Kerekes Oct. Finance

SEEC FORM 20
Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08
Electronic Filing
Office Use Only
Page 1 of 39
SUMMARY PAGE
1. NAME OF COMMITTEE
Committee To Elect Jeffrey Kerekes
2. TREASURER NAME Title First

harry
MI
I
Last
David
Suffix
3. TREASURER ADDRESS Street Address

441 Chapel St Apt 1-6
City
New Haven
State
CT
Zip Code
06511-5844
4. ELECTION DATE
Mayor
5. OFFICE SOUGHT (if applicable)
6. DISTRICT CODE (if applicable)
7. CANDIDATE NAME Title

Mr
First
Jeffrey
MI
P
Last
Kerekes
Suffix
8. TYPE OF REPORT
7th Day Preceding General Election - Amendment
9. PERIOD COVERED
Beginning Date
Ending Date
10/07/2011
thru
10/25/2011
10. CERTIFICATION
I hereby certify and state, under penalties of false statement, that all of the information set forth on this Itemized Campaign Finance Disclosure Statement for the period covered is true, accurate and complete.
Electronic Filing
harry David
11/03/2011
8:32:17 am
SIGNATURE
PRINT NAME OF THE SIGNER
DATE CERTIFIED
PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000, OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.
Page 2 of 39
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08
SUMMARY PAGE
TOTALS
NAME OF COMMITTEE
FILING DUE DATE
Amended 11/01/2011
COLUMN A
This Period 11. Balance on hand January 1 of current year for Ongoing and Party Committees OR Balance on hand from day Committee was formed for all other 12. Balance on hand at the beginning of Reporting Period 13. Contributions received from Individuals (Section A and B) 14. Receipts from Other Committees (Sections C1 + C2) 15. Other Monetary Receipts (Section D-K) 16a. Total Small Food and Beverage Receipts at Fair (Section L1) 16b. Total Proceeds from Small purchases at Tag Sales, Auctions or Other Sales (Section L2) 16c. Total Purchases of Advertising in a Program Book (Section L3) 17. Total Monetary Receipts (add totals for lines 13-16c) 18. Subtotals (add totals in line 12 + line 17 in Column A and in line 11 + 17 in Column B) 19. Expenses Paid by Committee (Section P) 20. Balance on hand at close of Reporting Period (Subtract line 19 from line 18) 21. In-Kind Donations not Considered Contributions Received (Section L4) 22. In-Kind Contributions Received (Section M) 23. Refundable Deposit to Telephone Company (Section N) 24. Receipts of Organization Expenditures (Section O) 25. Beginning Loan Balance 25a. + Loans Received (Section D) 25b. + Interest and Penalties on Loan(s) 25c. - Payments on Loan(s) 25d. Total Outstanding Loan Amount 26. Campaign Expenses Paid By Candidate (Section Q) 27. Expenses Incurred on Committee Credit Card (Section R) 28. Expenses Incurred by Committee During this Period but Not Paid (Section S) 28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)
$4,724.08 $5,540.00 $0.00 $1,250.00 $0.00 $0.00 $0.00 $6,790.00 $11,514.08 $6,238.04 $5,276.04 $0.00 $245.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
COLUMN B
Aggregate
$0.00
$18,225.00 $0.00 $25,202.00 $0.00 $0.00 $0.00 $43,427.00 $43,427.00 $38,150.96 $5,276.04 $0.00 $245.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Page 3 of 39
I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE FILING DUE DATE
Amended 11/01/2011
A. Total Contributions from Small Contributors-Received this Period ONLY

(See instructions for definition of Small Contributor) Subtotal Section
$0.00
B. Itemized Contributions from Individuals

