This form can be etectronically ?led at: elecnj. gov

 

FORM C-1

 

?g 11-3561 SUPPLEMENTAL CONTRIBUTOR INFORMATION

   

FOR STATE USE ONLY

 

NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
,s .. I. PO. Box 185, Trenton, NJ 08625-0185

.- .. ,3 (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532)
eIeC nj. gov

 

 

CONTRIBUTIONS REPORT TYPE (CHECK ONE)
Committee spending under the R- 1 reporting threshold or ?lers etc.) who received a contribution in

if; .

Edi-5:5?

OCT.) [i 2018

 

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 13??

 

day before the election up to. and including the day of the election (48~Hour Notice).

Amendment?

Yes No

 

SECTION I. CANDIDATE, JOINT CANDIDATES. OR POLITICAL COMMITTEE INFORMATION

 

Can date(s) Name Election lfiat;

()me I ed

 

?21903

 

Committee Na

 

atria Roselle

Election Districti'Munid alily

art

 

CaIPdidate rCommitteeAd ess(Num er and St: tCi State, Zip Cod?
?l1??flrieki we, 056.! IE ?no 07904

 

Of?ce Sought

 

 

 

Political Party be 0 "If?

 

Count *(Area) Da TeIe hone
Minotaur! Md

*(Area) Evening Telephone 1

 

 

SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A: Currency or Check; ln- Kind; Loan)

 

 

 

Aggregate Amount

semi: Pork NT my 

Address s?w mber and Street, City. State Zip Cod

2:17

 

Date Re?ivedl 0 1 9) Contributor Name [8 Pan 0% 024/? (mm! 

 

Amount/9, 7' q)

 

 

 

 

 

 

 

Occupation (If indIvIdual) Receit tType Check if Description ifln- Kind Contn?bution

Currency mart/?25 AND V525
Employer Name (If Individual) Employer Mailing Address (If Individual)
Date 0er

I0 ICIIQOIB 0?"tribmomamei205eiio Enid/?tic (:th

 

drgis?a NInber andg Street, [3p 00:2(9 m$ Aggregate Amount
at My

 

c/a

 

 

Currency 

Occupation( (If Individual) Type Check if Descrip' if In- Kind Coy}

 

tnbu?on



 

I

Employer Name (If Individual) Employer Mailing Address (If individual)?

 

 

Date ceive

 
   

 

 

Contributor Name T2036 LLD. pa 

 

  

Addre 



 

Hgta?dqs?trget Ciiy, State Z?Code) WZQ omit AG Amount

 

Amount

1330 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OEcupation (If Individual) Recei Type Check if Description, it In-Kind Contribution
Currency 6N3

Employer Name (It Individual) Employer Mailing Address (If lndividuat)

Date Received Contributor Name

Address (Number and Street, City, State, Zip Code) Aggregate Amount Amount


Occupation (If Individual) Receipt Type Check if Description. if In-Kind Contribution
Currency 

Employer Name {If Individual) Employer Mailing Address (If Individua!)
r? .

THIS LINE FOR EVERY PAGE USED) TOTAL. THIS PAGE V2 5?7
THIS LINE FOR LAST PAGE USED) GRAND TOTAL 9' 3 5%

 

 

 

 

 

 

 

 

 

Cangor Treasur nature Date
a 0/741 
New Jerysey Election Law Enforcement ommission 7 Form 0-1 Revised: 11I?07f2016

'Leave this fI'eid blank if your telephone number is uniisteo?. Pursuant to MA. Will-1.1. an unlisted telephone number is not a public record and must not be provided on this form.