
ruposc
or E{p@r

Descnption

(by code)

Nme of

Payee

ffre

of Ve*dor who candillate paid directly)

Crty Jtate

Date ofPalurent Zrp Code

Is Reimbursement Claimed?

Amount

Steet Address rurpose or ElpeDqrue (by code)

E Yes LNo
L,vent #

Description

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TV. EXPENDITURES

Page 15 of 17 ail
1gI1,Trt:.,IS

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/a
E Visa E
other
Date of

-/ a

-a

01/

Name of Issuing Institution

Master

Card fl

Discover

American ExpresS

Name ofVendor

Trmaction

Amount

Street Address

lity
Description

State

Zip Code

Purpose of Expenditue

Event #

(by code)

Nme of Vendor
City
State 1ip Code

Datc of Trmaction

Amount

Street Address

Purpose of Expendinre

)escriptron

Event #

(by code)

ffi
Street Address

Date of Trmsaction

Amounl

City

State

lip Code

Purpose of Expmfiture

)escnptron

Evflt

(by code) Name ofVendor

Date of

Trmactioo

Amount

Street Address

City

State

Zip Code

Purpose of Expenditue

Description

Event #

(by code)
Name ofVendor

Date of Trmsaction

Amounl

Street Address

rty

4ip Code

Purpose ofExpenditue

Description

Event #

(by code)
Name ofVendor Date of Tmsaction

Amounl

Street Address

City

State

Zip Code

Purpose of Expenditue

Description

Evot

(by code)

Nme of Vendor ciry

)escnptron

Date of

Trsaction

Amounl

Street Address

State

lip

Code

Purpose of Expenditue

Event #

(by code)

Nme of Vendor
State Zip Code

Date of Trmsaction

Amount

Street Ad&ess

City

Purpose of

Expoditue

)escnptron

Event #

(by code)

.)q

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ry.
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EXPENDITURES

Page 16 of17

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Nme of Creditor
Street Address

J-ir

i';

hni'rwn,nili.l;a,:

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r)afe Incuned

./D*ta**a //
Amount Incurred
(Estimile ot Actaal)

Event #

City

State

Zip Code

Smdidate(s) Nme (rf

applicable)

Office Sought

Purpose of Expendil (by code)

fype of Expenditure (if applicable). E Coordinated with reimbursement sought

I I

)escription

[1

Coordinated without reimbursement sought Independent Ore.anization /see Instuctions)

-tr,q.

Supported

nB trc DD nE

!opposed
Date Incmed

Name ofCreditor

Amount Incurred
@stimatu or Aclual)

Street Address

Event #

City

State

Zip Code

Cmdidate(s)

Nme (if

applicable)

Office Sought

Purpose ofExpenditue (by code)

Description

ype of Expenditure (if qpplicablz) : Coordinated with reimbursement sought D Coordinated without reimbursement soushl [J lndependent

!
Nme of Creditor
Saeet Address

Organization kee Instructions)

-tra DB trc nD nE

Supported

!opposed
Date lncmed

Amount Incurred
(Estimate or Actual)

Event #

City

State

1ip Code

3udidate(s)Nme (if

applicable)

ulirceJougnt

Purpose ofExpenditue (by code)

Description

Type of Expenditwe (dapplicablz): Coordinated with reimbursement sought D Coordinated without reimtrursement sousht Independent D Organrzalion (see Instructions)

n !

'tra flB Ec trr trr

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nOpposed
Date Incmed

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Amount Incurred
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Event #

City

State

Zip Code

Cmdidat{s) Nms (if

appticable)

Office Sought

Purpose of Expmditwe (by code)

Iype of Expenditure (if applicable). E Coordinated with reimbursement sought

)escription

n !

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EXPENDITURES
,;::,2!t''::..:'...:..tt.ti

Page 16 of 17

:,

S+*-f-fti{-l J-c,;r M o*
Nme of Creditor
Streat Address

::,,,,1,,,i!i-iAtii.iii *r*E#soiq-'_;,;:.:::::,.1,,:

,/D*rA*;a "," S.- Etpendes Incurred bv Committee'but Not Paid During this Period '
Date Incured

/l
Amount Incurred
(Estimale or Actuql)

Event #

City

State

Zip Code

Cmdidate(s) Nme (if

applicable)

Office Sought

:uQose oI Ixpendltue
'by code)

Type olExpendihre (if applicable): D Coordinated with reimbursement sought D Coonlinated withorf reimbursement sousht

)escription

Independent

D
Name ofCreditor

Organization (see Instructions)

-trl,

fl

supported

tr B

!c nD lE

DOpposed
Date Incuned

Amount Incurreti
(Estimate ot Actual)

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Event #

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mfidat{s) Nme

(y'applicable)

Office Sought

rurpose ot iby code) Description

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Type of Expenditwe (if applicablz):

fl Coordinated tr
E
D

with reimbursement soughl without sought

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Supported

Iln tlB lc !D trE

!Opposed
Date Incu[ed

Name of Creditor

Amount Incurred
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Street Address

Event #

City

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ledidate(s) Nme (if

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rurpose oI tsxpendNe (by code) Description

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fl

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Date Incmed

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applicable)

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ruqnse or Lxpenome
(by code) Descnpnon

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IV. EXPENDITURES
Nai,kix

Page
,-r,r

l7 of 17

of

rrniwli'rit:IEri

nrn :ilr.rr, rr i:lt;

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Method of Payment

ff.;',ftGdizatioui;bt-'Reim6ti"s.? to-'e{tnifiitti6'9.:o.'}ftprs,ah-'ii; qsxl't4'ili

I First

Last

5z{"-,czy

Nme of Worker/Consultrot I

)J

:l

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Date of Palment

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oe

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iecondary fayee

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-i";"ff[k
Description

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rwooao

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Jadiclate(s) Nme 'if applicable)

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fl
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Zip Code

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A6 ?zV
!
Supported Opposed

[]

E
U

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Organization (see Instructions)

EA ER EC trD EE
First

3'/ il,to
Amount

Last Nme of Worher/Consultant

S=uo cz'i k
Secondary Payee

Ai-J'
3,1,,J

MI

Date

ofPalaqbnt t

o9/rt/rt
\A;-- 6
State

Method of Payment

Purpose ofExpendrturc

'/

',i\,,:IJ- Gl{"
Description

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k.ar

--l'

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D Debit card

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Office Sought

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I I fl

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MI
Date of

Type of Exflendtture (if tippticable): Coordinated with reimbursement sought Coordinated without reimbursement sought E Independent

Cmdidate(s) Nme (rf applicable)

fl

Supported Opposed

Organization (see Instructions)

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rVf{"
on"ffi-Jo
Pawmt I
)urpose of Expenditwe

"

Last

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S.*c

Nme of Wor*erlConsultant

z.v L
City

G'AJJ'. ' c')t"t 'ane'

Descriotion

nvlull o'*oo w{B

State

Method of Payment

Amount

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Zip Code

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I !
Independent

Type of Expendihre (if appliea&): ! Coordinated with reimbursement sought n Coordinated without reimbursement sought Organization (see Instruoions)
of Worker/Consultmtr

fi, ,.o,^f ,r,'rT/ cRq/, r^ Fa///"y';r

CddidatJ(s) Nme (if applicable) First

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Date of Pa)ment

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I fl fl
Organization (see Instrucrtons)

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Method of Payment

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n
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I
Supported

Cmdidate{s) Nme (if applicablz)

!Opposed

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s V'/,;j
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X

THIS PAGE INTENTIONALLY LEFT BLANK

I. MONETARY RECEIPTS Section B. Additional Pase

NAMF,OF COMMITTF,F

-5{=;'-l
Last Name

tM -t- .:

:II IN.} NITF NATE

/ \tx- r, r-

,/D"*/(i * -2Cl/
/
MI
l:itate ,rp Lme

B. -F, o //u
aesroerllnl ;neet

t{emized Contributions from Individuals

tv /trt-'l-tnllarri-n /(

4,' Adqress

Fist

ls contrib[tor

a lobbyist, or dependent child ola lobbyist?

7 spouse. tr
I

ltv
Yes No

.(i,,-.,,^
dvo
fl
No

-J

He

a5antr^t
.

*"nKlo/:A"
Nme oi bmployer

,,

.._

/*,_

/
I Yes INo

Amount of Contritrution

b-r 46vpv

Ifcdntribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa muricipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,@0? fl Yes fl No
Is contributor a principal of a state contractor or prospective slate contractor?

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

fre.a
Amount of

Ifyes,listEveil# Aql f

(J -4

If ya, ndicale which branch or branches of govemment the conkact is with:

Executive

Legislative
Aggregate contntruhoffi

Method of contribution:

Date R*ei ved

Cash

ft

fersonal Check

CreditlDebit Card

Payroll Deduction

Money Order
MI

LmtNme
(esrdentral

q<:r A*,-r,,J-.

4.. 'r.,.,4t> Strt Addr6s

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

/J,,'

D Yes ,FNo

nt:.'---cI'n -( 7... J,,,

"If

a ? -14*tr
Prircipal Ocapation
Name ofEmployer

Contribution

:r
itate

trp Lode

4&,{/F

contributior\ 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 mrmicipality valued at more than $5,000? [ yes E No
Is contribrdor a principal ofa state contractor or prospective slate contractor? fyes, indicate *fiich branch or branches of govemment the contract is Executive D Legislative

3-e,ffi

Is this confibution associated with a fi.mdraising event listed in Sectio:r Ll?

