Charles Blango Ward 20

8/4/2019 Charles Blango Ward 20

1/23

SEEC FORM 20Itemized Campaign Finance Disclosure StatementCONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSIONRev. 3/11 Do Not Mark in This Space For Official Use Only Page 1 of 17

COVER PAGE1. NAME OF COMMITTEE

A 2. TREASURltR NAMETitle First MI Last Suffix

3. TREASURER ADDRESSStreet Address City

NewState

L-, Zip Code

6 tS 1/4. ELECTlON/REFERENDUM DATE. 5. OFFICE SOUGHT (Complete only if Candidate Committee) 6. DISTRICT NUMBER

( fapplicable)

7. CANDIDlT E N A ~ , { E (Complete only if Candidate or Exploratory Committee)Title

MrFirst MI Last Suffix

8. TYPE OF REPORT (Check One Box)o January 10 filingo April 10 filingo July 10 filingo October 10 filingo Independent Expenditureo Primary 0 Election9. PERIOD COVERED

10. CERTIFICATION

~ a preceding primary030 days following primary[J 7th day preceding electiono 12th day preceding election(State Central Committees O n ~ v ) 045 days following electionnot held in November

Beginning Date

'1

o 7th day preceding referendumo 45 days following referendumo Deficito Termination

Ending Datethru I ,

o Initial Contribution or Disbursement(PACs ONLY)o Amendment to

Type of Report:

,(J ~ ; " ; . : - :../-:.-

ri, '1

I hereby certify and state, under penalties of false statement, that all of the information set forth on this Itemized Campaign FinanceDisclosure Statement for the period covered is true, accurate and complete.

TREASURER OR D I # u T ~ E A S U R E R (SIGNATURE)

PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000, OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.


2/23

SEEC FORM 20Itemized Campaign Finance Disclosure StatementCONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSIONRev. 3/11 Page 2 of 17

SUMMARY PAGE TOTALS TYPE OF REPORTAME OF COMMITTEE

7'1""\....L ~ l \ r \D.$ A r, \ ' \ - " - ~ _ ~ r 1 A U , { ~ P r ' C A 5 " \ \ ~ P r \ ~ ~ ' - . ,J COLUMNB rThis Period

COLUMN-AAggregate11. Balance on hand January 1 of current year for ongoing and party Committees ORBalance on hand from day committee was formed for all other committees a

12. Balance on hand at the beginning of Reporting Period ? > ~ 1. fJ,313. Contributions received from Individuals (Sections A and B) 'l.. :; 20 ~ ~ \ 6 14. Receipts from Other Committees (Sections Cl and C2) 6 015. Other Monetary Receipts (Sections D-K) ( ) 016a. Total Small Food and Beverage Receipts a t Fair (Section Ll ) Town Committees ONLY ( ) 016b. Total Proceeds from Small Purchases at Tag Sales, Auctions or Other Sales (Section L2) ( )2

Municipal and Town16c. Total Purchases of Advertising in a Program Book (Section L3) Committees ONLY ( ) 017. Total Monetary Receipts (add totals for lines 13-16c) I ()32. .618. Subtotals (add totals in line 12 + line 17 in Column A; and in line 11 + 17 in Column B) ~ t , 5 1 ~ { , 3 : 2 . . ~ to19. Expenses Paid by Committee (Section P) \713 1512 " 7120. Balance on hand at close of Reporting Period (Subtract line 19 from line 18 in both Columns) , s'-f l D1 6 ~ "21. In-Kind Donations not Considered Contributions Received (Section L4) 6 622. In-Kind Contributions Received (Section M) 0 023. Refundable Deposit to Telephone Company (Section N) 624. Receipts of Organization Expenditures (Section 0) 625. Beginning Loan Balance I 0 () 25a. + Loans Received (Section D) /6625b. + Interest and Penalties on Loan 025c. - Payments on Loan 625d. Tota l Outstanding Loan Amount 10 6 ,6. Campaign Expenses Paid by Candidat e (Section Q) '131., t,}' i 3 ' 1 , ~ 27. Expenses Incurred on Committee Credit Card (Section R) 6 628. Expenses Incurred by Committee During this Period but Not Paid (Section S) 028a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S) C)


3/23

I. MONETARY RECEIPTS (Sections A-K) Page 3 of 17NAME OF COMMITTEE TYPE OF REPORT

~ \ - ~ r \ o 5 -I< g \A,,


4/23

----

2-50

I. MONETARY RECEIPTS Section B. Additional Page NAME OF COMMITTEE ITYPE OF REPORT

U ~ t I ' ' ' ' ' ' \ t ' ~ A g \ ~ ~ o -Cr A - \ ~ . , ~ I ' \ ~ ' 1 I > v ~ .. _ Ilr-I 1B:' Itemized Contributions from IndividualsFirst MIast Name p r ~ a t i o n it "7fO\c \\\\6 J \f" :l1\.7 ..... ~ c ; . . . 6 ....,,-,\ P ~ 6 V \ $ ame of Employeresidential Street Address IC;tyWell-' l-\ A J b ~ 1h H C,)."'\ H ~ ' \ . ~ + O V ' \ R Iz ; ; : ~ 1' . \ . . - \ " A ~ c..\:- ---s;?v.r< .....c.Is contributor a lobbyist, spouse, D Y e s If contribution is in excess of $400 to a candidate committee for a chief executive officer of a Amount ofor dependent child of a lobbyist? municipality does contributor or business he/she is associated with have a contract with said Contributionmunicipality valued at more than $5,000? D Y e s o No

Is this contribution associated with a D Y es Is contributor a principal of a state contractor or prospective state contractor? DYes fundraising even t listed in Section L I ? flyes, indicate which branch or branches flyes, list Event # of government the contract is with: o Executive o Legislative Method of contribution: IDate R e C C i V ~ ? / IA g g r e g a ~ O s i ~ i o n s o Cash O"'Personal Check o Credit/Debit Card 0 Payroll Deduction 0 Money Order Y').. I I

Last Namc First MI IIrincipal Occupation r#\.-1-{' n."\ p\ \ c.. eVl-T C6V'I\ l 'V' v\.VI l J R 6 \ ~ \ U ~ Residential Street Address Name of Employerqr L.e. V\. t>r-t b-c- IC;'M ",.,.\, l .$ c,V\ I S ~ I Z : : ~ 4 3 Ye'\le -NH