Last Name First Name MI Name of Employer
Chekijian
Sharon
Yale Hospital
Amount of Contribution Principal Occupation
Residential Street Address
City
State
Zip Code
604 Chapel St Apt 1
New Haven
CT
06511
Doctor
Is contributor a lobbyist, spouse, or dependent child of a lobbyist? Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
_ X
Yes No
_ X
If contribution is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she associated with have a contract with said municipality valued at more than $5000? Yes No Is contributor a principal of state contractor or prospective state contractor? If yes, indicate which branch or branches of government the contract is with:
_ _ _
_ X
Yes No
X
Yes
No
Executive
Legislative Aggregate Contribution
Date Received Personal Check

_
Cash
Credit/Debit Card
Payroll Deduction MI
Money Order
10/10/2011
$500.00
$500.00
Amount of Contribution
Last Name
First Name
Name of Employer
Holahan
Susanna
New Haven Board of Ed
City
State
Zip Code
Principal Occupation
184 Willard St
New Haven
CT
06515
Teacher
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
10/10/2011
$250.00
$150.00
Last Name
First Name
Name of Employer
Elser
Victor
Self employed
City
State
Zip Code
1980 Chapel St
New Haven
CT
06515
self employed
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
10/14/2011
$100.00
$100.00
Page 4 of 39


Amended 11/01/2011
Holahan
Tim
Broadstripes, LLC
City
State
Zip Code
483 Central Ave
New Haven
CT
06515
Software Developer
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
10/14/2011
$390.00
$140.00
Last Name
First Name
Name of Employer
Smart
Jerry
Retired
City
State
Zip Code
21 Lyon St
New Haven
CT
06511
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
10/16/2011
$60.00
$50.00
Last Name
First Name
Name of Employer
Mayhew
David
Yale University
City
State
Zip Code
100 York St Apt 5C
New Haven
CT
06511
Professor
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
10/16/2011
$50.00
$50.00
Page 5 of 39


Amended 11/01/2011
Hausladen
Douglas
Elm Campus Partners, LLC
City
State
Zip Code
161 Park St # 1A
New Haven
CT
06511
Real Estate
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
10/17/2011
$225.00
$200.00
Last Name
First Name
Name of Employer
Corden
Cynthia
City
State
Zip Code
3A Hughes Pl
New Haven
CT
06511
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
10/17/2011
$60.00
$50.00
Last Name
First Name
Name of Employer
Haas
Vivian
Self-employed
City
State
Zip Code
3 Vista Way
Bloomfield
CT
06002
Psychologist
_
_ X
Yes No
_ X
_ _ _
_ X
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
10/18/2011
$1,000.00
$1,000.00
Page 6 of 39


Amended 11/01/2011
Boyce
Donald
Self-employed
City
State
Zip Code
177 W Rock Ave
New Haven
CT
06515
Financial Planner
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
10/18/2011
$200.00
$200.00
Last Name
First Name
Name of Employer
Dynia
Diane
Yale MEdical School
City
State
Zip Code
335 Forest St
Hamden
CT
06518
Research
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
10/18/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Tiernan
Lee
Law Office Lee K Tiernan
City
State
Zip Code
21 Harbour Close
New Haven
CT
Attorney
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
10/20/2011
$50.00
$50.00
Page 7 of 39


Amended 11/01/2011
Morin
Gerald
REtired
City
State
Zip Code
817 Grand Ave # 303
New Haven
CT
06511
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
10/20/2011
$125.00
$100.00
Last Name
First Name
Name of Employer
Welbourne
Penny
Yale University
City
State
Zip Code
47 W Park Ave
New Haven
CT
06511
Catalog Librarian
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
10/20/2011
$150.00
$100.00
Last Name
First Name
Name of Employer
Martone
Frank
Self
City
State
Zip Code
98 Hughes St
New Haven
CT
06512
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
10/21/2011
$400.00
$200.00
Page 8 of 39


