Kerekes SEEC Filing July 10

SEEC FORM 20
Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08
Electronic Filing
Office Use Only
Page 1 of 46
SUMMARY PAGE
1. NAME OF COMMITTEE
Committee To Elect Jeffrey Kerekes
2. TREASURER NAME Title First

harry
MI
I
Last
David
Suffix
3. TREASURER ADDRESS Street Address

441 Chapel St Apt 1-6
City
New Haven
State
CT
Zip Code
06511-5844
4. ELECTION DATE
Mayor
5. OFFICE SOUGHT (if applicable)
6. DISTRICT CODE (if applicable)
7. CANDIDATE NAME Title

Mr
First
Jeffrey
MI
P
Last
Kerekes
Suffix
8. TYPE OF REPORT
July 10 Filing - Original
9. PERIOD COVERED
Beginning Date
Ending Date
06/04/2011
thru
06/30/2011
10. CERTIFICATION
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.
Electronic Filing
harry David
07/08/2011 10:20:49 am
SIGNATURE
PRINT NAME OF THE SIGNER
DATE CERTIFIED
PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000, OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.
Page 2 of 46
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 1/08
SUMMARY PAGE
TOTALS
NAME OF COMMITTEE
FILING DUE DATE
Original 07/11/2011
COLUMN A
This Period 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 12. Balance on hand at the beginning of Reporting Period 13. Contributions received from Individuals (Section A and B) 14. Receipts from Other Committees (Sections C1 + C2) 15. Other Monetary Receipts (Section D-K) 16a. Total Small Food and Beverage Receipts at Fair (Section L1) 16b. Total Proceeds from Small purchases at Tag Sales, Auctions or Other Sales (Section L2) 16c. Total Purchases of Advertising in a Program Book (Section L3) 17. Total Monetary Receipts (add totals for lines 13-16c) 18. Subtotals (add totals in line 12 + line 17 in Column A and in line 11 + 17 in Column B) 19. Expenses Paid by Committee (Section P) 20. Balance on hand at close of Reporting Period (Subtract line 19 from line 18) 21. In-Kind Donations not Considered Contributions Received (Section L4) 22. In-Kind Contributions Received (Section M) 23. Refundable Deposit to Telephone Company (Section N) 24. Receipts of Organization Expenditures (Section O) 25. Beginning Loan Balance 25a. + Loans Received (Section D) 25b. + Interest and Penalties on Loan(s) 25c. - Payments on Loan(s) 25d. Total Outstanding Loan Amount 26. Campaign Expenses Paid By Candidate (Section Q) 27. Expenses Incurred on Committee Credit Card (Section R) 28. Expenses Incurred by Committee During this Period but Not Paid (Section S) 28a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)
$0.00 $2,875.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,875.00 $2,875.00 $525.16 $2,349.84 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,095.91 $3,095.91
COLUMN B
Aggregate
$0.00
$2,875.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,875.00 $2,875.00 $525.16 $2,349.84 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Page 3 of 46
I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE FILING DUE DATE
Original 07/11/2011
A. Total Contributions from Small Contributors-Received this Period ONLY

(See instructions for definition of Small Contributor) Subtotal Section
$0.00
B. Itemized Contributions from Individuals

Last Name First Name MI Name of Employer Amount of Contribution Principal Occupation
Kerekes
Jeffrey
Residential Street Address
City
State
Zip Code
43 Lyon St
New Haven
CT
06511
Is contributor a lobbyist, spouse, or dependent child of a lobbyist? Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
_ X
Yes No
_ X
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 associated with have a contract with said municipality valued at more than $5000? Yes No Is contributor a principal of state contractor or prospective state contractor? If yes, indicate which branch or branches of government the contract is with:
_ _ _
_ _
Yes No
X
Yes
No
Executive
Legislative Aggregate Contribution
Date Received Personal Check

