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7/27/2019 Ansonia RTC October 2013 Filing
1/19
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
Revised January 2012
Do Not Mark in This Space For Official Use Only
CONNECTICUT STATE ELECTIONS ENFORCEMENT
COMMISSION
Electronic Filing
Page 1 of 19
COVER PAGE
1. NAME OF COMMITTEE
2. TREASURER NAME
Ansonia Republican Town Committee
3. TREASURER ADDRESS
4. ELECTION/REFERENDUM DATE
7. CANDIDATE NAME (Complete only if Candidate or Exploratory Committee)
8. TYPE OF REPORT
9. PERIOD COVERED
10. CERTIFICATION
5. OFFICE SOUGHT (Complete only if Candidate Committee) 6. DISTRICT NUMBER(if applicable)
First
First
MI
MI
Last
Last
Suffix
Suffix
Street Address City State Zip Code
Linda A Vaccaro
515 Beaver St Ansonia CT 06401
October 10 Filing - Original
Beginning Date Ending Date
07/01/2013 thru 09/30/2013
I hereby certify and state, under penalties of false statement, that all of the information set forth on this
Itemized Campaign Finance Disclosure Statement for the period covered is true, accurate and
complete.
PRINT NAME OF THE SIGNER DATE CERTIFIED
10/06/2013 10:59:03AM
PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000, OR
IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.
SIGNATURE
Electronic Filing Linda Vaccaro
7/27/2019 Ansonia RTC October 2013 Filing
2/19
Page 2 of 19
SUMMARY PAGE TOTALS
SEEC FORM 20Itemized Campaign Finance Disclosure Statement
CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Revised January 2012
NAME OF COMMITTEE TYPE OF REPORT
COLUMN A
This Period
COLUMN B
Aggregate
11. Balance on hand January 1 of current year for Ongoing and Party Committees OR
Balance on hand from day Committee was formed for all other Committees
12. Balance on hand at the beginning of Reporting Period
13. Contributions received from Individuals (Section A and B)
14. Receipts from Other Committees (Sections C1 and C2)
15. Other Monetary Receipts (Section D through K)
16c. Total Purchases of Advertising - Program Book or Sign (Section L3)
18. Subtotals (add totals in Line 12 + 17 in Column A and in Line 11 + 17 in Column B)
19. Expenses Paid by Committee (Section P)
16b. Per Public Act 11-48, effective January 1,2012 Section L2 removed
20. Balance on hand at close of Reporting Period (Subtract line 19 from line 18 in both colum
21. In-Kind Donations not Considered Contributions Received (Section L4)
22. In-Kind Contributions Received (Section M)
23. Refundable Deposit to Telephone Company (Section N)
24. Receipts of Organization Expenditures (Section O) OPTIONAL
25. Beginning Loan Balance
25a. + Loans Received (Section D)
25b. + Interest and Penalties on Loan(s)
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)
28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)
$3,423.45
$3,883.45
$2,310.00 $3,532.50
$0.00 $0.00
$0.00 $0.00
16a. Total Proceeds from Small Puchases (Section L1 Subpart 1 + Subpart 3)
17. Total Monetary Receipts (add totals for lines 13 through 16c)
$0.00 $0.00
$5,446.94 $6,209.44
$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
$0.00
$0.00
$9,993.45 $10,755.95
Ansonia Republican Town CommitteeOctober 10 Filing - Original
$3,800.00
Municipal and Town Committees Only
$6,110.00 $7,332.50
$4,546.51 $4,546.51
$3,800.00
7/27/2019 Ansonia RTC October 2013 Filing
3/19
Page 3 of 19
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE TYPE OF REPORTOctober 10 Filing - OriginalAnsonia Republican Town Committee
A. Total Contributions from Small Contributors-Received this Period ONLY
(See instructions for definition of Small Contributor) Subtotal Section A$0.00
B. Itemized Contributions from Individuals
Patricia
Residential Street Address
28 W Brookside Ave
City
Ansonia
State Zip Code
CT 06401
Date Received
08/21/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1?Yes
NoIf yes, list Event #
State of CT- Dept. of Childrens and FamiliesParalegal Specialist II
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
J
Aggregate Contributions
$190.00
Amount of Contribution
$150.00
Last Name
Fers
Cash Money OrderX Personal Check Credit/Debit Card
Yes_
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
_
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches ofgovernment the contract is with:
_
Yes No
_
Executive Legislative
Payroll Deduction
Method of Contribution
_
X
First Name MI
JANET
Residential Street Address
83 Prospect St
City
Ansonia
State Zip Code
CT 06401
Date Received
08/21/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1?Yes
NoIf yes, list Event #
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
Aggregate Contributions
$10.00
Amount of Contribution
$10.00
Last Name
VITARIUS WAUGH
X Cash Money OrderPersonal Check Credit/Debit Card