Amended 11/01/2011
Grignano
Domenic
Self-Employed
City
State
Zip Code
501 Howellton Rd
Orange
CT
06477
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
10/21/2011
$250.00
$250.00
Last Name
First Name
Name of Employer
Donohue
William
Retired
City
State
Zip Code
24 Cottage St
New Haven
CT
06510
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
10/24/2011
$150.00
$100.00
Last Name
First Name
Name of Employer
Klaus
Jeffrey
Webster
City
State
Zip Code
127 Everit St
New Haven
CT
06511
Banker
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
10/24/2011
$200.00
$200.00
Page 9 of 39


Amended 11/01/2011
Ellis
Harold
Self-Employed
City
State
Zip Code
51 Sheldon Ter
New Haven
CT
06511
Self Employed
_
_ X
Yes No
_ X
_ _ _
_ X
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
10/25/2011
$1,000.00
$1,000.00
Last Name
First Name
Name of Employer
Doyens
Gary
Self Employed
City
State
Zip Code
30 Birch Dr
New Haven
CT
06515
Sales/Marketing
_
_ X
Yes No
_ X
_ _ _
_ X
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
10/25/2011
$1,340.00
$1,000.00 $5,540.00 $5,540.00
Total of Section B
TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS
(Sections A & B)
(Total on Line 14 of Summary Page)
Page 10 of 39
I. MONETARY RECEIPTS (Section A-I)


C1. Contributions from Other Committees
Name of Committee Name of Treasurer
Amended 11/01/2011
Address
Is this contribution associated with a fundraising event listed in Section L1? State Zip Code Date Received
Yes No
If yes, list Event #
City
Aggregate Contributions
Total of Section C1
Page 11 of 39


C2. Reimbursements. Payments. or Surplus Distributions from other Committees
Amended 11/01/2011
Address
Date Received
Amount of Receipt
City
State
Zip Code
Reimbursement for shared expense Payment for goods and services Surplus Distribution
Total of Section C2
Page 12 of 39


D. Loans Received this Period
Name of Lender
Amended 11/01/2011
Source of Loan: Bank
Street Address
City
State
Zip Code
Is there a cosigner or Guarantor of this loan? Yes
Amount Received
Candidate Individual
Name of Cosigner/Guarantor
Other Committee
No
Street Address
City
State
Zip Code
Date Received
Total of Section D
Page 13 of 39


E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONLY)
Name
Amended 11/01/2011
Street Address
Date Received
Amount Received
City
State
Zip Code
Aggregate Contributions
Total of Section E
Page 14 of 39

Amended 11/01/2011
F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLY)
Is this transaction associated with a fundraising event listed in Section L1? Yes No If yes, list Event # Date of Receipt Amount
Total of Section F
Page 15 of 39

Amended 11/01/2011
G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Organization Committees ONLY)
Date of Receipt Amount
Total of Section G
Page 16 of 39


H. Personal Funds of the Candidate Received this Period (Candidate Committees ONLY)
Date Received Amount Method of Payment Cash Personal Check
Amended 11/01/2011
Credit/Debit Card
Total of Section H
Page 17 of 39


I. Anonymous Contributions
Date Received $ 1 bills $ 5 bills $ 10 bill coins
Amended 11/01/2011
Amount
Total of Section I
Page 18 of 39
I. Monetary Receipts (Section A-I)


J. Interest from Deposits in Authorized Accounts
Name of Institution Date Received
Amended 11/01/2011
Amount Received
Street Address
City
State
Zip Code
Total of Section J
Page 19 of 39


K. Miscellaneous Monetary Receipts not Considered Contributions
Name Date of Transaction
Amended 11/01/2011
Democracy Fund
Street Address City
10/07/2011
State Zip Code
Amount Received
16 Windsor Rd
Description
North Haven
CT
06473
Matching Funds
$1,250.00
Total of Section K
$1,250.00
Page 20 of 39
II. FUNDRAISING EVENT ACTIVITY


