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Mayoral Final (1) Termination Summary[1]

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  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

    1/19

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

    2/19

    AME OF COMMITTEE FILING DUE DATE

    1. Balance on hand January 1 of current year for Ongoing and Party Committees ORBalance on hand from day Committee was formed for all other committees

    2. Balance on hand at the beginning of Reporting Period

    3. Contributions received from Individuals (Sections A and B)

    4. Receipts from Other Committees (Sections C1 and C2)

    5. Other Monetary Receipts (Sections D-K)

    7. Total Monetary Receipts (add totals for lines 13-16c)

    8. Subtotals (add totals in line 12 + line 17 in Column A; and in line 11 + 17 in Column B)

    9. Expenses Paid by Committee (Section P)

    0. Balance on hand at close of Reporting Period (Subtract line 19 from line 18 in both Columns)

    22. In-Kind Contributions Received (Section M)

    23. Refundable Deposit to Telephone Company (Section N)

    25a. Loans Received (Section D)

    25b. Interest and Penalties on Loan

    25c. Payments on Loan

    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)

    i t it t

    DeStefano for Mayor

    $0.00

    $6,605.94

    $6,155.00 $0.00

    $0.00 $0.00

    $11,698.40 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $17,853.40 $0.00

    $24,459.34 $0.00

    $24,459.34 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $32.16

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00

    $0.00

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    Is contributor a principal of a state contractor or prospective state contractor? Yes

    If yes, indicate which branch or branches Noof government the contract is with: Executive Legislative

    Is this contribution associated with a Yesfundraising event listed in Section L1? No

    If yes, list Event #

    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 $5,000? Yes No

    contributor a lobbyist, spouse, Yesdependent child of a lobbyist? No

    Aggregate contributions

    esidential Street Address City State Zip Code Name of Employer

    Date Received

    MIFirstast Name Principal Occupation

    Method of contribution:

    Cash Personal Check Credit/Debit Card Payroll Deduction Money Order

    Is contributor a principal of a state contractor or prospective state contractor? Yes

    If yes, indicate which branch or branches No

    of government the contract is with: Executive Legislative

    Is this contribution associated with a Yesfundraising event listed in Section L1? No

    If yes, list Event #

    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 $5,000? Yes No

    contributor a lobbyist, spouse, Yesr dependent child of a lobbyist? No

    Aggregate contributions

    esidential Street Address City State Zip Code Name of Employer

    Date Received

    MIFirstast Name Principal Occupation

    Method of contribution:Cash Personal Check Credit/Debit Card Payroll Deduction Money Order

    Is contributor a principal of a state contractor or prospective state contractor? YesIf yes, indicate which branch or branches Noof government the contract is with: Executive Legislative

    Is this contribution associated with a Yesfundraising event listed in Section L1? No

    If yes, list Event #

    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 $5,000? Yes No

    contributor a lobbyist, spouse, Yesr dependent child of a lobbyist? No

    Aggregate contributions

    esidential Street Address City State Zip Code Name of Employer

    Date Received

    MIFirstast Name Principal Occupation

    Method of contribution:Cash Personal Check Credit/Debit Card Payroll Deduction Money Order

    Is contributor a principal of a state contractor or prospective state contractor? YesIf yes, indicate which branch or branches Noof government the contract is with: Executive Legislative

    Is this contribution associated with a Yesfundraising event listed in Section L1? No

    If yes, list Event #

    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 $5,000? Yes No

    contributor a lobbyist, spouse, Yesr dependent child of a lobbyist? No

    Aggregate contributions

    esidential Street Address City State Zip Code Name of Employer

    Date Received

    MIFirstast Name Principal Occupation

    Method of contribution:Cash Personal Check Credit/Debit Card Payroll Deduction Money Order

    (See instructions for definition of Small Contributor) $

    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 13 of Summary Page)

    DeStefano for Mayor

    0.00

    CT

    $0.00 $0

    CT

    $0.00 $0

    CT

    $0.00 $0.

    CT

    $0.00 $0.

    $0.

    $0.

    $0.

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    Is this transaction associated with a

    fundraising event listed in Section L1?