X
Cash
Credit/Debit Card
Payroll Deduction MI
Money Order
06/12/2011
$10.00
Amount of Contribution
$10.00
Last Name
First Name
Name of Employer
Holahan
Tim
Broadstripes, LLC
City
State
Zip Code
Principal Occupation
483 Central Ave
New Haven
CT
06515
Software Developer
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/14/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Goodall
Duncan
Self Employed
City
State
Zip Code
79 Bishop St
New Haven
CT
06511
Entrepreneur
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/14/2011
$100.00
$100.00
Page 4 of 46


Last Name First Name MI Name of Employer
Original 07/11/2011
Roush
Gilian Robin
Retired
Amount of Contribution Principal Occupation
City
State
Zip Code
177 Everit St
New Haven
CT
06511
Former Lawyer
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/14/2011
$340.00
$340.00
Last Name
First Name
Name of Employer
Streever
David
The Green Life Guides
City
State
Zip Code
99 Avon
New Haven
CT
06511
Dir Technical Operations
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/14/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Nucifora
Kimberly
City
State
Zip Code
25 Clark St Apt 2
New Haven
CT
06511
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/14/2011
$20.00
$20.00
Page 5 of 46


Original 07/11/2011
David
Harry
Retired
City
State
Zip Code
441 Chapel St Apt 1-6 New Haven CT 06511 USA

_ _ X
New Haven
CT
06511
Retired
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/14/2011
$340.00
$340.00
Last Name
First Name
Name of Employer
Doyens
Gary
Self Employed
City
State
Zip Code
30 Birch Dr
New Haven
CT
06515
Sales/Marketing
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/14/2011
$340.00
$340.00
Last Name
First Name
Name of Employer
Ahern
Thomas
Retired
City
State
Zip Code
22 Hallock St
New Haven
CT
06519
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/15/2011
$100.00
$100.00
Page 6 of 46


Original 07/11/2011
Hayes
Robyn
CWA
City
State
Zip Code
21 Lyon St
New Haven
CT
06511
Secretary
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/15/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
Ledewitz
Douglas
City
State
Zip Code
73 Huntington Rd Unit B
New Haven
CT
06512
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/15/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Turcio
Rebecca
City
State
Zip Code
18 Rock St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/15/2011
$25.00
$25.00
Page 7 of 46


Original 07/11/2011
Taylor
William
City
State
Zip Code
206 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/16/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Taylor
Patricia
City
State
Zip Code
206 W Rock Ave
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/16/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Brison
Allan
City
State
Zip Code
115 Everit
New Haven
CT
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/16/2011
$10.00
$10.00
Page 8 of 46


Original 07/11/2011
Martone
Frank
Self
City
State
Zip Code
98 Hughes St
New Haven
CT
06512
Retired
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/16/2011
$200.00
$200.00
Last Name
First Name
Name of Employer
Royer
Beth
City
State
Zip Code
38 Daniel St
Milford
CT
06460
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/17/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Ye
Pei
City
State
Zip Code
43 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/17/2011
$10.00
$10.00
Page 9 of 46


Original 07/11/2011
Russek
Jeffrey
self-employed
City
State
Zip Code
11 Hine Pl
New Haven
CT
06511
Inurance & Finance Planning
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/20/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Spence
Taylor
City
State
Zip Code
812 Orange St Fl 3
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/22/2011
$20.00
$20.00
Last Name
First Name
Name of Employer
Bishop-Josef
Sandra J.
City
State
Zip Code
96 Nicoll St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/22/2011
$25.00
$25.00
Page 10 of 46


Original 07/11/2011
Goode
Aaron
City
State
Zip Code
PO Box 207063
New Haven
CT
06520
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/22/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Berger
Ethel
Self employed
City
State
Zip Code
50 Autumn St
New Haven
CT
06511
Book Illustrator, reading tutor
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/22/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Ciccone
Dana
City
State
Zip Code
157 Church St
New Haven
CT
06510
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/23/2011
$15.00
$15.00
Page 11 of 46


