SEECFORM20

Itemized Campaign Finance Disclosure Statement

CONNECfICUT STATE ELECfIONS ENFORCEMENT COMMISSION
Rev. 1/08

Official Use Only
Page 1 oft7
SUMMARY PAGE
1. NAME OF COMMITTEE
IQ River Committee
1. TREM3T1114'.R NA ""E
Title First MI Last
Mr Nicholas Aiello
3. TREASURER ADDRESS
Suffix
Street Address
ICity ISUde
I
Zip Code
198 Lenox St. New Haven CT 06513
4. ELECfIONIREFERENDUM DATE 5. OFFICE SOUGHT (Complete only IfCandidate Committee)
6. DISTRICf NUMBER

(nun/ddlyyyy)
09/06/2011
7. CANDIDA n:. NAME (Complete 0"" IfCandidate or Exploratory Committee)
Title
IFirst
IMI

r
uffix
&. TVPEOF '(Cbeek One Box)
C' January 10 filing
(!; 7th day preceding primary C 7th day preceding referendum C Initial Contribution or Disbursement
(PACsONLy)
n April 10 filing r' 30 days following primary (': 45 days following referendum
Amendment to
o July 10 filing ("'. 7th day preceding election t. Deficit
Type of Report:
r' October 10 filing C 12th day preceding election r: Termination
(State ee"tral Committees OII/y)
nIndependent Expenditure
(': 45 days following election
C Primary C- Election
not held in November
.
,
.
j
c'-'
19. PERIOD Luy'ALIL -.:;
,
Beginning Date Ending Date
,
. '.
n
-'

0
\
07/01/2011
thru
08/30/2011
,
l';-?
(J1
...-.
-
10. ':II;K ....., :ATION
.... ,... -
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.
Mary 09/06/2011
TREAsttrnR OI4DEPUTY TREA!lURER (SIGNATURE) PRINT NAME OF SIGNER DATE (mm/ddlyyyy)
"
PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED
$1,000, OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.
SEECFORM20
Itemized Campaign Finance Disclosure Statement
CONNECfICUT STATE ELECfIONS ENFORCEMENT COMMISSION
Rev.1/OS Page 2 oft7
SUMMARY PAGE
TOTALS
LNAME OF C O M ~ M T T ........ FILING DUE DATE
09/06/2011
COLUMNA COLUMNB
Q River Committee
This Period All2l'ellate
11. Balance on hand January 1 of current year for Ongoing and Party Committees OR
$0.00
Balance on hand from day Committee was fonned for all other committees
$0.00
12. Balance on hand at the beginning of Reporting Period
$1,100.00
$1,100.00
13. Contributions received from Individuals (Sections A and B)
$6,000.00
$6,000.00
14. Receiots from Other Committees (Sections Cl and C2)
$0.00 $0.00
15. Other Monetary Receipts (Sections D-K)
$0.00
$0.00
16a. Total Small Food and Beverage Receipts at Fair (Section Ll) Town Committees ONLY
$0.00
$0.00
16b. Total Proceeds from Small Purchases at Tag Sales, Auctions or Other Sales (Section L2)
Municipal and Town
$0.00
$0.00
I6c. Total Purchases of Advertising in a Progf_am Book (Section L3) Committees ONLY
$7,100.00
$7,100.00
17. Total Monetary Receipts (add totals for lines I3-I6c)
$7,100.00
$7,100.00
18. Subtotals (add totals in line 12 + line 17 in Column A; and in line 11 + 17 in Column B)
$1,327.93 $1,327.93
19. Expenses Paid by Committee (Section P)
$5,772.07 $5,772.07
20. Balance on hand at close of Reporting Period (Subtract line 19 from line 18 in both Columns)
$0.00 $0.00
21. In-Kind Donations not Considered Contributions Received (Section U)
$6,026.70 $6,026.70
22. In-Kind Contributions Received (Section M)
$0.00 $0.00
23. Refundable Deposit to Telephone Company (Section N)
$0.00 $0.00
24. Receipts ofOrganization Expenditures (Section 0)
$0.00 $0.00
25. Beginning Loan Balance
25d. Total Outstanding Loan Amount
25a. + Loans Received(Section D)
$0.00 $0.00
25b. + Interest and Penalties on Loan
$0.00
$0.00
25c.
-
Payments on Loan
$0.00
$0.00
$0.00 $0.00
$24.93 $24.93
26. Campaign Expenses Paid by Candidate (Section Q)
$0.00 $0.00
27. Expenses Incurred on Committee Credit Card (Section R)
$0.00
28. Exoenses Incurred by Committee During this Period but Not Paid (Section S)
$0.00
28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)
I. MONETARY RECEIPTS (Sections A-Kl
PageJ oft7
NAMEOFu Inr: FILING DUE DATE
a River Committee 09/06/2011
A. Total Contributions from Small Contributors-Received this Period ONLY
(See instructions/or definition oj'SmaJl Contributor) Su btotal Section AJ
$
0.00
B. Itemized Contributions from Individuals
Last Name First
1M!
Princioal Occuoation
Amount of
Smoyer Amy
Contribution
Residential Street Address
___ity
IState
r:
PCode Name ofEmpJoyer
133 East Grand Ave. New Haven CT 06513 Yale University
Is contributor a lobbyist, spouse, r: Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist? ii' No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,OOO? r' Yes r. No
Is this contribution associated with a
r Yes
Is contributor a principal ofa state contractor or prospective state contractor? eYes
fundraising event listed in Section Ll? i!: No
Ifyes, indicate which branch or branches r!. No
Ifyes, list Event #
of government the contract is with: r: Executive r, Legislative
Method of contribution: IDate Received
r:Cash r!: Personal Check t." CreditlDebit Card L Payroll Deduction r: Money Order 08/11/2011
IAggregate contributions
' $100.00
$100.00
Last Name First
1M!
Principal Occuoation
Amount of
Perez Eduardo
Contribution
Residen
G

