SEEC FORM 20

Itemized Campaign Finance Discloslre Sfatement

COiii{iCTiCi'T STATE ELECTIONS EI\T.ORCI,MEN'I' COMSTISSION
Rev. l/0E

I of17

SUMMARY PAGE
1. NAME OF COIr{ltdIITEE

e C h Fc.d G.a-qr\
2. TREASIJRER NAME
fitlo First L6t Sufrx
*-I-c"*-""**
Tr *n:.u't-Q-{ G, C c."r J-\d
3. TREAS{-IRERADDRESS

'o"tL
\)I
Ciw State
.\f Go*+--.tor5 \\)f tKd .\) h Lo .d CT
ELECTION/REFERENDU]VI DATE 6. DISTRICTNUMBER
4. 5. OFFICE SOUGHT (Comolzte onlv if Candidate Comineel
(mm/dcvyyyy)

It-3--c9
7. CANDIDATI, NAJvIE (Complete only if Curdidde or Exploraton Committee)
First MI Ltrl iuffx

8. TYPF OF RFpORT {Check One Box)

D January l0 filing tr 7th day preceding primary D 7th day preceding referendum tr Initial Contribution or Disbursement
(PACs ONLI)
D April l0 fiiing tr 30 days fbllowing primary E 45 days following referendum
I Amendment to
D July l0 filing tr 7th day preceding election I Deficit Type ofReport:
'tr
BOctober 10 filing D 12th day preceding election D Termination g-l
(State Centrol Committea Only) ^^r-c-.i -\
E Independent Expenditure
Eltimary EElection tr 45 days following election
not held in November

9. PERIOD COVERED
\ri v
Beginning Date Ending Date _
,.!
,'*;
'
-
- _ c?
*J
5} \'t !..

C8 -a^L- (3 thru \e*C8"-*1 t,:" r <*)

9 r- \
=i-'':- -13
*'3i (-\ i",. = -f
IN gr
'R,PTTr'l.-ATIrlN

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

{*'.^-...* C C+c; \* to-r:* aca)

TREASIJR,ER OR DEPUry TREASURER (SIGNATURE) PRINT NAME OF SIGNER DATE (mm/dd/yyn')

PENALTY FOR FAISE STATEMENT IS PANISHABLE BY FINE NOT TO EXCEED

il,OOO, OR IMPNSONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.

J el5
 SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
CONNECTICUT STATE ELECTIONS ENT'ORCEMENT COMMISSION
Rev, l/0{l

TOTALS
\IAME OF COMMITTEE FILING DIIF. DATE
(*V tFrTtag 6z,w
UOLUMN A COLT/MN B
This Period Agsresate
I 1. Balance on hand January I of current year for ongoing and party committees oR
Balance on hand from day Committee was formed for all other committees g f,
12. Balqnce on hand at the beeinnins of Reportins period d g
i 3. Contributions received &om Individuals {sections A and B) laf 7" >' ) raJ /.J*J
14. Receipts from Other Committees (Sections Cl anrl C2\

15. Other Monetary Receipts (Sections D-K)

16a Total small Food and Beverage Receipts at Fair (section Ll) Town committery oNLy

l6b. Total Pmceeds from Small hrchases at Tag Sales, Auctions or Other Sales (Section L2)

Municipal and Town

16c. Total Purchases of Advertisine in a Prosam Book (section |.3\ Comixees ONLY

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

18. Subtotals (add totals in line 12 + line l7 ilr column A; and L.l line I I + 17 in column B) to 3,!{,{3 to37 r7
19. Expenses Paid by Committee (Section P)
)vq,f3 Jyvl:
20. Balance on hand at slose ofReporting Period (Subtnact lirre I 9 from line 18 in both Columns)
8Yc. s t fYO, aJ
21. In-Kind Donations not Considered Contributions Received (Section L,l)

22. In-Kind Contributions Received (Section M) t) 36 t),f d

23, Refundable Deposit to Teiephone Company (Section N)

24. Receipts oforganization Expenditures (Section O)

25. Beginning Loan Balance

-25L + Loans Received (Section D)

25b. i Interest and Penalties on Loan

25c. - Payments on Loan

25d. Total Outttanding Loan Amount

26. Campaign Expenses Paid by Candidae (Section Q)

27, Expenses Incurred on Committee Credit Cad (Section R)

28. Expenses lncurred bv Committee Durins this Period but Not Paid (section S)

28a. Total Outstanding Expenses Incuned by Committee still Unpaid (Section S)

J ci')
 I. MONETARY RECEIPTS
Section B. Additional Pase
a Jt'{a4} fi$r;>>t,/ Fn rNrlnlTF DATF /r't .-
| 11 ' C1

