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SEEC FORM 20Itemized Campaign Finance Disclosure StstementCONNECTICUT STATE ELECTIONS ENTORCEMENT COMMISSIONRev. l/08SUMMARY PAGE
I.NAME Otr'COMIYtrTTESlOxtorU Democratic Town Committee
2. TRICASIIPNN NA1tllN
MrFint
John c I-an Rogers ]ufrx3. TREASURERAI}DNNSSSht Add$s95 Good Hill Rd Oxford Stalc CT ZTPLre06478d ELNCfiON/f,ET'EREI{DI'M DATE 5, O!'FICE SOUGrVI (Cottiolctc onlv tfCanifrddc C*tttniltectr 6. DISTRICTNUMBUNt8.J-ir(mn/ddlylyy)7. CANDIDATI N]IME {Cuwlele only ilCan&Me ot E#lordom Conadtee}fitle Fird MI last tuffix
f, TI|DT fln ttF.DfrllT a(-hrlr flnr Dr*r1l January l0 filing f 7th day preceding primary f' 7th day preceding referendum f:t Initial Contribution or Disbursement
(PACs oNLf)3f April l0 filine s'l 30 days following primary t-. 45 days following referendum il Amendmat ioFi July l0 filing r 7th day preceding election f Deficit Type of Report:I October l0 filing ii l2th day preceding election {", Termination
(State Centrrl Cmnilta Only)!:. IndeDendent Exoenditure;r #;;"' -"'t=a-riiion i 45 davs. following electionnot held in November9- Pfxrrllt a.}vT,r*1rl i ca r-0
Beginning Date
oTtoltozoo thruEnding Date
09/30/2009
rll a-r.DTrff(.rTrrlN L*I hereby certiff and state, under penalties of false statement, that all of the information set forth on this ltemircd Campeip FinanceDisclosure Stetemcnt for the period covered i$ true, accurate and complete.
John G Rogers 10t13t2009DATE (mn/dd/yyly)RINTNAME OF SIGNER
PENAITY FOR FAI:E STATEMENT IS PAMSIIABLE BY FITVE NOI TO EXCEEDil,(W, ORIMPRISONMENT FORNOTMONE THANONE YEAR. OR BOTE
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FORM 20Campeign Finrnce Disclosure Statement
TOTALSOF CQMb,IIITEF, FILINGDTIEDATE.
10113/2009Democratic Town Committee COLUMN ATlriq Perind COLUMN BAssresate
Balance on hand January I of current year for Ongoing and Par1y Committees ORBalance on hand tom day Committee was formed for all other committees $14,042.58Balance on hand at the besinnine ofReportine Period $14,745.18
Contributions received from Individuals (sections A and B) $3,57s.00 $4,457.00Receipts from Other Committees (Sections Cl and C2) $0.00 $0.00Other Monetary Receipts (Sections D-K) $22.00 $80.00Total Small Food and Beverage Receipts at Fair (Section Ll) Town Committeq ONLY $0.00 $0.00Total Proceeds fiom Small Purchases at Tag Sales, Auctions or Other Sales (Section L2) $0.00 s0.00
Municipal and TottnTotal Purchases of Advertisine in a Proeram Book (section L3\ Committea ONLY $1,330.00 $1,410.00Total Monetary Receipts (add totals for lines l3-l6c) 94,927,00 $5,947.00Subtotals (add totals in line 12 + line 17 in Column A; and in line I I + l7 in Column B) $19,672.18 $19,989.58Expenses Paid by Committee (Section P) $1 '1 ,469.1 1 $11,786.51
Balance on hand at close of Reporting Period lSubtract line 19 from line I 8 in both Columns) $8,203.07 $8,203.07In-Kind Donations not Considered Contributions Received (Section L4) $0.00 $o.ooIn-Kind Contributions Received (Section M) $526,2s $616.25Refundable Deposit to Telephone Company (Section N) $0.00 $0.00Receipts of Organization Expenditures (Section O) $0.00 $0.00Beginning Loan Balance $0.00 $0.00
* I^"." Received (sectinn T)\ $0.00 $0.00* Interest and Penalties on Loan $0.00 $0.00- Payments on l,oan $o.oo $0.00Total Outstandine Loan Amount $0.00 $0.00
Campaign Expenses Paid by Candidate (Section Q) $0.00 $0.00Expenses Incurred on Commitlee Credit Card (Section R) $0.00 $0.00
Expenses Incurred by Committee Durine this Period but Not Paid (Section S) $0.00Ourstanciing Expenses incuned by Committee stiii Unpaid (Section S) !*n nn
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MONETARY RECEIPTS {Sections A-K) Paqc 3 of 17OF COMh/IITTEE N-INGDIIEDAT.EOxford Democratc Town Committee 't0/13/2009A; 'lotal eoEtrtbution$ from Small Contrib'utorr-Received thl$ Period ONLF
{Sae ins'rtetidfts far dcftttt iat of *tull Crmtibii*l Sfilitiit*rtiirfiit; , 0.00B.NmERzeszutek Robert MI Prircipal 0ccupatioqLogistics Armunt ofContribution
$500.00
197 Riggs Street Oxford italeCT ,rp L4oe06478 NU? Ol t.mploydMemry Corpcontributor a lobbyist, spouse,dependent child ofa lobbyisf (. Yes.r l\o If contribution is in excess ol $400 to a candidate commitee for a chief executive olficer of amunicipality does contributor or business helshe is associated with have a contract with saidmunicipality valued at more than $5,000? l*i Yes f No
Is this contribution associated with a i'. YeslundraisingeventlistedinSectionLl? ?il Nofyes, list Event #Is contributor a princigal of a state contsctor or prospective state contractoil il YesI/ycs, indicate which branch or branches lt$ Noof govemment the conmd is with: f, Executive {i Legislative
Method of contribution:1-: Cash i.i, Personal Check fj' Credit/Debit Card 5 i Payroll Deduction f, Money Order Date RcaiYed07t28t2009 Ag8rc8ate FnttrDutlms$500,00Skyers FirsiErrol MI Principal OcouptimLawyer Amount ofContributionstreet Addffis Oxford itateCT llp Uo(F06478 , or rmPo)Self
$25.00