, H~ D . \ ~ h Is contributor a lobbyist, spouse, D Y e s If contribution is in excess of $400 to a candidate committee for a chief executive officer of a Amount ofor dependent child of a lobbyist? [}'No municipality does contributor or business he/she is associated with have a contract with said Contributionmunicipality valued at more than $5,000? D Y e s o No

Is this contribution associated with a Is contributor a principal of a state contractor or prospective state contractor? DYes fundraising event listed in Section L1 ? flyes, indicate which branch or branches flyes, list Event # of government the contract is with: o Executive o Legislative 2 5 0Method of c ~ u t i o n : IDatc Rcceird I IA g g r ~ ~ t ~ u t i o n s o Cash ersonal Check 0 Credit/Debit Card 0 Payroll Deduction 0 Money Order


5/23

I. MONETARY RECEIPTSSection B. Additional Page

NAME OF COMMITTEE hYPE OF REPORT? "'-go r\ A f5 \ ~ V \ < . . . e ffi)._ 6 V V " ' \ ~ 1 7 -4 \.-\ .,It'' n \r__ r ~ 1 \ . . . c : . \.O"'(V,."-"" B. Itemized Contributions from Individuals ( , ....., I'

Last Name First MI Principal OccupationMe v+2 ~ - t 6 P \ " ' C ~ IResidential Street AddressB n ' 6 \ " s J ~ . \ ~ c k k \ " 6 1 : ; , j : ~ o ~ 16

Name of Employer6 . . . . f \ o Y ~ . 5 o ~ \ ' . /3711 ?c-\-E- Is contributor a lobbyist, spouse, If contribution is in excess of $400 to a candidate committee for a chief executive officer of a Amount ofor dependent child of a lobbyist? municipality does contributor or business he/she is associated with have a contract with said Contributionmunicipality valued at more than $5,000? DYes o No

Is this contribution associated with a DYes Is contributor a principal of a state contractor or prospective state contractor? DYesfundraising event listed in Section L 1? I fyes, indicate which branch or branchesI fyes, list Event # of government the contract is with: o Executive o Legislative 2Soethod of c ~ o n : IDate R e e ~ 7 d IA g g r e ~ e e ~ r i ; i o n so Cash ersonal Check o Credit/Debit Card 0 Payroll Deduction 0 Money Order


6/23

I. MONETARY RECEIPTS (Sections A-K) Page 4 of 17NAME OF COMMITTEE /TYPE OF REPORT

~ ~ , . l " ' t 6 S A ( 3 , \ ~ ~ ~ . b t t A ~ f V"" 0. V " " I ( )A . \ [ t>VLI. ~ . ~ ~ i " " 4 " V CI. Contributions from Other Committees ,

Name of Committee IN,,,,, ofT"","",

Address liS this contribution associated with a 0 Yes I fyes, list Amount of Contributionfundraising event listed in Section Ll ? 0 No Event #City

ISU" IZip Cod' ID", R", i"d I Aggreg'" Con'rib"ti o",Name of Committee IName of Treasurer

Address Is this contribution associated with a 0 Yes Ifyes, list Amount of Contributionfundraising event listed in Section Ll ? 0 No Event #City lS"" [ZiP Cod' ID ", R", i"d lAg"".", Con"ib"'ion,

Name of Committee r"'" ofT""", , ,Address lIS this contribution as sociated wi th a 0 Yes Ifyes, list Amount of Contributionfundraising event listed in Section L I? 0 No Event #City IS' ' ' ' IZiP Cod' ID", R", i"d r"".a" Con"ib",ion,

Name of Committee r am , ofT"""""

Address liS this contribution associated with a 0 Yes I fyes, list Amount of Contributionfundraising event listed in Section Ll ? 0 No Event #City ISUte IZiP Cod' ["'" ", , , i , ,d IAw,.ate Contrib"tio",

Name of Committee I Name of Treasurer

Address lIS this contribution associated with a 0 Yes I fyes, list Amount of Contributionfundraising event listed in Section Ll ? 0 No Event #City IS"" IZip Cod' lD01c R,,,i , '" lAW'"'" Con'rib",io",

Name of Committee INa"" om,, , , , ,cr

Address .lls this contribution associated with a 0 Yes Ifyes, list Amount of Contributionfundraising event listed in Section Ll ? 0 No Event #City r" IZiP Cod' ID",R", i"d r""" .a te Contrib",ion,

C2. Reimbursements, Payments, or Surplus Distributions from other CommitteesName of Committee Name of Treasurer

Address Date Received Amount of Receipt

City1St

'"I Zip Cod, o Reimbursement for shared expense o Surpluso Payment for goods and services Distribution

Name of Committee Name of Treasurer

Address Date Received Amount of ReceiptCity IS"" IZiP Code o Reimbursement for shared expense o Surpluso Payment for goods and services Distribution

SUBTOT AL Section C-This Page 0TOTAL of additional Section C Pages 0

TOTAL OF ALL COMMITTEE CONTRIBUTIONS AND RECEIPTS (Enter total on Line 14 ofSummary Page) n


7/23

I. MONETARY RECEIPTS (Sections A-K) Page 5 of 17NAME OF COMMITTEE ITYPE OF REPORTc:; ( \ t;,:> A 6\&\.V" ,0 f r ~ t A ~ . , "'" I 7 - t ~ \j)e>\'L f>J".l..a::!lt V \ ~ \PY " ' L ~ " " Y "

D. Loans Received this Per iod . rName of Lender Source of Loan: Is there a Cosigner Amount Receivedor Guarantor ofStreet Address ICity I State IZiP Code o Bank o Candidate this loan?DYes (i fyes listName of Cosigner/Guarantor name and address ofo Individual 0 Other Cosigner/Guarantor)

Committee o NoStreet Address ICil, ISffi" IZiP Cod, Date of ReceiptName of Lender Source of Loan: Is there a Cosigner Amount Receivedor Guarantor ofStreet Address l i ty \ State lZi P Code o Bank o Candidate this loan?DYes (i fyes listName of Cosigner/Guarantor name and address ofo Individual 0 Other Cosigner/Guarantor)Committee o NoStreet Address I CIty I State IZi P Code Date of Receipt

TOT AL SECTION D I 0E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONL lJ

Name of Entity

Street Address Date Received Amount ReceivedCity ISffil< IZiP Cod' Aggregate ContributionsName of Entity

Street Address Date Received Amount ReceivedCity r"" IZiP Cod, Aggregate ContributIOnsName of EntityStreet Address Date Received Amount ReceivedCity IS'"" IZiP Cod,