L1. Fundraiser Event Information
Location: Street Address City
Amended 11/01/2011
Fundraising Event #
Date of Fundraiser Letter
Description
State
Zip Code
Subpart 1: (All Committees) Was this fundraising event hosted at a personal residence? Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual of up to $50? Was this fundraiser a tag sale, auction, or other sale of donated items? Subpart 2: (Town Committees and Municipal Candidate Committees ONLY) Were there purchases of advertising space in a program book associated with this is fundraiser? Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass gathering held within the state? Yes No Yes No
If yes, go to Section L 4 If yes, go to Section L 4
Yes
No
Yes
No
If yes, go to Section L 2
Yes
No
If yes, go to Section L 3 If yes, enter Total Receipts

from small purchases Total of Section L1
Page 21 of 39


L2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items
Amended 11/01/2011
Name of the Purchaser Last Name
(Individuals ONLY)
First Name
MI
Method of payment: Cash Personal Check Date Received Credit/Debit Card Event #
Aggregate Amount of Purchases
City
State
Zip Code
Items Purchased
Total of Section L2
Page 22 of 39


L3. Purchases of Advertising in a Program Book (Municipal Candidate and Town Committees ONLY)
for All Events
Amended 11/01/2011
Name of Purchaser
Business Entity Yes No State
Event #
Date Received
Amount of Purchase
Street Address
City
Zip Code
Aggregate Purchases for All Events
Total of Section L3
Page 23 of 39


L4. In-Kind Donations Not Considered Contributions
Amended 11/01/2011
Name of the Donor
Donation given by: Individual Business Entity
Fair Market Value of Donation
Street Address
City
State
Zip Code
Aggregate value for this event
Description of Donation
Date Received
Event #
Total of Section L4
Page 24 of 39
III. NONMONETARY RECEIPTS


M. In-Kind Contributions
Amended 11/01/2011
Name
Type of Contributor:
x
Nelson Glenn
Street Address City
Individual Committee Other
Fair Market Value of this Contribution
848 Edgewood Ave
New Haven
State
Zip Code
CT
06515
If contribution is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more
_ x
_ _
Yes No Yes No Date Received
Is Contributor a lobbyist, spouse, or dependent child of a lobbyist?
Yes No
Is contributor a principal of state contractor or prospective state contractor?
_ x
10/09/2011
Aggregate contributions
Is this contribution associated with a fundraising event listed in Section J1?
Description of In-Kind Contribution

_ X
Yes No
Beverages, snacks $150.00 $150.00
If yes, list Event#
Name
x
Bixby Nathan
Street Address City
309 McKinley Ave
New Haven
State
Zip Code
CT
06515
_ x
_ _
Yes No
_ x
10/09/2011

_ X
Yes No
Beverages $15.00 $15.00
If yes, list Event#
Page 25 of 39


M. In-Kind Contributions
Amended 11/01/2011
Name
x
McCardle Patricia
Street Address City
83 Lyon St
New Haven
State
Zip Code
CT
06511
_ x
_ _
Yes No
_ x
10/10/2011

_ X
Yes No
Cheese/snacks $80.00 $80.00
If yes, list Event#
Total of Section M
$245.00
Page 26 of 39


N. Refundable Deposit to Telephone Company
Amended 11/01/2011
Last Name (Individuals Only)
First Name
MI
Date Received
Amount of Deposit
City
State
Zip Code
Name of Telephone company
Street Address
City
State
Zip Code
Total of Section N
Page 27 of 39


O. Non-Monetary Receipts of Organization Expenditures Made By Legislative Leadership, Legislative Caucus, and Party Committee
Amended 11/01/2011
Street Address
Date Notice Received
Fair Market Value of Donation
City
State
Zip Code
Aggregate Donations
Description of Donation
Purpose of Expenditure A B C D E
Total of Section O
Page 28 of 39
IV. EXPENDITURES

P. Expenses Paid By Committee
Name of Payee Date of Payment Method of Payment
X Check # 127
Amended 11/01/2011
Amount
Pat McArdle
Street Address City
10/07/2011
State Zip Code Purpose of Expenditure (by code)
83 Lyon St
Description
New Haven
CT
06511
CNSLT
Debit Card Event #
Canvassing
_ _
Type of Expenditure (if applicable)

