FORM C-1 SUPPLEMENTAL CONTRIBUTOR INFORMATION ELEC Received Jul 19, 2018 9:32 AM 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 WILLIAM A FAHOURY Committee Name FRIENDS OF WILLIAM FAHOURY FOR MAYOR Street Address 812 HAMILTON PLACE Office Sought MAYOR City ROSELLE PARK State NJ Election Type: (Select One) *(Area Code) Day Telephone Zip Code 07204 Primary May Municipal Fire District General Run-Off Special County UNION COUNTY *(Area Code) Evening Telephone Election Date 11/06/2018 Legal Name of Election District or Municipality ROSELLE PARK BOROUGH Political Party REPUBLICAN SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A = Currency or Check, B = In-Kind, C = Loan) Date Received Contributor Name 07/18/2018 BARBARA NUTT-FAHOURY Address (Number and Street, City, State, Zip Code) 812 HAMILTON PLACE, ROSELLE PARK, NJ, 07204 Occupation (If Individual) SCHOOL TEACHER Aggregate Amount Receipt Type: A Check if Currency Amount $445.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) ELIZABETH BOARD OF EDUCATION, 500 N BROAD ST, ELIZABETH, NJ 07208 Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Grand Total: $445.00 Registration Number ********** PIN ****** Candidate or Treasurer WILLIAM A FAHOURY Date 07/19/2018 *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 FORM C-1 SUPPLEMENTAL CONTRIBUTOR INFORMATION ELEC Received Aug 02, 2018 8:57 AM 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 WILLIAM A FAHOURY Committee Name FRIENDS OF WILLIAM FAHOURY FOR MAYOR Street Address 812 HAMILTON PLACE Office Sought MAYOR City ROSELLE PARK State NJ Election Type: (Select One) *(Area Code) Day Telephone 9084517098 Zip Code 07204 Primary May Municipal Fire District General Run-Off Special County UNION COUNTY *(Area Code) Evening Telephone Election Date 11/06/2018 Legal Name of Election District or Municipality ROSELLE PARK BOROUGH Political Party REPUBLICAN SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A = Currency or Check, B = In-Kind, C = Loan) Date Received Contributor Name 08/01/2018 JESSICA JOHNS Address (Number and Street, City, State, Zip Code) 812 HAMILTON PLACE, ROSELLE PARK, NJ, 07204 Occupation (If Individual) CLERK Aggregate Amount $1,595.00 Receipt Type: A Check if Currency Amount $1,595.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) UNION COUNTY PROSECUTORS OFFICE 32 RAHWAY AVE, ELIZABETH, NJ 07202 Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Grand Total: $1,595.00 Registration Number ********** PIN ****** Candidate or Treasurer WILLIAM A FAHOURY Date 08/02/2018 *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 FORM C-1 SUPPLEMENTAL CONTRIBUTOR INFORMATION ELEC Received Sep 24, 2018 12:10 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 WILLIAM FAHOURY Committee Name FRIENDS OF WILLIAM FAHOURY FOR MAYOR Street Address 812 HAMILTON PLACE Office Sought MAYOR City ROSELLE PARK State NJ Election Type: (Select One) *(Area Code) Day Telephone 9084517098 Zip Code 