FORM R·1 REPORT OF CONTRIBUTIONS AND REPORT (CHECK ONE)

EXPENDITURES o 29 - DAY PRE-ELECTION

NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION o 11 - DAY PRE·ELECTION
POBox 185, Trenton, NJ 08625-0185 ~ 20 - DAY POST·ELECTION
(609) 292-8700 or Toll Free Within NJ 1-888-313·ELEC (3532) o Apr 15,
Web site http Ilwww elec state nJ usl o July 15,
CANDIDATE OR COMMITTEE NAME
wmm / ~ 71J seecea: /3LteJ -u:m bC#AN~/(Y D Oct 15,
STREET ADDRESS o Jan 15,
P o8vx lSI Amendment Yes D NoD
CITY STAJer ZIP CODE For State Use Only
DumONt (J?b~
COUNTY ELECTION DISTRICT OR MUNICIPALITY fLEC RECEIVED
fJ~GeJ txuncon:
JUN 302010
POLITICAL PARTY, IF ANY OFFICE SOUGHT
/)f;fY) [;Cjl_PT"/ c- CloCttJC( L-PlatStJiJ
ELECTION DATE ELECTION TYPE [Sg_PRIMARY o MUNICIPAL D GENERAL
OUAf6 !k>IO (CHECK ONE) D RUN-OFF o SCHOOL o SPECIAL
SUMMARY TABLES DO NOT ATTEMPT TO COMPLETE TABLES I AND II UNTIL
APPROPRIATE SCHEDULES HAVE BEEN COMPLETED
TABLE I RECEIPTS THIS REPORT CUMULATIVE TO
DATE
1 MONETARY CONTRIBUTIONS OF $300 OR LESS $ ObO co $ SbO(oo
2 MONETARY CONTRIBUTIONS IN EXCESS OF $300 AND ALL CURRENCY $ -0- $ 6-: 0 d-4--, 00
CONTRIBUTIONS [Schedule A]
3 IN-KIND CONTRIBUTIONS OF $300 OR LESS $ -0- $ /98 1"1S
4 IN-KIND CONTRIBUTIONS IN EXCESS OF $300 [Schedule B) $ -fJ --- $ --0-
5 LOANS RECEIVED IN EXCESS OF $300 AND ALL CURRENCY LOANS $ -o~ $ -0-
[Schedule C]
6 SUB TOTAL (ADD LINES 1 THRU 5) $ $
5bO({X) 5, 7-1::;-, 7S.
7 REFUND OF EXCESSIVE CONTRIBUTIONS [Adjustment Schedule] (-) $ -0- $ -D-
B TOTAL CONTRIBUTIONS $ !iDO/DO $ 6/7/9;15;
9 ADD FUNDS TRANSFERRED FROM PRIOR CAMPAIGN (+) $ -0- $ -0-
10 TOTAL RECEIPTS (ADD LINE 8 + LINE 9) $ $0,00 $ SI 7/~,~
TABLE II EXPENDITURES
1 DISBURSEMENTS -CAMPAIGN EXPENSES [Schedule 1 (Oll $ ---0- $ -
2 DISBURSEMENTS - OTHER [Schedule 2(0)] $ -0- $ to.co
3 DISBURSEMENTS· CONTRIBUTIONS MADE TO OTHER $ $ L/-,010d:o
CANDIDATES/COMMITTEES [Schedule 3(0)] ./J-
4 CONTRIBUTIONS MADE ON BEHALF OF OTHERS $ $
[Pro Rata Amount Schedules 1 (0) and 2(0)] ..-fJ- ~O-
5 IN-KIND CONTRIBUTIONS OF $300 OR LESS (TABLE I, LINE 3) $ ---0-- $ 193/~
6 IN·KIND CONTRIBUTIONS IN EXCESS OF $300 (TABLE I, LINE 4) $ -0- $ -0-
7 SUB TOTAL (ADD LINES 1 THRU 6) $ ~ $ it 7/819'5"
8 REFUNDED DISBURSEMENTS [Schedule F] (-) $ ~ $ -rE-
9 TOTAL EXPENDITURES (LINE 7 MINUS LINE 8) $ -0- $ _4-,113 (55: Now Jersey Election Law Enforcement Commission, January, 2005

FORM R·t

SCHEDULE A

Monetary Contributions in Excess of $300 and All Currency Contributions

CONTRIBUTOR NAME N/If- EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

[~HECK IF D [AGGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
CURRENCY $ $
OCCUPATION
CONTRIBUTOR NAME EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

