Kerekes SEEC Filing July 10

8/6/2019 Kerekes SEEC Filing July 10

1/46

SEEC FORM 20

Itemized Campaign Finance Disclosure Statement

Rev. 1/08

Office Use OnlyCONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION

Electronic Filing

Page 1 of 46

SUMMARY PAGE

1. NAME OF COMMITTEE

2. TREASURER NAME

Committee To Elect Jeffrey Kerekes

3. TREASURER ADDRESS

4. ELECTION DATE

7. CANDIDATE NAME

8. TYPE OF REPORT

9. PERIOD COVERED

10. CERTIFICATION

5. OFFICE SOUGHT (if applicable) 6. DISTRICT CODE (if applicable)

Title

Title

First

First

MI

MI

Last

Last

Suffix

Suffix

Street Address City State Zip Code

harry I David

441 Chapel St Apt 1-6 New Haven CT 06511-5844

Mayor

Mr Jeffrey P Kerekes

July 10 Filing - Original

Beginning Date Ending Date

06/04/2011 thru 06/30/2011

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.

PRINT NAME OF THE SIGNER DATE CERTIFIED

07/08/2011 10:20:49 am

PENALTY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000,

OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.

SIGNATURE

Electronic Filing harry David


2/46

Page 2 of 46

SUMMARY PAGE

SEEC FORM 20Itemized Campaign Finance Disclosure Statement

CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION

Rev. 1/08

TOTALS

NAME OF COMMITTEE FILING DUE DATE

COLUMN A

This Period

COLUMN B

Aggregate

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)

16c. Total Purchases of Advertising in a Program Book (Section L3)

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)

16b. Total Proceeds from Small purchases at Tag Sales, Auctions or Other Sales (Section L2)

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

$0.00

$2,875.00 $2,875.00

$0.00 $0.00

$0.00 $0.00

16a. Total Small Food and Beverage Receipts at Fair (Section L1)

17. Total Monetary Receipts (add totals for lines 13-16c)

$0.00 $0.00

$0.00 $0.00

$0.00 $0.00

$2,875.00 $2,875.00

$525.16 $525.16

$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

$0.00 $0.00

$0.00 $0.00

$0.00 $0.00

$0.00 $0.00

$3,095.91

$3,095.91

$2,875.00 $2,875.00

Committee To Elect Jeffrey Kerekes Original 07/11/2011

$2,349.84 $2,349.84


3/46

Page 3 of 46

I. MONETARY RECEIPTS (Section A-K)

AME OF COMMITTEE FILING DUE DATE


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

First Name MI

Jeffrey

Residential Street Address

43 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/12/2011

Principal Occupation

Name of Employer

Is this contribution associated with afundraising event listed in Section L1?

Yes

NoIf yes, list Event #

Is contributor a lobbyist, spouse,

or dependent child of a lobbyist?

Aggregate Contribution

$10.00

Amount of

Contribution

$10.00

Last Name

Kerekes

_ Cash _ Money Order_ Personal Check Credit/Debit CardX

Yes_

NoX

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

X

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

_

_ Executive Legislative_

_ Payroll Deduction

Method of Contribution

_

X

First Name MI

Tim


483 Central Ave

City

New Haven

State Zip Code

CT 06515

Date Received

06/14/2011


Name of Employer

Is this contribution associated with a

fundraising event listed in Section L1?Yes


Broadstripes, LLC

Software Developer




$100.00

Amount of

Contribution

$100.00

Last Name

Holahan


Yes_

NoX


officer of a municipality does contributor or business he/she associated with have acontract with said municipality valued at more than $5000?

