Kurt Miller Financial

SEEC FORM 20
Itemized Campaign Finance Disclosure Statement

CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION Rev.3/11
COVER PAGE
I hereby aefiiry and state, under penalties of false statement, that all of the information
Disclosure Statement for the period coyered is true, accurate and complete.
set
forth on this Itemized Campaign Finance
TREASUR-EROR
TREASURER (SIGNATURE)
PRINTNAME OF SIGNER
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 3/11
Page 2 of 17
SUMMARY PAGE TOTALS

).FREP,OATir?.i':airr;lii:alii:::ir.:l:;tlt.;a:ia,::.1:.,.::*..:,.:::.ia,::;,;.,:X!:i;:.'li4t
hur\ mi\\er \pc F,qs\ &\e.\rrân

1l Balance on hand January
of current year for ongoing and party Committees OR Balance on hand from day committee was formed for all other committees
1
Oc-\p\osrCOLUMN A
This Period
\O
R \i,..r
COLUMN B
Assresate
6
$
12. Balance on hand atthe beginning ofReporting Period

13, Contributions received from Individuals (Sections A and B)
\,o6s.6d
sx,"+ts.@
$1,?A3.qq
14. Receipts from Other Committees (Sections Cl and C2) 15. Other Monetary Receipts (Sections D-K)
o
q
Ll)
Town Committees ONLY
6
s.
as .q6
l6a. Total
I
Small Food and Beverage Receipts at Fair (Section
u^\a
\/\\ A
6b. Total Proceeds from Small
Purchases at Tag Sales, Auctions or Other Sales (Section
L2)
6
$-I
s5
d
,n
l6c. Total Purchases ofAdvertising in
a Program
Municipal and Town Book (Section L3) Committees ONLY
17. Total Monetary Receipts (add totals for lines l3-l6c)
jas .66
n\a
$t,T\o.a6
salato.@o
$ &,31?.1?
\A
18. Subtotals(addtotalsinline12+linelTinColumnA;andinlinell+lTinColumnB) 19. Expenses Paid by Committee (Section P)

20. Balance on hand at close of Reporting Period (Subtract line
I
9 from line
8 in both Columns)
Srtro .@Q $ J rj?1. \? 6 b,q3a.a3

.$
b,\{3a.ii
2 1.
In-Kind Donations not Considered Contributions Received (Section L4)
aa
\.sa
$lal.sz
$
22. In-Kind Contributions Received (Section M)
6
6
\\T.ad
23. Refundable Deposit to Telephone Company (Section N)

24. Receipts of Organization Expenditures (Section O) 25. Beginning Loan Balance
25a.
q
0
o
@
uriSii'i*uiliii:li;r.. rt{*,:r.rit
*ri,tif;;iil.s;:,:,;:tr:tr&"l
-l-l-
Loans Received (Section D) Interest and Penalties on Loan

Payments on Loan
6
o
25b.
4 a
6
$
25c. -
d
6 d
25d. Total Outstanding Loan Amount

26. Campaign Expenses Paid by Candidate (Section Q) 27. Expenses Incurred on Committee Credit Card (Section R) 28. Expenses Incurred by Committee During this Period but Not Paid (Section S) 28a. Total Outstanding Expenses Incuned by Committee still Unpaid (Section S)
tt3.tt
o
isi:l*f, i:a,.]1iiii:djti :J,;at.r.r:1!*;4rr*:tr.:rt
6 6 d
I.
MONETARY RECEIPTS (Sections A
oflT
h.,rt {\l.\\er Gr trlr* Sa\<.\mav-l

"8.
Oc*)bB^'- \O S \i
Principal Occupation
Andre^^:s
bt \\ln3 nêna6){=
33 Bis*-\l
P\a.e.
! X
Yes
eVo ts\ar:'
If conhibution is in excess of $400 to a candidate committee for
a chief executive officer of a municipality does contributor or business he/she is associated -;tJr have a contract with said municipality valued at more than $5,000? E Yes E No
Qe6Pann"1
Amount of Contribution
Iscontributoralobbyist,spouse, ordependentchildofalobbyist?
*o
Is this contribution associated with a fundraising event listed in Section Ll? fyes, list Event #
Kno
E
Yes
Is contributor a principal
Ifyes, tndicite which branch or branches E Executive of govemment the contract is with:
Date Received .
ofa
state contractor or prospective state
contractor?
Legislative
f-'l- Yes
fl
.ts
Uo
$S3.co
Method of contribution:
tr Casn S
Personal
Check
Credir/Debit Card
Payroll Deduction
il
Money Order
o'*loqlao tt
Zapcaa.\ka
Is contributor a lobbyist, or dependent chitO ofa
cpR
Yes
Apice\\a,T"=*. C6. PQtobbyisti X

spouse,
E_ Yes
*o
If contribution is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said il Yes I No municipaliW valued at more than $5"000?
Is contributor a principal ofa state contractor or prospective state
Is this contribution associated with fundraising event listed in Section fyes, list Event # Method of contribution:
a L1?
E Yes F to I
Ifyes,indicafewhichbranchorbranches I Executive E of govemment the contract is with:

Date Received
contractor? E
Legislative
No
$ l@,oo
Curt"' Xp.rsonal Check
Credfu{Debit Card
Payroll Deduction
Money Order
ol \oe\aot t
K\arid<s e?- eanRa\J 0-oad

ls contributor a lobbyist, spouse, or dependent child ofa lobbyist?
Is this contribution associated with fundraising event listed in Section Ifyes,list Event #
re*tre.d
is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said No municipality valued at more than
lfcontribution
^\a
$5,000?
ofa
E Yes 'd
Yes
t'Co
a Ll?
I Yes F "o
D
is contributor a prinoipal
branch or of govemment the contract is
fyes, indicite which
branches with: E Executive fl
contractor?
Legislative
[, ft
-sscc,oo
D Casn Kpersonal Check E
CrediilDebit Card
Payroll Deduction
Money Order
AetA,ulaon
fn\\\er
Is contributor a lobbyist, spouse, or dependent child of a lobbyist?
Is this contribution associated with a fundraising event listed in Section Ll? fyes, list Event #
F*rne-ra,\ Otce.tor
$Cr\
\\er -\-rJ ari F.rnera\