conributor a lobbyist, spousechilO o:t u foUUvisfi fil Yes. l No Ifcontribution is in excess of$400 to a candidate committee lor a chiefexecutive officer ofamunicipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,000? lli Yes i4 Nos this contribution associated with aundraising event listed in Section Ll?I/ycs, list Event # e Yesfi tto Is contributor a principal ofa state confactor or prospctiv state contractor? fi Yesfycs, indicate which branch or branches fii Noof govemment the contract is with: fl Executive fl Legislative
ethod of contribution:E: Casn C: Personal Check i-- CreOiVneUit Card .{, Payroll Deduction 1] Money Order Datc Recoived08/1 1/2009Aggrcgate cmtnbutims
$25.00Guillet FirstKaren MI Pnicipal OcmpstionTax Collector Amunt ofContribution
$500.00
nuu Duq^{restPO Box 492 Oxford JlaleCT 4ip Codc06478 Narne ot EmproyfTown of Oxfordcontributor a lobbyist, spousedependent chilO oiu iotityistf YesNo If contribution is in excess of $400 to a candidate committee for a chief executive officer of amuniciFliry does contributor or business he/she is associaM with have a confract with saidmuniciplity valued at more than $5,@0? f. Yes fi uo
this contribution associated with aevent listed in Section Ll?Ifya,list Event # _lfi Yesii, wo ls conhibutor a principal ofa state contlactor or prospective state contractor? 'Cr YesI/yar, indicate which branch or branches {--1 Noof government the contract is with: fr Executive f, Legislatiue
of contribution:i:i Cash !i, Personal Check f: CrediVDebit Card f'l Payroll Muction i* Money Order DAte Kecaved0812112009 Aggrcgil9 cmmoE@s$500.00Mover f rslJames MIc Principal OcorJntimTifle Searecher Amunt olContributior
$100.00
grg@ua wgAffiss336 Forbes Ave New Haven tullcct ,rpl.ffi lNffiorBmproyq0M78 Selfcontributor a lobbyis! spouse, ?31 Yesitl No Ifcontribution is in excess of$400 to a candidale committee for a chiefexecutive offrcer ofamunicipality does confributor or business he/she is associated with have a oonfract with saidmunicipality valued at more than $5,000? fl Yes ila No
this contribution associated with aevent listed in Section Ll?IJyes,lisl Evant # _t-*l Yesf-: No Is contributor a principal ofa state contractor or prospective state confactof !i"l YesIDa, indicate which branch or branches fr Noof govemment the contract is with: f Executive i-: Legislative
of contribution:f. Casn nii Personal Check f-' Credi@ebir Card {l Payroll Muction C Money Order Dale Reived08/31/2009 Aggreg4e $100.00SUBTOTAL Section BThis Pagr $1,125,00
TOT.{L of sdditlonel Section B Pagos $2,450.00TOTAL OF ALL CONTRIBUTIONS FROM INIIIVIDUALS (scctions A &Bl Entet tatot u Linc 13 oisutnmrv Paee) $3,575.00
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I- MONETARY RECEIPTS /Secfions A-l(l Pase 3 of 1?OF 'OMMfTTF--E in IN{:l}lIF naTte:Oxford Democratic Town Committee 10113t2009. fo-tll Contributioru fnom Smrll ContributotpRcceived this Period ONIiY "lsee hutruoians fa defrnition otsmall Coftribr&oil Subtotel ScctiriE I $ 0.00
R- Ifentizerl f-nnfrihufinnq frarn fndivldrroleDrayton-Rooers FiEl MIMaryAnn Princioal Ocrupation1st Selectman Amount ofConlribution
$s00.00
Street Adress95 Good Hill Rd Oxford Ital6CT lpL(E06478 Town of Oxforda lobby'ist, spouse,child of a lobbyist? '.i; Yeslg;. No Ifcontribution is in exsess of$40O to a cardidat committee lor a chiefexecutive officer ofamunicipality does contributor or business he/she is associated with have a contract with saidmunicipalif valued at more than $5,00O? fl Yes f; No
contribution associated with aevent listed in Section Ll?list Evant #i*'t!i YesNo Is contributor a principcl ola state contmctor or prospective stat contractor?fyes, indicate which branch or branchesof govemment the contract is with: {i Executive f; Legislatrve
fr YeslS, Nool contribution:Castr :!: Personal Check f CrediVDebit Card fi Payroll Deduction C: Money Order D*e Rwived09/04/2009 Ag8regalc c6mD$lms$572.00
Rooers Fist I MIJohn I c Principal OccupatioRetired Amount ofContribution
$500.00
u& DrgAffu6595 Good Hill Rd Oxford rl{tCT llpLre06478 Nffioi.hryloysa lobfuist, spouse, fl Yes{l No Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive ofTicer ofamunicipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,0O0? ilii Yes iir No
this contribution associated with aevent listed in Section Ll?list Event # C YesfrNo Is contributor a principal ofa state contractror or prospctive state con$actor?fyes, indicate which branch or branchesofgovernment the conuact is with: l*l Executive f. Legislative el Yes{r'Noof contribution:
"*O t , Personal Check l, CrediVOebit Card f] Payrolt Deduction 'ft Money OrderDrte Recsivd
09/08/2009Aggrcgaemrwtr63
$500.00D'Souza Firsl mDnthony Principal OcopatimBuilder Amonnt ofContribntion
$1,000.00
nus)u@4rc598 Blue Berry Lane Shelton rlalcCT :rp Lre06484 fw or EmPrqyrSelfa lobbyist, spouse, f.i Yesfi No Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofamunicipaliS does conEibutor or business he/she is associated with have B contract with saidmunicipality valued at more than $5,00O? lYes CNo