_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Duncan


79 Bishop St

City

New Haven

State Zip Code

CT 06511

Date Received

06/14/2011


Name of Employer




Self Employed

Entrepreneur




$100.00

Amount of

Contribution

$100.00

Last Name

Goodall


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X


4/46

Page 4 of 46





First Name MI

Gilian Robin


177 Everit St

City

New Haven

State Zip Code

CT 06511

Date Received

06/14/2011


Name of Employer




Retired

Former Lawyer




$340.00

Amount of

Contribution

$340.00

Last Name

Roush


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

David


99 Avon

City

New Haven

State Zip Code

CT 06511

Date Received

06/14/2011


Name of Employer




The Green Life Guides

Dir Technical Operations




$50.00

Amount of

Contribution

$50.00

Last Name

Streever


Yes_

NoX




_

Yes

X

No




_

Yes No

_

_

Executive Legislative

_

_ Payroll Deduction


_

X

First Name MI

Kimberly


25 Clark St Apt 2

City

New Haven

State Zip Code

CT 06511

Date Received

06/14/2011


Name of Employer


Yes





$20.00

Amount of

Contribution

$20.00

Last Name

Nucifora


Yes_

NoX




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


5/46

Page 5 of 46





First Name MI

Harry


441 Chapel St Apt 1-6 New Haven

CT 06511 USA

City

New Haven

State Zip Code

CT 06511

Date Received

06/14/2011


Name of Employer




Retired

Retired



I


$340.00

Amount of

Contribution

$340.00

Last Name

David

_ Cash _ Money OrderX Personal Check Credit/Debit Card_

Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Gary


30 Birch Dr

City

New Haven

State Zip Code

CT 06515

Date Received

06/14/2011


Name of Employer




Self Employed

Sales/Marketing




$340.00

Amount of

Contribution

$340.00

Last Name

Doyens


Yes_

NoX




_

Yes

X

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Thomas


22 Hallock St

City

New Haven

State Zip Code

CT 06519

Date Received

06/15/2011


Name of Employer


Yes


Retired




$100.00

Amount of

Contribution

$100.00

Last Name

Ahern


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X


6/46

Page 6 of 46





First Name MI

Robyn


21 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/15/2011


Name of Employer




CWA

Secretary




$50.00

Amount of

Contribution

$50.00

Last Name

Hayes


Yes_

NoX




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Douglas


73 Huntington Rd Unit B

City

New Haven

State Zip Code

CT 06512

Date Received

06/15/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

Ledewitz


Yes_

NoX




_

Yes

X

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Rebecca


18 Rock St

City

New Haven

State Zip Code

CT 06511

Date Received

06/15/2011


Name of Employer


Yes





$25.00

Amount of

Contribution

$25.00

Last Name

Turcio


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


7/46

Page 7 of 46





First Name MI

William


206 W Rock Ave

City

New Haven

State Zip Code

CT 06515

Date Received

06/16/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

Taylor


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Patricia


206 W Rock Ave

City

New Haven

State Zip Code

CT 06515

Date Received

06/16/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

Taylor


Yes_

No_




_

Yes

_

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Allan


115 Everit

City

New Haven

State Zip Code

CT

Date Received

06/16/2011


Name of Employer


Yes





$10.00

Amount of

Contribution

$10.00

Last Name

Brison


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


8/46

Page 8 of 46





First Name MI

Frank


98 Hughes St

City

New Haven

State Zip Code

CT 06512

Date Received

06/16/2011


Name of Employer




Self

Retired




$200.00

Amount of

Contribution

$200.00

Last Name

Martone


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Beth


38 Daniel St

City

Milford

State Zip Code

CT 06460

Date Received

06/17/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

Royer


Yes_

No_




_

Yes

_

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Pei


43 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/17/2011


Name of Employer


Yes





$10.00

Amount of

Contribution

$10.00

Last Name

Ye


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


9/46


10/46

Page 10 of 46





First Name MI

Aaron


PO Box 207063

City

New Haven

State Zip Code

CT 06520

Date Received

06/22/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

Goode


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Ethel


50 Autumn St

City

New Haven

State Zip Code

CT 06511

Date Received

06/22/2011


Name of Employer




Self employed

Book Illustrator, reading

tutor




$100.00

Amount of

Contribution

$100.00

Last Name

Berger


Yes_

NoX




_

Yes

X

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Dana


157 Church St

City

New Haven

State Zip Code

CT 06510

Date Received