Aggregate ContributIOns

TOTAL SECTION E 1 (2F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLlJ

Date of Receipt Amount Date of Receipt Amount Total Transfers

C>s this transaction associated with a DYes If yes, list Is this transaction associated with a DYes I fyes, listfundraising event listed in Section L I ? D No Event # -- fundraising event listed in Section LI? 0 No Event#___G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Organization Committees ONLy)Date of Receipt Date of Receipt Total TransfersAmount Amount 0

H. Personal Funds of the Candidate Received this Period (Candidate Comminees ONLy)Total

Date of Receipt Method of payment: Method of payment: Amount ReceivedDate of Receipt0 Cash o Cash a Personal Check o Personal CheckAmount 0 Credit/Debit Card Amount o Credit/Debit Card


8/23

I. MONETARY RECEIPTS (Sections A-K) Page 6 of 17NAME OF COMMITTEE ITYPE OF REPORT

~ " i \ ~ 5 A & \"'''''''0 +...1' ~ V V ' p . . " " , I 7 + P < f " ~ ' - o J \ K 'fj.,.,...-I. Anonymous Contributions rDate Received /Amount Date Received /Amount Total

Amount Received

0$1 bills $5 bills

$10 bill coins

$1 bills $5 bills

$10 bill coins

J. Interest from Deposits in Authorized AccountsDate Received l Amount Date Received IAmount Total

Amount Received

(5Name of Institution Name of Institution

Street Address Street Address

City IState IZip Code City IState lZi P CodeK. Miscellaneous Monetary Receipts not Considered Contribut ions

Name IDol, ofT".",,;o.Street Address IC;I, IS"" IZip CodeDescription l

Amount Received

Name D ." ofTrn.",HooStreet Address IC;I, IS"" IZ;p Cod,Description

Amount Received

Name IDol, ofT".,,,I;o.Street Address I C ; ~ lSI." IZ;p Cod,Description

Amount Received

TOTAL SECTION K I 6Summary of Other Monetary Receipts (Sections D-K)

Total Loans Received this Period (Section D) 0Total Receipts from Entities other than Individuals or Other Committees (Section E) + ()Total Amount Transferred from Affiliated Business Treasury (Section F) + ( )Total Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Section G) + ()Total Amount of Personal Funds of the Candidate Received this Period (Section H) + 0Total Amount of Anonymous Contributions (Section I) + {)Total Amount of Interest from Deposits in Autho rized Accounts (Section J) + ( '5Total Miscellaneous Monetary Receipts not Considered Contributions (Section K) + 6Total of Other Monetary Receipts (Add Sections D-K) (Enter total on Line 15 ofSummary Page) 6


9/23

II. FUND RAISING EVENT ACTIVITY Page 7 of 17NAME OF COMMITTEE ITYPE OF REPORT

C ~ " v 1 6 . s b. \ S \ ~ ~ D -Gr IT\ ~ e . . t(' V"l. " '" I D""-'I p ( G - ~ J \ " ' - t Pn- Lt. Fundraiser Event Information . -Fundraising Event # Description Location: Street Address City State Zip CodeDate of Fundraiser Letter

Subpart 1: (All Committees)Was this fundraising event hosted at a personal residence? DYes (I fyes, go to Section L4 In-kind Donations not Considered Contributions

and complete required information for purchases made by host(s) for food,beverage and invitations.)DNo

Did this fundraiser include items donated by a business entity of up to DYes (I fyes, go to Section L4 In-kind Donations not Considered Contributions$100 or items donated by an individual of up to $50? and complete required information.)D N o

Was this fundraiser a tag sale, auction, or other sale of donated items DYes (I fyes, go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale ofwith purchases from an individual of up to $50? Donated Items.)D NoSubpart 2: (Town Committees and Municipal Candidate Committees ONLy)Were there purchases of advertising space in a program book associated D Yes (I fyes, go to Section L3 Purchases of Advertising Space in a Program Bookwith this fundraiser? and complete required information.)D NoSubpart 3: (Town Committees ONLy)

(I fyes, enter Total Receipts from small purchases h e r e ~ I $id your committee sell food or beverage at a fair or similar mass D Yes Iathering held within the state? D NoFundraising Event #Date of Fundraiser Letter Description Location: Street Address City State Zip Code

Subpart 1: (All Committees)Was this fundraising event hosted at a personal residence? DYes (I fyes, go to Section L4 In-kind Donations not Considered Contributionsand complete required information for purchases made by host(s) for food,beverage and invitations.)DNoDid this fundraiser include items donated by a bus iness entity of up to DYes (I fyes, go to Section L4 In-kind Donations not Considered Contributions$100 or items donated by an individual of up to $50? and complete required information.)D N oWas this fundraiser a tag sale, auction, or other sale of donated items DYes (I fyes, go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale ofwith purchases from an individual of up to $50? Donated Items.)

DNoSubpart 2: (Town Committees and Municipal Candidate Committees ONLy)Were there purchases of advertising space in a program book associated D Yes (I fyes, go to Section L3 Purchases of Advertising Space in a Program Bookwith this fundraiser? and complete required information.)D NoSUbpart 3: (Town Committees ONLy)

(I fyes, enter Total Receipts from small purchases h e r e . ~ 1$id your committee sell food or beverage at a fair or similar mass D Yes Iathering held within the state? D NoSUBTOTAL Section Ll-Subpart 3 (Town Committees ONL1') Total Receipts from Small Purchases-This Page 0

TOT AL of additional Section Ll Pages C5TOTAL OF ALL RECEIPTS FROM SECTION Ll (Enter total onLine 16a ofSummary Page) n_


10/23


L'hA.'\ A 13 \ ~ ~ ~ - G ~ M ~ f < f V \ C l t V ' t I ,-tv-. V ) ~ I f > v ~ l : . . C ~ ' ~ ' e( " ' \W \ (-L2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items ILast Name First MI Method of payment:

o Cash 0 Personal Check o Credit/Debit CardAggregateAmount ofPurchases

Residential Street Address City State Zip Code Date Received Event #

Items Purchased

Last Name First MI Method of payment:o Cash 0 Personal Check o Credit/Debit Card AggregateAmount ofPurchases


[terns Purchased

Last Name First MI Method of payment:o Cash 0 Personal Check o CreditlDebit AggregateAmount ofPurchases


