Professional Documents
Culture Documents
Electronic Filing
Page 1 of 19
COVER PAGE
1. NAME OF COMMITTEE
Ansonia Republican Town Committee
MI
A
Last
Vaccaro
Suffix
City
Ansonia
State
CT
Zip Code
06401
4. ELECTION/REFERENDUM DATE
7. CANDIDATE NAME (Complete only if Candidate or Exploratory Committee) First MI Last Suffix
8. TYPE OF REPORT
October 10 Filing - Original
9. PERIOD COVERED
Beginning Date
Ending Date
07/01/2013
thru
09/30/2013
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
Linda Vaccaro
10/06/2013 10:59:03AM
SIGNATURE
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 19
SEEC FORM 20
Itemized Campaign Finance Disclosure Statement CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
Revised January 2012
TYPE OF REPORT
October 10 Filing - Original
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 Committees 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 and C2) 15. Other Monetary Receipts (Section D through K) 16a. Total Proceeds from Small Puchases (Section L1 Subpart 1 + Subpart 3) 16b. Per Public Act 11-48, effective January 1,2012 Section L2 removed 16c. Total Purchases of Advertising - Program Book or Sign (Section L3) Municipal and Town Committees Only 17. Total Monetary Receipts (add totals for lines 13 through 16c) 18. Subtotals (add totals in Line 12 + 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 in both colum 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) OPTIONAL 25. Beginning Loan Balance 25a. + Loans Received (Section D) 25b. + Interest and Penalties on Loan(s) 25c. - Payments on Loan 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)
$6,110.00 $9,993.45 $5,446.94 $4,546.51 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,883.45 $2,310.00 $0.00 $0.00 $3,800.00
COLUMN B
Aggregate
$3,423.45
$0.00
$0.00 $0.00
Page 3 of 19
$0.00
Fers
Residential Street Address City
Patricia
State Zip Code
J CT 06401
28 W Brookside Ave
Principal Occupation
Ansonia
Name of Employer
Paralegal Specialist II
Is contributor a lobbyist, spouse, or dependent child of a lobbyist?
_ X
Yes No
_ X
Yes
No
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
08/21/2013
$190.00
$150.00
MI
Last Name
First Name
VITARIUS WAUGH
Residential Street Address City
JANET
State Zip Code
83 Prospect St
Principal Occupation
Ansonia
Name of Employer
CT
06401
_ 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? 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
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
X
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
08/21/2013
$10.00
$10.00
MI
Last Name
First Name
PYNE
Residential Street Address City
WARNER
State Zip Code
162 Center St
Principal Occupation
Woodbridge
Name of Employer
CT
06525
_ 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? 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
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
09/01/2013
$25.00
$25.00
Page 4 of 19
MI
Reed
Residential Street Address City
Irving
State Zip Code
14 Highland Ave
Principal Occupation
Ansonia
Name of Employer
CT
06401
Materials Testing
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? 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
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
09/02/2013
$500.00
$500.00
MI
Last Name
First Name
VACCARO
Residential Street Address City
RONALD
State Zip Code
515 Beaver St
Principal Occupation
Ansonia
Name of Employer
CT
06401
EDITIORIAL DIRECTOR
Is contributor a lobbyist, spouse, or dependent child of a lobbyist?
_ X
Yes No
_ X
Yes
No
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
09/02/2013
$500.00
$500.00
MI
Last Name
First Name
Vaccaro
Residential Street Address City
Lorie
State Zip Code
515 Beaver St
Principal Occupation
Ansonia
Name of Employer
CT
96488
Retired
Is contributor a lobbyist, spouse, or dependent child of a lobbyist?
_ X
none
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? 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
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
09/03/2013
$550.00
$500.00
Page 5 of 19
MI
Stowe
Residential Street Address City
Charles
State Zip Code
W CT 06401
23 Granite Ter
Principal Occupation
Ansonia
Name of Employer
Excavating Contractor
Is contributor a lobbyist, spouse, or dependent child of a lobbyist?
_ X
Yes No
_ X
Yes
No
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
09/05/2013
$575.00
$525.00
MI
Last Name
First Name
Czeczot
Residential Street Address City
Joanne
State Zip Code
M CT 06401
37 Morningside Dr
Principal Occupation
Ansonia
Name of Employer
SR ADMIN ASSIST
Is contributor a lobbyist, spouse, or dependent child of a lobbyist?