07204 Primary May Municipal Fire District General Run-Off Special County UNION COUNTY *(Area Code) Evening Telephone Election Date 11/06/2018 Legal Name of Election District or Municipality ROSELLE PARK BOROUGH Political Party REPUBLICAN SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A = Currency or Check, B = In-Kind, C = Loan) Date Received Contributor Name 09/22/2018 KEAN FOR SENATE Address (Number and Street, City, State, Zip Code) P.O. BOX 999 EDISON, NJ, 08818 Occupation (If Individual) Aggregate Amount Receipt Type: B Check if Currency Amount $500.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Grand Total: $500.00 Registration Number ********** PIN ****** Candidate or Treasurer WILLIAM A FAHOURY Date 09/24/2018 *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 FORM C-1 SUPPLEMENTAL CONTRIBUTOR INFORMATION ELEC Received Oct 05, 2018 9:39 AM 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 WILLIAM FAHOURY Committee Name FRIENDS OF WILLIAM FAHOURY FOR MAYOR Street Address 812 HAMILTON PLACE Office Sought MAYOR City ROSELLE PARK State NJ Election Type: (Select One) *(Area Code) Day Telephone 9084517098 Zip Code 07204 Primary May Municipal Fire District General Run-Off Special County UNION COUNTY *(Area Code) Evening Telephone Election Date 11/06/2018 Legal Name of Election District or Municipality ROSELLE PARK BOROUGH Political Party REPUBLICAN SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A = Currency or Check, B = In-Kind, C = Loan) Date Received Contributor Name 09/24/2018 ROSELLE PARK REPUBLICAN MUNICIPAL COMMITTEE Address (Number and Street, City, State, Zip Code) 46 C COLFAX MANOR ROSELLE PARK, NJ, 07204 Occupation (If Individual) Aggregate Amount Receipt Type: B Check if Currency Amount $1,500.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Date Received 09/27/2018 Contributor Name EDMUND FAHOURY Address (Number and Street, City, State, Zip Code) 402 LOCUST STREET ROSELLE PARK, NJ, 07204 Occupation (If Individual) INSURANCE INSPECTOR Aggregate Amount Receipt Type: B Check if Currency Amount $700.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) SELF EMPLOYED Date Received 10/03/2018 Contributor Name JESSICA JOHNS Address (Number and Street, City, State, Zip Code) 812 HAMILTON PLACE ROSELLE PARK, NJ, 07204 Occupation (If Individual) CLERK Aggregate Amount Receipt Type: B Check if Currency Amount $636.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) UNION COUNTY PROSECUTORS OFFICE 32 RAHWAY AVE, ELIZABETH, NJ, 07202 Grand Total: $2,836.00 Registration Number ********** PIN ****** Candidate or Treasurer WILLIAM A FAHOURY Date 10/05/2018 *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 REPORT OF CONTRIBUTIONS AND EXPENDITURES NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION PO. Box 185, Trenton, NJ 08625-0185 (609) 292-8700 or Toll Free Within NJ (3532) FORM REPORT (CHECK ONE): 29 DAY PRE-ELECTION 11 - DAY PRE-ELECTION 20 DAY POST-ELECTION I: Apr. 