,kl Yo

If ya,tiiEvent# A

LflI -A
D

DNo

with:

fl

I Yes INo
luu
rour

Method of contribution: ;(C*h E Penonal Check

Last Name tesrdent

Date Recsved

Aggr

CrediVDebitCard

Payroll Deduction

Mom.y Order MI
itate trp Lode

CQ

'-A 1,. J[ffi.Aoqress qr o,rfr..{ '2".

t

Frst ._

l{*rr

It4, e

are

b
I

i e e:t/t /nr

Principal Occupation
\lame of Employer

Amount

of

Contribution

-ttl--

'

/)..

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

[] Yes KNo
.H
lto E "o

Ifcontributidn is in excess of$400 to

-],.

b/, 4t ?
a candidale committee for a chiefexecutive officer ofa hey'she is associated with have a contract with said

municipality does contributor or business

municipalityvaluedatmorethan$5,000?

El

Yes D

No

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

# nq i{/ lCheck
|

Is contributor a principal ofa state conkactor or prospective state contractor? fya, indicate which branch or branches of govemment the contract is with: fl Executive D kgislative
Date Received

yes No

4i
Amount

u'

Method of contribution: Personal

Aggregate contnhmons

{Casn E
Nmg-

fl

Credit/Debit Card

il

Payroll Deduction

Money Order

oq-t{- //
Principal Occupatim
I

LIISI

!fi

'(esidmual ttl

r, no = Stret Address
A,tr-

lt',
l;rr

nttsl_r-t

MI

7i*

Jd^e.S'P,n
! tt

of

Contribution

ll

/*-

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

fl Yes ENo

./1't cc; tttLt

lstate

1rp

lC

>-

abt/(f

Code

Nme ot Employs

If conaibution is in e:rcess of $400 to a candidate committee for a chief executiye officer of a municipality does contributor or business he/she is associated wittr have a contract with said

municipalityvalueddmorethan$5,000? [ Yes E llo

Yes

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

!/yes, listEvent

# Aq

is-ll-q
E

fi INo

Is contributor a principal ofa state contractor or prospective state contractofl .I/yes, indicate which branch or branches

-5n'6a
Yes

ofgovemmenttlrecontractiswith: DExecutive DLegislative

Date Received Aggregate

INo

-{ C"stt E
L6rNaq-2

MeSod of confibution:
Personal

contntuhotr

Check

Credit/t}ebit Card

I)

,.,

tt ^/* oao

Kesloennat J[et Aoofess

itry

f*t^,"u, lL'
spouse. 0 lobbyist? I
Yes

fl Payroll Muction D Money Order O9 -ts'-rr I o-1, o" Fvst,---fr zSzil h b._.tr, -l '"rp Code l, ;tate I Nane ot Lmployq , "'Yt)

MI

ls contributor a lobbyrst, or dependent child ofa

No

, l^ ofMOO to a candidate committee for 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? [ yes D No
lfcontributidn is
fui excess

l**n**q,.

Amount of

Contribution

fi*vt?l

fln , t,, =t

Is this contribution associated with a fundraising event listed in Section I,1? /yes, lisi Event AEaif,l

fi

Yes

I -q

[]

I'to

Is contributor a principal ofa state contractor or prospective state contractor? {fyes, indicate which branch or branches of government fhe contract is Executive tcgislative

tr

Yes

/ o-a,'u

with:

fl

fl

No

Method of contribution: Personal tr Cash

Datc Received

Aggregate otrtnbutrons

fi

Check D Creait/Oebit Card

fl

Payroll Deduction

Money Order

Dq-/Ll-t/

l{a,&

SUBTOTAL Section B-This Pase

'1

v^g"

I "

{,*

1&

I. MONETARY RECEIPTS section B.4qg4lg!3!

Individualq
ffi"i-pul
O."oPotioo

b -i a -43J
Anount of Contribution

G;ffiffi;
"ti'#"d"",

lobbYist' sPouse'

"t'ild

of

a lobbYist?

E Yes ENo

fiS'"l'iili;;ff;;gs-Esg
ffior '" l;;, ftil"
yd*h

prospective state contractoil

fl*u

'#i:i,::$J:i:i'frtr"iiT.H:T" fi #
I/Yes, hst Event

F'o *;

lq:1.::branches ., Executive #"il#;,*""'"*":*g

tr L"!'*l"ti*

H%"ff'"HT::i::':i.n*u

c.editfoeuit

C*d D'uyrott

H*t*|tr

Montt

rl:'

D q- t'(-iL

, rrl*

;'(*t

Amount of Contribution

ffiATT
'mmr"xi,ffi,rs;$;'t If
!
es.

e-A r'

lil'iffi*i,;ffi;gggrs
E
credi'Debit c"'d

estate@n*".on

t-i!- Ev ent #

- -IE:!JZJJLt
check

ffittg:*:l
i-ffi;il"to'
l"ito..n,
u

[f PayrollDeduction nry

"ru:*?:"-#*ffit

qf,":==g ""-"*"

tr

"iffi

ET,:
Amount of Contribution

D9-t4-Jt **

louu/:*

fr'Isthiscontributio:r.*.llllulti^),^"r.,r n No
iJa*";; ;;;;'
it""d

"rtiH "f

a lobbYist?

iTY;

(.No

Jes

municipatityooscgntnoutor*o1i;;rm;he/sheIsdss+*at*o\o

ilHi':diii;ru"",'**"'*'
Payroll Deduction

statecontractof?

'5:il 're
E L";

HT*'W:*H"* E"**nl* E
-^t'u

-Ilyes, list Event #

f gTpii-?

##*:*,r*""ff:l *,f
E
Monev Order

':=,

:'."-''
Amount of

bQ-t'l-it

Contribution

ffi#l'"r'':!i#ffi
lilffidffi ;iistea in sectio,n I
^f

"4..;
t

Xliril'

'JJ

a more than $5'oo0?

-|-fr'tfr

#!l;;**:on*g**l*'
0q

iL/-il

Amount of

Contribution

ii;-f,'uiGutouil:\"'ffJi,i, A lobbYist? i'"p""d".,

"nno

"ia

";

ilTJ'l,ffi ri

;@.

*"-ee-gs'mn

.6-a,

,F

fi;x?;;;;i ausa=z

i""l";.i."qg"*:*
D
Priyroll Deduction

R*'"q';:*n.* ".'"*at*

Money Order

D9 - t5--

rr

I. MONETARY RECEIPTS Section B. Additional Pase

[N TNIIA N TF
A

TT'E

,C-!1"
LastNmf
t)

.{,.Y,o,-;

J!.,.

l*\rt..,,,

r
Itemized.Contributions from Individuals
MI
;tate
Lrp

)8_.ia.-40//
Principal Occupation
Name ol

'\

b.
rrst

l. r;.sr,
.&
Yes

-p J Is contributor a lobbyist, spouse, I

;""frlrfi:"T:.."/

'f^' x:.C-J

Amount of Contribution

ordependentchildofalobbyist?

No

Ifcontribution is in excess of$400 to a candidate committee for a chief executive officer ofa municipality does contributor or business he/she is associated with have a contract witl said municipality valued at more than $5,000? fl Yes I No
Is contributor a principal ofa state contractor or prospective state contractor? fyer, indicate which branch or branches
Date Received

Jr'

Lw

tmployer

a L t'78

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

I/yes,tisiEvent ,5p Cash

Last

# nq l'5llCheck

,6 vo ENo
E

fl

Yes

:|-zt, c4

ENo

ofgovemmentthecontractiswith: flExecutive fll,egislative

Aggegate contnbufions

Method of contribution:

Personal

fl

Credit/Debit Card

Payoll Deduction

Money Order M]

9-is-tr

NalFi

I I ( hn- /.r,r,t spouse, E lobbyist? I( a

_.yes

Fitst

-2

Re$deltlal stret Adfress

)t Lk,,-- La,,z

-:t,
No

;i2a2Fb 6rc-

**nry#

Itn'rc

o{T.,1,

Amount of Contribution

Is cohtributola lobbyist,

ordependent child ofa

C" Ifcontrifution is in excess of $400 to acandidate committee fora chief executive officer o{a municipality does contributor or business hey'she is associated with have a contract with said
mrmicipality valued at more than

1' /A,l

ttate

1rp LOde

r- rt2492
$5,000?

U Yes n tlo

Is this contribution associated with

flrndraisingeventlistedinSectionLl? fyes, list Event # C q f .\-l l- q

Method of contribution:

{Vo fl No
E

Is contributor a principal ofa state contractor or prospective state contractor? {rryas, indicate which branch orbranches of govemment the contract is with: Ll Executive E Legislative
Date Received

tl Yes INo
an

;:l\ .) ", tnt

tr C*n Ap"rsonal
trcsqruil Du@ auFs

Check

fl

CreAit/OeUit Card Fr6t

Payroll Deduction

Money Order MI

a9-15-rt
Principal Occupation

l2 5.

f,^ ^"-,

s contributor a

rr dependent

spouse, ! Yes child of a lobbyist? EI. No

lobbyis!

