— i REPORT OF CONTRIBUTIONS AND FORM Ret EXPENDITURES NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION P.O. Box 185, Trenton, NJ 08625-0185, (609) 292-8700 o° Toll Free Within NJ 1-886-313-ELEC (8532), REPORT (CHECK ONE}, {77 29- DAY PRE-ELECTION (71 11-DaY PRE-ELECTION (2) 20- DAY POST-ELECTION 40r 15, ve lcs. gov i 46, SaaS = Bis fe] e c pel 523) u jan 15) a i eet Lue CITY STATE __ ZIP CODE For State Use Only DEEL SouNTY ELECTION DISTRIG] OR MONICPAITY pecan POLTTCAL PARTY. IF ANY B ELecriON Tyee [-] PRIMARY LJ MAYMUNICIPAL [RX] scHoor >) @scOaL (CHECK ONE) [=] GENERAL [—} RUNOFF 5) Fire pistrict 7 ‘DO NOT ATTEMPT TO COMPLETE TABLES | AND UNTIL [SUMMARY TABLES a ppRoPRIATE SCHEDULES HAVE BEEN COMPLETED. rast nasaer cai 7 MONETARY CONTRIBUTIONS LOANS OF S300 OR LESS oe 2. MONETARY CONTRIBUTIONS IN EXCESS OF $300 AND ALL CURRENCY ‘CONTRIBUTIONS [Schedule A) IN4KIND CONTRIBUTIONS OF $300 OR LESS 3, 4. IN-KIND CONTRIBUTIONS IN EXCESS CF $200 [Schodulo B] LOANS RECEIVED IN EXCESS OF $300 AND ALL CURRENCY LOANS [Schedule C] 6, SUB TOTAL {ADD LINE REFUND OF CONTRIBUTIONS fAdjustment Schedule} TOTAL CONTRIBUTIONS 9. ADD FUNDS TRANSFERRED FROM PRIOR CAMPAIGN, }10, TOTAL RECEIPTS TABLE i EXPENDITURES ". DISSURSEMENTS - CAMPAIGN EXPENSES [Schedule (0)} 2, DISBURSEMENTS - OTHER [Schedule 2(0}] 3. DISBURSEMENTS - CONTRIBUTIONS MADE TC OTHER, CANDIDATES/COMMITTEES [Schedule 3(D)} 4, CONTRIBUTIONS MADE ON BEHALF OF OTHERS. [Pro Rata Amount Schedules 1(D} and 2(0]} IN-KIND CONTRIBUTIONS OF $300 OR LESS (FABLE |, LINE 2) {ADD LINE 8 + LINE 9) . IN-KIND CONTRIBUTIONS IN EXCESS OF $300 (TABLE I, LINE 4) 7, SUBTOTAL (ADD LINES 1 THRU 6) REFUNDED DISBURSEMENTS [Schedule F] . TOTAL EXPENDITURES: [Naw Sosy Sect Uw Efercaren Common T ‘Fomor Panos OT