    Bank Candidate

    Individual OtherCommittee

    Bank Candidate

    Individual OtherCommittee

    reet Address City State Zip Code

    Date of Receipt

    ame of Cosigner/Guarantor

    reet Address City State Zip Code

    Yes (if yes listname and address ofCosigner/Guarantor)

    No

    (Referendum Committees ONLY)

    eet Address City State Zip Code

    Date of Receipt

    NAME OF COMMITTEE FILING DUE DATE

    me of Lender

    me of Cosigner/Guarantor

    eet Address City State Zip Code

    ame of Lender

    reet Address

    ty State Zip Code

    Date Received

    Aggregate Contributions

    ame of Entity

    Date of Receipt

    Amount

    (Business Entity Committees ONLY)

    s this transaction associated with a

    undraising event listed in Section L1?

    ate of Receipt Amount

    Yes If yes list

    No Event #

    Date of Receipt Amount

    Yes If yes list

    No Event #

    (Organization Committees ONLY)

    Date of Receipt

    Amount

    ate of Receipt

    mount

    (Candidate Committees ONLY)

    Method of payment:

    CashPersonal CheckCredit/Debit Card

    ate of Receipt

    Amount

    Method of payment:

    CashPersonal CheckCredit/Debit Card

    reet Address

    ity State Zip Code

    Date Received

    Aggregate Contributions

    ame of Entity

    treet Address

    ity State Zip Code

    Date Received

    Aggregate Contributions

    ame of Entity

    Yes (if yes listname and address ofCosigner/Guarantor)

    No

    DeStefano for Mayor

    CT

    CT

    $0.00

    CT

    CT

    $0.00

    0.0

    C $0.00

    CT $0.00$0.0

    CT $0.00$0.0

    0.0

    $0.00 $0.00

    0.00

    $0.00 $0.00

    0.0

    $0.00 $0.00

    0.0

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    NAME OF COMMITTEE FILING DUE DATE

    (Specify dollar amount of the bills received)

    ate Received Amount

    $1 bills $5 bills

    $10 billcoins

    Date Received Amount

    $1 bills $5 bills

    $10 billcoins

    Enter total on Line 15 of Summary Page)

    escription

    Date of Transactioname

    treet Address City State Zip Code

    escription

    Date of TransactionName

    treet Address City State Zip Code

    escription

    Date of TransactionName

    treet Address City State Zip Code

    ame of Institution

    reet Address

    ty State Zip Code

    Name of Institution

    Street Address

    City State Zip Code

    ate Received Date Received AmountAmount

    DeStefano for Mayor

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    $0.00 $0.00

    0.0

    $0.00

    CT

    $0.00

    CT 0.0

    $0.

    0.

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    Was this fundraising event hosted at a personal residence? Yes (If yes, go to Section L4and complete required information for purchases made by host(s) for food,

    beverage and invitations.)No

    Did this fundraiser include items donated by a business entity of up to Yes (If yes, go to Section L4100 or items donated by an individual of up to $50? and complete required information.)

    NoWas this fundraiser a tag sale, auction, or other sale of donated items Yes (If yes, go to Section L2with purchases from an individual of up to $50? .)

    No

    Were there purchases of advertising space in a program book associated Yes (If yes, go to Section L3with this fundraiser? and complete required information.)

    No

    Did your committee sell food or beverage at a fair or similar mass Yes (If yes, enter here.)

    gathering held within the state?

    No

    Were there purchases of advertising space in a program book associated Yes (If yes, go to Section L3with this fundraiser? and complete required information.)

    No

    Did this fundraiser include items donated by a business entity of up to Yes (If yes, go to Section L4100 or items donated by an individual of up to $50? and complete required information.)

    No

    Was this fundraising event hosted at a personal residence? Yes (If yes, go to Section L4and complete required information for purchases made by host(s) for food,

    beverage and invitations.)

    No

    Did your committee sell food or beverage at a fair or similar mass Yes (If yes, enter here.)gathering held within the state?