J,"V

Ate

:---t Cr nj l.$r-*1 i

Amount of Contribution

la:'b*

itate

xp L.o{le

\ame ol bmployr

3r* 46VE
fl
Yes

If contributioA is in e.xcess of $400 to a candidate committee for

a chief executive officer of a municipality does contributor or business helshe is associated with have a contract with said municipality valued at more than $5,000? D yes El No

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

Xvo
nNo

Agj5ll=L_
Check

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

5^a,*

ofgovemmenttlrecontractisvrith: E Executive ELegislative

Date Rtreived

ENo

Method of contribution:

iKastr
Lst

EI

Personal I

fl

CreditiDebitCard El Payroll Deduction

Money Order

p e-r {_tt

Aggregare c@ElHnons

( [r. nr. /o i9'"i"ili'"Jll, -.ll

[s'

Nme

First

contributor a lobbyist, spouse, dependent child ofa lobbyist?

7.E
q
E

liDAYes

l
he,re,
i
C

MI

*o"4"o""wg{
e:
Nmeolljmploys

b*t, ta
Amount of Contribution

Q
rUlte

',)*J

Ur-b'

ep L@9

?-t-' D/. LJ IP

ENo

a chief executive ofticer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued dmore than $5,00O? E yes E No

If conhibutibn is io excess of M00 to a candidate committee for

Is this contribution associated with fundraisine event listed in Section cl .fyes.liJ Event 1/ '-

* 0 rc

a Ll? -Yyo D No
Crediyoebit Card

Is contributor a principal ofa state contractor or prospective state contractot?

/ lt-tr,u
Yes

ofgovemmentthecontractiswith: DExecutive El,egislative

{fyes, tndicate u&ich branch or branches

INo

Method of contribution.

tr
(

Cash -(nersonal Check

Payroll Deduction

Money Order

t*,.fT" /

cq-tv-//

Aggregate conklbutions

First .-..-

t:l*rt

'*)

MI

(esloetrua Duwt Aqucss

;-;-"al;"-."

-?

;tat

ls contributor a lobblst, spouse, or dependent child of a lobbyist?

fl Yes ENo -f, Yes dNo

lT

lZtP Uode

Y,ry*":-{
Name

ofEmfloyer

z,l

"1

r* , o.:
Amount ol Contributioa

IALY/,f

VTte't
El
Yes

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? E Yes fl No

Ifcontributifn is in excess of$400 to a candidate committee for

ls this contribution associated with a flrndraisins. event listed in Section L I ?

fyes.lisiEvent

DQin Check

lI

Q CreOitDebit Card

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

I a-*,R

with:

fl

[]No

Method of contribution:

Date Received

Aggregale conlnDutsons

tr Castr {

Personal

[J

Payroll Deduction

Money Order

u'l -t7-u

^ /\

,,1

-7 ,n"'a

SUBTOTAL Section B-This Pase

Page

"4
of

a,u

I. MONETARY RECEIPTS Section B. Additional Paee

NAN4OF COMMITTIT,F

*l- J-{i*-*; -[.'o

'1)t A,^ l^,-;r e r i aeslucr trlat Jnget Aqoless /q ( :,J- /^,', 2Name J

III

II\Tal

nI

m .n A'I' F

Gc n;-

B. Itemized
'

Contributions from Individuals

M]
)tate

Last

PrincipalOccup4lion

' ,1

., J-t t<s:l

7,

Amount of Contribution

Is contributor a lobbyist,

spouse, fl ordependentchildofalobbyist? K
Is this contribution associated with fundnisins event listed in Section Method of c.ontribution: D Cash Personal

A,t,

,.n,

*
excess

ai-

lrP LOCe

B&

qet

Yes

Ifcontribution is in

No

a candidate committee for a chiefexecutive offrcer ofa municipality does contributor or business hey'she is associated with have a contract with said muricipality valued at more than No

of$400 to

$5,0O0? fl Yes I

a Ll? fyes. lisiEvent# AQ if t t -S fr

Check

ffVes F No

Is contributor a principal of a state contractor or prospective state

contractor? D

Yes

ofgovemmenttheconFactiswith: IExecutive nLegislative

Date Received

{/yes,indicatewhichbranchorbranches
D
Money Order MI

fl

No

o*a,ue

Aggregate contnbutoDs

*tro.

fl

Credit/Debit Card

Payroll Deduction

o,J-;, KesrocDuUJutAotress
lvl

Ffust
L

\) r.2 A

'7-,,

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

/^ ^,/r, S/ D Yes
MNo fu'vo
f

If contribution {s 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 conFact with said municipality valued at more than $5,000? n yes D No

J cs'+Ph Ll ^ b,,
i

.-

c I -i.r-i/
Prircipal Occupatim

g"zf,ra
Amount of

Contritrution

lr
'BIC

f,P\s

Nme of Employer

4lefl(

5-8,F
Yes

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

,I/yes,

listEvent# b {} lsllCheck

fl

No

Is contributor a principal ofa state contractor or prospctive state contractor? fyes, indicate which branch or branches
Date Received

ofgovemmentthecontractiswith: IExecutive ELegislative Huction I

Money Order MI
itate ,rp

fl fl

No

Method of contribution: D Personal

AggrEgate conalbuUoN

ECustr

Credit/Debit Card

Payroll

Aq*t'/-tt

Last Name

1)' l. (s i rntI Yes {No

f'rsh

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

:;'.rtri:*i-*
{fyes,

( '^, lon "

**uw*"-.
Nmeotbmploys

{*d

o-*
Amount

we

l**.
'/

/
fl fl

of

Contribution

?Ifcontribution it in

L'/tf

excess of$4O0 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business hey'she is associated with have a contract with said

muicipalityvaluedatmorethan$5,000? [ yes D No

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

Uvo
DNo

IistEvent# O? 1f

tl-q

ls contribulor a principal ofa state contractor or prospective state contractor? fyes, indicate which branch or branches

Yes

/ ca,oo

No

of

govemmentthecontractiswith: D Executive I
Date Received

Legislative
Aggregale cDnmDunons

Method of contribution: D Castr Personal

Check D Credit/DebitCard

LiftNa4il-

*;;-

'-l

), l^. ,

I Payroll Huction fl First I

Money Order MI
ttate

0 1* i4
principat

-/t

/.ts: ro

'E

.eslomua JEpet Adcress

[''ei";r ,.,
a

rry-

o-'hu.t-"t

oc$parioq-.Vrj,

r.l

Amount

of

Contribution

Is conkibutor

lobbyrs! spouse,

or dependent child

ofa lobbyist?

E "i.E

Yes

If contributidr is in excess of $40O to a candidate commifiee for a chief executive officer of a

municipality

-P".,b-r

c7- &L't tf

,rp C-ode

Nme of Employer

No

municipalityvalueddmorethan$5,000? [ yes D No

doe.s

contributor or business he/she is associated with have a contract with said

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

FYo
ENo fl

fyes, listEvent# C)
Method of contribution: tr Cash Personal

q /{ll-Q I

Is contributor a principal ofa state contractor or prospective stde contractofl dfyes, indicate rtdch branch or branches of govemment the contract iswith: D Executive O Legislative
Date Received

[]

ENo

Yes

1s-.to

Aggrcgate onhbutrons

fi

Check

Creait/Oebit Card

Payroll Deduction

Money Order MI

Laj,ry\me I

(tc,,-./,n,
,.

First

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

:,:,:i

"E

flJt+,.tc,
itate
1rp

is-e,,+ a Q-ir-- tt Principal Oaupgrioo ,) ' 'S: r+- .,,, t /e ,"1

Name

Amount

of

Contribution

uode

ofEmploys

!. Yes &No

*t

14*sY
fl Yes INo
P-c , c-t

lfcontn-bution is iri excess of$400 to a candidate committee for a chiefexecutive offrcer ofa municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? D Yes E No Is contributor a principal ofa state contractor or prospective state coniractor? {fyes, indicate which branch or branches of govemment the contract is with: E Executive fl Legislative
Date Rmeived

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

EYo
DNo I

i N'r"

If yes,listEvent# eQ l5"ll - q

Method of contribution: tr Cash Personal

Aggegate mntnbunons

fr

Check

CreditDebit Card

Payroll Deduction

fl

Money Order

d9' iV-tl
:'

,?

SUBTOTAL Section B-Th- is Paee

Page

4 '\E,,"
of

T.

MONETARY RECEIPTS
Section B. Additional Pase
NTT

NAIL{F.nF (-.)MMITTF.F

ING

DIili

NATI1

S*",4(, e,.,' Ji
Nlme I ;':4 rA 9t3; t ,

".

Ff ,,,, o n
First

/b- /t:- ALt/

B.
Itemized Contributions from Individuals.
1

Last

ViTr'"ffi!i1,,',"
13 contrib'utcir a

lobbyist, spouse, or dependent child ofa lobbyist?

tl

D 0
l

iw
Yes

' t)o-

\ ^,

.R *o

a candidate committee for a chiefexecutive offrcer ofa municipality itoes contributor or business he,/she is associated with have a contract with said O Yes E No municipality valued at more than $5,000?

