campaign finance report state of wisconsin ethcf-2

21
2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $72,214.60 $88,940.98 $0.00 $0.00 $72,214.60 $88,940.98 Street Address: N1413 County Road E City, State and Zip: Palmyra, WI 53156 Filing Period Name: Covers all activity from 02/09/2017 through 03/20/2017 Spring Pre-Election 2017 Name of Committee/Corporation: Friends of Dr. Holtz CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-2 COMMITTEE IDENTIFICATION 1. RECEIPTS 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees (Transfers-In) 1C. Other Income and Commercial Loans TOTAL RECEIPTS (Add totals from 1A, 1B and 1C) Column A This Period Column B Calendar Year-To-Date $73,737.02 $101,896.16 $13,193.75 $15,293.75 $1.17 $1.43 $86,931.94 $117,191.34 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0104800 OFFICE USE ONLY CASH SUMMARY Cash Balance Beginning of Report Total Receipts Subtotal Total Disbursements CASH BALANCE END OF REPORT INCURRED OBLIGATIONS (Balance at the Close of This Period-3A) LOANS (Balance at the Close of This Period-3B) $15,321.41 $86,931.94 $102,253.35 $72,214.60 $0.00 $6,000.00 $30,038.75 * * I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete. Signature of Candidate or Treasurer TJ Anderson Type or Print Name of Candidate or Treasurer: Date: Daytime Phone: Email: [email protected] Anderson, Timothy J NOTE: The information on this form is required by 11.0204, 11.0304, 11.0404, 11.0504, 11.0604, 11.0804, 11.0904, Wis. Stats. Failure to provide the information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats. ETHCF-2 (Rev. 04/16) This form is prescribed by the Wisconsin Ethics Commission, P.O. Box 7984, Madison, WI 53707-7984, 608-266-8005. * Cash Balance as reported by committee

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2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

TOTAL DISBURSEMENTS (Add totals from 2A and 2B)

2. DISBURSEMENTS

$72,214.60 $88,940.98

$0.00 $0.00

$72,214.60 $88,940.98

Street Address: N1413 County Road E

City, State and Zip: Palmyra, WI 53156

Filing Period Name:

Covers all activity from 02/09/2017 through 03/20/2017

Spring Pre-Election 2017

Name of Committee/Corporation:

Friends of Dr. Holtz

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN

ETHCF-2COMMITTEE IDENTIFICATION

1. RECEIPTS

1A. Contributions (Including Loans) from Individuals

1B. Contributions from Committees (Transfers-In)

1C. Other Income and Commercial Loans

TOTAL RECEIPTS (Add totals from 1A, 1B and 1C)

Column A This Period

Column B Calendar Year-To-Date

$73,737.02 $101,896.16

$13,193.75 $15,293.75

$1.17 $1.43

$86,931.94 $117,191.34

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0104800

OFFICE USE ONLY

CASH SUMMARY

Cash Balance Beginning of Report

Total Receipts

Subtotal

Total Disbursements

CASH BALANCE END OF REPORT

INCURRED OBLIGATIONS

(Balance at the Close of This Period-3A)

LOANS (Balance at the Close of This Period-3B)

$15,321.41

$86,931.94

$102,253.35

$72,214.60

$0.00

$6,000.00

$30,038.75*

*

I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete.

Signature of Candidate or Treasurer

TJ Anderson

Type or Print Name of Candidate or Treasurer: Date: Daytime Phone:

Email: [email protected], Timothy J

NOTE: The information on this form is required by 11.0204, 11.0304, 11.0404, 11.0504, 11.0604, 11.0804, 11.0904, Wis. Stats. Failure to providethe information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats.

ETHCF-2 (Rev. 04/16) This form is prescribed by the Wisconsin Ethics Commission, P.O. Box 7984, Madison, WI 53707-7984, 608-266-8005.