'(-t."
pty

IState
I
Z
e(,406
Name of Employer
CT Self-employed
Is contributor a lobbyist, spouse, r' Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist? re" No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,OOO? r: Yes r' No
Is this contribution associated with a Yes Is contributor a principal of a state contractor or prospective state contractor? r1 Yes
fundraising event I isted in Section L 1 ? fe': No Ifyes, indicate which branch or branches C; No
Ifyes, list Event #
ofgovernment the contract is with: Executive i, Legislative
Method ofcontribution: IDate Received
IAggregate contributions
c:! Cash Personal Check r. CreditlDebit Card r: Payroll Deduction r: Money Order 08/30/2011
$750.00
$750.00
Last Name First
IMI
Principal Occupation Pt-e Amount of
Paolillo Alphonse
Contribution
Residential Street Address City
IState
IZiPCode
Name
151 Huntington Rd. New Haven
CT 06512
Is contributor a lobbyist, spouse, n Yes If contribution is in excess of$400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist? (-2 No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,OOO? r: Yes !. No
Is this contribution associated with a r: Yes Is contributor a principal of a state contractor or prospective state contractor? t:',Yes
fWldraising event listed in Section L I? [e'; No
Ifyes, indicate which branch or branches r, No
Ifyes, list Event # ofgovernment the contract is with: ('0 Executive C. Legislative
Method of contribution: IDate Received
IAggregate contributions
CCash r-: Personal Check n CreditlDebit Card C Payroll Deduction C Money Order 08/30/2011 $100.00 $100.00
Last Name First

Principal OccupAtion
Amount of
Looney Martin
Attorney
Contribution
Residential Street Address City
IState

Name ofEmpJoyer
132 Fort Hale Rd. New Haven CT 06512
Keyes, Looney and Murphy
Is contributor a lobbyist, spouse, t': Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist? rei No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,OOO? r: Yes D No
Is this contribution associated with a eyes
Is contributor a principal ofa state contractor or prospective state contractor? P Yes
fundraising event listed in Section Ll? No Ifyes, indicate which branch or branches r- No
Ifyes, list Event # ofgovernment the contract is with: C Executive Ii Legislative
Method of contribution: IDate Received
r.' Cash r.: Personal Check C CreditlDebit Card r: Payroll Deduction (' Money Order
IAggregate contributions
$150.00
$150.00
SUBTOTAL Section B-This Page $1,100.00
TOTAL of additional Section B Pages
$0.00
TOTAL OF ALL CONTRIBUTIONS FROM INDMDUALS (Seetions A & B) (Enter total on Line 13 o/Summary Page)
$1,100.00
I. MONETARY RECEIPTS (Sections A-K) Page 4 oft7
NAME OF COMMITTEE IF1LING DUE DATE
a River Committee
I
09/06/2011
Ct. Contributions from Other Committees
Name ofCommittee
rame ofTreasurer
UNITE HERE Local 26 Political Committee Lisa Bergmann
Address
Amount of Contribution
I Is this contribution associated with a eYes /fyes, list
885 Elm St. #2 fundraising event listed in Section L I? (!, No Event #
City btt
IZip Code
IDate R=ived
lA_gate Contributio", $2,000.00
r
New Haven