    No

    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 16a of Summary Page)

    Subpart 1: (All Committees)

    ubpart 2: (Town Committees and Municipal Candidate Committees ONLY)

    Subpart 3: (Town Committees ONLY)

    $

    Town Committees ONLY

    Was this fundraiser a tag sale, auction, or other sale of donated items Yes (If yes, go to Section L2with purchases from an individual of up to $50? .)

    Subpart 2: (Town Committees and Municipal Candidate Committees ONLY)

    Subpart 3: (Town Committees ONLY)

    $

    Subpart 1: (All Committees)

    Location:Date of Fundraiser Description

    Street Address City State Zip CodeLetter

    Location:Date of Fundraiser Description

    Street Address City State Zip CodeLetter

    DeStefano for Mayor

    CT

    0.00

    CT

    0.00

    $0.0

    $0.0

    $0.0

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    Last Name Method of payment:

    Cash Personal Check Credit/Debit CardEvent #

    ame of Purchaserndividuals ONLY)

    City State Zip Code Date Received

    ems Purchased

    First

    Last Name Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of Purchaserndividuals ONLY)

    City State Zip Code Date Received

    ems Purchased

    First

    Last Name Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of Purchaserndividuals ONLY)

    City State Zip Code Date Received

    ems Purchased

    First

    Last Name Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of PurchaserIndividuals ONLY)

    esidential Street Address City State Zip Code Date Received

    ems Purchased

    First

    Last Name Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of PurchaserIndividuals ONLY)

    esidential Street Address City State Zip Code Date Received

    ems Purchased

    First

    Last Name Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of Purchaserndividuals ONLY)

    esidential Street Address City State Zip Code Date Received

    ems Purchased

    First

    Last Name Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of Purchaserndividuals ONLY)

    City State Zip Code Date Received

    ems Purchased

    First

    Last Name

    Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of Purchaserndividuals ONLY)

    esidential Street Address City State Zip Code Date Received

    ems Purchased

    First

    Last Name Method of payment:Cash Personal Check Credit/Debit Card

    Event #

    ame of Purchaserndividuals ONLY)

    esidential Street Address City State Zip Code Date Received

    ems Purchased

    First MI

    MI

    MI

    MI

    MI

    MI

    esidential Street Address

    esidential Street Address

    esidential Street Address

    esidential Street Address

    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 16b of Summary Page)

    DeStefano for Mayor

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    $0.00

    $0.00

    $0.00

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    BusinessEntity

    Date Received

    YesNo

    Event #

    Name of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    Name of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    Name of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    Name of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    Name of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    Name of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    ame of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    Business

    Entity

    Date Received

    YesNo

    Event #

    ame of Purchaser Aggregate Purchases

    for All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    ame of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    Date Received

    YesNo

    Event #

    ame of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    BusinessEntity

    BusinessEntity

    Municipal Candidate and Town Committees ONLY)

    Date Received

    YesNo

    Date Received

    YesNo

    Event #

    ame of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    Event #

    ame of Purchaser Aggregate Purchasesfor All Events

    treet Address City State Zip Code

    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 16c of Summary Page)

    DeStefano for Mayor

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    CT$0.00 $0.00

    $0.00

    $0.00

    $0.00

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 21 of Summary Page)

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Aggregate value for this event

    escription of donation

    Donation Individualgiven by: Business Entity

    Event #

    ame of Donor

    reet Address City State Zip Code

    Date Received

    Date Received

    Date Received

    Date Received

    Date Received

    Date Received

    Date Received

    Date Received

    DeStefano for Mayor

    CT $0.00 $0.00

    CT $0.00 $0.00

    CT $0.00$0.00

    CT $0.00$0.00

    CT $0.00 $0.00

    CT $0.00 $0.00

    CT $0.00 $0.00

    CT $0.00 $0.00

    $0.00

    $0.00

    $0.00

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    Date Notice Received

    Aggregate Donations

    Name of Treasurer

    reet Address

    ty State Zip Code

    ame of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)

    escription of Donation

    Date Notice Received

    Aggregate Donations

    Name of Treasurer

    reet Address

    ty State Zip Code

    ame of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)

    escription of Donation

    Date Notice Received

    Aggregate Donations

    Name of Treasurer

    reet Address

    ty State Zip Code

    ame of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)

    escription of Donation

    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 24 of Summary Page)