Items Purchased

Last Name First MI Method of payment:o Cash 0 Personal Check o Credit/Debit

AggregateAmount ofPurchases


Items Purchased

Last Name First MI Method of payment:o Cash 0 Personal Check o Credit/Debit

AggregateAmount ofPurchases


[terns Purchased

Last Name First MI Method of payment:o Cash 0 Personal Check o Credit/Debit AggregateAmount ofPurchases

Residential Street Address City State Zip Code Date Reeeived Event #

Items Purchased

Last Name First MI Method of payment:0 o CreditlDebitCash Personal Check AggregateAmount ofPurchases


Items Purehased

SUBTOTAL Section L2-This Page 0TOTAL of additional Section L2 Pages 0

TOTAL OF ALL SMALL PURCHASES FROM TAG SALES, AUCTIONS OR OTHER DALES OF DONATED ITEMS(Enter total on Line 16b ofSummar y Page) C>


11/23

II. FUNDRAISING EVENT ACTIVITY Page 9 of 17NAME OF COMMITTEE !TYPE OF REPORTc:::: "'" ,.. ('\ I t B \AV' , ,"O ~ l ' #t\ ~ ( \A &;tV" I / - - l : ~ ~ A . V f - > v ~ c : : . . . . 6 J . , " \ . < ; : PO,"",'

L3. Purchases of Advertisi;g in a Program Book (Municipal Candidate and Town Commtees ONLy) ( 'Name of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICit, I S ( ~ ' I Zip Cod, DYes Event #DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICity I State I Zip Code DYes Event #

DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICity I State I Zip Code DYes Event #

DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address I C i ~ IS"" I Zip Cod, DYes Event #DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address IC;ty IS'" I Zip Cod, DYes Event #DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICity I S ( ~ ' I Zip Cod, DYes Event #DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address r;(' IS"" I Zip Cod, DYes Event #DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICity 1tate I Zip Code DYes Event #

DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICity I State I Zip Code DYes Event #

DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address IC;(' IS"" I Zip Co'" DYes Event #DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICity f"" I Zip Cod, DYes Event #DNoName of Purchaser Business Date Received Aggregate Purchases Amount ofEntity for All Events PurchaseStreet Address ICi(' IS'" I Zip Co'" DYes Event #DNo

SUBTOTAL Section L3-This Page 0TOT AL of additional Section L3 Pages 0

TOTAL OF ALL PURCHASES OF ADVERTISING IN A PROGRAM BOOK (Enter total on Line 16c ofSummary Page) 0


12/23


t: l A . . i A " ) ~ A ~ \ ~ 8 ~ J . ( yo.. 0",,"", I 7+"'- Dau Pt f ~ " ._1 kc - AL4. In-Kind D.tlations Not Considered Contributions IName of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of DonationStreet Address ICity IS"" Zip Code Aggregate value for this eventDescription of donation Date Receive d Event #

Name of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of DonationStreet Address ICity IState Zip Code Aggregate value for this eventDescription of donation Date Received Event #

Name of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of DonationStreet Address

r ' ty IS"k Zip Code Aggregate value for this eventDescription of donation Date Received Event #

Name of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of DonationStreet Address ICity IState Zip Code Aggregate value for this eventDescription of donation Date ReceIVed Event #

Name of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of Donation

Street Address ICity IS"" Zip Code Aggregate value for this eventDescription of donation Date Received Event #

Name of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of DonationStreet Address rty IS"" Zip Code Aggregate value for this eventDescription of donation Date Received Event #Name of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of DonationStreet Address ICity IState Zip Code Aggregate value for this eventDescription of donation Date Received Event #

Name of Donor Donation o Individual Fair Marketgiven by: o Business Entity Value of DonationStreet Address lCity [''''' Zip Code Aggregate value for this event

Description of donation Date Reeeived Event #

SUBTOTAL Section L4-This Page 0TOTAL of additional Section L4 Pages 0

TOTAL OF ALL IN-KIND DONATIONS NOT CONSIDERED CONTRIBUTIONS (Enter total on Line 21 o/Summary Page) D


13/23

III. NONMONETARY RECEIPTS Page 11 of17NAME OF COMMITTEE TYPE OF REPORT

?"'-A.1\6!> I t ( b \ ~ A'lkCr-"CI. 7 ~ ' I , . . 1)0\-..1 P r ~ ~ h ~ ( 5 f \ ~ Q . ~ 1./'- ' M. In-Kind Contributions I v I

Name Type of Contributor: Fair MarketD Individual Value of thisStreet Address \City Jstate Zip Code D Committee ContributionD Other (Applicable only to Refere ndum Committees)

Is contributor a lobbyist, spouse, D Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of aor dependent child of a lobbyist? D No municipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,000? D Y e s D No

Date Received Is this contribution associated with a DYes Description of In-Kind Contribution Aggregate contributionsfundraising event listed in Section L 1? D NoI fyes, list Event #Name Type of Contributor: Fair Market

D Individual Value of thisStreet Address t ity -jState Zip Code D Committee ContributionD Other (Applicable only to Refer endum Committees)Is contributor a lobbyist, spouse, D Yes If contribution is in excess of $400 to a candidate committee for a chi ef executive officer of aor dependent child of a lobbyist? D No municipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,000? [] Yes D NoDate Reeeived Is this contribution associated with a D Yes Deseription of In-Kind Contribution Aggregate eontributionsfundraising event listed in Section Ll ? D NoI fyes, list Event #Name Type of Contributor: Fair Market

D Individual Value of thisStreet Address lCity IState Zip Code D Committee ContributionD Other (Applicable only to Re ferend um Committees)Is contributor a lobbyist, spouse, D Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of aor dependent child of a lobbyist? D No municipality, does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,000? DYes D NoDate Received Is this contribution associated with a D Yes Description of In-Kind Contribution Aggregate contributionsfundraising event listed in Section L 1? D NoI fyes, list Event #Name Type of Contributor: Fair Market

D Individual Value of thisStreet Address ICity IState Zip Code D Committee ContributionD Other (Applicable only to Referen dum Committees)Is contributor a lobbyist, spouse, D Yes If contribution is in excess of $400 to a candidate committee for a chiefexecutive officer of aor dependent child of a lobbyist? D No municipality does contributor or business he/she is associated with have a contract with said

municipality valued at more than $5,0007 DYes DNoDate Received Is this contribution associated with a DYes Description of In-Kind Contribution Aggregate eontributionsfundraising event listed in Section L 1? D NoIfyes, list Event #

