FORM C-1SUPPLEMENTAL CONTRIBUTOR INFORMATIONNEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION P.O. Box 185, Trenton, NJ 08625-0185 Phone: (609) 292-8700 Website: www.elec.nj.govCONTRIBUTIONS REPORT TYPE (Select One)SECTION I. CANDIDATE, JOINT CANDIDATES, OR POLITICAL COMMITTEE INFORMATIONCandidate(s) NameCommittee NameStreet AddressOffice SoughtCityStateZip Code*Day Telephone*Evening TelephoneElection DateElection Type: CountyPolitical PartyLegal Name of Election District or MunicipalitySECTION II. CONTRIBUTION INFORMATION (Receipt Types: A = Currency or Check, B = In-Kind, C = Loan)Date ReceivedContributor NameAddress (Number and Street, City, State, Zip Code)Aggregate AmountAmountOccupation (If Individual)Description, if In-Kind ContributionReceipt TypeEmployer Name and Mailing Address (If Individual)Date ReceivedContributor NameAddress (Number and Street, City, State, Zip Code)Aggregate AmountAmountOccupation (If Individual)Description, if In-Kind ContributionReceipt TypeEmployer Name and Mailing Address (If Individual)Date ReceivedContributor NameAddress (Number and Street, City, State, Zip Code)Aggregate AmountAmountOccupation (If Individual)Description, if In-Kind ContributionReceipt TypeEmployer Name and Mailing Address (If Individual)Grand Total:Registration NumberPINCandidate or TreasurerDate*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.New Jersey Election Law Enforcement CommissionPage 1 of 1sForm C-1SB Revised Jan. 2023Committee spending under the R-1 reporting threshold (A-1 or A-2 filers etc.) who received a contributionin excess of $300 in the aggregate from one source in the election, or any currency (cash) contributions.
Committee receiving a contribution in excess of $1,900 in the aggregate from one source starting with the13th day before the election up to, and including the day of the election (48-Hour Notice).School BoardAmendmentCheck If Currency Check If Currency Check If Currency

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