Charles Blango Ward 20

SEEC FORM 20
Itemized Campaign Finance Disclosure Statement

CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 3/11
Do Not Mark in This Space For Official Use Only
Page 1 of 17
COVER PAGE
1. NAME OF COMMITTEE
A
2. TREASURltR NAME
Title First MI Last Suffix
3. TREASURER ADDRESS
Street Address City
New
State
L-,
Zip Code
6 tS 1/
4. ELECTlON/REFERENDUM DATE
.
5. OFFICE SOUGHT (Complete only if Candidate Committee) 6. DISTRICT NUMBER
( ifapplicable)
7. CANDIDlT E (Complete only if Candidate or Exploratory Committee)
Title
Mr
First MI Last Suffix
8. TYPE OF REPORT (Check One Box)
o January 10 filing
o April 10 filing
o July 10 filing
o October 10 filing
o Independent Expenditure
o Primary 0 Election
9. PERIOD COVERED
10. CERTIFICATION
preceding primary
030 days following primary
[J 7th day preceding election
o 12th day preceding election
(State Central Committees
045 days following election
not held in November
Beginning Date
'1
o 7th day preceding referendum
o 45 days following referendum
o Deficit
o Termination
Ending Date
thru
I ,
o Initial Contribution or Disbursement
(PACs ONLY)
o Amendment to
Type of Report:
,
(J
:.
./-:.-
ri, '1
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.
TREASURER OR (SIGNATURE)
PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000, OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement
CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 3/11 Page 2 of 17
SUMMARY PAGE TOTALS
TYPE OF REPORT NAME OF COMMITTEE
7'1""\....
\D.$
A
r,

'-.,J
COLUMNB r
This Period
COLUMN-A
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
a
12. Balance on hand at the beginning of Reporting Period
1.
fJ,3
13. Contributions received from Individuals (Sections A and B)
'l.. :; 20
14. Receipts from Other Committees (Sections Cl and C2)
6 0
15. Other Monetary Receipts (Sections D-K)
() 0
16a. Total Small Food and Beverage Receipts at Fair (Section Ll) Town Committees ONLY ()
0
16b. Total Proceeds from Small Purchases at Tag Sales, Auctions or Other Sales (Section L2) ()
(2
Municipal and Town
16c. Total Purchases of Advertising in a Program Book (Section L3) Committees ONLY
()
0
17. Total Monetary Receipts (add totals for lines 13-16c)
I () A32..6
18. Subtotals (add totals in line 12 + line 17 in Column A; and in line 11 + 17 in Column B)

to
19. Expenses Paid by Committee (Section P)
\713 1 1 512
"
71
20. Balance on hand at close of Reporting Period (Subtract line 19 from line 18 in both Columns)
,
s'-f l D
"
21. In-Kind Donations not Considered Contributions Received (Section L4)
6
6
22. In-Kind Contributions Received (Section M)
0 0
23. Refundable Deposit to Telephone Company (Section N) 6
D
24. Receipts of Organization Expenditures (Section 0)
6
0
25. Beginning Loan Balance
I
0
()
25a. + Loans Received (Section D)
/66 6
25b. + Interest and Penalties on Loan
0
0
25c. -
Payments on Loan
6
d
25d. Total Outstanding Loan Amount
106
,
26. Campaign Expenses Paid by Candidate (Section Q)
'131.,
t,}

27. Expenses Incurred on Committee Credit Card (Section R)
6 6
28. Expenses Incurred by Committee During this Period but Not Paid (Section S)
0
28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)
C)

I. MONETARY RECEIPTS (Sections A-K) Page 3 of 17
NAME OF COMMITTEE TYPE OF REPORT
-I< g\A,,<\O
64.\j60r Q."-'

A. Total Contributions from Small Contributors-Received this Period ONLY
(See instructions/or definition o/Small Contributor) SUBTOTAL SECTION A
'-oJ t
$
330
*-@
B. Itemized Contributions from Individuals
Last Name
D
First
J A'('\). r e.
D
MI Principal Occupation

6-f{.\C.-t;Y-
Residential Street
ICilY ISUI<
IZip Cod,
Name of Employer (

t-L-.

Is contributor a lobbyist, spouse, DYes
or dependent child of a lobbyist?
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 than $5,000? DYes D No
Amount of
Contribution
yo
Is this contribution associated with a DYes
fundraising event listed in Section L I ?

I/yes, list Event #
Is contributor a principal of a state contractor or prospective state contractor? DYes
I/yes, indicate which branch or branches
of government the contract is with: D Executive D Legislative
lAggregat; Method of IDate RecciV/
1
I,
D Cash Personal Check D Credit/Debit Card D Payroll Deduction D Money Order 7 II (
Last Name

First
'b CArV'e.
1
y
Rcsidential Strect Address
ICilY
I
'119
ko pe.(" f t

Name of Employer
-W6v1

If contribution is in excess of $400 to a candidate committee for a chief executive offIcer of a
Amount of
Contribution
}OO
fundraising event listed in Section L 1?
I/yes, list Event #
I/yes, indicate which branch or branches liJAlo
lAggrja; Method of
lDate Ree7Jd
D Cash ersonal Check o Credit/Debit Card D Payroll Deduction D Money Order It
J
I (
Last Name
M. \ \
First
f t<
-
Residential Street Address
ION.. ""
I:;-I::: H

N",,, of)tYo< V -\.k.,..... \
\e I

Amount of
Contribution
I DO
fundraising event listed in Section L I?
I/yes, list Event #
I/yes, indicate which branch or branches
lAggrega; Method of contribution: I Date Received
D Cash p..-rCrsonal Check D Credit/Debit Card D Payroll Deduction D Money Order
Last Name
-5e - L \V' '"C'\V'""'
First


>cAM. \
yVe. w
..

t:6tA
Namc of Employer
,
Nb"-tJ
t-\A.VV'
Is contributor a lobbyist, spouse, D Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
or dependent child of a lobbyist? municipality does contributor or business he/she is associated with have a contract with said
Amount of
Contribution
1
00
fundraising event listed in Section L 1?