Yes
if contribution is in excess of $400 to a candidate committee for a chief executive officer ofa municipality does contributor or business he/she is associated with have a contract with said D Yes (f'fo municipality valued at more than $5,000?
F"o
I
Yes
Is contributor a principal ofa state contractor or prospective state Ifyes,indicatewhich branch
orbranches
Date Received
contractor? fl-
ofgovemmentthecontractiswith: DExecutive ELegislative

Payroll Deduction
Uo
sS@,oC
E Casn ffRersonal Check E
Credit{Debit Card
Money Order
et\oslAot
$\\\5O,oo
-36\S1S.OC
lFa,1eS.rc
I.
VAMEOF.COMMITTEE,
MONETARY RECEIPTS Section B. Additional Page
\,,r*
{\1i
t\er $r- Ftrs*
Se-\ec{rnan
First
Oc-+abo"r
MI
Prircipal Occupation
\rf \)i \*tna
ffir \\er
Pa-lrr N.rern reI

Yes
icia
State
f -\i
Zip Code
re-cd
S.r"sn
fY9"/(If contribution is in excess of $400 to
3f,
$5,000?
O&L(KJ
E Yes E
n^
\a
Is contributor a lobbyist, spouse, or dependent child ofa lobbyist? Is this contribution associated with fundraising event listed in Section
tô
n
a candidate committee for a chief executive officer of a municipality does contributor or busjness he/she is associated with have a contract with said No municipality valued at more than
I/yes, list Event
a EYes Lt't KNo

CreditDebit Card
Is contributor a principal ofa state contractor or prospective state contractor? yes, indicale which branch or Executive D Legislative oigovemment the contract is
If
branches with: I
Date Received
I Yes flNo
$so.oc
Casn S,nersonal Check
Payroll Deduction
First
Money Order
ol\ov\ao\
MI
ls(eoo.oo
Aggregate contnbutions
Principal Occupadon
Rl^.rno\O
\rorn
Zip Code
Name ot hmployer
3ta Shar\
Is contributor a lobbyist, spouse, or dependent child ofa lobbyist?
Ori'l.eX*o
!
Yes
5
Ifcontribution
3{.ct{X3
n\a
fl
Yes
is in excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said E Yes ! No municipality valued at more than $5,000?
Is this contribution associated with a fundraising event listed in Section L I ?
Ifyes,lisrEvent#
_ E
KNo
I
ls contributor a principal of a state contractor or prospective state contractor? yes, indicate which branch or Legislative Executive of govemment the contract is
If
branches with: fl
)are Received
tl Yes KNo
-sso.co
Aggrgate contnbuhons
Casn f,.lersonal Check
Credit/Debit Card
Payroll Deduction
Money Order
oslro\|ot
MI
$SO,OO
6rtso
'''bû,,A
lity
State
sa\es *
Yes
Name ofEmployer
Se^{rnotrf
f), K
Yes
o(oql3 Reebc $\i\.^:ork' Cor P'

ofa
iiiontriUution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa

municipality does contributor or business he/she is associated with have a contract with said L Yes I No municipalrty valued at more than $5,000?
No
Is this contribution associated with a fundraising event listed in Section Ll?
Ifyes,listEvent#
_ I
fl Yes FNo
fl
Ifyes,indicalewhich branch
of govemment the contract Payroll Deduction
orbranches is with: E Executive E

Date Received
contractor? [
Legislative
flNo
$So.@
Aggregate contnbuhons
[1 Casn figersonal Check

Last Name
Credit/Debit Card
Money Order
oa\aal&ort
MI
Name ofEmployer
.g5o,oo
Princioal Occuoation
G\qnn
5.rYtn
Ori+eE X
Yes No
c-o^\isd\\er C[ q+{x3
$5,000?
State
j osfiq
Ifyes,list Event
3*l*".
If contribution
municipalig valued at more than
Yes
RgH
is in excess of $400 to a candidate committee for a chief execulive officer of a municipality does contributor or business he/she is associated with have a contract with said
D Yes D
No
#_
Fô
E
Is contributor a principal ofa state contractor or prospeciive state contractor? If yes, indicalewhich branch or Legislative Executive of govemment the contract is
branches with: n
Date Received
.
il
E Yes [No
$so.oo
Ag$egate contnbuhons
fl Casn
B+ersonal
Check E
Credir/Debit Card
Payroll Deduction
Money order
o<\al\Joti
:ri,-Ltil$$:: rir ::::ir-:i.;i,
ffiffi
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$ tpSO.c>c
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L
NAME OF'COMMITIEE,.
MONETARY RECBIPTS Section B. Additional Page
K, 'rt $frl
Last Name
\\er Q.. Frrs* Se\.Annr,,^. Robi^

fVPL,}C
MI
)taIe
6-ja\ner
\O
. \.\r.
A^Jrer^tS a3 grssej\ P\aceIs contributor a lobbyist, or dependent child ofa
\ol\\i1C nânase,r
\\o:eCamPa'nt4
Lf
ofa
Name ot bmployer
CKot{t
.;"
I
spouse, l. Yes ioUbyisti f, *o a

I
Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business helshe is associated with have a contract with said U Yes f] No municipality valued at more than $5,000?
Is this contribution associated with fundraising event listed in Section L
E,Ves
Ifyes,listEvent# F-ZMethod of contribution:

Last Name
No
yes,indicafewhich branch or branches fl Executive of govemment the contract is with:
contractor? D,Yes
Legislative
If
F-t'lo
{$SC,OO
Date Received
D Casn (fersonal Check !
Credit/Debit Card
fl
Payroll Deduction
fI
Money Order
ot\ar\aot
MI
Zip Code
Aggregate conmbutlons
s \\s.cc
Labr\o\a
\ tS -ig3s
S\e* ''b*Q.J
Yes No
Oau\d
aii\eCne.-4
Name ot Employer
cf, c(eql8 Uahri"\a + Labno\a

ENo
PC-
Is contributor a lobbyist, or dependent child ofa
spouse, [, lobbyist? K a Ll?
Ifcontrrbution is in excess of$400 to
a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said D Yes E No municipality valued at more than $5,000? Is contributor a principal
Yes
Is this contribution associated with fundraisins event listed in Section
SVes
/yes, lisiEvent# V -L
Last Name
No
ofa state contractor or prospective state contractor? Ifyes, indicare which branch or branches D Executive D Legislative of govemment the contract is with:
Date Received
f|
jsso.co
Aggregate contnbutlons
D Casn fi.Personal Check D
CrediVDebit Card
Payroll Deduction
Money Order
:relarlaot t
MI
Zip Code
isSo.oo
Tni \\er a Srrren
''c-a.a\
State
Q'^tta\ diredrtrtAmount of Contribution
Name ol Employer
N^+avrtg
piNo
il\o\,â
3f,
Cxoq8S
m, (\*r \rJarJ R'".er$ \\rrr,'{