*Cash Balance as reported by committee

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Friends of Dr. Holtz

02/08/2017 Elmer, Ruth 427 Hidden Ridge Way, Combined Locks, WI 54113

retired $150.00 $150.00

02/08/2017 Dahlin, Bernard E 2670 Good Shepherd Ln., Green Bay, WI 54313

president $1,000.00 $1,000.00

02/08/2017 Koch, Paul 3680 Ponds Edge Ct., De Pere, WI 54115

retired $100.00 $100.00

02/08/2017 Hopfensperger, Mary

WI $6.00 $6.00

02/08/2017 Broghammer, Benjamin

4520 W. Madero Dr., Mequon, WI 53092

retired $50.00 $50.00

02/08/2017 Couri, Gerald 1215 Seitz Dr., Waukesha, WI 53186

CEO $250.00 $250.00

02/08/2017 Cherchian, Ara 3100 Nagauickard, Hartland, WI 53029

retired $100.00 $100.00

02/08/2017 Korinek, Chriss WI requested $20.00 $20.00

02/08/2017 Uihlein, Richard 1396 N. Waukepak Rd., Lake Forest, IL 60045

president $5,000.00 $5,000.00

02/08/2017 Thomas, Mike 1 Hillock Ct, Appleton, WI 54914

retired $10.00 $10.00

02/09/2017 Barry, William 15085 Bending Brae Ct., Brookfield, WI 53005

self employed $1,000.00 $1,000.00

02/08/2017 Perkins, K M 4486 N. White Hawk Dr., Grand Chute, WI 54913

retired $400.00 $400.00

02/08/2017 Murphy, Jerome 9 SpringBrook Cercle Dr., Appleton, WI 54914

retired $200.00 $200.00

02/08/2017 Silseth, John 15815 Choctaw Tr., Brookfield, WI 53005

president $500.00 $500.00

02/08/2017 Peterson, Timothy 1503 N Jenkins, Oconomowoc, WI 53066

presidenti $40.00 $0.00

Monetary

Date Full Name Address Occupation Amount YTD

02/09/2017 Kieckhefer, Robert 1903 W. Hidden Reserve Ct., Mequon, WI 53092

financial advisor $250.00 $250.00

02/09/2017 Knoll, Naomi 8610 W. Hawthorn Ln., Franklin, WI 53132

retired $50.00 $50.00

02/09/2017 Jonas, Glen 1903 Granville Rd., Cedarburg, WI 53012

CEO $500.00 $500.00

02/09/2017 Johnson, Mark 104 Genland Rd, Rice Lake, WI 54868

manager $1,000.00 $1,000.00

02/09/2017 Johnson, Scott N10127 Basswood Ave, Spencer, WI 54479

tech. consultant $25.00 $25.00

02/09/2017 Mellone, Gerald 16980 Ruby Ln., Brookfield, WI 53005

alderman $50.00 $50.00

02/09/2017 Kurtzweil, Floreine 1624 . Roddis Ave. Apt 312, Marshfield, WI 54449

requested $25.00 $25.00

02/09/2017 Malchert, Randall 12750 W. Capitol Dr., Brookfiled, WI 53005

optometrist $100.00 $100.00

02/09/2017 Cape, Chad 21235 Clearfield Ct., Brookfield, WI 53045-3045

Finance $50.00 $50.00

02/09/2017 Castle, Micheal p.o. box 2247, Oshkosh, WI 54903

management $100.00 $100.00

02/09/2017 Brunelle, Julieanne

17145 J West Bluemond #161, Brookfield, WI 53005

retired $100.00 $100.00

02/09/2017 Houk, Valerie N28 W29845 Oakwood Grove Rd., Pewaukee, WI 53072

Retired $50.00 $50.00

02/09/2017 Brun, Thomas S1 W31433 Hicory Hollow Ct., Delafield, WI 53018

