Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Page 1 of 67
SUMMARY PAGE
1.NAME OF COMMITTEE 2. TYPE OF COMMITTEE
_ Candidate Committee
Lebeau, Rebuilding Connecticut
x Exploratory Committee
3. TREASURER NAME
Title First MI Last Suffix
Timothy D Larson
4. TREASURER ADDRESS
Street Address City State Zip Code
33 Gorman Pl East Hartford CT 06108
11/02/2010 Undetermined
8. CANDIDATE NAME
Title First MI Last Suffix
Gary D. Lebeau
9. TYPE OF REPORT
11. 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.
SEEC FORM 30
Itemized Campaign Finance Disclosure Statement
Candidates for Statewide Offices and General Assembly
CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08
SUMMARY PAGE
TOTALS
NAME OF COMMITTEE FILING DUE DATE
COLUMN A COLUMN B
This Period Aggregate
17. Total Proceeds from Tag Sales, Auctions or Other Sales (Section J2) $0.00 $0.00
18. Total Monetary Receipts (add totals for lines 14-17) $7,920.00 $36,865.00
19. Subtotals (add totals in line 13 + line 18 in Column A and in lines 12 + 18 in Column B) $33,532.06 $36,865.00
21. Balance on hand at close of Reporting Period (Subtract line 20 from line 19 ) $8,930.18 $8,930.18
22. In-Kind Donations not Considered Contributions Received (Section J3) $0.00 $0.00
29. Expenses Incurred by Committee During this Period but Not Paid (Section Q) $0.00
29a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section Q) $184.74
Page 3 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $30.00 $30.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 4 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 5 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 6 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 7 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 8 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $75.00 $75.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 9 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 10 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $5.00 $5.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $10.00 $10.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 11 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $140.00 $40.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 12 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $40.00 $40.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $200.00 $200.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 13 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 14 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $375.00 $375.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $375.00 $375.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 15 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 16 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $20.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 17 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 18 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $5.00 $5.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $20.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $125.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 19 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $125.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $150.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $200.00 $200.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $125.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 20 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $170.00 $30.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 21 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $125.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $125.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $220.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $95.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 22 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $20.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 23 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $20.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $10.00 $10.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $40.00 $40.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 24 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $20.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $10.00 $10.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $200.00 $200.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 25 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $30.00 $30.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 26 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $75.00 $75.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $75.00 $75.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $20.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 27 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $20.00 $20.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 28 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 29 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $200.00 $200.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 30 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $200.00 $200.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 31 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $250.00 $250.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 32 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $250.00 $250.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $40.00 $40.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $25.00 $25.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 33 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $100.00 $100.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
Page 34 of 67
Is contributor a principal of a state contractor or prospective _ Yes X No Is contributor a lobbyist, spouse, or Aggregate Contributions
state contractor? dependent child of a lobbyist?
Is yes, indicate which branch or branches of $50.00 $50.00
_ Executive _ Legislative _ Yes X No
government the contract is with:
TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS (Sections A & B) (Total on Line 14 of Summary Page) $7,920.00
Page 35 of 67
Address
Is this contribution associated with a Yes If yes, list Event # Amount of Contribution
fundraising event listed in Section J1? No
Total of Section C1
Page 36 of 67
Total of Section C2
Page 37 of 67
Total of Section D
Page 38 of 67
Total of Section E
Page 39 of 67
F. Anonymous Contributions
Total of Section F
Page 40 of 67
Total of Section G
Page 41 of 67
Purpose of Grant:
Total of Section H
Page 42 of 67
Description
Total of Section I
Page 43 of 67
Fundraising Event # Description Location: Street Address City State Zip Code
Date of Fundraiser Letter
10/20/2009 A Reception Event 168 Gerald Dr Manchester CT 06040
Was this fundraiser a tag sale, auction, or other sale of donated items? _ Yes X No
Fundraising Event # Description Location: Street Address City State Zip Code
Date of Fundraiser Letter
10/24/2009 B Reception Event 558 Oak St East Hartford CT 06118
Was this fundraiser a tag sale, auction, or other sale of donated items? _ Yes X No
Fundraising Event # Description Location: Street Address City State Zip Code
Date of Fundraiser Letter
10/28/2009 D Reception Event 124 Brookfield South Windsor CT 06074
Was this fundraiser a tag sale, auction, or other sale of donated items? _ Yes X No
Fundraising Event # Description Location: Street Address City State Zip Code
Date of Fundraiser Letter
10/29/2009 C Reception Event 3 Volpi Rd Bolton CT
Was this fundraiser a tag sale, auction, or other sale of donated items? _ Yes X No
Fundraising Event # Description Location: Street Address City State Zip Code
Date of Fundraiser Letter
11/19/2009 E Reception Event 130 Long Hl East Hartford CT 06108
Was this fundraiser a tag sale, auction, or other sale of donated items? _ Yes X No
Page 44 of 67
Fundraising Event # Description Location: Street Address City State Zip Code
Date of Fundraiser Letter
12/10/2009 F Reception Event 989 Ellington Rd South Windsor CT 06074
Was this fundraiser a tag sale, auction, or other sale of donated items? _ Yes X No
Page 45 of 67
J2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items
Name of the Purchaser Last Name First Name MI Method of payment: Aggregate
(Individuals ONLY) Amount of
Cash Personal Check Credit/Debit Card Purchases
Residential Street Address City State Zip Code Date Received Event #
Items Purchased
Total of Section J2
Page 46 of 67
Total of Section J3
Page 47 of 67
K. In-Kind Contributions
Type of Contributor: Is Contributor a lobbyist, Is contributor a principal of a state contractor or prospective state Yes
Yes
spouse, or dependent child contractor?