[ Yes KNo
ls contributor a lobbyist, spouse, or dependent child of a lobbyist?
Yes
Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said E Yes I No municipality valued at more than $5,000?
Ves
ls this contribution associated with a fundraisine event listed in Section Ll?
fyes, lisiEvent#
F -?-
3( E
No
ls contributor a principal ofa state contractor or prospective state contractor? If yes, indicite wiich branch or D Executive Legislative of govemment the contract is
branches with:
Date Received
$\co.oo
D Casn pfersonal Check E Credit/DebitCard E
Payroll Deduction
First
Money Order
ot\)a borr
MI
zrp Lode
Aggregate contnbubons
s1@,co
ls contributor a lobbyist, spouse, or dependent child ola lobbyist?
fni\\er ? auran N.venueE E

Yes
Principai Occupation
?e*ric-ra,
State
re*irsf
ta\a
Yes
Name ol bmployer
{vpu(-
4a !i
OG{T3
E Yes n
No
No
a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said
If contribution is in excess of $400 to a candidate committee for
municipalityvaluedatmorethan$5,000?
ls this contribution associated with a fundraisrng evenl listed in Section Ll?
EVes E No
E
ofa
If yes,indicate
Payroll Deduction
which branch or
fyes, IisiEventH F-?

of govemment the contract
branches is with: I Executive !

Date
contractor? D
Legislative
ffno
$\co.oo
fl casl f,fersonal
Check
fl
Credit/Debit Card
Money Order
o6\aa \aott
Received
sloo.c;,c
$3OO,OC
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or
-L3 -
I. MONETARY RECEIPTS Section B. Additional Page

NAME OF.COMMI'TTEE':]
\k,rr\ {]\i\\sr \5r qis*lr Se-\eAn

i,.'::,.i;1,;';';;11.1;:i,t;1'r,'1..;;,.:,,,t:;',,:j,':;t;,;i,,1,,i.,',)r.,..,*
First
Ar.\
MI
te,#iiietltaiitii6-iiljffirftifi'rrti.0-i+,iiliitl*
Oc*dbe. \o {-i
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-i
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litv
tr:o"Jbnd5s c,l
$5,000?
Ztp Cod,e
o{ =a\es
""\
:,tpsa6
U Yes E
e"I
i 6 onnatr3
&Ja?sr*
Yes
F*o
Er
If contribution is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said No municipality valued at more than
Yes No ls contributor a principal ofa state contractor or prospectiv state contractor? indicate which branch or If Legislative Executive of govemment the contract is
Is this contribution associated with a fundraisins event listed in Section L I ?
fyes, lislEvent# F -Z-
y*,
branches with: I
Jate Kec(
E Yes X No
s33.CO
! Cash
plPersonal Check
CreditDebit Card
Payroll Deduction
Money Order
Gre-ene
,5r,
! Yes *o * [Yes E No I
''L.o","-)
Jtate
ot i\la.'r r
MI
Lry Code
Aggregat conmbutlons
550.ff
S'\e-).a.
Name ofEmployer
tO Q-co:srie-\t Dn.,eIs contributor a lobbyist, spouse, or dependent child ofa lobbyist? Is this contribution associated with a fundraisine event listed in Section Ll?
Seârr.or
ls contributor a principal
c-T
ob,"63
\<a.,\s\atof
Yes No
a chiefexecutive officer of a municipality does contributor or business he/she is associated with have a contract with said n Yes D No municipality valued at more than $5,000?
lf contribution is in excess of $400 to a candidate committee for
'Ifyes,
of
ffyes, lisiEvent# F-L

Last Name
ofa state contractor or prospective state contractor? rndicale which branch or Legislative Executive govemment the contract is
branches with: D
Date Received
fl E
J$Sc.Co
fl C*n Ep"rsonal
Check
fl
CrediVDebit Card
Payroll Deduction
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ot\a"
MI
Zrp Code
\oo tt
$16"oc
Locnbbrd r \ L4q Derbl

"?nAr\-\.
-t'T I Yes FNo
QYes
State
ConS*-.'\*er^*
Name of Employer
o{srE3
5e-\Q
a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said fl Yes D No municipality valued at more than $5,000?
If contribution is in excess of $400 to a candidate committee for
ls this contribution associaled with a fundrarsing event listed in Section Ll?
Ifyes,liiEvenr# tr
F-?-
No
ls contributor a principal ofa state contractor or prospective state contractor? If yes, indicalewhich branch or Executive E Legislative of govemment the contract is
branches with: il
)ate Recqved
fl Yes KNo
s\m.co
Cash S.jersonal Check
Credit/Debit Card
Payroll Deduction
Money Order
o6la}lao
MI Zip Code
Aggregate contnbutrons
rt
jf,\co.co
5e-e.iernL.\
ceA\cd
n'T c{rqX3 !--4
State Name of Employer
q3 \r:>\n.;\ skee*' 3*-orc.r

fr\a
spouse, f] Yes lobbyist? $" No
is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000?
If contribution
EYes INo
ls this contribution associated with fundraising event listed in Section
Ifyes,lsTEvenr#
F-2
a Ll?
S,Yes
No
Is contributor a principal ofa state contractor or prospective state contractor? Ifyes,indicatewhich branch or D Executive C Legislative of govemment the contract is
branches with:
Date Recerved
E Yes FNo
o(o.co
D Cash F(Personal Check E
CrediVDebit Card
Payroll Deduction
'..1
i '
fl
Money Order
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ii:
$bo.cc>
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NAME OF COMMITTEE.
lL,,A fW\\er Q6r F*r:$r SP\-r+r\âi.r