I/yes, list Event #
Ifyes, indicate which branch or branches IiJ...Mt)
Method of contribution: IDatc ReCC]d
) II
IAggregajC ;t;utions
DCash Check D Credit/Debit Card D Payroll Deduction D Money Order <1;3
SUBTOTAL Section This Page
340
TOTAL of additional Section B Pages
,
"5D
TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS (Sections A & B) (Enter total on Line 13 o/Summary Page)
l116

----
2-50
I. MONETARY RECEIPTS
Section B. Additional Page
NAME OF COMMITTEE ITYPE OF REPORT
A
-Cr
I
.. _ Ilr-
I
1
B:'Itemized Contributions from Individuals
First MI Last Name
it"7
fO\c \\\\6 J
\f"
:l1\.7..... ....,,-, A\
Name of Employer Residential Street Address

IC;ty Well-'
l-\
) h \ H C,)."'\ R
I 1'
c..\:- ---s;?v.r<..... c.
Is contributor a lobbyist, spouse, DYes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
Amount of
Contribution
municipality valued at more than $5,000? DYes o No
Is this contribution associated with a DYes Is contributor a principal of a state contractor or prospective state contractor? DYes
flyes, indicate which branch or branches
flyes, list Event #

of government the contract is with: o Executive o Legislative
Method of contribution:
IDate / I
o Cash O"'Personal Check o Credit/Debit Card 0 Payroll Deduction 0 Money Order Y').. I I
Last Namc First MI IIrincipal Occupation
r#\.-1-{' n."\
p
V \ i\ c.. eVl-T C6V'I\ l'V' v\.VI l J
Residential Street Address Name of Employer
qr L.e. V\. t> r-t b-c-
IC;'M ",.,.\, l .$ c, V\

Ye'\le -NH
,
H
Amount of
or dependent child of a lobbyist? [}'No municipality does contributor or business he/she is associated with have a contract with said
Contribution
Is this contribution associated with a
fundraising event listed in Section L1 ?
flyes, list Event # of government the contract is with: o Executive o Legislative
250
Method of IDatc Rcceird I I
o Cash ersonal Check 0 Credit/Debit Card 0 Payroll Deduction 0 Money Order <'1"'l-- I I
,
First ''M"I Last Namc Principal Occupation
GtA - J 5
)<1' Lo Rc
Residential Strcct Address Name of Employcr
335
'-V GO) .s
(ll
le;ty }+0\ yv,!ClA
/1

-NH-
Amount of
or dependent chi Id of a lobbyist? fU.rNo municipality does contributor or business he/she is associated with have a contract with said
Contribution
fundraising event listed in Section L1 ?
flyes, list Event # of government the contract is with: o Executive o Legislative
Method of IDatc Rcc74ed 2..50 IAggr;:
o Cash ersonal Check 0 Credit/Debit Card 0 Payroll Deduction 0 Money Order
I I
First MI Last Name Principal Occupation
I}J\ l v'k 1
Pv.1h.. 6
Name of Employcr
f'V\'P\CAC- Air"
1+""",1:;

\)t' 12'1
Is contributor a lobbyist, spouse, If contribution is in excess of $400 to a candidate committee for a chief executive officer of a Amount of
or dependent child of a lobbyist? municipality does contributor or business he/she is associated with have a contract with said Contribution
fundraising event listed in Section L 1 ?

flyes, list Event #

of government the contract is with: o Executive o Legislative 2-50
Method of I
oCash Personal Check 0 Credit/Debit Card o Payroll Deduction
o Money Order IDatc R:qvi 3 ) I I
SUBTOTAL Section B I \ ,000
Page 2- of 3
I. MONETARY RECEIPTS
Section B. Additional Page
NAME OF COMMITTEE hYPE OF REPORT
? "'-go r\
A
f5 ffi)._
1 7 -4 \.-\ .,It''
n \r__ \.O"'(V,.
"-""
B. Itemized Contributions from Individuals
(
, ....., I'
Last Name First MI Principal Occupation
Me
v
+2

I

16
Name of Employer
6 ....

./
3711 ?c-\-E-
Is contributor a lobbyist, spouse,

Amount of
Contribution

Ifyes, indicate which branch or branches
Ifyes, list Event #
2So
Method of IDate I
o Cash ersonal Check o Credit/Debit Card 0 Payroll Deduction 0 Money Order <6 2
I (
Last Name
VO'i 16


"'+
IC;"

Name of Employer
1 L ,
L-\
G \t(:Ct rJ.
Y"'\6 UV b '-V
r )is
Is contributor a lobbyist, spouse, 0 Yes If contribution is in excess of $400 to a candidate committee for a chief executive officer of a
Amount of