15, I. July ?15, CANDIDATE OR COMMITTEE NAME WILLIAM A. FAHOURY Oct. 15, Jan. 15, STREET ADDRESS 812 HAMILTON PLACE Amendment YesD CITY STATE ZIP CODE ROSELLE PARK NJ 07204 For State Use Only UNION ROSELLE PARK COUNTY ELECTION DISTRICT OR MUNICIPALITY ELEC POLITICAL PARTY. IF ANY OFFICE SOUGHT REPUBLICAN . MAYOR OCT 1 6 ms ELECTION DATE ELECTION TYPE PRIMARY Nov. 6, 2018 (CHECK ONE) GENERAL RUN-OFF MAY MUNICIPAL CI SCHOOL SPECIAL FIRE DISTRICT APPROPRIATE SCHEDULES HAVE BEEN COMPLETED SUMMARY TABLES DO NOT ATTEMPT TO COMPLETE TABLES I AND ll UNTIL TABLE I. RECEIPTS CUMULATIVE TO THIS REPORT DATE . MONETARY CONTRIBUTIONS I LOANS OF $300 OR LESS 2. MONETARY CONTRIBUTIONS IN EXCESS OF $300 AND ALL CURRENCY CONTRIBUTIONS [Schedule 3. IN-KIND CONTRIBUTIONS OF $300 OR LESS 4. IN-KIND CONTRIBUTIONS IN EXCESS OF $300 [Schedule 5. LOANS RECEIVED IN EXCESS OF $300 AND ALL CURRENCY LOANS [Schedule 6. SUB TOTAL I (ADD LINES 1 THRU 5) 7. REFUND OF CONTRIBUTIONS [Adjustment Schedule] (4 8. TOTAL CONTRIBUTIONS 9. ADD FUNDS TRANSFERRED FROM PRIOR CAMPAIGN 10. TOTAL RECEIPTS (ADD LINE 8 LINE 9) 2705.00 5 2705.00 6067.00 6067.00 8772.00 8772. 00 8772.00 5 8772.00 1132.69 5 1132.69 9904.69 9904.69 TABLE II. EXPENDITURES 1. DISBURSEMENTS CAMPAIGN EXPENSES [Schedule 2. DISBURSEMENTS OTHER [Schedule 3. DISBURSEMENTS - CONTRIBUTIONS MADE TO OTHER [Scheduie 4. CONTRIBUTIONS MADE ON BEHALF OF OTHERS [Pro Rafa Amount Schedules and 5. CONTRIBUTIONS OF $300 OR LESS (TABLE I. LINE 3) 6. IN-KIND CONTRIBUTIONS IN EXCESS OF $300 (TABLE I, LINE 4) 7. SUB TOTAL (ADD LINES 1 THRU 6) 8. REFUNDED DISBURSEMENTS [Schedule 9. TOTAL EXPENDITURES (LINE 7 MINUS LINE 8) 3703.47 5 3703.47 6969 Is' 370347 3703.47 3703.47 I5 3703.47 New Jersey Election Law Enforcement Commission 1 FORM Revised 02.28.2018 SCHEDULE A Monetary Contributions in Excess of $300 and All Currency Contributions 812 HAMILTON PLACE CONTRIBUTOR NAME EMPLOYER NAME WILLIAM A. FAHOURY PIZZERIA CONTRIBUTOR ADDRESS EMPLOYER ADDRESS 1571 MORRIS AVE ROSELLE PARK, NJ 07204 UNION, NJ 07083 812 HAMILTON PLACE CHECK IF RECEIVED THIS PERIOD CURRENCY 1191.00 191.00 OCCUPATION 7/19/18 CONTRIBUTOR NAME EMPLOYER NAME BARBARA NUTT FAHOURY ELIZABETH PUBLIC SCHOOLS CONTRIBUTOR ADDRESS EMPLOYER ADDRESS 1115 E. JERSEY STREET ROSELLE PARK, NJ 07204 ELIZABETH, NJ 07201 402 LOCUST STREET CHECK IF AMOUNT RECEIVED RECEIVED THIS PERIOD CURRENCY CI 69500 7113,18 445.00 OCCUPATION SCHOOL TEACHER 9/15/18 250.00 CONTRIBUTOR NAME EMPLOYER NAME EDMUND FAHOURY YORK RISK SERVICES CONTRIBUTOR ADDRESS EMPLOYER ADDRESS 4021 AMBASSADOR CAFFERY PKWY ROSELLE PARK, NJ 07204 LAFAYETTE, LA 70503 CHECK IF AGGREGATE AMOUNT CURRENCY 95000 OCCUPATION INSURANCE INSPECTOR CONTRIBUTOR NAME JESSICA JOHNS RECEIVED RECEIVED THIS PERIOD 7/30/18 $250 00 700.00 9/27/18 EMPLOYER NAME UNION COUNTY PROSECUTORS OFFICE CONTRIBUTOR ADDRESS 812 HAMILTON PLACE EMPLOYER ADDRESS 32 RAHWAY AVENUE ROSELLE PARK, NJ 07204 ELIZABETH, NJ 07202 CHECK IF AMOUNT 3 RECEIVED RECEIVED THIS PERIOD CURRENCY CI 3 2231.00 7131 1 3; $1595.00 OCCUPATION . CLERK Poc- (C - 9/30/13 636.00 CONTRIBUTOR NAME EMPLOYER NAME ROSELLE PARK REPUBLICAN COMMITTEE CONTRIBUTOR ADDRESS EMPLOYER ADDRESS 46 COLFAX MANOR ROSELLE PARK, NJ 07204 CHECK IT: AMOUNT RECEIVED RECEIVED THIS PERIOD CURRENCY CI 3. 