SUBTOTAL Section M-This Page 0TOT AL of additional Section M Pages 0

TOTAL OF ALL IN-KIND CONTRIBUTIONS (Enter total on Line 22 ofSummar y Page) ( ;)N. Refundable Deposit to Telephone Company

(NOTE: This section refers only to advances ofdeposits by individuals from personal funds to benefit the committee, not deposits made by the committee.)Last Name oflndivid ual First MI Date Deposit Made Amount ofDepositResidential Street Address City State Zip Code

Name of telephone company

Street Address City State Zip Code

TOTAL SECTION N (Enter total on Line 23 ofSummar y Page) 0


14/23

--III. NONMONETARY RECEIPTS Page 12 of 17

NAME OF COMMITTEE ITYPE OF REPORT~ \ " ' c A J " \ 6 S . 14- B l ~ - ~ A \ ~ ~ a ~ t _IT'" Oa.,( P r e . ~ ~ \ . fir,

O. Non-Monetary Receipts of Organization Expenditures Made By I (JLegislative Leadership, Legislative Caucus and Party CommitteeName of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) IName of TreasurerStreet Address Date Notice Received Fair Market Value

of DonationCity Aggregate DonationsState IZip CodeDescription of Donation IPurpose of Expenditure (see instructions)

OA DB Dc ODOEName of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) !Name of TreasurerStreet Address Date Notice Received Fair Market Value

of DonationCity Aggregate DonationsState [ZiP Code

Description of Donation Purpose of Expenditure (see instructions)DAD B Dc 0 DOE

Name of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) IName of TreasurerStreet Address Date Notice Received Fair Market Value

of DonationCity Aggregate Donations!State IZip CodeDescription of Donation IPurpose of Expenditure (see instructions)

OAOBOcDDOEName of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) [ Name of Treasurer

Street Address Date Notice Received Fair Market Valueof Donation

City Aggregate DonationsIState IZip CodeDescription of Donation IPurpose of Expenditure (see instructions)OAOBOCODDEName of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) IName of TreasurerStreet Address Date Notice Received Fair Market Value

of DonationCity Aggregate Donations[state [ZiP Code

Description of Donation IPurpose of Expenditure (see instructions)DAD B Dc 0 DOE

Name of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) IName of TreasurerStreet Address Date Notice Received Fair Market Value

of DonationCity Aggregate DonationsIState IZip CodeDescription of Donation IPurpose of Expenditure (see instructiom)

DAD B Dc 0 DOETOTAL SECTION 0 (Enter total on Line 24 ofSummary Page) I r-;?


15/23

IV. EXPENDITURES Page 13 of17NAME OF COMMITTEE ITYPE OF REPORT"'- 4'-ifl 0 oS A.. ~ ~ ~ < .. * \ ~ 6 C ~ " ' \ I 7-t\ U.)ow p < ~ ~ ~ f>VI'-P. Expenses Paid by Committee I '; JName of Payee ... W ~ \ \ 5 F ~ r ~ , , \ o Dat:.;fJrrnj J , Method of Payment- - '''I''Street Address 5-t lCity t J ~ L ~ State Zip'Code 0 Check #~ J . . . 0 .s G . . ~ l A i C ~ f - \ - ~ J 6 ' " c:..T 6fdS \, llJ..-r1'ebit~ b u y ~ ~ ~ e e ~ f E x p e ~ t u N IDescription

-SpY-V' 4A &+ lCity N ~ " . ; u.. ........ St2:.;- I Z i 6 t ~ 1-Zl 1 '- - - , 0 Debit CardPurpose of Expenditure fDescription ~ . - . . ~ ~ V ' YV\ . t t ~ V " ' l ~ \ . ) . l ~ - h b u+\'''' Event # Amount(by codc) ~ k ' - E Candidate(s) Name Office Sought o SupportedType of Expenditure (i fapplicable): UCoordinated with reimbursement sought (i fapplicable) o Opposedo Coordinated without reimbursement soughto Independent 75Organization (see Instructions)OA 08 Oc 00 OE

Name of Payee L lfl-A "\ L- t) \ L-\ D A.r+ D ~ l ~ ; : ' ) } I Method of PaymentStreet Address 7 l ~ ~ A lCitYf j j IN ~ t . t ~ Sta te" Zip

OA 08 o c 00 OESUBTOTAL Section P-This Page 133 ' 0 0

TOTAL of additional Section P Pages '\ .1 S&i ' ::13TOTAL OF ALL EXPENSES PAID BY COMMITTEE (Enter total on Line 19 ofSummary Page) 1q2,7Q

"

t

.

....


16/23

" IV. EXPENDITURESSection P. Additional PageNAME OF COMMITTEE ITYPE OF REPORT

\I'Hl.r\ 6 c;. A B \ O - t / ' ~ --h.1f - A \ k ~ ~ I ~ ~ ~ \ . O \ r B . l " ' ~ \ " ' - ~ ~ - L \ y ~ P. Expenses Paid by Committee , - . . . .JIName of Payee " " ' ~ 05+ joV\e5 D a t ~ 7 : : ; ; t JI L Method of Payment~ e c k # J . Q 1 Ltreet Address it 1l2.._" 5+ /City Nf.Z,\N sa- I Z i ~ O ~ s II> H - O I V 6 ~ 0 Debit CardPurpose of Expenditure Description A \s-+" c;.'bu.. Event # Amount(by code) \,vA-bE"" L : . . . ~ ~ c . . _ ~ & A VVt+e,C 1,,\ l.Type of Expenditure (if applicable): C a h d i d ~ s ) Name Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) o Opposed t,SCoordinated without reimbursement soughto Independento Organization (see Instructions)

OA 08 oc OD OEName of Payee . g & ~ ~ ~ ~ " " " 6 ~ k 5 D a ~ 7 ; : : ~ /I/} Method of PaymentStreet Address ~ ~ . l lCity _N6VV I Z ~ C : d ~ II Q,/check # 10 \27 3 5 -r J+AVtY" 0 Debit CardPurpose of Expenditure Description L.A"'" D ~ ' < I/\. \.Ci-\. J. \s-\-.t\k-\ IEvent # Amount(by code) WAbEType of Expenditure (i f applicable): C a n d i l a t e ( s ~ m e Office Sought o Supportedo Coordinated with reimbursement sought (if applicable) o Opposed 50Coordinated without reimbursement soughto Independento Organization (see Instructions)