Contribution
Ifyes, indicate which branch or branches

Ifyes, list Event # of government the contract is with: o Executive o Legislative
256
of contribution: IDate Reee7d
7ft
I
ash 0 Personal Check o Credit/Debit Card 0 Payroll Deduction 0 Money Order [ I
Last Namc First MI Principal Occupation
Lou
1.,S
'
r;"/V
[s"" r;p Code
Namc of Employer

t() 0 A5 Sf 1,J c;\ O/'S L\
L\r.Arf tIl
Amount of

Contribution
fundraising event listed in Section L 1 ? Q--No
Ifyes, indicate which branch or branches jlkfo
Ifyes, list Event #
1&0
Method of
IDate Ree7Jd
IAggregaj
o Cash Personal Check o Credit/Debit Card 0 Payroll Deduction 0 Money Order l' I h
1/
Last Name First MI Principal Occupation
r;"
[S""
[Z;pCod, Name of Employer
Amount of
or dependent child ofa lobbyist? 0 No municipality does contributor or business he/she is associated with have a contract with said
Contribution
0
Yes Is contributor a principal of a state contractor or prospective state contractor? DYes
fundraising event listed in Section Ll ?
0
No
Ifyes, indicate which branch or branches o No
Ifyes, list Event # of government the contract is with: o Executive o Legislative
Method of contribution:
IDate Received
1Aggregate contributions
o Cash o Personal Check o Credit/Debit Card o Payroll Deduction o Money Order
SUBTOTAL Section B I
&50

NAME OF COMMITTEE /TYPE OF REPORT
A
V"" 0. V""
I ()A.\[ t>VLI. V
CI. Contributions from Other Committees

,
Name of Committee
IN,,,,, ofT"","",
Address
liS this contribution associated with a 0 Yes Ifyes, list
Amount of Contribution
fundraising event listed in Section Ll? 0 No Event #
City
ISU"
I Zip Cod'
ID", R",i"d I Aggreg'" Con'rib"tio",
Name of Committee IName of Treasurer
Address
IIs this contribution associated with a 0 Yes Ifyes, list
City
lS""
[ZiP Cod'
ID", R",i"d lAg"".", Con"ib"'ion,
Name of Committee
r"'" ofT""",,,
Address
lIS this contribution associated wi th a 0 Yes Ifyes, list
fundraising event listed in Section L I? 0 No Event #
City
IS''''
IZiP Cod'
ID", R",i"d r"".a" Con"ib",ion,
Name of Committee
ram, ofT"""""
Address
liS this contribution associated with a 0 Yes Ifyes, list
City
ISUte IZiP Cod' ["'" ",,,i,,d
IAw,.ate Contrib"tio",
Name of Committee I Name of Treasurer
Address
lIS this contribution associated with a 0 Yes Ifyes, list
City
IS""
I Zip Cod'
lD01c R,,,i,'" lAW'"'" Con'rib",io",
Name of Committee
INa"" om,,,,,,cr
Address
.lls this contribution associated with a 0 Yes Ifyes, list
City
r"
IZiP Cod'
ID", R",i"d r""".ate Contrib",ion,
C2. Reimbursements, Payments, or Surplus Distributions from other Committees
Name of Committee Name of Treasurer
Address Date Received
Amount of Receipt
City
1
St
'"
I Zip Cod,
o Reimbursement for shared expense o Surplus
o Payment for goods and services Distribution
Name of Committee Name of Treasurer
Address Date Received
Amount of Receipt
City
IS""
IZiP Code o Reimbursement for shared expense o Surplus
o Payment for goods and services Distribution
SUBTOT AL Section C-This Page
0
TOT AL of additional Section C Pages
0
TOTAL OF ALL COMMITTEE CONTRIBUTIONS AND RECEIPTS (Enter total on Line 14 ofSummary Page)
n
I. MONETARY RECEIPTS (Sections A-K)
Page 5 of 17
c:; ( \ t;,:>
A
6\&\.V" ,0 "'"
I
\j)e>\'L
f>.J".l..a::!lt \P
D. Loans Received this Period
.

r
Name of Lender
Source of Loan: Is there a Cosigner
Amount Received
or Guarantor of
Street Address
ICit
y
I State IZiP Code
o Bank o Candidate this loan?
DYes (ifyes list
Name of Cosigner/Guarantor
name and address of
o Individual 0 Other
Cosigner/Guarantor)
Committee
o No
Street Address
ICil,
ISffi"
IZiP Cod,
Date of Receipt
Name of Lender
Source of Loan:
Is there a Cosigner Amount Received
or Guarantor of
Street Address
lity
\ State lZiP Code
o Bank o Candidate
this loan?
DYes (ifyes list
Name of Cosigner/Guarantor
name and address of
o Individual 0 Other Cosigner/Guarantor)
Committee o No
Street Address
I CIty
I State IZi P Code
Date of Receipt
TOT AL SECTION D I
0
E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONL lJ
Name of Entity
Street Address Date Received
Amount Received
City
ISffil< IZiP Cod'
Aggregate Contributions
Name of Entity
Amount Received
City
r""
IZiP Cod,
Aggregate ContributIOns
Name of Entity
Amount Received
City
IS'""
IZiP Cod,
Aggregate ContributIOns
TOTAL SECTION E
1
(2
F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLlJ
Date of Receipt Amount Date of Receipt Amount
Total Transfers
C>
Is this transaction associated with a
DYes Ifyes, list
Is this transaction associated with a
DYes Ifyes, list
D No Event #
--
fundraising event listed in Section LI? 0 No Event# ___
G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Organization Committees ONLy)
Date of Receipt Date of Receipt
Total Transfers
Amount Amount
0
H. Personal Funds of the Candidate Received this Period (Candidate Comminees ONLy)
Total
Date of Receipt
Method of payment: Method of payment: Amount Received
Date of Receipt
0 Cash o Cash
a
0 Personal Check o Personal Check
Amount
0 Credit/Debit Card Amount
o Credit/Debit Card
A
& \"'''''''0
+.... 1'