    Date Notice Received

    Aggregate Donations

    Name of Treasurer

    reet Address

    ity State Zip Code

    ame of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)

    escription of Donation Purpose of Expenditure (see instructions)

    Date Notice Received

    Aggregate Donations

    Name of Treasurer

    reet Address

    ity State Zip Code

    ame of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)

    escription of Donation

    Date Notice Received

    Aggregate Donations

    Name of Treasurer

    reet Address

    ty State Zip Code

    ame of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)

    escription of Donation

    Date Notice Received

    Aggregate Donations

    Name of Treasurer

    reet Address

    ity State Zip Code

    ame of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)

    escription of Donation

    Purpose of Expenditure (see instructions)

    Purpose of Expenditure (see instructions)

    Purpose of Expenditure (see instructions)

    Purpose of Expenditure (see instructions)

    Purpose of Expenditure (see instructions)

    Purpose of Expenditure (see instructions)

    DeStefano for Mayor

    CT $0.00

    $0.00

    CT $0.00

    $0.00

    CT $0.00

    $0.00

    CT $0.00

    $0.00

    CT $0.00

    $0.00

    CT $0.00

    $0.00

    CT $0.00

    $0.00

    $0.00

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    SupportedOpposed

    ype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name(if applicable)

    Method of PaymentDate of Payment

    Check #________Debit Card

    Description

    Office Sought

    urpose of Expenditurey code)

    ame of Payee

    reet Address City State Zip Code

    SupportedOpposed

    ype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name(if applicable)

    Method of PaymentDate of Payment

    Check #________Debit Card

    Description

    Office Sought

    urpose of Expenditurey code)

    ame of Payee

    reet Address City State Zip Code

    SupportedOpposed

    ype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name(if applicable)

    Method of PaymentDate of Payment

    Check #________Debit Card

    Description

    Office Sought

    urpose of Expenditureby code)

    ame of Payee

    reet Address City State Zip Code

    SupportedOpposed

    ype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement sought

    IndependentOrganization (see Instructions)

    Candidate(s) Name(if applicable)

    Method of PaymentDate of Payment

    Check #________Debit Card

    Description

    Office Sought

    urpose of Expenditurey code)

    ame of Payee

    reet Address City State Zip Code

    SupportedOpposed

    ype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement sought

    IndependentOrganization (see Instructions)

    Candidate(s) Name(if applicable)

    Method of PaymentDate of Payment

    Check #________Debit Card

    Description

    Office Sought

    urpose of Expenditureby code)

    ame of Payee

    reet Address City State Zip Code

    Event #

    Event #

    Event #

    Event #

    Event #

    (Enter total on Line 19 of Summary Page)

    NAME OF COMMITTEE FILING DUE DATE

    DeStefano for Mayor

    CT

    0.00

    CT

    0.0

    CT

    0.00

    CT

    0.00

    CT

    0.00

    $0.0

    $0.0

    $0.0

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 26 of Summary Page)

    urpose of Expenditureby code)

    Date of Paymentame of Payee (Name of Vendor who candidate paid directly)

    reet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditureby code)

    Date of Paymentame of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditureby code)

    Date of Paymentame of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditureby code)

    Date of PaymentName of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditureby code)

    Date of Paymentame of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditureby code)

    Date of Paymentame of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditureby code)

    Date of Paymentame of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditureby code)

    Date of PaymentName of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    urpose of Expenditure

    by code)

    Date of Paymentame of Payee (Name of Vendor who candidate paid directly)

    treet Address City State Zip Code

    Description

    Is Reimbursement Claimed?