OA 08 Oc OD OEName of Payee e J A ~ " ' - e J ( ~ , S ~ \ . , i l ; ' ~ 5 n t / 1/ Method of PaymentStreet Address S-+ ... ICity p J ~ v V H - ~ t J O " ' . scr I z ~ t ~ d 5 I l ~ e c k # ~ ~ G A J . . o Debit CardPurpose of Expenditure Description

V V \ ~ i ! W L L t ) . l 5 ~ b ~ lEvent # Amount(bycode) WA-6c ?'-1...Vl-\OC\.vr;. V'\..Type of Expenditure (i f applicable): Garl'didate(s) N ame Office Sought g Supportedo Coordinated with reimbursement sought (i f applicable) o Opposedo Coordinated without reimbursement sought 50Independento Organization (see Instructions)OA 0 8 Oc OD OE

Name of Payee 1- { V ' \ J L ~ L - ~ f V l . p . p l ~ D a t e r P T 2 n ~ LIf Method of Payment~ e c k # ~treet Address 7 \ RC > ~ ! S+ /City j . . / , ~ H-A.P" I Z i ~ C ~ 5 l ; 0 Debit CardPurpose of Expenditure DescriptionP ' V t ~ ~ V \ . \. '\-({ \.b v.-4-( c /V ' Ivent # Amount(by code) WAb'f: Uo('V'\P.I\f.,,\'"

Type of Expenditure (i f applicable): I '-'tandidate(s) Name Office Sought g Supportedo Coordinated with reimbursement sought (i f applicable) o Opposed 50Coordinated without reimbursement soughto Independento Organization (see Instruct ions)OA 0 8 oc OD OE

Name of Payee \(,\ 6+ ~ & \ . . l J'\ .I\J \ { ($ V"\ Ct::. D ; o h m ~ n l / I Method of Paymentm / C h e c k # ~treet Address 71 ~ ~ ~ )Citf . ,v 6 W H00( "c.:v'1 S t ? 1 - l Z i ~ i s IJ 0 Debit CardPurpose of Expenditure f" Description l A A d l - \ e v l ~ l ~ \ . S - t ~ b t A ~ 1 Event # Amount(by code) /""" ~ . p ~ \ ",V'\Type of Expenditure (if applicable): C a n o i d a t ~ a m e Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) o Opposed '+0Coordinated without reimbursement soughto Independento Organization (see Instructions)

OA 08 Oc OD OESUBTOTAL Section P-This Page I 2.. 5

Page of

..


17/23

IV. EXPENDITURESSection P. Additional PageNAME OF COMMITTEE lTYPE OF REPORT

&-:l". l-, :s- A . g l J 1 1 ' \ ~ c o t t l ~ I ~ Q . , , " , I -- '-;\;",).,.v o.r IS ~ i )",-.-T. Expenses Paid by Committee l 'Name of Payee 1: V"V\ ~ ~ - \ - , ~ r ~ n t : : . 5 Date:jar; ) LI Method of Payment~ h e c k # ~ D Debit CardStreet Address ~ l \ ~ ' D 6 - t ~ ICityj/\/b c.J t+A vc:Y'-}3 51 State ,.L..-r IZip C ~ e Ob 5lJPurpose of Expenditure(by code) VJAbf"" Description IEvent #"'" p V(. ~ \ / \ . vvt 1I\.4-6V \"'" \ 'J:h ~ { \ I ' 1 6.,A,.,., Amount

250Type of Expenditure (i fapplicable):D Coordinated with reimbursement soughtD Coordinated without reimbursement soughtD IndependentD Organization (see Instructions)

OA 0 8 Oc OD OE

Candidate(s) Name Office Sought o Supported(i fapplicable) D Opposed

Name of Payee ~ 1 : - /:\ 1) \ C; Dat;gf79nj {I Method of Payment~ k # ~ D Debit CardStreet Address , 6 0 .s:.\(.1 Y"\ fos-t- ~ J t . I City 6 v """ '\6- State~ - - r Z i ~ C o d e 61&, L.}7?Purpose of Expenditure(by code) A -OTt\ Description IEvent #? VVl ..p 4Pll,,\'" P\V&0 Amount

- z . 7 S , l ~ Type of Expenditure (i fapplicable):D Coordinated with reimbursement soughtD Coordinated without reimbursement soughtD IndependentD Organization (see Instructions)

OA 08 Oc OD OE

Canoidate(s) Name , Office Sought D Supported(i fapplicable) D Opposed

Name of Payee kv- t . s ~ ' " L6'I\ !IV r (;,)o"\C,. e Date a ; T i n ~ ) It Method of Payment~ h e c k # jo a7D Debit CardStreet Address 7 l f Z L ~ I C i n ~ U I l dAUV ' stat=r Z ~ ( ; 5 LJPurpose of Expenditure(by code) WIt-bY; Description r IEvent # ,00 \ \ {V I l1L1 ~ 4 a i " LA \ D L ~ , - k ~ \ c ' - l Amount46rype of Expenditure (i fapplicable):D Coordinated with reimbursement soughtD Coordinated without reimbursement soughtD IndependentD Organization (see Instructions)OA 0 8 Oc OD OE

CanMdate(s) Name Office Sought D Supported(i fapplicable) o Opposed

Name of Payee L, ",j&\ b t..t Bose D a t ; ; r ! i . ~ il ) Method of Payment~ C h e c k # ~ 0 Debit CardStreet Address D\bl""'b M I City(\16 LN H'lVCIV'-'t A v ~ / PMB 2. ,,4 S t 2 -1- Z ~ ~ ~ 1/Purpose of Expenditure(by code) 1\-6,.1"1 Description JMkJI{l\l R IEvent #. P ~ l . c ~ V c . ~ 5 S " l " ' l Amount

\50Type of Expenditure (i fapplicable):D Coordinated with reimbursement soughtD Coordinated without reimbursement soughtD IndependentD Organization (see Instructions)OA 08 Oc OD OE

Candidlte(s) Niw/te Office Sought -1 o Supported(i fapplicable) o Opposed

Name of PayeeM 4 \ ~ y , it"\. V\ " q. D a ~ f r ; ~ ) if Method of PaymentWCheck # [0 toDebit CardStreet Address .5-1 ICitYrJ t;, W" \ t J ~ - f W i }-tAJrA State Zip Cd'decC::r (} ,,5\ J.urpose of Expenditure

(by code) WA6E Dcscription M-rl-by"')&t l IEvent #c:::. M O&.l '


18/23

, ~ !