appraiser $100.00 $100.00

02/09/2017 Elbert, Thomas P.O. Box 233, Bay Point, MN 55003

property management $250.00 $250.00

02/09/2017 Glojek, Bronwyn W238 N3251 High Meadow Ct., Pewaukee, WI 53072

homemaker $200.00 $200.00

02/09/2017 Dragotta, Kenneth N76 W29220 Hwy N, Hartland, WI 53029

Predident $100.00 $100.00

02/09/2017 Cerny, Ardis 3037 E Oakmont CT. B, Pewaukee, WI 53072

reired $50.00 $50.00

02/09/2017 Dedo, Craig 17130 W. Burleigh Pl., Brookfield, WI 53005

software engineer $50.00 $50.00

Monetary

02/14/2017 walthon, lorrraine W1521901, PP, menomonee falls, WI 53051

requested $25.00 $25.00

02/09/2017 Pakyz, Lawrence 9435 County Hwy Y, Sauk City, WI 53583

retired $50.00 $50.00

02/09/2017 Otters, Anthony N54 W 33820 RD. N, Nashotah, WI 53058

Physician $100.00 $100.00

02/09/2017 Perkins, Edward 4486 N. White Hawk Dr., Gran Chute, WI 54913

retired $1,000.00 $1,000.00

02/09/2017 pearson, dean box 833, pp, brookfield, WI 53008

self employed $50.00 $50.00

02/09/2017 Mills, Sandra 1500 Rue Reynard, Menasha, WI 54952

researcher $1,000.00 $1,000.00

02/13/2017 Wall, Terrence P.O. Box 620037, Middleton, WI 53562

president $2,500.00 $2,500.00

02/09/2017 Ostry, Victoria 3725 Yukon Road Unit C, Brookfield, WI 53045

self employed $250.00 $250.00

02/09/2017 Murphy, Patrick 780 Parkview Rd., Green Bay, WI 53304

management $100.00 $100.00

02/09/2017 Peterson, Timothy 1503 N. Jenkins Dr., Oconomowoc, WI 53066

president $60.00 $60.00

02/12/2017 Hallada, Frank 4250 Park Ridge Rd., Dodgeville, WI 53533

auto dealer $500.00 $500.00

02/09/2017 Wilson, Donald 19160 Still Point Trail, Brookfield, WI 53045

Retired $1,000.00 $1,000.00

02/13/2017 Utschig, Donald 500 W. Parkridge Ave., Appleton, WI 54911

retired $2,000.00 $2,000.00

02/12/2017 Welcenbach, Steven

W167 N5056 Grey Log Ln., Menomonee Falls, WI 53051

chemist $100.00 $100.00

02/09/2017 Schierl, Paul 111 N. Washington St. Suite 450, Green Bay, WI 54301

Retired $2,500.00 $2,500.00

02/09/2017 Pratt, David 10492 S. Washington Ave., Racine, WI 54449

retired $15.00 $15.00

02/09/2017 Streck, Ruth 5416 E. Forest Ave., Neenah, WI 54956

retired $50.00 $50.00

02/09/2017 Smith, Karen N5554 Blackfriar Rd., Black Creek, WI 54106

retired $150.00 $150.00

Monetary

02/15/2017 O'Brien, Tim 2700 S. 163rd, New Berlin, WI 53151

sales $50.00 $50.00

02/15/2017 Powell, Milton 353 Lake St., Baraboo, WI 53913-3025

retired $50.00 $50.00

02/15/2017 McFarlane, Richard

7130 State Rd. 78, Sauk City, WI 53583

vice president $200.00 $200.00

02/15/2017 Loteyro, C.B. 337 County Road B, Motello, WI 53949

doctor $250.00 $250.00

02/15/2017 McFarland, James 1633 N. Prospect Ave. Unit 17A, Milwaukee, WI 53202-2481