/,.

uc-. ,

hn
lstate

MI

Principal Occupation
Name ofEmployer

Amount of

Contribution

le

r 4bilr

lrp LWg

Ifcontributio{ is in excess of$400 to

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

fyes,listEvent# lllci

tf

l-q

6vo ENo
I
,EL

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

fl

Yes

DNo
6-a

.5;a,r
Amount of Contribution

ofgovemmenttheconkactiswith: EExecutive
Date Received

El,egislativ.e
Aggregate conmDuaons

Method of contribution:

{C^ft La7.ljme / l-,'.^nrlnn"a

l(6ldmud Stlet

Personal

Check

fl

CrediilDebit Card

Payroll Deduction

Money Order

D9-t4-r/
Principaloccugdicq
Nanea-Emr,loter

/ cfl,
t t

ls contributor a)lbbyist, spouse,

or dependent child ofa lobbyist?

;"i;:*-trl.'//
ACOTeSS
r

A,r"

'Y/"
Yes

Stt.r//^.,
)ftlte

MI

tr

No

a candidate commiftee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said E yes H No municipality valued at more than $5,000?

3i-

ap

Lse

s ei -{: - .n o/oueJ

6fii'f

Ifcontribution is in o<cess of$400 to

Is this contribution associated with a f,mdraising event listed in Section Ll? Method of contribution:

.fyes,listEvent# hq /<'t I - q

d yo E No
E

Is contributor a principal

ofa state oontractor or prospective state contractor? I/yes, indicale *&ich branch or branches U Executive E Legislative of govemment the contract is with:
Date ReerYd

E Yes XNo

A-5a'n

Aggregarc oofinouBorE

tr Ca*r !
Last }.{rqe

Personal

Check

fl

Credit/Oebit Card

Paymll Deduction

Money Order

(*.!,,. -^ tri-{:

n^f
,

aE

tesldennal

///..i). J/,,.J.-,

streetAddrcss

Ln
D Yes -( *o
.

)rty r

, ): /1, n',itate

MI

-2)- il

.4.-d,@
Amount of

hincipal Occrpation
NameofEmployer

Contribution

f1^,,.L,
Yes

(lr 'rpLme $t Bl)

Is contributor a lobbyis! spous, or dependent child ofa lobbyist?

a chief executive officer of a municipality does contributor or business her'she is associated with have a contact wi& said E yes E No municipaliW valued at more than $5,0@?

lf contibution is in excess of $4O0 to a cendidate committee for

/7J;a<

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

Ifyes,listEvent#

-_ X

Is contributor a principal

ofa state contractor or prcspective state contractol?

No

I/yes, indicate which branch or branches of govemment ttre contract is with:

E Yes ENo

ff

Executive

Legislative
Aggregate contnDuhons

Method of contribution:

Dare Received

BCusn fff"nonalCheck fl CrediyOebitcard I PayrollDeduction fl MoneyOrder

LtrtNafle,
<esrdmual

FJan n
Jlret
a

*'

aq-

14-

t/

t.

,1

/- 4 tl /^G' 11.., I I .. ,.i,..

Is contributor
or dependent child

Ad{lress

I ,-,i,

MI
ap Looe

hincipal Occrpdim

Amount of

Contribution

1z

.t

lobbyist, spouse, ofa lobbyist?

R. uo ,B vo ENo

.G (a.3
Yes

NmeofEmploys

a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said

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

municipalityvalueddmorethan$5,000? fl Yes f] No

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

.I/yes, list Event

Ag

l5-/ l* rt

Is contributor a principal ofa state contractor or prospective state contractofl fyas, indicate which branch or branches
Date Receivd

E Yes INo
uu

5v,ffi

ofgovemmentthecontractiswith: flExecutive Etegislative

Aggregate contnbutrons

Method of contribution:

Cash

PenonalCheck

Credit/DebitCard

PayrollDeduction

MoneyOrder MI
itate lrP

Aq

L6tName /

Residfltfal S8eet

\*, ?rrr-,'oH-D^.
Is this contribution associated with a findraising event listed in Section Ll?

4- *-, * Address

o*'
EitL-

-/'/- //

/6-t,

/,),'/1, i,ur

Prircipal Occupation

Amount of Contribution

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

fl Yes ,E No

I2 2 ,-L Ifcontributio{

/1 f

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

66{/f'

LSe

NffioFEmlployer

{/yes, listEvent#

fi9 t-ft/-t:
Check

,4 Vo 0 No
E

ofa

state contractor or prospective state contractor?

3*7,*
Yes

fyes, indicate which branch or branches of govemment the contract is with:

Payroll Deduction

Executive

[]No

Legislative
Aggregate cotrmDutrons

Melhod of contribution:

Date Received

flcastr E

Personal

Credit/Debit Card

Money order

6I -rs-*rt

la4'ea
ry{
E"

T.

MONETARY RECEIPTS
Section B. Additional Pase
F'II

NAMEOFICOMMTTTF.F.

S;L
Last

/r:"
e5

r.1 F

Uo.r
FirstI

*
MI
itate

IN(l NI IF l.iATF

,la *r & .?at

Amount of Contribution

Nide

h, Itemized Coutributions from Individuals

/4.,
Is contributor

<esrdentraL)llrret Address

rr ?le;';.,+ [1,,, ,P.)

Is this contribution associated with a fundraising event tisted in Section Ll?

'*D-*AY".

lla,, "e +l

Principal Occupatioa \ame ot bmployer

?p Lme

a lobbyist, spousq or dependent child ofa tobbyist?

I Yes &. llo

V
ENo

4L{ff

Ifcontribution {s in excess of$400 to a candidate committee for 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? fl yes D No
Is contributor a principal ofa state contractor or prospective state contructor? If ya, indicate which branch or branches of govemment the contract is Legislative Executive

{fyes, listEvent

# 6q lfl/

-q fl

with:

fl

I Yes INo

.JiZ,

tt*i

Method of contribution:

Date Received

Aggregate contnbutroDs

tr Cash (Personal
Last

Check -,

CrediyDebit Card

payroll Deduction

fl

Money Order MI

Nme

'I'o

(srdeqtral SEet Address

r t;

First
Ft

6Q-

/4-l/

l6*rt , o*
Amoult of
Contribution

)QV an 7.,ro,,
Is contributor a lobbyist, spousg or dependent child ofa lobbyist? Is this contribution associated with

E Yes dNo
a .( Vo f] No

N n ^# lin *-trrl

hircipalOcmpatim
Name ofEmployer

fr:
'IilE

2p\s9

o L?s-t
.-f-Zi.
Yes

a candidate committee for a chiefexecutive offrcer ofa municipality does contributor or business he/she is associated with have a contract ririth said municipality valued at more than $5,000? fl Yes D No

Ifconkibution is in erccess of$400 to

frndraisingeventlistedinSectionLl? /yes. listEvent # eSlElLQ_

Me$od of contribution:

Is contributor a principal

ofa

state contractor or prospective state contractor?

I/yes, indicate which branch or branches of govemment the contract is with:

Executive D Legislative

fl

No

DateReivd

tYW

ACastr E

Personal Check

Credir/DebitCard

payroll Deduction

Mone.y Order

ls contributor a lob$yis!

ordependentchildotalobbyist?

,;/ii;-,#;;" spouse,

(esrdenoal Street Addr6s

1^..,

tmttl

o ,.

Ln,r*ne
itate
1ip

MI
Code

^wrcgea bq-it--/l 2d rz PrincipalOccupdion , i \p IC d* \ l*,.J

Name

Amount of Contribution

ofEmployer'

"J

17:,,

D,

Yes

E
?

No

If contribution is fu{ excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business Hshe is associated with have a contract with said municipality valued at more than $5,000? D yes D No
Is contributor a principal

JL,...-).

G.z*

na52.r
ofa

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

Ifya.tisl.Event#

a I I ft l -Q
D

.E Yo ENo
E

{fyes, indicate which branch or branches of govemment the contract is with: E Executive
Date Received

state contractor or prospective state

contractor? fl
Legislative

p-a,tt
Yes

No

Method of contribution:

Aggregate cotrttlhrtlons

tr

Cash Rpersonal Check

CreaiyOetit Card
rIrsr

payroll Deduction

Money Order

(esroauil JreetAddress I

Jin

Nme

8q-tv*/t
Principal Occupatim

\fu<).e
Amount of Contribution

n4-+h E -R
Yes

't)*-d^t?.

MI
tlate

RnY

3 3c-G

'itv I I t b-Yz +la*rq

Ifcontribution islin
tqo

3r- a4'70-r

ap Lme

Nueof fhployer

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

er<cess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with trave a contract with said

municipalityvalueddmorethan$5,000? fl ye

No

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

fi[

fyes, listEvent* ACi

Method of qontribution:

t.<-//-I

lNo

Yes

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

ofgovemmentthecontractiswith: DExecutive flLegislative

fl Yes []No

.5-a,u*

Aggregate @utnbutroN

fl Cash $fersonal Check E

Credit/Debit Card

payroll Deduction

Money Order

"*lfflI--in

Aq*tu-//
Principal Dlover

MI

Ociuparion i

I tri:, *n
4lt
Amount of Contribution

?f'*ellilli,;,.,
Is contributor a lobbyist, spouse, or dependent child ofa lobbyist?

t: /e,''frtc

-D".

