SEEC FORM 20 paced Hemized Campaign Finance Disclosure Statement : (CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION a eEeShmee atti? 138 [SES se SUMMARY PAGE 1, NAME OF COMMITTEE, Ansonia Democratic Town Committee TREASURER NAME. Mr James D Hubbard Sr pati = = am 10 Harris Rd. Ansonia ct 06401 7. CANDIDATE NAME (Complete only Candidate or Exploratory Comite) |4. TYPE OF REPORT (Check One Box) January 10 filing Thday preceding primary 1." Th day preceding referendum Initial Contribution or Disbursement (eucsoseY) + Apri 10 filing 30-day following primary 45 days following referendum kent to * July 10 Siting ‘7th day preceding election Deficit “Type of Report * October 10 filing 12th day preceding election + Termination (Sit Central Commies Oa) Independent Expenditure 45 days following election Primary lection not held in November |» renion covERED Beginning Date Ending Date 07/01/2011 thru 09/30/2011 10, CERTIFICATION. | hereby certify and state, under penalties of false statement, that all of the information set forth on this Itemized Camps Disclosure Statement for the period covered is rue, accurate and complete. Finance z oO James D. Hubbard _ 10/06/2014 SRR ORDEFUTY TREASURER(SIGNATURD) PRINT NAME OFlcER DATE omits) PENALTY FOR FALSE STATEMENT 1S PUNISHABLE BY FINE NOT TO EXCEED 51,00, OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.SEEC FORM 20 Itemized Campaign Finance Disclosure Statement ‘CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION fens Page 20117 SUMMARY PAGE TOTALS, NAME OF COMMIETEE FING DUEDATE Toninon Teeoria Denocrtc Town Convaline COMUNNA | COLTRI] “OCUHIN TH, Balance on hand January 1 of eurent year for Ongoing and Party Commitees OR alae on hand from day Commies was formed forall ther commitees $0.00 12, Balance on hand athe heiming of Reporting Period $8679.28 13, Contributions recived from Individuals (Sections A and B $8,096.00 $0.00 14, Receipts fiom Other Commitees (Sections Cand C2) 30.00 $0.00 15, Other Monetary Receipts (Sections D-K) $0.00 $0.00 16a_Totl Small Food and Beverage Resp a ai (Seton L.1) Town Commtees ONLY $0.00 $0.00 16b, Total Proceeds from Small Purchases at Tag Sales, Auctions or Other Sales (Section 1.2) $0.00 $0.00 i, Tt Pusha of Advising na Pogram Book Seton L3) Commies ONEP semn0 $000 17, Total Monetary Recep (ad nals fr tines 13-160) $9,296.00 $0.00 18 Subtotals ad toa nine 12 + Tne 17 in Column A; ann fine 11 +17 in Cola By $0,960.20 $0.00 19, Expenses Paid by Commitee (Sesion P) $5,929.45 $0.00 20. Balance on hand at lose of Reporting Period Sutera ine 19 fom in 18 bh Coane) $4,039.84 $0.00 21, In-Kind Donations not Considered Contributions Received (Seton Lt) $0.00 $0.00 22. In-Kind Contributions Received (Section M) $0.00 $0.00 23 Refundable Deposit to Telephone Company (Seton N) $0.00 $0.00 24 Receipts of Organization Eypendiures (Seton O) $0.00 0.00 25.Beying Loan Balance $0.00 $0.00 25a,“ Loans Reveived (Section D) $0.00 $0.00 25, _merest and Penson Loan $0.00 $0.00 256. Payments on Loan $0.00 $0.00 254, Total Oustanding Loan Amount sooo $000 26, Campaign Expenses Paid by Candidate (Seton Q) $0.00 $0.00 27. Expense Ineumed on Commitee Credit Crd (Section 8) $0.00 $0.00 28, Expenses Incured by Commitee During this Period but Not Pad (Sesion S) S08 28x, Total Oustanding Expenses Incured by Commitee stil Upaid (Seeton S) $0.001, MONETARY RECEIPTS (Sections A- Page 3.0617 NAME OF COMMITTEE LING puE DATE ‘Ansonia Democratic Town