investments $300.00 $300.00

02/15/2017 Scott, John P.O. Box 66, Lake Delton, WI 53940

executive $250.00 $250.00

02/15/2017 Serdynski, Joanne 2961 S. 46th St., Milwaukee, WI 53219

retired $100.00 $100.00

02/15/2017 apel, francis 617 nottingham rd, pp, stoughton, WI 53589-4846

requested $25.00 $25.00

02/15/2017 Arndt, Candee 2370 Woodmoor Ln., Brookfield, WI 53045

requested $50.00 $50.00

02/15/2017 anderson, blair e5566 jones rd, pp, spring green, WI 53588

retired $100.00 $100.00

02/15/2017 Lewis, David 2331 Skylark Dr., Appleton, WI 53914

accountant $25.00 $25.00

02/15/2017 Allen, Robert 1577 Brighton Beach Rd., menasha, WI 54952

retired $25.00 $25.00

02/15/2017 Best, Keith 1821 Ruben Dr., Waukesha, WI 53186

requested $100.00 $100.00

02/15/2017 Hanna, Charles 2525 S. Shore Dr. Unit 10E, Milwaukee, WI 53207-1964

real estate $50.00 $50.00

02/15/2017 leszczynski, thomas

4539 greystone dr, pp, richfield, WI 53076

computer programmer $20.00 $20.00

02/15/2017 Haag, Scott 825 N. Prospect Ave. Unit 1002, Milwaukee, WI 53202

president $200.00 $200.00

02/15/2017 bray, william 500 billings ave, pp, prairied du sac, WI 53578

healthcare consultant $100.00 $100.00

02/15/2017 Dumak, Lounne 3601 S. 147th St. Apt #134, New Berlin, WI 53151-4491

retired $25.00 $25.00

Monetary

02/27/2017 dumak, luonne 3601 s 147th st apt 134, new berlin, WI 53151-4491

retired $50.00 $50.00

02/23/2017 powell, milton 353 lake, pp, baraboo, WI 53913

retired $100.00 $100.00

02/17/2017 johnson, darlene 621small farm road, pp, mukwonago, WI 53149

homemaker $25.00 $25.00

02/17/2017 erickson, janet 3934 s stonewood rd, pp, new berlin, WI 53151

comptroller $25.00 $25.00

02/21/2017 Benson, Robert 2113 Ridgewiew Dr., Reedsburg, WI 53959

retired $50.00 $50.00

02/17/2017 sprague, thomas 50 adams way, pp, little chute, WI 54140

business manager $50.00 $50.00

02/15/2017 Sheriff, Darcy 1029- 15th St., Baraboo, WI 53913

retired $50.00 $50.00

02/23/2017 lenz, david P.O. box 660994, pp, Middleton, WI 53562

ceo $250.00 $250.00

02/16/2017 thekan, barbara n55w34484, pp, oconomowoc, WI 53066

requested $5.00 $5.00

02/16/2017 Saubers, linda 4315 beaufort dr, pp, brookfield, WI 53045

merchandiser $25.00 $25.00

02/22/2017 becker, steven 5424 n princeton pines ct, pp, franklin, WI 53132

requested $100.00 $100.00

02/22/2017 albrecht, john 3766 S. 60th Street, pp, Milwaukee, WI 53220

retired $25.00 $25.00

02/22/2017 wyatt, david 5311 gehring rd, pp, racine, WI 53402

retired $100.00 $100.00

02/22/2017 reindl, john 4514 grell road, pp, madison, WI 53705

requested $0.02 $0.02

02/21/2017 Krieger, Gregory 15155 Carpenter Rd., Brookfield, WI 53005-4145

retired $50.00 $50.00

02/21/2017 Friess, F. P.O. Box 9790, Jackson, WY 83002

investor $1,000.00 $1,000.00

02/21/2017 Wilkey, Richard 5112 N. Hwy 83, Hartland, WI 53029-9306

ceo $5,000.00 $5,000.00

02/21/2017 Perkins, E.A. 4486 N. White Hawk Dr., Grand Chute, WI 54913-8168

retired $105.00 $105.00

Monetary

03/02/2017 wieck, dennis po box 845, pp, minocqua, WI 54548

requested $50.00 $50.00

03/03/2017 Anderson, Timothy S76 W26075 Prairieside Dr., Vernon, WI 53189

self employed $5.00 $5.00

03/03/2017 Pincsak, Rita 2685 Norman DR., cc, Brookfield, WI 53045

business manager $100.00 $100.00

03/02/2017 poeppel, ryan cc, WI $5.00 $5.00

03/02/2017 mellone, laurel 16980 ruby lane, pp, brookfield, WI 53005

requested $100.00 $100.00