ICHECK IF D rGGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
CURRENCY $ $
OCCUPATION
CONTRIBUTOR NAME EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

[CHECK IF D [AGGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
CURRENCY $ $
OCCUPATION
CONTRIBUTOR NAME EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS
---
[CHECK IF D [AGGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
CURRENCY $ $
OCCUPATION
CONTRIBUTOR NAME EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

[CHECK IF D [AGGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
CURRENCY $ $
OCCUPATION
(COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE $ -0-
(COMPLETE THIS LINE FOR LAST PAGE USED) GRAND TOTAL $ -0- New Jersey Election Law Enforcement Commission, January 2005

2

FORM R 1

SCHEDULE B

ln-Kmd Contributions in Excess of $300

CONTRIBUTOR NAME tJ / A- EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

I~GGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
$
OCCUPATION
DESCRIPTION OF IN·KIND CONTRIBUTION(S)
CONTRIBUTOR NAME EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

I~GGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
$
OCCUPATION
DESCRIPTION OF IN·KIND CONTRIBUTION(S)
CONTRIBUTOR NAME EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

I~GGREGATE AMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
$
OCCUPATION
DESCRIPTION OF IN·KIND CONTRIBUTION(S)
CONTRIBUTOR NAME EMPLOYER NAME
CONTRIBUTOR ADDRESS EMPLOYER ADDRESS

I;GGREGATEAMOUNT DATE(S) RECEIVED AMOUNT(S) RECEIVED THIS PERIOD
$
OCCUPATION
DESCRIPTION OF IN·KIND CONTRIBUTION(S)
(COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE $ -0-
(COMPLETE THIS LINE FOR LAST PAGE USED) GRAND TOTAL $ -0-- New Jersey Election Law Enforcement CommISsion January, 2005

3

FORMR·1

SCHEDULE C

Loans Received in Excess of $300 and All Currency Loans

LENDER NAME N/A- EMPLOYER NAME
LENDER ADDRESS EMPLOYER ADDRESS

OCCUPATION
CO-SIGNER NAME EMPLOYER NAME
CO-SIGNER ADDRESS EMPLOYER ADDRESS

OCCUPATION AMOUNT(S) RECEIVED THIS PERIOD
$
DATE(S) RECEIVED AGGREGATE AMOUNT CHECK IF
CURRENCY 0
$
LENDER NAME EMPLOYER NAME
LENDER ADDRESS EMPLOYER ADDRESS

OCCUPATION
CO-SIGNER NAME EMPLOYER NAME
CO-SIGNER ADDRESS EMPLOYER ADDRESS

OCCUPATION AMOUNT(S) RECEIVED THIS PERIOD
$
DATE(S) RECEIVED AGGREGATE AMOUNT CHECK IF
CURRENCY 0
$
TOTAL AMOUNT OF LOANS RECEIVED THIS REPORT PERIOD -0-
$ New Jersey Election Law Enforcement Commission, January, 2005

FORM R-1

4

ADJUSTMENT SCHEDULE Refund of Excessive Contributions

PAYMENT DATE CHECK NO PAYEE NAME AND ADDRESS REFUNDED AMOUNT
Nih $
(COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE $ ~
(COMPLETE THIS LINE FOR LAST PAGE USED) GRAND TOTAL $ -0- New Jersey Election Law Enforcement Commission Janual)' 2005

5

FORM R 1

~
::;;
~
0
u.
<1-(1)
~za::
~w
'OJ:
O~I- ~ ~
2:<0
tA-
(j)
<I~
I-I-~~
~I-tx:-
,Zol-
O~c..Z
a::oww ~ ~
c..~a::
< (;/7

I-
Z
::J \
0 )
~
< 7 (J
...J I
...J
~
LL
~
~ ~
en
(I)
tn UJ
C UJ
(I) (j) e
a. 0 <C ...J «>
>< o, n. s
W a:: ~
~ J: 0
C c, l- I-
m J c
'm z
a. i5 ~
E 0 e
I-
ca
o
(j)
(j)
W LO
a:: 0
0 0
N
c ~
-c 6' C ro
c W ::l
Z CI') W c
ro
< ::l CI') ""')
W W ::l C
~ ~ w 0
<C ~ <is
~ If.)
Z n. <C E
w >- Q,
w ~ 0:: I-
~ ~ W In
> :3
w
0:: 0::
0 0
U. LL
W W
Z z
:::.:: :J :J
Uo ~ VJ
~z J: :f
U l- I-
UJ W
l- I-
W W
I- ...J ...J
Zw Q, n.
:e :e
WI- 0 0
~«
>-0 ~ 2-
<
o, c

