campaign finance report state of wisconsin gab-2 · 2012-08-02 · 07/30/2012 nimm, sean 3225...
TRANSCRIPT
2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$5,793.62 $16,838.48
$0.00 $0.00
$5,793.62 $16,838.48
Street Address: P.O. Box 59
City, State and Zip: Merrill, WI 54452
Filing Period Name:
Covers all activity from 07/01/2012 through 07/30/2012
Fall Pre-Primary 2012
Name of Committee/Corporation:
Citizens for Tiffany
CAMPAIGN FINANCE REPORT STATE OF WISCONSIN
GAB-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
$10,120.00 $75,002.63
$0.00 $15,970.22
$0.00 $7.59
$10,120.00 $90,980.44
SUMMARY OF RECEIPTS AND DISBURSEMENTS
GAB ID: 0104212
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)
$100,268.43
$10,120.00
$110,388.43
$5,793.62
$0.00
$1,269.20
$104,594.81*
*
I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Candidate or Treasurer: Signature of Candidate or Treasurer Date:
Daytime Phone:Koth, James
NOTE: The information on this form is required by ss.11.06, 11.20, Wis. Stats. Failure to provide the information may subject you to thepenalties of ss.11.60, 11.61, Wis. Stats.
GAB-2 (Rev. 12/03) This form is prescribed by the Government Accountability Board, 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: Citizens for Tiffany
Comment(s): Tom Tiffany, STATE HOUSE 35th WI
07/19/2012 Braun, Richard 1106 Sixth St., Kewaunee, WI 54216
Director Baylake Bank, Sturgeon Bay
217 N. 4th Ave., P.O. Box 9, Sturgeon Bay, WI 54235
$200.00 $0.00
07/30/2012 Terharn, Susanne S.
6310 West Cedar, Wauwatosa, WI 53213
Manager MillerCoors 3939 West Highland Blvd., P.O. Box 482, Milwaukee, WI 53201
$100.00 $0.00
07/30/2012 Scully, Timothy H. 619 Laura Drive, Falls Church, VA 22046
Vice President Government Affairs
MillerCoors 1501 M. Street NW, Suite 330, Washington DC, DC 20005
$100.00 $0.00
07/19/2012 Wolf, Bruce 2929 S. Telemark Cir., Green Bay, WI 54313
Owner Comfort Suites
1951 Bond St., Green Bay, WI 54303
$100.00 $0.00
07/19/2012 Pope, Chico 11802 Charley Bluff Rd., Milton, WI 53563
Owner Buckhorn Supper Club
11802 Charley Bluff Rd., Milton, WI 53563
$150.00 $0.00
Comment(s): Tom Tiffany, STATE HOUSE 35th WI
07/19/2012 Kellman, Michael 14315 W. Meadowshire Ct., New Berlin, WI 53151
Banker North Shore Bank, SSB
15700 W. Bluemound Rd, Brookfield, WI 53005
$200.00 $0.00
07/30/2012 Beversdorf, Brett 1427 Sky Line Dr, Stevens Point, WI 54482
Aviation Manager Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$50.00 $0.00
07/30/2012 Wright III, James T.
W149 N7420 Hidden Meadow Drive, Menomonee Falls, WI 53051
Sales Planning Director
MillerCoors 3939 West Highland Blvd., P.O. Box 482, Milwaukee, WI 53201
$100.00 $0.00
07/30/2012 Long, N. Thomas 6836 North Barnett Lane, Fox Point, WI 53217
President & CEO MillerCoors 3939 West Highland Blvd., P.O. Box 482, Milwaukee, WI 53201
$100.00 $0.00
07/30/2012 Sheehy, James J. 19170 Glacier Parkway, Brookfield, WI 53045
VP Procurement MillerCoors 3939 West Highland Avenue, P.O. Box 482, Milwaukee, WI 53201
$100.00 $0.00
Conduit Contribution
Date Full Name Address Occupation Employer Name
Employer Address
Amount YTD
07/09/2012 Lau, Craig W1879 Cty Rd A, Tomahawk, WI 54487
$25.00 $25.00
Monetary
07/03/2012 Meyer, Daniel 3355 Star Creek Lane, Green Bay, WI 54311
ADMINISTRATOR Aurora BayCare Med Ctr
PO Box 8900, Green Bay, WI 54308
$100.00 $100.00
07/05/2012 Size, Tim 2215 Commonwealth Av, Madison, WI 53726
EXECUTIVE DIRECTOR
Rural Wisconsin Health Coop
880 Independence Lane, Sauk City, WI 53583
$250.00 $250.00
07/01/2012 Schmidt, Mary W2528 Brookhaven Dr, Appleton, WI 54915