IV. EXPENDITURESSection P. Additional PageNAME OF COMMITTEE ITYPE OF REPORT

~ ~ ~ v l 6 S - A ~ . ~ \ A V ' ~ ~ A l e A . , v V " ' ~ I J",v p cfe. " ~ \ " ' < : : \D r Expenses Paid by Committee I . "-l lName of Payee t:.hAfte- R \ ~ n , 6 D a t e : ; 7 r r : ; . ~ I} I Method of PaymentStreet Address

l ~ 7 f\lbW h ~ \ ~ f......;J ICity J/lJ 6 W S t a ~ I Z i ~ O ~ ~ J J ~ h e c k # ~ 5+ ~ U ~ 0 Debit Card

Purpose of Expenditure I D e s c r ~ f " \ ' h U ( ~ 6 ' v Y \ G " " + lJ ;vent# Amount(by code) RLW -bv- JjVhs ~ ~ t > " \ . l 5 ~ " \I\-'llS"Type of Expenditure (i f applicable): Candidate(s) Name Office Sought . o Supportedo Coordinated with reimbursement sought (i fapplicable) o Opposed 4-31.,10 /Coordinated without reimbursement soughto Independento Organization (see Instructions)

OA 08 Oc OD OEName of Payee Date of Payment Method of PaymentStreet Address ICity State lZi P Code 0 Check#___0 Debit CardPurpose of Expenditure IDescription IEvent # Amount(by code)Type of Expenditure (i f applicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (if applicable) o Opposedo Coordinated without reimbursement soughto Independento Organization (see Instructions)

OA 0 8 O c OD OEName of Payee Date of Payment Method of PaymentStreet Address ICity State IZiP Code [J Check #---0 Debit CardPurpose of Expenditure Description Event # Amount(by code)

Irype of Expenditure (i f applicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) o Opposedo Coordinated without reimbursement soughto Independento Organization (see Instructions)oA 08 o c OD OE

Name of Payee Date of Payment Method of PaymentStreet Address ICity State IZiP Code 0 Check#___0 Debit CardPurpose of Expenditure Description Event # Amount(by code)Type of Expenditure (if applicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) o Opposedo Coordinated without reimbursement soughto independento Organization (see Instructions)

OA 08 O c OD OEName of Payee Date of Payment Method of PaymentStreet Address ICity State IZiP Code 0 Check #---0 Debit CardPurpose of Expenditure Description IEvent # Amount(by code)Type of Expenditure (iJapplicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) o Opposedo Coordinated without reimbursement soughto independento Organization (see Instructions)OA 08 o c OD OE

SUBTOTAL Section P-This Page , 43 fs, JPage -----.!t..-- of --E-


19/23

Purpose of Expenditure Description(by code) ~ - - - 1 - D"Tn

SUBTOT AL Section Q-This Page

TOTAL of additional Section Q PagesTOTAL OF ALL EXPENSES PAID BY CANDIDATE (Enter total on Line 26 ofSumma ry Page)

/I.,S 1 r{ 'I

Street AddresslS DPurpose of Expenditure(by code)

Purpose of Expenditure Description(by code)

000Name of Payee (Name of Vendor who candidate paid directly)

Street Address

Campaign Expenses Paid by Candidate

CityNbW

Is ReimbursementClaimed?

o No

Amount

Event #

Event #

Event #

Event #

Event #

IV. EXPENDITURES Page 14 of 17It

Name of Payee (Name of Vendor who candidate paid directly)

Street Address6

V\1 tShoPurpose of Expenditure Description(by code) FooD F60J.Name of Payee (Name of Vendor who candidate paid directly)

Event #


o No


o No


o No


o No


o No


o No

Amount

LJ, 2-7

Amount

2 . 7 , q ~ Amount

7.,] ' 1

Amount

5,17 Amount

Amount


20/23

IV. EXPENDITURESSection Q. Additional Page

NAME OF COMMIITEE ITYPE OF REPORT? ~ . . < . r \ p .s- A \1\."'< 6 . , 4 - U b ' V V \ ~ I 7 - t ~ p"",,'1 f>C6 ~ V \ C E ) ~ "' if. Campaign Expenses Paid by Candidate I .....; '

Name of Payee (Name of Vendor who candidate paid directly) D ; O f P 7 7 ~ I Is Reimbursement AmountOs:.. f 6 > ~ \ ~ C , r U L c . ~ Claimed?Street AddressI Cityf!JtJ W I S ~ ' Zip (tode ~ e s

1 3 < r 6 ~ 9 ' ) t 5-\-1( 6s-t l : - t , v ~ 6&$( \ D No t2(DPurpose of Expenditure I I k " r i P I ; ~ " " ' - r.> Event #(byeode) 'PosT l, k-CV V \ ~ \ Name of Payee (Name of Vendor who candidate paid directly) V Date of Payment Is Reimbursement Amount.Du ~ . ~ ~ A ~ < ; O i " ..... S 7 1 2 ~ Ju Claimed?Street Address A J f l V l ~ l ~ ; q IS'; 'T I l ; ~ ; ~ / 1 1 '"J..'-} D1VW6 \ \ N ~ ~ ~ \ J & l A D No 2\ 1 ~ b ~ , : ~ , ; f A : ; ' ~ I D ' ' ' ' ; P ~ d ' " ' - - t Event #-f-c.v - - - r : = S " ' ~ --E;v- ~ " " " " ' ~ L h Name of Payee (Name of Vendor who candidatf paid directly) Date of Paym'l!!1t Is Reimbursement AmountClaimed?Street Address ICity IState Zip Code DYes

D NoPurpose of Expenditure I",,,riprioo Event #(byeode)Name of Payee (Name of Vendor who candidate paid directly) Date of Payment Is Reimbursement AmountClaimed?Street Address IC;'Y IS'"" Zip Code DYesD NoPurpose of Expenditure I"",,;PI;OO Event #(byeode)Name of Payee (Name of Vendor who candidate paid directly) Date of Payment Is Reimbursement AmountClaimed?Street Address I City 1

St'"

Zip Code DYesD NoPurpose of Expenditure I""";prioo Event #(byeode)Name of Payee (Name of Vendor who candidate paid directly) Date of Payment Is Reimbursement AmountClaimed?Street Address IC;'Y IS'"" Zip Code DYesD NoPurpose of Expenditure ID ~ , , ; p r i o o Event #(byeode)

Name of Payee (Name of Vendor who candidate paid directly) Date of Payment Is Reimbursement AmountClaimed?Street Address I City IS'"" Zip Code DYesD NoPurpose of Expenditure ID",,;prioo Event #(byeode)