I 7+ 'fj.,.,...
-
-
I. Anonymous Contributions
r
Date Received
/Amount
Date Received
/Amount
Total
Amount Received
0
$1 bills $5 bills
$10 bill coins
$1 bills
$5 bills
$10 bill coins
J. Interest from Deposits in Authorized Accounts
Date Received
l Amount
Date Received
IAmount Total
Amount Received
(5
Name of Institution Name of Institution
Street Address Street Address
City
IState IZip Code
City
IState lZiP Code
K. Miscellaneous Monetary Receipts not Considered Contributions
Name
IDol, ofT".",,;o.
Street Address
IC;I,
IS""
IZip Code
Description
l
Amount Received
Name
D." ofTrn.",Hoo
Street Address
IC;I,
IS""
IZ;p Cod,
Description
Amount Received
Name IDol, ofT".,,,I;o.
Street Address
I
lSI."
IZ;p Cod,
Description
Amount Received
TOTAL SECTION K
I 6
Summary of Other Monetary Receipts (Sections D-K)
Total Loans Received this Period (Section D)
0
Total Receipts from Entities other than Individuals or Other Committees (Section E) +
()
Total Amount Transferred from Affiliated Business Treasury (Section F) +
()
Total Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Section G) +
()
Total Amount of Personal Funds of the Candidate Received this Period (Section H) +
0
Total Amount of Anonymous Contributions (Section I) +
{)
Total Amount of Interest from Deposits in Authorized Accounts (Section J) +
('5
Total Miscellaneous Monetary Receipts not Considered Contributions (Section K) +
6
Total of Other Monetary Receipts (Add Sections D-K) (Enter total on Line 15 ofSummary Page)
6

II. FUND RAISING EVENT ACTIVITY Page 7 of 17
b. -Gr IT\ t(' V"l. "'" I D""-'I Pn
-
Lt. Fundraiser Event Information
.
-
Fundraising Event #
Description Location: Street Address City State Zip Code
Date of Fundraiser Letter
Subpart 1: (All Committees)
Was this fundraising event hosted at a personal residence? DYes (Ifyes, go to Section L4 In-kind Donations not Considered Contributions
and complete required information for purchases made by host(s) for food,
beverage and invitations.)
DNo
Did this fundraiser include items donated by a business entity of up to DYes (Ifyes, go to Section L4 In-kind Donations not Considered Contributions
$100 or items donated by an individual of up to $50? and complete required information.)
DNo
Was this fundraiser a tag sale, auction, or other sale of donated items DYes (Ifyes, go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale of
with purchases from an individual of up to $50? Donated Items.)
DNo
Subpart 2: (Town Committees and Municipal Candidate Committees ONLy)
Were there purchases of advertising space in a program book associated D Yes (Ifyes, go to Section L3 Purchases of Advertising Space in a Program Book
with this fundraiser? and complete required information.)
D No
Subpart 3: (Town Committees ONLy)
(Ifyes, enter Total Receipts from small purchases I $ Did your committee sell food or beverage at a fair or similar mass D Yes
I gathering held within the state?
D No
Fundraising Event #
Date of Fundraiser Letter
Description
Location: Street Address City State Zip Code
Subpart 1: (All Committees)
Was this fundraising event hosted at a personal residence? DYes (Ifyes, go to Section L4 In-kind Donations not Considered Contributions
and complete required information for purchases made by host(s) for food,
beverage and invitations.)
DNo
Did this fundraiser include items donated by a business entity of up to DYes (Ifyes, go to Section L4 In-kind Donations not Considered Contributions
$100 or items donated by an individual of up to $50? and complete required information.)
DNo
Was this fundraiser a tag sale, auction, or other sale of donated items DYes (Ifyes, go to Section L2 Proceeds from Tag Sale, Auction, or Other Sale of
with purchases from an individual of up to $50? Donated Items.)
DNo
Subpart 2: (Town Committees and Municipal Candidate Committees ONLy)
Were there purchases of advertising space in a program book associated D Yes (Ifyes, go to Section L3 Purchases of Advertising Space in a Program Book
with this fundraiser? and complete required information.)
D No
SUbpart 3: (Town Committees ONLy)
(Ifyes, enter Total Receipts from small purchases 1$ Did your committee sell food or beverage at a fair or similar mass D Yes
I gathering held within the state?
D No
SUBTOTAL Section Ll-Subpart 3 (Town Committees ONL1') Total Receipts from Small Purchases-This Page
0
TOTAL of additional Section Ll Pages
C5
TOTAL OF ALL RECEIPTS FROM SECTION Ll (Enter total onLine 16a ofSummary Page)
n_
L'hA.'\ A 13

I ,-tv-. e("'\W\(
-
L2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items I
Last Name First
MI Method of payment:
o Cash 0 Personal Check o Credit/Debit Card
Aggregate
Amount of
Purchases
Residential Street Address City
State Zip Code Date Received Event #
Items Purchased
Last Name First
o Cash 0 Personal Check o Credit/Debit Card
Aggregate
Amount of
Purchases
[terns Purchased
Last Name First
MI
Method of payment:
o Cash 0 Personal Check o CreditlDebit
Aggregate
Amount of
Purchases
Items Purchased
Last Name First
o Cash 0 Personal Check o Credit/Debit
Aggregate
Amount of
Purchases
Items Purchased
Last Name First
MI
Method of payment:
Aggregate
Amount of
Purchases
[terns Purchased
Last Name First
MI
Method of payment:
Aggregate
Amount of
Purchases
State Zip Code Date Reeeived Event #
Items Purchased
Last Name First
MI
Method of payment:
0 o CreditlDebit o Cash Personal Check
Aggregate
Amount of
Purchases
Items Purehased
SUBTOTAL Section L2-This Page
0
TOTAL of additional Section L2 Pages
0
TOTAL OF ALL SMALL PURCHASES FROM TAG SALES, AUCTIONS OR OTHER DALES OF DONA TED ITEMS
(Enter total on Line 16b ofSummary Page)
C>
II. FUNDRAISING EVENT ACTIVITY
Page 9 of 17
NAME OF COMMITTEE !TYPE OF REPORT
c:::: "'" ,.. ('\
It B \AV',,"O
#t\ (\A &;tV"

