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SEEC FORM 20

Electronic Filing

Itemized Campaign Finance Disclosure Statement

Candidates for Statewide Offices and General Assembly

CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION

Office Use Only

Rev. 1/08

Page 1 of 25

SUMMARY PAGE

1.NAME OF COMMITTEE

Burlington Republican Town Committee

2. TREASURER NAME

Title

First

Last

Suffix

Donna

Mullen

3. TREASURER ADDRESS

Street Address

City

State

Zip Code

65 CANTON RD

BURLINGTON

06013

4. ELECTION DATE

5. OFFICE SOUGHT (if applicable)

6. DISTRICT CODE (if applicable)

11/04/2008

7. CANDIDATE NAME

Title

First

Last

Suffix

8. TYPE OF REPORT

January 10 Filing

9. PERIOD COVERED

Beginning Date

Ending Date

10/24/2007

thru

12/31/2007

10. CERTIFICATION

I hereby certify and state, under penalties of false statement, that all of the information set forth on this

Itemized Campaign Finance Disclosure Statment for the period covered is true, accurate and complete.

Electronic Filing

Donna Mullen

01/07/2008

TREASURER (SIGNATURE)

PRINT NAME OF THE SIGNER

DATE CERTIFIED

PENALITY FOR FALSE STATEMENT IS PUNISHABLE BY FINE NOT TO EXCEED $1,000,

OR IMPRISONMENT FOR NOT MORE THAN ONE YEAR, OR BOTH.

Page 2 of 25

SEEC FORM 20

Itemized Campaign Finance Disclosure Statement

Candidates for Statewide Offices and General Assembly

CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION

Rev. 1/08

SUMMARY PAGE

TOTALS

NAME OF COMMITTEE	FILING DUE DATE
Burlington Republican Town Committee	01/10/2008

			COLUMN A		COLUMN B
			This Period		Aggregate

11.		Balance on hand January 1 of current year for Ongoing and Party
11.							$1,811$0.060
	Committees OR Balance on hand from day Committee was formed for all other						$1,811$0.060


12.		Balance on hand at the beginning of Reporting Period		$669$0.4400


13.		Contributions received from Individuals (Section A and B)		$50.00		$7,56791.00

14.		Receipts from Other Committees (Sections C1 + C2)		$0.00	$250.00

15.		Other Monetary Receipts (Section D-K)		$0.08				$1. 3
15.		Other Monetary Receipts (Section D-K)		$0.08				$2.80

	16a. Total Small Food and Beverage Receipts at Fair (Section L1)			$0.00	$0.00

	16b. Total Proceeds from Small purchases at Tag Sales, Auctions or Other Sales (Section L			$0.00	$0.00

	16c. Total Purchases of Advertising in a Program Book (Section L3)			$0.00	$0.00

17.		Total Monetary Receipts (add totals for lines 13-16c)		$50.08
17.		Total Monetary Receipts (add totals for lines 13-16c)		$50.08					$7,819.80
									42. 3


18.		Subtotals (add totals in line 12 + line 17 in Column A and in line 11 + 17 in Column B)		$50.08			$$9,6307,842.863


19.		Expenses Paid by Committee (Section P)		$0.00			$$8,9116,232.3400



	20. Balance on hand at close of Reporting Period (Subtract line 19 from line 18)			$719$50.52.08						$$1,610719..5283

21.		In-Kind Donations not Considered Contributions Received (Section L4)		$0.00	$0.00
21.

22.		In-Kind Contributions Received (Section M)		$732.19	$732.19

23.		Refundable Deposit to Telephone Company (Section N)		$0.00	$0.00

24.		Receipts of Organization Expenditures (Section O)		$0.00	$0.00

25.		Beginning Loan Balance		$0.00	$0.00

	25a. + Loans Received (Section D)			$0.00	$0.00

	25b. + Interest and Penalties on Loan(s)			$0.00	$0.00

	25c. - Payments on Loan(s)			$0.00	$0.00

	25d. Total Outstanding Loan Amount			$0.00	$0.00

26.		Campaign Expenses Paid By Candidate (Section Q)		$0.00	$0.00

28.		Expenses Incurred on Committee Credit Card (Section R)		$0.00	$0.00

29.		Expenses Incurred by Committee During this Period but Not Paid (Section S)		$0.00
	29a. Total Outstanding Expenses Incurred by Committee still Unpaid (Section S)			$0.00