Yes
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
_
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
Yes No
_ Executive Legislative_
Payroll Deduction
Method of Contribution
_
X
First Name MI
WARNER
Residential Street Address
162 Center St
City
Woodbridge
State Zip Code
CT 06525
Date Received
09/01/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1?Yes
NoIf yes, list Event #
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
Aggregate Contributions
$25.00
Amount of Contribution
$25.00
Last Name
PYNE
_ Cash _ Money OrderX Personal Check Credit/Debit Card_
Yes
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
Yes No
_ Executive Legislative_
_ Payroll Deduction
Method of Contribution
X
First Name MI
7/27/2019 Ansonia RTC October 2013 Filing
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Page 4 of 19
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE TYPE OF REPORTOctober 10 Filing - OriginalAnsonia Republican Town Committee
B. Itemized Contributions from Individuals
Irving
Residential Street Address
14 Highland Ave
City
Ansonia
State Zip Code
CT 06401
Date Received
09/02/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1?Yes
NoIf yes, list Event #
Materials Testingquality control manager
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
Aggregate Contributions
$500.00
Amount of Contribution
$500.00
Last Name
Reed
_ Cash _ Money OrderX Personal Check Credit/Debit Card_
Yes
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
Yes No
_ Executive Legislative_
_ Payroll Deduction
Method of Contribution
X
First Name MI
RONALD
Residential Street Address
515 Beaver St
City
Ansonia
State Zip Code
CT 06401
Date Received
09/02/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1? Yes
NoIf yes, list Event #
NBC UNIVERSAL SPORTSEDITIORIAL DIRECTOR
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
Aggregate Contributions
$500.00
Amount of Contribution
$500.00
Last Name
VACCARO
_ Cash _ Money OrderX Personal Check Credit/Debit Card_
Yes_
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
_
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
_
Yes No
_
_ Executive Legislative_
_ Payroll Deduction
Method of Contribution
_
X
First Name MI
Lorie
Residential Street Address
515 Beaver St
City
Ansonia
State Zip Code
CT 96488
Date Received
09/03/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1?Yes
NoIf yes, list Event #
noneRetired
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
Aggregate Contributions
$550.00
Amount of Contribution
$500.00
Last Name
Vaccaro
_ Cash _ Money OrderX Personal Check Credit/Debit Card_
Yes_
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
_
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
_
Yes No
_
_ Executive Legislative_
_ Payroll Deduction
Method of Contribution
_
X
First Name MI
7/27/2019 Ansonia RTC October 2013 Filing
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Page 5 of 19
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE TYPE OF REPORTOctober 10 Filing - OriginalAnsonia Republican Town Committee
B. Itemized Contributions from Individuals
Charles
Residential Street Address
23 Granite Ter
City
Ansonia
State Zip Code
CT 06401
Date Received
09/05/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1?Yes
NoIf yes, list Event #
Self Employed/Great Northern ExcavatingExcavating Contractor
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
W
Aggregate Contributions
$575.00
Amount of Contribution
$525.00
Last Name
Stowe
_ Cash _ Money OrderX Personal Check Credit/Debit Card_
Yes
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
Yes No
_ Executive Legislative_
_ Payroll Deduction
Method of Contribution
X
First Name MI
Joanne
Residential Street Address
37 Morningside Dr
City
Ansonia
State Zip Code
CT 06401
Date Received
09/05/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1? Yes
NoIf yes, list Event #
YALE UNIVERSITYSR ADMIN ASSIST
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
M
Aggregate Contributions
$75.00
Amount of Contribution
$75.00
Last Name
Czeczot
_ Cash _ Money OrderX Personal Check Credit/Debit Card_
Yes_
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
_
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
_
Yes No
_
_ Executive Legislative_
_ Payroll Deduction
Method of Contribution
_
X
First Name MI
Patricia
Residential Street Address
28 W Brookside Ave
City
Ansonia
State Zip Code
CT 06401
Date Received
09/05/2013
Principal Occupation Name of Employer
Is this contribution associated with a
fundraising event listed in Section L1?Yes
NoIf yes, list Event #
State of CT- Dept. of Childrens and FamiliesParalegal Specialist II
Is contributor a lobbyist, spouse,
or dependent child of a lobbyist?