_ _ _ _ _
Candidate(s) Name (if applicable)
Office Sought
Supported Opposed
Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A
_
E Date of Payment Method of Payment

X Check # 138
$200.00
Name of Payee
Amount
Docuprint and Imaging

Street Address City
10/10/2011
27 Whitney Ave
Description
New Haven
CT
06510
PRNT
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 128
$73.91
Name of Payee
Amount
Disposable Heroes
Street Address City
10/10/2011
1 Foster St
Description
Middlebury
CT
06762
CNSLT
Debit Card Event #
Graphic Design work

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$3,000.00
Page 29 of 39
IV. EXPENDITURES

_ Check #
Amended 11/01/2011
Amount
Interlogy
Street Address City
10/10/2011
www.interlogy.com
Description
Wwwinterlogycom
IL
Misc *
Debit Card Event #
Online Form
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 138
$9.95
Name of Payee
Amount
Hour Print 48
Street Address City
10/10/2011
33 Farnsworth St Fl 2
Description
Boston
MA
02210
PRNT
Debit Card Event #
Door Hangers, palm cards

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 138
$2,283.18
Name of Payee
Amount
Rocco's
Street Address City
10/11/2011
432 Ferry St
Description
New Haven
CT
06513
FOOD
Debit Card Event #
food
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$13.50
Page 30 of 39
IV. EXPENDITURES

X Check # 138
Amended 11/01/2011
Amount
Edge of the Woods

Street Address City
10/12/2011
379 Whalley St
Description
New Haven
CT
06511
FOOD
Debit Card Event #
Food
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 138
$4.45
Name of Payee
Amount

Street Address City
10/16/2011
27 Whitney Ave
Description
New Haven
CT
06510
PRNT
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 138
$28.71
Name of Payee
Amount

Street Address City
10/17/2011
27 Whitney Ave
Description
New Haven
CT
06510
PRNT
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$7.82
Page 31 of 39
IV. EXPENDITURES

X Check # 138
Amended 11/01/2011
Amount

Street Address City
10/17/2011
27 Whitney Ave
Description
New Haven
CT
06510
PRNT
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 129
$1.79
Name of Payee
Amount
Pat McArdle
Street Address City
10/17/2011
83 Lyon St
Description
New Haven
CT
06511
CNSLT
Debit Card Event #
Organizing and canvassing

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 130
$100.00
Name of Payee
Amount
Marina K Biggs
Street Address City
10/18/2011
177 W Park Ave

Description
New Haven
CT
06511
CNSLT
Debit Card Event #
Organizing and Canvassing

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$315.00
Page 32 of 39
IV. EXPENDITURES

X Check # 131
Amended 11/01/2011
Amount
Keshawn Cothran
Street Address City
10/23/2011
869 Elm St
Description
New Haven
CT
06511
CNSLT
Debit Card Event #
literature Drop
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 132
$20.00
Name of Payee
Amount
Brian Wright
Street Address City
10/23/2011
3 Valley Pl N
Description
New Haven
CT
06515
CNSLT
Debit Card Event #
Literature Drop
_ _

_ _ _ X _
Office Sought
Supported Opposed
_

X Check # 134
$20.00
Name of Payee
Amount
Rennick L Bryan, Jr
Street Address City
10/23/2011
481 Valley St
Description
New Haven
CT
06515
CNSLT
Debit Card Event #
Literature drop
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$20.00
Page 33 of 39
IV. EXPENDITURES