W ...J ::» c w ~ (J (J)

....
"
::!E
a::
0
«I-(f) LJ..
~ZI:I::
:::>w
, o x
0::21-
1:1::«0 ~
n, ~
w

C/)
«;x:(!)
~I-~~
1-1:1::-
,ZOI-
0:::> a.. Z
I:I::°WW
a..::21:1:: W W
«
~

I- I~ \
Z
:::> )
0 "<
::2
«
...J
...J ~ ~
:::>
LL
~
W W
(f) e
0 c(
... a. .J ,._
(I) 1:1:: Il. c(
:::> ~ I-
- c, :I: 0
l- I-
...i Q
c( Z
I- ~
0
l- t!)

(f)
C/)
w
1:1::
0
0
«
0 5' 5'
Z w
« rn w
W ::J (I)
::2 ~ W ::J
« C) w
Z c( t!)
UJ <; Il. c(
Il.
W < >-
>- 0:: l-
rE w (I)
> j
w
0:: 0::
0 0
u.. u..
W w
::.:: z z
()O :J :J
~Z (I) (I)
o :f :f
l- I-
W W
l- I-
I- W W
Zw .J .J
Il. Il.
wI- :::r!: :::r!:
::2« 0 0
>-0
« o (J
a. ._. -- ~

Z w ::::E w (f)

0::: ::J III tn

OJ: 10 o N W ...J ::J o W ::I:

U (f)

Il"l o o N

~

«I ::::J C (!) -,

C o in

'"

E

E o o

C

(U

E

~ ~

UJ ;: (!) ...J C

-8

0)

iIi

>ell

!!! 0) -,

s: 0)

z

- cr: !
\ ~ I
It: !
J \ 0
? u,
I ~ '?
I--
Z
=> ~ ~
a ~
:::E ~I "'-1 NI (")1
«
~ £
w
o
-c
a..
(/)
:J:
I--
_i
«
b
I--
(f)
(/)
w
0::
I/) 0
0
cu «
cu
t:
'E
II E (f)
w
0 w
0 ~
-
f/) ~
cu ~
- ~
co r+ 0 a
"C ._ o
N -.
~ 0 (/)
W to
C Z ~
al co «
0 e: 0
en w Ci
~ w
a cu ~ ...- z
.c (f) «
• ~ w o
C '0 ...J
~ => LL
c; s a 0 a
o w LL
-. I ...J
WCU W o «
...J"C I-- (f) I
:lco « w
0 0 ~ III
oE Ci w a z
WI/) Z (/) 0:: a to
:I:C « => LL 0
o w z 0 0
U,~ N
I-- o :::E z ~
enl; z ~ a: => «
w ...J a til
:J
J:l a:: 0 I-- a I-- e
'i: C3 -- (/) o W til
W -,
- :5 0
c w ~ (J) (I) .::
0 0:: => 0:: « Q
0:: :::E '"
U w a w '"
o LL I (f) E
« (/) I-- Z E
o, a a 0
>- W I-- t::: o
z
a:: :J ...J Z => ~
w « => III
> (!) I-- a c:: E
w z a :::E I-- ~
a a:: ~ I-- « z
z a 0 ~ a
~ LL s Z o
U W ...J ~ LL
W Z a o a
I ::J LL I ...J
U - ~
(/) w 0 a «
J: I M 0:: I--
I-- ~ a
I-- w W I--
W I-- ...J W 0
W I-- W => I Z
~ W ...J 0 I-- ~
...J e, W 0
0 n, :::E I
:::E a o 0 o
I-- a (/) «
z o
w ~
:::E
~
o, SCHEDULE E Outstanding Obligations

Date Incurred Creditor's Name Address Description Amount
iV/it $
TOTAL $
OUTSTANDING
OBLIGATIONS SCHEDULE F

Refunded Disbursements

Date Full Name Address Description Amount
fIJ/1f $
.
SCHEDULE F TOTAL $ -0- New Jersey Election Law Enforcement COmmiSSion, January 2005