150000 WA 9/24/18 1500.00 (COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE 5557-00 THIS LINE FOR LAST PAGE GRAND TOTAL 3 Jersey Election Law Enforcement Commission 2 FORM R-1 Revised 02.28.2018 SCHEDULE A Monetary Contributions in Excess of $300 and All Currency Contributions CONTRIBUTOR NAME KEAN FOR SENATE EMPLOYER NAME CONTRIBUTOR ADDRESS 425 N. AVE E. #1 EMPLOYER ADDRESS WESTFIELD. NJ 07090 CONTRIBUTOR NAME CHECK IF AMOUNT RECEIVED THIS PERIOD CURRENCY no 0 PAT SENATOR 3/911 8 500.00 CONTRIBUTOR NAME EMPLOYER NAME CONTRIBUTOR ADDRESS EMPLOYER ADDRESS CHECK IF AMOUNT RECEIVED THIS PERIOD CURRENCY CI 3 OCCUPATION CONTRIBUTOR NAME EMPLOYER NAME CONTRIBUTOR ADDRESS EMPLOYER ADDRESS CHECK IF RECEIVED RECEIVED THIS PERIOD CURRENCY El OCCUPATION EMPLOYER NAME CONTRIBUTOR ADDRESS EMPLOYER ADDRESS CHECK IF CURRENCY El RECEIVED RECEIVED THIS PERIOD OCCUPATION CONTRIBUTOR NAME EMPLOYER NAME CONTRIBUTOR ADDRESS EMPLOYER ADDRESS CHECK IF AMGGREGATE AMOUNT REEIVED RECEIVED THIS PERIOD CURRENCY CI OCCUPATION (COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE 500.00 (COMPLETE THIS LINE FOR LAST PAGE USED) GRAND TOTAL 3 6067.00 NNew Jersey Election Law Enforcement Commission 2 FORM 8-1 Revised 02.28.2018 SCHEDULE 1(0) - DISBURSEMENTS Campaign Expenses PAYME NT DATE CHECK NO PAYEE NAME AND ADDRESS PURPOSE FULL AMOUNT PRO-RATA AMOUNT THIS REPORTING ENTITY AMOU NT OTHERS 7127/ 1 8 826! 1 8 8l8/?I 8 88/18 8/2011 8 98 STEADY SMOKE BBQ CATERING 07083 99 CLIMAX BREWERY 112 VALLEY ROAD ROSELLE PARK. NJ 07204 DEBIT ROSELLE PARK POST OFFICE 290 CHESTNUT STREET ROSELLE PARK, NJ 07204 STAPLES 155 ROUTE 22 EAST SPRINGFIELD, NJ 07081 DEBIT CREDIT CARD MONTE PRINTING 540 W. WESTFIELD AVENUE ROSELLE 07204 DEBIT OFFICE DEPOT ROUTE 22 EAST ROSELLE PARK, NJ 07204 REFRESHMENTS FOR FUNDRAISER FUNDRAISING EVENT POSTAGE FOR MAILER ENVELOPES FOR MAILERS BOROUGH NEWSLETTER STATIONARY ITEMS 280.00 500.00 500.00 78.88 465.93 23.02 230.00 500.00 500.00 78.88 4637 93 23.02 (COMPLETE THIS LINE FOR EVERY PAGE USED) (COMPLETE THIS LINE FOR LAST PAGE USED) TOTAL, THIS PAGE 1 843.83 3 1843.83 GRAND TOTAL New Jersey Election Law Enforcement Commission FORM R-1 Revised 02.28.2018 SCHEDULE 1(0) - DISBURSEMENTS Campaign Expenses PAYMENT DATE CHECK PAYEE NAME AND ADDRESS PURPOSE FULL AMOUNT PRO-RATA AMOUNT THIS REPORTING ENTITY PRO-RATA AMOUNT OTHERS 8(27l18 9f18f18 9/411 8 911318 9I13I18 9/19/18 1 8 CREDIT CREDIT DEBIT DEBIT DEBIT CREDIT DEBIT MONTE PRINTING 540 W.WESTFIELD AVE ROSELLE PARK, NJ 07204 STAPLES 155 ROUTE 22 EAST SPRINGFIELD, NJ 07081 FACEBOOK GOTPRINT.COM ROSELLE PARK POST OFFICE 290 CHESTNUT STREET ROSELLE PARK, NJ 07204 MONTE PRINTING 540 W. WESTFIELD AVENUE ROSELLE PARK, NJ 07204 DELIVERY SIGNS PRINTING FOR MAILINGS ENVELOPES FOR MAILERS FACE BOOK AD PRINTING FOR MAILERS POSTAGE FOR MAILERS RACK CAMPAIGN SIGNS 63.97 41.57 69.99 177.61 300.00 530.97 601.50 63.97 41.57 69.99 177.61 300.00 530. 