_ X
YALE UNIVERSITY
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? 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
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
09/05/2013
$75.00
$75.00
MI
Last Name
First Name
Fers
Residential Street Address City
Patricia
State Zip Code
J CT 06401
28 W Brookside Ave
Principal Occupation
Ansonia
Name of Employer
Paralegal Specialist II
Is contributor a lobbyist, spouse, or dependent child of a lobbyist?
_ X
Yes No
_ X
Yes
No
Amount of Contribution
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event # Method of Contribution
_
Yes No
_ _
Yes
No
Executive
Date Received
_
Cash
Personal Check
Credit/Debit Card
Payroll Deduction
Money Order
09/05/2013
$215.00
Total of Section B
(Sections A & B)
Page 6 of 19
Address
Is this contribution associated with a fundraising event listed in Section L1? If yes, list Event #
Yes
No
Amount of Contribution
City
State
Zip Code
Date Received
Aggregate Contributions
Total of Section C1
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 7 of 19
Date of Receipt Individual State Other Zip Code Is there a cosigner or Guarantor of this loan? Yes No
Amount Received
Street Address
City
State
Zip Code
Total of Section D
E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONLY)
Name of Entity
Street Address
Date Received
Amount Received
City
State
Zip Code
Aggregate Contributions
Total of Section E
F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLY)
Date of Receipt Is this transaction associated with a fundraising event listed in Section L1? Amount
Yes
No
Total of Section F
Page 8 of 19
G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury (Organization Committees ONLY)
Date of Receipt Amount
Total of Section G
Amount
Total of Section E
Date Received
Amount
Street Address
City
State
Zip Code
Total of Section J
Page 9 of 19
Date of Transaction
Amount Received
Street Address
City
State
Zip Code
Description
Total of Section K
Page 10 of 19
Description
08/24/2013
Location: Street Address
Sale Event
City State Zip Code
1 High Acres Rd
Subpart 1: (All Committees) Was this fundraising event hosted at a personal residence?
X _
Ansonia
CT
06401
Yes No
Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual of up to $100?
_ X
Yes No
Was this fundraiser a tag sale, auction, or other sale of donated items with puchases from an individual of up to $100?
X _
Yes No
$1,090.00
Subpart 2: (Town Committees and Municipal Candidate Committees ONLY) Were there purchases of advertising space in a program book or on a sign associated with this fundraiser? Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass gathering held within the state with this fundraiser? Fundraising Event #
Date of Fundraiser
_ X
Yes No
_ X
Yes No
$0.00
Letter
Description
09/22/2013
Location: Street Address
Fair Event
City State Zip Code
Seymour
CT
06483
Yes No
Did this fundraiser include items donated by a business entity of up to $100 or items donated by an individual of up to $100?
_ X
Yes No
Was this fundraiser a tag sale, auction, or other sale of donated items with puchases from an individual of up to $100?
_ X
Yes No
$0.00
Subpart 2: (Town Committees and Municipal Candidate Committees ONLY) Were there purchases of advertising space in a program book or on a sign associated with this fundraiser? Subpart 3: (Town Committees ONLY) Did your committee sell food or beverage at a fair or similar mass gathering held within the state with this fundraiser?
_ X
Yes No
X _
Yes No
$2,710.00
Total of Section L1
$3,800.00
Page 11 of 19
L3. Purchases of Advertising in a Program Book or on a Sign (Municipal Candidate and Town Committees ONLY)
Name of Purchaser Purchase Made By: Business Entity Sole Proprietorship Street Address City State Zip Code Individual
Date Received
Event #
Total of Section L3
Street Address
City
State
Zip Code
Description of Donation
Date Received
Event #
Total of Section L4
Page 12 of 19
Street Address
City
State
Zip Code
Type of Contributor:
Date Received
Aggregate contributions
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 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
Is this contribution associated with a fundraising event listed in Section J1? If yes, list Event#
Yes No
Executive
Legislative