J
Aggregate Contributions
$215.00
Amount of Contribution
$25.00
Last Name
Fers
_ Cash _ Money OrderX Personal Check Credit/Debit Card_
Yes_
NoX
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 associated with have
a contract with said municipality valued at more than $5000?
_
Yes
X
No
Is contributor a principal of state contractor or prospective state contractor?
If yes, indicate which branch or branches of
government the contract is with:
_
Yes No
_
_ Executive Legislative_
_ Payroll Deduction
Method of Contribution
_
X
First Name MI
TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS (Sections A & B) (Total on Line 14 of Summary Page)
Total of Section B $2,310.00
$2,310.00
7/27/2019 Ansonia RTC October 2013 Filing
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Page 6 of 19
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE
Ansonia Republican Town Committee
TYPE OF REPORT
C1. Contributions from Other Committees
October 10 Filing - Original
me of Committee
Address
ity State
Is this contribution associated with a
fundraising event listed in Section L1?Yes No
If yes, list Event #
Zip Code Date Received Aggregate Contributions
Amount of Contribution
Name of Treasurer
Total of Section C1
C2. Reimbursements. Payments. or Surplus Distributions from other Committees
NAME OF COMMITTEE
Ansonia Republican Town Committee
TYPE OF REPORT
I. MONETARY RECEIPTS (Section A-K)
October 10 Filing - Original
Name of Committee Name of Treasurer
Address
ity State Zip Code
Date ReceivedAmount of Receipt
Reimbursement for shared expense
Payment for goods and services
Surplus Distribution
Total of Section C2
7/27/2019 Ansonia RTC October 2013 Filing
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Page 7 of 19
D. Loans Received this Period
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
Street Address City State Zip Code
Date of Receipt
Name of Cosigner/Guarantor (if applicable) Amount Received
Name of Lender
Street AddressCity Zip Code
Is there a cosigner or
Guarantor of this loan?
Yes No
Source of Loan:
Bank IndividualCandidate Other
Total of Section D
E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONLY)
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town CommitteeOctober 10 Filing - Original
Street Address
City State Zip Code
Amount Received
Name of Entity
Date Received
Aggregate Contributions
Total of Section E
F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLY)
I. MONETARY RECEIPTS (Section A-I)
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
AmountIs this transaction associated with a fundraising
event listed in Section L1?Yes No If yes, list Event #
Date of Receipt
Total of Section F
7/27/2019 Ansonia RTC October 2013 Filing
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Page 8 of 19
G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Organization Committees ONLY)
I. MONETARY RECEIPTS (Section A-I)
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town CommitteeOctober 10 Filing - Original
AmountDate of Receipt
Total of Section G
H. Personal Funds of the Candidate Received this Period (Candidate Committees ONLY)
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
AmountMethod of PaymentDate of Receipt
Cash Personal Check Credit/Debit Card
Total of Section E
J. Interest from Deposits in Authorized Accounts
I. Monetary Receipts (Section A-K)
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town CommitteeOctober 10 Filing - Original
Zip CodeStateCityStreet Address
Date ReceivedName of Institution Amount
Total of Section J
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Page 9 of 19
K. Miscellaneous Monetary Receipts not Considered Contributions
I. MONETARY RECEIPTS (Section A-K)
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
Street Address City State Zip Code
Description
Amount
Received
Name Date of Transaction
Total of Section K
7/27/2019 Ansonia RTC October 2013 Filing
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Page 10 of 19
L1. Fundraiser Event Information
II. FUNDRAISING EVENT ACTIVITY Sections L1 - L4
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
Zip Code
LetterDate of Fundraiser
Fundraising Event #
Location: Street Address City State
08/24/2013 T
1 High Acres Rd Ansonia CT 06401
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 b an individual of u to $100?