97 601.50 (COMPLETE THIS LINE FOR EVERY PAGE USED) (COMPLETE THIS LINE FOR LAST PAGE USED) TOTAL, THIS PAGE 1785.61 $1785.61 GRAND TOTA New Jersey Election Law Enforcement Commission FORM Revised 02.26.2018 M?a? W805 wewawowa M51 U0!p9 3 ?asmr MON new ?we 3 1mm ammo (aasn 39w 19W 303 am sun-LL 3131mm) 80.01 mm 39w SIHJ. ?mm. (aasn 39w mama am 91m 3131mm) 29010 ?NoaNn Hams 019 OO-ZL 8333 aowwamlvw ?1 gnome 9901.0 rN ?NOan . 133818 019 0? 3? 00 3? saga EIONVNEILNIVW ){Nvg OJ. QULSIB ?9040 HEELS mmsaHo 019 00er 8333 8 ?11 amen. 98040 ?Noan 133818 049 $1099 00m 00m 3333 ){Nvg 01 8023 ?022 av 1:930 Slim/0L MILNB 3533410 . ONmJocIaa 0? 31W SM mnowv mnowv Tina 390dand ONV BWVN 33mm mam 03" sasuadxg u?gedweo STATEMENT OF CAMPAIGN DEPOSITORY AND CAMPAIGN TREASURER Opening Balance, this report 0 (Insert closing balance of last report. or, if this is the ?rst report filed by this entity for this election, insert zero.) Funds Transferred from Prior Campaign 3 1132-59 Deposits (Include interest) 5 8772-00 Disbursements (include bank charges) 3703-47 Closing Balance. this Report 5 6201.22 TD BANK FRIENDS OF WILLIAM FAHOURY FOR MAYOR NAME OF BANK OR DEPOSITORY NAME OF ACCOUNT 570 CHESTNUT STREET ROSELLE PARK. NJ 07204 ADDRESS OF BANK OR DEPOSITORY TERESA ROSE 908-298-9178 NAME OF TREASURER NUMBER (DAY) 402 LOCUST STREET ROSELLE PARK, NJ 07204 ADDRESS OF TREASURER CERTIFICATION I certify that the statements on this document are true, and that the contribution amounts received conform with the limitations designated by law. I am aware that if any of the statements are willfully false, I may be subject to punishment. 10/811 8 WILLIAM A. FAHOURY DATE PRINT FULL NAME (CANDIDATE) SIGNATU WDIDATE) DA I PRINT FULL NAME (CANDIDATE) SIGNATURE (CANDIDATE) DATE PRINT FULL NAME (CANDIDATE) SIGNATURE (CANDIDATE) 10/8/18 TERESA ROSE ?7 92 9 a $24322, DATE PRINT EULL NAME SIGNATURE (TREASURER) Treasurers for Gubernatorial and Legislative candidates are required to receive training with the New Jersey Election Law Enforcement Commission. Check here]: if you have completed the training and enter your Treasurer Training DECLARATION OF FINAL REPORT If this is the ?nal report, Sign applicable Declaration below as well as Certi?cation above. Chapter 65 of the Laws of 1993 requires that all filing entities continue to file reports with the Commission until all campaign business is wound up and the fund is dissolved. I certify that all contributions or other monies received by this election fund have been disbursed. that there are no outstanding loans or other obligations. and that the election fund has wound up its business and has been dissolved. PRINT FULL NAME (CANDIDATE) SIGNATURE (CANDIDATE) DATE PRINT FULL NAME (CANDIDATE) SIGNATURE (CANDIDATE) DATE FULL NAME (CANDIDATE) SIGNATURE (CANDIDATE) Mme (TR SIGNATURE (TREASURER) New Jersey Election Law Enforcement Commission 11 FORM R-?l Revised 02.28.2013 'Leave this field blank If your telephone number is unlisted. Pursuant to W. an unlisted telephone number is not a public record and must not be provided on this form. FORM C-1 SUPPLEMENTAL CONTRIBUTOR INFORMATION ELEC Received Oct 24, 2018 3:45 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 WILLIAM FAHOURY Committee Name FRIENDS OF WILLIAM FAHOURY FOR MAYOR Street Address 812 HAMILTON PLACE Office Sought MAYOR City ROSELLE PARK State NJ Election Type: (Select One) *(Area Code) Day Telephone 9084517098 Zip Code 07204 Primary May Municipal Fire District General Run-Off Special County UNION COUNTY *(Area Code) Evening Telephone Election Date 11/06/2018 Legal Name of Election District or Municipality ROSELLE PARK BOROUGH Political Party REPUBLICAN SECTION II. CONTRIBUTION INFORMATION (Receipt Types: A = Currency or Check, B = In-Kind, C = Loan) Date Received Contributor Name 10/18/2018 ROSELLE PARK REPUBLICAN MUNICIPAL COMMITTEE Address (Number and Street, City, State, Zip Code) 46 C COLFAX MANOR ROSELLE PARK NJ 07204 Occupation (If Individual) Aggregate Amount Receipt Type: A Check if Currency Amount $1,500.00 Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Date Received Contributor Name Address (Number and Street, City, State, Zip Code) Occupation (If Individual) Aggregate Amount Receipt Type: Check if Currency Amount Description, if In-Kind Contribution Employer Name and Mailing Address (If Individual) Grand Total: $1,500.00 Registration Number ********** PIN ****** Candidate or Treasurer WILLIAM A FAHOURY Date 10/24/2018 *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 REPORT OF CONTRIBUTIONS AND FORM R-1 REPORT FILED: EXPENDITURES 11-DAY PREELECTION 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) Web site: http://www.elec.state.nj.us CANDIDATE OR COMMITTEE NAME For State Use Only WILLIAM A FAHOURY STREET ADDRESS 812 HAMILTON PLACE Submitted Via Internet CITY STATE ZIP CODE ROSELLE PARK NJ 07204 COUNTY ELECTION DISTRICT OR MUNICIPALITY UNION ROSELLE PARK POLITICAL PARTY, IF ANY OFFICE SOUGHT REPUBLICAN MAYOR ELECTION DATE November 06, 2018 10/26/2018 At 04:47 PM GENERAL ELECTION ELECTION TYPE SUMMARY TABLES THIS REPORT TABLE I. RECEIPTS 1. MONETARY CONTRIBUTIONS / LOANS OF $300 OR LESS CUMULATIVE TO DATE $ 280.00 $ 2,985.00 $ 1,870.00 $ 7,937.00 3. IN-KIND CONTRIBUTIONS OF $300 OR LESS $ 0.00 $ 0.00 4. IN-KIND CONTRIBUTIONS IN EXCESS OF $300 [Schedule B] $ 0.00 $ 0.00 5. LOANS RECEIVED IN EXCESS OF $300 AND ALL CURRENCY LOANS [Schedule C] $ 0.00 $ 0.00 $ 2,150.00 $ 10,922.00 $ 0.00 $ 0.00 $ 2,150.00 $ 10,922.00 $ 0.00 $ 1,132.69 $ 2,150.00 $ 12,054.69 $ 2,107.58 $ 5,811.05 2. DISBURSEMENTS - OTHER [Schedule 2(D)] $ 0.00 $ 0.00 3. DISBURSEMENTS - CONTRIBUTIONS