8/14/2019 Antonucci Donation

1/1

AMF,NF '(-.r)MMITTF.F. FN']ING DIJE DAI'Lul a,aarr{Jl"- /t'la'luaQ';A,, qtal:i0-q!{rribi.u"fionS',fr.sm S a{l Contriliutofs;rR$qeiysd,, i!"?e-rip,.d';.0..N,f1Y-. $ | , 75'f,'t''e. rtemJ;J Contributions from IndividualsFnst ,--) Iu -L^-t?.t{t MI Prircipal Occupation Amount ofContribution

KeilOelillrl \lleet r\OOIC;SO 4o' 1i,,./,,,"L,, q+ F;J [l]A.t,,,, itateL-r alp Lodeb [.]Df Namc of Ernployer /e,tts contnbutor a lobbyrst- spouse, I Yesor dependent child ofa lobbyist? D No Ifcontributronlis in excess ol$.100 to a candtdate committee for a chiefexecutive officer olamunictpality does contributor or business he/she is associated rvith have a contract q'ith saidmunicipalrty valued at more than $5,000? !Yes ENo

ls this contribution associated with afi.rndraisrng erent listed in Scction \ I Iflcs. l:stL\cnLh /\q f !c lp'l f,

I'esDNo ls contributor a principal ofa state contractor or prospective state contractor?{fyes, indicate which branch or branchesofgovernment the contract is with: n Executive fl LegislativeD YesnNo

N{ethod of contribution:D Cash fr Personal Check I CreciiLDebit Card fl Payroll Deduction fl Money OrderDate Recpived ;atlaofoq Aggre gate contnbutronsii-l1ao

L a:t Nmc 7fl" 1,",2 a cL) '""'?:" /,o*J I *' Princrlal Olcupalron. / lI n,.' ,, as L .r f< Amount ofContritrutionVda'ar'

i.e sidenrial Street,\ddressI" 1g ol ust,n //,- rtyl! fJ,, ,, ,, itatef,r Zrp Codelj/,i/{ 'Jrnre ofErnolover Ml-laarl('Is contributor a lobbyist, spouse, n Yesordependentchildolalobbyisfl & No ii "*tribrt'* " * "t*tt "l $400 to a candidate committee for a chief executiv'e officer of amunicipality does contributor or business he/she is associated.,vith have a contract with Saidmunicipality- valued ai moie than $5,000? n yes D No

ls this contribution associated with a ff Yetfrndrarsing crent iisted ln Seftron Il? D Noflzs. list tventY :^9' /,co loQIs contributor a principal ofa state contractor or prospective state contractor'? D YesIfyes-indiciterthi"hbranchorbranches fl Xooigoternm.ntthecontractiswith: IExecutive DLegislative

Method of contribution:n Cash ( Personal Check I Credit/Debit Card fl Payrolt Deduction n Money OrderDate Received ,6yf'*fot Aggreg

Last Nmv 18,, t' o ,', ts c- c'', "'*Kr. L",,J I^* PrircigalOccupatio" ar nL D,t,*, e^s La.fA Amount ofContributionA-{a, aa

iesrdentral Sreet AddressI-a3e-lqs*n Y.^. ''kiu* f k",u,, itateCr lip Code4 Ls-tt Jame of Employer , ,ff aa "t-t: ua-s contributor a lobbyist, spouse, Ll Yesrrdependentchildofalobbyist? 4 No tf *t tlt "tion ii in e*c"ss of $400

to a candidate committee for a chief executlve officer of amunicipality does contributor or business he/she rs associatcd witF, have a contract with saidmunicipality valued at more than $5,000? n Yes B ryg=.-

ls this connihutron associated urth a fr[ Yettundraisina event listed rn Sectiotr L I ? D Nofl es. Irsi rvent t U, f ,4 f a ciIs contributor a principal ofa state contractor or prospective state contractor?Ifyes, rndicate rvhich branch or branchesol govemment the contract is with: n Executive n Legisiative

I Yes[]NoMethod of contribution:tr Cash fl Personal Check n CreditDebit Card D Payroll Deduction n Money Order

Date Received,aQ ltqios Aggregate contnbutlonsL{a, ooast Nme- . ,'6e-// Firsr - I Ml)J47.,,,,/ I Principal Occupation Amount ofContribution

$.c,.ac

lrtu/< -1, itare lZip Codec7* lL4Lllf Name of Employeris contributor a lobb,vist. spouse, I Yesor dependent child of a lobb-vist? n No ffiootoacandrdatrnunicipality does contributor or business he/shemunicipality valued at more than $5,000?

committee for a chief executive otficer of ais associated rvith have a contract rvith saidfl Yes D No

Is this contribution associated rvith a ffi Yesfundraisrng evcnt listed in SgctronTll" D Nofles. lrsr Eventu tl/Ao/tqn YesENos conrributor a pnncipal ofa state contractor or prospective state contractor?I/ye.s, indicate rvhich branch or branchesoigovernmettt the confact is with: fl Executive fl Legislative

Method of contribution:fi Cash n Personal Check D Credit/Debit Card n Payroll Deductron D Mone; OrderDate Rece,)ved 1bt lac lstl Aggregate cootributions -lflo, r

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