PO,"",'
L3. Purchases of Advertisi;g in a Program Book (Municipal Candidate and Town Commtees ONLy)
('
Name of Purchaser Business Date Received Aggregate Purchases
Amount of
Entity for All Events
Purchase
Street Address
ICit,

I Zip Cod,
DYes
Event #
DNo
Name of Purchaser Business Date Received Aggregate Purchases
Amount of
Entity for All Events
Purchase
Street Address
ICit
y
I State I Zip Code
DYes
Event #
DNo
Name of Purchaser
Business
Date Received Aggregate Purchases
Amount of
Entity
for All Events
Purchase
Street Address
ICit
y
I State I Zip Code
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address

IS""
I Zip Cod,
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
IC;ty
IS'"
I Zip Cod,
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
ICit
y

I Zip Cod,
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
r;(' IS""
I Zip Cod,
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
ICit
y
1State I Zip Code
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
ICit
y
I State I Zip Code
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
IC;('
IS""
I Zip Co'" DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
ICit
y
f""
I Zip Cod,
DYes
Event #
DNo
Name of Purchaser
Business
Amount of
Entity
for All Events
Purchase
Street Address
ICi('
IS'"
I Zip Co'" DYes
Event #
DNo
SUBTOT AL Section L3-This Page
0
TOT AL of additional Section L3 Pages
0
TOTAL OF ALL PURCHASES OF ADVERTISING IN A PROGRAM BOOK (Enter total on Line 16c ofSummary Page)
0

t: A
yo.. 0",,"", I
7+"'- Dau P ._1kc- A
L4. In-Kind D.tlations Not Considered Contributions
I

Name of Donor Donation o Individual Fair Market
given by: o Business Entity Value of Donation
Street Address
ICity
IS""
Zip Code Aggregate value for this event
Description of donation Date Received Event #
Name of Donor
Donation o Individual
Fair Market
Street Address
ICity
IState
Name of Donor
Donation o Individual
Fair Market
Street Address
r'ty
IS"k
Zip Code
Aggregate value for this event
Name of Donor
Donation o Individual Fair Market
given by: o Business Entity
Value of Donation
Street Address
ICity
IState
Zip Code
Description of donation Date ReceIVed Event #
Name of Donor
Value of Donation
Street Address
ICity
IS""
Zip Code
Name of Donor
Street Address
r
ity
IS""
Name of Donor
Value of Donation
Street Address
ICity IState
Zip Code
Name of Donor
Value of Donation
Street Address
lCity
['''''
Zip Code
Description of donation Date Reeeived Event #
SUBTOTAL Section L4-This Page
0
TOTAL of additional Section L4 Pages
0
TOTAL OF ALL IN-KIND DONATIONS NOT CONSIDERED CONTRIBUTIONS (Enter total on Line 21 o/Summary Page)
D
III. NONMONETARY RECEIPTS Page 11 of17
NAME OF COMMITTEE
TYPE OF REPORT
?"'-A.1\6!> It

A'lkCr-"CI.

1)0\-..1

1./
'-'
M. In-Kind Contributions
I
v
I
Name
Type of Contributor:
Fair Market
D
Individual
Value of this
Street Address
\Cit
y
Jstate
Zip Code
D
Committee
Contribution
D
Other (Applicable only to Referendum Committees)
or dependent child of a lobbyist? D No municipality does contributor or business he/she is associated with have a contract with said
Date Received
Description of In-Kind Contribution
Aggregate contributions
fundraising event listed in Section L 1 ? D No
Ifyes, list Event #
Name
Fair Market
D
Individual
Value of this
Street Address
t
ity
-jState Zip Code
D
Committee
Contribution
D
municipality valued at more than $5,000? [] Yes D No
Date Reeeived
Is this contribution associated with a D Yes
Deseription of In-Kind Contribution
Aggregate eontributions
fundraising event listed in Section Ll ? D No
Ifyes, list Event #
Name
Fair Market
D
Individual
Value of this
Street Address
l
City
IState
Zip Code
D
Committee
Contribution
D
or dependent child of a lobbyist? D No municipality, does contributor or business he/she is associated with have a contract with said
Date Received
D
Yes
Aggregate contributions
D
No
Ifyes, list Event #
Name
Fair Market
D
Individual
Value of this
Street Address
ICity
IState
Zip Code
D
Committee
Contribution
D
municipality valued at more than $5,0007 DYes DNo
Date Received
Aggregate eontributions
D
No
Ifyes, list Event #
SUBTOTAL Section M-This Page
0
TOT AL of additional Section M Pages
0
TOTAL OF ALL IN-KIND CONTRIBUTIONS (Enter total on Line 22 ofSummary Page)
(;)
N. Refundable Deposit to Telephone Company
(NOTE: This section refers only to advances ofdeposits by individuals from personal funds to benefit the committee, not deposits made by the committee.)
Last Name oflndividual First MI Date Deposit Made
Amount of
Deposit
Residential Street Address City State Zip Code
Name of telephone company
Street Address City State Zip Code
TOTAL SECTION N (Enter total on Line 23 ofSummary Page)
0
--
III. NONMONETARY RECEIPTS Page 12 of 17