B. Itemized Contributions from Individuals

Lst Nme' rltst
{'4L'on t>Z /*n-v trae !D
MI

LOqE
Principal Occrpation

r9
{eTrfe,B.F7
ur guPloyq
Ani6unt of
Contribution

Tecfr fS*e,r; Q a+D u {/Atu) (r- Mffi 7DLrr'v tj/-l o'i/4€CI

ls contributcr a lobbyis! spouse, I Yes Ifconribution is ur excess of$400 to a candidate commiEee for a chiefexecutive ofFccr ofa ts";.aa
or dependent child oia lobbyist? pto muaicipality does contributor or business he/she is associated wtrg have a contract with said
municipality valued at more than $5,000? E Yes ffXo
Is this contribution associated with a E Yes Is contributor a principal of a state contractor or prospective state contactor? fl Yes
fundraisrng event listod in Section Ll? Ifyes,ndicatctvhich branchorbranches
Ifyes,list Event #_ F*o of govemment the contract is with: E Executive E Legislative
.E} No

Method of contribution: Aggregate sntnbltrons

D Castr
L6tNme
F Personal Check E Credit/Oebrt Card I Payroll Deduction E Money Order
M
P"/J*re Jrsa. 's
s
Princiiral Ocupatiou Amornt of
4n*4Kt 6Wt Contribstion
'YT*fr;;;" Dr* -lry lutre 1tD
c$v
Lme
tF
Nmc or rsrploye!
t) //Q4'1 L/ fltTrt? 6) V& oc
Is contributor a iobbyist, spouse fl Yes If contribution is in sxc€ss of M00 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyisd El No municipality does contributor or business he./she is associated with have a contract with said
municipalityvaluedatmorethan$5,000? E Yes EFNo
Is this contribution associated wirh a fl Yes contactor? E
Is contributor a principal of a state contractor or prospective state Yes
ilmdraising event listed in Section L1? El No fyes, indicatewhich branchorbranches lfi No
fyes, list Event # of govemment the contract is with: E Executive D Legislative
Method of contribution: Date Reeived AggtEgare conmouuoas
EFCash El
Last Nilne
Personal Check E Credit/Oebit Card
First
El Payrotl Deducrion I Money Order
MI
fi7-ar-o9
Pdncipal Oeupation
Yo. <t t
Amount of
f*,{utn THatY* (; S'C*(art Ct,a*s"t/<- *l*t'f (f Contribution
"I7 ff i:ffio'r,t/,, itate D COdE

tf
Is contributor a lobbyis! spouse, E Yes
.d an) l*j'ta n CT 06? fr;#A 4,:*$
Ifcontribution is in excess of$400 ro a candidate committee for a chiefexecutive officer ofa ttz.il
or dependentchild ofa lobbyisfr rEF, No municipality does contributor or business hey'she is associated with have a conFact with said
municipalityvaluedatmorethan$5,000? fl Yes ffno
Is rhis contrrburion associated wrth a l-l Yes ls contributor a principal of a state contractor or prospective state contractor? E Yes
fundraising event listed in Section Ll ? G2lo fyes, indicate which branch or branches fftqo
fyes, list Event # ofgovemmentthecontractiswith: EExecutive ELegislative
Method ofconFibution: Aggregale @ambunons
D Cash El Penonal Check D Credit/Debit Card I payroll Deduction E Money Order 7- tt*r 1 /t2..t 1
LtrtNarc M] Principal Ocqupation Amount of
raAu trt
Residenhll Stiret Add6s jrty
Et\ , .- *4n L p/Z<:s rbc*rrf Contribution
;tate lp Code Nme of EmDlover
oAfrta (6 yctvc'€" ,/4.(
Is contributor a lobbyist, spousq
or dependent child ofa lobbyisfl
D Yes
6No
Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive oflicer ola
municipality does contributor or business hdshe is associated;urlth have a contract wrth said
l7:.f e
municipaliry valued at more than $5,000?
Yes 4J'No E
Is this contribution associated with a I Yes Is contributor a principal of a state contractor or prospective state contractor? E Yes
fundraising event listed in Section LI ? @No Ifyes,indicatnwhichbranchorbranches fi No
fyes, list Event # ofgovernmenttie contract is with: E Executive D Legislative
Method of contribution: Aggregate ontrrbutlons
I Casir EI Personal Check D Credit/Debit Card I Payroll Deduction D Money Order ? "r t - o1 t3 t.f 3
ll,q &eJ
slsenua Dreet Addrss
iw MI Priacipa.l Oeupation
**w*{7e Amount of
Contribution

