Seec F'orm 20

SEEC F'ORM 20
Itemized Campaign Finance Disclosure Statement

CONNECTICUT-STN'TN ELECTIONS ENFORCEMENT COMMISSION
Rev. l/08
SUMMARY PAGE
PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE

NOT TO EXCEED
ii,tta anlnnensoiiiviEiir FoR i'tor iriofuE THAii oiE |'EAR' oR BorH'
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
TOTALS
N i:trcf nB FntrttrTltnE ::t, iSIIiING DITF.r)ATIT:',':'r ri::::-i::.r' ::.r:1'r '. i':i::;: .r..i::::,::rr ::::. :1',':., i
10t13t2449
UULUMN A COLUMN ts
'Haversat Yish 09 This Period Assrepate
ll. Balance on hand January I of current year for Ongoing and ParU Committees OR
$0.00
Balance on hand from dav Committee was formed for all other committees
$0.00
12. Balance on hand at the beeinnins ofReporting Period
$5,855.00 $5,855.00
13. Contributions received fiom lndividuals (Sections A and B)
$1,500.00 $1,500.00
I .d D cnainrc frnn Other C ittepc /Secrtione Cl and C?\
15. Other Monetary Receipts (Sections D'K)

$0.00 $0.00
$o.oo $0.00
16a. Total Small Food and Beverage Receipts at Fair (Section Ll) Town Committees ONLY
$0.00 $0.00
l6b. Total Proceeds from Small Purchases at Tag Sales, Auctions or Other Sales (Section L2)
Municipal and Town $0.00 $0.00
lAo Tnral Prrrnhaccc nf Aiverficino in e Proornm Book ttSection T,3') Commitlees ONLY
$0.00 $0.00
17. Total Monetary Receipts (add totals for lines 13-l6c)
$0.00 $0.00
18. Subtotals (add totals in line 12 + line 17 in Column A; and in line 1l + 17 in Column B)
$4,611.72 $4,611.72
19. Expenses Paid by Comntittee (Section P)
from line l8 in both Columns) $0.00 $0.00

20. Balance on hand at close ofReporting Period (Subtract line 19
21. In-Kind Donations not Considered Contributions Received (Section 1,4) $0.00 $0.00
$75.00 $75.00
22. In-Kind Contributions Received (Section M)
j
23. Reftrndable Deposit to Telephone Company (Section N) $0.00 $0.00
$o.oo $0.00
24. Receipts of Organization Expenditures (Section O)
$0.00 $0.00
25. Beeinnine Loan Balance
$0.00 $0.00
?52. * Loans Received (section D)
* $0.00 $0.00
2sb, Interest and Penalties on Loan
$0.00 $0.00
25c. - Payments on Loan
$0.00 $0.00
25d. Total Outstandine Loan Amouni
$1,930.61 $1,930.61
26. Campaign Expenses Paid by Candidate (Section Q)
$0.00 $0.00
27. Expenses Incurred on Committee Credit Card (Section R)
$0.00
?R F.xnenses Incrrrred hv Committee Durine this Period but Not Paid (Section S)
$0.00
28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)
I. MONETARY RECEIPTS (Sections A-K) Page 3 of 17
N'A llrF'I]F, lrft,TMTT:TFF]::. :lT::I]rJ/:::nIlF:T\ ilTIi
Haversat Yish 09 't0/13/2009
:;*li,i..{fotaljGontributio4sifnom:S4r€lltGonlribqtor:g=Rccgiv,edlthisiHeriodi{J$l;;Y;q.1
$ 0.00
:l;:, . ..1. .. :
....1
Last Name Fisl MI Princigal O@upatron Amount of
Adams Bob Retired Contribution
Rcsldenhsl street Adffcss )lale lip Code Nsme ot bmployer
412 Mulligan Dr. Oxford CT 00478 'Retired

Is contributor a lobbyist, spouse, | ._r- Y es Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa
or dependent child ofa lobbyist? El No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? C Yes !?: No
Is this contribution associated with a fi Yes Is contibutor a principal of a state contactor or prospective slate contractor? C Yes
fundraising event listed in Section Ll ? 6i No If yes , indicate which branch or branches (!t No
Ifyes,lislEvent# oi iovemment the contract is with: ll. Executive Cl Legislative
Date Receiv€d Aggregate contnbuhons
Method of contribution:
Ci Casn €: Personal Check Cj CrediVDebitCard C: Pavroll Deduction lli Money Order 0811112009 $100.00 $100.00
Lrst Nme .
l.lrst MI Principal Ocruoatim Amoult of
,Anqelini lMichael Treasurer Cotrribution
(€sKlentral ltreet Ao0rcss - ttste Ap Code Name ot bmployer
.26 Perry Ln. rOxford CT 06478 Town of Oxford

Is contributor a lobbyist spouse, C Yes Ifcontribution is in excess of $400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbyist? {:, No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Cl yes G No
Is this contribution associated with a G Yes Is contibutor a principal ofa state consactor or prosp€ctive state contractor? fi Yes
fundraising event listed in Section Ll? .f tto Ifyes, indicate which branch or branches 6'No
If yes,listEvent# .09/13/2009 A o?iovemment the contract is with: li
Executive Legislative *
Date Received_ .
Aggrcgare coBmDul""r.
... ....
'Ci 'f; $25.00
Cl Castr Gl Personal Check i* Credit/Debit Card Payroll Deduction Money Order 08t2012009 $25.00
$tNam€ - .
llnt MI Principal Occupatron Amount of
jBeroantino Retired Contribution
'William
(esidmtral Saeet Addrcss . :.tty Jtat€ Zip Code NAme or mploy€r
:758 Litchfield Rd. ,Watertown CT 06795 ,Retired
ls contributor a lobbyist, spouse, Cl Yes Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa
cr dependent child ofa lobbyist? €;no municipality does contributor or busineSs he/she is associated with have a contract with said
municipalitv valued at more than $5,000? C Yes O no
Is this contribution associated with a G Yes ls contributor a principal ofa state contractor or prospective state contractor? LI YCS
ftmdraising event listed in Section L I ? CNo .I/yer, indicate which branch or branches Cr uo
Ifyes,listEvent# 09/13/2009 A o?govemment the contract is with: C Executive C Legislative
Date Receivcd,. .
ASqJ-Egltc :onm-oylg.$.......,..,
Ci Casn G Personal Check C Credit/Debit Cud Ci Payroll Deduction f, Money Order 09/08/2009 $125.00i $125.00
Last Nam€ .- First MI Principal omrrpatim Amount of
'Teacher
lBurke rKarin Contribution
(.!19!!!ialiqP9!+dq?s5 . v it8t€ ,rP.L9o9. Nme ot Employer
.447 Quaker Farms Rd. Oxford CT 06478 .Town of Oxford
ls contributor a lobbyist, spouse, (_, Yes Ifcontribution is in excess of$400 to a candidate committee tbr a chiefexecutive officer ofa
or dependent child ofa lobbyist? O. No municipality does contributor or business he/she is associated with have a contract with said
municipaliw valued at more than f,l Yes l€' No
$5,000?
Is this contribution associated with a 6i Yes ls contributor a principal ofa state contractor or prospective state contractor? !f,Yes
fundraising event listed in Section Ll? Cl No fyes, indicate which branch or branches F; No
Ifyes, listEvent #, 09/1 3/2009 A of govemment the contract is with: C Executive C. Legislative
Date Receivcd Aggregatecontributions
Method of contribution: _
Ci Castr li; Personal Check t1 Credit/Debit Card Cj Payroll Deduction Ci Money Order 09/13/2009 $50.00 $50.00,
$300.00
: ;;,;N;i:,fi ojT,!ili;oTadd ifi odl:seetion 18 *Pagec $5,555.00
$5,855.00
L MONETARY RECEIPTS
Section B. Additional Page
tr {xtE.nD nnlnrTl"rFt
Haversat Yish 09 10t13t2009
: Ll lill.:;t,it::
Lst Nme First MI Princioal Occupatim Amount of

Burke Karin Teacher Contribution
Kesrdsnlal stEct Address lty itate :lP LOOe Name ot bmploycr
447 Quaker Farms Rd. Oxford CT 06478 Town of Oxford

ls contrjbutor a lobbyist, spouse, n Yes if ronGUution is in excess a candidate committee for a chief executive officer of a
of $400 to
or dependent child ofa lobbYist? €, No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? fi Yes t?l No
ls this contribution associated with a €: Yes Is contributor a principal ofa state conffactor or prospective state contractor? {: Yes
C No (i' No
fundraising event listed in Section Ll ? fyes, indicate which branch or branches
Ifyes,listEvent# 10/04/2009 B o?iovemment the contract is with: C Executive .fl Legqlat19
Date Received Aggregate contnbutlons
CCastr €: Personal Check Ci Credit/DebitCard Il:PayrollDeduction C,;MoneyOrder 0912512009 $140.00 $90.00
Lst Nme First MI Principal Occupation Amount of
Dawn :Realtor Contribution
'Calabrese itale 1ip Code Name ot Lmployer
lesidcntial Strset Address
,639 Quassapaug Rd. Watertown icT 06795 .Weicher Realtors
Is contributor a lobbyist, sPouse, * Yes tf contriUution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbYist? .G No municipality does contributor or business he/she is associated with have a contract with said
municioaliw valued at more than $5,000?
lCr No Yes i0
Is this contribution associated with a 0: Yes Is contributor a principal ofa state contractor or prospective state contractor?
(i Yes
fundraising event listed in Section Ll ? lf-t tto fyer, indicate which branch or branches iQ llo
.I/yes, list Event 0911312009 A# oigovemment the contract is with: fi
Executive Legislative fi
Date Receivcd. Aggregare conmDurrons
lCi Cash .€i Personal Check iO: Credit/Debit Card l(:'Payroll Deduction f* Money order 09/13/2009 $50.00 $50.00
Last Name First MI Principal Occupation . Amount of
Carver rEd Self Employed Contribution
Resldmtral Street Addr$s itate 4rp Looe Name ot bmployer
-tty
.35 Goveners Hill Rd. Oxford CT 06478 :Self Employed
Is contributor a lobbyist, spouse, l]i Yes If contributionis in excess of$400 to a candidate committee for a chiefexecutive officer of a
or dependent child ofa lobbyist? iTr No municipality does confibutor or business he/she is associated with have a contact with said
municipalityvaluedatmorethan$5,000? Ci Yes Fj no
Is this contribution associated with a Cj Yes Is contibutor a principal ofa state contractor or prospective state contractor? l]i Yes
fundraising event listed in Sectio4 Lt? !ino .fyes, indicate which branch or branches {Tr No
.fyes, Iist Event # oilovemment the contract is with: t'
Executive C Legislative
Date Rcceived Aggregate contrrbutlons .
{? Castr 'l?j Personal Check C Credit/Debit Card f,) Payroll Deduction C Money Order 08t2412009 $500.00 $500.00
Last Nme Firsl MI Principal Ocou,oation Amount of
;Carver Ed Self Employed Contribution
l(esldtrnd saeel AddreSs ilty itate ,lp LoqE Name ol tsmploJ€r
'35 Goveners Hill Rd. ,Oxford CT 06478 'Self Emoloved
Is contributor a lobbyist, spouse, $ Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? tii No municipality does contributor or business he/she is associated with have a contract \r'ith said
municipality valued at more than nl Yes {ii' No
$5,000?
q--i Yes
ls this contribution associated with a €l Yes ls contributor a principal ofa state contractor or prospective state contractor?
fundraising event listed in Section Ll? CiNo Ifyes, indicate which branch or branches Ol No
If yu, lisr Event # lgfrczoqgA of govemment the contract i$ with: {l., Executive Ci Legislative
Date Reccived Aggregate confibuhons
Cj Castr Ql Personal Check ii'l Credit/Debit Card C) Payroll Deduction f) Money Order 09113120a9 $550.00 $50.00
LstNme First MI Principal Occupation Amouni of
Catalano 'Victor G Attorney Contribution
Kesrdmhal strcet Address jrty talc aP rooe. Nme ol tsmployer
161 Countrv Club Dr. Oxford :CT 06478 Self Emoloved
ls contributor a lobbyist, spouse, Yes Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa
or dependent child ofa lobbyist? No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? l0 Yes .0' No
Is this contribution associated with a lf, Yes Is contributor a principal ofa state contractor or prospective state contmctor? lr Yes
fi.rndraising event listed in Section Ll ? ll?t No Ifyes,indicate which branch or branches a No
Ifyes, list Event# o-f iovemment the contract is with: O Executive ili Legislative
Date Reeived AgSregate contnbuuorxt
Metlod of contribution:
locash !q personal Check lfi Credit/Debit Card lCt Payroll Deduction lfr Money Order 08t27t2009 $100.00 $100.00
SUBTOTAJL Scction B-This'Page $790.00
Page 2 or 2
I. MONETARY RECEIPTS
..mE
Haversat Yish 09 1 0/1 3/2009
':1..::tl n. ft*i".*Contributions'fromllndividuals i :::; il
Lst Nme Fint MI hincipal Occupation Amount of

Catalano Victor L,. Attorney Contribution
Ity italc :lp Looe Nsme ot bmployer
Residmtlal Strcet Addr68
'161 Countrv Club Dr. Oxford CT 06478 ,Self Employed
Is contributor a lobbyist, spouse, C Yes ff contribution is in excess of $400 to a candidate committee for. a chief executive officer of a
or dependent child ofa lobbyist? €.No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Ol t'to C Yes
Is this contribution associated with a lij Yes Is contributor a principal ofa state contractor or prospective state contractor? {:: Yes
fundraising event listed in Section Ll? CNo fyes, indicate which branch or branches F; No
/yes, list Event #
09/13/2009 A oi lovemment the conhact is with:
C Executive {-- Legrslqtnre
Date ReGived- Aggregate contnbuhons
Jii Cash e: Personal Check f; Credit/Debit Card C Payroll Deduction C Money Order 09/1 3/2009 $150.00 $50.00
Last Nme First MI Prinoipal Occupatim Amount of

,Cocchiarella Jeanne :R iQA Manaoer Contribution
R esidential Street Address jlty ilate ap Looe Name ot EmPloyer
:Oxford .06478 'Yofarm Co.