conFibution associated with aevent listed in Section Ll?list Event #'{*' YesS' No ts contribuior a principel of a state contractor or prospective state contractor? il Yes^I/yer, indicate *trich branch or branches i..f,; Nooigovernmentthecontractiswith: fi Executive f,Legislative
of contribution:Cash !?, personat Check f: CrediVDebit Card fi Payroll Deduction i' Money Order Date Rffiived09/09t2009 Aggrcgate cmtnbutrus$1,000.00Murphy Ftrst MICTames Prircipal OccupatimRetired Amolnt ofContribution
$100.00
srg A@e33Road Oxford itdcCT 'lPeo(F lNreortmProycr06478a lobbyist, spous, f;" Yesf' No Ifcontribution is in excesr of$,10O to a candidate committee for a chiefexecutive ofTicer ofrmunicipality does contibutor or business he/she is associated with have a contract witi saidmunicipality valued at more than $5,@0? {', Yes l$i No
this conbibution associated with aevent listed in Section Ll?Iist Event #r; Yesril No Is contributor a principal ofa stale contractror or ptospective state contractor?fyes, indicate which branch or branchesof govemment the contract is with: {i Executive d*! Legislative
fi Yes3i Noof contribution:Fl Personal Check f.: CreditDebit Card Cl Payroll Deduction i--' Money Order DateRmived09/09/2009
AggrcBe$100.00
SUBTOTAL Scctio* hThir Page $2,100.00TO?AL of rddttiorel Sction'B P*gcs $0.00
TOTALOF'ALLCOrrRIBUTI(}NStr.ROMINDmIittAL${$.ctiomA &WEittdtotdatit*ttloffiur *P*el $2,100.00
,/f'l'r /c/t''/? /' ?r" J ,4,
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MnlVf'.TAn\/ R|I(-IIIPTS fSenfinnr A-ICI Pase 3 of 17$T r}Jal nt''l rttTE
Oxford Democratic Town Committee 10/13/2009I otal {-ontnDuuons llsm Sm|tt Uonffibutolls-fieceive{l mls tsenod. (,Ill,Ylsee instra*iow for itefinitionofSnall ffibttalt :''' " SubJoalStctionI 0.00$
B, ItemLea Contributlons from IndfuiduslsAiksnoras FitrrLynn MI Prinoipal OccupatioHousewife Amount ofContribntkln
$100.00
sut AooressOxford Road Oxford itateCT Zip Codeoat78 Nffi Or Emplqyca lobbyist, spouse, fl Yeschild of a lobbyist? t-'l No If contribution is in excess of $400 to a candidate committee for a chief executive offtcer of amuniciplity does conuibutor or business he/she is associated with have a conbact with saidmunicipality valued at more tlnn $5,000? 'f Yes f' No
contribution associated with aevent listed in Section L I ?list Event #j:Yesi'i: No Is contributor a principal of a state contractor or prospective state contractor? f' YesI/yo, indicate which branch or branches i-ii Noof govemment the contract is with: C Executive fl Legislative
of contribution:Cash i!-. Personal Check 'f CrediVDebit Card fJ Payroll Deduction f, Money Order Dats R*ived09/1412009 Aggrcgale contnbuhms$100.00Bunzl Fi$rPeter Bunzl MI Principal OcruoatimRetired Amoutrt ofContribution
$250.00
)Effi A@6s160 Country Club Dr. Oxford rIgECT 1lp Uodg06478NUla of Employs
a lobbyist, spouse, !*; YesfS No If contribution is in excess of $400 to a candidate committe for a chiefexecutive ofTicer ofamunicipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,000? r.l yes fr Nocontribution associated with aevent listed in Section Ll?list Event # !,
YesNo Is contributor a principal of a state conFactor or prospctive stale contractor? e yesfyas, lndicate which branch or branches iiJ Noolgovemment the contract is with: I Executive f. Legislativeof contribution:Casn f: Personal Check il CreAitfnebit Card {l: Palmll Deduction Ii, Money Order Date Recivedo9l'17t2009 Aggrcgale contnbuums$350.00
Firsl MI Principal Ocopotim Arnount ofContributionSlrest Address --ity itale lip Codc Niln or ffiploysCoble
a lobbyist, spouse,child ofa lobbyisf ii YesNo Ifcontribution is in excess of$40O to a cardidate committee for a chiefexecutive oflicer ofamunicipality does conEibutor or business he/she is associated with have a contract with saidmunicimli8 valued at more than $5,000? l , Yes fi Noassociated with a
event listed in Section Ll ?list Event #'r YesNo Is contributor a principal of a state contractror of prospective state contractor?f/es, indicate which branch or branchesoigovemment the contract is with: fa Executive d: Legislafive
ns] YesNocontribution:castr 'S. Personal Check l: Credit/Debit Card fl Payroll Deduction {'' Money Onder Daic Rffiived Aggrcgete cmtnbutros
Nue First MI Prircipal O,coptim Amount ofContributbnStrest Addrss lify itatc lip Code lNme of Enrployc
a lobbyist spouse,child ofa lobbyisfl C Yesfl No If contribution is in excess of $400 to a candidate committee for a chief executive officer of amunicipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,00O? f. Yes ifr Nocontribution associated with a
I isted in Section L I ?Event # _{*l Yes{il No Is contributor a principal ofa stale contractor or prospective stale contracioflfyes, indicate which branch or branchesof government the conlract is with: fi Executive {*: Icgislative
fi Yes!i Noof contribution:Casn f, Personal Check r: Credit/Debit Card ti Payroll Deduction l'L Money Order Date Rmived Aggretale mtnburons
SUFTOTAL Scction FThis Pagt $350.00TOTAL cf sdditiond Sceffor BP*ges $0.00
TOTAL OFALL CONTRIBTflONS tr.f{OM INDMDUALS fStctiom A &Bt (Enta totat ott Line 13 of Sarrvlpry Page} $350.00
2lfvp/71)tvL /-Q*S o r