X Check # 135
Amended 11/01/2011
Amount
Joel Browne Connors

Street Address City
10/23/2011
455 Wintergreen Ave

Description
New Haven
CT
06515
CNSLT
Debit Card Event #
Literature Drop
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 136
$20.00
Name of Payee
Amount
Andrew Rivera
Street Address City
10/23/2011
455 Wintergreen
Description
New Haven
CT
06515
CNSLT
Debit Card Event #
Literature Drop
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 137
$20.00
Name of Payee
Amount
Travis M Parker
Street Address City
10/23/2011
99 Laurie Pl
Description
Waterbury
CT
06704
CNSLT
Debit Card Event #
Literature drop
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$20.00
Page 34 of 39
IV. EXPENDITURES

X Check # 133
Amended 11/01/2011
Amount
Simone Spray
Street Address City
10/23/2011
226-07 139th Ave

Description
Laurelton
NY
11413
CNSLT
Debit Card Event #
Literature Drop
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 138
$20.00
Name of Payee
Amount
Yale Station
Street Address City
10/24/2011
Elm St
Description
New Haven
CT
06511-0099
POST
Debit Card Event #
postage
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_

X Check # 138
$44.00
Name of Payee
Amount

Street Address City
10/25/2011
27 Whitney Ave
Description
New Haven
CT
06510
PRNT
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$8.34
Page 35 of 39
IV. EXPENDITURES

X Check # 138
Amended 11/01/2011
Amount

Street Address City
10/25/2011
27 Whitney Ave
Description
New Haven
CT
06510
PRNT
Debit Card Event #
Copies
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$7.39
Total of Section P
$6,238.04
Page 36 of 39
IV. EXPENDITURES

Q. Campaign Expenses Paid By Candidate
Name of Payee (Name of Vendor who candidate paid directly) Date of Payment Purpose of Expenditure (by code)
Amended 11/01/2011
Is Reimbursement Claimed? Yes No
Amount
Street Address
City
State
Zip Code
Event #
Description
Total of Section Q
Page 37 of 39
IV. EXPENDITURES

R. Expenses Incurred on Committee Credit Card
Name of Issuing Institution Type of Credit Card: Visa Other Name of Vendor Purpose of Expenditure (by code) Date of Transaction Master Card Discover
Amended 11/01/2011
American Express
Amount
Street Address
City
State
Zip Code
Event #
Description
Total of Section R
Page 38 of 39
IV. EXPENDITURES

S. Expenses Incurred By Committee but Not Paid During this Period
Name of Creditor Event # Date Incurred
Amended 11/01/2011
Amount Incurred (Estimate or Actual)
Street Address
City
State
Zip Code
Purpose of Expenditure (by code)
Description
Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A B C D E
Office Sought
Supported Opposed
Total of Section S
Page 39 of 39
IV. EXPENDITURES

T. Itemization of Reimbursements to Committee Workers and Consultants
Name of Worker/Consultant Date of Payment
Amended 11/01/2011
Method of Payment Check #
Amount
Secondary Payee
Purpose of Expenditure Debit Card
Street Address
City
State
Zip Code
Description
Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A B C D E
Other Candidate(s) Name
Office Sought
Supported Opposed
Total of Section T

Kerekes Oct. Finance

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Kerekes Oct. Finance

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SEEC FORM 20

2. TREASURER NAME Title First

3. TREASURER ADDRESS Street Address

5. OFFICE SOUGHT (if applicable)

6. DISTRICT CODE (if applicable)

7. CANDIDATE NAME Title

PRINT NAME OF THE SIGNER

FILING DUE DATE

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

A. Total Contributions from Small Contributors-Received this Period ONLY

B. Itemized Contributions from Individuals

Amount of Contribution Principal Occupation

Residential Street Address

604 Chapel St Apt 1

Legislative Aggregate Contribution

Date Received Personal Check

New Haven Board of Ed

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Amount of Contribution Principal Occupation

Residential Street Address

483 Central Ave

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

100 York St Apt 5C

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Elm Campus Partners, LLC

Amount of Contribution Principal Occupation

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Amount of Contribution Principal Occupation

Residential Street Address

177 W Rock Ave

Legislative Aggregate Contribution

Date Received Personal Check

Yale MEdical School

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Law Office Lee K Tiernan