Individual No
of a lobbyist? No If yes, indicate which branch or branches of
Committee government the contract is with: Executive Legislative
Is this contribution associated with a fundraising event Description of In-Kind Contribution Aggregate contributions
Yes
listed in Section J1?
If yes, list Event# No
Total of Section K
Page 48 of 67
Total of Section L
Page 49 of 67
Total of Section M
Page 50 of 67
IV. EXPENDITURES
Description Event #
Endorsement stamp
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$24.77
No
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$59.97
No
Description Event #
website expense
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$59.97
No
Page 51 of 67
IV. EXPENDITURES
Description Event #
endorsment stamp
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$24.77
No
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$100.00
No
Description Event #
miscellanous expenses
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$216.01
No
Page 52 of 67
IV. EXPENDITURES
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$107.38
No
Description Event #
lists of voters
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$5,300.00
No
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$211.48
No
Page 53 of 67
IV. EXPENDITURES
Description Event #
reimbursement of expenses
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$149.09
No
Description Event #
office supplies
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$259.70
No
Description Event #
10282009D
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$155.00
No
Page 54 of 67
IV. EXPENDITURES
Description Event #
website maintenance
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$129.26
No
Description Event #
reimbursements
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$604.29
No
Description Event #
copies
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$37.10
No
Page 55 of 67
IV. EXPENDITURES
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$336.59
No
Description Event #
telephone expense
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$1,054.84
No
Description Event #
11192009E
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$538.69
No
Page 56 of 67
IV. EXPENDITURES
Description Event #
website design
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$1,000.00
No
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$297.04
No
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$403.86
No
Page 57 of 67
IV. EXPENDITURES
Description Event #
miscellaneous expenses
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$165.28
No
Description Event #
reimbursement
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$165.33
No
Description Event #
stamps
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$264.00
No
Page 58 of 67
IV. EXPENDITURES
Description Event #
telephone
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$525.94
No
Description Event #
stamps
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$3,080.00
No
Description Event #
mail service
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$3,298.13
No
Page 59 of 67
IV. EXPENDITURES
Description Event #
mileage expense
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$148.01
No
Description Event #
mail service
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$1,712.10
No
Description Event #
brochure design
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$238.50
No
Page 60 of 67
IV. EXPENDITURES
Description Event #
ad 11192009E
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$175.44
No
Description Event #
mileage reimbursement
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$1,669.09
No
Description Event #
miscellanous expenses
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$139.14
No
Page 61 of 67
IV. EXPENDITURES
Description Event #
miscellaneous expenses
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$614.22
No
Description Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$291.67
No
Description Event #
12102009F
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$689.00
No
Page 62 of 67
IV. EXPENDITURES
Description Event #
canceled event
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$75.00
No
Description Event #
mileage reimbursement
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
_ Yes
X
$281.22
No
IV. EXPENDITURES
Yes
Street Address City State Zip Code
No
Total of Section O
Page 64 of 67
IV. EXPENDITURES
Other
Total of Section P
Page 65 of 67
IV. EXPENDITURES
Description
Purpose of
Expenditure
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
Yes
No
Total of Section Q
Page 66 of 67
IV. EXPENDITURES
Check #
Description
Event #
Is this expenditure coordinated with another candidate for Other Candidate(s) Name Office Sought
which reimbursement is sought?
Yes
No
Total of Section R
Page 67 of 67
IV. EXPENDITURES
Description
Total of Section S