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l. MONETARY RECEIPTS (Sections A-K) Page 6 of liCOMMITTF,F ?Ir INfr bl rF na.'E
Oxford Democratic Town Commiftse 10/13/2009I. Anonvmous Contributions /^Srcrr? ddltr atmuil of the lills rcceivel)
o811212009 Amul $13.00 09/0912009 $9.00 TotaIArnount Rcceivcd
22.00s
$l ulrs $13.00 $s uius $0.00coins $o.oo $lo biil $0.00
$r uus $9.@ 65 616 $o.oocoins $0'00 g1s 6i11 $0'00,. .:.. .,.. : : .i.I: fnfereef frrim lleriosits in A[thorized Aetountr.,
Rsived$0.00
Datc RffiiYcd$0.00 TotrlAmount Reccived
$ 0.00
of InstitutioD Nm ofln$itutionStlel Addrcss
ist*elcr Zip Codo City CT Zip Codetr(. Miscelleneous Monctar.v RcceiDts not Considered Contributions
Date of Tmsctim Amount Reccived
$ $0.00Addr6s City State CT
ZipCo&
Date of Trsrsctim Amounl Receivcd
s $0.00Address City
CTZipCo&
Date ofTmsrtimAmounl Reccivcd
$ $0.00
Add$s City Stat CTZip Codc
Totd Sectioa K s 0.00:'$umtltriy of Other Monet*ry Recciptr ($ectfonr, I)-K},Loans Received this Period (Section D) 0.00Receipts from Entities other thsn Individuals or Other Committees (Scction E) + 0.00Amount Transferred from Afliliated Business Treasury (Section F) + 0.00Amount Transferred from Affiliated Labor Union or Othcr Orglnization Treasury (Section G) + 0.mAmount of Personal Funds of the Candidete Received this Period (Section IO + 0.00Amount of Anonymous Contributions (Section I) + 22.00Amount of Interest from Deposits in Authorized Accounts (Section J) + 0.00Miscellaneous Monetary Receipts not Considered Contributions (Seetion K) + 0.00of Othcr Motretnt? celpb. tAdd Scction! II'K)total on Line I5 of Sunu'avlry PWe) 22.OO
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II. FTJNDRAISING EVENT ACTryITY Pnge 9 of 17OFCOMMITTEE . llt rr{n il}F na.I*
Oxford Democratic Town Committee 't0t13t2909L{. Sqrcfiesec sJAdvsrti$ing h e Prograu Bsok Municioat Caditu& and Towa Canwi$s oNl,yt
South Britain Country Store l'USrnes!Enttty, YesCNo
Date Resived08/1812009
Aggrcgat Prchesfor AU Evmts$50.00
Anpunt ofPurche*c$50.00Addrc$667 South Britain Road 'ltyS. Britain
5AeCT
ZtpCode06487
Evmt#10/4/2009A
qfhrchffiCrystal Connection
ttusmeslEntity
f; YeslNoDate Rtrived
08t19/2009Aggrg8t Purchascs
for All Evnts$50.00
Amo[trt ofPurchasc
$50.00tsret AddrssPO Box 123 - lryHaddamStale
CTZip Code06438
Evmr #10t4t20094ofPurchaser Cata Di Roma BusinessEntity
t?lYesl-t No
Datc Received0B/25/2009
AggjegatcPwhMfs All Evmt!$50.00
Amonnt ofPurchasc$50.00Addrss58 Bumside UrtyE. Hartford
StateCT
Zip Code06108
Evctrl #10/M/2009AofPurchm Winding Drive lnc BusinessEntrty
t.i YesfiNo
Date Rmived09/01/2009
Aggregstc Purchasesfor All EYsnts
$s0.00
Amounl ofPurchesc$50.00AddressPO Box 1138 -rryWoodbury
StaleCT
Zip Code06798
Event #10t4t2009AofPurchaser Lebanon AG Products
BusinessEntltyP"ot lNo
Dale Received09to1noog
AggregatePrcllMfor All Evats$50.00
Amount ofPurchasc
$50.00A(xtrcssExeter RoadittyLebanon
jt&eCT
Zip Code06249
Eval #1AAt2009AAnaliese Designs BusinessEntity
ifi YesfiNo
Date Rwived09/01/2009
Aggrcgate PwhNsfor All EvDts$s0.00
Amunt ofPurchasc$50.00Addr6s4 Thompson
LlryMilford
StateCT
ZipCo&06460
EY{t #10t4t2009A
Best Buddy Biscuits BusinessEntityfi? yesENo
Dste Recived09t02t2009
Aggrcgate Pmchasqfor All Evmts
$s0.00
Amount ofPurchasc$50.00Addss25 Bishop Street
LnyW. Haven
StstoCT
ZipCo&06176
Elcil #10tu2a09A
of PurchmrDoris Pouch Petrochko BusinessEntlty
iii Yes$'No
Date Rffiived09t02t2ao9
Aggegsle Purchssestbr All Evats$50.00
Amoult sfPurchasc$50.00A&s70 Quaker Farms Rd LltyOxford StaleCT Zip Code06478 Evtrt#10r4l2009A
of Purchascr Southem Relishes BusinessEntrty$ v"t$No
Dalc l{csrvd09t0,4.t2009
Aggregale PurchMfor All Evmts
$s0.00
Amount ofPurchesc$50.00Address111 Anderson Ave
ultyW. Haven
JtateCT
ZipCo&06516
Evat #10/4/2009A
Bead Original BusinessEntityt.) YesC' No
Date Reeived09/08t2009
Aggrcgale Puchsefor All Evmls$50.00
Amunt ofPurchrsc$50.00AddresOak Glen Hill Road -rfyDerby
StatCT
zip Codc06418
Evflt #'tot4t2009A
Barbara J West BusinesEnttty$ YesC, No
Date Rffiivod09/08/2009
Aggregsle Purch$elfor All Evmts
$50.00
Amo[trt ofPurchesc$50.00Address -rfyCheshire
StaleCT
ZipCn&06410
EYenl #10t4t200sA
Jennifer Lynn Firmin BusinessEntityfi Yes{], lto
Date Rtreived09i09/2009
Aggreg$e Pwchaserfd All Evats$60.00
Arnount ofPurchesc$60.00et AddrcssMcKesnan
JltyPlainville
StsleCT
ZtpCa&-06062
Evetrt #10t4t2w9ASUBT.OTAL $ectior Lr-Thir Page $610.00
TOTAL of rdditional Section [,r Pascs $720.00TOTAL OF ALL PURCHASES OF AIIVEITTISINC IN A PROGRAM B00.IK (Enter tdal o* Liae I6e of Sutwtury Pase| $1,330.00
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IL F'T]NDRAISING EVf,NT ACTTVITY Page 9 of 17fiF {rfIML{TTTFE m rNnf)IIF:rtATE
Oxford Democratic Town Commiftee 10/13/2009L3. Purchgscs of Advertisins in a Prosrsm Book Ofunicba Canditutu and Town Conminea ONLV)
JGS Consulting t'usrneslEntityr Yes0No
DateRmeivd09112120a9
Aggrgrte hrchssesfix All Evots$50.00
Arnonnt ofPurchase$50.00Ad&ssMenyin Ave
jltyMilford
StateCT
ZipCo&06460
Evmt #1014/20094
Bethany Home CraftsBus mess
Entityfit.: YesNoDale Rsivcd
09/09/2009Aggcgstc Prrchrc!