MADE TO OTHER CANDIDATES/COMMITTEES [Schedule 3(D)] $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 2,107.58 $ 5,811.05 $ 0.00 $ 0.00 $ 2,107.58 $ 5,811.05 2. MONETARY CONTRIBUTIONS IN EXCESS OF $300 AND ALL CURRENCY CONTRIBUTIONS [Schedule A] 6. SUB TOTAL (ADD LINES 1 THRU 5) 7. REFUND OF CONTRIBUTIONS [Adjustment Schedule] (-) 8. TOTAL CONTRIBUTIONS 9. ADD FUNDS TRANSFERRED FROM PRIOR CAMPAIGN 10. TOTAL RECEIPTS (+) (ADD LINE 8 + LINE 9) TABLE II. EXPENDITURES 1. DISBURSEMENTS - CAMPAIGN EXPENSES [Schedule 1(D)] 4. CONTRIBUTIONS MADE ON BEHALF OF OTHERS [Pro Rata Amount Schedules 1(D) and 2(D)] 5. IN-KIND CONTRIBUTIONS OF $300 OR LESS (TABLE I, LINE 3) 6. IN-KIND CONTRIBUTIONS IN EXCESS OF $300 (TABLE I, LINE 4) 7. SUB TOTAL (ADD LINES 1 THRU 6) 8. REFUNDED DISBURSEMENTS [Schedule F] 9. TOTAL EXPENDITURES New Jersey Election Law Enforcement Commission Electronic Filing. (-) (LINE 7 MINUS LINE 8) Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE A Monetary Contributions in Excess of $300 and all Currency Contributions CONTRIBUTOR NAME EMPLOYER NAME ROSELLE PARK REPUBLICAN MUNICIPAL COMMITTEE CONTRIBUTOR ADDRESS EMPLOYER ADDRESS 46 C COLFAX MANOR ROSELLE PARK NJ 07204 OCCUPATION DATE RECEIVED AGGREGATE AMOUNT 10/18/2018 $3,000.00 AMOUNT RECEIVED THIS PERIOD $1,500.00 COMMENTS CONTRIBUTOR NAME EMPLOYER NAME WILLIAM A FAHOURY REGGIO`S PIZZA CONTRIBUTOR ADDRESS EMPLOYER ADDRESS 812 HAMILITON PLACE 1571 MORRIS AVE. ROSELLE PARK NJ 07204 UNION NJ 07204 OCCUPATION DATE RECEIVED AGGREGATE AMOUNT 10/18/2018 $1,561.00 HOSPITALITY/HOTEL/FOOD/BEVERAGE AMOUNT RECEIVED THIS PERIOD $370.00 COMMENTS GRAND TOTAL Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. $ 1,870.00 Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE B In-Kind Contributions in Excess of $300 CONTRIBUTOR NAME EMPLOYER NAME CONTRIBUTOR ADDRESS EMPLOYER ADDRESS OCCUPATION DATE RECEIVED AGGREGATE AMOUNT AMOUNT RECEIVED THIS PERIOD DESCRIPTION OF IN-KIND CONTRIBUTION GRAND TOTAL Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE C Loans Received in Excess of $300 and All Currency Loans PAYEE / LENDER EMPLOYER NAME ADDRESS EMPLOYER ADDRESS OCCUPATION DATE RECEIVED AGGREGATE AMOUNT AMOUNT RECEIVED THIS PERIOD NON-DEPOSITED (CREDIT CARD OR OTHER) LOAN DESCRIPTION CO-SIGNER CO-SIGNER ADDRESS TOTAL AMOUNT OF LOANS RECEIVED THIS REPORT PERIOD Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 ADJUSTMENT SCHEDULE PAYMENT CHECK DATE NO. PAYEE NAME AND ADDRESS REFUNDED AMOUNT GRAND TOTAL Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE 1(D) - DISBURSEMENTS Campaign Expenses PAYMENT CHECK PAYEE DATE NO. NAME AND ADDRESS PURPOSE FULL AMOUNT PRO-RATA PRO-RATA AMOUNT THIS AMOUNT REPORTING ENTITY OTHERS 10/19/2018 DEBIT GOT PRINT.COM BURBANK AIRPORT CENTER 7651 SAN FERNADO ROAD BURBANK CA 07204 PRINTING LITERATURE (HANDOUTS-FLYERS/PALM CARDS) PRINTING MATERIAL $141.75 $141.75 $0.00 10/19/2018 DEBIT SUN TAVERN 600 W. WESTFIELD AVE. ROSELLE PARK NJ 07204 