PUBLIC RELATIONS
Boldt 2525 N Roemer Rd, Appleton, WI 54911
$500.00 $500.00
07/30/2012 Knishka, James 3060 Portarligton Lane, Fitchburg, WI 53711
Application Dvlpmt Mgr
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$100.00 $0.00
07/30/2012 Nimm, Sean 3225 Olympia Ave, Stevens Point, WI 54481
Dir-Pricing & Prod Dev-Trans
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$100.00 $0.00
07/30/2012 Olson, Donald 4823 Barbara's Lane, Stevens Point, WI 54481
VP Segment Executive (TR)
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$100.00 $0.00
07/30/2012 Durall, Robert 1950 Ashford Drive, Plover, WI 54467
Dir-IT Customer Service
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$100.00 $0.00
07/30/2012 Garth, Vincent 4285 Sterling Drive, Plover, WI 54467
Assoc Dir Sales - Cycle
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$100.00 $0.00
07/30/2012 Hackl, Mark 4440 River Drive, Plover, WI 54467
SVP Group Exec C/L DW and L&H
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$200.00 $0.00
07/30/2012 Wunrow, Gary 2710 Cambridge Ct., Plover, WI 54467
Project Manager Sr
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$100.00 $0.00
07/30/2012 Peters, Frank 7085 Bass Lake Road, Lake Tomahawk, WI 54539-9311
Retired $200.00 $0.00
07/03/2012 Quinn, George 1809 Jefferson St, Madison, WI 53711
SENIOR POLICY ADVISOR
Wisconsin Hospital Association
PO Box 259038, Madison, WI 53725
$100.00 $100.00
07/30/2012 Trautschold, Mark 4272 Windsong Place, Plover, WI 54467
SVP Chief Claims Officer
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$100.00 $0.00
07/30/2012 Wittmann, Richard 996 Newhaven Circle, Sun Prairie, WI 53590
VP Chief Marketing Officer
Sentry Insurance a Mutual Company
1800 North Point Drive, Stevens Point, WI 54481
$50.00 $0.00
Sub Total $3,300.00
Conduit Contribution
07/27/2012 Barden, Alvin 4427 Chain O'Lakes Rd, Eagle River, WI 54521
RETIRED $50.00 $50.00
07/27/2012 Kennedy, Robert 208 E Polk St, Crandon, WI 54520
RETIRED $20.00 $20.00
07/27/2012 Bardenwerper, James
1190 Wilke Trail, St Germain, WI 54558
RETIRED $20.00 $20.00
07/04/2012 Rosand, Craig 1701 Wyoming, Superior, WI 54880
TEACHER Superior School District
$100.00 $200.00
07/01/2012 Stober, M James PO Box 150, Presque Isle, WI 54557
$50.00 $50.00
07/01/2012 Klenke, John 3463 Yorkshire Rd, Green Bay, WI 54311
Assemblyman WI State Legislature
PO Box 8953, Madison, WI 53708
$250.00 $250.00
07/01/2012 Collins, Kelly V N4243 Schielke Rd, Gleason, WI 54435
$20.00 $20.00
07/01/2012 Shepherd, Jeremy 5592 Huntingwood Way, Waunakee, WI 53597
$100.00 $100.00
07/25/2012 Marshall, John 2127 Laura Ct, Waukesha, WI 53186
RETIRED $500.00 $500.00
07/04/2012 Granlund, Thomas 8955 Blumenstein Rd, Woodruff, WI 54568
$20.00 $20.00
07/02/2012 Sill, Ron 130 Lakeshore Dr, Minocqua, WI 54548
$50.00 $50.00
07/30/2012 Heitzer, Richard 1448 Shady Lane, St Germain, WI 54558
RND Foam Systems
17100 W Victor Rd, New Berline, WI 53151
$100.00 $100.00
07/30/2012 Thompson, Dennis 8859 Art Thompson Rd, Harshaw, WI 54529
$50.00 $50.00
07/20/2012 Smith, Olive 1010 Mason St, Rhinelander, WI 54501
$25.00 $25.00
07/30/2012 Witt, Pat PO Box 700, Crivitz, WI 54114
$50.00 $50.00
07/01/2012 Musson, Nadine 4712 Island View, Rhinelander, WI 54501
President Dolson, Inc 150 Stevens Street, Rhinelander, WI 54501
$500.00 $500.00
07/01/2012 Macintosh, Robert PO Box 369, Lakewood, WI 54138
OWNER Nicolet Plastics
16685 State Rd 32, Mountain, WI 54149
$1,000.00 $1,000.00
07/20/2012 Longsine, Tyler 2822 Sandalwood Rd, Abrams, WI 54101
$10.00 $10.00
07/01/2012 Tonne, John 8640 Lakeview Dr K-W, Minocqua, WI 54548