    YesNo

    Event #

    Event #

    Event #

    Event #

    Event #

    Event #

    Event #

    Event #

    Event #

    DeStefano for Mayor

    CT $0.0

    CT $0.0

    CT $0.0

    CT $0.0

    CT $0.0

    CT$0.00

    CT $0.00

    CT $0.00

    CT $0.00

    $0.0

    $0.0

    $0.0

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

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    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 27 of Summary Page)

    Visa Master Card Discover American Express

    Other

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    urpose of Expenditureby code)

    Date of Transactioname of Vendor

    treet Address City State Zip Code

    Description Event #

    DeStefano for Mayor

    CT$0.00

    CT$0.00

    CT$0.00

    CT$0.00

    CT$0.00

    CT$0.00

    CT $0.00

    CT$0.00

    $0.0

    $0.0

    $0.0

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    Type of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement sought

    IndependentOrganization (see Instructions)

    Candidate(s) Name (if applicable)

    rpose of Expenditurey code)

    (Estimate or Actu

    SupportedOpposed

    ame of Creditor

    scription

    reet Address

    ty State Zip Code Office Sought

    Date Incurred

    Event #

    Type of Expenditure (if applicable):Coordinated with reimbursement sought

    Coordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name (if applicable)

    rpose of Expenditurey code)

    (Estimate or Actu

    SupportedOpposed

    ame of Creditor

    scription

    reet Address

    ty State Zip Code Office Sought

    Date Incurred

    Event #

    Type of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name (if applicable)

    rpose of Expenditurey code)

    (Estimate or Actu

    Supported

    Opposed

    ame of Creditor

    scription

    reet Address

    ty State Zip Code Office Sought

    Date Incurred

    Event #

    Type of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name (if applicable)

    rpose of Expenditurey code)

    (Estimate or Actu

    SupportedOpposed

    ame of Creditor

    scription

    reet Address

    ty State Zip Code Office Sought

    Date Incurred

    Event #

    NAME OF COMMITTEE FILING DUE DATE

    (Enter total on Line 28 of Summary Page)

    (Enter total on Line 28a of Summary Page)

    DeStefano for Mayor

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    CT

    $0.00

    $0.0

    $0.0

    $0.0

    $0.0

    $0.0

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    ype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Office SoughtCandidate(s) Name(if applicable)

    SupportedOpposed

    Check #______________Debit Card

    escription

    Purpose of Expenditure(by code)

    reet Address City State Zip Code

    Method of PaymentDate of Payment

    condary Payee

    ype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Office SoughtCandidate(s) Name(if applicable)

    SupportedOpposed

    Check #______________Debit Card

    escription

    Purpose of Expenditure(by code)

    reet Address City State Zip Code

    Method of PaymentDate of Payment

    condary Payee

    Office Soughtype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name(if applicable)

    SupportedOpposed

    Check #______________Debit Card

    escription

    Purpose of Expenditure(by code)

    reet Address City State Zip Code

    Method of PaymentDate of Payment

    condary Payee

    Office Soughtype of Expenditure (if applicable):Coordinated with reimbursement soughtCoordinated without reimbursement soughtIndependentOrganization (see Instructions)

    Candidate(s) Name(if applicable)

    SupportedOpposed

    Check #______________Debit Card

    escription

    Purpose of Expenditure(by code)

    reet Address City State Zip Code

    Method of PaymentDate of Payment

    condary Payee

    NAME OF COMMITTEE FILING DUE DATE

    st Name of Worker/Consultant First MI

    st Name of Worker/Consultant First MI

    ast Name of Worker/Consultant First MI

    ast Name of Worker/Consultant First MI

    DeStefano for Mayor

    Jayaram Keya 10/27/2010

    Amity Wine & Spirits FOOD1112

    95 Amity Road New Haven CT 06515

    wine for event

    $452.

    CT

    $0.

    CT

    $0.

    $0.

    $452.

    $0.

    $452.

  • 8/6/2019 Mayoral Final (1) Termination Summary[1]

    18/19

    ( : adjacent to the left of an Expenditure Code indicates that is )

    : The existence of a particular expenditure code does not mean that such expenditure is lawful. To determine lawfulness,

    reasurers must read the committee guide applicable to their type of committee.)