"Y-D,^A
Yes

;tzte

llp

LOAe

:t

n&ytF
$5,000? ! Yes D
No

.K

D.

)1:r

If contribution G iri excess of

No

$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

municipality valued at more than

Is this contribution associated with a fundraising event listed in Section Lt? If yes,tisT Event /

&vo
[]No
E

# 6q lf

)-q

Is contributor a principal ofa state contractor or prospective state contractor? fyes, indicate r,r'hich branch or branches of govemment the contract is with: fl Executive D lrgislative
Date Rmeived

fl Yes INo

/au'o
4
of

Method of contribution:

Aggregate mntnbuuons

tr Casn {eersonal Check I

Credit/Debit Card

payroll Deduction

Money Order

0* -aa *tt
. i:.:: i.. '.:':

,/-52 , oa
: ':: :
:.

SUBTOTAL Section B-This Page

tJ

b,r

I. MONETARY RECEIPTS Section B. Additional Page

NAMF

.qV-/T;:-, Jo'""^ /r/.',

'NMMIITTTiF

OP

rTT

ING NITF NATF

^ I B. Itemized
L
ffi;

,/ tt .- i & .-,-? a Contributions from I ndividuals

l/
Amount of

/n

s:Tl'li:*ffT) utJ Lv 4:--+4-.1 t

u-,^-/u,*J---) Contribution i;ed.;--l !aneof-ffiFtd---

*gT"i*

F, Y"t ordependentchildofalobbyist? R "o

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

is coniributor 6 lobbyrst, spouse.

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

abttt

$5,@0?

il Yes il

/yes,lisi

Event

# tt q /5-/1

Xvo No
fl
I

Li

Is contributor a principal ofa state contractor or prospective state conFactor? fyes, indicate which branch or branches E Executive fl Legislative oilovemment the contract is with:
Date Received

fl Yes INo

4n,n
Amount of Contribution

Method of contribution:

Aggregate contnDuuons

E cash Efersonal Check E

Credit/Debit Card

Payroll Deduction

f]

Money Order MI
itate

D9- rl-rr
Principal Occupation

*7

fr,p

Lst

!ta*
Ma,

Filst

rnrt

Re$dentral Stret lqooress

/.)

---;'I--::T-

l-L,,h \) L -

--J lWI

a hn

Is contributir'a loUbyist, spouse, or dependent child ofa lobbyist?

6no
/-Q

Yes

ffi

a candidate committee for a chief executive offrcer of a municipality does contributor or business he./she is associated with have a contract with said E yes E No municipalitv valued a more than $5,000? Is contributor a principal

/,t

^t,

4r

1D Code

'n4

{t

Nan:rne

offfiptoyr-

Is this contribution associated with a frmdrajsins event lisied in Section Ll?

Ifya,lisTEvent* O9
Method of contribution:
11 Cusf,

['Ves D No
E

ofa state contractor or prospective

state contractor?

fl

Yes

I a-i' ,fr

t,r'-t

I/yes, indicate which branch or branches oi-govemment the contract is

EI

No

with:

fl

Executive D Legislative
Agglegate contibutions

Date Received

,{
I

Personal

Check

fl

CrediyOetit Card

Payroll Deduction

fl

Money Order

6Y -2A-tr
tincipal Oeupation

L6t

Vnn* I R6ideoial-StsetAddress t .1,t )i * oct s sLl/

Is conhibutor A{obbyist, sPouse, or dependent child ofa lobbyist?

Nme I

MI

Amount of

Contribution

--;)

Kc'l
D-

("o

Yes

T*1, ffi
No

itate

lp(]ode

qameof@ioyer

to a candidate committee for a chief executive ofticer of a municipality does contributor or business he/she is associated with have a contact with said

l-- r/" clf,

municipalityvaluedatmorethan$5,000? E yes E No

,5:b,ca
Yes

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

EVes

fyes,listEvent# A q B /l-q
personal

fl

Is contributor a principal ofa state contactor or prospectiYe state contractol? yes, ndicate which branch or branches El Executive oigovemment the contract is

If

with:

tr trClt"i-

fl

No

Method of contribution:

DateRffiived

Aggregale c@Elbutlons

'k(cash 0

Check EI Credit/Debit Card f1 Payroll Deduction D Money Order

LastNw

u*'.?l;
lity,-J

'1"5;
Principal Occupatim

rc

::":'S:"YT"/
Is contributoralobbyist,

ordependentchildofalobbyist? .Ef No
Is this contribution associated with a fundraising event listed in Section L1?

/:rl spouse, E,
A

/,,
;tate

MI uqrc

Amount of Contritrution

l /-/t.*b,'r

1-T-

'rp

"J

Yes

commisee for a chief executive offrcer of a municipality does contributor or business he/she is associated with have a contract with said

^b

v*

NmeofFn-Loys

municipalityvalueddmorethan$5,000? E yes E No
Is contributor a principal

lf,'vo
ENo

ofa state contactor or prospctive

state

contractoil

I/yes, listEvent#

trl 1,4

oigovemmentthecontractiswith: DExecutive Elkgislative

Date Received

fyas,

indicate which branch or branches

E Yes ONo

.52,61

Method of contribution:

Aggegate contrrbuEola

t*'*F/or.-G.c\^e
{e$detruil sFeet A{Eess

-(C*n

Personal

Check El Credit/Debit Card D Payroll Deduction

Money Order MI

Dq *iv-it
Principal Occupatioo

/gz'

"u

'/1",-'-/4^Z

t k.;-

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

s* I
;

lt*' e":1
lLlDLYes

/'
ttate

Amountof
Contribution

I I

l-D^L, ffit"

RNo

a candidate cotnmittee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said [ Yes E No municipality valued at more than $5,000?

t/

?p Lode

NfrtrilIEnryloyer

46'il?
fl Yes []No

Is this contribution associated with a fundraising event listed in Section L I J/yes, lisi Event 4 6 c; /f | | 'V
Method of contribution: Personal

-d vo ENo
fl

Is contributor a principal ofa state contractor or prospective state contractor? fyes, indicate which branch or branches E Executive E Legistative oilovemment the contract is with: Payroll Deduction

5Z,t4

Aggregate conmbuuoff

.(C*h

Check

Credit/Debit Card

Money Order

Dq - /5--i/

'7J- cd
!aee:
Page

SU-STOTA-Li 'Stction'E This

r-

45n.*

"&

T.

MONETARY RECEIPTS Section B. Additional Pape

Ail NIANM

NAMFOFCOI\4MITTF,R /\,

S :" l{, ur;

'+;

,E
. Yes

/"{ai^ /
t^n
'"
No

B.

Itemized Contributions from Individuals

MJ

lt */a-1o)r
Amount of Contribution

NATE

'""Tf?

Principal Occupation
Name

" ;-7;;ir"",)n. A* spouse.

Is contriburor a lobbyist,

14an,-s

L Crrrrtt'

A-

iute

O/1

.4-/

trl

lzrp Lme

of Employer

aLler
fl

If contribution is in

ordependentchildolalobbyist?
Is this contribution associated with fundraisingevent listed in Section

excess of M00 to a candidate committee for a chief executive offrcer ol a municipality does contributor or business he/she is associated with have a contract with said muricipality valued at more than $5,000? D yes D No

tf yes.listEvent# 0 tl t5'I l-

u d yo LJ? n No cl
Credit/Debit Card

Is contributor a principal

ofa

state conhactor or prospective state contractor?

Yes

.5a,n

Ifyes, ndicate which branch or branches

DNo

ofgovemmentthecontractiswith: D Executive ElLegislative

Date Received

Method of contribution:

tr Casn fl
Kesldenual

Personal Check

tl

Payroll Deduction

fl

Money Order MI
rIaIe

4q-

tv-/l
Ocorpgtip

Aggregate contrrounos

/ d-t, t-..
e,n

'*'Yu']r-ru.
o-FJor.nJ. Lo,'.
Jtrt At!fiss t
ls contributor a lobbyist, spousg or dependent child ofa lobbyist?

t Est//1

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Name

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Amount of Contribution

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E
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aplge

ofEmploya

If co6tribution is in excess of $400 to a candidate committee for

No

a chief executive ofFrcer of a municipality does contributor or business he/she is associated with have a contract with said municipality vatued at more than $5,000? fl Yes fl No

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

fyo, lisiEvent# 0Q Lf(l-q

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fl

Is contributor a principal ofa state contractor or prospectiye state contractor? I/yer, indicate which branch orbranches of govemment the contract is Executive E Legislative

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with:

fl

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Date Received

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Amount of Contribution

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Kuo
u Ll? l-q

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l{""J

itate

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atl

t:

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No

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) trtr,''

El

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tr g
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itate

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hincipal Occugation

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fl yes E
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If contributiorl is in excess of M00 to a candidate comrnittee for a chief executive offtcer of a muicipality does contributor or business helshe is associated with have a contract with said
municipalig valued
at more than

$5,000?

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

,8 v".
!No

fyo,

listEvent

# rl 4 I s-llCheck

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.52,*

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?