Original 07/11/2011
Crain
Beth
Middlesex Hospital Outpatient Center
City
State
Zip Code
100 N Main St
Essex
CT
06426
Radiographer
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/23/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
FAULKNER
MARY
Self
City
State
Zip Code
183 W Rock Ave
New Haven
CT
06515
Content Editor
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/23/2011
$50.00
$50.00
Last Name
First Name
Name of Employer
DeSiato
Paolo and Laurie
YNHH
City
State
Zip Code
1515 State St
New Haven
CT
06511
APRN
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/23/2011
$200.00
$200.00
Page 12 of 46


Original 07/11/2011
Komie
Michelle
Yale University
City
State
Zip Code
75 Bishop
New Haven
CT
06511
Editor
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/25/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Walsh
Paul
City
State
Zip Code
20 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/26/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Randall
Chris
City
State
Zip Code
1 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/26/2011
$20.00
$20.00
Page 13 of 46


Original 07/11/2011
YE
PEIJUN
Advancive Technology Solutions
City
State
Zip Code
224 W Dryden St Apt 404
Glendale
CA
91202
IT Consultant
_
_ X
Yes No
_ X
_ _ _
_ _
Yes No
X
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/26/2011
$100.00
$100.00
Last Name
First Name
Name of Employer
Mekeel
Rachel
City
State
Zip Code
92 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Money Order
06/26/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Abraham
Mark
City
State
Zip Code
132 Mansfield St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

X
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/26/2011
$25.00
$25.00
Page 14 of 46


Original 07/11/2011
St. George
Louis
City
State
Zip Code
548 Middletown Ave
North Haven
CT
06473
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/27/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Sila
Mo
City
State
Zip Code
120 Longhill Ter
New Haven
CT
06515
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/27/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Kane
Patricia
City
State
Zip Code
119 Dwight St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/27/2011
$40.00
$40.00
Page 15 of 46


Original 07/11/2011
Stolar
David
City
State
Zip Code
97 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/27/2011
$25.00
$25.00
Last Name
First Name
Name of Employer
Kremser
Susan
City
State
Zip Code
97 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/27/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Rapp
Lennart David
City
State
Zip Code
44 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/27/2011
$10.00
$10.00
Page 16 of 46


Original 07/11/2011
Brancuccio
Andy
City
State
Zip Code
17 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/29/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Sandacata
Ken
City
State
Zip Code
17 Lyon St
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Money Order
06/29/2011
$10.00
$10.00
Last Name
First Name
Name of Employer
Rocco
Kevin
City
State
Zip Code
441 Chapel St Apt 1C
New Haven
CT
06511
_
_ _
Yes No
_ X
_ _ _
_ _
Yes No
_
Yes
No
Executive

_
Cash
Credit/Debit Card
Payroll Deduction
Money Order
06/29/2011
$25.00
$25.00 $2,875.00 $2,875.00
Total of Section B
TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS
(Sections A & B)
(Total on Line 14 of Summary Page)
Page 17 of 46
I. MONETARY RECEIPTS (Section A-I)


C1. Contributions from Other Committees
Name of Committee Name of Treasurer
Original 07/11/2011
Address
Is this contribution associated with a fundraising event listed in Section L1? State Zip Code Date Received
Yes No
If yes, list Event #
City
Aggregate Contributions
Total of Section C1
Page 18 of 46


C2. Reimbursements. Payments. or Surplus Distributions from other Committees
Original 07/11/2011
Address
Date Received
Amount of Receipt
City
State
Zip Code
Reimbursement for shared expense Payment for goods and services Surplus Distribution
Total of Section C2
Page 19 of 46


D. Loans Received this Period
Name of Lender
Original 07/11/2011
Source of Loan: Bank
Street Address
City
State
Zip Code
Is there a cosigner or Guarantor of this loan? Yes
Amount Received
Candidate Individual
Name of Cosigner/Guarantor
Other Committee
No
Street Address
City
State
Zip Code
Date Received
Total of Section D
Page 20 of 46