Was this fundraiser a tag sale, auction, or other sale of donated items with
puchases from an individual of up to $100?
_
X
Yes
No
Yes
Yes
No
No
_
X
X
_
Sale Event
Description
Were there purchases of advertising space in a program book or on a sign associated
with this fundraiser?
Did your committee sell food or beverage at a fair or similar mass gathering held
within the state with this fundraiser?
Yes
Yes
No
No
_
X
_
X
Subpart 2: (Town Committees and Municipal Candidate Committees ONLY)
Subpart 3: (Town Committees ONLY)
(If yes, enterTotal Receipts here.) $0.00
(If yes, go to Section L4 In-Kind Donations not Considered
Contributions and complete required information for puchases made by
host(s) for food, beverage and invitations.)
(If yes, go to Section L4 In-Kind Donations not ConsideredContributions and complete required information.)
(If yes, enter Total Receipts here.)
(If yes, go to Section L3 Purchases of Advertising Space in a ProgramBook or on a Sign and complete required information.)
Subpart 1: (All Committees)
$1,090.00
Zip Code
LetterDate of Fundraiser
Fundraising Event #
Location: Street Address City State
09/22/2013 R
French Memorial Park Seymour CT 06483
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 b an individual of u to $100?
Was this fundraiser a tag sale, auction, or other sale of donated items with
puchases from an individual of up to $100?
_
X
Yes
No
Yes
Yes
No
No
_
X
_
X
Fair Event
Description
Were there purchases of advertising space in a program book or on a sign associated
with this fundraiser?
Did your committee sell food or beverage at a fair or similar mass gathering held
within the state with this fundraiser?
Yes
Yes
No
No
_
X
X
_
Subpart 2: (Town Committees and Municipal Candidate Committees ONLY)
Subpart 3: (Town Committees ONLY)
(If yes, enterTotal Receipts here.) $2,710.00
(If yes, go to Section L4 In-Kind Donations not ConsideredContributions and complete required information for puchases made by
host(s) for food, beverage and invitations.)
(If yes, go to Section L4 In-Kind Donations not ConsideredContributions and complete required information.)
(If yes, enter Total Receipts here.)
(If yes, go to Section L3 Purchases of Advertising Space in a ProgramBook or on a Sign and complete required information.)
Subpart 1: (All Committees)
$0.00
Total of Section L1 $3,800.00
7/27/2019 Ansonia RTC October 2013 Filing
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Page 11 of 19
L3. Purchases of Advertising in a Program Book or on a Sign (Municipal Candidate and Town Committees ONLY)
II. FUNDRAISING EVENT ACTIVITY Sections L1 - L4
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
Zip CodeStateCityStreet Address
Purchase Made By:Name of Purchaser
Event #Date Received Aggregate Purchases for All Events Amount of Program Ad Purchase Amount of Sign Purchase
Business Entity Individual
Sole Proprietorship
Total of Section L3
L4. In-Kind Donations Not Considered Contributions
II. FUNDRAISING EVENT ACTIVITY Sections L1 - L4
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town CommitteeOctober 10 Filing - Original
Zi CodeStateCityStreet Address
Donation Given b :
Name of the Donor
Fair Market Value of
Donation
Aggregate value for this event
Descri tion of Donation
Date Received Event #Individual
Business Entity
Sole Proprietorship
Total of Section L4
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Page 12 of 19
M. In-Kind Contributions
III. NONMONETARY RECEIPTS (Sections M - O)
NAME OF COMMITTEE
Ansonia Republican Town Committee
TYPE OF REPORT
October 10 Filing - Original
Street Address
ype of Contributor:
Fair Market Value of this
Contribution
Name
CityState
Zip Code
Date Received
Individual / Sole Proprietorship
Committee
s Contributor a lobbyist, spouse, or
ependent child of a lobbyist?