14-

t _IT'" Oa.,( fir,
O. Non-Monetary Receipts of Organization Expenditures Made By
I
(J
Legislative Leadership, Legislative Caucus and Party Committee
Name of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) IName of Treasurer
Street Address Date Notice Received
Fair Market Value
of Donation
City Aggregate Donations
[ State
IZip Code
Description of Donation IPurpose of Expenditure (see instructions)
OA DB Dc ODOE
Name of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) !Name of Treasurer
Fair Market Value
of Donation
[ State
[ZiP Code
Description of Donation Purpose of Expenditure (see instructions) I
DAD B Dc 0 DOE
Fair Market Value
of Donation
!State IZip Code
OAOBOcDDOE
Name of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) [ Name of Treasurer
Fair Market Value
of Donation
IState IZip Code
OAOBOCODDE
Fair Market Value
of Donation
[state
[ZiP Code
DAD B Dc 0 DOE
Fair Market Value
of Donation
IState IZip Code
Description of Donation IPurpose of Expenditure (see instructiom)
DAD B Dc 0 DOE
TOTAL SECTION 0 (Enter total on Line 24 ofSummary Page)
I
r-;?
IV. EXPENDITURES Page 13 of17
"'- 4'-ifl 0 oS A.. .. I 7-t\
U.)ow f>VI

'-P. Expenses Paid by Committee
I
';J
Name of Payee
...

Dat:.;fJrrnj J ,
Method of Payment
- - '''I''
Street Address
5-t
lCity

State Zip'Code 0 Check #
0 .s

c:..T 6fdS \,
llJ..-r1'ebit
IDescription
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Event #
Amount
Type of Expenditure (ifapplicable):
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o Supported
o Coordinated with reimbursement sought
(if applicable)
o Opposed
3
o Coordinated without reimbursement sought
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OA 08 oc 00 OE
Name of Payee
W4;\
FA v <..0
Da
7
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Street 0 S

$+
o-J
/Ci
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State , Zip Code 0 Check #
L, /5(,
ltY""Uebit
Purpose of Expenditure
lDescription Event #
I
Amount
(by code) b l\J "
SUv\c,e
o Supported
(if applicable)
o Opposed
A"SO o Coordinated without reimbursement sought
o Independent
OA 08 Oc 00 OE
Name of Payee
\'vb t\S
-FAv'lL
LII
Method of Payment
Street Address
........
ICity
HA..J"'"
State r
I
0 Check #

C-
S-\-. N f,../
cr

IDescription

Event #
Amount
(by code) r? '" K
rrype of Expenditure (if applicable):
o Supported
(if applicable)
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L ,50
o Independent
OA 08 oc 00 OE
Name of Payee
LO\ Y"""\ P A V""4
Date of L
Method of Payment
&1.
-r, 'l
lIV'"Check # IDO3 Street Address
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&+
lCity

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fDescription
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Amount
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75
OA 08 Oc 00 OE
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II'--t. "\.+
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_ _A"""""
Name Office Sought o Supported
56 o Coordinated with reimbursement sought
(if applicable)
o Opposed
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OA 08 oc 00 OE
SUBTOTAL Section P-This Page
133 ' 00
TOTAL of additional Section P Pages
'\ .'1 S&i ' ::13
TOTAL OF ALL EXPENSES PAID BY COMMITTEE (Enter total on Line 19 ofSummary Page)
1q2,7Q
"
t
.
....
" IV. EXPENDITURES
Section P. Additional Page
\I'Hl.r\ 6 c;. A --h.1f I

P. Expenses Paid by Committee

,
-....JI
Name of Payee
05+
joV\e5
JI L
Method of Payment

Street Address
it 1l2.._"
5+
/Cit
y
Nf.Z,\N
sa- s II
;>

0 Debit Card
Purpose of Expenditure Description
A\s-+" c;.'bu.. Event #
Amount
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\,vA-bE"" VVt+e,C 1,,\ l.
Name Office Sought
o Supported
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OA 08 oc OD OE
Name of Payee
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Q,/check # 10 \2
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1/
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lEvent # Amount
(bycode) WA-6c
?'-1...Vl-\OC\.vr;. V'\..
Garl'didate(s) Name Office Sought
g Supported
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o Opposed
50 o Independent
OA 08 Oc OD OE
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LIf
Method of Payment
Street Address
7 \ R
S+
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\.
\. '\-({ \.bv.-4-( c/V'
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(if applicable)
o Opposed
50
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OA 08 oc OD OE
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\(,\ 6+ l J'\ \.I\J \{($ V"\ Ct::.
I
Method of Payment
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71

)Citf.,v 6
W H00( "c.:v'1 IJ

0 Debit Card
Purpose of Expenditure f" Description

Event #
Amount
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/""" \ ",V'\
Office Sought
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OA 08 Oc OD OE
SUBTOTAL Section P-This Page I
2.. 5
Page of

..
IV. EXPENDITURES
NAME OF COMMITTEE lTYPE OF REPORT
&-:l". l-, :s- A

I
--'-;\;",).,.v o.rIS i)",
-. '-T. Expenses Paid by Committee
l '
Name of Payee

1:V"V\
Date:jar; ) LI
Method of Payment

D Debit Card
Street Address

ICityj/\/b c.J
t+A vc:Y'
l-}3
51
State ,.
L..-r
IZip
Ob 5lJ
(by code)
VJAbf""
Description
IEvent #
"'" p V(. vvt 1I\.4-6V \"'"\ 'J:h 1 6.,A,.,.,
Amount
250
D Coordinated with reimbursement sought
D Coordinated without reimbursement sought
D Independent
D Organization (see Instructions)
OA 08 Oc OD OE
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(if applicable)
D Opposed
Name of Payee
/:\ 1) \ C;
Dat;gf79
n
j {I
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D Debit Card
Street Address
,
6 0 .s:.\(.1Y"\
fos-t-