br All Evaa$50.00
Amount ofPurchasc
$50.00AddrssVincent Rd -rtyBristolState
CTZp Code06010
E!flt #10/4/2009AChristine L Bassette BusinessEntity
t?Yest 1No
Dare Rreived09/1 1/2009
Aggregaro hrchffisfor All Evenls$60.00
Arnount ofPurchese$60.00AddressSt
lrtyS. Glastonbury
StetCT
Zip Codc06073
Evcnt #10/04/2009A
ofl\rchm Peter M Petrochko BusinessEntityfr yes{ltNo
Datc Rewived09/15/2009
Aggrqrate PrrchtrE!fu All Evmts$60.00
Armnnt ofPnrchasc$60.00jrtyOxford
StrteCT
Zip Code06478
Event #1014t2009A
Anthony CocchiolaBusinessEntityF v.tI lNo
D*eRwived09/16/2009
Aggregate Purchesfor All Ev6tg$250.00
Amunt ofPurchasc$250.00A@HtsFalls Ave
jrtyOakville
StateCT
Zip Code06779
Evmt #10t24t2009
MichaelH Horbal BusinessEntityiS Yes{l llo
Dce Reivedo9t17t2009
Aggrgatc Puehdsfor All Evats
$250.00
Anonnt ofPurthrsc$250.00AddressMain St
urtySeymour
StaICCT
ZipCorkofl83
Evml #14t24t2009
BusinessEntitySY"t{j No
Date Reeived AggegatcPuche!for All Evcnls Amotnt ofPurchaseAdftss lity State ZipCo& Evenl #ofPwhasrr BusinessEntity
iil Yes$No
Date Reccived Aggrcgale Purc.iaserfor All Evmts Amount ofPurcheseAd&ss lity StaJe ZipCa& Evsnr #of Pwhaser BusinessEntity
&.yesfiNo
Date Reeived ABgregale Puchaserfor All Events Amount ofPurchascAddress City State ZipCo& Evmt #
BusinessEntityl3r yesCNo
D8! R@ivd Aggr%ate Purchasefor AII Evats Amonnt ofPurchescAd&ss City Stat ZrpCo& Event #
BusinessEntityil Yesf,No
Date Rffiived A\ggrcgate Purchs!for All Evmls Amount ofPurchascAddress lity State ZipCo(& Event #
BusinessEntityi YesfiNo
Dare Reeived Aggr atePwhffifo AII Evcns Arnount ofPnrchaseAd&ess lity State ZipCo& Evsnt #
SUBTOTAL See$en I;-Thb Pegt $720.00TOTAL of edditionel Section Lr Pagcs $0.00
TOTAL OF ALL PURCEASES OFADYf,RTISING rN A PROGRAM DOOId (Entet total on Line Itu of Sur''''glry Page) $720.00
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IN. NONMONETARY RECEIPTS Page ll oflTVAMF NF fY}MM'1"T'1F trIT IN': ff IF 'IA{EOxlord Democratic Town Committee 10/13/2009
M. In-Kind Contributionsam Peter Bunzl Type ofContributor:;qi Individual$ Committeett Othet (,cpdi"unk oaly to Rqqerdurn Comminees)
Feir MarketVelut of thkContribution
$45.00
ffi Aoqfes160 Countrv Club Dr. -IryOxford :weCT elp Loce06478contributor a lobbyist, spouse,child ofa lobby'isf !'-:i!i YesNo Ifcontribution is in exces of$400 to a candidate commitlee lor a chiefexecutive officer olamunicipatity does contributor or business he/she is associated with have a contact with said
municipality valued at more than $5,ffi0? .f' Yes ti: Noate Rewived09/30/2009
Is this contribution associated wilh alundraising event listed in Section L l?{f/es, list Event #YesNo
Dffiiption of In-Kmd CmtrihrtionCommittee Phone/E-Mail line.
{ggrcBuE @nmouuo$135.00
*m Margaret Potts-West Typ ofContributor:fr IndividualCa Committee{:'. Other (.4p$caHe unly to Rseadun Qnmtnex)Fair MariretVelne of thisContribution
$481.25
rea Ad(lress10 Sioux Drive -lryOxfordfETCCT arp Code06478
s contributor a lobby'ist, spouse,r dependent child of a lobbyisfl Ci Yeslii No Ifcnntribution is in excess of$400 to a candidate committee lor a chiefexecutive officer ofamunicipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,000? C Yes !!t Noare Reeived
08/2112009Is this contribution associated with afundraising event listed in Section Ll?If yes,lisl Event # _*
{: YesSNo Descriptim of In-Kind CmtributionTown Clerk Campaign SignsASSregale sntnbutnns
$481.25Narc Type ofContributor:
fi Individualf; Committee{*.,, A$nr (,lwucaote ualy to Refaadum Comiteu)latr marxctValue of thbContribution
$o.oo
lhcct Ad&cs litv )EeCT aiD Codes contributor a lobbyist, spouse,r dependent child ofa lobbyisfT I Yes{*. No If contribution is in excess of $400 to a candidate commi$ee for a chief executive o{ficer of amuniciplity, does contributor or business he/she is associated with have a confract with saidmunicipality valued at more than $5,000? f: Yes C No)ate Reived Is this contribution associated with a *' yesfundraising event listed in Section Ll? d*' NoIfes, list Event #
Descriptim of In-Kind Cmtribution \ggregale cmmDurms$0.00
Nam Type ofContributor:C Individuali*, Committef1 Othet (Applicablc ont! to Rdaendum Cummine*)I'sir MffkctValuc of thbContribntionItret Addr6 litv )meCT ZiD Co(b
Is contributor a lobbyist, spouse,or dependent child of a lobbyisfl C YesNo Ifcontribution is in excess of$400 to a candidale committee for a chiefexecutive officer ofamunicipality does contributor or business he/she is associated with have a contract with saidmunicipality valued at more than $5,000? f Yes fr No)ate Rewived ls this contribution associated with a
fundraising event listed in Section Ll?fyes, list Event #f--$.t -!