Page 3 of 25

I. MONETARY RECEIPTS (Section A-K)

Page 1 of 1

NAME OF COMMITTEE

FILING DUE DATE

Burlington Republican Town Committee

01/10/2008

A. Total Contributions from Small Contributors-Received this Period ONLY

(See instructions for definition of Small Contributor)

Subtotal Section

$0.00

B. Itemized Contributions from Individuals

Last Name

First

Principal Occupation

Amount of

Doerr

Jeanne

Housewife

Contribution

Residential Street Address

City

State

Zip Code

Name of Employer

28 Woodhaven Dr

BURLINGTON

06013

None

Is contributor a lobbyist, spouse,

Yes

If contribution is in excess of $400 to a candidate committee for a chief executive

Yes

or dependent child of a lobbyist?

officer of a muncipality does contributor or business he/she associated with have a

contract with said muncipality valued at more than $5000?

Is this contribution associated with a

Yes

Is contributor a principal of state contractor or prospective state

_ Yes

X No

fundraising event listed in Section

If yes, indicate which branch or branches of

_ Executive

_ Legislative

If yes, list Event #

government the contract is with:

Method of Contribution

Date Received

Aggregate Contribution

_ Cash

X Personal Check

Credit/Debit Card

_ Payroll Deduction

_ Money Order

10/25/2007

$130.00

$50.00

Total of Section B

$50.00

TOTAL OF ALL CONTRIBUTIONS FROM INDIVIDUALS	(Sections A & B)	(Total on Line 14 of Summary Page)

$50.00

Page 4 of 25

I. MONETARY RECEIPTS (Section A-I)

NAME OF COMMITTEE

FILING DUE DATE

C1. Contributions from Other Committees

Name of Committee

Address

Name of Treasurer

Is this contribution associated with a	Yes If yes, list Event #	Amount of Contribution

findraising event listed in Section J1?	No

City

State

Zip Code

Date Received

Aggregate Contributions

Total of Section C1

Page 5 of 25

I. MONETARY RECEIPTS (Section A-I)

Page 1 of 1

NAME OF COMMITTEE

FILING DUE DATE

C2. Reimbursements or Payments from other Committees

Name of Committee

Address

City

		Name of Treasurer

		Date Received
			Amount of Contribution
State	Zip Code	Reimbursement for shared expense
State	Zip Code	Reimbursement for shared expense
		Payment for goods and services
		Surplus Distribution

Total of Section C2

Page 6 of 25

I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE

FILING DUE DATE

D. Loans Received this Period

Name of Lender

Street Address

City

State

Zip Code

Source of Loan:

BankCandidate

Individual Other

Is there a cosigner or Guarantor of this loan?

Yes

Amount Received

Name of Cosigner/Guarantor

Street Address

City

State

Zip Code

Date Received

Total of Section D

Page 7 of 25

I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE

FILING DUE DATE

E. Receipts from Entities other than Individuals or Other Committees

Name

Street Address			Date Received	Amount
Street Address			Date Received	Amount
				Received

City	State	Zip Code	Aggregate Contribtions

Total of Section E

Page 8 of 25

I. MONETARY RECEIPTS (Section A-I)

NAME OF COMMITTEE

FILING DUE DATE

F. Amount Transferred from Affiliated Business Treasury

Is this transaction associated with a fundraising event listed in Section L1?

Yes

If yes, list Event #

Date Received

Amount

Total Transfers

Page 9 of 25

I. MONETARY RECEIPTS (Section A-I)

NAME OF COMMITTEE

FILING DUE DATE

G. Amount Transferred from Affiliated Labor Union or Other Organization Treasury

Date Received

Amount

Total Transfers

Page 10 of 25

I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE

FILING DUE DATE

E. Personal Funds of the Candidate Received this Period

Date Received

Amount

Method of Payment

Cash

Personal Check

Credit/Debit Card

Total Amount Received

Page 11 of 25

I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE

FILING DUE DATE

F. Anonymous Contributions

Date Received

$ 1 bills

$ 5 bills

$ 10 bill

coins

Amount

Total Amount Received

Page 12 of 25

I. Monetary Receipts (Section A-I)

NAME OF COMMITTEE

Burlington Republican Town Committee

FILING DUE DATE

01/10/2008

J. Interest from Deposits in Authorized Accounts

Name of Institution		Date Received				Total Amount
						Total Amount
Farmington Savings Bank		12/31/2007				Received
Farmington Savings Bank		12/31/2007