Yes
No
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 municipality valued at more
han $5000?
Yes
No
s this contribution associated with a
undraisin event listed in Section J1?
f yes, list Event#
Yes
No
Description of In-Kind ContributionAggregate contributions
Other
Is contributor a principal of state contractor or prospective state contractor? Yes
NoIf yes, indicate which branch or branches of
government the contract is with: Executive Legislative
Total of Section M
N. Refundable Deposit to Telephone Company
III. Non Monetar Recei ts Sections M - O
NAME OF COMMITTEETYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
Zip CodeStateCityResidential Street Address
Date Deposit MadeLast Name of Individual
Amount of
Deposit
Name of Telephone company
Zip CodeStateCityStreet Address
First Name MI
Total of Section N
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Page 13 of 19
O. Non-Monetary Receipts of Organization Expenditures Made By Legislative Leadership,
Legislative Caucus, and Party Committee - OPTIONAL See Public Act 11-48
III. NONMONETARY RECEIPTS (Sections M - O)
NAME OF COMMITTEE TYPE OF REPFORT
Ansonia Republican Town CommitteeOctober 10 Filing - Original
Street Address Date Notice Received
Description of Donation
Fair Market
Value of
Donation
Name of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY)
City State
Name of Treasurer
Aggregate DonationsZip Code
Purpose of Expenditure
A B C D E
Total of Section O
7/27/2019 Ansonia RTC October 2013 Filing
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Page 14 of 19
P. Expenses Paid By Committee
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
IV. EXPENDITURES (Sections P - T)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
ANSONIA CULTURAL COMMITTEE
Main Street AnsoniaCT 06401
FNDR *09222013P
ANSONIA HARVEST FESTIVAL
$50.00
X
_
12909/01/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sou h Inde endent Or anization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
NAUGAUTIC VALLEY HEATLH DIST
98 Bank St SeymourCT 06483
FNDR *09222013P
FOOD LICENSE
$72.00
X
_
13009/16/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sou ht
Coordinated without reimbursement sough Independent Organization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
BJ'S WHOLESALE
DIVISION STREET DerbyCT 06418
FOOD09222013P
FOOD & BEVERAGE FOR PUMPKIN FESTIVAL
$304.48
X
_
13109/21/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sough Independent Organization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
STOP & SHOP
BANK STREET SeymourCT 06483
FOOD09222013P
FOOD ROLLS AND NECESSARY ITEMS
$28.88
X
_
132
09/22/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sou h Inde endent Or anization
Expenditure #
(if applicable)
7/27/2019 Ansonia RTC October 2013 Filing
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Page 15 of 19
P. Expenses Paid By Committee
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
IV. EXPENDITURES (Sections P - T)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
KIRK PRODUCTS COMPANY INC
1 Rimmon St SeymourCT 06483
FNDR *09222013P
FIRE EXTINGUISHER
$30.00
X
_
13309/22/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sou h Inde endent Or anization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
LORIE VACCARO
515 Beaver St AnsoniaCT 06401
FNDR *09222013P
FOOD FOR PUMPKIN FESTIVAL
$390.59
X
_
13409/23/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sou ht
Coordinated without reimbursement sough Independent Organization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
GIANCARLO CEFALU
EAGLE STREET AnsoniaCT 06401
FNDR *09222013P
FOOD FOR PUMPKIN FESTIVAL
$48.44
X
_
13509/23/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sough Independent Organization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
VINNIE SCARLATA
BENZ STREET AnsoniaCT 06401
FNDR *09222013P