YesNo Dmiptim of In-Kind Cutritutim rggrgE4r cuuruuuo$0.00Name Typ olContributor:f, Individualfl Committeefi A$er l,lp4xanemlyto R{audtmConmtdu)
lair iurrllcaVrlue of thirContribution
$0.00
Sts6t Addtffi lity 5rdeCT CD Cod6s contributor a lobbyist, spouse,or dependent child ola lobbyist? t*":i Yes{lr No Ifcontribution is in excess of$400 to a candidate commisee for a chiefexecutive officer ofamunicipality does contributor or business he/she is associated with have a conFact with saidmunicipality valued at more than $5,000? f Yes llli Noate Received Is this contribution associated with afrmdraising event listed in Section Ll?fyes, list Event #
it Yesli No Demiptim of b-Kind Cmributim Ag8rcgarc co!m($0.00SUBTOTAL Section M-Thb Prgr $526.25
TOTAL of eddftionrl Scctior M Prgec $0.00TOTAL OF AI,r- IN-KIND CONT*IBUTIONS ENI& IotqT oN LfuE 22 Of SE/'|U,WY PAgC) $526.25N. Refundsble Depmit to Teliphone Company,' (NOTEi Mb *da rcfert orly lo dtanex. of @o.rtb 4 rrdY&tds fiot,nrc&el lrrubto bcrrefrttlrcc',/frnilttQ, nd dqost,s trrdi bythc csmfitea)
ast Natr oflndiYidud6idmtisl StrEr Addss
FiFt6 MI I oate Oeposit tutadeState lap CodecrlAmount ofDeposlt
$0.00Narne of telephore oryanyStret Addres City State
CTZipCcdp
Totel Section N (Eter totd on Liae 23 olSunawry Pagel: . $0.00
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III. NONMONETARY RECEIPTS Prge 12oll7*tE nn flalt l,ft'r'TEF {I.IN{T rlIIE NA.TF.
O. Nou-lWoectrry Reeeip$ of Orgrnizition Expcnditurel Mrdo By:Lesktrctive,Lcrdershtri Lui*lntivc Caueuii ahd Psrfrt ComrlritteG'.of Cmiree pegiskifv.Iaiaaship, Legkffile Caucus, antl Puty Comnin$ ONL0 | Nm of TremmAddrcss Date Ndie R*ivd Feir Mrrtet Valueof Donntion
$0.00CT ZipCo&
\ggrs,atc Domtims$0.00
of Donation Purpose of Experditut (se. ial/,ra ctiots)f,A f-i B {:lC {_-, D f, Eof Comitte (Legifltattve lza.lerchip, Legtsldl'ive Caucus, and Party Comniltea ONLY) lNme of Trc8ffiAddrss Date Notie Rmived Fair Merkct VslueolDonstion
$0.00CT Zip Code
\ggrcgsta Donttims$0.00ofDonation Purpose of Exptrditw (see iastruabns)
{-i, If1 BfiCfiDC-Eof Comittee {LegMAtle t*adership, Legblatlve Cuus, and Pilly Committes ONLV I Nm of TrcuroAddffis Dsle Notie Recsived Fair Mcrket ValueofDoaatbn
$0.00CT Zip Co& Aggregale Donatims$0'00
fDomtion Purpsc of FrQmditurc (see instnclions)i;A {-:B !'c :..1 D !.Eof lzudsshiP,IzgbldvcCaturs,asdPartyCnnineaONLY) lNarcofTlm
DalG Notie R@ival Fair Merkct ValueofI)onation
$0.00CT Zip Co& \ggregata Donntims$0.00
of Domtion Prrpose of Expaditrc (se. tnstndius)f'l flp 1-:g fiP (,*s*ii p"ttv tonmina ONLY) lNure of TrecumAddrms D*e Notice Received Feir Merkt Valncofl)onstbn
$0.00CT ZipCo&
\ggregate Donalims$0.00
ofDonation Cil rf B ric '{iD i:'D"tU V,Izgbbtlle Caucus, and Part! Committe* ONLY) lNme of Trcma
Date Notis Rwived Fair Market ValneofDonetftrn
$0.00CT
Zip Co& \ggrcgate Domtim$0'00of Donation lrrpos of Expmdiuue (see ingndfut;s)C;A $18 f.c flD f.oniasoutn lNmofTreaw
Address Date Notie R*ived Fair Market Valucof l)onrtion
$0.00
StaleET ZipCo& AggregareDomtims
$0'00lrsposg of Erpaditue (sce inslructiols){- A rl B {.rc f: D i'E
Totel Sectirm Q (Enter taal o*Li* 21 of Saaawy P,8SL $o.oo
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IV. EXPENDITURES Page 13 ol17L,fil rtr frArnttT'T'tl?. fi t}.ri+ftilf '.iT.F.,
Oxford Democratic Town Committee 10/13/2009P:i' ExDen$es Paid. by eomni&.
of Pavc' Caldwell Banker )ste ofPryGd7t28t2409
Method of Paymentfl Check #- 1 31 0{:t Debit card
Anmunt
s 600.00
AddtessOxford Road
CityOxford$eteCT
APLre06478
ar Exp@arwcode) OVHD ouoo H""dqr"ters Rental Event #Expenditure (l! applicabk)'.Coordinated with reimbursement soughtCoordinated wi*rout reimbursement sougltt
IndependentOrganization (see Inslruclions)flfr Bf.cfl DeE
Cmdidat{s) Natc((apphcailQ Offic Sougbt u Supportedtr opposed
fi olP&rc" AT&T )aic ot ralmr7t2912009Vlethod ot Payment
; Ctrecf * 131 1ADebitcadAmount
$ 240.00
At8lrss CityOxford 'TreCTZip Code0il78
ol bxpnorhre OVHD Dt!On' Deposit (2) Phone Lines Evmt #of Expenditure (iI awlicabL).