Street Address	City		State		Zip Code
					Zip Code
253 Spielman Highway	BURLINGTON		CT		06013	$0.08


				Total of Section J		$0.08

Page 13 of 25

I. MONETARY RECEIPTS (Section A-K)

NAME OF COMMITTEE

FILING DUE DATE

K. Miscellaneous Monetary Receipts not Considered Contributions

Name		Date of Transaction		Amount
				Received

Street Address	City	State	Zip Code

Description

Total of Section I

Page 14 of 25

II. FUNDRAISING EVENT ACTIVITY

NAME OF

COMMITTEE

FILING DUE DATE

L1. Fundraising Event Information

Fundraising Event #		Description	Location: Street Address	City		State	Zip Code
Date of Fundraiser	Letter

Was this fundraising event hosted at a personal residence?			Yes	No

Did this fundraiser include items donated by a business entity of up to $100 or items donated by an			Yes	No
			Yes	No
individual of up to $50?

Was this fundraiser a tag sale, auction, or other sale of donated itmes?			Yes	No

Subpart 2: (Town Committees and Muncipal Candidate Committees ONLY)
Were there purchasers of advertising space in a program book associated with this is fundraiser?			Yes	No

Subpart 3: (Town Committees ONLY)
Did your committee sell food or beverage at a fair or similar mass gathering held within the state?			Yes	No	Total Receipts from small purchases

Total of Receipts from Section L1

Page 15 of 25

II. FUNDRAISING EVENT ACTIVITY

NAME OF COMMITTEE

FILING DUE DATE

L2. Proceeds from Tag Sale, Auction, or Other Sale of Donated Items

Name of the Purchaser Last name

First name

Method of payment:

Aggregate

Amount of

Cash

Personal Check

Credit/Debit Card

Purchases

Residential Street Address

City

State

Zip Code

Date Received

Event #

Items Purchased

Total of all small purchases from Tag Sales, Auctions or Other Sales of Donated I

								Page 16 of 25

		II. FUNDRAISING EVENT ACTIVITY

NAME OF COMMITTEE							FILING DUE DATE


	L3. Purchases of Advertising in a Program Book


Name of the Purchaser				Business Entity		Date Received		Amount of
								Purchase
				Yes	No

Street Address	City		State	Zip Code	Event #	Aggregate Purchases for All Events

Total of All Small Purchases from TAG SALES, AUCTIONS or other SALES or DONATED ITE

Page 17 of 25

II. FUNDRAISING EVENT ACTIVITY

NAME OF COMMITTEE

FILING DUE DATE

L4. In-Kind Donations Not Considered Contributions

Name of the Donor

'Donation Given by:

Individual

Business Entity

Fair Market

Value of

Donation

Street Address

City

State

Zip Code

Aggregate value for this event

Description of Donation

Date Received

Event #

Total of All IN-KIND DONATIONS NOT CONSIDERED CONTRIBUTIONS

Page 18 of 25

III. NONMONETARY RECEIPTS

NAME OF COMMITTEE

Burlington Republican Town Committee

FILING DUE DATE

01/10/2008

M. In-Kind Contributions

Name

Type of Contributor:

Fair Market

Value of this

Christopher Dupras

Individual

Contribution

Street Address

City

State

Zip Code

Committee

10 Northridge Road

BURLINGTON

06013

Other

Is Contributor a lobbyist, spouse, or

If contribution is in excess of $400 to a candidate committee for a chief

Yes

Date Received

dependent child of a lobbyist?

executive officer of a municipality does contributor or business he/she is

assoicated with have a contract with said municipality valued at more

10/27/2007

than $5000?

Is this contribution associated with a fundraising event

Description of In-Kind Contribution

Aggregate contributions

Yes

listed in Section J1?