Blt-"rt;tCoottinutions from
Individuals
Oc*dbar \O
Q, \i r.-.
Last Nane
nnat,-,
\
First
)enn rt.-f
City
Zip Code
.t-
MI
VP
o(9L{83
E Yes fl
b,,St']ess oPere*wnS
Yes
Name of Employer
b Uniorl S\tqet
fl Yes S. No
$.V.s ! No
Seâfrc.f
c-T
$5,000?
5"h r*\ay^\-fi\i,re-, LL C
El
ls contributor a lobbyis!, spouse, or dependent child of a lobbyist?
Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said No municipality valued at more than
ls contributor a principal ofa state contractor or prospective state contractor? fyes, indicate which branch or Legislative Executive of govemment the contract is
Is this contribution associated with a fundraisins event listed in Section Ll?
If
yes,nsi. Event
* F- ?Check
branches with: E
Dare Req
No
$90.oo
n Cash fifersonal
Credit/Debit Card
Payroll Deduction
First
Money Order
oal aila"
MI
Zip Code
rr
$1o.
Oopi k-
5"hn
Po\ice'
Cf o(oLff,
\?
Sha{=\
DE
i,rsE F
Yes
ffrc\lf
If.""tribritt

Is this contribution associated with fundraisine event Iisted in Section
No
ts in 91ss55 sf $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract wjth said D Yes I No ---municipality valued at more than $5,000?
a Ll?
(Yes D No I
)fyes,lisrEvent# tsMethod of contribution:
d1
D
CrediVDebit Card
Is confiibutor a principal ofa state contractor or prospective state contractor? Ifyes,indicalewhich branch D Executive E Legislatrve o?lovemment the contract is
orbranches with:
Date Rec
! Yes !(No
s3).oo
I Cash
S3ersonal Check
Payroll Deduction
Money Order
t
OA
5i\oor
MI
Aggrcgate contnbuhons
sso.oo
Last Name
First
litu
Br.rno
\
A\Qred
State
afr\cf ne*{
Nme of Employer
O f't1acC-onn\e
[E
Yes
Seqrr"o+r
No
t--.\ ob\4T3
SLACAmount of Contribution
Yes
If"."t.tb.rti"" it t .l<.t f$400 to a candidate committee for a chiefexecutive officer ofa municipatity does contributor or business he/she is associated with have a contract with said D Yes I No municipality valued at more than $5,000?
Is contributor a principal ofa state contractor or prospective state Ifyes,indicite which branch or E Executive oilovemment the contract is
ls this contribution associated with a fundraising event listed in SeEjpn Ll? If yes,list Event # _f_1LMethod of contribution:
!|Yes ENo
E
branches with:
Date Received
contractor? il
F fl Legislative
No
s3o.OO
E Cash
F,personal Check
Credit/DebitCard
Payroll Deduction
First
fl
Money Order
oi6\an
MI
Zip Code
\ao r t c-o
Name ofEmployr
$ lpO.oo
5 i \\ra',..rg
\ \ \ H\&"sq\,Sodslane
ls contributor
a lobbyist, spouse, or dependent child ofa lobbyist?
'iv=\e,rJ
ehr 'bVpher
-r-tv\
State
rnPv{<r
ana\1st
Yes
Ad.e\t{
NTAT
E
fl A
Yes
No
it*-..* of $+00 to a candidate commiftee for a chief executive officer of a rnunicipality dos contributor or business he/she is associated with have a contract with said municipalityvaluedatmorethan$5,000? I Yes I No
If .""trtb"ti"" i,
No
Is contributor a principal ofa state contractor or prospective state contractor? Ifyes,indicate which branch or branches Legislative Executive of govemment the contract is
ls this contribution associated with a fundraisine event listed in Section L1?
B,Yes
Ifyes,itsTEvenrr
F-?E
fl
with:
il
X*o
$rlo.oo
Date Received
D Cash (personal Check
CrediyDebit Card
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cfl\a\
\ao t i
$r{o.oo s \(eO . OO
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or
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\TA.ME OF COMMTTTEE
Vr,,r\ $At\\er Q-c Firs* Se\ec\rnan

'"bnorkCity !mte
Ac r;Der \O l.-'i \irna

MI
Soenpson 3\ au<r3r<e-rGJ(8e
Is contributor a lobbyist, spouse, or dependent child ofa Iobbyist?
Is this contribution assocrated wirh fundraisine evenr Iisted in Section
'gx".t-*r'ue.
.
d i rec\"r
Ltp Code
Name 01 Employer
5e{tre-.hr
c;i
ofa
o(oq$3
F-:rdi;VC"u'*.tio,UrJk*
Yes
E X
Yes
No
excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business he/she is associated with have a contract with said [ Yes E No municipality valued at more than $5,000?
Ifcontribution is in
fyes, lisiEvent#
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a F- L{ ?
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$5,000?
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# _[!\_
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ts,
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fundraisineeventlistedinSectionLl? fyes, lislEvenr# tr -q

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ves
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/'-ia

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\a
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Personal
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@ ,,\os
ao\\
Aggrcgate contnbutrons
st{co.oo
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L MONETARY RECEIPTS Section B. Additional Page

NAMEOF.COMMITTEE":
:,..i;a;)":l::::+x,:iii't:,:li.t:
(,
rt ffii t\er {ior F-trs\ Selecknnalr
Oc-*dbor \o \-; Yi ,,o

'ai:.',::|::'::,:;.i,$r:;:#
MI
Principal
Conro.4
Residentiai Street Address
'ih.i*\or<State
Occupation
\q
wi\\i&nz"r L-ar espouse, I lobbyisti E

a LI?
Yes
'fY\rlC

municipality does contributor or business he/she is associated with have a contract with said D Yes X. no municipality valued at more than $5,000?
Ves
-t
}rqt3 ^"-Q,Tii",-',
zrp Lode
={l>Jen*
\eacher
\ Le
a
No
Yes
Is rhis contribution associated with fundraising event listed in Section
fyes, lisiEvent# F-q

f, !
No
ls contributor a principal ofa state contractor or prospective state contractor? I/yes, indicate which branch or E Executive Legislative o?government the contract is
branches with:
)ate Received
fl
[ E
No
${06.cc
Ecash I
Personal
Check
Credit/Debit Card
Payroll Deduction
First
Money Order
o4lasl ao\\
MI
l4rp Code
S(e9,oo
K\arides-Di\r \a a3 osrye1 Or iueIs contributor a lobbyist, or dependent child ofa
Princioal Occupation
N rco\4'T
State
cer\1.(\ eJ
Narne of Employer
5\r"!\, cker nec

3(pqt3
I Yes I
G;*tv^Hotl\r6u=ho'\
I Yes fiNo
spouse, f] Yes lobbyist? X *o
Ifcontribution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa municipality does contributor or business helshe is associated with have a contract with said No municipality valued at more than
$5,000?
ofa
Is this contribution associated with a fundraising event listed in Section L I ?
Ifyes,listEvent#
E*"
!
l-'l
Yes
state contractor or prospective state contractor?
If yes, indicale which branch or branches ofgovernmentthecontractiswith: IExecutive DLegislative