03/02/2017 murray, lee 1300 n bay ridge dr, pp, appleton, WI 54915

retired $50.00 $50.00

03/05/2017 Powell, Milton 353 Lake St, cc, Baraboo, WI 53913

retired $100.00 $100.00

02/27/2017 moering, karl 604 n 62nd st, wauwatosa, WI 63213-4172

requested $25.00 $25.00

02/27/2017 saoleski, edward 13613 n granville rd, mequon, WI 53097

engineer $25.00 $25.00

02/28/2017 bertz, john 3432 valley woods dr, pp, verona, WI 53597

retired $50.00 $50.00

02/27/2017 lund, david 4430 rolla ln, madison, WI 53711-2814

retired $30.00 $30.00

03/02/2017 mastel, cheryl pp, WI requested $10.00 $10.00

02/27/2017 Karnowski, barbara

1139 emerson dr, pp, oconomowoc, WI 53066

retired $100.00 $100.00

02/27/2017 krysiak, arthur 20700 sundance dr, brookfield, WI 53045-4651

requested $50.00 $50.00

03/02/2017 gates, delores w8231 lake terrace, pp, lake mills, WI 53551

retired $40.00 $40.00

03/02/2017 herriges, william 3337 valley spring rd, pp, mount horeb, WI 53572

requested $100.00 $100.00

03/02/2017 Johnson, Billie cc, WI retired $5.00 $5.00

03/02/2017 bonney, larry 2518 n terrace ave, pp, milwaukee, WI 53211-3820

attorney $250.00 $250.00

02/28/2017 fetzner, william 7326 branford lane w, madison, WI 53717

Retired $35.00 $35.00

02/28/2017 hammel, kenneth 8820 greenview ln, pp, greendale, WI 53129

retired $100.00 $100.00

03/02/2017 ballard, jon cc, WI $5.00 $5.00

Monetary

03/08/2017 Gillis, Judy 1721 Jefferson, New London, WI 54961

retired $15.00 $15.00

03/08/2017 Knoll, Robert 8610 W. Hawthorne Ln., Franklin, WI 53132-2508

retired $50.00 $50.00

03/08/2017 Klosiwwski, Stan E8990 Worm Rd., New London, WI 54961

technician $25.00 $25.00

03/06/2017 shaw, lee east 9083 klatt rd, new london, WI 54961

retired $25.00 $25.00

03/06/2017 kohls, allan n4298 low rd, reeseville, WI 53579-9724

requested $25.00 $25.00

03/07/2017 Burke, Kathryn 7710 N. Merrie Lane, cc, Milwaukee, WI 53217

housewife $1,000.00 $1,000.00

03/06/2017 Sheridan, Johathan

W7646 County Rpad H, cc, New Glarus, WI 53574

biotech $200.00 $200.00

03/06/2017 barr, daniel s3576 sugar maple ln, fountain city, WI 54629

physician $75.00 $75.00

03/08/2017 Galling, Richard 1911 Bristlecone Dr., Hartland, WI 53029-8658

retired $500.00 $500.00

03/06/2017 gentine, louis 226 south turtle bay road, elkhart lake, WI 53020

retired $1,000.00 $1,000.00

03/06/2017 bryant, anthony 108 n barstow, waukesha, WI 53186

business executive $100.00 $100.00

03/08/2017 Cross, Linda P.O. Box 173, Waupaca, WI 54981-0173

retired $300.00 $300.00

03/08/2017 Cherchian, Ara 31000 Nagawicka Rd., Hartland, WI 53029-9355

retired $200.00 $200.00

03/08/2017 Flatley, Timothy 7920 N. Links Cr., Fox Point, WI 53217

retired $200.00 $200.00

03/08/2017 Faucher, John 914 S. Pearl St., New London, WI 54961

self employed $10.00 $10.00

03/07/2017 Krubsack, David 2960 S. 96th Street, cc, West Allis, WI 53227

retired $50.00 $50.00

03/07/2017 Groth, Sandra 3840 Circle Ridge Rd., cc, Green Bay, WI 54311

none $25.00 $25.00

03/08/2017 Bryant, Andrea 108 N. Barstow St., Waukesha, WI 53186

homemaker $500.00 $500.00

03/08/2017 Behm, Linda E8542 Weyauwega Rd., New London, WI 54961

cashier $20.00 $20.00

Monetary

03/10/2017 Jacque, Mary J 1819 Renaissance Ct., Green Bay, WI 54313

retired $50.00 $50.00

03/10/2017 Sanderfoot, Micheal

N5462 Obertin Rd., New London, WI 54961

retired $15.00 $15.00

03/10/2017 Butler, John 1005 Augusta Ave., Wausau, WI 54403

retired $250.00 $250.00