9

FORMR 1

SCHEDULE G Recipients of In-Kind Contributions

NAME OF RECIPIENT CANDIDATE/COMMITTEE
/J/A-
MAILING ADDRESS
OFFICE SOUGHT ELECTION DISTRICT OR MUNICIPALITY
CHECK NUMBER PAYMENT DATE AMOUNT
$
NAME OF RECIPIENT CANDIDATE/COMMITTEE
MAILING ADDRESS
OFFICE SOUGHT ELECTION DISTRICT OR MUNICIPALITY
CHECK NUMBER PAYMENT DATE AMOUNT
$
NAME OF RECIPIENT CANDIDATE/COMMITTEE
MAILING ADDRESS
OFFICE SOUGHT ELECTION DISTRICT OR MUNICIPALITY
CHECK NUMBER PAYMENT DATE AMOUNT
$
NAME OF RECIPIENT CANDIDATE/COMMITTEE
MAILING ADDRESS
OFFICE SOUGHT ELECTION DISTRICT OR MUNICIPALITY
CHECK NUMBER PAYMENT DATE AMOUNT
$
NAME OF RECIPIENT CANDIDATE/COMMITTEE
MAILING ADDRESS
OFFICE SOUGHT ELECTION DISTRICT OR MUNICIPALITY
CHECK NUMBER PAYMENT DATE AMOUNT
$ New Jersey Elecbon Law Enforcement CommIssIon January 2005

10

FORM R 1

STATEMENT OF CAMPAIGN DEPOSITORY AND CAMPAIGN TREASURER
Opening Balance, this report 5bl/:,oo
(Insert closing balance of last report, or, If this IS the first report filed by this entity for this election, $
Insert zero )
Funds Transferred from Prior Campaign $ ~

Deposits (Include Interest) $ SDO,CJD

Disbursements (Include bank charges) $ --
Closing Balance, this Report $ t. OVtJ.,m
f)J 11flI N1;d<.S 8RNtc Li() l 008 JCjg L/ (forntn /~ 7T> f2f::35LL==c:r
Cf..-L_eJ Z-AIn t:::CJ-f AtJ\J-S J <._ 'I
NAME OF BANK OR DEPOSITORY ACCOUNT NUMBER NAME OF ACCOUNT
{).&{)_ WIf5fJ-/NGroN IhJ e l JJ u tnC2fJJ. z: NJ t!R0~
ADDRESS OF BANK OR DEPOSITORY
1>~11J)~ IJLV A-rf!_tL
NAME OF TREASURER "TELEPHONE NUMBER (DAY)
Jtjj_ e, LlNDeU Mf3.-l ])UmDAJT IV] t:RbBf
,.. ADDRESS OF TREASURER CERTIFICATION

I certify that the statements on this document are true, and that the contribution amounts received conform with the limitations designated by law I am aware that If any of the statements are Willfully false, I may be subject to punishment

abrafo

OAT

bATE

DATE

G~f~o

/f.U__BV -:z mE; c.J--IA Ns'~ Y

PRINT FULL NAME (CANDIDATE)

SIGNATURE (CANDIDATE)

PRINT FULL NAME (CANDIDATE)

SIGNATURE (CANDIDATE)

PRINT FULL NAME (CANDIDATE)

8o<.JJlj[)~ /to! Me--

PRINT FULL NAME (TREASURER)

SIGNATURE (CANDIDATE)

~/

Treasurers for Gubematonal and Legislative candidates are requrec to receive training with the New Jersey Election Law

Enforcement Commission Check here 0 If you have completed the training and enter your Treasurer Training ID# _

DECLARATION OF FINAL REPORT

If this IS the final report, sign applicable Declaration below as well as Certification above Chapter 65 of the Laws of 1993 requires that all filing entities continue to file reports With the Commission until all campaign business IS wound up and the fund IS dissolved

O I certify that all contnbutions or other monies received by this election fund have been disbursed, that there are no outstanding loans or other obligations, and that the election fund has wound up ItS business and has been dissolved

DATE r:'~TEJ

bATE

DATE

DATE

FORM R 1

PRINT FUll NAME (CANDIDATE)

SIGNATURE (CANDIDATE)

SIGNATURE (CANDIDATE)

PRINT FUll NAME (CANDIDATE)

PRINT FULL NAME (TREASURER)

SIGNATURE (TREASURER)

New Jersey Election Law Enforcemenl Commission, January 2005 11

'Leave thrs field blank If your telephone number I. unlisted Pursuant to tl...!.li 47 1A·11 an unlisted telephone number I. not a public record and must nol be provided on tlus term