Date Received
$a6.co
Last Name
E Casn F,personal Check I
CrediVDebit Card
Payroll Deduction
Money Order
oalou.r\}oti
MI
Zip Code
Name ofEmployer
33m"oo
DadJ\o r Te
\ \ ncerlr
c\ (e.cl
Yes
A8
B.n^ga.a
%J
!. B
Yes
a'T o(9r{83
State
n\a
! E
No
ls contributor a lobbyist, spouse, or dependent child ofa lobbyisr?
No
ft .onttlUut* is in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said D Yes K No municipality valued at more than $5,000?
Yes
ls contributor a principat state contractor or prospective state contractor? branch or D Executive Legislative o?lovemment the contract is
ls this contribution associated with a fundraising event listed in Section Ll?
Ifyes,list Evenl
#_
F"o
E
fl
ofa
Ifyes, indicalewhich
branches with:
)ate Received
$Sco.cO
Aggregate contnDunons
tr
Casn
flfersonal Check fl
CrediVDebit Card
Payroll Deduction
First
Money Order
c"\\o laott
MI
ssoo.6
Last Name
fni
\\er \V
lity
)ohn
stat Zrp Code
355ek
MR )ta1(o
q Tason DrroeIs contributor a lobbyjst, or dependent child ofa
a.,tJb.r..1
If contr;Uution is in
spouse, I Yes lobbyist? X ô
excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said E Yes fl No municipality valued at more than $5,000?
ls this contribution associated with a fundraising event listed in Section Ll?
Yes
Ifyes,list Event
# _
XNo
n
ls contributor a principal ofa state contractor or prospective state contractor? fyes, indicate wliich branch or Executive D Legislative oi govemment the contract is
branches with: fl
Date Received
! Yes K no
$\so.co
50. OO
Method of contnbution:
E Casn Spersonal Check D
CrediVDebit Card
Payroll Deduction
Money Order
oq\ot\&ott
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nug.
\?- "f \j
I.
MONETARY RECEIPTS Section B. Additional Page
.: i.....: :... 'j:;
.|'.,:..:::.:
.:,.;:.|'i
::
Andr^^:S
a
bl\\r
?\aceIf co"trib"tiott
nâ,l1ase,(-
3 Biss.\\
_
e:\^'"
branches with: E il
Hous= Q,r^pe,,''l4
Yes
spouse, D- Yes
Is this contribution associated with fundraising event listed in Section
"o
of $400 to a candidate committee for a chief executive officer of a "-*-c"is municipality does contributor or business helshe is associated with have a contract with said fl Yes El No municipality valued at more than $5,000?
Is contributor a principal ofa state contractor or prospective state contractor? I/yes, indicate which branch or Legislative Executive oigovemment the contract is
Ifyes,listEvent#
a n Yes L1? F *o
Credit/Debit Card
E E
No
$SC,CO
E Cash Kpersonal Check E
Payroll Deduction El Money Order
oalaslao \ \
spouse, E ordependentchildofalobbyist? D
Is contributor a lobbyist, Is this contribution associated with a fundraising event listed in Section Ll fyes, list Event #
?
Yes
No
municipality does contributor or business he/she is associated with have a contract with said n Yes E No municipality valued at more than $5,000?
Yes Is confibutor a principal
fficandidatecommitteeforachiefexecutiveofficerofa
Yes
ENo
D
tJyit,i"arcitewhichbranchorbranches I Executive E Legislative oi!ou..*.nt th" contract is with:

fl
Money Order
ofa
contractor? E
No
Method of contribution: E Cash I personal Check
Credit/Debit Card
Payroll Deduction
is contributor a lobbyist,
ordependentchildofalobbyist? n
spouse, E
Yes
Uo
committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said E Yes E No icipalitv valued at more than $5,000?
ffididate
ofa state contractor or prospective state contractor? n Yes - lji;t,indicatewhichbranchorbranches 'DNo D Executive n Legislative oi-eovimment the contract is with:
Method of contribution: E Cash El personal Check
Credit/Debit Card
Payroll Deduction
Money Order
ls contributor a lobbyist,
spouse, I dependentchildolalobbyist? il
with
Yes
ffi
Yes
No
acandidate committee forachief executive officerof a municipality does contributor or business he/she is associated with have a contract with said D Yes ! No icipaliw valued at more than $5,000?
Is contributor a principal of a state contractor or prospective state yo,indicate which branch or oiiovemment the contract is
Yes
Is this contribution associated
fundraisingeventlistedinSectionLl? fyes, list Event #

Method of contribution: Personal
E [
No
confractor? f|
if
branches with: n g-..rtit" n L"gffi
No
ij Cr;h E
Check
Credit/Debit Card
Pavroll Deduction
Monev order
I.
MONETARY RECEIPTS (Sections A-K)
Is this contribution associatedwith
fundraising eventlisted
a fl Yes lfyes,list in SectionLl? El No Event#
Isthiscontributionassociatedwitha
fundraising event listed in Section L1?
I Yes lfyes,list' D No Event #
Name of Committee
this contribution associated with a fundraisingevent listed in Section Ll?
! Yes If ya,list I No Event#
a fl
Yes If yu,list
Event#
fundraising eventlisted in SectionLi?
fl No
contribution associated with fundraising event listed in Section Ll?