    Each expenditure code beginning with is to be used to identify the delivery method for paid advertising, which

    ncludes advertising to solicit committee funds. Include the costs forboth the andthe of the message. A payment toprofessional consultant to develop a message should be coded to the main advertising delivery method below, notas

    ( ), which is a code that should only be used when no other expenditure code applies. If a single advertising message is

    eveloped for several of the delivery mechanisms listed below, use for the cost of developing the message and then use the

    pplicable code for the payments associated with the several delivery methods used. : The one to this advertising rule iswhen advertising content includes, as part of the message, an invitation to individuals to attend a fundraising event in return for a

    ontribution or attendance fee. advertising must be coded (see explanation below) irrespective of the

    dvertising delivery method.

    -expenditure to through

    -expenditure to through a . expenditure to through a

    expenditure to advertise using an , or an

    -expenditure for the use of , where people are speaking as distinguished from pre-recorded messages (above) andpolls and surveys (below).

    expenditure to onexpenditure for the cost of preparing, printing, producing or distributing lawn or billboard visible from any street orhighway.

    expenditure to on expenditure to advertise on the . This includes Webcasting (sendingaudio and/orvideo live over the Internet)

    or any other form of advertising on the web. See WEB for other web related expenditures.

    any expenditure for any , not listed above, like the cost of (a) posters, stickers, streamers, banners,etc. fordistribution on or in buildings or vehicles (i.e. cars, buses, boats, aircraft, etc.); (b) campaign paraphernalia, such as pins, hats,

    potholders, tee shirts and other campaign giveaway items; (c) audio messages and the cost of transmitting them by speakers from

    vehicles or buildings; (d) ad placed in ad books, in schools or civic organizations pamphlets or bulletins, or (e) ad books forfundraising events held by other committees.

    expenditure for for any person to a (1) fundraiser held byany committee; (2) an inaugural event o

    any candidate; (3) a charitable event; (4) an educational course or training seminar; etc. In the text box of the ,which is under this expenditure category, identify the name and address of the individual who is attending the event as

    well as the date and location of the event and the name of the sponsoring committee or entity sponsoring the event.

    - expenditure to record any payment of assessed by the bank on the committees checkinaccount only. Similar fees assessed by a credit card company should be listed under credit card charges in Sec. R of the Form 20,

    entitled Expenses Incurred on Committee Credit Card.- expenditure to record , including partial payments, finance charges, and mid-cycle payments.

    See Sec. R of the Form 20, entitled Expenses Incurred on Committee Credit Card, to record actual charges made against the credit

    card account, including any finance charges.- expenditure to record any payment to the State of Connecticuts ( ).

    This expenditure code does not apply to the (Surplus Distribution) expenditure code explained below.expenditure for a payment of committee funds to a tax-exempt organization (26 U.S. Code 501(c)(3)).

    expenditures to a professional Professional consultants are individuals or entities that are paid by the committee as

    independent contractors for their professional advice. They are not salaried employees and they are not individuals who are serving th

    committee as volunteers. Examples: management firms, public relations firms, lawyers and accountants, etc. However, for payment

    to professional consultants who design polls and surveys, or advertising messages, use the more specific code (ex.). If the payment to a professional consultant includes costs paid or incurred to some other vendor, following completion of

    the entry of this expenditure, go immediately to Section T, Itemization of Reimbursements to Committee Workers and Consultants,

    and follow the instructions for reporting of .that are The expenditure of a committees funds to make a contribution to

    another committee is to be distinguished from an expenditure of committee funds to for shared

    expenses or fair market value of goods or services provided to the committee by another committee acting as a vendor. See

    explanation of below.expenditures for Record only the portion of the cost that is actually paid. Cost includes any

    costs associated with the delivery or installation of the item. Equipment includes computers, printers, phones, etc. The text box of the

    , which is in this situation, must list the item, and whether the expenditure is a purchase, rental or lease

    : Vehicles may only be leased and may not be purchased.

    expenditures paid directly to a vendor for food and beverage, if the vendor is paid for these items in association with thecommittees own sponsored (see below) or the committees own sponsored (see below.)