CT 06513 08/22/2011 $2,000.00

Name ofCommittee IName ofTreasurer
AFSCME Council 4 OPC Salvatore Luciano
Address
Amount of Contribution
IIs this contribution associated with a 1"1 Yos Ifyes. list
444 East Main St. fundraising event listed in Section Ll? 't:i No Event #.
City S
IZip Code
IDate .eooived
IA_gate Contrib,,"ODS $2,000.00
New Britain
I -
CT 06051 08/30/2011
$2,000.00
Name of Committee
IName ofTreasurer
Greater New Haven Central Labor Council PAC Rich Benham
Address
lIS this contribution associated with a G Yes Ijyes, list
Amount of Contribution
267 Chapel St.
fundraising event listed in Section Ll? ie, No Event #
City
Isnte IZiP Code
IDate R=ived rggregate Cootributioos
$2,000.00
New Haven CT 06513 08/30/2011 $2,000.00
Name of Committee
IName ofTreasurer
Address
Amount of Contribution
fundraising event listed in Section L I? r: No
Event #
IIs this contribution associated with a rYes /fyes, list
$0.00 City
rIO
IDate R=ived r-Contn"b,,""'"
IZiP Code
CT $0.00
Name ofCommittee IName ofTreasurer
Address
lIS this contribution associated with a eYes /fyes, list
Amount of Contribution
fundraising event listed in Section L I? C No Event #
City
ISbtte
IZip Code
IDate Reooived
r-Contributions
$0.00
CT $0.00
Name ofCommittee IName ofTreasurer
Address
Amount of Contribution
[IS this contribution associated with a eYes Ilyes, list
fundraising event listed in Section L I? C No
Event #
City
]"tat. IZ;PCode
IDate Reooived IAggregate Cootrib,,"ODS
$0.00
CT $0.00
_.
., .. .
-. C2.
-
nrC'! To.
from other C'
Name of Committee Name ofTreasurer
Date Received Address
Amount of Receipt
$0.00 ~ i t y
S
IZip Cod.
: r ~ Reimbursement for shared expense r: Surplus
CT :r: Payment for goods and services Distribution
I -
INameotConumttee Name ofTreasurer
Date Received Address
Amount of Receipt
City $0.00
IZip Code r - ~ Reimbursement for shared expense r ~ Surplus
]"
CT :r: Payment for goods and serv ices Distribution
SUBTOTAL Section C-This Page $6,000.00
$0.00
$6,000.00
TOTAL of additional Section C Pages
TOTAL OF ALL CO.MMITTEE L01., HunUTIONS AND KIUIU 1"." (Enter totlll on Line 14 of,"" PtIIle)
In. NONMONETARY RECEIPTS Page II oft7
INAUl<' OJ<' CC'" .... .-.....-....
iFILINO DUE DATE
Q River Committee
I
09/06/2011
M. In-Kind Contributions
Name
Type ofContributor:
Fair Market
Local 35 PAC
c: Individual