s this
a fl
Yes lfyes'list
Event #
U No
Isthiscontributionassociatedwitha
isine event listed in Section
Ll? [
I Yes lfyes'list
Amount of ReceiPt
I fl
Name of Comittee
Reimbursement for shared Payment for goods and
services
expense
I lyplyt Distribution
Nme of Treasurer
Reimbursement for shared Payment for goods and
services
expense
Surplus
Distribution
II. F'UNDRAISING
EVENT ACTIVITY
ofl7
:::.ri,:ti:.t::a?rrl:1:?i:1,::.-::rr :1.:l:::l -,-. :,:: ii:: :r'!r-r.:.,,:r:rr:-, :.,:ir.r::|i:r:r
r\zr\zor1
Subpart
F-Z
Picnic F,oJre^:*r
f ver3{eenTerrace
FW.,
n No
(r/""r,
go to Section L+ In-kind Donations not Considered Contributions and complete required information for purchases made by host(s) for food, beverage and invitations.) go to Section L+ In-kind Donations not Considered Contributions and complete required information.) Section L2 Proceeds from Tag Sale, Auction, or Other Sale
1:
(All Committees)
Was this fundraising event hosted at a personal
residence?
Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual of up to $50?
Was this fundraiser
a
$ies Fro
(fyes,
tag sale, auction, or other sale of donated items
Yes (Ifyes,go to
of
with purchases from an individual ofup to $50?
2: (Town Committees and Municipal Candidate Committees ONLY) Were there purchases ofadvertising space in a program book associated with this fundraiser?
Yes (Ifyes,go to Section L3 Purchases ofAdvertising Space in aProgram Book

and complete required information.)
No
Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass gathering held within the state?
Yes (fyes, enterTotelReceipts from small purchases t.r. 1 lf-l
------?l
Fundraising Event #
DateofFundraiser
Location: StreetAddress
n\ufzorr
Subpart
F-j
a
Letter
\o
personal residence?
Qog\ar Or\w{V..
(If
yes, go toSection 1,4 In-kind Donations not Considered Contributions and complete required information for purchases made by host(s) for food, beverage and invitations.)
1: (All Committees)
Was this fundraising event hosted at
Did this fundraiser include items donated by a business entity ofup to $100 or items donated by an individual ofup to $50?
Was this fundraiser a tag sale, auction, or other sale of donated items
lNo I Yes ({fyes, go to Section L4 In-kind
Donations not Considered Contributions
and complete required information.)
(Ifyes, go to Section L2 Proceeds from Tag Sale, Auction' or Other Sale of

Donated Items.)
with purchases from an individual ofup to $50?

Subpart
2: (Town Committees and Municipal Candidate Committees ONLY) Yes (Ifyes, go to Section L3 Purchlses of Advertising Sprce in Were there purchases of advertising space in a program book associated and complete required information.) with this fundraiser?
a Program Book
Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass gathering held within the state?
Yes
(fyes,enterTotalReceiptsfromsmallpurchasesf3|l$
u. FUNDRAISING EVENT ACTIVITY

Section L1. Additional Page
4 l;t. i:,1.F-1: t :t*:#41:2aA|:,ta !,:a!a!.'rt: :,.ra r' :.taa. a:r *.2 a.a
\h,..lr\ tfi,\\e-c Sr Ftr=* Se-\ee\nâ^^

fundrarsrng lvenl DateofFundraiser
F
Oc.-\ober \o
Crty
t\ \l^s.
Zip Code
Description
6\zs\zo\\ F-q {\\ee* and6ree\

1:
(All Committees)
Was this fundraising event hosted at a personal residence?
Lener
Sfeet Address
Se^4wvw
(Yes
El No
C.T
aoYX3
Subpart
1yyes, go to Section L+ In-kind Donations not Considered Contributions and complete required information for purchases made by host(s) for food' beverage and invitations.) to Section Ll In-kind Donations not Considered Contributions and complete required information.)
Did this fundraiser include items donated by
a business
entity of up to
AYes (If yes,go
$100 or items donated by an individual of up to $50? Was this fundraiser a tag sale, auction, or other sale of donated items with purchases from an individual ofup to $50?
, KNo lYes KNo
(fyes, go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale of

Donated ltems.)
Subpart
2: (Town Commiftees and Municipal Candidate Committees ONLY) Yes (Ifyes,go to Section L3 Purchases ofAdvertising Space in Were there purchases ofadvertising space in a program book associated and complete required information.) with this fundraiser?
Progrrm Book
{No
Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at afair or similar mass
gathering held within the state?
tr
es (Ifyes, enter Total Receipts from small Purchases here|
n
Location: SteetAddrss
No
,,.i:.4.|95rjat1Litir.r.*,
Fundraising Event #
Date of
Fmdraiser
Letter
Description
lity
State
Zip Code
Subpail 1: (All Committees)

Was this fundraising event hosted at a personal residence?
E Yes (fyes, ENo
go to Section L4
In-kind Donations not Considered Contributions
and complete required information for purchases made by host(s) lor food,
beverage and invitations.)
Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual ofup to $50?
Was this fundraiser a tag sa1e, auction, or other sale of donated items with purchases from an individual ofup to $50?
E Yes (fyes, go to Section
L,l In-kind Donations not Considered Contributions
trNo
and complete required information.) go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale
EYes (fyes,
of
flNo
Donrted Items.)
Subpart
2:
(Town Committees and Municipal Candidate Committees ONLY)
Weretherepurchasesofadvertisingspaceinuprogru*bookassociated
with this
fundraiser?
Yes (Ifyes,gotosectionL3PurchasesofAdvertisingSpaceinaProgramBook
and complete required information )
DNo
Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass
gathering held within the state?
n
tr
Yes (f.ves. enter Total Receipts from small purchases here)
No
i:-tari',Frl:!:::::::,:i{t]i':|:i1iii:i!,9jiji.:i:::.::,1:jl*ll!;ljt?(r'.:]1
-ir,i;!:i:,
:i
jr.!tr:i:ir;,:::-i:rri:tt.:.:
;..*i:r$::s,l,1,t'iii:.il?;-:ii:*j,ij:$1$E3,Eg AL Section f,i-n i::;1,1:rjtiJ:l?!;ll1uar.ii::i ::.'!1'llrnj!tii:i:rar:l:::ii:;-::aaltr,f,,i:1lar:.l.ll;il:ii.,jr.l']i.jl:':?'tl.\t;<
: , .".-."--
A
Page
n\a
of3
Page 8 of 17
Method of payment:
Aggregate
tl Cash E
Personal
Check
Credit/Debit Card
Amount of
Purchases
Method ofpayment:
Aggregate
Cash F
Personal
Check
Credit/Debit Card
Amount of
Purchases
Method of payment:
Cash D
Personal
Check
Credit/Debit
Method of paymenti
E Cash E
Personai
Check
tl
Credit/Debit
Method of payment:
tl Cash E
Personal
Check
Credit/Debit
Method of payment:
tl Cash El Personal Check El Credit/Debit
Method of payment:
Aggregate
tl Cash E
Personal
Check
Amount of
Credit/Debit
Purchases
TI. FUNDRAISING EVENT ACTIVITY
Business
Entity
fl
Yes
ENo
Business
Entity
I I
Yes
tto
Business
Entity
fl
Yes
nNo
Business
Entity
Aggregate Puchases for All Events
Yes
ENo
Business
Entity
Yes
ENo
Business
Entity
Yes
E tto
III.
NONMONETARY RECEIPTS
Page
1l of17
i\
Type of Contributor: fl Individual
air Market
Value of this
I I
Committee Other (Apphcuble only to ReJerendm Comiltees)
Contribution
Is contributor
lobbyist,
spouse, !
fl
Yes
No
a candidate committee for a chief executive officer of a municipality does contributor or business heishe is associated with have a contract with said
If contribution is in excess of $400 to
valued at more than $5,000?

