Political Committee (PAC) Registration SEEC FORM 3 Canton Garage On Existing Site Canton GOES COTTE ESTATE TS COMMITTEE WERT Canton [Se /0 Brian Fick, $5 tyhVaber dive [wa let Jeo fp TD (TCHAIRPERSONNANTE me Brian ">. Gxt P= 7ERSON RESIDENCE ADDRESS IRPERSON MAILING ADDRESS ira GS Ugh Valley Dr, Can boa T |0@olF 5, CHAIRPERSON TELEPHONE ‘Be0- 643 -BI8B TREASURERNAE brankest L Ecomeast ret Williaa a ake TE THUASURER SIDINCE ADDRESS ac TRASURER MATING ADDRESS asa 37 Breery thil Rol Caren or leo [Horns reLEON 75 TEASER EMAIL ADDRES Pmt 443 $19 > | 8 -Sarmk @ Comtast net _| aT Jr wl a c {HRT TREASURER RESIDENCE ADDRESS a: DEPCT TAVASURER NAILINGADDRESS a TLDEPOTY TREASURER PAID ADDRESS Ti DHTONTORY INSTITUTION NAME Giliasville Savings Secieky 7B, DEOSITORY INSTITUTION ADDRESS 211 A b 7 |o6009|SPEC FORM 3 ogi Ammen’ Rina with Changs HComen Nar ‘OFICER RESIDENCE ADDRESS Thomenvaw TITLE OR POSITIONSEEC FORM3 TaN OF COMMITTEE REGISTRATION TE [Hovis CAveninew Henna ih Cogs Canon Gerege On byisheg Site ‘TE COMMITTEE SUBTYPE Glo ge me ip aly Uo RSE, on a a RO fa a OP ‘Astor ds Tater e B. Dlezsae cams ela bp row erMe Commies Bm) 0 Orion CSemisdeats Doe Dems ies tty tae teen Semi ethos Doe Repcns TURTON oF CONTE sl mie pep lr Rd pT [AL Donsing sr mtoro | Bs FS Deranal ay sac sn Oty Sig Ene tend eon due [3 Stn SieCmttse Em meet Cmts ‘Poti Ste Comer [IE REFERENDUM QUESTION OR CONSTITUTIONAL AMENDMINT ONIN | 7. GROUPS POSITION ON THE REFERENDUM ‘QUESTION or CONSHITUTONAL AMENDMENT és 2 Fenn Dome Canton, T Googe Refirenkun a Super Bower 3 COMMITTEES ESTABLISHED BY BUSINESS ENTITY, LABOR UMOW OR OTHER MEMBERSHIP ASSOCIATION ONLY ‘SOW WiLL FUNDS RE RECHTURD? [5 COMNITTAE A COMPONENT MEMBER OF A STATENIDE ENTTIY Semen oe rat eer mei Fp ACRE CHV ENG Ar ae Cen Voluny Member Conon ‘51S COUPE ESTABLIGTIND OR CONTROLLED Y A REGISTERED LORTNIST Tie tani DNs Der IVs Nae of Regie Loti DicteLtioee Crewman Ltn o {51M TEE ES TABLISTED BY AW ELECTED STATEWIDE OFFICIAL, GENERAL ASSEMBLY MEMBER ix AGENT THEREOT PANe CD¥es ives, Nine of Ofc Men se Addin [IS CoMDITTTEN ESTARUISHED FORA SENATORIAL DISTRICT? [ 35 1S COMMITTEE ESTARUIGHED FOR AN ASSEMBLY DISTRICT? Ao Yer 1¥ex Dieter YBNo Yer IY, Dstt Number ‘S5.DOES CONIFER FILE REPORTS WITH FEDERAT ELECTION COMMISSION OR ANY OUI-OF STATE ELECTIONS AGENCY? No DiYes ites Name of ABeey WoC Yer IF Yer. non fv nal ling ote,SEEC FORM} Tan oF COMMITTEE THGRTRATON TPE Conon Goragt On Fisting Site porns! Avene Biennial wis Change] [SUISCONDIAT Toy EaVABL SHED BY OR ON BEHALF OF 2 STATE CONTRACTONOR RUNGIPA OFASTATE CONTRACTOR | Bio Yer IFVex. Name Contactar or Pinca Dias [HL PURPOSE OF COMMITTEE AS TO STATBNIDE & GENERAL ASSEMBLY CANDIDATES ‘A. Is this Political Committee authorized to make B. Is this Political Committe authorized to make ‘contributions or expenditures to or forthe benefit of | contributions or expenditures to or fr the benefit of candidates for Statewide Office? No Ya | candidates for General Assembly? SW» Yes BBN0 Yes iF You Name of Principal Ds aan ‘Tommmenon Thereby certify and state, under penalties of false statement, that all of the designations set forth inthis political committee registration statement are true, accurate and