‘Tals form can be electronically filed at: www. cfec..gou sets SUPPLEMENTAL CONTRIBUTOR INFORMATION FORM C-1 a FOR STATE USE ONLY ~NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION ; P.O, Box 185, Trenton, NJ 08625-0185 (609) 282-8700 or Toll Free Win NJ 1-888-313-ELEC (8532) L wuwelec.nigov ‘EQNTRIBUTIONS REPORT TYPE (CHECK ONE) Commies spencng under the R-t reporting threshold (At or A? ers ) who reosived a contbuton in ‘2xc068 of $300 n the aggregate from one source the election, or any cuency (cash) contribution, ‘Arendment? Ci Commitee recsiving 2 contribution ir excess of $1,800 inthe aggregate rem ono source staring wit the 13™ {ay before the election upto, and inclucing the day of te election (48 Hour Natio}, Oyes [No ‘SECTION |. CANDIDATE, JOINT CANDIDATES, OR POLITICAL COMMITTEE INFORMATION Fe cy trance Oe Nie GHA as} J 5 Elaciog-QlttNysCpal ee ee [A oe BO SS Sates Office Sought County “(area Day Telophione Se reeiRead etceass Political Party "(hrea) Evening Talophiona SECTION 1. CONTABUTTON WFORWATION (Reap TypotA © Curancy or Shoot me Rr tianer ence RE Nps S eee TEE OO Geral ae | Sa ‘Occupation (individual erg pe [Cheat Description, iFin-Kind Contribution V Currency Employer Name (ir individual) Employer Malling Address (individual) Date Received, Wels OPER volo Gar Sack SRE SSE A, cares [MSR [Vee Satay Site pee hee riales a ES og : RTECS 3 Mes PREV aba Ga Back G RE (SRE ek or SS, ‘Gecupation (i ladividual) oggLipe |[Checkif | Dascrpion, iim i SSS OO ibution a o Curency Eaplojer Nate Waa Erployer Mating Aderaas WaT AES. nO Qv Prick BOE SAS eae _Drck SE BES so) tloas ‘Gezupation (Tahal RecegsType [Oreck | Desorption, fr-Rind Contibuton leureney paper Name Fay EFT Mag RECESS (WRARTGLY (COMPLETE THIS LINE FOR EVERY PAGE USED) TOTAL, THIS PAGE »_ BSS SC | (COMPLETE THIS LINE FOR LAST PAGE USED) cranororat —_§_ SSNS TSC | Candidate opfreasuzer Signatuy Ba Te) ovat Mian 7 fe JIE CSNSRE AUG vyeurttnenee dle tite Para t JS. a0. au