I City

"""'\6
-
State

61&, L.}7?
(by code) A - OTt\
Description
IEvent #
? VVl ..p 4Pll,,\'" P\V&0
Amount

D Independent
OA 08 Oc OD OE
Canoidate(s) Name
,
Office Sought
D Supported
(ifapplicable)
D Opposed
Name of Payee
kv- t
L6'I\ !IVr (;,)o"\C,. e
Date It
Method of Payment
joa7
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Street Address
7 l

ldAUV'
stat=r 5 LJ
(by code) WIt-bY;
Description
r
IEvent #
,
00\ \{VI l1L1 LA \
Amount
46
Irype of Expenditure (if applicable):
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OA 08 Oc OD OE
CanMdate(s) Name Office Sought
D Supported
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Name of Payee
L, ",j&\
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Method of Payment

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Street Address
D\bl""'b
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I City (\16 LN
H'lVCIV'
?-'t / PMB 2. ,,4
St2-1- 1/
(by code)
1\-6,.1"1
Description
JMkJI{l\l
R IEvent #

Amount
\50
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OA 08 Oc OD OE
Candidlte(s) Niw/te Office Sought
-1 o Supported
(if applicable)
o Opposed
Name of Payee

it"\.V\ " q
.
) if
Method of Payment
WCheck # [0 to
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Street Address
.5-1 ICit
Y
rJ
t;, W
"

Wi
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State Zip Cd'de
cC::r (} ,,5\ J
.
(by code)
WA6E
Dcscription
M-rl-by"')&t l
IEvent #
c:::. M O&.l '<:V'"' D, s-t" {
Amount
So
I
D Independent
D Organization (see Imtructions)
OA 08 Oc OD OE
CWilidate(s) Name Office Sought
o Supported
(if applicable)
o Opposed
SUBTOTAL Section P-This Page I
7f?5,
Page 3. of

..

IV. EXPENDITURES

I
J",v
p cfe. " \D r
Expenses Paid by Committee
I
.
"-ll
Name of Payee
t:.hAfte-
I} I
Method of Payment
Street Address

f\lbW
f......;J
ICity J/lJ6 W

5+
0 Debit Card
I
lJ;vent# Amount
(by code)
RLW -bv- JjVhs
\I\-'llS"
.
o Supported
(if applicable)
o Opposed
4-31.,10 /
o Independent
OA 08 Oc OD OE
Name of Payee Date of Payment
Method of Payment
Street Address
ICit
y State
lZiP Code
0
Check#___
0 Debit Card
IDescription
IEvent # Amount
(by code)
o Supported
(if applicable)
o Opposed
o Independent
OA 08 Oc OD OE
Method of Payment
Street Address
ICity
State
IZiP Code
[J Check #
---
0 Debit Card
Description
Event # Amount
(by code)
Irype of Expenditure (if applicable):
o Supported
(if applicable)
o Opposed
o Independent
oA 08 oc OD OE
Method of Payment
Street Address
I City
State
IZiP Code
0
Check#___
0 Debit Card
Description
Event # Amount
(by code)
o Supported
(if applicable)
o Opposed
o independent
OA 08 Oc OD OE
Method of Payment
Street Address
I City
State
IZiPCode
0 Check #
---
0 Debit Card
Description IEvent # Amount
(by code)
Type of Expenditure (iJapplicable):
o Supported
(if applicable)
o Opposed
o independent
OA 08 oc OD OE
SUBTOTAL Section P-This Page ,
43
fs, J
Page -----.!t..-- of --E-
(by code)
- D"Tn
SUBTOT AL Section Q-This Page
TOTAL of additional Section Q Pages
TOTAL OF ALL EXPENSES PAID BY CANDIDATE (Enter total on Line 26 ofSummary Page)
/I.,S 1 r
{'I
Street Address
lS D
(by code)
(by code)
000
Name of Payee (Name of Vendor who candidate paid directly)
Street Address
Campaign Expenses Paid by Candidate
City
NbW
Is Reimbursement
Claimed?

o No
Amount
Event #
Event #
Event #
Event #
Event #
IV. EXPENDITURES Page 14 of 17
It
Street Address
6
V\1 tSho
(by code)
FooD F60J.
Event #
Is Reimbursement
Claimed?

o No
Is Reimbursement
Claimed?

o No
Is Reimbursement
Claimed?

o No
Is Reimbursement
Claimed?

o No
Is Reimbursement
Claimed?

o No
Is Reimbursement
Claimed?

o No
Amount
LJ, 2-7
Amount

Amount
7.,]' 1
Amount
5,17
Amount
Amount
IV. EXPENDITURES
Section Q. Additional Page
NAME OF COMMIITEE ITYPE OF REPORT
.s-
A \1\."'< 6 I
p"",,'1
f>C6

"'
if. Campaign Expenses Paid by Candidate
I
.....;'
I
Is Reimbursement Amount
Os:..