E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONLY)
Name
Original 07/11/2011
Street Address
Date Received
Amount Received
City
State
Zip Code
Aggregate Contributions
Total of Section E
Page 21 of 46

Original 07/11/2011
F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLY)
Is this transaction associated with a fundraising event listed in Section L1? Yes No If yes, list Event # Date of Receipt Amount
Total of Section F
Page 22 of 46

Original 07/11/2011
G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Organization Committees ONLY)
Date of Receipt Amount
Total of Section G
Page 23 of 46


H. Personal Funds of the Candidate Received this Period (Candidate Committees ONLY)
Date Received Amount Method of Payment Cash Personal Check
Original 07/11/2011
Credit/Debit Card
Total of Section H
Page 24 of 46


I. Anonymous Contributions
Date Received $ 1 bills $ 5 bills $ 10 bill coins
Original 07/11/2011
Amount
Total of Section I
Page 25 of 46
I. Monetary Receipts (Section A-I)


J. Interest from Deposits in Authorized Accounts
Name of Institution Date Received
Original 07/11/2011
Amount Received
Street Address
City
State
Zip Code
Total of Section J
Page 26 of 46


K. Miscellaneous Monetary Receipts not Considered Contributions
Name Date of Transaction
Original 07/11/2011
Amount Received
Street Address
City
State
Zip Code
Description
Total of Section K
Page 27 of 46
II. FUNDRAISING EVENT ACTIVITY


L1. Fundraiser Event Information
Location: Street Address City
Original 07/11/2011
Fundraising Event #
Date of Fundraiser Letter
Description
State
Zip Code
Subpart 1: (All Committees) Was this fundraising event hosted at a personal residence? Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual of up to $50? Was this fundraiser a tag sale, auction, or other sale of donated items? Subpart 2: (Town Committees and Municipal Candidate Committees ONLY) Were there purchases of advertising space in a program book associated with this is fundraiser? Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass gathering held within the state? Yes No Yes No
If yes, go to Section L 4 If yes, go to Section L 4
Yes
No
Yes
No
If yes, go to Section L 2
Yes
No
If yes, go to Section L 3 If yes, enter Total Receipts

from small purchases Total of Section L1
Page 28 of 46


L2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items
Original 07/11/2011
Name of the Purchaser Last Name
(Individuals ONLY)
First Name
MI
Method of payment: Cash Personal Check Date Received Credit/Debit Card Event #
Aggregate Amount of Purchases
City
State
Zip Code
Items Purchased
Total of Section L2
Page 29 of 46


L3. Purchases of Advertising in a Program Book (Municipal Candidate and Town Committees ONLY)
for All Events
Original 07/11/2011
Name of Purchaser
Business Entity Yes No State
Event #
Date Received
Amount of Purchase
Street Address
City
Zip Code
Aggregate Purchases for All Events
Total of Section L3
Page 30 of 46


L4. In-Kind Donations Not Considered Contributions
Original 07/11/2011
Name of the Donor
Donation given by: Individual Business Entity
Fair Market Value of Donation
Street Address
City
State
Zip Code
Aggregate value for this event
Description of Donation
Date Received
Event #
Total of Section L4
Page 31 of 46
III. NONMONETARY RECEIPTS


M. In-Kind Contributions
Original 07/11/2011
Name
Type of Contributor: Individual
Fair Market Value of this Contribution
Street Address
City
Committee Other
State
Zip Code
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
Yes No Yes No Date Received
Is Contributor a lobbyist, spouse, or dependent child of a lobbyist?
Yes No
Is contributor a principal of state contractor or prospective state contractor?
Is this contribution associated with a fundraising event listed in Section J1?
Description of In-Kind Contribution Yes No
Aggregate contributions
If yes, list Event#
Total of Section M
Page 32 of 46


N. Refundable Deposit to Telephone Company
Original 07/11/2011
Last Name (Individuals Only)
First Name
MI
Date Received
Amount of Deposit
City
State
Zip Code
Name of Telephone company
Street Address
City
State
Zip Code
Total of Section N
Page 33 of 46