)36 uftittil /sttt ''ry

,fi/:dt,)
rI&e
Lr ap Lqoe
o6t hl^
Nme of bmployer

Is contributor a lobbyisg spouse, D Yes If contributionis in excess of $400 to a candidate committee lor a ch ief executive otlcer of a
or dependent chiid oia lobbyist?
Fuo municipality does confibutor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? fl Yes EL4(o
fao";'
ls this confrbution associated with a fl Yes Is contributor a principal of a stae contractor or prospective state contactor? E Yes
tundraising event listed in Section L1 ? ENo fyes, indicate which branch or branches f,l No
fyes. list Event # of govemment the contract is with:El Executive El Legislative
Method of conu-rbution : uale Keceiveo Aggrcgarc conmDuuors
{tasfr I Personal Check E CrediriDebit Card E Payroll Deduction D Money Order 7-)z e1 fca , sl
SIJBTOTAL Section B-This Paee 1 ,3f t.f J
Page i ot I

) ndj
 III. NONMONETARY RECEIPTS
Section M. Additional Pase
:'&f "Yt4rers GFrVzj
M. In-Kind Contributions
Nme Fair Market
Ti:rL* ftas{&-ft / Tlpe of Conmbutor:
ff Individual'
,
Value of this
-'",lyr1l*S )IAT9 Zip Code I Committee Contribution
/6 64.*zu Ge.qr( Eun Lt .t6Y ),{ j Other lapptcable only to Refuudum Comittu)
-:
Is contributor a iobbyist, spouse. E Yes If conurbution is in excess of$400 ro a ca,rdidate committee for a chief executive officer ofa
or dependent chilci ofa lobbyisr? & b{o municipalif does contributor or business he/she is associated with have a contract rvith said
municipality valued at more than $5,000? E Ycs dxo
n36
Description of In-Kiad Contribution
Date Received
Is this contribution associated wrth a D Yes Agregate contributions
Ll? 6
f -)l-'t'j tottj f rrt-
fundraising event listed in Section No

Nme
f_res, list Event # n.f 6
Type of Contr-rburor: Fair Market
I Individual Value of thiS
Strcel Address lity 5tde 4!p Codo I Committee ContributioD
j Other (Applicoble only to Refoendum Committeu)
is conrributor a lobbyist" spouse, D Yes Ifcontribution is in excess of$400 to a candidate committee fbr a chiefexecutive officer ofa
or dependent chiid ofa lobbyisr? D Uo municipality does contributor or business he/she is associated with have a contract lvith said
municipality r,alued at more than $5,000? fl
Yes No I
Date RecciYed
Is this contribution associated with a E Yes Description olln-Kind Contributioa Aggrcgate contnbudons

fundraising event listed in Section Ll? ENo

{r,yes. Iist Event #
Narne rarr &larKeI
Type ofContributor:
I Individual Value ofthis
Strcct,-\ddress -rty 5t8te Zip Code fl Committee Contribution
J Orher (Appliubte onl! to Refsudum Committbu)
is contributor a lobbyist. spousc, D Yes lfcontribution is in excess of $400 to a candidate committee for a ciliefexecutive officer ofa
or dependent child ofa lobbyist? D No municipality.', does contributor or business he/she is associated with have a contract with said
municrpality valued at more than $5,000? D Yes ENo
Dalo Rcccivsd ls this cnnliihirlion :Lcsociaied rvith c ll Yes Descriprion of hr-Kind Contribution Aggregate contn bunons