Street Address
ICity I State
Zip Code It: Committee
Contribution
425 College St. New Haven CT 06511
r, Other (AppUcable ollly to Referendum Commlttee8)
Is contributor a lobbyist, spouse, c: Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist? (e' No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? r! Yes
'.No
iDate Received
Is this contribution associated with a o Yes
Description ofIn-Kind Contribution Aggregate contnbutions
08/30/2011
fundraising event listed in Section L 1 ? Ii: No
Staff wages
$2,000.00 $2,000.00
Ifyes, list Event #
Name
Type ofContributor:
Fair Market
UNITE HERE TIP State and Local CT
0
Individual
Valueoftbb
Street Address
I City I State
Zip Code ti; Committee
Contribution
425 College St. New Haven CT 06511 Ci Other (Applicable only to Referendum Commiltees)
Is contributor a lobbyist, spouse, D Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist? riI No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? o Yes Co No
Date Received
Is this contribution associated with a ('I Yes
Description ofin-Kind Contribution Aggregate contributIons
08/30/2011
fundraising event listed in Section L I? lit' No
staff wages
$1,897.61
$1,897.61
Ifyes, list Event #
Name
Local 34 PAC
Type of Contributor:
Fair Market
C
Individual
Value oftbis
Street Address
ICity IState
Zip Code
(l
Committee
Contribution
425 College St. New Haven CT 06511 r: Other (Applicable only to RefereJfdum Committees)
Is contributor a lobbyist, spouse, D Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist?
..
No municipality, does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000?
(', Yes
CNo
Date Received
Is this contribution associated with a
0
Yes
Description of In-Kind Contribution Aggregate contnbuoons
0813012011
fundraising event listed in Section L 1 ?
re'.
Ifyes, list Event #
No
staff wages
$2,000.00
$2,000.00
Name
Bill Collins
Type ofContributor:
Fair Market
r. Individual

Street Address

IState
Zip Code
r.
Committee
Contribution
49 Livingston St. #2 New Haven CT 06511
n
Other (Appllcable only to Referendum Committees)
Is contributor a lobbyist, spouse, e- Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist?
(!"
No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? t. Yes!' No
Date Received
Is this contribution associated with a n Yes
Description of In-Kind Contribution
Aggregate contributIons
08/1712011
fundraising event listed in Section L I? j!I No
Ifyes, list Event #
pro-rated share of food for volunteer rally
$129.09
$129.09
Name
Type of Contributor:
Fair Market
,:
Individual
Valueoftbb
Street Address
ICiW
IState
Zip Code r' Committee
Contribution
CT 1:1
Other (Applicable ollly to RefereJfdum Committees)
Is contributor a lobbyist, spouse, C Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist?
r,
No municipality does contributor or business he/she is associated with have a contract with said
municipality valued at more than $5,000? eYes Co No
Date Received
Is this contribution associated with a D Yes
Description ofin-Kind Contribution
Aggregate contributions
fundraising event listed in Section L 1 ? Co' No
$0.00
$0.00
Ifyes, list Event #
SUBTOTAL SectiOD M-This Page
$6,026.70
TOTAL of additioaal SectiOD M Paps $0.00
TOTAL OF ALL IN-KIND CONTRIBUTIONS {Enter toIIIl on 22 ofSIIIfIIttIUY
$6,026.70
N. Refundable Deposit to Telephone Company
(NOTE: TIlls uctlo1t refers only to tlllvances OfMposIts by lnt/hIIdMalsfrom
_nllb...to 6etudIt. tile IfOt tleposIU 1IItIJIeby tile committee.)
Last Name ofIndividual First

Date Deposit Made AmountoC
Deposit
I Residential Street Address City
IState IZip Code
CT
Name oftelephone company
Street Address
ICity IState
IZip Code
$0.00
CT
Total SectioD NlEnter tollll on Line 23 ofS"IIII'IIIU'Y Poge) $0.00
IV. EXPENDITURES
Page 13 oft7

IFILING DUE DATE
Q River Committee
I
09/06/2011
P. Expenses Paid by Committee
Name ofPayee
Ricardo Henriquez
Date of Payment
Method of Payment Amount
Street Address

City
_\ \ ,,1.!tate IZi
P
Code
8/3012011 Check # 992
1
-
CT
r: Debit Caro--
I of Expendlture IDescnpnon Event #
(by code) RCW Reimbursement for mailing supplies
Type ofExpenditure (if applicable):
Candidate(s) Name Office Sought
o Supported
r: Coordinated with reimbursement sought
(if appIictJble)
o Opposed
C Coordinated without reimbursement sought
Independent
Organization (see Instructions)
503.45
fA r: B r. C r; 0 rj E
$
Name ofPayee
Faith in New Haven
Date of Payment
Method of Payment Amount
Street Address City
I State I Zip Code
8/30/2011 i: Check # 995
570 Elm St. New Haven CT 06511
Q DebitCaro
Pmpose of Expendlture Description
Event #
(by code) Ovhd, office + prorated share of expenses related to shared office
Type ofExpenditure (If appUcable):
ClIIldidate(s) Name Office Sought
gSupported
C Coordinated with reimbursement sought
(if appIictJble)
oOpposed
c: Coordinated without reimbursement sought
C'. Independent
Organization (see Instructions)
s
347.99