03/09/2017 Laurent, William P.O. Box 117, cc, Merrillan, WI 54754

retired $200.00 $200.00

03/09/2017 Pelisek, Jill 7615 N. River Rd., River Hills, WI 53217

education $100.00 $100.00

03/09/2017 Weber, William W10380 Alping Dr. S, Elroy, WI 53929

retired $50.00 $50.00

03/08/2017 McGlone, Laura E6259 Wilke Rd., Marion, WI 54958

homemaker $40.00 $40.00

03/08/2017 Micheal, Paul N11026 Cty Rd Y, Clintonville, WI 54929

self employed $80.00 $80.00

03/08/2017 Rozmarynowski, Mary

N2798 Cty Rd. QQ, Waupaca, WI 54981

retired $12.00 $12.00

03/08/2017 Martinson, Christopher

1709 Smith Street, New London, WI 54961

self $35.00 $35.00

03/09/2017 Koch, Paul D 3680 Ponds Edge Ct., DePere, WI 54115-8794

retired $100.00 $100.00

03/08/2017 Loduha, Andrew 5505 Mohawk Rd., cc, Rhinelander, WI 54501

retired $500.00 $500.00

03/08/2017 Marso, Julie 8716 S. Avian Way, Franklin, WI 53132-8019

homemaker $25.00 $25.00

03/08/2017 Taylor, Don 27100 Shananagi Ln, waukesha, WI 53188

banker $1,000.00 $1,000.00

03/08/2017 Tutas, Mary 5447 Geono Beach Rd., Little Suamico, WI 54191-9144

retired $100.00 $100.00

03/09/2017 Haggerty, Kay 440 Krattley Ln, Hudson, WI 54016

retired $100.00 $100.00

03/08/2017 Stern, Gerald N19 W22081a Foxview Ct.., Waukesha, WI 53186

self $100.00 $100.00

03/08/2017 Schnieder, Carol Ann

1074 Ulao Pkwy, Grafton, WI 53024

CEO $250.00 $250.00

03/08/2017 Sheard, Leonard N1637 County Rd. K, Waupaca, WI 54981

tretired $100.00 $100.00

03/08/2017 Slater, Dianne 805 Henninger St., Mayville, WI 53050

retired $25.00 $25.00

Monetary

03/14/2017 Lind, Kathryn 5300 Scenic Ridge Trail, cc, Middleton, WI 53562

retired $100.00 $100.00

03/14/2017 Carpenter, Carol Ann

656 W. Evergreen Ct., Bayside, WI 53217-1608

retired $1,000.00 $1,000.00

03/14/2017 Frigo, Fran Chapman

1245 Outward Ave., DePere, WI 54115-1822

retired $100.00 $100.00

03/11/2017 Noonan, Michael 11668 Deepwoods Rd., cc, Hazelhurst, WI 54531

retired $25.00 $25.00

03/11/2017 Uihlein, Liz 1396 N. Waukegan Rd., Lake Forest, IL 60045-1147

self $5,000.00 $5,000.00

03/11/2017 Uihlein, Richard 1396 N. Waukegan Rd., Lake Forest, IL 60045-1147

CEO $15,000.00 $20,000.00

03/11/2017 Hennigan, JoAnn 3467 Country Winds Ct., cc, Bellevue, WI 54311

retired $500.00 $500.00

03/13/2017 Walter, Bonnie 7421 Maple St. W, cc, Webster, WI 54893

disabled $10.00 $10.00

03/11/2017 Cherney, Lyle E9048 Manske Rd., New London, WI 54961-9801

retired $75.00 $75.00

03/11/2017 Easthan, William E 1840 N. Prospect Ave. #812, Milwaukee, WI 53202

retired $100.00 $100.00

03/13/2017 Perkins, E.A. 4486 N White Hawk Dr., Grand Chute, WI 54913-8168

retired $1,000.00 $1,000.00

03/13/2017 Schwartz, Joseph P.O. Box 792, cc, Clearwater Lake, WI 54521

retired $100.00 $100.00

03/13/2017 Stevenson, Charlotte

E8839 Popey's Ln., Readfield, WI 54969

retired $25.00 $25.00

03/13/2017 Hughes, Emma Lou

6123 Sunrise Ct., cc, Hartford, WI 53027

retired $40.00 $40.00

03/11/2017 Wegner, Judith A 726 Farwell Dr., cc, Madison, WI 53704

retired $1,000.00 $1,000.00

03/12/2017 Dart, Bernie 2968 Wausau Rd., cc, Rhinelander, WI 54501

retired $25.00 $25.00

03/13/2017 Fruncek, John 4818 N. Berkley Blvd, cc, Milwaukee, WI 53217

software developer $25.00 $25.00

Monetary

03/17/2017 Schirmer, M. T. N13450 County Highway I, Minong, WI 54859-9052

retired $30.00 $30.00

03/17/2017 Mosher, George A. 825 N. Prospect Ave., Suite 902, Milwaukee, WI 53202