complete to the best of my knowledge and belief, and further, tht this statement includes my certification to the fact that any individual designated herein to serve as the treasurer or deputy treasurer have indicated fo me their acceptance of my appointment of them to those positions A De S 01f32]201 “Siniia Commttee Registration: I nereby cenify and state, under penalties of false statement, that I have accepted my appointment by the chairperson fo serve asthe designated Treasurer of this political committee, and that lam. ‘either submitting this repistration statement together with a SEC FORM 20 complete as to the committee's first day of receiving contributions or distributions benefiting the committee or that I understand that I shall become obligated to file the committee’s first SEEC FORM 20 within 48 hours after receiving the committee's frst. contribution or distribution, ‘Amended Committe Registration: I hereby certify and state, under penalties of false statement, that Ihave aceepted my appointment by the chairperson to serve asthe designated treasurer of this political committee. intend to comply with all the campaign finance disclosure requirements as contained in Chapter 15S of the General Statues, and to abide by any prohibitions, Kimitations or restrictions concerning campaign contributions and expenditures, Biennial Committee Re-Registration: Lhereby certify and state, under penalties of false statement, that [have accepted my appointment by the chairperson fo serve asthe designated treasurer of this political committee {intend to comply with all the campaign finance disclosure requirements as contained in Chapter 15 ofthe General Statutes, and to abide by any prohibition, limitations or restrictions concerning campaign contributions and expenditures. 1 further hereby certify and state, under penalties of false statement, that all of the designations set forth inthis political committee registration statement are true, accurate and complete tothe best of my Knowedge and bel. qv-|bSPEC FORM 3 Tin or comer TEGITRATION FE [Domina Aner Benaia wid Chang ite Registration: I herchy certify and state, under penalties of false statement, that I have accepted ‘my appointment by the chaitperson to serve asthe designated deputy treasurer of this political committee. intend to comply with all the campaign finance disclosure requitemtents as contained in Chapter 155 of the General Statutes, and to abide by any prohibitions, limitations or restrietions concerning campaign contributions and expenditures Amended Committe Registration: I hereby certify and state, under penalties of false statement, that I have aceepted my appointment by the chairperson to serve asthe designated deputy treasurer ofthis political committee intend to comply with all the campaign finance disclosure requirements as contained in Chapter 155 of the General Statutes, nd to abide by any prohibitions, limitations or restrictions concerning eampaign contributions and expenditures, ‘OBiennial Committee Re-Registration: I hereby certify and state, under penalties of false statement, that lave ac- ‘cepted my appointment by the chairperson 10 serve asthe designated deputy treasurer ofthis