. Coordinated with reimbursement soughtCoordinated without reimbuaement soughtIndependentOrganization (see Instruoions)fl fin f,c i-.n lin
Cmdidat{s)N8m(iIawlicaDl4 Offe Sought [J SupportedUopposC
of Pse' United Methodist Church )d of Palmsnt7t30t2w9vlethod ofPaymenti? check #, 131 2f Debit Card
Amounl
s 100.00
Hill Road -ltvSeymour JtateCT4rp Lqrc06483
ot lrQa(utwcodc) FNDR ption- Deposit Fund Raiser - Pasta Dinner 10t24t20094of Expenditure Glawlicabl+.Coordinated with reimbursement sought
Coordinated without reimbursement soughtIndependentOrganization (see In$ruaions)i,a !.Br.c !iDI_,tr
Candidat{s) Nen(if aWlicable) Officc Sought E SupportedE Opposed
t* sign A Rama ,ale or ralmar8/312009Method ot Payment' ghrgl g 13't3f; Debit card
Amounl
500,00
Addr6sEagle Road
CityDanbury
italcCT alPLoce
06810or Dxpmouceode) A-Sign phon Deposit (50) Campaign Signs Evml#
of Expenditure (If owltcrble|.with reimbursement souglrtCoordinated without reimbursement soughtOrganization (see Instradons)LA l rB i C !tD ! E
Cmdid*{s)NcQf whcabtd Officc Sougbt fl SupportedEI opposed
of Pave- Arrow Printers )ate of Palmilt8/3/2009Method of Payment
. Check #- 1 314fr Debit CardAImtrnt
s 900.00
AddressMain Street -rtyAnsonia rmcCTLtp Lo{&
06401or t{pm(trtue"ode) A-Sign DtioD' 400 24x18 Campaign Signs Event #
of Expenditure Gl twucabr4'.Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentorganizatiol 6ee lpilructions)fln f n rl.c {lo fi e
Candidate{s) Nae(iJ applirailc) OffieSoughr DSupportedEopposea
SUBTOTIIL Scction F-Thb Prgc $2,340.00TOTAL of rdditbnal ftg@fllgg $9,129.11T^T^' A6 ^ r r wDrNc,ES pAID By CO1,!1,{ITTEE @nler tAd aa Liae !9 alfiemary P4e}urtuur. nl-&IsIDltE rt{{ ,ao aa9rritvv.rr
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IV. EXPENDITURES Pagc 13 of l7rii r.Nat riltF nAfF
Oxford Democratic Town Commiftee 10/'t3/2009Fi Exoanig Pdal b$ Committee
ofPave' Prime Publishers lncSouths I Woodbury zipCT 06798
)d of Payfitent8nt2009
Method of Palmenttil Check #_ 131 5f-r Debit Card
Amount
s 34.30
c"de) M|SC Legal Notice of Oxford Caucusof Expenditurc (if adtccblc).rl Coordinated with reimbursement soughlej Coordinated without reimbursement soughtfl Independenti i Organization (see Inslruetions){".q, f:B f.c flD flE
Cmdidarc(s) Nme(if wlitobte) E SupportedD oppor"a
me of Ps' Arrow Printers ,ate or rEy]rmr811312009
Method ofPaymentii; Ctrect* 1316fi Debit card
Amount
$ 200.00
AddrcssMain Street -rtyAnsonia
Jt$eCT
,rp Code06401
urpos or rxpsolw.code) A-Other Poo" D"posit (1ooo) Magnets Event #rpe of Expenditure Gf awlicable)-.::': Coordinated with reimbunement soughtil: Coordinated without reimbursement sougbtf: Independentf: Organization (see Inslrua/ions)!rA r-B!.C l.Di'E
Cmdidat{s)Nm(if applicable) Officc Sought IJ SupportedDopposed
amofPrye' Sign A Rama )ate of Palmal8t1412W9vlethod ofPaymenti? check #- 131 7C Dbit Card
Amount
s 705.75
trest Add6s5 Eagle Road CityDanburySlalCCT
,rp Uode06810qr E Qqralrccode) A-Signs ption Final Paymt - 50 3X4 Signs Evmt #
of Expenditure (f appfic able) :C Coordinated with reimbursement soughtr- Coordinated without reimbursement soughtI Indeoendentf: Organization (see Instructions)fta {1 R l-.c lD 'frr
Cmdidal{s) Name(ifappficablQ Office Sought u Supportedtl opposed
ffiol PaYF' Southbury Printing Centre 811412009 Memoo orralrnenl
lircheck #-]t]9-il Debit CardAmoutrl
s 200,00
trest A&lress386 Main St South CitySouthbury 'laleCTarp Cod
06488Eposg or Exp@urwby code) A-DM otion' Deposit (2500) Trifolds Evmt #
of Expendirure Qf tmucablc):lfJ Coordinated with reimbunement soughtl{i Coordinated without reimbursement Joughtl{1 Independentf1 Organization (sec InsTrucdons)!-,A 1.,B:.C.(rDi.I
Cmdidat{s)Namc(if aplieable)OtEcc Sought U supportedfl opposed
uf Pavca" Southbury Printing Centre )ale of Palmnt8/3/2009 Methodof Payment
f,: check #- 1314fi Debit cardAmount
393.81
EHA@SS85 Main St South UrtySouthburyttalc
CTzrp Lo@
06488or rrQ4olrF A-DM ohon Final Paymt - Trifolds Event #
y,pe of Expenditure (if aplicable):!i Coordinated with reimbursement soughtC Coordinated without reimbursement soughtC Independent.".i Organization (see Instructions)ra flnflc Cni-n
Candidat{s) Nuro(tfWlieabl4 Ofre Sougbt ESupportedtropposed
SUBTOTAL Stction P-.Thir Prgc $1,533.86TOTAL af rddition*I S+liq! qlryll
TOTAL OFALL r-I..PENSES PAID BY C9MMITTEE (Entertaalen line 19 af S4ngiaty Page) Q4 EA? EA
lffJ? P) i-11ot) 'tTL 0{-9
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ry. EXPINDITURES Pagc l3 of 17iiE rif rlntr[fi f i.F]t fft tN t$tD frAllE::
Oxford Democratic Town Committee 10/13/2009rof Pwe Southbury Printing Cen$eMain St Soulh Southbury CT 06488
)atc ofPaytnnl9/9/2009