06/23/2011


Name of Employer


Yes





$15.00

Amount of

Contribution

$15.00

Last Name

Ciccone


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


11/46

Page 11 of 46





First Name MI

Beth


100 N Main St

City

Essex

State Zip Code

CT 06426

Date Received

06/23/2011


Name of Employer




Middlesex Hospital Outpatient Center

Radiographer




$100.00

Amount of

Contribution

$100.00

Last Name

Crain


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

MARY


183 W Rock Ave

City

New Haven

State Zip Code

CT 06515

Date Received

06/23/2011


Name of Employer




Self

Content Editor




$50.00

Amount of

Contribution

$50.00

Last Name

FAULKNER


Yes_

NoX




_

Yes

_

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Paolo and Laurie


1515 State St

City

New Haven

State Zip Code

CT 06511

Date Received

06/23/2011


Name of Employer


Yes


YNHH

APRN




$200.00

Amount of

Contribution

$200.00

Last Name

DeSiato


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X


12/46

Page 12 of 46





First Name MI

Michelle


75 Bishop

City

New Haven

State Zip Code

CT 06511

Date Received

06/25/2011


Name of Employer




Yale University

Editor




$100.00

Amount of

Contribution

$100.00

Last Name

Komie


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Paul


20 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/26/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

Walsh


Yes_

No_




_

Yes

_

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Chris


1 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/26/2011


Name of Employer


Yes





$20.00

Amount of

Contribution

$20.00

Last Name

Randall


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


13/46

Page 13 of 46





First Name MI

PEIJUN


224 W Dryden St Apt 404

City

Glendale

State Zip Code

CA 91202

Date Received

06/26/2011


Name of Employer




Advancive Technology Solutions

IT Consultant




$100.00

Amount of

Contribution

$100.00

Last Name

YE


Yes_

NoX




_

Yes

X

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Rachel


92 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/26/2011


Name of Employer







$10.00

Amount of

Contribution

$10.00

Last Name

Mekeel


Yes_

No_




_

Yes

_

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Mark


132 Mansfield St

City

New Haven

State Zip Code

CT 06511

Date Received

06/26/2011


Name of Employer


Yes





$25.00

Amount of

Contribution

$25.00

Last Name

Abraham


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


14/46

Page 14 of 46





First Name MI

Louis


548 Middletown Ave

City

North Haven

State Zip Code

CT 06473

Date Received

06/27/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

St. George


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Mo


120 Longhill Ter

City

New Haven

State Zip Code

CT 06515

Date Received

06/27/2011


Name of Employer







$10.00

Amount of

Contribution

$10.00

Last Name

Sila


Yes_

No_




_

Yes

_

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Patricia


119 Dwight St

City

New Haven

State Zip Code

CT 06511

Date Received

06/27/2011


Name of Employer


Yes





$40.00

Amount of

Contribution

$40.00

Last Name

Kane


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


15/46

Page 15 of 46





First Name MI

David


97 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/27/2011


Name of Employer







$25.00

Amount of

Contribution

$25.00

Last Name

Stolar


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X

First Name MI

Susan


97 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/27/2011


Name of Employer







$10.00

Amount of

Contribution

$10.00

Last Name

Kremser


Yes_

No_




_

Yes

_

No




_

Yes No

_

_


_

_ Payroll Deduction


_

X

First Name MI

Lennart David


44 Lyon St

City

New Haven

State Zip Code

CT 06511

Date Received

06/27/2011


Name of Employer


Yes





$10.00

Amount of

Contribution

$10.00

Last Name

Rapp


Yes_

No_




_

Yes

_

No




_

Yes No

_


_ Payroll Deduction


_

X


16/46


17/46


18/46


19/46

Page 19 of 46

D. Loans Received this Period





Date Received

Name of Cosigner/Guarantor

Amount

Received

Name of Lender


Is there a

cosigner or

Guarantor of

this loan?

Yes

No

Source of Loan:

Bank

Individual

Candidate

Other

Committee

Total of Section D


20/46

Page 20 of 46

E. Receipts from Entities other than Individuals or Other Committees (Referendum Committees ONLY)



Original 07/11/2011Committee To Elect Jeffrey Kerekes

Street Address

City State Zip Code

Amount

Received

Name

Date Received

Aggregate Contributions

Total of Section E


21/46

Page 21 of 46

F. Amount Transferred from Affiliated Business Treasury (Business Entity Committees ONLY)

I. MONETARY RECEIPTS (Section A-I)



AmountDate of ReceiptIs this transaction associated with a fundraising event listed in Section L1?

Yes No If yes, list Event #

Total of Section F


22/46


23/46


24/46


25/46


26/46

Page 26 of 46

K. Miscellaneous Monetary Receipts not Considered Contributions




Street Address Cit State Zip Code

Description

Amount

Received

Name Date of Transaction

Total of Section K


27/46


28/46

Page 28 of 46

L2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items

II. FUNDRAISING EVENT ACTIVITY



Zip CodeStateCityResidential Street Address

Method of payment:e of the Purchaser Aggregate

Amount of

PurchasesLast Name

First Name MI

Event #

Items Purchased

Personal CheckCash Credit/Debit Card

Date Received

(Individuals ONLY)

Total of Section L2


29/46


30/46


31/46


32/46


33/46

Page 33 of 46

O. Non-Monetary Receipts of Organization Expenditures Made By

Legislative Leadership, Legislative Caucus, and Party Committee

III. NONMONETARY RECEIPTS



Street Address Date Notice Received

Description of Donation

Fair Market

Value of

Donation

Name of Committee

City State

Name of Treasurer

Aggregate DonationsZip Code

Purpose of Expenditure

A B C D E

Total of Section O


34/46


35/46


36/46


37/46

Page 37 of 46

R. Expenses Incurred on Committee Credit Card

IV. EXPENDITURES




Name of Vendor Amount

Name of Issuing Institution

Date of Transaction

Event #

Type of Credit Card:

Purpose of Expenditure (by code)

Description

Visa Master Card Discover American Express

Other

Total of Section R


38/46


39/46


40/46


41/46


42/46


43/46


44/46

Page 44 of 46

S. Expenses Incurred By Committee but Not Paid During this Period

IV. EXPENDITURES




Description

Name of Creditor Date Incurred Amount Incurred

(Estimate or

Actual)

Purpose of

Expenditure (by

code

Event #

Candidate(s) Name (if applicable) Office SoughtType of Expenditure (if applicable)

A B C D E

Supported

OpposedCoordinated with reimbursement sought

Coordinated without reimbursement sought

Independent

Docuprint

Organization (see Instructions)

27 Whitney Ave New HavenCT 06510

06/22/2011

OFFICE

_

_

$0.50

_ _ _ _ _

_

_

_

_

Copies


Description


(Estimate or

Actual)

Purpose of

Expenditure (by

code

Event #


A B C D E

Supported



Independent

JM Signs


6304 S Tex Pt HomosassaTX 34448

06/27/2011

A-SIGN

_

_

$1,525.50

_ _ _ _ _

_

_

_

_

Yard Signs


45/46

Page 45 of 46

S. Expenses Incurred By Committee but Not Paid During this Period

IV. EXPENDITURES




Description


(Estimate or

Actual)

Purpose of

Expenditure (by

code

Event #


A B C D E

Supported



Independent

Hour 48 Hour Print


33 Farnsworth St BostonMA

06/27/2011

A-SIGN

_

_

$866.87

_ _ _ _ _

_

_

_

_

Door Hangers


Description


(Estimate or

Actual)

Purpose of

Expenditure (by

code

Event #


A B C D E

Supported



Independent

Hour 48 Hour Print


33 Farnsworth S BostonMA

06/28/2011

A-SIGN

_

_

$37.39

_ _ _ _ _

_

_

_

_

Door Hangers

Total of Section S $3,095.91


46/46

Page 46 of 46

IV. EXPENDITURES


Committee To Elect Jeffre Kerekes Original 07/11/2011

T. Itemization of Reimbursements to Committee Workers and Consultants


Secondary Payee

AmountName of Worker/Consultant Date of Payment Method of Payment

Purpose of Expenditure

Check #

Debit Card

Other Candidate(s) Name Office Sought

Description

Supported

Opposed

Type of Expenditure (if applicable)

Coordinated with reimbursement sought


Independent


A B C D E

Total of Section T

Documents

Kerekes SEEC Filing July 10