lundtulilng ovsnl. lisl.cd in S;clruri L I l' ff No

,fyas, list Event #
Nlrnc Fair Market
Type of Contributor:
Dtndividual Value of this
Sircct Addr..-ss Contribution
rl)' Jtate Zip Code ICommittee
n Orher (Applicoble only to Reftendum Conmitteu)
ls contributor a lobbyisr, spousc. D yes lfcontribution
rs in excess of$400 to a candidate committee for a chielexecutive otTicerofa
or dcpendent child ol'a lobbyist'., ! No municipaiity does contibutor or businels hdshe is associated with have a contract fith said
municipaliry valued at more than $5,000'l DYes
ENo
Dare lleccivcd ls this contributron associatcd with a Dcciption of In-Kind Contribution tggrcgoto c
D yes
lundraising evcnt lisred in Section Ll? E No
f,les, list [vent #
Nanrc
Type of Contributor: r urr ytarKet
I Individual Value of this
itlccl Addrcss -:rty iiate Zip Code D Committee n
] Other (Appliuble ohlt to Refoudunt Commiueq)
Is contributor a lobbyist, spouso. D Ycs If contribution is in excess of $400 to a candidate committee for a chiefexecutive officer ofa
or dependent child of'a lobbyist? D lo municipality does contributor or business he./she is associated with have a sontract with said
municipality valued at more than $i.000? EYes ENo
Datc ltcccivcrl ls thrs conrnbution assocjated with a D yes Dccription of In-Kind Contribution Aggregtre conmDunons
I'undraising event listed in Section Ll? D No
f-r''es, list Event #
Natne
Type ofContributor: lsr f fflarRet
[ .individual Value of this
Street Address Contribution
-rry itate Zip Code I Comminee
n
Is contributor a lobbyist. spouse. E Yes If contribution is in excess of $400 to a candidate committee for a chiefexecutive officer ofa
or dependent child ofa iobb.vtst? Duo municipality does confibutor or business hdshe is associated with have a conEact with said
municipality valued at more than $5,000? EYes DNo
Datc Rcceived Description of In-Kind Conrribution
ls thrs contribunon assocrated with a E yes A€eEgate contributions
tundraising event listed in Section L1? [J No
I/,!,es. list Evenr #

SUBTOTAL Section M-This Page t7.

t
II
Page \ of I

i1 ,'
Lj! llt \
 ry. EXPENDMI]RES Page 13 of 17

P. Expenses Paid by Committee

Nrc 'l',t*+Y - //he/V /t- (
ofPave )atc of Paymat Method ofPayment Amoutrt

"o""'^T'i )^ &47
4t.,\ {ltafiqna
Sfate
('7* 7 "r/ _4, trneUtCfr'-
)ff ggt',nva
aG6r ?
o.'"*)A-5iqO EffiDUON
{|frt, ai}/,v( 5
EVMI F
j
1t2.,.:
Iype of Expendirure (if aplriubrz): Ce&drate(s) Nme
(tf applicable)
Office Sougbt E Supporea
| ,l Coordinated wrth reunbursement sought
E Opposed
D Coordinated without reimbursement iought
. lndependent
D Organization (see Instrudions)
nl fln trc trD trE
ry@ JaF
A /A^:u f ftturve s r^/ (
Ol -rayment Mernoo or rayment Amount

5lcheck# l7e
C7 '',ff'r ur
fy
ltt na*p|7 A".vlsrJ tA.
te
7'tl-", D nebit caro l7z, t-.n
(byode)
A^ S'rQfi rKus{ Evat#

rype ot Expendttue (if dPptbabte): Cedidateis) Nffi Offre Sought Esupported

Ll Coordinated with reimbursement sought (tfappltcable) EOpposed
E Coordinated without reimbursement sought
El Independent
E Organization (see Instrudtons)
tr,1 tls trc trn Ee
Nme of Paye )ate ofPayErat Method ofPayment Amount
Strcet Ad&ess Clty State Zip Codo E Check #-
E Debit Card
rurPos€ or ExPonolure Dgscnptron Event #
1Uy codc)

Iype of Expenditure (if appt icabte): Cildidate(s) Nme Offie Sought E Supported
E Coordinated with reimbursement soughr (tf applicable)
D Opposed
E Coordinated without reimbursement iought
E Independent
E Organization (see Instrudions)
tra trR nc nD nr' S

Nme ot Paye of Pawent

-)ate Meilrod ot Paymgnt Amount
Street Ad&s -try itate Zip Code E Check #
n Debit cara-
r ur Pose ur lxp@otMe EYmt #
(by code)

Type of Expenditure (if oryticabte): Uildtdate(s) Nffi Office Sought E Supported

LI Coordinated with reimbursement soughr (dapplimbla)
D Opposeo
E Coordinated widrout reimbursement Jought
fl Independent
D Organization (see Instructions)
tra DB Dc trD [E
Nrc ofPaye )ate of PalmeDt Method of Payment Amounl

ib€et Address City itate Zlp Uode n check #_

E Debit Card
fufpose ot l,xpendtue )6criptioo Ev€ut #
'by code)

If pe of Expendirwe (iJapptiuble): Cmdidate(s) Nme Ofre Sought ESupported

l=l Coordinated wtth reimbursemenr sought {iftpplicable) Eopposed
D Coordinated wi$out reimbursement sought
fl Independent
E Organuatron {see InstTudions)
trI DB trc ND f]E s

SUBTOTAL Section P-This Page 2'f i,{"4

TOT.{L OF ALL EXPENSES PAID BY COMMITTEE (Entet total on Line 19 of Summary

TOTAI of additional Section P Paees

Page)
w
;Y\,{?
( nfl i