C;B r,C r: 0 n E
Name of Payee
Sign Rocket
Date of Payment Method of Payment Amount
Street Address City
IState I Zip Code
8/30/2011 ril Check # 993
340 Broadway Ave. saint Paul Park MN 55071
C: Debit Card
Pmpose of Expendlture Descnption Event #
(by code) A-sign payment for yard signs - pro-rated
Tyt>e ofExpenditure (if appIJcable): tJ
Candidate(s) Name Office Sought
o Supported
with reimboJIsement ught
(if applicable)
o Opposed
oordinated without reimbursement sought
I dependent
Organization (see Instructions)
S
451.56
r.A r, B r,C r,; 0 t', E
Name ofPayee
Brenda Jones Barnes
[Date OFPayment MethOd of Payment Amount
Street Address City
lState lZiP Code
8/30/2011 ri\ Check # 996
6 Clifton Ave. New Haven CT 06513
C: Debit Card
I ofExpendlture Description Event #
(by code) food, office Reimbursement for food, office suppllies
!Expendi"""1If_ IJ,J,A
Candidate(s) Name Office Sought
o Supported
oordinated with reimbursement ght
(if appUcoble)
o Opposed
. Coordinated without reimbursement sought
Independent
ganization (see Instructions)
s
24.93
r, A r. B r, C r... 0 r; E
Name ofPayee !Date of Payment Method of Payment Amount
Street Address City
IState
IZiPCode
4!: Check #
C Debit Cw,-d--
Pmpose of Expenditure Description Event #
(by code)
Type ofExpenditure (ifappUcable):
Candidate(s) Name Office Sought
oSupported
D Coordinated with reimbursement sought
(If applicable)
oOpposed
U Coordinated without reimbursement sought
o Independent
o Organization (see Instructions)
CA rt B Cc (' 0 C E
$
SUBTOTAL Section P-This Page
$1,327.93
TOTAL ofadditional Section P Paaes
$0.00
TOTAL OF ALL EXPENSES PAID BY COMMITTEE (Enter tottll on Line 19 0/811""".,., Page) $1,327.93
IV. EXPENDITURES Page 14oft7
iNAMEOF JMMII lr.r. IFILING OUR OATE
Q River Committee
I
09/06/2011
Q. Campaign Expenses Paid by Candidate
Name of Payee (Name of Vendor wIIo candldllte ptUd directly)
Dollar Tree Stores, Inc.
Date of Payment
Is Reimbursement Claimed? Amount
Street ACldfCSs I'--ity
IState JZi
P
Code
08/21/2011
r-,yes
96 Boston Post Rd. Orange CT 06477
DNo $4.26
Purpose of Expenditure Description Event #
(by code)
Office
Dots and strips stickers
Name of Payee (NtlIIU! of Vendor who caIIdidlltepaid directly) W I Date of Payment
Is Reimbursement Claimed? Amount
a greens
Street Address City
I State IZiP Code
08/05/2011
87 Foxon St. New Haven CT 06513
CNo $6.60
of Expenditure Description Event #
(by code) Food Water for volunteers
Name ofPayee (Name of Vendor wIIo caIIdidate JNIld directly) W I
a greens
Date of Payment
Is Reimbursement Claimed? Amount
Street Address City
r
tate
fZip Code
08/17/2011 Yes
87 Foxon St. New Haven CT 06513
o No $14.07
Purpose of Expenditure Description Event #
(by code)
Food
Water for Volunteers
Name of Payee (NtlIIU! of Vendor who ca1Ulidtlte JNIid directly) Date of Payment
Is Reimbursement Claimed? Amount
Street Address City
I State I Zip Code
Co Yes
UNo
of Expenditure Description Event #
(by code)
Name ofPayee (NtlIIU! of Vendor wIIo catldidate JNIld directly) Date of Payment
Is Reimbursement Claimed? Amount
Street Address City
IState
CT
I ZipCode
C! Yes
r. No $0.00
Purpose of Expenditure Description Event #
(by code)
Name ofPayee (NtlIIU! of Velldor who candidate JNIld directly) Date of Payment
Is Reimbursement Claimed? Amount
Street Address City
I State CT IZip Code
r: Yes
r,No $0.00
.Purpose ofExpenditure
Description Event #
(by code)
Name of Payee (NtlIIU! of Vendor who candidate JNIld directly) Date of Payment
Is Reimbursement Claimed? Amount
Street Address City
IState
CT
I Zip Code
o Yes
c: No $0.00