:rty

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aJ

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er

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a chief executive offtcer of a municipality does contributor or business he/she is associated with have a contract with said

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fl

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fl

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dt *sa - tr

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t4
.X

SUBTOTAL SecIion B-This Page

Page

,f /6

I. MONETARY RECEIPTS Section B. Additional Pase

\IAMF.OF (.r}MMTTTFF xfl RlnNm nlTE

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itate Principal Occupation
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g

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fu in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated witl have a contract with said municipality valued at more than $5,000? ENo

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Is tlis contribution associated with a fundraisine event listed in Section Ll?

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fl

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fl

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If

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ap Lwe

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Amount of

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contributionGs in el(cess of $400 to a candidate committdfor a chief executive offfter of a municipality does conkibutor or business he/she is associated with have a contract with said No municipality valued at more than

l,

Confributiou

$5,000?

E yes B

Yes

r/yes,lisiEvent

DQ

t4-/ / D
I

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ofa state contractor or prospective state contractol? .fyes, indicate which branch orbranches of govemment the contract is with: E Executive f1 Legislative

[]

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57,ro

Method of qoqtribution: Personal Check tr Castt

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itate

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hincipal Occupation
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Tftontributionfts in excess of$400 to

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LME

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a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated vrith have a contract with said

Ifcontribution is in excess of$400 to

municipalityvatue.ddmorethan$5,0@? fl Yes fl No
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Is contributor a principal

ls this contribution associated with a fundraisins event listed in Section L I ?

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ofa state contractor or prospective state contractor? lfyes, indicate which branch or branches of government the contract D Executive El Irgislative

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fl

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.4 No
Llf
'l

'riolr. lnun,
Yes

itate

il excess of $400 to a candidate committee a chief executive offlcer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? fl Yes E No
If contribution is
Is contributor a principal

:Tla6zat a',h "f-: 6r

lzrp code

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Date Received

il Yes []No
c4

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8"

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Aggregate contnbutons

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T.

MONETARY RECEIPTS Section B. Additional Pase

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fl Yes 9No
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municipality does conkibutor or business hey'she is associated with have a contract with said municipality valued at more than $5,000? D Yes E No
Is contributor a principal ofa state conFactor or prospective state contractor? fyes, indicate which bnnch or branches

MI f,i LJ,'u-f. cr {ffrr l.T,g*",$ i)-*1,

fl
Yes

Amount of Contritrution

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Check

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Amountof
Contrihution
I I

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trder

contnbuuos

CredigDebitcard

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spouse, D. yes ordependentchildofalobbyist? X tlo

ls contributor a lobbyist, Is &is contribution associated with a fi Va fimdraising event listed in Section.Ll? fl No

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_\

Fitsr--f2 )t+-: '/)

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I

rd

If contributidn 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 $5,000? E Yes B No
Is contributor a principal ofa state contractor or prospctive state contractor? I/yes, indicate **rich branch or branches

^Au

Fr

lstate

f,pwc

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ENo

-Ifcontributfn

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l,^rAJ

)tre

CT 61,/ql
$5,000? [ Yes f]
U
Yes

trp Lode

t{ameofEnployer

Is this contribution associated with a fundraising event listed in Section Ll? /yes, list Event # _ Method of contribution: fersonal Check O Cash

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Date Receiveil

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M*
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Payroll Deduction

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tt i

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I

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I

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of

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,El

a candidate iommisee for a chief executive officr of a municipality does contributor or business helshe is associated with have a contract with said

J:,

Contributiou

V\rufr;o

oeofEmlovst

1.,',#' /4.^l t/,*'R.

fl yes f]
No

4 e.r

municipalityvaluedadmorethan$5,000?

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

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# bq t;ll-

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Yes

Is contributor a principal ofa state confactor or prospective state contractofl fyes, rrdicate which branch or branches fl Executive fl Legislative of govemment tlre contract is with:
Date

ENo

Yes

5D,A
Amount of Contritrution

Method of contribution:

Rceived

LstNmP* =P '. n
Resldffifial Jtreet

!.C*ft

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CrediyOebit Carcl

Payrolt Deduction

Money Order

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

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AdffCSS

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rtttu
tr q
Yes No

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lstate

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iP
LOOe

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I
Yes

Ifcontributioh is in excess of$400 to

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municipalityvaluedatmorethan$5,000? D yes D No
Yes

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

ryyes, lisi Event

H nq tf/ l- q
D

DNo
E

Is contributor a principal ofa state contractor or prospctive state contractofl fyes, indicate which branch or branches E Executive I l,egislative of govemment the contract is with: Payrotl De.duction

DNo

P,',tt
4 Art. t^

Method of contribution:

Aggregate @ntrrbuuons

tr Cr"n fi

personal Check

Credit/Oebit Card

Money Order

9-

t9-ir

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SUB.TOTAL Section B:This Page

I. MONETARY RECEIPTS Section B. Additional Pase

NAMF,OF N.)MMI-TTFF

S;J-;
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Itemized Contributions from Individuals

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Amount of Contribution

Is contributor

a lobbyist, spouse, or dependent child ofa lobbyist?

Ifco{tribution is in excess of$4@ to a candidate committee for

a chiefexecutive officer ofa municipatity does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000? [ Yes D No

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

EYo
ENo
E

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Ifyes,tiiBvent*
D
Casfr

AQt-f l(- I
I

ofgovemrnentthecontractiswith: El Executive ELegislative

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Aggregate contnbunons

fyes,

ofa state contractor or prospective state contractod indicate which branch or branches

Yes

tto

JiZ.t:+

Method of contribution:

f,fersonal Check
I

CreOlyneUit Card

Payroll Deduction
1

Money Order

h?-

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' J'

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itate

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n q
q
Yes

lpuw

/a*(

Amount of Contribution

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b'{tt

Is coitributor a lobbyist, spousg or dependent child ofa lobbyist?

No

a candidate committee for a chief executive officer of a mr.rnicipality does contributor or business hey'she is associated wilh have a contract with said No municipality valued at more than

If contributio{r is in excess of M00 to

$5,000?

[ Yes E

Is this contribution associated with a fimdraisinq event listed in Section Lt?

dvo
ENo

ls contributor a principal

Ifyes.tiiEvent# Aq

6ll'

ofa state contractor or prospective state contractor? I/yes, indicate u*rich branch or branches of govemment the contract is with: fl Executive [1 Legislative

fl

ENo

Yes

/o-r.d'
Amount of

Method of contribution:

tl
Last

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fl

Money

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MI

' 'Yu rvr(an s

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toffis I f,

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/, c;u'*/tarne

fl

/-1r*
Yes

't-P-*L,

itate

f7- AGftfr
$5,000? fl yes D E
No
state

,rpLooe

.6{

No

If contribution\is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or bushess helshe is associated with have a contract wi& said
municipality valued at more than
Is contributor a principal

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

dvo
ENo
E

ofa state contractor or pmspective

contractofl
Legislative
Aggregale

fyes, lisiEvent

Dq

{{i/ -1
E

indicafe which branch or branches of govemment the contract is with:

fyes,

Executive

il

Yes

t'lo

.5-V,*

Method of contribution: EC^n E Penonal Check

Last

Dale Received

Credit/Debit Card

Payroll Deduction

Money Order MI

Eq - ii- ir
Principal Ocrup*ion

csrurumos

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I JUA{reSS

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r

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rtate ap

tI

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Amount of Contribution

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Employer

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.E{, NO

a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a confact with said

If codtibution is in excess of M00 to

municipalityvalueddmorethan$5,0ffi?
Is this contribution associated with a fun&aisine event listed in Seclion Ll?

E yes E
D

No

Ei

Ye.

.fyes.lisiEvent

DQ t

<i

BNo

Is contributor a principal ofa state contractor ,I/yes, indicate which branch or branches of govemment the contract

oa prospective state contractor?

iswith:

Exectrtive

E Yes ENo

5z,cn

lrgislative
Aggregat_confi butrons

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)sidenhal Stret

Method of contribution: dC^n E Penonal Check

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O I - ){-)t
PrincipalOccupaion
Nam ofEmployer

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--\

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7
Yes

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tn,

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ttate

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Amount of

Contribution

t2,-b,

ls contributor a lobbyist, spouse, or dependent child ofa lobbyist? Is this contribution associated with fi.mdraisins event tisted in Section

tsNo
.4 Vo [ No

a candidate committee for 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,@0? U Yes D No

Ifcontributfon is in excess of$4O0 to

cr

lrp LoCe

obr{ 6

ls contributor a principal

fyes. lisi Event # Dq D Cash

b ll-

ofa state contractor or prospoctive state contractofl indicate which branch or branches of govemment the contract is with: fl Executive D Legislative

fyes,

fl

Yes

No

/5b,*
rl
cl a

Method of contribution:

Date Rffii ved

Aggregate cotrtnbutrons

renonal Check

fl

Credit/oebit Card

Payroll

Muction fl

Monery

order

Dg"; e-

)t

oo. r*
Page

SUBTOTAT Section .B'ifhis Page

,r'

Il .r /(a

I. MONETARY RECEIPTS Section B. Additional Pase

N A MF, OF. COMI\4i TTF.F,

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Itemized Contributions from Individuals

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Name

l]" t r

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

4
;d
[]

t'oQ,L,
Ifcontributiodis in

Amount of Contribution

of Employer

'-t

tsbVK

Yes

No

excess of$400 to a candidate commiftee for 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? [ Yes E No

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

Method of contribution: D Personal Check

EYo
DNo I

If yes,ltslErent# A? t 5-l ( - g

Is contribulor a principal ofa state contractor or prospective state contractor? fyes, indicate which branch or branches
DateRrceived

ofgovemmentthecontractiswith: U Executive ELegistative

fl fl

Yes

.52"t<

No

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-(C."h

fl

Credit/Debit Card
First

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Money Order MI
rtate

ag_
Name

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1ffi,fr

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o

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Amount of Contribution

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lu{z

. Da

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cr

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Is contributor a principal

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D

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E

ofa state contractor or prospctiye I/yes, indicate which branch or branches

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e,f,64

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E

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I/yes,

fl

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;tate

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ves

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^rJu

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is

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D
C

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If ya,tistEven# bLl

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-E v"' DNo

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with:

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t

fl Yes INo

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'J '

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Aggregate mtrtnbuuos

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contribution:
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I Date RrceiYed

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? - t f-

I o't,4
fl,
P^e.