Total of Section M
First Name
MI
City
State
Zip Code
Amount of Deposit
Street Address
City
State
Zip Code
Total of Section N
Page 13 of 19
O. Non-Monetary Receipts of Organization Expenditures Made By Legislative Leadership, Legislative Caucus, and Party Committee - OPTIONAL See Public Act 11-48
Name of Committee (Legislative Leadership, Legislative Caucus, and Party Committees ONLY) Name of Treasurer
Street Address
City
State
Zip Code
Aggregate Donations
Description of Donation
Purpose of Expenditure A B C D E
Total of Section O
Page 14 of 19
Method of Payment
X _
09/01/2013
129
Street Address
City
State
Zip Code
Main Street
Purpose of Expenditure (by code) Description
Ansonia
CT
Event #
06401
Amount
FNDR *
09222013P
_ _
Independent
Organization
$50.00
Name of Payee
Date of Payment
Method of Payment
X _
09/16/2013
130
Street Address
City
State
Zip Code
98 Bank St
Purpose of Expenditure (by code) Description
Seymour
CT
Event #
06483
Amount
FNDR *
FOOD LICENSE
09222013P
_ _
Independent
Organization
$72.00
Name of Payee
Date of Payment
Method of Payment
X _
BJ'S WHOLESALE
09/21/2013
131
Street Address
City
State
Zip Code
DIVISION STREET
Purpose of Expenditure (by code) Description
Derby
CT
Event #
06418
Amount
FOOD
09222013P
_ _
Independent
Organization
$304.48
Name of Payee
Date of Payment
Method of Payment
X _
09/22/2013
132
Street Address
City
State
Zip Code
BANK STREET
Purpose of Expenditure (by code) Description
Seymour
CT
Event #
06483
Amount
FOOD
09222013P
_ _
Independent
Organization
$28.88
Page 15 of 19
Method of Payment
X _
09/22/2013
133
Street Address
City
State
Zip Code
1 Rimmon St
Purpose of Expenditure (by code) Description
Seymour
CT
Event #
06483
Amount
FNDR *
FIRE EXTINGUISHER
09222013P
_ _
Independent
Organization
$30.00
Name of Payee
Date of Payment
Method of Payment
X _
LORIE VACCARO
09/23/2013
134
Street Address
City
State
Zip Code
515 Beaver St
Purpose of Expenditure (by code) Description
Ansonia
CT
Event #
06401
Amount
FNDR *
09222013P
_ _
Independent
Organization
$390.59
Name of Payee
Date of Payment
Method of Payment
X _
GIANCARLO CEFALU
09/23/2013
135
Street Address
City
State
Zip Code
EAGLE STREET
Purpose of Expenditure (by code) Description
Ansonia
CT
Event #
06401
Amount
FNDR *
09222013P
_ _
Independent
Organization
$48.44
Name of Payee
Date of Payment
Method of Payment
X _
VINNIE SCARLATA
09/23/2013
136
Street Address
City
State
Zip Code
BENZ STREET
Purpose of Expenditure (by code) Description
Ansonia
CT
Event #
06401
Amount
FNDR *
09222013P
_ _
Independent
Organization
$25.52
Page 16 of 19
Method of Payment
X _
09/25/2013
137
Street Address
City
State
Zip Code
Clinton
NY
Event #
13323
Amount
Misc *
_ _
Independent
Organization
$425.00
Name of Payee
Date of Payment
Method of Payment
X _
09/25/2013
138
Street Address
City
State
Zip Code
78 Clifton Ave
Purpose of Expenditure (by code) Description
Ansonia
CT
Event #
06401
Amount
A-SIGN
_ _
Independent
Organization
$4,020.03
Name of Payee
Date of Payment
Method of Payment
X _
09/25/2013
139
Street Address
City
State
Zip Code
98 Bank St
Purpose of Expenditure (by code) Description
Ansonia
CT
Event #
06483
Amount
Misc *
09222013R
_ _
Independent
Organization
$52.00 $5,446.94
Total of Section P
Page 17 of 19
Description
Event #
Amount
Total of Section Q
IV. EXPENDITURES
NAME OF COMMITTEE TYPE OF REPORT
October 10 Filing - Original
Discover
American Express
Date of Transaction
Street Address
City
State
Zip Code
Description
Event #
Amount
Type of Expenditure (if applicable) Itemization in Addendum R Required Coordinated without reimbursement sough Independent
Total of Section R
Page 18 of 19
IV. EXPENDITURES
NAME OF COMMITTEE TYPE OF REPORT
October 10 Filing - Original
Date Incurred
Street Address
City
State
Zip Code
Description
Event #
Type of Expenditure (if applicable) Itemization in Addendum S Required Coordinated without reimbursement sough Independent Organization :
Total of Section S
IV. EXPENDITURES
NAME OF COMMITTEE TYPE OF REPORT
October 10 Filing - Original
Street Address
City
State
Zip Code
Description
Event #
Amount
Expenditure #
Type of Expenditure (if applicable) Itemization in Addendem T Required Coordinated without reimbursement sough Independent
Total of Section T
Page 19 of 19