retired $1,000.00 $1,000.00

03/17/2017 Laufman, Alana 916 Lee St., Rice Lake, WI 54868-1428

retired $25.00 $25.00

03/17/2017 Zietlow, Donald P. P.O. Box 1625, LaCrosse, WI 54602

ceo $1,000.00 $1,000.00

03/17/2017 Schroeder, Karen P.O. Box 219, Birchwood, WI 54817

retired $380.00 $380.00

03/15/2017 Pearson, Glenn 3620 310th Ave., cc, Frederic, WI 54837

veterinarian $100.00 $100.00

03/16/2017 Micka, J. E. 9535 W. Grange Ave., Hales Corners, WI 53130

requested $100.00 $100.00

03/16/2017 Spang, Rose 8012 S. 68th Street, Franklin, WI 53132

requested $50.00 $50.00

03/14/2017 Mullen, Charles A 762 Riverside Dr., Suamico, WI 54173

retired $500.00 $500.00

03/15/2017 Breitkreutz, Christine

W3855 Hilltop Rd., cc, Hartland, WI 53029

retired $25.00 $25.00

03/15/2017 Dhein, Jere 2555 Parkwood Dr., cc, Green Bay, WI 53403

retired $2,000.00 $2,000.00

03/14/2017 Menard Jr., John R

603 Lampolight Ct., Eau Claire, WI 54703-5817

retired $100.00 $100.00

03/17/2017 Garey, James R. 1591 Alex Schacky Rd., Birchwood, WI 54817

retired $200.00 $200.00

03/17/2017 Genge, L. N973 Walton Rd., Watertown, WI 53098

farmer $50.00 $50.00

03/17/2017 Harder, Trevor 441 Wildwood Ridge, Colgate, WI 53017

retired $250.00 $250.00

03/16/2017 Utschig, Donald 500 W. Parkridge Ave., Appleton, WI 54911

retired $2,000.00 $2,000.00

03/17/2017 Barton, Debora L. 324 E. Cowels St., Alma Center, WI 54611-9715

school nutrition $50.00 $50.00

03/17/2017 Cox, Carol W. 1908 Hogeboom Ave., Eau Claire, WI 54701

retired $100.00 $100.00

Monetary

03/17/2017 Gannon, Robert 4833 Cedar Hills Dr, Slinger, WI 53086

Insurance Agent, State Representative, Hotel Owner

$250.00 $0.00

03/17/2017 Best, Keith 1821 Ruben Drive, Waukesha, WI 53186

$100.00 $0.00

03/09/2017 Vasudevan, Sridhar

5200 Upper Lakeview Ridge Rd., Belgium, WI 53004-9001

retired $100.00 $100.00

Sub Total $450.00

Conduit Contribution

03/07/2017 Harsh, Mike 385 Legendview, wales, WI 53183

retired $100.00 $100.00

Sub Total $100.00

In-Kind

03/18/2017 Potratz, Philip 1912 Nassau St., cc, Royalton, WI 54961

retired $10.00 $10.00

Sub Total $73,038.02

Monetary

Loan Forgiven (-): $0.00

Total $73,737.02

Non-Monetary (-): $0.00

Total Anonymous Contributions $149.00

Grand Total $73,737.02

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Friends of Dr. Holtz

03/20/2017 Republican Party of Clark County PO Box 183, Neillsville, WI 54456 $180.00 $180.00

Comment(s): in kind ad buys

Comment(s): inkind ad buys

03/20/2017 Price Co Republican Party W7577 County Road W, Phillips, WI 54555

$270.00 $270.00

Sub Total $450.00

In-Kind

03/13/2017 Republican Party of Clark County PO Box 183, Neillsville, WI 54456 $200.00 $200.00

03/10/2017 Polk County Republican Party 942 Bunyan Avenue, Balsam Lake, WI 54810

$93.75 $93.75

03/13/2017 Republican Party of Oneida County

PO Box 1223, Rhinelander, WI 54501 $2,500.00 $2,500.00

03/10/2017 Republican Party of Kenosha County

P.O. Box 853, Kenosha, WI 53141 $300.00 $300.00

03/17/2017 Republican Party of Manitowoc County

PO Box 754, Manitowoc, WI 54220 $50.00 $50.00

03/08/2017 Waupaca County Republican Party

E7051 Little Creek Road, Manawa, WI 54949

$1,000.00 $1,000.00

02/21/2017 Republican Party of Sauk County 2258 Winfield Dr., Reedsburg, WI 53959 $250.00 $250.00

02/09/2017 Republican Party-Ozaukee Co. 10510 N Port Washington Rd, Mequon, WI 53092

$1,000.00 $1,000.00

02/09/2017 Washington Co Republican Party 519 Hickory Street, West Bend, WI 53095 $500.00 $500.00

02/15/2017 4th Cong Dist Republican Club c/o James McFarland, 1633 N. Prospect Ave. #17A, Milwaukee, WI 53202

$500.00 $500.00

03/02/2017 Republican Party of Milwaukee County

3647 S Chase Ave, PO Box 14665, Milwaukee, WI 53214

$5,000.00 $5,000.00

02/09/2017 Racine County Republican Party P.O. Box 044193, Racine, WI 53404-7004

$200.00 $200.00

03/08/2017 Burnett County Republican Party 371 W. Wisconsin Avenue, Grantsburg, WI 54840-7818

$150.00 $150.00

03/06/2017 Citizens for Lazich P.O. Box 510346, New Berlin, WI 53151 $1,000.00 $1,000.00

Comment(s): cc

Sub Total $12,743.75

Monetary

Non-Monetary (-): $0.00

Grand Total $13,193.75

Total $13,193.75

Date Full Name Address Amount YTD

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Friends of Dr. Holtz

Comment(s): interest on checking account

02/28/2017 Unitemized WI $1.17 $1.17

Other Income

Total $1.17

Date Full Name Address Amount YTD

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

Comment(s): PayPal collection fee

02/10/2017 paypal WI Bank Charges

$65.00

Comment(s): Beverages for fund raiser

Comment(s): palm cards

02/13/2017 Alpha Graphics Middleton

3223 parmenter Street, Middleton, WI 53562

Printing - Brochures

$224.41

02/09/2017 Johnson, Billie L

2313 Ravenswood Rd., Madison, WI 53711

Consulting Fees - General

$1,049.45

02/28/2017 paypal WI Bank Charges

$56.90

02/09/2017 Thunder bay Grill

WI Fundraiser - Food & Beverage

$98.00

Comment(s): december expenses

02/13/2017 Constant Contact

WI Mailing List $40.00

02/21/2017 Metrotec 3201 Ashley River Roud, Suite 3201, Charleston, SC 29407-8720