O. Non-Monetary Receipts of Organization Expenditures Made By Legislative Leadership, Legislative Caucus, and Party Committee
Original 07/11/2011
Street Address
Date Notice Received
Fair Market Value of Donation
City
State
Zip Code
Aggregate Donations
Description of Donation
Purpose of Expenditure A B C D E
Total of Section O
Page 34 of 46
IV. EXPENDITURES

P. Expenses Paid By Committee
Name of Payee Date of Payment Method of Payment
_ Check #
Original 07/11/2011
Amount
Harland and Clarke

Street Address City
06/22/2011
State Zip Code Purpose of Expenditure (by code)
10931 Laureate Dr
Description
San Antonio
TX
78249
BNK
Debit Card Event #
Initial blank checks from People's Bank

_ _
Type of Expenditure (if applicable)

_ _ _ _ _
Candidate(s) Name (if applicable)
Office Sought
Supported Opposed
Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A
_
E Date of Payment Method of Payment

X Check # 106
$22.00
Name of Payee
Amount
US Post Office
Street Address City
06/27/2011
50 Brewery St
Description
New Haven
CT
06511
POST
Debit Card Event #
Page of stamps
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
E Date of Payment Method of Payment

X Check # 101
$28.16
Name of Payee
Amount
Broadstripes
Street Address City
06/28/2011
483 Central Ave

Description
New Haven
CT
06515
Misc *
Debit Card Event #
Campaign Software
_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$350.00
Page 35 of 46
IV. EXPENDITURES

P. Expenses Paid By Committee
Name of Payee Date of Payment Method of Payment
X Check # 102
Original 07/11/2011
Amount
City of New Haven

Street Address City
06/30/2011
Church Street
Description
New Haven
CT
06510
Misc *
Debit Card Event #
City of New Haven Voter List

_ _

_ _ _ _ _
Office Sought
Supported Opposed
_
$125.00
Total of Section P
$525.16
Page 36 of 46
IV. EXPENDITURES

Q. Campaign Expenses Paid By Candidate
Name of Payee (Name of Vendor who candidate paid directly) Date of Payment Purpose of Expenditure (by code)
Original 07/11/2011
Is Reimbursement Claimed? Yes No
Amount
Street Address
City
State
Zip Code
Event #
Description
Total of Section Q
Page 37 of 46
IV. EXPENDITURES

R. Expenses Incurred on Committee Credit Card
Name of Issuing Institution Type of Credit Card: Visa Other Name of Vendor Purpose of Expenditure (by code) Date of Transaction Master Card Discover
Original 07/11/2011
American Express
Amount
Street Address
City
State
Zip Code
Event #
Description
Total of Section R
Page 38 of 46
IV. EXPENDITURES

S. Expenses Incurred By Committee but Not Paid During this Period
Name of Creditor Event # Date Incurred
Original 07/11/2011
Signals - 37 Signals, LLC

Street Address City State Zip Code
06/12/2011
Purpose of Expenditure (by code)
Amount Incurred (Estimate or Actual)
30 N Racine Ste 300
Chicago
IL
60607
Misc *
Description
Software Subscription Basecamp

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$19.00
Name of Creditor
Event #
Date Incurred
Interlogy
06/13/2011
www.interlogy.com
Wwwinterlogycom
IL
Misc *
Description
Online software subscription

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$9.95
Page 39 of 46
IV. EXPENDITURES

Original 07/11/2011
Media Temple
06/13/2011
8520 National Blvd Bldg A
Culver City
CA
90232
Misc *
Description
Domain Names

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$36.00
Name of Creditor
Event #
Date Incurred
Hamden Rental Center

06/13/2011
17 Marne St
Hamden
CT
06514
OFFICE
Description
Podium

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$37.10
Page 40 of 46
IV. EXPENDITURES

