FORM C-1
SUPPLEMENTAL CONTRIBUTOR INFORMATION
NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
P.O. Box 185, Trenton, NJ 08625-0185
Phone: (609) 292-8700
Website: www.elec.nj.gov
CONTRIBUTIONS REPORT TYPE (Select One)
SECTION I. CANDIDATE, JOINT CANDIDATES, OR POLITICAL COMMITTEE INFORMATION
Candidate(s) Name
Committee Name
Street Address
Office Sought
City
State
Zip Code
*Day Telephone
*Evening Telephone
Election Date
Election Type:
(Select One)
County
Legal Name of Election District or Municipality
Political Party
SECTION II. CONTRIBUTION INFORMATION
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Total This Page:
Grand Total:
Registration Number
PIN
Candidate or Treasurer
Date
*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 Commission
Page 1 of 4
sForm C-1SBa Revised May 2023
Required;
Committee 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).
Required;
School Board
Required;
Required;
Required;
Required;
Required; Format : Zipcode 12345 or 12345-1234
mm/dd/yyyyy
Enter Contributor Name.
mm/dd/yyyyy
mm/dd/yyyyy
Required;
Required;
mm/dd/yyyy
Amendment
Required;
SCHOOL BOARD
Required;
04/25/2023
11/07/2023
04/18/2028
11/07/2028
04/20/2027
11/02/2027
04/21/2026
11/03/2026
04/15/2025
11/04/2025
04/16/2024
11/05/2024
03/08/2022
04/19/2022
11/08/2022
04/20/2021
11/02/2021
05/12/2020
11/03/2020
04/16/2019
11/05/2019
01/23/2018
04/17/2018
11/06/2018
03/14/2017
04/25/2017
11/07/2017
Required;
ATLANTIC COUNTY
BERGEN COUNTY
BURLINGTON COUNTY
CAMDEN COUNTY
CAPE MAY COUNTY
CUMBERLAND COUNTY
ESSEX COUNTY
GLOUCESTER COUNTY
HUDSON COUNTY
HUNTERDON COUNTY
MERCER COUNTY
MIDDLESEX COUNTY
MONMOUTH COUNTY
MORRIS COUNTY
OCEAN COUNTY
PASSAIC COUNTY
SALEM COUNTY
SOMERSET COUNTY
SUSSEX COUNTY
UNION COUNTY
WARREN COUNTY
Required;
Required;
NONPARTISAN
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Total This Page:
Grand Total:
New Jersey Election Law Enforcement Commission
Page 2 of 4
sForm C-1SBa Revised May 2023
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Total This Page:
Grand Total:
New Jersey Election Law Enforcement Commission
Page 3 of 4
sForm C-1SBa Revised May 2023
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Description, if In-Kind Contribution
Occupation (If Individual)
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Date Received
Contributor Name
Address (Number and Street, City, State, Zip Code)
Aggregate Amount
Amount
Occupation (If Individual)
Description, if In-Kind Contribution
Receipt Type
Employer Name and Mailing Address (If Individual)
Total This Page:
Grand Total:
New Jersey Election Law Enforcement Commission
Page 4 of 4
sForm C-1SBa Revised May 2023
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Check
Cash
Electronic
In-Kind
Loan
Stamp Text
Required Field
Processing Request...