137 Governers Hill Rd. 'CT
ls contributor a lobbyist, spouse, Yes tf c*triOutionls in excess of $400 to a candidate committee for a chief executive officer of a
,''n
or dependent child ofa lobbyist? No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,0d0? l*
Yes 16 No
Is this contribution associated with a F Yes Is contributor a principal ofa state contractor or prospective state contractor? C Yes
fi.mdraising event listed in Section Ll? FNo fyas, indicate which branch or branches li No
fyas, list Event :09/13/2009 A# oigovemment the contract is with:
fi'Executive :G Leglslallive
Date Recsived Aggregate conarbutlo-ns
personal Check lCr,Credit/Debit Card lQ Payroll Deduction .'# Money Order 09/13/2009 $50.00, $50.00
lf}Castr 9:
Last Name .. ..
Firsl MI Principal Occupatim Amount of
:Crowe Linda J 'Self E.oloved Contribution
lesidential Strect Addr€ss lity itat€ :lp LOOe Nme ot EmProys
10 Palmer Ln. ,Oxford CT 06478 lSelf Emoloved

ls contributor a lobbyist, spouse, Ci Yes If contribution is in excess of$400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? l?;No municipality does contributor or business he,/she is associatsd with have a contract with said
municipality valued at more than $5,000?
C: yes !., li"
ls this contribution associated with a ..-, y es Is confibutor a principal ofa state contractor or prospective state contractor? lli Yes
fundraising event listed in Section Ll? eNo (i, tto
fyes, indicate which branch or branches
fyas, list Event # 09/19/2Qq9A I o?iovernmentthecontractiswith: {l:Executive f:Legislative
Date Re€ived Aggregate contnbunons
Method of contribution
fr [rrt {g P;;;;;i
:
check Ci credit/Debit card g Pavroll Deduction 'fl Monev order 09/13/2009 $50.00 $50.00
Fist.- MI kinci,oal Oeugatio4 . Amount of
.Demosev .Joe iRetired Contribution
tesrdennat Street Address jrty ttats ,1p- uo99 \me of Emplojcr
:4 stri# Dr, 'Oxford
ct 0e178 rRetired
ls contributor a lobbyist, spouse, .]'l Yes if contributionis in excess of M00 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? lil No municipality does confiibutor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Cl yes €l No
Is this contribution associated with a drl Yes ls contributor a principal ofa state contractor or prospective state contractor? C] Yes
fundraising event listed in Section Ll? CJ No fyes, indicate which branch or branches €i No
Ifyes,list Event# 09/13/2009 A oigovemment the contract is with:
{--.1 Executive Legislative fr
Date Received Aggrcgate contnbullons
C,l Casn €] Personal Check C'll CreditlDebit Card C) Payroll Deduction el Money Order 09/09/2009 s50.00 $50.00
Last Nme First MI Principal Occupation Amount of
.Di lulio Heather :Nurse Practitioner Contribution
Resldmlal Street Address -rty t latc ,p Uode Name of .bmployer
22 oikcrest Rd. Oxford CT .06478 .Advanced CU Spec

is contributor a lobbyist, spouse, C, Yes tfiontribution is in excess of $400 toa candidate committee for a chief executive officer ofa
or dependent child ofa lobbyist? 16 No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? lC Yes '€ No
Is this contribution associated with a ii Yes Is contributor a principal ofa state contractor or prospective s{ate confiactor? I YCS
fundraising event listed in Section Ll? li.,i No /yes, indicate which branch or branches iQ No
Ifyes,lixEvent # 09/1 3/2009 A of Lovemment the contract is with:Executive lll Legislative lii
Date Rec€ivrd Aggregate conmbuuons
lO Cash i9i Personal Check lfi Credit/Debit Card C Payroll Deduction [d Money Order 09/13/2009 $55.00 $55.00
$255.00
Page 3 of 3
L MONETARY RECEIPTS
Section B. Additional Pqge
ffiE1,,

,
Last Nme First MI Principal Occupation Amount of

Dorazio Linda iM Self Emploved Contribution
)ity itate 4p LOOe Name ot bmploYer
Residenial Street Addtess
52 Peach Farm Rd. Oxford CT 06478 Self Employed / Superior Mecha
Is contributor a lobbyist, sPouse, t: Yes tfcontributron is in excess of$400 to a candidate committee for a chiefexecutive officer ofa
or dependent child ofa lobbYist? CI, No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? F: Nofl Yes
Is this contribution associated with a t? Yes is contributor a principal ofa state contractor or prospective state conhactor? C Yes
fundraising event Iisted in Section l,l ? r No fyes, indicate which branch or branches
ONo
fyes, list Event #
09/13/2009 A oilovemment the contract is with:f".- Executive
!9q i
Dste Reeived Aggregat€
fiCasll {i; Personal Check Ci Credit/DebitCard CPayroll Deduction CMoneyOrder 09/13/2009 $50.00 $50.00
Last Nme Firsl MI Pnncipal Occupatim Amount of

:Ferrillo lll Andrew ,Pharmacist Contribution
R€sidmtial Street. Ad&es.s lity itate ilP UOOe Nme ol bmPloyer
,2 Hart Ct. :Oxford jcT 06478 :CVS
Is contributor a lobbYist, sPouse, Yes r*trib"tr" is in excess of $400 to a candidate committee for a chief executive officer of a
If
or dependent child of a lobbyist? :e No municipality does contributor or business he/she is associated with have a contract with said
municibality valued at more than lCr Yes iB No
$5,000?
Is this contribution associated with a
'G Yes Is contributor a principal ofa state contractor or prospective state contractor? Yes lJ
firndraising event listed in Section L1? [J' No fycs, indicate which branch or branches 'f,'Executive iO lto
-Ilyes, list Event #
1010412009 B oigovemment the contract is with: lf'Legjslative
Date Rcccivd Aggreglte contrtbutlos.
Method of contribution: . .
$90.00
K}Castr i? personal Check :G Credit/Debit Card 'C: Payroll Deduction IC' Money Order 101a412009 $90.00
MI Principal Ocoupatim Amount of
LastNme - .
First
'Ferrillo Andrew :Conservation Officer Contribution

Resid€ntal Stre€t Address litu itate 4ip Lose Name ot_ EmPloyq
,93 OneilRd. Oxford CT 06478 Town of Oxford
Is contributor a lobbyist, spouse, Ci Yes lf is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa Iobbyist? iti t,to "-triUutiondoes contributor or business he/she is associated with have a contract with said
municipality
:ft Vqt n No
is this contribution associated with a r?/ Yes Is consibutor a principal ofa state contractor or prospective state contmctor? Ci Yes
fundraising event listed in Section Ll? Cno fyes, indicate which branch or branches Qr tqo
{fyes, list Event# 0q1g29q9A o?govemment the contract is with: *
Executive f,; Legislative
I)ate Reccrvcd Aggregate contnbuuons
C Castr .13;
Personal Check C; Credit/Debit Card * Payroll Deduction Ci Money Order 08t25120a9 $50.00 $50.00,
Firs! .. Princinal Occupation. Amount of
Ferrillo iLila ,Hair Slylist Contribution
jrty Nme ot !.mploys
Restdentral sEtet Addr€ss itste lR coo9
'93 OneitRd. :Oxford CT 06478 :Self Emoloved
Is contributor a Iobbyist, spouse, C'] Yes It"ontriUution rs in excess of $400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbyist? {il No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? il',' Yes lil t'to
Is this contribution associated with a Cl Yes ls contributor a principal ofa state contractor or prospective state contractor? C] Yes
fundraising event listed in Section Ll? {i: r'lo .I/ycs, indicate which branch or branches €i No
fyes, list Event # o-f !ou".nt.nt the contract is with: Cl Executive Ci Legislative
Date Received Aggr€gate conmDunons
:Cl Cash Cl personal Check Cl Credit/Debit Card CJ Payroll Deduction El Money Order 08/08/2009 $s0.00 $50.00:
Last Nm€ Irsl MI Principal Ocoupatiot Amount of
'Nurse / Pharmacist Contrlbution
Ferrillo Sarah
Residential Street Add - V lstate
r Code
2 Hart Ct. oxford I cf t6478

ls contributor a lobbyist, spouse, C Yes Iicontributionis rn excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbYist? J?J NO municipality does contributor or business he/she is associated with have a contract with said
municioaliw valued at more than $5,000? C Yes 'F
No
Is this contribution associated with a F Yes ofa state contractor or prospective state contractor?
Is contributor a principal fi Yes
fundraising event listed in Section Li ? I.r No If.ya,indicate which branch or branches ONo
Ifyes, listEvent # 0911 3/2009 A of govemment the contract is with: ili Executive n lfgtt!4ry
Date Reccived Aggregare
lfCusl ig personal Check lf Credit/Debit Card lC Payroll Deduction [f' Money Order 09/13/2009 $50.00 $50.00
$290.00
Puge 4 of 4
'10/13/2009
Haversat Yish 09
3
"8i-'', temizetliGontributionslft oiii
rjlniliviilirals' !
Last Nm€ First MI Principal Occupatior Amount of
Flach Dana Asst. Tax Collector Contribution
Residmtial Strcet Address irty itaie 1ip Cod€ Name ot Emptoycr
75 Oniel Rd. Oxford CT Town of Seymour

ls contributor a lobbyist, sPouse, a.: Yes If *"t"b"tr-rln excess of M00 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbYist? €. No municipality does contributor or business he,/she is associated with have a contracl with said
municipality valued at more than $5,000? Fi No C Yes
Is this contribution associated with a fi; Yes ofa state contractor or prospective state contractor?
Is contributor a principal
r, Yes
fundraising event listed in Section Ll? C. No Il ya,indicate which branch or branches {t No
fyes, list Event #
09/13/2009 A o?govemment the contract is with:
C; Executive f:
Legislative
llr f: C Money Order 09/08/2009 $25.00
fiCash i?, personal Check Credit/Debit Card Payroll Deduction $25.00
Last Nme Firet MI Pnncipal Occupstlm- Amount of
Girardi Victor 'Self Emoloved Contribution
lesidentral Strcct Addt€ss itste tlp uode Nme ot bmploy€r
74 Rees Dr. Oxford CT 0tr78 ;Self Employed
ls contributor a lobbyist, spouse, C Yes If *"fibuti"" r
eicess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbYist? lG 'No
"
municipality does contributor or business he/she is associated with have a contract with said
municioaliw valued at more than l0
$5,000? No Yes i0
Is this contribution associated with a C Yes Is contributor a principal ofa state contractor or prospective state contractor? {-t Yes
fundraising event listed in Section L I ? [? No fyas, indicate which branch or branches n No
I/yes, list Event # oilovemmentthecontractiswith: OExecutive qLt${tlg
Date Reeived Aggr: g1le coltrbutlons
iC Credit/Debit Card lC Payroll Deduction lcr Money Order 09t26t20a9 $100.00 $100.00
lcCastr ,€; personal Check
Last Nme First MI Principal Occupatim Amount of
Goldstone ,Alan ,Sales Rep Contribution
lesidential Strect Addrcss -tty ifate llp Looe NameofEmployer
,Oxford CT 06478 iNapa Auto Parts
.27 Silano Dr.
Is contributor a lobbyist, spouse C, Yes If."rtrrb.,ti* is in excess of $400 to a candidate committee for a chief executive officer ofa
or dependent ctrita oia iotuylsti lqi No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? fi Yes Fj t'to
ls this contribution associated with a
,QJ YCS
Is contributor a principal of a stato contractor or prospective state contractor? lli Yes
fundraising event listed in Section Ll ? f; tlo .fyes, indicate which branch or branches i!. No
.I/yes, list Event # .09/13/2009 A o?iovemmentthecontractiswith: ll: Executive C t:4lqlry
Dste Recelved Aggr9gat6 conmbu0ois -
Method of connibution:
lll Cast, !'.; personal Check fi CrediyDebit Card C Payroll Deduction Cl Money Order 0910712009 $50.00 $50.00
Lsst Nme FiBt " .