political committee, 1 intend 1 comply with all the campaign finance disclosure requirements as contained in Chapter 155 of the General Statutes, and to abide by any prohibitions, limitations or testrietions concerning campaign contributions and ex- endinures,-Hurther herehy certify and state, under penalties af false statement, that all af the designations st orth tn this politcal committee registration statement are true, accurate and complete to the bes oF my knowledge and belie. ‘Wommnncation roe hereby certify and state, under penalties of fase statement, that this political committee has been designated by’ ime, a General Assembly Leader, as 2 Legislative Leadership Committee, in accordance with Sestion 9-605(@)(3) of the Connecticut General Statutes, "ADDITIONAL PAGES FOR SEEC FORM 3. If adtional pages ae needed to complet all information required in Sections 23, 27,31, 32, 37 and 39 ofthe form, please ‘reproduce the "Adaitonal Page” forthe appropriate section, and attach the pagete) othe SEEC Form 3THIS PAGE INTENTIONALLY LEFT BLANKADDITIONAL SECTION 23 EEC FORM 3A one SEEC FORM Savor COMMITTEE [_ Rbasreanios Tyr {Doric Drala wi Ch Bhomamsae SSCS OR POSTTION*d once [Er On POSTION ‘OFFICER RESIDENCE ADDRES SL omicrR NA Tin on Postion zs ] eae ‘OFFICER RESIDENCE ADDRESS IALomiceRNaE ron POTION Thoma “THT onrosmon ‘SFICER RESIDENCE ADDRESS DOomenNaeTHIS PAGE INTENTIONALLY LEFT BLANKSEEC FORM 3B ADDITIONAL SECTION 28 SEEC FORM 3 SAN OF COMMITTEE [soni Amends’ Bint with Change] TONAL COM [aronrearion rr TUTIPCE CANDIDATES OND "Boren Dom ‘Goan Dore Bowen Doyo ove ‘Dione Saree er aro] ‘Bde Dove Bowen Boro Semen Domes . “Ose Domes Doe BoweTHIS PAGE INTENTIONALLY LEFT BLANKSEEC FORM 3C ADDITIONAL SECTION 32 ‘TO SEEC FORM 3, Nave OF COMMITTEE [Tr Cou MITTEE EST ADEISTIED OR CONTROLLED BY A RYOINTERED LOHDVINT [Bominat ‘DAmendmen ionsinl with Changs Deets Communonr Loe ee, eg Deter taeyet Commune Lie Can arama ict tat ar Loknse at Seaticmeaine eta ta ltr Labinse Ct wigan Dieter taiyer Commoner Lette Sac eke tative Commie Laisa Oh aeons Dots ai on aT Deter tan bm ae Deter tayet Camo Lottyst CIB Deer tabyet came attyss 1h Setrcmatam Det taboo Commie Loti Ch ere eset CACommuierodtys ah a Doiertabyest Comat ates Ch TE eieetabyes—eommtee Latinos Cha amt cotta Commie avis ath Serer orto Commence eye Bo Seedpeer Deets Commer pit Cth Rema ever tin ChCommninor ays Bak Perr Cees btyt— EDCommnar apie Ct aes Cee tebyit—CACommniorLabyit Ba rar Dt tteyse Commer aye CahTHIS PAGE INTENTIONALLY LEFT BLANKSEEC FORM 3D ADDITIONAL SECTION 33 Stearn ‘TO SEEC FORM 3 Nair OF CONDITTTEE REGISTRATION PE [Conic Caneninen Bens wit Change ‘TI CommITT TEE ESTABLISTED BY AN ELECTED STATEWIDE OFFTCTAT, CENTRAL ASSIMULY MIMBER og AGEN THEREOF]THIS PAGE INTENTIONALLY LEFT BLANKSPEC FORM 3E ADDITIONAL SECTION 38 fete TO SERC TONS} rg CLAnentnew Bena wats Changs ‘SCCOUMITTEE ESTADLISIED BY OR ON BUTALF OF ASTATE CONTRACTOR OW PRINCIPAL OF ASTATE CONTRACTORTHIS PAGE INTENTIONALLY LEFT BLANKSEEC FORM 3F ADDITIONAL SECTION 40 Roe ‘TO SEEC FORM 3, Nave OF CONMITTEE REGISTRATION TYPE {Dorin C Amen? Bint wt Cage [COMMIT TET EST ADEISTIED BY OR ON HITALT OF A PRINCIPAL OF AN INVESTMENT SERVICES FIT