Media - Phones / Robo calls

$1,464.21

Comment(s): January expenses

Comment(s): per check charge

02/28/2017 Landmark Credit Union

WI Bank Charges

$0.40

02/13/2017 Victory Enterprises

5200 SW 30th St., Davenport, IA 52802

Media - Radio $31,985.00

02/13/2017 Johnson, Billie L

2313 Ravenswood Rd., Madison, WI 53711

Consulting Fees - General

$1,131.21

02/21/2017 Johnson, Billie L

2313 Ravenswood Rd., Madison, WI 53711

Consulting Fees - General

$1,188.35

Comment(s): radio production and add buys

Monetary

Date Communication Date

Full Name Address Vendor Name

Vendor Address

Expense Purpose

Amount

Friends of Dr. Holtz

03/09/2017 stripe WI Credit Card Fees

$6.10

Comment(s): cc fees

03/09/2017 stripe WI Credit Card Fees

$32.08

Comment(s): locating and duplicating of records

03/08/2017 stripe WI Credit Card Fees

$14.80

Comment(s): cc fee

Comment(s): cc fee

03/11/2017 CL Services N172 South Park Dr., Appl;eton, WI 54914-8404

Printing - Yard Signs

$3,265.50

03/02/2017 wall, terrence p.o. box 620037, middleton, WI 53562

Other $2,500.00

Comment(s): return of contribution

03/03/2017 Discount Rubber Stamps

P.O. Box 445, Butler, WI 53007-0445

Office Supplies

$11.59

03/08/2017 Seymer, Orville P.O. Box 371086, Milwaukee, WI 53237

Other $206.00

02/28/2017 square WI Credit Card Fees

$109.45

Comment(s): cc fees

Comment(s): deposit stamp

03/06/2017 Foremost Media, Inc

207 N Academy Street, Suite #200, Janesville, WI 53548

IT - Campaign IT Maintenance

$142.50

03/08/2017 Johnson, Billie L

2313 Ravenswood Rd., Madison, WI 53711

Consulting Fees - General

$5,153.40

Comment(s): billie's contract

03/06/2017 Alpha Graphics Middleton

3223 Parmenter Street, Middleton, WI 53562

Printing - Brochures

$883.42

03/06/2017 CS Communications

921 VAlley Hill Dr, Waukesha, WI 53189

Consulting Fees - Media

$4,000.00

03/06/2017 Dan Morse Consulting, LLC

5205 Barton Rd., Madison, WI 53711

Consulting Fees - General

$5,333.20

Monetary

Comment(s): lincoln day dinner

03/07/2017 Harsh, Mike 385 Legendview, wales, WI 53183

Event or Fair Booth

$100.00

In-Kind

Comment(s): cc fees

03/14/2017 stripe WI Credit Card Fees

$3.20

Comment(s): cc fee

03/15/2017 stripe WI Credit Card Fees

$62.53

Comment(s): cc fee

03/18/2017 stripe WI strip WI Credit Card Fees

$0.59

Comment(s): cc fees

03/13/2017 stripe WI Credit Card Fees

$53.47

Comment(s): social media management

03/11/2017 Victiory Enterprises

5200 30th Street SW, Davenport, IA 52802

Consulting Fees - General

$8,000.00

03/11/2017 stripe WI Credit Card Fees

$43.60

03/11/2017 Victiory Enterprises

5200 30th Street SW, Davenport, IA 52802

Consulting Fees - Media

$3,000.00

Comment(s): cc fee

03/11/2017 Victiory Enterprises

5200 30th Street SW, Davenport, IA 52802

Consulting Fees - General

$195.24

Comment(s): mileage, reimbursable

Comment(s): production of radio ad

03/13/2017 constant contact WI Mailing List $45.00

Comment(s): mailing list

03/11/2017 Victiory Enterprises

5200 30th Street SW, Davenport, IA 52802

Media - Radio $300.00

Comment(s): general election consulting

03/11/2017 Victiory Enterprises

5200 30th Street SW, Davenport, IA 52802

Other $1,000.00

Comment(s): opposition research

Sub Total $71,664.60

Monetary

Comment(s): in kind ad buys

03/20/2017 Republican Party of Clark County

PO Box 183, Neillsville, WI 54456

Media - Radio $180.00

Comment(s): inkind ad buys

03/20/2017 Price Co Republican Party

W7577 County Road W, Phillips, WI 54555

Media - Radio $270.00

Sub Total $550.00

In-Kind

Total $72,214.60

Non-Monetary (-): $0.00

Grand Total $72,214.60

SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Friends of Dr. Holtz

Total $0.00

Registrant In-Kind Sub Total (-): $0.00

Non-Monetary (-): $0.00

Grand Total $0.00

Date Full Name Address Vendor Name Vendor Address

Amount

ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A

Complete Committee Name:

Beginning Incurred Obligation Amount:

Grand Total $0.00

Date Full Name Address Amount

$0.00

Friends of Dr. Holtz

Outstanding Incurred Obligations End of Report $0.00

Grand Total $0.00

Date Full Name Amount Paid

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Beginning Loan Balance:

Friends of Dr. Holtz

$6,000.00

Outstanding Loans End of Report $6,000.00

Grand Total $0.00

Date Full Name Amount Paid

Grand Total $0.00

Date Full Name Address Amount