MI Pnncioal. Oeupation Amount of
,Alan :Sales Rep Conlribution
Goldstone
tesid€ntral Stsset Addr€ss :lty tlato 1,.19 Ljqe Nme ot EEployer
:27 sitano or. Oxford CT ou78 Napa Auto Parts

Is contributor a lobbyist, sPouse Cl Yes If cont ibutio" ls in excess of M00 to a candidate committee for a chicf executive officer of a
or dependent child ofa lobbyisti 6i no municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Cl Yes iii No
Is this contribution associated with a €l Yes Is contributor a principal ofa state contractor or prospective state contractor? Cl Yes
fundraising event listed in Section Ll? C No Ifyes, indicate which branch or branches lii No
fyas, list Event #
'09/1 3/2009 A oilovernment the contract is with: C.i Executive Ci Legislative
Date Received Aggrcgate 6nmoulrons
Ci Cash 6l
Personal Check Cl Credit/Debit Card C Payroll Deduction O Money Order 0911212009 $75.00 $25.00
First MI Principal Occupation Amount of
David 'Self Employed Contribution
Haversat
{esldenttal Steet Address tate lip Code Nme ot bmployer
50 Shelton Rd. Oxford CT 06478 Self Employed

.C; a candidate committee for a chief executive officer of a
Is contributor a lobbyist, sPouse, Yes If contribution is in excess of $400 to
or dependent child ofa lobbYist? 11} No municipality does contributor or business helshe is associated with have a confiact with said
$5,000?
.'f'! '.(} No Yes
rnunicipality valued at more than
Is this contribution associated with a C Yes ls contributor a principal ofa state contactor or prospective state contractor?
(; Yes
i.t No
fundraising event iisted in Section I .i ? lfii No Ifyes, indicale which branch or branches
fycs, list Event # of government the contract is with: ifr Executive fi Legislative
Date Received Aggregate contnbuhons
fi ir: Payroll Deduction [d Money Order 08/1 0/2009 $150.00 $150.00
lO O Personal Check
iurlt Credit/Debit Card
-ction BJFliis ?age $350.00
SUBTO.TAiLtS
Page 5 ot 5
L MONETARY RECEIPTS
Section B. ld41&ry! iegg_
Alrc nE n^trrn1.Tc t:ntd.ntEhi,rc

o',,'il6il it{Contfibutionsfiroml{nttividualC:
Last Nme Firet MI Principal Occupstion Amount of
Hertzmark ,Alan AttorneV Contribution
Resrdmtl&l Strc€t Addr$s iity itate ,lp Lode Name ol Employ€t
146 Countrv Club Dr. Oxford CT 06478 Self Employed
ls contributor a lobbyist, spouse, Ci Yes If.""tribrti"" it in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbYist? {t. No municipality does contributor or business he/she is associated with have a confact with said
municipality valued at more than $5,000? C Yes .9 No
Is this contribution associated with a 0; Yes Is conEibutor a principal ofa state contractor or prospective state contractor? C Yes
fundraising event listed in Section Ll? C tto Ifyes,indicale which branch or branches €: No
Ifyes,list Event# 10/04/2009 B oiiovemment the contract is with: (, Executive (l: Legislative
Date Rcceived Aggregate contnbunons
C Credit/Debit Card {1, Payroll Deduction C Money Order 0912612009 $50.00 $50.00
C Castr Q, Personal Check
LstNme Fimt Ml- Principal Oeupation Amount of

,Kane Robert .J Self Emploved Contribution
lity itate :lp Looc Nam€ ofbmploy€r
Rcsidutial Street Address
.301 kimberly Ln. lWatertown CT 06795 Self Emoloved / Kartel
Is contributor a lobbyist, sPouse, C Yes tf is in excess of $400 to a candidate committee for a chiefexecutive ofiicer of a
"ontrlUutiondoes contributor or business he./she is associated with have a contract with said
or dependent child ofa lobbyist? lQ No municipality
municioaliw valued at more than $5,000? l* Yes O
No
Is this contribution associated with a 'ii Yes Is contributor a principal ofa state contractor or plospective state contractor? O Yes
fundraising event listed in Section Ll ? ii! t'lo If yes , indicate which branch or branches 'Ci iF! No
#
If ya.,Iist Event ,09/13/2009 A . oigov"m*ent the contract is with: Executive lff Legislative
Date Received Ag€regale conm9ut:3ns
Method of contribution: .
$25.00
lCl.Castr jot personal Check iG Credit/Debit Card lC Payroll Deduction ffi Money Order 09/13/2009 $25.00
dstNmo Firs! MI Principal Occupation., Amount of
-
.
,Karpovich rUnemoloved Contribution

Jill
Resrdentlsl Strect Address litv ttate ,lp Cod€ Name ot bmploy€r
06478 ,Unemployed
,sr inednut fiee Hilt nO Eit. Oxford CT
Is contributor a lobbyist, spouse, 'Dl Yes tf l. in excess of$400 to a candidate committee for a chief executive officer of a
"ontriUutlondoes contributor or business he/she is associated with have a contract with said
ordependentchildofalobbyist? !i,j t'lo municipality
municipaliw valued at more than $5,000? f,; yes l? No
Is this contribution associated with a €j Yes Is contributor a principal of a state contractor or prospective state contractor? f: Yes
fundraising event listed in Section Ll? fl No /yes, indicate which branch or branches
lil No
.I/yes, list Event# 09/13/2009 A o?lovemment the contract is with: f,
Executive 'C. Legislative
Date Received Aggregals conmbulons
I.}Castr ,lij personal Check fi Credit/Debit Card f; Payroll Deduction fi Money Order 09/13/2009 $50.00 $50.00:
LatNme -
Frnt ".. Ml hincipal Occupatiur Amount of
rKellv ,Thomas :Sr. Teihnical Team Lead Contribution
Residcntial Ste€t Address lity itata tlP L9o: Nm€ oI tsmployef
:tt Setir oen no. Oxford Cr 06478 ,Afi
Is contributor a lobbyist, spouse, lil Yes tf cont itution is in excess of$400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbyist? lil No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Cr' Yes {i"l No
Is this contribution associated with a C] yes Is contributor a principal ofa state conractor or prospective state contractor? C] Yes
fundraising event listed in Section Ll? Gr No fye,r, indicate which branch or branches -f') ac. No
If yes,lisTEvent# o?govemment the contract is with: Executive Ci Legislative
Date Received Aggr€gate contn butlons
Cj Castr C) Personal Check f.l Credit/Debit Card fl Payroll Deduction D) Money Order 09/03/2009 $200.00 $200.00
Last Nme First MI Principal Ocoupation Amount of
'sandra Accountant Contribution
Residential Sreet Address lity ttste ,rP LoOe Name oi bmployer
88 Bee Mountain Rd. Oxford CT '06478 Self Employed

ls contributor a lobbyist, spouse, C Yes lfcontriUution is in excess a candidate committee for a chief executive officer of a
of$400 to
or dependent child ofa lobbyist? 1{i No municipality does contributor or business he/she is associated with have a contract with said
municioalitv valued at more than $5,000? llfi No
ifi Yes
Is this contribution associated with a G Yes Is contributor a principal ofa state contractor or prospective slate contractor? {] Yes
1:! No
fundraising event listed in Section Li ? r!-r l\0 Ifyes, indicaie which branch or branches
If ya, tist Ev ent # 03ll 320094. of government the contract is with: li
Executive lfi Legislativj
Dat€ Recelved Aggregate contnburons
lCr,Cash i9r Personal Check .O Credit/Debit Card [f: Payroll Deduction lfi Money Order 09/09/2009 $100.00 $100.00
SUB.T0TAI rsection 3:-Tilis1?iEa' j $425.00
Pege 6 of 6
L MONETARY RECEIPTS
I1!1%c'' antmnl'm
Haversat Yish 09 10/13/2009
Last Nme Flrst MI Principal Occupation Amount of

Kilmartin Shawn R Materials / Looistics Manager Contribution
Kesldmhal sueet A6(lress -rty ,l al€ ,rp Code Name ol Emptoyet
06478 :FueCell Energy
89 Stilt Rd. Oxford tJI
ls conributor a lobbyist, spouse, r Yes lfcontribution is in excess of $400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbYist? 6 No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? C Yes fj No
Is this contribution associated with a C Yes Is contributor a principal ofa state contractor or prospective state contractor? f.-i Yes
fundraising event listed in Section L1?
(i No fyes, indicate which branch or branches
{t, No
fyes, list Event # _ oigovemment the contract is with:C' Executive fi
Legislative
Date Reccived Aggregate contnbutlons
O castr C
Personal Check Ci Credit/Debit Card C Payroll Deduction f,, Money Order 08t2612009 $100.00 $100.00
Lst Nflrne Firot MI- ,
Principal Occupatim Amount of
Kilmartin Shawn ,R rMaterials / Loqistics Vanaqei Contribution
tesldmhal SEEet AddtJss liry itale irp Lme Name ot tsmployer
:89 Stiil Rd. Oxford ,cT 06478 ,FueCell Enerov

is contributor a lobbyist, spouse, C Yes If confibution is in excess of $400 to a candidate committee for a chief executive ofticer ofa
or dep6ndent child ofa lobbyist? iG No municipality does contributor or business he/she is associated with have a contract with said
municipalityvaluedatmorethan$5,000? iCt Yes 31 No
ls this contribution associated with a !i; Yes Is contibutora principal ofa state contractor or prospective state conffactor? C Yes
fundraising event listed in Section Ll ? lf.i No fyes,indicate which branch or branches GNo
fyas, listEvent# 09/13/2009 A o?govimment the contract is with: F
Executive ii'Legislative
Date Reeiv€d aggEgare (
Method of contributton:
ifl Cash i9; Personal Check :G Credit/Debit Card C Payroll Deduction I0 Money Order 08t2712009 $150.00 $50.00
Last N{ne First MI Principal Orcupanon Amount of
Korsko Michael ,Self Emploted / Maintenance Contribution
(esrdmtral Street,Aooress irW tlate ,rp Uode NAme or tsmploytr
334 Spruce Hill Dr. .Oxford CT 0il78 Self Employed

Is contributor a lobbyist, spouse, l-, Yes Ifcontribution is in excess of $400 toa candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? li: t{o municipality does contributor or business he/she is associated with have a contract with said
municipalitv valued at more than $5,000? C Yes Fl
llo
Is this contribution associated with a €j Yes Is contributor a principal ofa state contractor or prospective state contractor? Cj Yes
f,ndraising event listed in Section Ll ? f; No fyes, indicate which branch or branches
l!.. No
If yx,list Event # 09/13/2009 A oigovemment the contract is with: fi
Executive C; Legislative
Date Received Aggregate contnbrtrcns,
!l: Cash '|tr Personal Check C Credit/Debit Card e: Pavroll Deduction Ci Money Order 09to2t2a09 $50.00 $s0.00
First MI Princinal Occuparior Amount of
Labriola Dave Attorney Contribution
ResldmtEl street Addr$s lity itate 4P..Lmj Name ot hployer
39 Briarwood Rd. lNauoatuck CT 06770 .Self Emoloved
Is contributor a lobbyist, spouse *l Yes If contribution is in excess of $400 to a candidate committee for a chief executive offtcer ofa
or dependent child ofa toUUyisn '{i;' No municipality does contributor or business he/she is associated with have a contract with said
municioalitv valued at more than $5,000? i1-' Yes lii No
Is this contribution associated with a €l Yes Is conFibutor a principal ofa state contractor or prospective state contractor? Cl Yes
Ll?
fundraising event listed in Section C, No .frss, indicate which branch or branches {Ti No
Ifyes,list Event# 09/13/2009 A of govemment the contract is with: l-Ll Executive 'Ci Legislative
Date R€eived Aggrcgate contnbuhons
f,Cash 6l
Personal Check {i''l Credit/Debit Card t) Payroll Deduction el Money Order 09t1312A09 $50.00 $50.00
Last Name Firsi MI Principal Occupation Amount of
:Lavin John :B Self Emoloved / Phvsician Recr Contribution
Resldentlal Streel Address ibte lrplme Nmo ol tmployer
50 Rees Dr. Oxford tI 06478 Self Employed
is contributor a lobbyist, spouse, (- Yes lf contribution is in excess of$400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? JlI NO municipality does contributor or business heishe is associated with have a contract with said
municipality valued at more than $5,000? .'O Yes i6' No
Is this contribution associated with a O Yes Is contributor a principal ofa state conftactor or prospective state contractor? C Yes
fundraising event listed in Section Ll ? lO No Ifyes, itdicate which branch or branches l6i No
fyes. list Event # of govemment the contract is with: il
Executive fi
Legislative
Datc Reeived Aggregate contnbutrons
lO Cash ii: Personal Check l--i Credit/Debit Card l]: Payroll Deductron Io Money Order 08t2812009 $200.00 $200.00
'sttBiof iL sectiiJ4a..rqi!&gq $450.00
Pege 7 oI 7
Section B. Additional Pag5:
.l
,1mE'r:'i
Haversat Yish 09 10t13t200s

