FORM C-1 SUPPLEMENTAL CONTRIBUTOR INFORMATION ELEC Received Oct 09, 2018 9:57 PM NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION P.O. Box 185, Trenton, NJ 08625-0185 (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.nj.gov Amendment CONTRIBUTIONS REPORT TYPE (Select One) Committee spending under the R-1 reporting threshold (A-1 or A-2 filers etc.) who received a contribution in excess of $ 300 in the aggregate from one source in the election, or any currency (cash) contributions. Committee receiving a contribution in excess of $ 1,600 in the aggregate from one source starting with the 13th day before the election up to, and including the day of the election (48-Hour Notice). SECTION I. CANDIDATE, JOINT CANDIDATES, OR POLITICAL COMMITTEE INFORMATION Candidate(s) Name JOSEPH SIGNORELLO III Committee Name SIGNORELLO FOR OFFICE Street Address 622 ASHWOOD AVE. Office Sought MAYOR City ROSELLE PARK State NJ Election Type: (Select One) *(Area Code) Day Telephone 908-591-1418 Zip Code 07204 Primary May Municipal Fire District General Run-Off Special County UNION COUNTY *(Area Code) Evening Telephone 908-591-1418 Election Date 11/06/2018 Legal Name of Election District or Municipality ROSELLE PARK BOROUGH Political Party DEMOCRAT SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A = Currency or Check, B = In-Kind, C = Loan) Date Received Contributor Name 09/11/2018 JOSEPH SIGNORELLO III Address (Number and Street, City, State, Zip Code) 622 ASHWOOD AVE., ROSELLE PARK NJ 07204 Occupation (If Individual) CONSULTANT Aggregate Amount $1,750.00 Receipt Type: C Check if Currency Amount $750.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) SIGNORELLO CONSULTING LLC, 622 ASHWOOD AVE., ROSELLE PARK NJ 07204 Date Received 09/26/2018 Contributor Name MICHAEL LAPOLLA Address (Number and Street, City, State, Zip Code) 2294 MARLBORO RD, SCOTCH PLAINS NJ 07076 Occupation (If Individual) CONSULTANT Aggregate Amount $1,000.00 Receipt Type: A Check if Currency Amount $1,000.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) LOOMIS CONSULTING, 2294 MARLBORO RD, SCOTCH PLAINS NJ 07076 Date Received 09/15/2018 Contributor Name VANESSA CANGAS Address (Number and Street, City, State, Zip Code) 157 PALISADE RD Occupation (If Individual) UNEMPLOYED Aggregate Amount $500.00 Receipt Type: Check if Currency Amount $500.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Grand Total: $2,250.00 Registration Number ********** PIN ****** Candidate or Treasurer JOSEPH SIGNORELLO III Date 10/09/2018 *Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form. New Jersey Election Law Enforcement Commission Page 1 of 1 sForm C-1 Revised Jan. 2017 This form can be electronically filed at: ?g )rns SUPPLEMENTAL CONTRIBUTOR INFORMATION FORM 0-1 FOR STATE USE ONLY NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION 7 M. . PO. Box 185, Trenton, NJ 08625-0185 Vii-Liv ?12933 15?. (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC {3532) OCH 0 2018 CONTRIBUTIONS REPORT TYPE (CHECK ONE) CI Committee receiving a contribution in excess of $1 .600 in the aggregate Committee spending under the R-1 reporting threshold or A4 ?lers etc.) who received a contribution in excess of $300 in the aggregate from one source in the election, or any currency {cash} contributions. Amendment? day before the election up to, and inciuding the day of the election (48-Hour Notice). Yes No from one scurce starting with the SECTION I. CANDIDATE, JOINT CANDIDATES, OR POLITICAL COMMITTEE INFORMATION Etectiolnf7u=gjJ I Elenaa #1 damn} Cand' ate Com itte Address (Number and Stree City, Sta Zip Cod Sought *(Area)D ybzieph%1_%/ liq/j CountyU' A: Politic:-1 rty *(Area) Ebenzng Telephone SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A Currency or Check; 8 In-Kind; Loan) Date ceived Contributor Na 1015?]ng MPERJK (3?0pm Wine Address umber and Street. CiYZState,?c Zip bode) Aggregate Amount Amount 3?7S?-?m ?\rwAv-c 01904 917m: Occupation (If Individual) Receipt Type Check if? Description, if In-Kind Contribution . Currency CI VII/megs we Empioyer Name (If Individual} Employer Address (If Individual) Date eived Contributor Name 10119 9.01?) L?Potric Die/mo (Dd-It. Hag Address (Number and Street City State Zip Code} Aggregate Amount Amount Rosetta rows 07% squats Occupation (if Individual) Re 1 Type Check if Description it?gglla id Contr ution 6% Currency Qg Employer Name (If Individual) Employer Mailing Address (If Individual) Date 90er Contributor Name I (on? af?rms Rose/ta Panic Cumm?ce Address {Number and Street Cit State Zip ode) Aggregate Amount Amount Jen-I Arc age/Ia tr. NJ 0790] [330,? Occupation (If Individuat) Recei Type Check if Description, if In-Kind Contribution 7 Currency El SIGNS Employer Name (If individual) Employer Mailing Address (If Individual) Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Aggregate Amount Amount 3 Occupation (If Individual) Receipt Type Check if Description, it In-Kind Contribution Currency Employer Name (if Individual) Employer Mailing Address (If Individual) (COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE 5 . 50?) THIS LINE FOR LAST PAGE USED) GRAND TOTAL l' l' I 59 Candidate or W7 Date '0 [1/01 I New Jersey'Etection Enforcement Commission 'Fcrm -1 Revised: 11t07t2016 'Leave this new I) it your tetephone number Is unlisted. Pursuant to W, 1, an untisted telephone number is not a public record and must not be previded On this form.