SUB:rOTAL Section B-This Page

/4 "r /6

I D,f

L MONETARY RBCEIPTS
Section B. Additional Pase
NAr\rF nF (-nMMITTFF

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Last

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a chief execr$lve ofhcer of a municipality does contributor or business he/she is associated with have a contract witl-r said No municipali8 valued at more than

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

" ^ ^""-,^

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E Yes DNo

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i fi

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municipality

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ar
ttate

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excess of $400 to a candidate committee for a chief executive offider of a does contributor or business he./she is associated with have a contract with said

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state contractor?

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fl Yes f]

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Method of contribution:

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to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contact with said E yes E No municipality valued at more than $5,000?
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Date Received

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JS Yo

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fl

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!r
itate

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lr
fl

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/ffi,*
!1f3g1
Page

SUBTOTAL SectiolB-lr

I. MONETARY RECEIPTS Section B. Additional Pase

NAMENF'Cr)MMJTTFF

Sha 1L*",;
Kesldentlal Stret

1o'r
I r

;II IN(l NI]F NATF

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Itemized Contritrutions from Individuals
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Principal Occupatior
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Rd
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Itv"

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excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business hey'she is associated with have a contract with said municipality valued at more than $5,000? E yes E No

Ifcontributionts in

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

&Yo
ENo
E

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nQ

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fl

Is contributor a principal ofa state contractor or prospective stzte contractoil !/yes, indicate which branch or branches
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J-L,oq

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n rr #-,4t-r '\*"t Stret Address <esrdflUal

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:ity------\
Yes

itate

X*o

excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business hey'she is associated with have a conFactwith said municipality valued at more than $5,000? O Yes D No

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--t4i'OLl

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D

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INo

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I

CrediUDebit Card

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Stred

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;tate

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fl

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tp

Code

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.41 -q

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tto

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ofgovemmentt}recontractiswith: DExecutive DLegislative

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tt

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yes

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D

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Yes

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Date

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fl

fl Yes INo

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Method of contribution:

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Rceived

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I. MONETARY RECEIPTS Section B. Additional Pase

NAIL{FrnF f-nMMITTFF

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FII TN(l NITF NATF

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ls contributor
a lobbyisl.

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spouse, I,l, Yes -E( tto

R,l- -G=l lfbontribution

)ate

is in excess of$400 to a candidate committee for a chiefexecutive offrcer ofa municipality does contributor or business he,/she is associated with have a contract with said mruricipality valued at more tian $5,@0? [ Yes I No Is contributor a principal

cr a*Yol'

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9*11-e,n t^ /n'd
/

i /\

Contribution

ts this contribution associated with a fundraising event listed in Section Ll?

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ofa state contractor or prospective

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/ti.n
Amount of

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z7 L

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a

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If contributior{is in excess of M00 to a candidate committee for a chief executive officer of

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Is contributor a principal

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Contribution

itate

T- A4{/r

ap

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D Yes DNo

/64'*

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Itate

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ku. fl
,0(

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Ves

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uo

a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract vrith said municipality valued at more than $5,000? fl yes EI No

Ifcontribution is in excess of$2100 to

J*

,?*

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4k-(y

Is this contribution associated with a fimdraising event listed in Section Ll? ll fyes, list Event * hQ lS I I Method of confiibution:

fl lto
E

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with:

fl

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:4e '7,',spotse,
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ttoAu,tou
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itats

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I

fundraising event listed in Section

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Section'B-This?age

I. MONETARY RECB,IPTS Section B. Additional Pase

N A

MF NI.i(-.)MMIT"TFE

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ai-

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muricipality valued

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I .s

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No

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fl

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branches with: I Rrceivt' /

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ity

itate

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spousq fJ

Yes

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

municipaliry does contributor or business he/she is associated with have a contract with said No mruricipality valued at more than $5,000? El Yes

fl

Yes

Ifya,listEvent#
Method of confibution: [1 Casfr Personal Check

ENo

Is contributor a principal of a state contractor or prospctive state contractod D Yes D No I/yes, indicate which branch or branches of govemment the contract is with: fl Executive D Legislative Aggregate mtnbutroos Date Rdved

CrediyOebit Card trrsl

[J Payroll Deduction f1 Money Order

MI
itate :lp {'ode Principai Occrpatiou
Name oi llurPloyf

Last Name Kesldentlal S&t

Amount of Contribution

Addrss

)rty

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

fl Yes nNo
E
Yes

a candidate committee for a chiefexecutive officer ofa municipality does contributoror business helshe is associated with have a contract with said municipality valued at more than $5,000? DNo

Ifcontribution is in excess of$400 to

IYes

Is this conFibution associated with a fundraising event listed in Section Ll? /yes, list Event # Method of contribution:

DNo I

Is contributor a principal ofa state contractor or prospective state contractor? fyes, indicate which branch or branches of govemment the contract is with: E Executive il I-egisl"tirre
Dare Received

Yes

No

Aggregale contnhmons

D Castr I

Penonal Check

CreditOeUit Card

Payroll Deduction

f]

Money Order MI
itate

LxtNme
Residotial Stret Address Is conbnbutor a lobbyis!

Fint lity
tip

Principal Occupation

Arnount

of

Contribution

Code

lNmeofEmployu

ordependentchildofalobbyist?

spouse, fl E

Yes

IfconEibution is in excess of$400 to

No

a candidate committee for a chiefexecutive ofltcer ofa municipality does contributor or business he/she is associated with have a contract with said municipality valued d more than $5,0@? E Yes E No

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

[] Yes INo

Is contributor a principal of a state contractor or prospective state contractor? fyes, indicate which branch or branches
Date Received

ofgovemmenttlrecontractiswith: EExecutive DLegislative

n fI

Yes

No

Aggregate mntributions

Check D Credit/DebitCand E Payroll Huction D Money Order

First

LastNme
Residfltial Stret

MI
lState

lPrincipal Omparion lName of Employn

Amouotof
Contrihution

I I

Addrss

Fity

lip

Code

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

tr

tl

Yes

If contribution is iri excess of $40O to

No

a candidate committee for a chief executive ofhcer of a mr,micipality does contributor or business he/she is associated with haye a contract with said municipality valued at more than $5,000?

EYes INo

ls this contribution associated with a fundraising event listed in Section L l?

Ifyes,listEvcnt#

! Yes []No
fl

Is contributo.

_
Check

principal ofa state contractor or prospective state contractod fyes, indicate which branch or branches of govemment the contract is with: fl Executive I l-egislative
a Date Reeived

fl

Yes

DNo

Method of contribution: Cash Personal

Aggrcgate contnbuuons

fl

Credit/Debit Card

Pavroll Deduction

Monev Order

St-JBTOTAL Section B-This Page

lsv,

ro

P^e"

16

" /;

IV. EXPENDITURES
Section S. Additional Page

L/b-th ;E1trld**;A,x=i: r:i;*#ii*,i'i:.

of Worker/Consultmt

-2nt
i,i,t,

:1,:ll4'
Amount

LeL^) e>u
ayee

)^d

al

)ate

of Pa)ment

Method of Payment

o'rf
t't!1

'rf '
jtrf

fl

Mcnuu*
Debit card

I ae a

(bycode)
State Descriptrion

tf F
/u un,

]," l/*^
lype of bxpendlture (if appticable)

</
:

/"( 97

I n fl

Cadldat{s) Nme
(if applicable)

Coordinated with reimbursement sought Coordinated without reimbursement sought lndependent

Office Sought

;T; ; .c- k I "n,.

fl

/l ^r{.,, i,
Supported Opposed

Organization (see Instructions)

UA trN NC [D fIE
_---__- i
Date ofPayment

/* l.Lo
Y/:7
npose
State Zrp Code

Nmrcf Worker/Comultut
Secondry Pavee

/ J-z aa, cz:q K I.

AqlGS

W'.i,
City

--l ^df
ln

ll'

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Method of Payment

Amount

o L,-

tt /tr
oI ExEndtue
,.