If yes, list Event#

Stationary and postage

$1,081.97

$641.97

Name

Type of Contributor:

Fair Market

Value of this

Roger Powell

Individual

Contribution

Street Address

City

State

Zip Code

Committee

76 Charlois Way

BURLINGTON

06013

Other

Is Contributor a lobbyist, spouse, or

If contribution is in excess of $400 to a candidate committee for a chief

Yes

Date Received

dependent child of a lobbyist?

executive officer of a municipality does contributor or business he/she is

assoicated with have a contract with said municipality valued at more

10/28/2007

than $5000?

Is this contribution associated with a fundraising event

Description of In-Kind Contribution

Aggregate contributions

Yes

listed in Section J1?

If yes, list Event#

Envelopes, paper and stamps

$465.22

$90.22

Total of All In-Kind Contributions

$732.19

Page 19 of 25

III. Non Monetary Receipts

NAME OF COMMITTEE

FILING DUE DATE

N. Refundable Deposit to Telephone Company

Last Name of Individual		First Name			MI		Date Deposit Made	Amount of
								Deposit

Street Address		City	State	Zip Code

Name of Telephone company

Street Address	City			State		Zip Code

Total of Section N

Page 20 of 25

III. NONMONETARY RECEIPTS

NAME OF COMMITTEE

FILING DUE DATE

O. Non-Monetary Receipts of Orgnaization Expenditures Made By

Legislative Leadership, Legislative Caucus, and Pary Committee

Name of Committee		Name of Treasurer

Street Address				Date Notice Received			Fair Market
							Value of
							Donation
City	State	Zip Code		Aggregate Donations

Description of Donation		Purpose of Expenditure
		A	B	C	D	E

Total of Section O

Page 21 of 25

IV. EXPENDITURES

NAME OF COMMITTEE

FILING DUE DATE

P. Expenses Paid By Committee

Name of Payee

Street Address

Date of Payment

City	State	Zip Code	Purpose of Expenditure

Method of Payment

Check #

Debid Card

Amount

Description	Event #

Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Organization (see Instructions)

A B C D E

Other Candidate(s) Name	Office Sought	Supported
		Opposed

Total of All Expenses Paid By Committee

Page 22 of 25

IV. EXPENDITURES

NAME OF COMMITTEE

FILING DUE DATE

Q. Campaign Expenses Paid By Candidate

Name of Payee				Date of Payment	Is Reimbursement Claimed?	Amount
					Yes
					No
					No
Street Address	City	State	Zip Code

Purpose of Expenditure	Description				Event #

Total of All Expenses Paid By Candidate

Page 23 of 25

IV. EXPENDITURES

NAME OF COMMITTEE

FILING DUE DATE

R. Expenses Incurred on Committee Credit Card

Name of Issuing Institution			Type of Credit C
			Visa		Master Card		Discover	American
			Other

Name of Vendor						Date of Transaction			Amount

Street Address	City	State		Zip Code

Purpose of Expenditure	Description						Event #

Total of All Expenses Incurred on Committee Credit Card

Page 24 of 25

IV. EXPENDITURES

NAME OF COMMITTEE

FILING DUE DATE

S. Expenses Incurred By Committee but Not Paid During this Period

Name of Creditor

Street Address

Description

Date Incurred

City	State	Zip Code	Purpose of Expenditure

Event #

Amount Incurred

(Estimate or

Actual)

Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Organization (see Instructions)

A B C D E

Other Candidate(s) Name

Office Sought

Supported

Opposed

Total of All Expenses Paid By Committee but Not Pai

Page 25 of 25

IV. EXPENDITURES

NAME OF COMMITTEE

FILING DUE DATE

T. Itemization of Reimbursements to Committee Workers and Consultants

Name of Worker/Consultant

Secondary Payee

Date of Payment

Purpose of Expenditure

Method of Payment

Check #

Debid Card

Amount

Street Address	City	State	Zip Code

Description

Type of Expenditure (if applicable) Coordinated with reimbursement sought Coordinated without reimbursement sought Independent

Organization (see Instructions)

A B C D E

Other Candidate(s) Name	Office Sought	Supported
		Opposed

Total of All Itemization of Reimbursements to Committee Workers and Consultants

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