ls this contribution associated with a
EYes nNo
fundraising event listed in Section
Ll?
Yes
ENo
Type ofContributor:
fyes, list Event
! I
Is contributora tobbyist,
Individual
Committee Olher (Applicable only to Referendam Comilteu)
Value of this
Contribution
fi ordependentchildofalobbyist?
spouse, E
Yes
tto
a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said No municipality valued at more than
If contribution
is in excess
of $400 to
$5,000?
E Yes fl
a il Ll? I
Yes
Description of In-Kind Contribution
No
Type of Contributor: ! Individual
Fair Market
Value of this
I I
Committee Other (Applicableonly to ReferendumComittees)

a
Contribution
D I
Yes t'{o
municipality, does contributor or business he/she is associated with have a contract with said E Yes I No municipality valued at more than $5,000?
Is this contribution associated with a
fundraising event listed in Section Ll?
I Yes lNo
Type of Contributor: I Individual
D I
Committee Olher (Apphcable only ta Referendwn Comittew)

a
Value of this Contribution
ordependentchildofalobbyist? [
spouse, E
Yes

municipality does contributor or business he/she is associated with have a contract with said municipality valued at more than $5,000?
No
IYes INo
Is this contribution associated with a
Ll?
Yes
ENo
fyes, list Event
Last Nme of Individual
.?
III.
NONMONETARY RECEIPTS
Page 12 of 17
Name of
Comittee (Legiskttive
Lead.ership, Legislative Caucus, and Party
Comitlcu
ONLY)
Fair Market Value of Donation
tra DB NC trD trE

Name ofCommittee (Legishttive Leudership, Legblutive Cuucus, and PurE Commilteu ONLY)
Ua trB Ec trD trn

Nu*.olco-*itt.
e (Legislative Leadership, Legblative Cucus, tnd Purty Comiltees ONLY)
trA trB trC trD trE

Name ofCommitte e (Legislutive Leadership, Legistative Cuucus, and ParE Commitleu ONLY)
tra trB trC trD trE

Name of Committe e (Legislative Leadership, Legislative Caucus, und Paily Commitlees ONLY).
Fair Market Value

of Donation
trA trB trC trD trE

Name olCommittee (Legiskrtive Leudership, Legisfutive Caucus, and Pqrty
Comittea
ONLY)
Nme of Treasurer
trA NB trC ND IE
lht;fl* fY\i \\.r l.}-,r Etrs* So\or{'",.Av-
.oti
IV. EXPENDITURES
*,i:
Page 13 of 17
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a., :,
4:.t:.':.,a.r!t:.
*"-"tT
\rrl
(bycode);\
SFWffi
Oc+db"r \O
Date of Paymerlt State 4rp eode
C. \r\',.'
of o.r\e\ 6rao\îcs :.'' t\L^ {Y\a,',,. *r.e.-t

Description
Purpose of Expenditure
-S\6 t)
nltqlZot \ ttso,. CJ SLoUY( ,f\Adh.-ff\a" x ]t'4" rrarJ atcanS wi\::\okes(Os\

Event #
Method of Payment
K n
ctrect<* Debit card
lOo
Amount
lype of Expendittre (if ilpplieilble): E Coordinated with reimbursement sought
Cmdidat{s) Nme (dapplicable)
Offioe Sought
Supported Opposed
Coordinated without reimbursement sought

Independent
$\o.oc
Method of Payment
Organization
**""6TF..\
\2.-f
(bycode)
Purpose of Expenditue
OA OB OC OD
(see Instructions)
OE
Date of Pamont
t{\a.\ S,s\en s IOlrec\

""'
Q-es,r,n<.
So A.-,lrornota \<- So " \.î arJ

o'i\
Cmdidate(s)Nmo (tf applirable)
'L\..r*a-lier
\\e c {or &tr
Office Sought
fY\,-rLe'1t^s
t\p\aott
Ziir Code
State
Fr- %a"7
Event #
( tr
check#-!Q15Z
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A -OTH
* .a"Js t-or K" or {'fi
r! J""r
Amount
Supported
Type of Expenditure (if applicub Ie): n Coordinated with reimbursement sought fl Coordinated without reimbursement sought
E E
opposed
$srs,oo
Method of Payment
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EI Independent
Organization
OA OB OC OD
(see Instructions)
OE
Date of Pavment
"*"""ff.1 Ot6',\a\ Graphics

"'""'"oTLo Soc\l^ {rha\n
turpose of Expenditue
qltu taott
Zio Code
f*r"*
bycod4A-S\GN
"?U..,î..
der
c-T 5e-rfnor{\1,. x a\4" qe/_J:ir3ns

Office Sought
E otu\.t83 'tr
\O?
Event #
Amount
Supported Opposed
lype of Expenditure (if applicuble): E Coordinated with reimbursement sought fl Coordinated without reimbursement sought
Cmdidate(s) Name (if applicable)
fl .
$60T.3t
E E
Independent
Organization (see Instructions)
oA oB oC oD oE
"*""t'5T O,".,to \ 6raPhics

"'"u'^"oT"i>c)
Purpose of Expenditure
Sr.?V-t
{uvrcae)d-q16;i
*:i5l\
{Y1on'vr
try$o^-4p;1a6 Q
usder:\z<(drpplicdle)
=+{t xt
Method of Payment qltcllz-r.,tt creck# IOOS c-T o(oqx3 E( Debit Card I

State
arD t_ooe
Date ofPavment
ba,nrers C'i
Offrco Sought
Event #
fype of Expenditure (i.f upplicublQ: fl Coordinated with reimbwsement sought
Cmdidate(s) Name
Ll
Supported
opposed
fl Coordinated without reimbursement sought n Independent E Organization (see Instructions) OA OB OC OD OE

Date of Pavment
$ipr13T
Method of Payment
NmeorPavee
ts\o\ TopS "'"*ooo'5.,\o Lona\ l\i\\ OrcrsS R-a;