Original 07/11/2011
Staples
06/13/2011
Skiff St and Dixwell
Hamden
CT
06514
OFFICE
Description
Office supplies

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$62.33
Name of Creditor
Event #
Date Incurred
Fast Signs
06/13/2011
310 Washington Ave
North Haven
CT
06473
A-SIGN
Description
Banner signs

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$303.17
Page 41 of 46
IV. EXPENDITURES

Original 07/11/2011
Vertical Response
06/14/2011
501 2nd St Ste 700
San Francisco
CA
94107
Misc *
Description
Online Software subscription

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$46.00
Name of Creditor
Event #
Date Incurred
Docuprint
06/18/2011
27 Whitney Ave
New Haven
CT
06510
OFFICE
Description
Copies

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$7.42
Page 42 of 46
IV. EXPENDITURES

Original 07/11/2011
Staples
06/20/2011
Skiff St and Dixwell
Hamden
CT
06514
OFFICE
Description
Office Supplies

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$9.54
Name of Creditor
Event #
Date Incurred
Staples
06/21/2011
430 Universal Dr
North Haven
CT
06473
OFFICE
Description
Color Ink

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$80.54
Page 43 of 46
IV. EXPENDITURES

Original 07/11/2011
Yale Station
06/22/2011
Elm St
New Haven
CT
06511-0099
POST
Description
stamps

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$44.00
Name of Creditor
Event #
Date Incurred
Tyco
06/22/2011
262 Elm St
New Haven
CT
06511
OFFICE
Description
copies

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$10.60
Page 44 of 46
IV. EXPENDITURES

Original 07/11/2011
Docuprint
06/22/2011
27 Whitney Ave
New Haven
CT
06510
OFFICE
Description
Copies

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$0.50
Name of Creditor
Event #
Date Incurred
JM Signs
06/27/2011
6304 S Tex Pt
Homosassa
TX
34448
A-SIGN
Description
Yard Signs

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$1,525.50
Page 45 of 46
IV. EXPENDITURES

Original 07/11/2011
Hour 48 Hour Print

06/27/2011
33 Farnsworth St
Boston
MA
A-SIGN
Description
Door Hangers

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$866.87
Name of Creditor
Event #
Date Incurred
Hour 48 Hour Print

06/28/2011
33 Farnsworth S
Boston
MA
A-SIGN
Description
Door Hangers

_ _ _ _ _
Office Sought
_ _
Supported Opposed
_
$37.39
Total of Section S
$3,095.91
Page 46 of 46
IV. EXPENDITURES

T. Itemization of Reimbursements to Committee Workers and Consultants
Name of Worker/Consultant Date of Payment
Original 07/11/2011
Method of Payment Check #
Amount
Secondary Payee
Purpose of Expenditure Debit Card
Street Address
City
State
Zip Code
Description
Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent Organization (see Instructions) A B C D E
Other Candidate(s) Name
Office Sought
Supported Opposed
Total of Section T

Kerekes SEEC Filing July 10

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Kerekes SEEC Filing July 10

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SEEC FORM 20

2. TREASURER NAME Title First

3. TREASURER ADDRESS Street Address

5. OFFICE SOUGHT (if applicable)

6. DISTRICT CODE (if applicable)

7. CANDIDATE NAME Title

PRINT NAME OF THE SIGNER

FILING DUE DATE

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

A. Total Contributions from Small Contributors-Received this Period ONLY

B. Itemized Contributions from Individuals

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

483 Central Ave

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Amount of Contribution Principal Occupation

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

The Green Life Guides

Residential Street Address

Dir Technical Operations

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Amount of Contribution Principal Occupation

Residential Street Address

441 Chapel St Apt 1-6 New Haven CT 06511 USA

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes

Amount of Contribution Principal Occupation

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

Residential Street Address

Legislative Aggregate Contribution

Date Received Personal Check

I. MONETARY RECEIPTS (Section A-K)

Committee To Elect Jeffrey Kerekes