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Itenrizctl Carnpnign Firranee Disclosure Sllterncrrl
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SUMMARY PAGE
I. .\A]\IE OF CO\I}I ITTEE
Dr ANITA D DUGATTO
3. TREASURER ADDRESS
Steet Address Crty State Zip Code
1 1/03/2009
7. CANDIDATE N AME (Comptet's: saly if Qandidute"or Exploratorr Comniittee)
Title First N{I Lasl Sufllx
C January l0 filing O 7th day preceding primary C) 7th day preceding referendum lli Initial Contribution or Disbursement
(PACs ONLt)
il Aprii l0 filing (.) 30 days fbllow'ing prirnary lli 45 days loilosing referendunr
. Amendment to
O July l0 iiling (l Tth day preceding election O Deficit Type of Report:
C October 10 iiling ti l2th day preceding election (.11 Termination 7th pfe-glggtign
l.\uti ( cnttlt L,'unitti.'s Otb)
C) lndependent Expenditure
o p|,n.'t -
-f.' "
n..,i". (145 dal's lbllorving eiectiotl
not held in Noven-rber
9. PERIOD COVERED
IO. CF',RTIF'ICATION
lhereby certify and state, under penalties olfalse statement, that all of the information set forth on this Itemized Campaign Finance
Disclosure Statement for the period covered is true, accurate and complete.
pENALry FoR FALSE srArEMENr ts puNTsHABLE By FINE Nor ro EXCEED tESg 0[T I{: *il *
$1,OOO, OR ITIPMSONMENT FOR NOT MORE THAN ONE YEAR, OR BOTTI,
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
CONNECTICUT STATE ELECTIONS ENFOITCENII]N'f CONIMISSION
R*'. 1/08 Page 2 of l7
SUMMARY PAGE
TOTALS
Ni A MF NE I-.)]\/{I,{TT"TFE FILNGIDU.E.DATE
1012712009
$1,322.97
12. Balance on hand at the of Period
$0.00 $11,235.00
I 3 Contrihntions received frnm lndividrral Sect A arrd B
$0.00 $65.00
14. Receinls lrom Other Committees (Sections C1 and C2
$o.oo s250.00
I 5. Other Monetary Receipts (Sections D-K)
$0.00 $572.00
16a. Total Small Food and Beverage Receipts at Fair (Section L|) Town Committees ONLY
$0.00 $0.00
16b. Total ProceedsftomsmallPurchasesatTagSales,AuctionsorOtherSales(SectionL2)
Municipal and Town $0.00 $0.00
15c Tntal Prrrchases of Ad Rook Comtnittees ONLY
$0.00 $12,122.00
17. Total Monetary Receipts (add totals lor lines l3-l6c)
$1,322.97 $12.589.72
18. Subtotals(addtotalsinline12+linelTinColurnnA; andinlinell+lTinColumnB)
$372.50 $11,266.75
19. Expenses Paid by Committee (Section P)
s950.47 $1,322.97
{20.BalanceonhandatcloseofReportingPeriod(Subtractlinel9lromlinel8inbothColumns)
$0.00 s0.00
22. In-Kind Contributions Received (Section M)
$0.00 $0.00
I 23. Refundable Deposit to Telephone Company (Section N)
$0.00 s0.00
24. Receipts ofOrganization Expenditures (Section O)
$0.00 $0.00
25. Begiruring Loan Balance
$0.00 $0.00
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
25d. Total Outstanding Loan Amount
$0.00 s0.00
26. Campaign Expenses Paid by Candidate (Section Q)
$0.00 $0.00
27. Expenses Incurred on Commitlee Credit Card (Section R)
$0.00
I.n"-ad hr, /-nmmittcp I),rr Nnt Paid /Sectinn S
$2,926.69
28a. Total Outstanding Expenses Incurred by Conimittee still Unpaid (Section S)
IV. EXPENDITURES Page i3 of 17
JT\i\,I F OF COl\4 N,l TTTF,F :TI:TNG DIIF DATF
DERBY DEMOCRATIC TOWN COMMITTEE 10t27t2009
)treet ddr ess C'ty Zip Code 1012212009 iii Chect *- 545
lState
lOOO LAFAYETTTE BLVD BRIDGEPORT I CT 06604 (: Debir Card
ruryose oI cxpenorrure
(bi code) DEBATE
.
Descriotion
INURANCE COVEMGE
Event #
Ce Dn Cc !**in Cr
s 0.00
$0.00
TOTAL of addiiional Section P PagCs