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) / 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
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
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 3
sForm C-1SBa Revised Aug 2024
Required;
Committee spending under the R-1 reporting threshold (A-1 or A-2 filers etc.) who received a contribution in excess of $200 in the aggregate from one source in the election, or any currency (cash) contributions.
Committee receiving a contribution in excess of $200 in the aggregate from one source starting with the13th day before the election up to, and including the day of the election (72/24 Hour Notice).
Required;
School Board
Individual
Non-Individual
Individual
Non-Individual
Required;
Required;
Required;
Required;
Required; Format : Zipcode 12345 or 12345-1234
mm/dd/yyyyy
mm/dd/yyyyy
Required;
Required;
mm/dd/yyyy
Amendment
Required;
SCHOOL BOARD
Required;
04/16/2024
11/05/2024
12/10/2024
04/25/2023
09/26/2023
11/07/2023
03/08/2022
04/19/2022
11/08/2022
04/20/2021
11/02/2021
04/17/2029
11/06/2029
04/18/2028
11/07/2028
04/20/2027
11/02/2027
04/21/2026
11/03/2026
04/15/2025
11/04/2025
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
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Total This Page:
Grand Total:
New Jersey Election Law Enforcement Commission
Page 2 of 3
sForm C-1SBa Revised Aug 2024
Individual
Non-Individual
Individual
Non-Individual
Individual
Non-Individual
Individual
Non-Individual
Individual
Non-Individual
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Contributor Type
Last Name / Non-Individual Name
First Name (Leave blank if Non-Individual)
Street Address
City
State
Zip Code
Occupation
Date Received
Employer Name
Street Address
City
State
Zip
Receipt Type
Description, if In-Kind Contribution
Aggregate Amount
Amount
Total This Page:
Grand Total:
New Jersey Election Law Enforcement Commission
Page 3 of 3
sForm C-1SBa Revised Aug 2024
Individual
Non-Individual
Individual
Non-Individual
Individual
Non-Individual
Individual
Non-Individual
Individual
Non-Individual
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
mm/dd/yyyyy
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Accountant/Auditor
Agricultural
Architect/Surveyor/Planner
Armed Services
Arts/Entertainment
Athletics
Attorney
Business Owner
Construction Trade/Labor Trade
Consultant
Economist
Education/Professor/Teacher
Engineer
Factory Worker/Manual Worker
Financial Services/Banking
Firefighter
Homemaker
Hospitality/Hotel/Food/Beverage
Information Technology/Computer Science
Insurance
Law Enforcement
Legal Professional
Lobbyist/Government Relations
Management/Administrator/Executive
Manufacturing
Marketing/Public Relations
Mechanic/Preparer
Media
Medical Professional (Not Physician)
Office Worker
Physician
Politician
Public Sector
Real Estate
Religion
Retail Sales
Retired
Services Occupation
Social Worker
Student
Transportation
Travel/Tourism
Unemployed
Check
Cash
Electronic
In-Kind
Loan
Stamp Text
Required Field
Processing Request...