FUNDRAISING FOOD AND BEVERAGE REFRSHMENTS FOR TOWN TALK $1,965.83 $1,965.83 $0.00 (COMPLETED LINE FOR LAST PAGE) Candidate/Committee Name: GRAND TOTAL $2,107.58 $2,107.58 $0.00 WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE 2(D) - DISBURSEMENTS Other PAYMENT CHECK PAYEE DATE NO. NAME AND ADDRESS (COMPLETED LINE FOR LAST PAGE) Candidate/Committee Name: PURPOSE GRAND TOTAL FULL AMOUNT $0.00 PRO-RATA PRO-RATA AMOUNT THIS AMOUNT REPORTING ENTITY OTHERS $0.00 $0.00 WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE 3(D) - DISBURSEMENTS Contributions made to other Candidates/Committees PAYMENT CHECK DATE NO. RECIPIENT CANDIDATE/COMMITTEE ADDRESS AMOUNT TOTAL, THIS PAGE SCHEDULE 3(D) GRAND TOTAL ADD THE "PRO-RATA AMOUNT OTHERS" COLUMN FROM SCHEDULES 1(D) AND 2(D) GRAND TOTAL OF CONTRIBUTIONS MADE TO AND ON BEHALF OF CANDIDATES/COMMITTEES Candidate/Committee Name: 1. (+) 2. $0.00 3. WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE E Outstanding Obligations Date Incurred Creditor's Name Address Description Amount TOTAL OUTSTANDING OBLIGATIONS Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE F Refunded Disbursements Date Full Name Address Description Amount SCHEDULE F TOTAL Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 Page 1 of 1 SCHEDULE G Recipients of In-Kind Contributions NAME OF RECIPIENT CANDIDATE/COMMITTEE MAILING ADDRESS OFFICE SOUGHT ELECTION DISTRICT OR MUNICIPALITY CHECK NUMBER PAYMENT DATE Candidate/Committee Name: AMOUNT WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. Form R-1 Revised 09/2016 STATEMENT OF CAMPAIGN DEPOSITORY AND CAMPAIGN TREASURER $6,201.22 OPENING BALANCE, this report (Insert closing balance of last report, or, if this is the first report filed by this entity for this election,insert zero.) $0.00 Funds Transferred from Prior Campaign DEPOSITS (Include interest) $2,150.00 DISBURSEMENTS (Include bank charges) $2,107.58 CLOSING BALANCE, this Report $6,243.64 FRIENDS OF WILLIAM FAHOURY FOR MAYOR TD BANK NAME OF BANK OR DEPOSITORY NAME OF ACCOUNT 812 HAMILTON PLACE ROSELLE PARK NJ 07204 ADDRESS OF BANK OR DEPOSITORY TERESA ROSE 908-298-9178 NAME OF TREASURER * TELEPHONE NO ( DAY ) 402 LOCUST STREET ROSELLE PARK NJ 07204 ADDRESS OF TREASURER Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. 1 * 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. Form R-1 Revised 09/2016 CERTIFICATION I certify that the statements on this document are true, and that the contribution amounts received conform with the limitations designated by law. I am aware that if any of the statements are willfully false, I may be subject to punishment. 10/26/2018 WILLIAM A FAHOURY ******* Date PRINT FULL NAME ( CANDIDATE ) SIGNATURE ( CANDIDATE ) 10/26/2018 TERESA A ROSE ******* Date PRINT FULL NAME ( TREASURER ) SIGNATURE ( TREASURER ) Candidate/Committee Name: WILLIAM A FAHOURY New Jersey Election Law Enforcement Commission Electronic Filing. V. 1 4.0.9.0 Form R-1 Revised 09/2016