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    ( : adjacent to the left of an Expenditure Code indicates that is )

    ( : The existence of a particular expenditure code does not mean that such expenditure is lawful. To determine lawfulness,treasurers must read the committee guide applicable to their type of committee.)

    expenditures associated with holding a committee (i.e. payments to restaurants, hotels, caterers, food andbeverage vendors, invitations, entertainers performing at the event, paid speakers, etc.) Advertising content that includes as part of thmessage invitations to individuals to attend a committee fundraising event in return for a contribution or attendance fee must,however, be coded irrespective of the advertising delivery method. : This expenditure category not expenditures of the committees funds attending any other committees fundraising

    event.record the purchase of any item that is to be given as a to any individual or entity. Gifts to committee workers are limited to

    an aggregate of $100 per recipient. The text box of the , which is in this situation, must identify theitem purchased as well as the name and address of the individual or entity who is the recipient of the committees gift.

    - expenditures relating to the committees costs for hosting an for the committees own candidate. This code doenot include expenditures by the committee for attendance fees of individuals to another committees inaugural event, which must becoded as (see above).

    expenditures to record the payment of committee's , whether principal, interest or both. ( Any penalties assessed fornon-payment on a loan, if not paid by the payment due date, must be disclosed as additional Expenses Incurred by Committee but nPaid During This Period in Sec. S of the Form 20.

    expenditures for such as paper, pens, printer cartridges, etc.expenditures of costs, including the cost of renting office space, parking spaces, repairing or servicing offic

    furniture and equipment used in connection with committee activities, related insurance, utility payments for committee headquarters

    subscriptions and similar overhead operating expenses.expenditure to replenish the committees petty cash fund.- expenditures to record a at fair market value for goods, services or other things of value provided

    by that other committee acting as a vendor or as a reimbursement of a shared expense. Examples: payment for a mail list, contact listor email distribution list prepared and produced by the other committee, or for the cost of the salaries of the other committees salarieemployees who were loaned to the committee, etc. Absent payment to the other committee at fair market value for such benefitsreceived, , the committee would be receiving an from the other committee. ( :

    do not require an expenditure code because they are receipts of the committee, not expenditures.) Theexpenditure code category must be distinguished from expenditures that are coded as (

    - expenditures associated with . This category is to be distinguished from (phonebanks)because the information isnt just delivered to the public but opinion is carefully being sought and collected from the public insome manner to produce a poll or survey result or report. If a professional consultant is both designing andconducting the poll orsurvey, uses as the expenditure code, not (see above).

    expenditures for , such as stamps, bulk mail permits, post office boxes and envelopes, United Parcel Service, Federal

    Express, etc.expenditures associated with the costs of photocopying or reproducing literature, stationery, invitations and the like.Expenditures to , which may include a candidate. This is when the cost of payment for

    something needed by the committee is advanced by the committee worker and reimbursement is sought and obtained from thecommittees treasurer who authorized the payment within 45 days of receipt of the paid for item. : Absent reimbursement to thecommittee worker of the paid for item, the committee would be receiving an fromthe committee worker. After making payment to the worker, reporting this item also requires full reporting of theappearing on the payment slip of the committee worker. Go immediately to Section T, Itemization of Reimbursements to CommitteWorkers and Consultants, and follow the instructions for reporting of Secondary Payees. Further Note: When reimbursing thecandidate, report the purchase in Section Q of the Form 20, entitled Campaign Expenses Paid by the Candidate. are expenditures of any committee funds that were deposited into the committees checking account and then returned tocontributor or any other revenue source for any reason.

    expenditures which are in connection with the termination and dissolution of the committee.

    - expenditures for an individuals costs and authorized by the treasurer, such as the cost of gasoline, othertransportation fare, and lodging. The cost of any event should be coded as ( ) (see above) and

    for outside the cost of the attendance fee should be coded as .- expenditures for paid to the committees staff. This is to be distinguished from payments to professional

    consultants who are independent contractors. Expenditures for accessing and having a presence on the This includes payments to develop or maintain: (a) a committeeweb site and homepage; (b) an internet provider; (c) a domain name on the internet; (d) payments to a merchant account processor orpayment gateway provider to enable the committee to receive online credit and debit card contributions over the internet; and (e)similar costs relating to use of the internet. This is not to be used for any costs related to advertising on the web see A-WEB above

    expenditures of items that are not listed above. The text box of the , which is mandatory in thsituation, must explain in narrative form, with sufficient clarity, the purpose of this expenditure.


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