Description Event #
(by code)
Name ofPayee (Name of Vendor who candidate JNIld directly) Date of Payment
Is Reimbursement Claimed? Amount
Street Address City
r
tate
CT I Zip Code
ryes
CNo $0.00
Pwpose of Expenditure Description l:!vent#
(by code)
Name of Payee (Name of Vendor who candidate fNlld directly) Date of Payment
Is Reimbursement Claimed? Amount
Street Address City
rtateCT f Zip Code
o Yes
(I No $0.00
Purpose of Expenditure Description Event #
(by code)
SUBTOTAL Seetion Q-This Pace
$24.93
TOTAL of additional Section QPages
$0.00
TOTAL OF ALL EXPENSES PAID BY CANDIDATE (Enter toIIII on Li"e 26 ofSu1IIIIIIl1'V Page)
$24.93
IV. EXPENDITURES
Pace 17 of17
INAMEOF t;( Jru: IFILING DUE DATE
Q River Committee
I
09/0612011
T. Itemization of Reimbursements to Committee Workers and Consultants
Last Name of Worker/Consultant
IFkm
IW
Henriquez
Ricardo
Date ofPavment
08/3012011
Method of Payment
~ ~ '"'
Amount
$
$503.45
Secondary Payee
Staples
Purpose of Expenditure
(by code) A-OM
reCheck #
C Debit Card
Street Address
I City Istate
Skiff St. &Oixwell Ave.
Hamden CT
Zip Code
06514
Description
Supplies for postcard mailing to voters
Type of Expenditure (IfflPPllctlble):
(I Coordinated with reimbursement sought
r Coordinated without reimbursement sought
!. Independent
f. Organization (see Instl'llctions)
r ~ A fJ B [] c r: D r: E
Candidate(s) Name Office Sought
r ~ Supported
(if tlp!JIIc4b1el
COpposed
Last Name ofWorker/Consultant
IFkm
IW
Date of Payment
Method of Payment
o Check #
Amount
$
$0.00
Secondary Payee Purpose ofExpenditure
(by code)
U Debit Card
Street Address
ICity I State
CT
Zip Code
Description
Type of Expenditure (if appUctlble):
D Coordinated with reimbursement sought
o Coordinated without reimbursement sought
~ Independent
n Organization (see Instructions)
r: A tJ B l' c r: D r.E
Candidate(s) Name Office Sought
nSupported
(IfappIicllbiel
,-;Opposed
Last Name ofWorker/Consultant
I First
IW
Date ofPavrnent
Method of Payment
rtCheck#
Amount
$
$0.00
Secondary Pay;;c Purpose of Expenditure
(by code)
n Debit Card
Street Address
I City I State
CT
Zip Code
Description
Tyoe of Expenditure (ifappIktlble):
~ Coordinated with reimbursement sought
~ Coordinated without reimbursement sought
~ Independent
COrganization (see Instl'llctions)
CA rJB rtc nD rrE
Candidate(s) Name Office Sought rr Supported
(If flIIPUcable}
C-Opposed
Last Name of Worker/Consultant
I FUst IMI
Date of Payment
Method of Payment
C Check #
Amount
$
$0.00
Secondary Payee Purpose of Expenditure
(by code)
( ~ Debit Card
Street Address
ICity IState
Zip Code
Description
Type of Expenditure (IfappUcable):
D Coordinated with reimbursement sought
n Coordinated without reimbursement sought
it Independent
r. Organization (see Instl'llctions)
r:A riB nC r:D t1E
Candidate( s) Name Office Sought nSupported
(If appUcablel
i,Opposed
SUBTOTAL Section T -This Page
$503.45
TOTAL of additional Section T Pages
$0.00
TOTAL OF ALL REIMBURSEMENTS TO COMMITTEE WORKERS AND CONSULTANTS
$503.45