SIGNS FOR PUMPKIN FESTIVAL
$25.52
X
_
136
09/23/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sou h Inde endent Or anization
Expenditure #
(if applicable)
7/27/2019 Ansonia RTC October 2013 Filing
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Page 16 of 19
P. Expenses Paid By Committee
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
IV. EXPENDITURES (Sections P - T)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
THE HARTFORD INSURANCE COMPANY
301 Woods Parks Dr ClintonNY 13323
Misc * HARTFORD INSURANCE POLICY
$425.00
X
_
13709/25/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sou h Inde endent Or anization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
EVER READY PRESS
78 Clifton Ave AnsoniaCT 06401
A-SIGN LAWN SIGNS AND PALM CARDS
$4,020.03
X
_
13809/25/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sou ht
Coordinated without reimbursement sough Independent Organization
Expenditure #
(if applicable)
Street Address City State Zip Code
Description Amount
Name of Payee Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Event #
NAUGATUCK VALLEY HEALTH
98 Bank St AnsoniaCT 06483
Misc *09222013R
FOOD LICENSE FOR THE HARVEST FESTIVAL
$52.00
X
_
13909/25/2013
Type of Expenditure (if applicable) Itemization in Addendum P Required
_ _
_
_ _ _A B _ C _ D _ E
Coordinated with reimbursement sought
Coordinated without reimbursement sough Independent Organization
Expenditure #
(if applicable)
Total of Section P $5,446.94
7/27/2019 Ansonia RTC October 2013 Filing
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Page 17 of 19
Q. Campaign Expenses Paid By Candidate
IV. EXPENDITURES (Sections P - T)
NAME OF COMMITTEE TYPE OF REPORT
October 10 Filing - Original
Street Address City State Zip Code
Description Amount
Name of Payee (Name of vendor who candidate paid directly) Date of Payment Is Reimbursement Claimed?
Event #Purpose of Expenditure
(by code)
Yes No
Total of Section Q
R. Expenses Incurred on Committee Credit Card
IV. EXPENDITURES
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
Street Address City State Zip Code
Name of Vendor
Amount
Name of Issuing Institution
Date of Transaction
Event #
Type of Credit Card:
Purpose of Expenditure
(by code)
Description
Visa Master Card Discover American Express
Other
Expenditure #
(if applicable)
Type of Expenditure (if applicable) Itemization in Addendum R Required Coordinated with reimbursement sought
Coordinated without reimbursement sough Independent A B C D EOrganization
Total of Section R
7/27/2019 Ansonia RTC October 2013 Filing
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Page 18 of 19
S. Expenses Incurred By Committee but Not Paid During this Period
IV. EXPENDITURES
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee October 10 Filing - Original
Street AddressCity
State Zip Code
Description
Name of Creditor Date Incurred
Amount Incurred
(Estimate or Actual)
Purpose of Expenditure
(by code)Event #
Type of Expenditure (if applicable) Itemization in Addendum S Required
A B C D E
Coordinated with reimbursement sought
Coordinated without reimbursement sough Independent Organization :
Expenditure#
(if applicable)
Total of Section S
IV. EXPENDITURES
NAME OF COMMITTEE TYPE OF REPORT
Ansonia Republican Town Committee
T. Itemization of Reimbursements to Committee Workers and Consultants
October 10 Filing - Original
Street Address City State Zip Code
Secondary Payee
Amount
Last Name of Worker/Consultant Date of Payment Method of Payment
Purpose of Expenditure
(by code)
Check #
Debit Card
Description
Type of Expenditure (if applicable) Itemization in Addendem T Required Coordinated wi th reimbursement sought
Coordinated without reimbursement sough Independent Organization: A B C D E
First MI
Event #
Expenditure #
Total of Section T
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Page 19 of 19