::r:::.r::,
Lst Nme First MI. Principal Occupation Amount of

Lavin John B Self Employed / Physician Recr Contribution
Residential SEeet Address . tty itate xp Loo€ Name ot bmployer
Oxford CT 06478 ,Self Employed

50 Rees Dr.
is contributor a lobbyist, spouse, !. . Yes tf is in excess of $400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbyist?
(i'No "ontrlUutiondoes contributor or business he/she is associated with have a contract with said
municipality
municinaliw valued at more than $5,000? C! Yes
11: No
ls this contribution associated with a ai Yes ls contributor a principal ofa state contractor or prospective state conmctor? C, Yes
fundraising event listed in Section Ll?. j No indicate which branch or branches {?, No
!.. fyes,
IJya,list Event# 09/13/2009 A o? lovemment the contract is with: C Executive {.-;
I:gqIltt*
Date Receled .
Aggregats contnbutrons
09/13/2009 $50.00
CCastr t", personal Check fl;Credit/DebitCard {lrPayroll Deduction lCi MoneyOrder $50.00
kstNm€ Fint MI Principal Occupation Amount of
rPaul 'Retired Contribution
,Lenqvet
Residential Sreet Address -lty itate 1lp Looe Nme of Employer
Oxford :CT 06478 ;Retired
172 Lauohlin Rd.
Is contributor a lobbyist, spouse, n Yes If .*tribrft-J in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? I!! No municipality does contributor or buiness he/she is associated with have a contract with said
municibality valued at more *ran $5,000? ',0 Yes !F No
is this contribution associated with a O Yes Is contibutor a principal ofa state contractor or prospective state confactor? il Yes
fundraising event listed in Section Ll ? i|} No fyes, indicate which branch or branches F.t No
fyes, list Event# 1010412009 B oiiovemment the contract is with: S'Executive n'Egqutlrt
Date Recrv€d. Ag_grcg8te conlnbutrcns
Method of contribution: . ."
it
ifi Castr personal Check fi Credit/Debit Cud G' Payroll Deduction lft Money Order 0st2312009 $90.00 $90.00
Lsst Nme First MI Principal. Orcupatim Amount of

Link Richard iM rElectrician Contribution
Residmtral lir€et Address litv italc ilp Los€ Nme of Employer
.
:6 High Ridge Ter. :Oxford CT 06478 Control Svstem

Is contributor a lobbyist, spouse, Ci Yes tf contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? iii No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Ci yes C t''to
Is this contribution associated with a f- Yes Is contibutor a principal of a state contractor or prospective state contractor? f*lt Yes
fundraising event listed in Section Ll? iL no fyes, indicate which branch or branches tgo €
If yes,listEvent # 091 3/2009 A oilovimment the conffact is with: !i
Executive C Leellatl3
Date Recerved Aggrcgat€conmbuuons .
G Cash 'l?j Personal Check C Credit/Debit Card f; Payroll Deduction C'l Money Order 0910212009 $s0.00 $50.00
Lst Natne Firs!.. .

" .
MI Principal Occup*ion Amount of
:Michael 'Unemployed Contribution
;Macchio
Resldmttal strect Address :tty ,tP r-999 Nme ot Employer
'ls!E
Siiino CT 06478 rUnemoloved
.ZS Or. 'Oxford
ls contributor a lobbyist, spouse, c'l Yes tf is in excess of $400 to a candidate committee for a chief executive officer of a
l?i No
"*triUuti-does contributor or business he/she is associated with have a contract with said
municipality
municiiality valued at more than $5,000? ili Yes 6i No
Is this contribution associated with a 6ll Yes Is contributor a principal of a state contractor or prosPective state contractor? C:l Yes
fundraising event listed in Section Ll ? (]i t{o I/yes, indicate which branch or branches €;l No
1010412009 B of lovemment the contract is with: -.
'{l,l Executive lli
Legislative
fyes,listEvent#
Date Recived Aggregat€ conmDunons
C, Castr 4l
personal Check C'l Credit/Debit Card f,) Payroll Deduction e) Money Order ogt't1t200s $90.00 $90.00
Last Nme Flnt MI Prineipal Occupation Amount of
Macchio Michael Unemoloved Contribuiion
Kesldmtlal street Adoress rry rUrle ,lp uode Name ol Lfiployer
25 Silano Dr. Oxford CT 06478 Unemployed
ls contributor a lobbyist, spouse, c Yes tf contriUuiion is in excess of$400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? .r!.! No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at rnore than $5,000? lO Yes iFi No
Is this contribution associated with a li: Yes Is contributor a principal ofa state contractor or prospective state contractor? il Yes
funciraising event listeci in Section Li9 f 'l\0 Ifyes, indicate which branch or branches rft No
If y a, tist Ev ent # Qgll3lzQqgA oigovemment the contract is with: il Executive li t egl9latry9
Date Receivcd Aggregate contnbutlons
IO.Cash F personal Check lfi Credit/DebitCard l']Payroll Deduction lfr MoneyOrder ostlll2oog $120.00 $30.00
SUBTO Al5eition 3:Tliii P4Bil $310.00
Page 8 of I
Section B. Additional Pase
\14f,rc'nEnnMf,mE :
r,'nvlntmnA'E'
iii:.::ri,.i:rt:,*,i:'11!lii!i::irii.itir i.$l:i$iib*teA$niiifiriii;ni-,tod$aiviauet. .
Lst Nmc First MI Principal Occupation Amount of

.Mcnamara rM Attornev
Claire Contribution
Rcsldcnhal Street Address -lty Jtate 1ip Code Name ot Emproyer
134 Shelton Rd. Oxford CT 06478 Self Employed

Is contributor a lobbyist, spouse, f: Yes If contribution is in excess of$400 to a candidate committee for a chiefexecutive officer of a
or dependent child ofa lobbyist? €. No municipality does contributor or business helshe is associated with have a contract with said
municinalitv valued at more than $5,000? C Yes ll No
ls this contribution associated with a €j Yes ls contributor a principal ofa state contractor or prospective state contractor? c Yes
fundraising event listed in Section Ll? fiNo fyes, indicate which branch or branches €. No
If yes, listEvent # 09/13/2009 A o?Lovemment the contract is with: C: Executive C Legislative
Date Rcccived. Aggregale contnbutrons
C Cast 8r, Personal Check C Credit/Debit Card !.': Payroll Deduction C Money Order 09/03/2009 $70.00 $70.00
Fint MI Principal Occupation Amount of
Mcnamara Claire M :Attornev Contribution
Residatial Street Address jrty.. itat€ Zip Code Nme or rmproyer
'134 Shelton Rd. ;Oxford icT 06478 :self Employed
Is contnbutor a lobbyist, spouse, !,. t Yes If contribution is in excess of$400 to a candidate committee for a chief executive officer of a
'rG No municipality does contributor or business he/she is associated wiih have a contract with said
municipality valued at more than $5,000? lCr Yes F
No
Is this contribution associated with a f; Yes Is conhibutor a principal ofa state confactor or prospective state contractor? $; Yes
fundraising event listed in Section Ll ? 'dfi No fyer, indicate which branch or branches if-r No
Ifyes,listEvent# _ o?govemment the contract is with:Ij,'Executive i1.. Legislative
Dat€ Rreiv€d Aggr€g8te contnbutrons
lCi Cash .e personal Check l(! Credit/Debit Card lC,Payroll Deduction lC, Money Order o9t2112009 I $95:oo $25.00
Lst Nme First Ml. Principal Occulaticr Amount of
rMiller William :M ,Self Emoloved / lnvest Adiviso Contribution
{€sldfl tral Street Aldregs lity .
itate lip Code Nam€ ot bmployer
;2 Deanna Dr. 'Oxford CT 0M78 . Self Emploved

Is contributor a lobbyist, spouse, fi,] Yes Ifcontribution is in excess of$400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? l?: t'lo municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Ci Yes {?j No
Is this contribution associated with a l:, Y es Is con8ibutor a principal ofa state contractor or prospective state contractor? f:. Yes
fundraising event listed in Section Ll? f;No fyes, indicate which branch or branches l. No
t/yes, list Event # 1 0/04/2009 B oigovemment the contract is with: f;
Executive Legislative C
Date Received. Aggrcgate contnbunons
G Castr 'lij Personal Check 1? Credit/Debit Card Q Payroll Deduction Ii) Money Order a9|2Ol2009 $50.00 $50.00
Lsst Narnc FiBt. MI Principal Occupatim Amount of
. .
lMontanaro ,Domenica ,Retired Contribution
Kesld€nuil Jrect Aocress jlty tlate llp Uods Name ot tsmptoycr
Oxford CT 06478 ,Retired

412 Mutliqan Dr.
ls contributor a lobbyist, spouse, cjl Yes If contribution is in excess of M00 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? €i No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? ill yes {?l t'lo
Is this contribution associated with a Cl Yes Is contributor a principal ofa state contractor _or
prospective state contractor? Cl Yes
fundraising event listed in Section Ll? li;i No !/yes, indicate which branch or branches 6i No
If ya,list Event # of govemment the contract is with: Cl Executive Cii Legislative
Date Received_ Aggregste contnbutlons.
fii Castr {11 Personal Check Cl Credit/Debit Card C) Payroll Deduction 01 Money Order 08t1112009 $100.00 $100.00
Ltrt Nme -- frrst MI Principal Occupation Amount of
tMontanaro Tonv iEnoineer Contribution
Kesld€nbal Jtreet Ao0ess irty )tale lrp Lqoe Nme ol bmployer
.412 Mulliqan Dr. Oxford CT 06478 Verizon
Is contributor a lobbyist, spouse, C. Yes is in excess of$400 to a candidate committee for a chief executive officer of a
If contribution
or dependent child ofa lobbyis? n No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? 1l Yes lEi I'lo
ls this contribution associated a with C Yes Is confibutor a principal ofa state contractor or prospective state contractor? n Yes
fundraising event ltsted in Section Ll? lG No Ifyes, indicate which branch or branches .{n No
If yu,lixEvent# oigovemment the contract is with: O Executive O Legislative
if
O,Cash personal Check lfi Credit/DebitCard lC Payroll Deduction [f, Money Order a$n1p009 $500.00 $500.00
s745.00
Page of 9
-!-
nri'ffi\r:
^jiiEinir, -nf
Haversat Yish 09 1011312009
.iiilmieu,Goniiitntionslfi6h maiviauars
",rBi
Lret Nme First MI Principal Occupatim Amount of
Montanaro Tonv ,Enoineer Contribution
rw rtgte lrp Uode Name ot Employer
Resrdcnhal str€et Addffi s
412 Mulligan Dr. .Oxford CT 06478 Verizon
Is contributor a lobbyist, spouse, {i Yes If *nttlOution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbYist? I' No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? C Yes l?: No
ls this contribution associated with a F,J YES ls contributor a principal ofa state contractor or prospective state contractor? {-, Yes
fundraising event Iisted in Section Ll? CNo (iNo
fycs, indicate which branch or branches
.I/yes, list Event# 09/1ry2Qqq A oigouemrent the confact is with: C
Executive l:
Legislative
Dale Received Aggregste contnbutlons
f; C Money Order o8t21n0a9 $550.00 $50.00
C Casi, JT, personal Check Ci Credit/Debit Card Payroll Deduction
Last Nme FAst MI Principal Ocoupation Amount of

Montanaro Tonv iEnoineer Contribution
itate llp {-ode Name qI L,mploy9{
lesidential Strcct Address
,412 Mulliqan Dr. Oxford CT 06478 'Verizon
Is contributor a lobbyist, spouse, t: Yes If rs in excess of$400 to a candidate commi$ee for a chief executive offrcer of a
No "orributlo"does contributor or business he/she is associated-with have a contract with said
municipality
or dependent child ofa lobbYist?
"a municipality valued at more than $5,000? lfi Yes G No
Is this contribution associated with a G Yes Is contributor a principal ofa state contractor or prospective state confractor? S Yes
fimdraising event listed in Section Ll?. fi'No fycs, indicate which branch or branches 'fr: 0No
fyes, list Event ' 10/04i12!Qg g
# oilovemment ttre contract is with: Executive i(i Legislative
Date Receivcd- ege'"e"I."
Method of contribution: 9oolburl9T ..
personal Check G Credit/Debit Card lC:'Payroll Deduction lC; Money Order 09/1 8/2009 $640.00 $90.00
lO Cash Sl
Last Nme l$t MI Principal Occupatim Amount of
Neary William 'Attornev Contribution
(csldenhal sts€ct Ad(r€ss rry..,.. itste 4p UO6e Nme.gl.bmp-loy9I
.28 Old Country Rd. iOxford CT 06478 ,Self Employed

Is contributor a lobbyist, sPouse, rl Yes tf .ontriUuti- is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? F: No municipality does contributor or business he/she is associated with have a contract with said
municipalityvaluedatmorethan$5,000? e Yes'!i:, No
is this contribution assoctated with a lij Yes Is contributor a principal ofa state contractor or prospective state contractor? l*l; Yes
fundraising event listed in Section L1 ?, !l; No fyas, indicate which branch or branches fi. No
#
fyes, list Event 09/13/2009 A oiiovemment the conhact is with:fl-, Executive {i. Legislative
Date Rereived
C: Casn !i, Personal Check C; Credit/Debit Card Q Payroll Deduction ll: Money Order 09/13/2009 $70.00 $70.00
Last Nme FiB!........ MI Principal Occupatior Amount of

Palmer ,August ;Engineer Contribution
lesidentral Street Addrcss lity ;tate lrp Lol: N6me ofEmployer
'it neo aarn io. Oxford CT 0il78 rOxford Science

Is contributor a lobbyist, spouse, rfl Yes lf contltuiion is in excess of$400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbYist? l!i No municipality does contributor or business he/she is associated with have a contract with said
h.' Yes €l {o-
jll Yes Is contributor a principal ofa state contractor or prospective state contractor? Cl Yes
fundraising event listed in Section Ll ? C,- No fyer, indicate which branch or branches €.1 No
fyes, list Event # 10104120A9 B o?govemment the contract is with:Cl Executive C:i Legislative
Dat€ Recclv€d AggreSate contntutrons
C, Casn 6] Personal Check C] Cr€dit/Debit Card f,) Payroll Deduction f] Money Order 09128120a9 $90.00 $90.00
Lpst Nme First MI Principal Occupation Amount of
Palmer Patricia Adminlstrative Asssitant Contribution
liry itate lrP LOs€ Name ot'Emplo]er
Resid€ntr8l Str€ct Addrcss
11 Red Barn Rd. Oxford CT 06478 Town of Oxford

Is contributor a lobbyist, spouse, C Yes is in excess of $400 to a candidate committee for a chief executive officer of a
lf contiibution
or dependent child ofa lobbYist? l0 No municipality does contributor or business he/she is associated with have a contract with said
nunicipality valued at more than $5,000?
''C No Yes ,9
a
ls this contribution associated wit'h 'li' Yes Is contributor a principal ofa state contractor or prospective state contractor? C Yes
SectionLi? lfi 1?r No
fundraising event listed in i"lo fyes, indicate which branch or branches
If y a, tist Ev ant 4 03!13!2W9_ o?iovernment the contract is with: ii. Executive C Legislative
Date Received Aggregate contnDuilons
i9; personal Check l0 Credit/DebitCard lC Payroll Deduction Money Order 09/13/2009 $50.00 $50.00
loCusn 'rfi
:f,UBfOTCL:iSection;B-This rfagC,'' $350.00
Pege 10 or 10
:ir:rucnrmniryf:
Haversat Yish 09
10113t2009
Last Nme Fint MI Principal Oeupatim

Palutis Vinceni Amount of
Retired
Kesrqqnal Sreet Addfess
-lty lmte ap uode r\me or rmploYc!
,75 Rees Dr. Oxford CT 06478 Retired
Is contributor a lobbyist, spouse, |: Yes If contributionis in excess of $400 to a candidate a chief executive officer of a
or dependent child ofa lobbyist? €: tlo "oiiGior
municipality does contributor or business he/she is associated with have a
contract with said
municipality valued at more than $5.000? yes fn N^
i-f^.
rD .llrt suntuUuuun assoclaleo wltn a l,?: y( Is contributor a principal ofa srate conhactor or prospective state contractor?
fundraising event listed in Section Ll? C N, Ifyes, indicate which branch or branches
C Yes
If yes, list Event #
09/1 3/2009 A GNo
of govemment the contract is with: C
Executive ll:'Legislative
Method of conuibution: Date Receiv€d Aggregate contributions
c casl €- Personal check c credit/Debitcard Ii. payroll Deduction ci Money order 08t24t20;ii $50.00 $50.00
Last Name Fint Principal Occupation
Penry
Kesroennd Street Address
'Melissa I :r
Unemployed
Amount of
.lty itate dp Lode l\me or bmPtoyer
9 Bishop Rd. :Oxford -TMr
CT ,06478 ,Unemployed
Is contributor a lobbyist, spouse, ii Yes Ifcontribution is in excess ofS+
or dependent child ofa lobbyist? .fi tto municipality does contributor or business he/she is associated with have
a contract with said
i0 Wo yes i.?
I; YEI Is contributor a principal ofa state contractor or prospective stute contractor?
fundraising event listed in Section Ll? lQ No .fyas, indicate which branch or branches
lJ Yes
Ifycs,list Event# i6: No
ofgovemmentthecontractiswith: i0 Executive i?Legislative
Method of contribution: Date Received Agg€gate contributions
l(l Casn ifi Personal Check l-(i' Credit/Debit Card lC payroll Deduction ffi Money Order 08/18/200e $250.00 $250.00
Last Name ... 'irst
MI )rincipal Occupation
:Penry ;Melissa 'Unemoloved Amount of
rqmuat Jreet Aocr€ss Ity Contribution
itale lrp Loge Nam9.ot bmploygl
S Bishop Rd. Oxford CT 06478
.
, tlnemployed
Is contributor a lobbyist, spouse, Ci Yes If contribution is in excess of$400 to a can lldate committee for a chief executive
officer of a
or dependent child ofa lobbyist? f*; No municipality does contributor or business h c/she s associated with have
a contract with said
municipality valued at more than $5_000? ili V"o li N^
rr uuD uuilu ruuuon ilisoclarco wln a t, Yes ls contributor a principal ofa state contractor or prospective state contractor?
fundraising event listed in Section Ll? C No
l-. Yes
.fyes, indicate which branch or branches €,No
Ifyes,list Event# 09/13/2009 A of govemment the contract is with: C Executive C Legislative
Method of contribution: Date Rcccived Aggregate contribulions
C Castr l?i Personal Check C; CreditlDebit Card e payroll Deduction f,i Money Order 09t10t2009 $320.00 $70.00:
Last Nme rlma -. Mt,, mctDat uccupatlor!
,pienroia iStanley ,A ;Custodian Amount of
romnat JE€et.Address Contribution
-rtY lState lZp Code r\ame ortmployer
166 Oxford Rd. oxford lcr loo+zg Town of Oxford
rs conrflDutor a lobbylst, spouse, Cl Yes Fcontribution is in excess of M00 to a candidate.o*itrc. i*u.r,i"ro""ffiEffit
or dependent child ofa lobbyist? {?l No runicipality does contributor or business he/she is associated with have
a contru.t *itt ,uio
tunicipality valued at more than $5,000?
11,. Wo yes l$
Is this contribution associated with a €l Yes Is contibutor a principal ofa state contractor or prospective state contractor? Cl
fundraising event listed in Section Ll? fiNo Ifya,indicatewhich branch or branches €j
Yes
Ilyet, listEvent # 09/13/Z0Og A .
No
of govemment the contract is with: Cl Executive Di Legislative
Method of contribution: Date Received . . AggreFate contributions
c cash €l Personar check c-r credit/Debir card cJ payroil Deduction frl Money order 09/08/2009 $50.00 $50.00,
LmtNme First MI Principal Occupation
Pierwola Staniey A ,Custodian I Amount of
Dtreet Addr9ss Contribution
^€srqennat -tty )Bre Flp Looe r\amo or cmploye!
I
166 Oxford Rd. Oxford cT I oaqa Town of Oxford
Is contributor a lobbyist, spouse, C. yes
'r eu'rrruuue! rs rD cxcgss or Dr+uu ro a canoroate commlttee fbr a chiefexecutive offtcer ofa
or dependenr child of a lobbyist? li? No municipality does contributor or business he/she is associated with have a
contract wittr saia-
municipality valued at more than $5.000? lff yes '6r No
is this contribution associated with a C Yes Is contributor a principal ofa state contractor or prospective state
fundraising event listed in Section Ll ? lfl xo iJ yes, indrcate which branch or branches
contractor? fr Yes
Ilyes,list Event# .(!t No
of govemment the contract is with: ji Executive lfl Legislative
Date Receivcd Aggregate contributions
lo castr i9 Personal check lff credit/Debit card lc payroll Deduction lci Money order
09t22t2009 $250.00 $2oo.oo l
: i .i j
StIBToiAlSecrion,B_Thispase $620.00
pase 11 of 11
.ntE:n !rc

.t. i:
Lrot Nme First M1 Principal Occupation Amount of

:Carole 'Self Employed / Programmer
M Contribution
ResldstEl street Addms lry )I8le ,lp Code Nme or improyer
Oxford CT 06478 ,Self Employed
16 Greenbriar Rd.
ls contributor a lobbyist, sPouse,
r: Yes If contribution is in excess a chief executive officer of a
of $400 to a candidate committee for
or dependent child ofa lobbYist? {i, No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? C Yes Ji: No
Is this contribution associated with a €i Yes ls contributor a principal ofa state contractor or prospective stat€ contractor? C Yes
fundraising event listed in Section Ll ? CNo Ifyes, indicate which branch or branches €r t,to
I!yes,listEvent# 09/13/2009 A oiiovemment the contract is with: ili
Executive f-. Legislative
Date Reeived Aggregate confibullotrs
cCash {9. personal Check CCredit/DebitCard !l:PayrollDeduction C:MoneyOrder 08/31/2009 $s0.00 $50.00
Last N6m€ First Pnncipal Occupehm Amount of

,William Retired Contribution
'Rausher
lity Jtlle :rp Loqc Name ol'Employ-cr
{esidmtral Strect Addtess
663 North Everoreen Ave. ,Woodbury :NJ 08096 :Retired
Is contributor a lobbyist, spouse, C Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbYist? lG No municipality does contributor or business helshe is associated with have a contract with said
municipality valued at more than l0 Yes lG i'lo
$5,000?
Is this contribution associated with a lQr Yes Is confibutor a principal ofa state contractor or prospective state contractor? i3 Yes
fundraising event listed in Section Ll ? lO No I/yes, indicate which branch or branches '1fl:'Executive iQ No
IJ yes, li$ Event# 1 0104120O9 B o?Lo*rn.rnt the contract is with: :.Cl
Legislative
Date Reeived. Aggregate contnbulon:
Method of contribution: .
lfi,Cash ,Q, personal Check iG Credit/Debit Card C'Payroll Deduction lfi' Money Order 09/10/2009 $50.00 $50.00
Last Nme Flrst MI Principal Occupatiol. Amount of
:Remele .James IA rPolice Officer Contribution
Kesrd€nt8l street Address Jrty !Ele 1ip Code Name ot bsployer
8 Sunrise Rd. Oxford CT 06478 iCity of Bridgeport

Is contributor a Iobbyist, spouse, C,j Yes If contributionis in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? {t-r No municipality does contributor or business he/she is associated with have a contract with said
municioalitv valued at more than $5,000? C Yes {l
t'lo
Is this contribution associated with a €j Yes Is conributor a principal ofa state contractor or prospective state contractor? {l: Yes
fundraising event listed nr Section Ll? f: No fyes, indicate which branch or branches
{ir No
{fyes, list Event# 09/13/2009 A o?lovimment the contract is with' !..1, Executive C Legislative
Date Reeiv_ed Aggregate contnDuuons
!*11 Castr
,lTj personal Check Ci Credit/Debit Card f! Payroll Deduction C Money Order 08/31/2009 $50,00 $50.001
Lst Nrme First, . ." MI Pnncioal Ocupuior .. Amount of

,Robinson ,Barbara ,Retired Contribution
Residstral Street Address lity itate ,lP L-.o9! Nme ot bmployer
Oxford CT 06478 :Retired
1226 Christb; Si.
is contributor a lobbyist, spouse, Cl Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbyist? 11) No municipality does contributor or business he/she is associated with have a contract with said
municioalitv valued at more than $5,000? Cl yes at"j No
Is this contribution associated with a €l Yes Is contributor a principal ofa state contractor or prospective state contractor? C] Yes
Ll?
fundraising event listed in Section C: l'qo Ifyes, indicate which branch or branches €i no
Ifyes,list Event# 09/13/2009 A of government the contract is with: Cl Executive {ii Legislative
Date Re@ived Aggregsle contnbuhom
C, castr Ql Personal Check C,t Credit/Debit Card fltt Payroll Deduction e1 Money order 0812712009 $50.00 $50.00
Lasl Nme First MI Principal Ocupation Amount of
Robinson Barbara Retired Contribution
Residennal Street Address itate ,rp Looe Name ol lmployet
226 Christian St. Oxford CT 06478 Retired
Is contributor a lobbyist, spouse, f. Yes lf contributionis in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? Iti No municipality does contributor or business he/she is associated with have a conffact with said
municipaliw valued at more than $5,000? iC' Yes G' No
'ff, Yes Is contributor a principal ofa state contractor or Prospective state contractor? C, Yes
fundraising event listed in Section Li? lfi No If yx , indicale which branch or branches (!r No
Il yes, list Event # 10lOq2A09 B of Lovemment the contract is with: lll
Executive fi
Legislative
Date Aggregate conFrbuoons
lcr cash F
Personal check lf credit/Debit card lf: Payroll Deduction ,rc Money order 09t12t2009 $140.00 $90.00
:
';SUBTOTAL: Section EdlliisiPaee $290.00
P^e" l2- ot 12
r*ffit :E NAiNTMT\AM

$
iB;:.' iliamitCil*Gontributibnstrom,llntlividua ls i:
Last Nme Fimt MI hincipal Occupatim Amount of

Schreiber Paul Self Employed / Farmer Contribution
:(esldentlal Saect Addlcss Ity itate rp Lose Nme ot tmployer
648 Quaker Farms Rd. Oxford CT 06478 Self Employed
Is contributor a lobbyist, spouse, Ci Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer ol a
or dependent child ofa lobbyist? {i.No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? Cr Yes Fj No
is this contribution associated with a C: Yes ls conEibutor a principal ofa state contractor or prospective state contractor? C. Yes
fundraising cvent listed in Section Ll? iO No Ifyes, indicate which branch or branches €: No
fyes. list Event # o?!out*r.nt the contract is with: C
Executive (l
Legislative
Date Rec€ived Aggregate contnbutrons
C'Castr !?: Personal Check f,i Credit/DebitCard !?: Payroll Deduction lC. Money Order 09/13/2009 $50.00 $50.00
LctNmc Fint MI Principal Occupation Amount of
;P ,Retired Contribution
'Spruck 'Edward
iesrdenhal Street Address lify itate ;P LOqe Name ot tsmploye,r .
:5 Willow St. ;Oxford CT au78 'Retired

Is contributor a lobbYist, sPouse, C Yes Ifcontribution is in excess of$400 to a candidate committee for a chief executive ofiicer of a
or dependent child ofa lobbyist? i-6 No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than ICt Yes .iE t'to
$5,000?
Is this contribution associated with a (.1 Y es ofa state contractor or prospective state contractor?
Is contributor a principal li Yes
fundraising event listed in Section Lt? lCl No fyer, indicate which branch or branches ir3i, lo
If yes, tis.. Ev ent #, qgl$/2qQgA of govemment the contract is with: I]
Executive fi
Legislative
Date Rec,elvcd A_g8r-egee:onmourcns,
Method of contribution: -
l0'Cash C
Personal Check IF Credit/Debit Card C: Payroll Deduction fC Money Order 09/09/2009 $100.00 $100.00
L:st Nme Ftrst MI Principal Occupatior Amount of
lMiriam Retired Contribulion
(€sldentral Smet Ao(ress ,jlty .
itate :rp uooe Nme ot Emptoyer
,98 Hawiev Rd. rOxford CT 06478 :Retired
Is contributor a lobbyist, spouse, $ Yes If contributionis in excess of$400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? {ii tto municipality does contributor or business he/she is associated with have a contract with said
yes ll
municioaliW valued at more than $5,000?
C: l'io
Is this contribution associated with a €j Yes Is contributor a principal ofa state contractor or prospective state contractor? C: Yes
fundraising event listed in Section Ll? CNo fyes, indicate which branch or branches l: No
fyes, list Event# 09/13/2009 A oigovemment the contract is with: C; Executive C Legislative
Date Reeived A&qregate contn butrons
.(: Castr lTj Personal Check C Credit/Debit Card !2 Payroll Deduction C, Money Order 08t24t2009 $70.00 $70.00
bfst MI Pnncipd Occupation Amount of
.G rRetired
Trunoadi : Rocco Contribution
lesidmtlal Str€€t Address .rty itate ltp L,q99 Nme or rmploy€r
:g3e Sbiuc€ Hill Di. ,Oxford CT oM78 ,Retired
Is contributor a lobbyist, spouse, i-r'l Yes lf contributionis in excess of$400 to a candidate committee for a chief executive officer ofa
or dependent child ofa lobbyist? {i,l No municipality does contributor or business he/she is associated with have a contract with said
municipalitv valued at more than $5,000? ill yes lil
No
Is this contribution associated with a 1ll Yes Is contributor a principal ofa state contractor or prospective state contractor? Cl Yes
fundraising event listed in Section Ll? F.i t'lo I/yes, indicate which branch or branches No €i
IJyes,listEvent# olgovemment the contract is with: C-l Executive Ci Legislative
Dale Recived . Aggregate contnbutlons
C, Cash Cl Personal Check Cl Credit/Debit Card C) Payroll Deduction f) Money Order 0812712009 $100.00 $100.00
First MI Principal Occupation Amount of
Trunoadi Rocco G Retired Contribution
Lesld€ntlal strcet Address - -tty itate 1lp Loo€ l\amo or rmproy€r
336 Spiuce Hill Dr. Oxford CT ou78 Retired

ls eontributor a lobbyist, spouse, C Yes If contribution is in excess of$400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? l{i t,to municipality does contributor or business helshe is associated with have a contract with said
municioaliw valued at moro than $5,000? lf' Yes iF No
Is this contribution associated with a Fi Yes Is contributor a principal ofa state contractor or prosp€ctive state contractor? C Yes
fundraising event listed in Section L I ? lfl No ify*, indicate which branch or branches _t9f t\o
/yes, Iist Event# 09/13/2009 A of govemment the contract is with: il
Executive fi
Legislative
Date Receivcd Aggregate contnbutlons
ln Cash €
personal Check i-i Credit/Debit Card lc: Payroll Deduction [fr Money Order 09t02120a9 $1s0.00 $50.00
'$IISTOT+llL','Section 3-Tbis $370.00

"Page
Page 13 ot 13
L MONETARY RECEIPTS
atrg.nEj antf lnTTlEit i:l
Haversat Yish 09 1 0/1 3/2009

ir:,:;,tr:i::i
Last Nm€ Fint MI Principal Occupation Amount of

Uskevich Robert ,J Attornev Contribution
rtale ilp Uode Name ot bmplover
Residential Strct Address -rw
Oxford CT 0il78 .Self Employed
:33 Punkup Rd.
Is contributor a lobbyist, sPouse, Ci Yes tfconEiUution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa
or dependent child ofa lobbYist? {?, No mtmicipality does contributor or business he/she is associated with have a contract with sBid
municipality valued at more than $5,000? (} Vqt e No
Is this contribution associated with a {ij Yes ls contributor a principal ofa state contractor or prospective state contractor? C. Yes
fundraising event listed in Section Ll ? CNo Ifyes, indicate which branch or branches
(i' No
fyes, list Event #
10l04l2jog B oilou.rn."nt ttt" contract is with: * Executive C Legislative
Dat€ R€eivcd. Aggregsle contnbutrons
fi C 09t22t2009 $100.00
fi Castr 1i; Personal Check C Credit/Debit Card Payroll Deduction Money Order $100.00
Lst Narne First _
MI Principal Occupatior Amount of
rYish :Tracey 'Leoel Secretarv Contribution
R csidential She€t Addreg$ lity -... .
turtE ,lp Code Name ot bmployer
,Oxford CT 06478 rMay and Kulas
'40 Moose Hill Rd.
Is contributor a lobbyist, sPouse, (; Yes excess of $400 to a candidate committee for a chief executive officer of a
tf contriUution is in
or dependent child ofa lobbYist? !!! No municipality does contributor or business he/she is associated witli have a contract with said
municipality valued at more than $5,000? ICt Yes
'*
Is this contribution associated with a !! Yes Is contributor a principal ofa state confactor or prospective state contractor? Yes
fundraising event listed in Section Ll? l.o No {/yes, indicate which branch or branches !Q. t'to
fyes, list Event# 09/1312009 A o?govemmentthecontractiswith: fiExecutive fi'Legislative
Datc Received Assrcs:J::ontnbu:tom
Method of contribution: _ .
Check iG CrediyDebit Card C Payroll Deduction fO Money Order 09/13/2009 $60.00

lr'} Cash €l personal $60.00
Flrst MI Principal Occupatron Amount of
'Zuella Carol iRetired Contribution
Resldenhal Street Address jlty .- . .
1ip Code Nme ot Employer
,Oxford 'taTE
CT 06478 ,Retired
'io rowbr Ln.
Is contributor a lobbYist, sPouse, {-' Yes If G in excess of$400 to a candidate committee for a chief executive officer ofa
Ai No """tribut*"does contributor or business he/she is_qssocialed*with have a contract with said
municipality
or dependent child ofa lobbYist?
municipaliw valued at more than Ci $5,000?
F, t'lo yes
Is this contribution associated with a Cj Yes ls contributor a principal ofa state contractor or prospective state contractor? fl, Yes
fundraising event listed in Section Ll ? G tto fyas, indicate which branch or branches f,. No
fyes, list Event # oi!o*-*rnt the contract is with: ll
Executive f-i Legislative
Date Reccived Aggregate confibutrons
C Casir Gj personal Check C; Credit/Debit Card !) Payroll Deduction Ci Money Order 0812612009 $100.00 $100.00
Lst Narne . Firsg. .. -

MI Principal Oeupation Amount of
.
',Zuella rHarry rRetired Contribution

lity uoo€ Name ofEmploy€r
R esidcntial SFeet Address ,t8r-g_ lq
:Oxford CT 06478 Retired
io rowei t-n.
,
Is contributor a lobbyist, spouse, c'l Yes If is in excess of $400 to a candidate comrnittee for a chiefexecutive officer ofa
t:,i No "onttib"tfidoes contributor or business he/she is associated with have a contract with said
municipality
rnunicioaliw valued at more than $5,000? Ct' Yes 4:' No
ls this contribution associated with a el Yes Is contributor a principal ofa state contractor or prospective state contractor? Cl Yes
fundraising event listed in Section Ll? CNo Ifyes, indicate which branch or branches No €i
fyes, listEvent# 0911312009 A oigovemment the contract is with: 'C,i Executive C.t-t4fl4ft
Date Recelved Aggrcglte coltnbutlons
Ci Castr €J Personal Check ,Cl Credit/Debit Card C) Payroll Deduction e) Money Order 09/13/2009 $50.00 $50.00:
Last Nme First MI Pnncipal Occupation Amount of

Contribution
Reidentiil Sneet Address tlate rP LOOe Name ol tsmploy€t
Oxford CT 06478
ls contributor a lobbyist, spouse, fl Yes tf .-triUution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa IobbYist? JlJ NO municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? .'C Yes .t \o
Is this contribution associated with a (? Yes Is contributor a principal of a state contractor or prospective state contractor? 0 Yes
fundraising event listed in Section L I ? n^ r l\0 fyes, indicate which branch or branches l:! l\o
Ilyes,listEvent # oflovernment the contract is with: fi
Executive fi
Legislative
Date Received Aggregate contnbunons
l{i cash F: Personal check lc credit/Debit card lc: Payroll Deduction lfi Money order
SUB.TOTAL :S eition,lB{flris ;Pa ge $310.00
Pagc 14 of 14
L MONETARY RECEIPTS (Sections A-K) Prge 4 oflT
\i:A ilr't, An:a'rttfi{,ftT'T'tt:ri,: {lrn,rl.rAnim;arni
,lme of Treasurer
Nmeof Cominee
Republican Town Committee Tony Montanaro
arddress
ls this contribution associated with a 8. Yes fyas, list Amount of Contribution
Oxford CT fundraising event listed in Section Ll ? G No Event #
'tty State Zip Code Date Recerved Aggregate Contnbutlons $1,500.00
Oxford CT 0 i478 09t20t2009 $1,500.00
Nme of Committee Nms ot I rcasur€r
a Amount of Contribution
Addrcss Is this contribution associated with .Cl Yes If yes,list
fundraising event listed in Section Ll? O No Event #
State Zip Code $0.00
CT
llme of Tremw
Namc of Committee
{ddms a fi Amount of Contribufion

this contribution associated with Yes Ifyes,list
event listed in Section Ll? f; No Event #
Aggregate Contstbuhons $0.00
l***.
Jstate
Name of Comrnittee
l"t llsne ot lreaslm .
$0.00
4ddress Is this contribution associated with a |i Yes l/yes, list Amount of Contribution
fi.rndraising event listed in Section Ll? {]i tto Event #
Date Receivcd Aggregate Contributrons $0.00
$0.00
Nme of Comittee Nme ofTremw
Addrcss Amount of Contribution

ls this contribution associated with a C Yes fyes, list
fundraising event listed in Section Ll ? c: No Event#
City I)ate Reerved Aggregate Contnbutlons $0.00
$0.00
Name of Committec \me of Treasus
Addrss lsthiscontributionassociatedwitha {]: Yes lfyes,list Amount of Contribution

event listed in Section Ll? C;' No Event #
Sity lState Ztp Code Date R€ceived Aggregatc
' $0.00
:CT $0.00
o,,+o.lP,r'o-e,,r",.,'*'rnlUsi)istrlhutionsi#omotne";ca*"iitt'".^..'.-
,lame of Committ€e Name of Treaswr
Addros )ate Received Amount ofRcceipt
lity )EI€ Zip Code Reimbursement for shared expense lf) Surplus $0.00
CT Payment for goods and sewices Distribution
!mfeoniriittee rime of Treasurcr
Address Amount of Rcceipt
lity )taG Zip Code expense fii Surplus $0.00

f.l Reimbursement for shared
CT e. Payment for goods and services Distribution
$i,500.00
$0.00
$1,500.00
II. FUNDRAISING EVENT ACTMTY Page 7 of 17
rA:i,rE aiE rrntf,tuilT'rFF':if l ilr:.ATa:'nlm nAtt.

.ij
u Location: StreetAddrcss ;ity State Zip Code

Description
Picnic 648 Quaker Farms Rd. Oxford CT 06478
Subpart 1: (All Commiaees)

Was this fundraising event hosted at a personal residence? S Yes (I/yes, go to Section 1.4 In-kind Donrtions not Considcred Contributions
. and complete required information for purchases made by host(s) for food,
beverage and invitations.)
ONo
Did this fundraiser include items donated by a business entity of up to $ Yes (^l/yer, go to Section L4 ln-kind Donations not Considercd Contributions
$100 or iterns donated by an individual ofup to $50? and complete required information.)
l!rNo
Was this fundraiser a tag sale, auction, or other sale of donated items [i'Yes (.I/yes, go to Sectton L2 Proceeds from Teg Sale, Auction, or Other Sale of
with purchases from an individual ofup to $50? Donrted ltems.)
lO,N^
gubpart 2: (Town Committees and Municipal Candidate Committees ONLY)
Were there purchases ofadvertising space in a p.ogtuln book associated G Yes (fycs, go to Section L3 Purehsses ofAdvertising Spece in a Program
Book
with this fundraiser? and complete required information.)
€l No
Subpart 3: (Town Commiltees ONLY)

Did your committee sell food or beverage at a fair or similar mass ci Yes (fycs, enter Total Receipts from small Purchrscs heril
gathering held within the state?
l.l No
Fundreisins Event #
fi1-ffi1*i;1+:rili# ll1:#;ril:i ttliffiffi i
Location: St€€tAddrcss
l
City State ZipCode
Fmdiiser Lctttr Desription
Date of . . ..
1010412049 ,CocktailParty ,93 Oneil Rd. ,Oxford CT ,06478

,B
Subpart 1: (All Commiltees)

Was this fundraising event hosted at a personal residence? €t Yes (/yes, go to Section L/ In-kind Donations aot Considered Contributions
and complete required information for purchases made by host(s) for food,
beverage and invimtions.)
D'No
Did this fundraiser include items donated by a business entity of up to fi Yes (fyas, go to Section 1,4 In-kind Donetions not Considered Contributions
$100 or items donated by an individual ofup to $50? and complete required information.)
6 N.t
Was this fundraiser a tag sale, auction, or other sal€ of donated items f,!'Yes (fyas, go to Section L2 Proceeds from Tag Sale, Auction, or Othcr Sale of
with purchases from an individual ofup to $50? Doneted Items.)
lal)
Subpart 2: (Town Commitlees and Municipal Candidate Committees ONLV)

Weie there purchases ofadvertising space in aprogram book associated 'G Yes (Ifyes,goto Section L: Purchascs ofAdvertising Splce in a Program Book
with this fundraiser? and complete required information.)
f:l No
Suboort J: (Town Commiltees ONLY)
Did your committee sell food or beverage at a fair or similar mass lr Yes (fycs, enter Totll Reccipts from smrll Purchases herS!
gathering held within the state?
tqr No
$0.00
+ $0.00
iat
:, ':' $0.00
III. NONMONETARY RECEIPTS Page ll of 17
\l AtuaEf r\R"a:ff i/{Irt.T:f FFr i

FTr: tNa:-nl:nl:n A TF
Haversat Yish 09 10t13120a9

j
:J
Type of Contributor: Fair Msrkct

Name
Ferrillo lll, Andrew Velue of this
@. lndividual
SFeet Address Jrfy State hp Codc C Committee
.2 Hart Ct. Oxford ,cT 06478 {, Other (Apphuble only to Relercnlum Committca)
ls contributor a lobbyist, spouse, C Yes If ir in of$400 to a candidate committee for a chief executive officer of a
"*"rrr or business he/she is associated with have a contract with said
ordependentchildofalobbyist? {} "o"rtbr',tr"rdoes contributor
municipality
No
municipality valued at more than $S,0OO? C Yes {?; No
rggr€8419 conEou0ol
)ate Reccived Is this contribution associated with Yes
Description of ln-Kind
a (i
fundraising event listed in Section L I No lnvitations ? C $165.00 $75.00
09/1 0/2009
,ryes. listEvent# 10m4l2009-B-
Type of Contributor:
Frir Markct
Name
Value of this
S
'fi
Individual
Contribution
Street Ad&ess Ittv ttatc Zip Code Comminee
CT Ct Other leppttcable only lo Rclercndum Commiltea)
Is contributor a lobbyist, spouse, O Yes If .*$ib"t,*t of $400 to a candidate committee for a chief executive officer of a
or dependent child ofa lobbyist? F llo "lncontributor
municipality does
"xcets or business he/she is associated with have a contract with said
municipality valued at more than $5,000? (]
Yes O No
Descnption of ln-Krnd Connibution Aggrcgate conmbuuons
)8te Rcceived ls this contribution associated with a fi Yes
fundraising event listed in Secrio;r Ll? fi llo $0.00 $0.00
lfues- list Event #
Type of Contributor: F-sir Mrrkot
Nme
Value of this
C Individual Contribution
Strcet Address ItV JAIE f; Committee
CT ,f,; Athet (Appticable only to Relerendum Committca)
is contributor a lobbyist, spouse, f' Yes If""ntrib"U"n is rn etceis of $400 to a candidate committee for a chiefexecutive officer of a
ordependentchildofalobbyist? fi No municipality, does contributor or business he/she is associated with have a contract with said
municipality-valued at more than $5,000? f:
Yes C No
Description of In-Kind Contibution AgSregate conEouuons
)ate Received Is this contribution associated with a f;i Yes
fundraising event listed in Section Ll? C t'lo $0.00 $0.00
lfves- list Event #
Type ofContributor:
Feir Merket
Nme
Velue of this
{lr lndividual Coniribution
itreet Addess :iw Slate Zio Code .{-; Commiuee
UI .*. Other (zpplicohle only to Relercndum Commillca)
Iicontributor a lobbyist, spouse, f,: Yes If contriUution is in excess of$400 to a candidate committee for a chiefexecutive officer of a
ordependent child ofa lobbyist? f; t'lo municipality does contributor or business he/she is associated.with have a contract with said
municioalitv valued at more than $5,000? fl Yes ft No
Description of In-Kind Contribution AgSrega.e co
)ate Reeived Is this contribution associated with a fi. Yes
fundraising event listed in Sectiqn Ll? 1CI No $0.00
Ifyes,listE tent#
Type ofContributor:
Frir Mrrket
Nme
f.;lndividual Value of this
Contribution
Jtreet Address li!v itste ZiD Code l'-j Committee
CT C Other (Appticrble only to Referendum Comiltu)
Is contributor a lobbyist, spouse, C Yes If.""trib"tt"" tn excess of$400 to a candidate committee for a chiefexecutive officer ofa
ordependentchildofalobbyist? f: No " contributor or business he/she is associated with have a contract with said
municipality does
municipality vatued at more than $5,000? C Yes S No
Description of In-Kind Contribution \ggrcgat€ conmDunons
Date R€c€ivdd Is this contribution associated with a C Yes
fundraising event listed in Section Ll ? l-, No $0.00 $0.00
Ifyes,listEventl
$75.00
". :i:i,,:,1 t):,'a::::at:::,:a::a1i::
;t:aia:i.:t:r,a1 TOTAL of additional Section M,Pages $0.00
$75.00
,r',,.:1\[
ttt
t l Ml lDate
DePosit Made Amount of
Deposit
l'"' lci i I
Nme of telephone conPmY
SE=-Addrffi- City State ZipCode

$0.00
CT
,::::,:,,.:.:'.:,:.:,:).:,.{.otal9iiliiiFqt{Ei6i:ibteii.bn;Liii23.ofsummary.PagA :
$0.00
IV. EXPENDITURES Prge 13 of 17
\t a lm, riEinnrrf, ,rJITIEE': ETi N.-] I\I{R'T.)A TF]]

":
iP:
Nme ofPaYee )ate of Payment Method of Payment Amount
oxford Dog Days
:812412409 lTi Check #- 1001
Street Address City itate Zlp Code
Oxford CT 06478 C'oebit card
486 Oxford Rd,
Pumose ol txDendltue lscnDtron Event f
(by code) .MISC Booth at Oxford Dog Days event to benefit the Oxford
fype of Expenditure (if applicable)

Nmo
Candidate(s) Office Sought U Supported
fi
:
(dapplicabl) E opposed
Coordinated wth reimbursement sought
C.j Coordinated without reimbursement sought
ii, Independent
f, Organization (see Inslructions) $ 50.00
tr.n f,: B Oc l]'u Cis
ffiiifPa-w ,aI6 Or raymenr Method of Payment Amount
' Dave Haversat
itaie 4rp Cod€ 8124t2009 13i gl,..L g- 1 002
Jtreet Addrcss City
:Oxford rCT ,06478 Soebit card
50 Shefton Rd.
Pmosc ot ExDendrtw
(bv codc) RCW
'
)escriotion
Reimbursement for Sign Purchase
Event #
Csndidate(s) Na$e Offica Sought lJ Supported

fype of Expenditure (if applicable) : (if applicable) Ll opposed
(.: Coordinated with reimbursement sought
f;' Coordinated without reimbursement sought
C'Independent
f; Organization (see Instruc'tions) s 514.20
Cl CB t:rc llio ftr
Amount
Nmc -
of Pavee
Dave Haversat l:':::'"** Method ofPayment
18t2412009
Sbeet Address City .
5tat€ alp Code l.ilctrect*. 1003
Oxford CT 06478 C Debit Card
50 Shelton Rd.
ohon L,vmt #
Purpose ot bxp€ndltue
(by code) RCW Reimbursement for Stationary
Candidste(s) Name Office Sougbt U Supported
fype of Expenditure (if opplbable)
Cr Coordinated with reimbursement sought
:
(rfapplicable) fl opposed
F Coordinated without reimbursement sought
f'Indeoendent
fl Organization (see Instructions) 20.96
C-a |]tB'{:;,c nn f'f
t"t,D"uu ,alg Or raymEna Method of Payment Amounl
Haversat
strcet Address ljlty Itat€ Zip Codc 8t2412009 ocheck#-lW!-
r50 Shelton Rd. CT r06478 CiDebit card
Oxford
lvmt
Purpose of L,xpendthre
(by codc) RCW
'
)cscnD0on
Reimbursement for Rubber StamP
#
Cmdidate(s) Nme Office Sought E Supported

Type of Expenditwe (il opplicabl.):
IOr Coordinated with reimbursement sought
(ifapplicable) fl opposed
l0 Coordinated without reimbursement sought
lCl:Independent
lCl Organization (see I nstructions)
-GC s 20.'13
f a f'B .f,n l--,r
Nme of Payee )ate ofPayment Method of Payment Amount
The Voices
Jtseet Address Crty. Jttte Ltp Coda 9t10naag fii check #-:1006
Southbury CT 06488 ll. Debit Card
P.O. Box 383
Purpose ol tsxPfldrture Dhon Event #
'by code) A-NEWS Advertisement
Iype of Expenditvre tif spplicable) :

Cmdidat€(s) Nme Office Sought fl Supported
(dapplicable) flopposed
C], Coordinated with reimbursement sought
'6 Coordinated without reimbursement sought
O hdependent
O Organization (sce Instactions)
- f A isf.c f otla s 219.03
..: :t:,: ...::,.:: .:1 I :.: , i,,rt:::,r. t.:,,'.:::, : .j::r .:t,a-,:::.. ::t:,,:t)
',S(IB!EO:IAL, SectionlP-I& is ;Fage. $824.32
TOTAL of additional Section'P ?ages $3,787.40
$4,611.72
rV. EXPENDITURES
Section P. Additional Paqe
:i
Nr tr: At. Fr]1\/(l\tlTTtF.l.:': tiittir:i,i:iji.rriil:!r:,i..t!!::i:iiri.ll,':i;.::l:1r!:r:ir. r:,'::i i{FfTlfN{?.:T}T IF],I'lt'.fE :
^':lt,f
Nane ofPavee )ate ofPaymenl Method olPayment Amount

Paul schreiber
itrcct Address City itat€ Zip Code lii Crrect *'1007
09/13/2009 lli Debit card
571 Quaker Farms Rd. :Oxford t-t 06478
Purpose ot bxDendltue
(tv code),*p1r1pp
'
)cscnption
Use of the property for event "09/13/2009 A" 09/13/2009 A
Candidatds) Name Office Sought U Supported
lype of Expenditwe 6fapplicablc): (rf applicahlc) D opposed
G Coordinated with reimbursement sought
Ci Coordinated without reimbursement sought
C,lndependent
G Organization (see Instuaions)
(.'a Cn Gc (..n Cn
s 200.00
Jat€ ot Faymenr Method ot Payment Amount
o""
Lo, Granato
Steet Address Jlty Jtate llp Uodg. {it Ct r"t *'1
CT .06478 09/13/2009 Ci oebit card
189 Punkup Rd. rOxford
aurlrcSe ot hxPenolr
code)'*p;1pp
-
pron
tCatering Services for event 09113i2009 A
Evsnt #
09/13/2009 A
.bv
Candidatds) Nme Office Sought lJ Suooorted

Ivpe of Expenditl.:re (il applicable): (ifapplirsble) tropposed
fi Coordinated with reimbursement sought
G Coordinated without reimbursement sought
* hdependent
G Organization (see In*ruaions) s 675.00
Cie Sn {}c fin Cn
)rte ofPayment vlethod ofPayment Amount
t"t.D"u"
Haversat
Sseet Add{ess citY itate 4p Code 0 Ctrect *'1010
09/1 5/2009 (}Debit card
50 Shelton Rd. Oxford CT
Pu?ose of hxlm. )escription Event #
(by code) RCW lReimbursement for Sign Purchase
Cudidat€(s) Nme Office Sought lJ Supported
Tvpe of Expendifiie (if applicdble)'. (if appliafile) E opposed
.O Coordinated with reimbursement sought
f: Coordinated without reimbursement sought
fi'lndependent
Fr Organization (see Instactions) s' 1,092.00
fi I 'f' B {--;C f'n O f
Nre JAte o1 vaymcnt Method ot Payment Amount
of '
Pa-ve€
The Voices
Steet Addrcss ity, Jtal6 lrP Lo99... f.rct."t c i01 1
:06488 09/19/2009 C,Debit Card
,P.o. Boi 38C Southburv CT
Pupos gtrrpttrdttuc ptlon Evcnt #
(by cod€),A-NEWS Advertisement
Cudidate(s) Nme Office Sought f,! Supported
Iype of Expenditure (i! applicahlc):
Cb Coordinated with reimbursement sought
(fapplicoble) E opposed
Ct independent
ilr Organization (see I nstructions) 391.13
fia CR atc f'n fin
)ate of Payment Method ofPayment Amounl
Nme of '
Pavce
Dave Haversat
stre€t Addr€ss Clty ilaIe Lip Code {-rrcnect* 101i
50 Shelton Rd. Oxford CT 06478
09t1912009 f' oebit cird
Event #
Purposg oi tsxpsnorlw
(by code)
'
)escnDtron
Campaign Bumper Stickers / Stickers
RCW
ffi*t,
C Coordinated with reimbursement sought
Cmdidat(s) Name
(dapplicoble)
Office Sought D Supported
Eopposed
C' Coordinated without reimbursement sought
fi Independent
f Oreanization kee Instructions)
'C.f'fef 283.32
iD4,o+ l.4u
P^g" 2 ol 2
IV. EXPENDITURES
Section P. Additional Pase
r*
,Haversat Yish 09 10t13t2409
Nme of Pavee )6t€ of Pa)ment Method ofPayment Amount

Valley Publishing
JEet Address .rq. ;tate 4ip Code_ 61 66""p gt 1 01 3
06418 09t2012009 ci Debit Card
7 Francis St. Derby CT
Furpose ol b,xp€nolrur€ Evmt #
(by codc),4-py Direct Mailer
Iype of Expenditwe (Uapplicabl.):

Cmdidatds) Nme Office Sought E Supported
C Coordinated with reimbursement sought
(if applicable) E opposed
.c Coordinated without reimbursement sought
G Independent
fi Organization (see Instructions) 120.00
nl CB nc ClD {:.E
)8te ot yayment Memoo ol tsayment Amount
t""'v"ll"y
Publishing
itre€t AddrEBs City itate 4lp Uod9-.. {:-rCt..t*l9f i-
09t24t2049 C; Debit card
z rrancii si Derbv iCT ,06418
Purpose ot hxpendfirq . - Evflt #
iby codc),4-pp1 iDirect Mailer
lvpe of Expenditure (il applicablc) :

Cmdidatds) Nme o"*::'**' Ll Supported
(dapplicable) IJ Opposed
G Coordinated with reimbursement sought
G Coordinated without reimbursem€nt sought
C lndependent ' : ::l ::::lr 1': r' :
O Organization (see Instructions) 501.38
C'l {rB ffc If n C.r
-
vce
:The Voices
)ate ofPaym€nt Method ofPayment Amount
.str-eclAqdrsl ...... clty- . .-

itate ,rp Looe . €rcheck *-19] 9-
P.O. Box 383 Southbury icT ,06488 a9t24t2009 f; Debit Card
rurpose or rtlenomlE Jescnp0on Evmt #
(by code),A-NEWS Oty (2) Advertisements
Iype of Expenditure (il applicable)'. Candidatds) Name Officc Sought fJ Supported
f.l Coordinated with reimbursement sought
(dapplicable) E opposed
'Cl
Coordinated without reimbursement sought
I Independent
.i-l Organization (see I nstruclio ns) 474.57
C'l C R f*C {*,n lC,f
lme of -
Pavee
Oxford Booster Club
Jate ol vayment Method of Payment Amounl
Jre€t Aqor$s urry. itate 4lp Loqc ._,

f}ct,e"L *' 1 017
'cT '06478 09/30/2009 C o"bit card
or ouirei rarmi'no. ,Oxford
Prpce of lxpm(bhr!
(by code).*p11gg
'
Dnm
Advertisment Space Purchased for the benfit of OBC
Event #
Type of Expendifi;r.e (i! applieable):

Cmdidar€($) Nme Officc Sought E Supported
C! Coordinated with reimbursement sought
(dapplicable) E opposed
G Coordinated without reimbursement sought
ft'Independent
$ Organization (s ee I nsttuctions) 50.00
fir {'B f}c CD ilr
Name ofPayce )ate of Pa)ment Method of Payment Amount
City itatc Zip Code

g check #
l, OeUit Cara
l'urPose 01 .Expendllue Description Evdt #

(by code)
Iype of Expenditure (dryplicdblc): Candidatc(s) Name Office Soughl flSupported

(tJapplicablc) EOpposed
C'' Coordinated with reimbursement sought
Ci Independeirt
C - c, c c'e. r
Oreanization kee Instruaions)
$1,145.95
P"g. 3 of3
IV. EXPENDITURES Page 14 of l7
crr, trt/:! tT ilir:ni Trtl,
NAMi.1 rrt. ..r)MMITTFF,,:
Haversat Yish 09 10/1 3/2009
i3$;n
':
i.*l.lt;.tej :rctmpaiin usriniideb
Name of Payee ( N ame of Ve ndor who candidate pnill direclly) . ..
Date ofPayment ls Reimbursement Claimed? Amount
Victory Store
itr€el Addross :rty itale alp Lode 08t22t2009 F Yes
IA 52802 lO no $514.20
5200 sw 30th st. Davenport
Purpose of Expcndrtute
(by code) .A-SIGN
Description ' rReimbursement for Sign Purchase, check # 1002
Evenl #
Nme of Payee (Naae of Vendor*ho conddate paid directW

Date ofPaymcnt Is Reimbursement Claimed? Amount
Staples
Street Address lrty 4,rp Code a812112009 lij Ym
CT 06488 C'No $20.96
775 Main St. South Southbury
Event #
Purpose ofExp8ndture' Description
(by code) OFFICE Reimbursement for Stationary, Check # 1003
@te paid diredtv) uale oI ra)ment is Reimbursement Claimed? Amount

Staples
4lp UoO€ 0812112049 11 Yes
Street Addrcss -lty
rSouthbury CT ,06488 ONo $20.13
.775 Main St. South
Itrpose ol Bxpfi(nrufe Descriodon Event #
(by code) OFFICE Reimbursement for Rubber Stamp, Check # 1003
iid'itt@,victory uate or raymcnl ls Reimbursement Claimed? Amount
store
Street Addrcss -rrY Zrp Code 09t1412009 G Yes
,52802 iX'No $1,092.00
5200 sw 30th st. ,Davenport CT
bvst #
Pupose of Expendltur
(by code) A-SIGN
'
ption
Reimbursement for Sign Purchase, check # 1010
Amount
@ naitt direcrtil,rt"tory
store
Date of PaymeDt Is Reimbursement Claimed?
Str€et Address :lY State Ltp Looe 09/18/2009 {i. Yes
5200 sw 30th st. Davenport rcT ,52802 fiNo $283.32

'
DescriDiion Evgnt #
Purpose of .bxp€ndttwc i
(by code) ,A-OTH Reimbursement for Sticker Purchase, check # 1012
Nmi of Payee (Narc of Vendorwho candidde laill dircclly) Dat€ ol Paymcnt Is Reimbursement Claimed? Amount
SFeet Address City Jlate Zip Code C, Yes ..

CT f' No $0.00
Purpose of !,xpmdlture Description Event #
(by code)
Name ofPayee (iVarae of Vendor who candidate paitl direclly) Dste of Paymqt Is Reimbursement Claimed? Amount
City )IAIE .p Code -

F Yes
Cj No $0.00
CT
Purpos€ ot bxPm(lltw Evcnt #
(by code)
flw olEayee @ffi of yenilor who candidde pad dirccily) Datc ofPaymctrt ls Reimbursement Claimed? Amount
Street Addres City !tale Zry Code f: Yes

LI r: No $0.00
tvent #
Purpose ot L,xPendttre Description
(by code)
Name ofPayee (Name ofVendor who candiddle pad ditecily) Date ofPayment ls Reimbursement Claimed? Amount
Street Address :ity Zip Code L, YES

CT, iNo $0.00
Descriptim Event #
Purpose ot .bxp€nortw
(by code)
$1.930.61
-a
$0.00
$1,930.61
TOTAil,.OF N.LE?iPF;N

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Itemized Campaign Finance Disclosure Statement

PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE

15. Other Monetary Receipts (Sections D'K)

from line l8 in both Columns) $0.00 $0.00

23. Reftrndable Deposit to Telephone Company (Section N) $0.00 $0.00

N'A llrF'I]F, lrft,TMTT:TFF]::. :lT::I]rJ/:::nIlF:T\ ilTIi

Haversat Yish 09 't0/13/2009

412 Mulligan Dr. Oxford CT 00478 'Retired

.26 Perry Ln. rOxford CT 06478 Town of Oxford

: ;;,;N;i:,fi ojT,!ili;oTadd ifi odl:seetion 18 *Pagec $5,555.00

Lst Nme First MI Princioal Occupatim Amount of

447 Quaker Farms Rd. Oxford CT 06478 Town of Oxford

SUBTOTAJL Scction B-This'Page $790.00

':1..::tl n. ft*i".*Contributions'fromllndividuals i :::; il

Lst Nme Fint MI hincipal Occupation Amount of

Last Nme First MI Prinoipal Occupatim Amount of

:Oxford .06478 'Yofarm Co.

10 Palmer Ln. ,Oxford CT 06478 lSelf Emoloved

22 oikcrest Rd. Oxford CT .06478 .Advanced CU Spec

Haversat Yish 09 10t13t2009

Last Nme First MI Principal Occupation Amount of

Last Nme Firsl MI Pnncipal Occupatim Amount of

'Ferrillo Andrew :Conservation Officer Contribution

2 Hart Ct. oxford I cf t6478

75 Oniel Rd. Oxford CT Town of Seymour

Lsst Nme FiBt " .

:27 sitano or. Oxford CT ou78 Napa Auto Parts

50 Shelton Rd. Oxford CT 06478 Self Employed

Haversat Yish 09 10t13t2009

LstNme Fimt Ml- Principal Oeupation Amount of

,Karpovich rUnemoloved Contribution

88 Bee Mountain Rd. Oxford CT '06478 Self Employed

SUB.T0TAI rsection 3:-Tilis1?iEa' j $425.00

Haversat Yish 09 10/13/2009

Last Nme Flrst MI Principal Occupation Amount of

:89 Stiil Rd. Oxford ,cT 06478 ,FueCell Enerov

334 Spruce Hill Dr. .Oxford CT 0il78 Self Employed

'sttBiof iL sectiiJ4a..rqi!&gq $450.00

Haversat Yish 09 10t13t200s

Lst Nme First MI. Principal Occupation Amount of

Oxford CT 06478 ,Self Employed

Lsst Nme First MI Principal. Orcupatim Amount of

:6 High Ridge Ter. :Oxford CT 06478 Control Svstem

Lst Natne Firs!.. .

SUBTO Al5eition 3:Tliii P4Bil $310.00

Haversat Yish 09 10t13t2009

Lst Nmc First MI Principal Occupation Amount of

134 Shelton Rd. Oxford CT 06478 Self Employed

;2 Deanna Dr. 'Oxford CT 0M78 . Self Emploved

Oxford CT 06478 ,Retired

Last Nme FAst MI Principal Ocoupation Amount of

.28 Old Country Rd. iOxford CT 06478 ,Self Employed

Last Nme FiB!........ MI Principal Occupatior Amount of

'it neo aarn io. Oxford CT 0il78 rOxford Science

11 Red Barn Rd. Oxford CT 06478 Town of Oxford

Last Nme Fint MI Principal Oeupatim

Haversat Yish 09 10/13/2009

Lrot Nme First M1 Principal Occupation Amount of

Last N6m€ First Pnncipal Occupehm Amount of

8 Sunrise Rd. Oxford CT 06478 iCity of Bridgeport

Lst Nrme First, . ." MI Pnncioal Ocupuior .. Amount of

':1..::tl n. fti".Contributions'fromllndividuals i :::; il