Committee 100172014 %._ Total Contributions from Small Contributors-Received this Period ONLY 100 (Sex inructions for dfntion of Small Contato Subtotal Section Al B. Itemized Contributions from Individuals lear Far Mi [Pac Oceoeion “Amount of ‘Jayanthan, Jay K Contribution Sane ABTS = oa cS 35 Tumberty Ro, Wallingford cT_|osaea Ns conrbnora lobby poise, ‘Yer | Teor exces of 400 toa candias commie fora set exeouive oTiceroF@ for dependent hid ota lobbyist? a* No’ | munity does conbutor or business hse is associated with have a conract with sad ‘municipality valued at mote dan $8000? Yer No Ts covribtion associated with Yes | Iscontibuora principal ofa state oniractror prospective sate contactor? Yes funding eves listed inSection Lt?“ No ifyer, deste bch branch or benches Ne ‘yey ist Even cf govemment he conte wi Executve "Legislative Wathod of contbion Ta Ra eee ARTS ‘Cash + Personal Check ~” CreivDebit Card © Pycll Deaton | Money Onder ogir2r2011 $0.00 | $1,000.00 aaa ra Ti rnc Ocean ‘Amount of Narayana Premaiatha Contebtion Sal Sse RATE 7 sae Papas — Rano oe 20 Hamish Ln. Waltingford ct _{os4o2 is conrbtor alist spose Yer} eons in xcs of $400 toa candaecommilce fra st oxcolve oce of Jordcpenden’chidofalattyis? + No. | municipality does ener or busines he associated wit ave a const with said uray valued at more than $5007 Yeu No Tsthsconibation assocaed witha =, Yes | Is cntibuor a prinspal ofa state contactor r prospective wate contactor? (Yes fundrasing event listed in Section LI? 18 No ‘ver indicate which branch or branches ie No ye. st Event ‘goverment the contact with Executive Legislative Metiod af entiation Da Ree Nae ATS “Cash + Personal Check” CrediuDebit Car. Payrll Destion |. Money Order o@/t272011 $0.00 | $1,000.00} eRe ra ee mount of sordanides ‘Spero, Contribution il Ses NEE 7 SEPT aE ‘3358 Grove Pond Ln Southbury ct _|osasa fsconmfora obs spouse, 7" Yer Teorbuon in eis of SA ta candiaecommitoe fora out excoave ofice oF lorderenden chidota abeyis? Nov | muneipality does eonrbuor or busines lhe eased with ave w canract with said ‘ranealiy ved at more han $5,007 You No Ts this conibation sociated wih Yes | fsconinbutor principal of sat contr or prospective tate ontactor? "a Yew ontibuor 2 principal of prope fupdrasing event tisted in Section LL? 3, No U/ye. nbc which branch or branches Ne Iyer. st Evert of goverment the contacts wih Executive. Legistve Matied of sontbation Da Rese Nee SITS "Cash + Personal heck‘ CredivDebit Card "Payroll Doastion | Maney Order ogrtar2011 $0.00} _ $500.00 ane os ee Knoantof sJordanides Spero, Contetion '3958 Grove Pond La ‘Southbury ict_[ossse. 5 conribuora lobbyist spouse, "Yer | Wonton i exces of S100 toa cand commie fora set exeouive oPice oF lordegendenechidoflottyist? = No.__| muneipaiy does contbutc or busines hehe eased wit ave w contract with sid ramp vlued at more than $5007 esis No Isthisconribanon wsociaed witha v1 Yes | Iscontnbuorepncpa oa state contactor or pronpectve wate contactor?» Yew fondasing event ited in Secon U1? 8! Nov Ive. indicate wc branch or branches No ve. st Event of govemment he contact wih Executive Legislative Method of sonttaion Das Raat ee ATT Cash Personal Check” CredivDebit Cd «! Pyell Deduction” ” Money Order ogr1272014 0.00 | _ $250.00 SUBTOTAL Section B-This Page} $2,750.00 $225.00 TOTAL of additional Section B Pages $3,096.00 TOTAL. OF ALL CONTRIBUTIONS FROM INDIVIDUALS (Sections A & B) (Enter total on Line 13 of Summary Page)