Purpose ofExpendinre
t'*sh.\\r,Cs"")
Office Sought
q\6allo\t
alo Looe Event #
c;r; c(,r{81
Ll
State
8, tr
check#_!3]f,p
Debit Card
(uvcooe)\-6\g
"frJ\To
fype of Expenditure (if applicahle):
"
\--:'
\Y{,rt
Nme
rn\\\erarapnt c
Amount
Supported
Candidate(s)
E Coordinated with reimbursement sought E Coordinated without reimbwsement sought E Independent E Organization (see Instructions)
(if applicable)
opposed
$3ffi.bq
OA OB OC OD
:rr:l.tri::îilrirtr!',.ri:r
OE
iii*,ll:
t,r. ;rirr,
l:ll,j'rrt;:j;::,ljlM:ji5ri;,r
sl*!;:,:*r?l
$\,qlo.as
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*.#r*:
{:rrit!-.i::i:::i
$ir;;tfl:i,!::,$!
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'
sa,3n?, t ?
'3
IV. EXPENDITURES
Section P. Additional page
\o ?"p\ar Dr \uec'.1)F'N0R
pe-of
Ex pendi ture (if app ticsbte)..
r4 K"sEelr,*:sL\
.d
+4 o\ri^.L-tro\ F*Jfarsef
$3o.ot
p(
U
E Coordinated without reimaursement sought E Independent ! Organization (see Instructions) oA_oB oc oD oE N*- "rP'Y"A\)rca*cLe{
EL Coordrnated with reimbursement sought
?-o3 ?eor\ Stre*

sgsLr tuuon
ffi
cn..r.*
\.rb \ i -^rvr
Type of Expend rure (if upp ticqbte) Di Coordinatedwith reimbursement soughl
:
\=.n\-s $, r
Debit Card
\OOa
bail"oy1 S -
Amount
fl fl n
Coordinatedwithout reimLursement sought

Independent
$\qj.sY
9l3"lOo
I\
Method of payment
Organization
oA oB oc oD
(see
Instructions)
oE
Q
Purpose of Expendttue
n P-\pr\i
C:r<.en'oood
app tic ab te)
:
Ci;c\e
tr
Check#
tuvcoae)A-1\{
of Expenditure (if
\.' Qerrneal .s.ppoa\ ba^rt"{S

$J3,1o
Method of Payment
E E E
EI Coordinated with reimbursement sought

Coordinated without reimbursement sought Independent
Organization
(see
oA oB oc
Instructions)
oD oE
n
ype of Expenditute (f upp ticub Ie) : LJ Coordrnated wrth reimbursement sought E Coordjnated without reimbursement sought I Independent
Check#
fJ Organrzation (see Instractions)
oA 0B oc oD
oE
Method of Payment
tr
of Expenditure (if upplicabte)
Check#
E E
Ll
Coordtnated with reimbursement sought Coordinated wrthout reimbursement sought

Independent
(see
El Organizatron
OA OB OC OD
Instructions)
OE
$ qbLa,iJ.
EXPENDITURES
Page 17 of
l7
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Kurt Miller Financial

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SEEC FORM 20

Itemized Campaign Finance Disclosure Statement

forth on this Itemized Campaign Finance

SUMMARY PAGE TOTALS

hur\ mi\\er \pc F,qs\ &\e.\rr^an

12. Balance on hand atthe beginning ofReporting Period

Small Food and Beverage Receipts at Fair (Section

6b. Total Proceeds from Small

Purchases at Tag Sales, Auctions or Other Sales (Section

l6c. Total Purchases ofAdvertising in

Municipal and Town Book (Section L3) Committees ONLY

17. Total Monetary Receipts (add totals for lines l3-l6c)

18. Subtotals(addtotalsinline12+linelTinColumnA;andinlinell+lTinColumnB) 19. Expenses Paid by Committee (Section P)

Srtro .@Q $ J rj?1. \? 6 b,q3a.a3

In-Kind Donations not Considered Contributions Received (Section L4)

22. In-Kind Contributions Received (Section M)

23. Refundable Deposit to Telephone Company (Section N)

Loans Received (Section D) Interest and Penalties on Loan

25d. Total Outstanding Loan Amount

MONETARY RECEIPTS (Sections A

h.,rt {\l.\\er Gr trlr* Sa\<.\mav-l

state contractor or prospective state

Apice\\a,T"=*. C6. PQtobbyisti X

Ifyes,indicafewhichbranchorbranches I Executive E of govemment the contract is with:

Curt"' Xp.rsonal Check

K\arid<s e?- eanRa\J 0-oad

state contractor or prospective state

branch or of govemment the contract is

fyes, indicite which

branches with: E Executive fl

D Casn Kpersonal Check E

\\er -\-rJ ari F.rnera\

Is contributor a principal ofa state contractor or prospective state Ifyes,indicatewhich branch

ofgovemmentthecontractiswith: DExecutive ELegislative

E Casn ffRersonal Check E

MONETARY RECEIPTS Section B. Additional Page

t\er $r- Ftrs*

\rf \)i \*tna

Pa-lrr N.rern reI

fY9"/(If contribution is in excess of $400 to

I/yes, list Event

a EYes Lt't KNo

Casn S,nersonal Check

Is this contribution associated with a fundraising event listed in Section L I ?

Casn f,.lersonal Check

o(oql3 Reebc $\i\.^:ork' Cor P'

iiiontriUution is in excess of$400 to a candidate committee for a chiefexecutive officer ofa

Is this contribution associated with a fundraising event listed in Section Ll?

orbranches is with: E Executive E

[1 Casn figersonal Check

ls contributor a lobbyist, spouse, or dependent child ofa lobbyist?

Is this contribution associated with a fundraising event listed in Section Ll?

:ri,-Ltil$$:: rir ::::ir-:i.;i,

MONETARY RECBIPTS Section B. Additional Page

\\er Q.. Frrs* Se\.Annr,,^. Robi^

A^Jrer^tS a3 grssej\ P\aceIs contributor a lobbyist, or dependent child ofa

spouse, l. Yes ioUbyisti f, *o a

Is this contribution associated with fundraising event listed in Section L

Ifyes,listEvent# F-ZMethod of contribution:

yes,indicafewhich branch or branches fl Executive of govemment the contract is with:

state contractor or prospective state

D Casn (fersonal Check !

q3 \r:>\n.;\ skee' 3-orc.r