Elcne** t!),lo fl Debit Card

rblcode)
Descriotion

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Type of Expenditure (if apptitabte) : Ll Coordinated with reimbursement sought E Coordinated without reimbursement sought E krdependent
Cmdrdate(s) Nme (rf applicable)

1/

n; c'/

Office Sought

I !

Supported Opposed

Organization (see Instructions)

tra trB flc'Dn nn

ry 7,fu<
Date of Pament

Nme of Workq/Consultat

S'..*',1,:;;

'-J.4,

Method of Payment

Amount A

cefxf ,,
rurpose oI b,xpenditue

frcnecr+ /
E
Debir Card

4l

ftycode)
Crty
State

Zip Code

&FTIC{
! !
Supported Opposed

Type of Expenditwe (if oppticobte): Ll Coordinated with reimbursement sought U Coordinated without reimbursement sousht Independent

Cadidate(s) Nme (if applicable)

Office Sotrlgbt

n n

Organization (see Instructions)

NmeofWn.ks/fsq5ultanl
Secondary

na DB Dc'trn trn
Liz_zuL t_z_"tk j
I
|

l?,x4
)ate of Pqment

Jreet

Fo.u /u o {
^otress

Payee i

--/^d, State

Method of Payment

Amount

o n )oaf,,
Zrp Code

flcr,""u* I AX D
Debit Card

City

bvcode) hFtrlcE 'f^iT

Office Sought

--/

Type of Expenditute (if opptitabte): Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

I I L n

Cmdidate(s)

Nme

I^,[ A]., 'Lr)., - il"

! I
Supported Opposed

(ifapplicable)

Organization (see Instructions)

tra trB Dc Do Dn
,:t:

ti.t:.::,;iit:,,::-l;#,
ir=ii:r,,t1$=:::=

1AA, A\

Page f

;t

or I

TIIIS PAGE INTENTIONALLY LEFT BLANK

IV. EXPENDITURES
Section P. Additional Pase
Vfl:il,fE'l1lS:: FI'\'{MIT?FF

ilr:rirr .nr.iii,naffi

SYa -F*,e,-,' J+Nme

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)ate of Payment

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Amount

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Iype of Expenditwe (if applicable):

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Jtate

Zip Code

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,&cn""u* 1A /JD Debit

Card
Event #

n il n n

Coordinated with reimbursement sought Coordinated without reimbursement sought hdependent Organization (see Instructions)

tmdidate(s) (if applicable)

Office Sought

I D

Supported

opposed

-*"Nf'[ineet

tra flB flc Dn trn

)ate of Payment )tate
arp

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Method ot Payment

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Pmose of ExDmdrtue

Amount

rbycode)

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/L"

Code

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I - v t, l,<a I

c 10(tg

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/

cn*v* / "X Debit Card Bl6 E

F.vmt #

DesclptioDlr

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*o

Type of Expendifine (if applitable)'. Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Nme of
Street

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Pavee
I

n f] fl I

Cmdidate(s) Nme (if applicable)

n -"tf

q.rr.-

dc
Ll Supported

Office Sought

lOpposed

Organization (see Instruaions)

)ate of Palment (-odc

Method of Payment

'
lj

75"'
Amounl

Jtate

Z,rD

?J_

t L'/?s

r rf^z/,,

frcnecu+

fl

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Debit card

rurpos or tsxpen( (by code)

Event #

\i

1SC

Type of Expenditure (if applirabrQ:

I fl
E

Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Cadidate(s) Nme (if applitable)

Office Sought

LJ Supported E Opposed

^*"'#;n. -* itr'{ S"-{-s, ')fr"i.;;"

EA NR EC En ilI

Organization (see Instructions)

*.#'1,,
Zip Code

s
Method of Payment

&igg
Amount

/l^1"^ "L; L (bycode) ?P N T*

fl I I

BbJ Ul*o*^1", )escriptionJl,l

'D,
,-,

Type of Expendiixe (if spplicable)'. E Coordinated with reimbursement sought Coordinated without reimbursement sought lndependent

c#aaq{4{yNme
(rf spplbable)

-',^

s.t /4, 'F c..,,J.. I o ttt)'-l 42,, <

FL

N,sn*r* I o 19
n
Debit Card
Evnt #

Office Sought

Supported

opposed

Organization (see Instructions)

traDn[]ctrDD
)ate of Palment

s J'7..U
Method of Payment

r\

'^'*Yi",s ?,.r+-*, il"#-T4 -sf, bxpgnGue

yurpose oI

Amount

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(bycode)

r./ asr

i{l, rh,, Descnprron

JZi
Cm&date(s)

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i

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I

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#

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Iype of Expenditure (d applicsble)'. ! Coordinated with reimbwsement sought

ISupported
[J Opposed

(if applirahlz)

fl n !

Coordinated without reimbursement sought Independent

Organization (see Instructions)

'
p^e" I

/VCto 1.1 I {,ffi

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.')

THIS PAGE INTENTIONALLY LEFT BLANK

IV. EXPENDITURES
Section P. Additional Pase
N.

ME:rJ8:cOM:MIffiA

+9i:-I.i:l::;ji#iilr,',1,...,;.;.=r.:::,$i!,i:1;ii

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t /

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Amount

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rumose or ExDenuue

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type of Expenditwe (if
tpplicable)'.

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Method of Payment

rr

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Event #

E E

I fl

Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Cmhidate(s) (if applicable)

Office Sought

D D

Supported

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Organization (see Instructions)

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Steet Address

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n",

,3Q
Jate ot Palment

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uJn

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Method ot Payment

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#

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I

Evmt

Type of Expenditure (d applicable) . Coordinated with reimbursement sought D Coordinated without reimbursement sought Independent

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[J Supported
UOpposed

(if tpplitable)

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I n

Organization (see Instructions)

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)ale ofPayment
I

b.u
on

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Amount

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I
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ype of Expenditure (if applicable)'. Coordinated with reimbursement sought E Coordinated without reimbursement sought Independent

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UescnDtlon '

3r-

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ab{r8

a
Ofrce Sought

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Debit card

a12

F-vent #

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opposed

tr,t flB nc DD DF "7P{ri'i",,u-lo L; l.o^ J',

Street AddI8Js

n fl

Organization (see Instructions)

'
)ate ot Payment itat
l1p UOde

l,

6e

6,

cN

Method of Payment

Amount

ll C/o,;er
(bycode)'p

S+

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u

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ficnecx*
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Evmt #

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Cudidate(s) (if applitable)

Office Sought

Supported Opposed

Organization (see Instructions)

tra. DB
Payee
-, L^a

flc trD trt

)ate of Pa)ment

s Method of Payment

1an,F
Amount

Nme of

-*r-

*t
I

a
e

<av*a"t

Type of Expenditure (if apphcabte|. Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

7:N gK

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I)

a4t'

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ar
Sought

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Debit Card

,,r dI'tt-ts4f

C-drd"t (") N*
(if applicable)

0q6//'4
ISupported !Opposed

I I I I

Organization (see Instructions)

lr4,*

t 5,' v,

L t".18 .aA

v^s"4 d3

IV. EXPENDITURES
Section P. Additional Pase

S-l--#i e_-; -J.i,"- f/c.u, r::,,/,--':t:,r:::i:;J

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/

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t

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Office Sought

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I fl I n

Coordinated with reimbursement sought Coordinated without reimbursement soughl Independent

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opposed

Organization (see Instructions)

Nme ol Pavee

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r

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I

$ iare ot ramem itate Zip Code

R.tl,8{
Amount

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t'urpose oI

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/

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ficnecu*
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L$'P

Iype of Expenditure (if

=-f tpplicable)'.

.3

ao ;';os'l-c:t,rrl
Cmddate(s)

Nme

='fo,u nt

Office Sought

LJ Supported

I I

Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

(dapplicable)

Opposed

Organization (see Instructions)

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)ate of Palmnt

Nme of Payee
Street Address

\4ethod ofPayment

"

_fg. p
Amounl

:rty
iJscnptron

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Debit Card
#

rurpose oI bxpenqrue (by code)

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Type of Expendilwe (if applitqble): D Coordinated with reimbursement sought E Coordinated without reimbursement sought [J lndependent

Cmdidate(s)

Nme

Office Sought

Supported

(if applitable)

opposed

il

Organization (see Instructions)

En ff R EC t]D EF
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Method ot Payment

Amount

lity
)escription

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Zip Code

fl I

Check

#-

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rurl)ose ol Dxpeluluc (by code)

F-vmt #

Type of Expenditure (if applicable)'. Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Cudidate(s) Nme
(iJ applicable)

Office Sought

E
D

I I I I

Supported Opposed

Organization (see Instructiotrs)

EA trB EC fI D EE
)ate of Palment

Nme of Payee
itleet Address

Method of Payment

Amount

City
)escription Cmdidate(s) Nme (rf applicablz)

itate

Zip Code

[Check#

Debit c-ard

tarpose or (by code)

Expmaue

Event #

Supported

fype of Expenditure (if applbable)'. D Coordinated rvith reimbursement sought E Coordinated without reimbursement sought

Office Sought

DOpposed

n I

Independent

Organization (see Instructions)

Jqq,qj

,^r,3::!-4: