Zuse Complaint

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    i~AFFIDAVIT OF COMPLAINT (l~;1~1-;"~Z$ST A TE ELECTIONS ENFORCEMENT COMMISSION ~i:~,!~f~;)Revised July 2012 ~~ Page 2 of6II. IDENTITY OF RESPONDENT(S)

    RESPONDENT'S NAME (if known; otherwise write "unknown U)First Name ied MI Last Name Suffx2 LL-;eRESPONDENT'S STREET ADDRESS (Ifknown)Address 11~ B ("0 a. rl ~t-.City

    Gv. \ \ to (' dState Zip Code

    tr Orili 3'1RESPONDENT'S TELEPHONE NUMBER (Ifknown)Home a03" t15~. ' 3 IGl r Work I Cen :20"3 - '1~- ~~SORESPONDENT'S EMAIL ADDRESS (Ifknown) STATUTE(S) VIOLATED (lfknown) q..3Gtic. i ~- i.hoRESPONDENT'S NAME (lfknown, otherwise write "unknown U)

    First Name MI Last Name Suffx

    RESPONDENT'S STREET ADDRESS (Ifknown)Address

    City State Zip Code

    RESPONDENT'S TELEPHONE NUMBER (Ifknown)Home

    1 Work,cen

    RESPONDENT'S EMAIL ADDRESS (ifknown) STATUTE(S) VIOLATED (ifknown)

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    ~"AFFIDAVIT OF COMPLAINT ~,:s;r~;'~\STATE ELECTIONS ENFORCEMENT COMMISSION l~t"Uf~'d:~\'" "-../ -,'2Revised July 2012 ~~~~;,i~"'~ Page 3 of6III. VIOLATION(S) ALLEGED

    DATE(S) OF ALLEGEDVIOLATION(S) (ifknown)

    CONCISE STATEMENT OF FACTSPlease be as specific as possible with regard to time, place, and the individual(s) takng actions or failing to act, and in de-scribing their actions as well as other witnesses or persons involved. If applicable, please clearly refer to the names of identi-fied respondents, witnesses, and attached evidence (e.g., See Evidentiary Attachment B.). If you have identified more thanone respondent, please identify which respondent is alleged to have commtted which action and which specific allegedviolation of the statutes.If you are unable to provide the specific identity of any witnesses in the following "Witnesses" section, please provide asmuch identifying information as possible in the below "Concise Statement of Facts."The respondent(s) allegedly violated the law as follows:

    '5 et.

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    Louise G Graver124 Tuttles Point RoadGuilford, CT 06437(203) 453-4773(203) 453-9876 (fax)ha n klou ise(comcast. net

    CONCISE STATEMENT OF FACTS

    Complainant is the Democratic Registrar of Voters in Guilford, CT. Therespondent, Ted Zuse, appeared in my offce late in the afternoon on Monday,August 4, 2013 with thirteen pages of primary petitioning papers containing 253signatures in support of his effort to become the Democratic candidate for FirstSelectman. The packet also contained one 'Circulator's Statement of Authenticityof Signatures' signed by Mr. Zuse and certified by the Town Clerk.While the respondent was still in her offce, the complainant did a quick manualscan of the petitioning papers to make sure, on a macro level, that everyhingwas in order. While doing so, the complainant noticed her husband's 'signature'(which she did not recognize) and also an inaccurate date-of-birth. Complainantasked respondent if he had witnessed, as he had attested to in the Circulator'sStatement of Authenticity of Signatures, my husband's signing the paper.Respondent replied that he had probably been in the car while his helpercollected the signature. Complainant replied the she suspected an irregularity

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    AFFIDAVIT OF COMPLAINTSTATE ELECTIONS ENFORCEMENT COMMISSIONRevised July 2012

    ~~'J~(j i ~"'I ~ 'C~\~~;S~:L ~';~"~-)~t~,;.,,~:,,-~.::-sll;j:;':;:~'""",x

    Page 4 of 6

    IV. WITNESSESWITNESS'S NAME (ifknown)First Name MI Lat Name Sufx

    WITNSS'S STREET ADDRESS (Ifknown)Address

    City State Zip Code

    WITNESS'S TELEPHONE NUMBER (ifknown)Home

    I

    Work

    I CellWITNSS'S EMAI ADDRESS (Ifknown)

    WITNESS'S NAME (Ifknown)First Name MI Last Name Suffx

    WIESS'S STREET ADDRESS (Ifknown)Address

    City I IEJ rp Code IWITNESS'S TELEPHONE NUMBER (Ifknown)Home

    I

    Work

    I CellWITNESS'S EMAIL ADDRESS (Ifknown)

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    AFFIDAVIT OF COMPLAINT l/fdf~,STATE ELECTIONS ENFORCEMENT COMMISSION I~Y11-!':\- JJ:Revised July 2012 ~~;~;~i~;;~;~lr(N''-o~

    Page 5 of 6

    V. EVIDENCEATTACHED DOCUMENTARY OR RE EVIENCE

    Please identify each attachment by number of pages, title, author and date if applicable. Records not identified asattachments shall not be considered a par of the complaint. Please do not provide a website listing as evidence, as thisinformation is subject to change. If you wish to provide Internet or other video or audio communications as evidence,please provide a printed or electronic copy, as appropriate, and list it as an exhibit.Under "How Acquired" please identify your source for the evidence (e.g., delivery from an individual, Internet website,public flyer location). Ifthe source is an individual, please identify the individual in the witness list. If the source is apublication, such as a newspaper, please identify the publication's name and date ofthe publication.

    EVIENTIAY ATTACHMENT

    c, Number of PagesitleAuthor Date of ub lie at ion50THow AequireJ

    ViEVIDENTIARY ATTACHMENTlg ~ 1.:

    Number of Pages

    Author Date of Publication7cO -5How Aequired Date Aequiredt' ~l ,~EVIENTIARY ATTACHMENTTitle Number of Pages

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    AFFIDAVIT OF COMPLAINT l:~f~'r~~~~STATE ELECTIONS ENFORCEMENT COMMISSION ~(~tL~-H~Revised July 201 2 "\~::~;;~W-"GlvifPage 6 of 6

    VI. CERTIFICATION1) Each Complainant must sign a separate page and each signature must be separately certified. This

    complaint will not be considered fied without the name, address, and original certified signatue ofat least one Complainant. Mail or hand-deliver this complaint to:State Elections Enforcement Commission

    20 Trinity Street, Suite 101Harford, CT 061062) Once filed, this complaint may not be withdrawn by the Complainant(s) except by a vote of the StateElections Enforcement Commission.3) I am aware that criminal penalties may be imposed upon any Complainant who, under penalty offalse statement, knowingly files a false complaint.

    4) The State Elections Enforcement Commission's investigation of a complaint is confidential unlessand until the State Elections Enforcement Commission votes to authorize an investigation of acomplaint. Until such a vote, neither the Commission nor its staff wil release or confirm anyinformation about the complaint except upon wrtten request of a treasurer, deputy treasurer,chairperson or candidate affiliated with a committee that is the subject of the complaint orpreliminary investigation.Guides to the elections laws are available at http://wWW.ct.2ov/seecConnecticut General Statutes are available at http://www.c2a.ct.2ov

    CERTIFICATION

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    (ED-6 i 9) Rev. 5/03(Circulator: Read separate Instruction Sheet before circulating) (3)PRIMARY PETITION FOR MUNICIPAL OFFICE(S) AT-LARGE

    W ARNNG: IT IS A CRIME TO SIGN THIS PETITION IN THE NAME OF ANOTHER PERSONWITHOUT LEGAL AUTHORITY TO DO SO AND YOU MAY NOT SIGN THIS PETITION IFYOU ARE NOT AN ELECTORA. REGISTRAR MUST FILL OUT THIS PART (A) BEFORE GIVING OUT THIS FORMCityTown ofBorough Gu .i ~'" d(Name of Municipality)

    l p/WU r.al "I(Part)September 10,2013(Date of Primary)

    NAME(S) OF CANDIDA TE(S) ADDRESS d Z ~~~m'ihflki'~ ;"&-Cld- S-r OFFICE(S) SOUGHT TERMh"",-t 5t.tct~n 11,14 ~t:2 , '1

    THIS PETITION MUST BE FILED WITH ~lA/' Se. G~t-lr~ \. S G ti.J (Nam, of Registmr of V o

    lee )'3, V"- t l1t , ot later than 4:00 p.m. on August 7. 2013.(Address of said Registrar)

    , ~_..

    B. We, the undersigned, being enrolled members of the above party in the above municipality, dohereby petition that there be printed on the voting machine ballot labels to be used in the primary

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    (ED-619 - Rev. 5/03, Prim. PetT. Mun. Off. At-Lge.) -- (G\fonns\ed-600's\ed-619.doc) (4)STATEMENT BY REGISTRA OF VOTERS AS TO CIRCULATOR'SSTATUS AS ENROLLED PARTY MEMBER

    C. Circulator must have Part C filled in by part's Registrar in town in which circulator is enrolled beforesubmitting it to part's Registrar in town in which the signers are enrolled.CIRCULATOR'S NAME CIRCULA TOR'S RESIDENCE ADDRESS (no., street, town)

    I, Registrar of V oters of the part named in Part A of this petition, in the town ofCT do hereby attest that the above circulator is an enrolled member of said part in said town.

    Date Signature of Registrar of VotersCIRCULATOR'S STATEMENT OF AUTHENTICITY OF SIGNATURS

    D. Part D must be completed, by Circulator and by Acknowledging Officer, after obtaining all signatures onthis page 2nd before filing it with part's Registrar in municipality in which the signers of the page areenrolled.I am the Circulator of this petition page and I make this statement pursuant to e pr~vi ions olhaPter 153of the General Stitesp Connecticut. My address is .s ). C! '- , in thetown of C-i '- ,./ - t- . t T. i am an enrolled member of the political part designated on this petitionin said town. Each person whose name appears on this petition signatures page signed the same in person inmy presence. I either know each such signer or such signer satisfactorily identified himself or herself to me.The spaces for candidates supported, offces sought and the political part involved were filled in prior tomy obtaining the signatures. The number of signatures on this petition signatures page is ,. 3~ 3.I hereby declare under the PENALTIES OF FALSE STATEMENT, that the statements made II theforegoing Circulator's Statement of Authenticity of Signatures are tre.

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