SUBTOTAL Section Q-This Page I 'A 73 .. &, 3P a g e ~ o f


21/23

IV. EXPENDITURES Page 15 of17NAME OF COMMITTEE ITYPE OF REPORT

~ " , , " { \ O ~ It P , \ I A _ ~ A J 6 " " " ~ I f > ~ " f l - ~ ~ ~ ~ ( " ' " ~....,)R. ( \. J rExpenses Incurred on Committee Credit CardName of Issuing Institution Type of Credit Card:

0 Visa o Master Card o Discover o American Express0 Other

Name of Vendor Date of Transaction AmountStreet Address City State Zip Code

Purpose of Expenditure ID"" ipH" Event #(by code)Name of Vendor Date of Transaction AmountStreet Address City State Zip Code

Purpose of Expenditure ID"" ipH" Event #(by code)Name of Vendor Date of Transaction AmountStreet Address City State Zip Code

Purpose of Expenditure ID''' ' 'p!i"" Event #(by code)Name of Vendor Date of Transaction AmountStreet Address City State Zip Code

Purpose of Expenditure ID""ip! i"" Event #(by code)Name of Vendor Date of Transaction AmountStreet Address City State Zip Code

Purpose of Expenditure ID=,ipti"" Event #(by code)Name of Vendor Date of Transaction AmountStreet Address City State Zip Code

Purpose of Expenditure ID",r ip ! i " Event #(by code)Name of Vendor Date of Transaction AmountStreet Address City State Zip Code

Purpose of Expenditure ID"" ip ! i " Event #(by code)SUBTOTAL Section R-This Page (2

TOTAL of additional Section R Pages 0TOTAL OF ALL EXPENSES INCURRED ON COMMITTEE CREDIT CARD (Enter total on Line 27 o/Summary Page) ( )


22/23

J

IV. EXPENDITURES Page 16 of 17NAME OF COMMITTEE ITYPE OF REPORT

/ , . \,t-) ,,"V \ f) $ fo- B t ~ V \ ~ 0 -f-rr A I A 6 C ~ I /-{\... 00.-/ i>Y"6'.L)" f , , ~ s. Expenses Incurred'by Committee but Not Paid During tbis Period I ...Name of Creditor Date Incurred Amount Incurred

(Estimate or Actual)Street Address Event #

City I State IZiP Code Candidate(s) Name (i fapplicable) Office Sought

Purpose of Expenditure Type of Expenditure (i fapplicable):(by code) o Coordinated with reimbursement soughto Coordinated without reimbursement soughtDescription o Independent o Supportedo Organization (see Instructions) DOpposedOA 0 8 o c 0 0 OEName of Creditor Date Incurred Amount Incurred


City 1s,," IZ'P Cod, Candidate ( s) N arne (i fapplicable) Office SoughtPurpose of Expenditure Type of Expenditure (i f applicable);(by code) o Coordinated with reimbursement soughto Coordinated without reimbursement soughtDescription o Independent o Supportedo Organization (see Instructions) DOpposedoA 0 8 o c 0 0 OEName of Creditor Date Incurred Amount Incurred


City I State IZiP Code Candidate( s) Name (i fapplicable) Office Sought

Purpose of Expenditure Type of Expenditure (i fapplicable);(by code) o Coordinated with reimbursement soughto Coordinated without reimbursement soughtDescription o Independent o Supportedo Organization (see Instructions) DOpposedoA 0 8 o c 0 0 OEName of Creditor Date Incurred Amount Incurred


City I State IZiP Code Candidate(s) Name (ifapplicable) Office Sought

Purpose of Expenditure Type of Expenditure (i fapplicable);(by code) o Coordinated with reimbursement soughto Coordinated without reimbursement soughtDescription o Independent o Supportedo Organization (see Instructions) OOpposedoA 0 8 o c 00 OESUBTOTAL Section S-This Page 6TOTAL of additional Section S Pages I?

TOTAL OF ALL EXPENSES INCURRED BY COMMITTEE DURING THIS PERIOD BUT NOT PAID(Enter total on Line 28 o fSummar y Page) aPreviously reported Expenses Unpaid and still Outstanding 0

TOTAL OF ALL EXPENSES INCURRED BY COMMITTEE BUT NOT PAID (Enter total on Line 280 ofSummary Page) ( )


23/23

IV. EXPENDITURES Page 17 of 17NAME OF COMMITTEE . !TYPE OF REPORT

~ I \ r ' ( / C ; -A .(2, \I: ... L':. ....c':r * U o r ~ ~ I t;;; f 1 " - ~ ~ ~ J f { " \ ~ T. Itemizatl'lfn of Reimbursements to Committee Workers and Consultalts ..... /Last Name of WorkerICon suIt ant IF',,' r Date of Payment Method of PaymentSecondary Payee Purpose of Expenditure o Check #(by code) o Debit CardStreet Address jCity State IZip Code AmountDescriptionType of Expenditure (i fapplicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) o Opposedo Coordinated without reimbursement soughto Independento Organization (see Instructions)

OA OB oc on OELast Name of WorkerICon suIt ant If[", IMI Date of Payment Method of PaymentSecondary Payee Purpose of Expenditure o Check #(by code) o Debit CardStreet Address ICity State 1ip Code AmountDescriptionType of Expenditure (i fapplicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (i fapplicable) oOpposedo Coordinated without reimbursement soughto Independento Organization (see Instructions)

OA OB oc on OELast Name of WorkerIConsuitant 1"'" IMI Date of Payment Method of PaymentSecondary Payee Purpose of Expenditure D Check #(by code) D Debit CardStreet Address JCity State IZip Code AmountDescriptionType of Expenditure (ifapplicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) oOpposedo Coordinated without reimbursement soughto Independento Organization (see Instructions)

oA O B oc on OELast Name of WorkerIConsuIt ant IFirst JMI Date of Payment Method of PaymentSecondary Payee Purpose of Expenditure o Check #(by code) o Debit CardStreet Address ICity State 1ip Code AmountDescriptionType of Expenditure (i f applicable): Candidate(s) Name Office Sought o Supportedo Coordinated with reimbursement sought (i f applicable) o Opposedo Coordinated without reimbursement soughtD Independento Organization (see Instructions)

OA OB oc on OESUBTOTAL Section T -This Page 0

TOTAL of additional Section T Pages 0TOTAL OF ALL REIMBURSEMENTS TO COMMITTEE WORKERS AND CONSULTANTS ( )

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Charles Blango Ward 20