Iethod of Paymentiii check #- 1925f:t Debit Card
AImunt
700.00
sd) A-OTH (4700) Brochurespe of Expenditure (if applicablQ:
Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Inslructioas)l* I l*:s f.c {:l n fin
Cmdidat{s)Nmle(lf applicaN) Offce Sought Ll Supportedtr oppor"d
fi ofPave' Peter Bunzl )ate ol ralmtrr9/9/2009vlethod ol Payment
: ctect *- 1326n Debit cardAmounf
s 295,02
Country Club Dr. CityOxfordrlScCT
,rp Code06478
ol Expendrmcode) RCW )ercriotion' Paym't for Magnets Evcnt #olExpenditure 0f aw&cable):Coordinated with reimbursement sought
Coordinated without reimbursement soughtlndependent. Organization (see Inslrudions)aAi-.Br.cl.DrrE
Cmdidat{s) Nmp$f ap&caffi)
Offe Sougbt LlSupportedEopposed
- Sign A Rama )ale ofPalmnt9t14120A9v{ethod ofPaymentili check #. 1 327il Debit Card
Amount
$ 445.20
A(tressEagle Road
L-rtyDanburyttaleCT
1lp Uodc06810or Expmommdc) A-Sign ption 100 18x24 CamPaign Signs F-vmt #
pe of Expenditure (il adictbl+:Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndeoendentOrganization (see Ingrudions)flr f n {-c tin f,ir
Cmdidatds) NatrF(ifawliuile) OfreSougbt f,l Supportedfl opposed
mofPrye' Southbury Printing Centre JAt Ol rayrenl9t17t2009Method ol rayment
r$ check #-1 32t-$ uebit cardAInoltnl
s 860.15
Addr6sMain St South
CitySouthbury5raCT Z,tp Uodc06488
or ExPaqw A-DM onm' 4000 Campaign Letters Event #Expenditure flf awucoble)l{J Coordinated with reimbursement soughti Coordinated without reimbursement soughtfi IndependentOrganization (sec Inslrucllons)!:A f,l n l-: c frn f,r
Cmdidd(s)Nam(fapp0cattlc) Offic Sought E SupportedE opposeo
' Automated Mailman lnc )ato of Palmrt Method of PaymentJii che{k #- 1329fi Debit CardAmount
s 1,110.58
AddrcssN Main
CltyBeacon Fallsilale
CTZrp eo{b06403
or Expmouoode) POST nooo M"iling seMce (4597) Pamplets Evml #of Expenditure (d applicablc):Coordinated with reimbursement sought
Coordinated without reimbursement soughtIndependentOrganization (see Instructions)- '. 4 tlB f:c r]DrE
Cmdidatds) Naur(if awUcabl4 offis Sougbt ESupportedEOpposed
SUBTOTAI, SecttuI f-Tbb Prge $3,410.95Tt}TAl:ofedditioqllEgqd6! ! !t1 4{n q5
voJ a4//P Dtrrwflt- L
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IV. EXPENDITURES Pegc l3 of 17trII IN{: r}T 'F NAfFOxford Democratic Town Committee 10/13/2009
P; Ero&n$es Patd by Committre- Oxford Wolverine Football )ale of Palml9/1 1/200S
Method of Palmentlii Check #- 1 330{]r Debir card
Arnount
s 100.00
Addrcss '[YOxford JtsrtcCT Zip Co&o&{78or Hpodm A-Ofi onon Pur"h"s" Ad oxford High School Football Booster Evert #
of Expendihue (if applicablQ:Coordinated with reimbursement soughtCoonlinated without reimbursement soughtlndeoendentOrganization (see Inslructions){ a IIB f.c tllo f r
Cmdidate{s) Name(if aplicable) Office Sougbt E SupportedE opposea
'o zip Bar lnc )849/19/2009 Method ofPaymtntie check #- 1331il DebitcardAmount
928.00
Famr RoadUltyOxford rtAlCT
,rp Lo@04t78ot ExPfloue POST Dtrm' Mail Service - 4700 PhamPlets gvml #
of Expenditure (if appttcablQ'.Coordinatd with reimbursement soughtCoordinated wilhout reimbursement soughtIndependentOrganization (see Inslrua/ions)i_,c, r-- s i-.6 f. p i-' B
Candidat{s) N.rlc6awtiu@ Offe Sought U Supportedfl opposed
to sign A Rama )at of Palmml9/18/2009vlethod oiPaymentS Check #- 1 332lj Debit Card
Arnount
s 132.50
Adr6sEagle Rd CityDanburyStateCT
4rp Code0a+78or ilpstrerecodc) A-Sign Dcscription- Final Payment - (100) 18P4 Campaign Signs Evsot #
of Expendirure 6lawacabl4'.Coordinated with reimbursement soughtCoordinated without reimbursment soughtIndeoendentorganization (see Instructions)t;a I Rt a r'D:1 ,f,
Cmdidx{s)NmGlaw$uile) Offie Soughr E Supportedil opposed
' Southbury Printing Centre 912212009Method ol raymils check *-1!33--fr Debit card
Amotrnt
s 786.55
S.Main StreetUrtySouthbury
itateCT Zip Co{b06488wr ryuuruEcodo) A-DM Lotion' Final Payment (4700) Brochures Evmt #
of Expeldirure Gf twauhle)'.Coordinated with reimbursement soughtwithout reimbu$ment soughtIndependentOrganiation (see Instructions)!.,A i..iB 1.C ItDi.E
Cadidot{s)Nre(if w$ufie) Ofrcc Sougbt Ll SuPPortEdtr 0pposed
of Pryw- Caldwell Banker )atc of Palmnt9t2412009Method of Payment
{it Check #- 1334f:i Debit cardAmount
s 600.00
AffiessOxford Rd
LrryOxfordilsteCT
alp Looe06478$p@ouecode) OVHD olron' Rent - Democratic Town Committee Headquarters Evmt #
of Expenditure (if aryticable):Coordinated with reimbunement soughtCoordinated without reimbu$ement souglttIndependent (see In stru ctions)f-l f B {-: c r: D f' E
Cmdidat{s) Name(ifappbcable) Offce Sought flSupportedDOpposed
$UBTOTAL Scctioa P-Thk Pegc 92,il7.05ffiTAL of rdditionsf Sceliqg PPige $o.oo
TOTAL oF ALL EXPEI{SES PAID BY COI#'{ITTEE @@ 6. E,a AE