Claimed?
Street Address
I City f!JtJ W
Zip (tode
5-\-1( 6s-t 6&$(\
D No
t2(D
.>
Event #
(byeode)
'PosT

l, k-C
Name of Payee (Name of Vendor who candidate paid directly) V Date of Payment
.Du ..... S Ju
Claimed?
Street Address
A J
IS';'T

'"J..'-}
D1VW6 \\

D No
2\ 1

Event #
-f-c.v

--E;v-
Name of Payee (Name of Vendor who candidatf paid directly) Date of Paym'l!!1t
Claimed?
Street Address
ICit
y
IState
Zip Code
DYes
D No
Purpose of Expenditure I",,,riprioo
Event #
(byeode)
Name of Payee (Name of Vendor who candidate paid directly) Date of Payment
Claimed?
Street Address
IC;'Y
IS'""
Zip Code
DYes
D No
I"",,;PI;OO
Event #
(byeode)
Claimed?
Street Address
I City
1
St
'"
Zip Code
DYes
D No
I""";prioo
Event #
(byeode)
Claimed?
Street Address
IC;'Y IS'""
Zip Code
DYes
D No
Purpose of Expenditure I
Event #
(byeode)
Is Reimbursement
Amount
Claimed?
Street Address
I City
IS'""
Zip Code
DYes
D No
ID",,;prioo
Event #
(byeode)
SUBTOTAL Section Q-This Page I
'A 73 ..
&, 3

IV. EXPENDITURES
Page 15 of17
It

I

....,)R.

(
\.J
r
Expenses Incurred on Committee Credit Card
Name of Issuing Institution
Type of Credit Card:
0
Visa o Master Card o Discover oAmerican Express
0 Other
Name of Vendor
Date of Transaction
Amount
ID""ipH"
Event #
(by code)
Name of Vendor Date of Transaction
Amount
ID""ipH"
Event #
(by code)
Amount
ID'''''p!i""
Event #
(by code)
Amount
ID""ip!i""
Event #
(by code)
Amount
ID=,ipti""
Event #
(by code)
Amount
ID",rip!i"
Event #
(by code)
Amount
ID""ip!i"
Event #
(by code)
SUBTOTAL Section R-This Page
(2
TOTAL of additional Section R Pages
0
TOTAL OF ALL EXPENSES INCURRED ON COMMITTEE CREDIT CARD (Enter total on Line 27 o/Summary Page)
()
J
IV. EXPENDITURES Page 16 of 17
/,. \,t-) ,,"V \ f) $
fo- B 0 -f-rr

I
/-{\...
00.-/ i>Y"6'.L)"

s. Expenses Incurred'by Committee but Not Paid During tbis Period
I
...
Name of Creditor Date Incurred
Amount Incurred
(Estimate or Actual)
Street Address
Event #
City
I State
IZi P Code
Candidate(s) Name (if applicable) Office Sought
(by code)
Description
o Independent
oSupported
DOpposed
OA 08 oc 00 OE
Amount Incurred
Street Address Event #
City
1s,,"
IZ'P Cod,
Candidate( s) N arne (if applicable) Office Sought
Type of Expenditure (if applicable);
(by code)
Description
o Independent
oSupported
DOpposed
oA 08 oc 00 OE
Amount Incurred
Street Address
Event #
City
I State
IZiP Code
Candidate( s) Name (if applicable) Office Sought
(by code)
Description
o Independent
oSupported
DOpposed
oA 08 oc 00 OE
Amount Incurred
Street Address Event #
City
I State IZi
P
Code
Candidate(s) Name (ifapplicable) Office Sought
(by code)
Description
o Independent
oSupported
OOpposed
oA 08 oc 00 OE
SUBTOTAL Section S-This Page
6
TOTAL of additional Section S Pages
I?
TOTAL OF ALL EXPENSES INCURRED BY COMMITTEE DURING THIS PERIOD BUT NOT PAID
(Enter total on Line 28 ofSummary Page)
a
Previously reported Expenses Unpaid and still Outstanding
0
TOTAL OF ALL EXPENSES INCURRED BY COMMITTEE BUT NOT PAID (Enter total on Line 280 ofSummary Page)
()
IV. EXPENDITURES
Page 17 of 17
NAME OF COMMITTEE
.
!TYPE OF REPORT
-A
.(2, \I: ... L':.
....c':r I
t;;;
f
T. Itemizatl'lfn of Reimbursements to Committee Workers and Consultalts
.....
/
Last Name of WorkerIConsuIt ant
IF',,'
r
Date of Payment
Method of Payment
Secondary Payee Purpose of Expenditure
o Check #
(by code)
o Debit Card
Street Address
jCity
State
IZip Code
Amount
Description
Type of Expenditure (if applicable): Candidate(s) Name Office Sought
oSupported
(if applicable)
oOpposed
o Independent
OA OB oc on OE
If[",
IMI
Date of Payment
Method of Payment
o Check #
(by code)
o Debit Card
Street Address
ICity
State
1Zip Code
Amount
Description
Type of Expenditure (if applicable): Candidate(s) Name
Office Sought
oSupported
(if applicable)
oOpposed
o Independent
OA OB oc on OE
Last Name of WorkerIConsuit ant
1"'"
IMI
Date of Payment
Method of Payment
D Check #
(by code)
D Debit Card
Street Address
JCity
State
IZip Code
Amount
Description
Candidate(s) Name
Office Sought
oSupported
(if applicable)
oOpposed
o Independent
oA OB oc on OE
IFirst
JMI
Date of Payment
Method of Payment
o Check #
(by code)
o Debit Card
Street Address
ICity
State
1Zip Code
Amount
Description
Type of Expenditure (if applicable): Candidate(s) Name Office Sought
oSupported
(if applicable)
oOpposed
D Independent
OA OB oc on OE
SUBTOTAL Section T -This Page
0
TOTAL of additional Section T Pages
0
TOTAL OF ALL REIMBURSEMENTS TO COMMITTEE WORKERS AND CONSULTANTS
()

Charles Blango Ward 20

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SEEC FORM 20

Itemized Campaign Finance Disclosure Statement

Name of Employer Residential Street Address

Is contributor a lobbyist, spouse,

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