Owner Paul Bunyan 8653 US Highway 51 N, Minocqua, WI 54548
$500.00 $500.00
Monetary
07/29/2012 Kienitz, Paul N2730 Thiel Dr, Merrill, WI 54452
$50.00 $50.00
07/28/2012 Markewycz, Yurgen
N1591 Bluebird Lane, Merrill, WI 54452
RETIRED $250.00 $250.00
07/30/2012 Davis, Virgil 2700 Range Line Rd, Rhinelander, WI 54501
RETIRED $25.00 $25.00
07/28/2012 Krahn, Kurt N11379 Stone hill Lane, Rhinelander, WI 54501
RETIRED $25.00 $25.00
07/28/2012 Kopecko, Bill PO Box 1957, Eagle River, WI 54521
$100.00 $100.00
07/28/2012 Tillema, Dowe 606 17th St, Mosinee, WI 54455
$50.00 $50.00
07/27/2012 Mitchell, James W5431 N Shore Dr, Irma, WI 54442
$50.00 $50.00
07/27/2012 Schumann, William
PO Box 249, Manitowish Waters, WI 54545
$25.00 $25.00
07/28/2012 Casadonte, Carol 11225 Killarney Bay Dr, Tomahawk, WI 54487
$50.00 $50.00
07/28/2012 Wipperfurth, Thomas
840 Cedar St, Minocqua, WI 54548
$20.00 $20.00
07/30/2012 McQuillen, Robert PO Box 1732, Eagle River, WI 54521
RETIRED $100.00 $100.00
07/26/2012 Knab, Michael W6609 Hwy 64 & 107, Merrill, WI 54452
RETIRED $20.00 $20.00
07/27/2012 Renkas, Paul PO Box 297, Wabeno, WI 54566
$10.00 $10.00
07/29/2012 Lemke, CarolAnn W8551 White Birch Rd, Crivitz, WI 54114
RETIRED $15.00 $15.00
07/30/2012 Landolt, Patricia 1513 Clairville Rd, Oshkosh, WI 54904
RETIRED $50.00 $50.00
07/29/2012 Koch, Paul 5374 Moonlite Dr, De Pere, WI 54115
RETIRED $100.00 $100.00
07/27/2012 Draeger, James N5454 Hwy B, Deerbrook, WI 54424
$100.00 $100.00
07/28/2012 Fehrmann, William 1305 Champagne St, Merrill, WI 54452
$25.00 $25.00
07/27/2012 Linn, Stephen 1427 Snowshoe Lane, Eagle River, WI 54521
RN Ministry Health Care
$50.00 $50.00
07/27/2012 Kuppenheimer, Mary
3025 Kentuck Lake Rd, Phelps, WI 54554
retired $250.00 $250.00
Monetary
07/30/2012 Lucas, Paul N37W26951 Kopmeier Dr, Pewaukee, WI 53072
$250.00 $250.00
07/30/2012 Lee, Steven PO Box 290, Manitowish Waters, WI 54545
$50.00 $50.00
07/30/2012 Newman, Tim N10872 Cty Rd H, Gleason, WI 54435
PRODUCE WORKER
Trig's Food & Drug
232 S Courtney, Rhinelander, WI 54501
$200.00 $200.00
07/30/2012 Beals, Ralph PO Box 202, Tomahawk, WI 54487
RETIRED $100.00 $100.00
07/30/2012 Knapstein, Ray PO Box 71, Woodruff, WI 54568
SELF EMPLOYED $25.00 $25.00
07/02/2012 Ketelle, Pam 7825 Agawak Rd, Minocqua, WI 54548
Owner PJ's Up North 397 Hwy 51N, Arbor Vitae, WI 54568
$250.00 $0.00
07/29/2012 Kemerling, James 1125 Easthill Pl, Wausau, WI 54403
CEO Riiser Oil Company
709 S 20th Ave, Wausau, WI 54402
$100.00 $100.00
07/30/2012 Czerniawski, Jo 601 Piper St, Tomahawk, WI 54487
RETIRED $100.00 $100.00
07/30/2012 Neuschaefer, William
118280 High Meadow Dr, Brookfield, WI 53045
DENTIST $25.00 $25.00
07/28/2012 Dobrinski, Chris 8690 Ranchwood Rd, Minocqua, WI 54548
$50.00 $50.00
07/29/2012 Szmurlo, Charles 9388 Meadowlark Rd, Harshaw, WI 54529
$20.00 $20.00
07/30/2012 Phillips, Matt 1425 Moline St, Stoughton, WI 53589
$100.00 $100.00
07/29/2012 Engebretsen, Gary 2502 Rio Grande Dr, Merrill, WI 54452
RETIRED $25.00 $25.00
07/30/2012 Gardner, Donald PO Box 200, Florence, WI 54121
$100.00 $100.00
07/30/2012 Fonti, Vincent 1816 Buckhorn Rd, Arbor Vitae, WI 54568
RETIRED $100.00 $100.00
07/30/2012 Kovacich, Joseph W1527 Country Squire Rd, Gleason, WI 54435
$20.00 $20.00
07/30/2012 Tonne, John 8640 Lakeview Dr, Minocqua, WI 54548
OWNER Paul Bunyan's
8653 Hwy 51 N, Minocqua, WI 54548
$500.00 $1,000.00
Sub Total $6,820.00
Monetary
Total UnItemized Contributions $0.00
Total Anonymous Contributions $0.00
Loan Forgiven (-): $0.00
Total $10,120.00
Grand Total $10,120.00
Non-Monetary (-): $0.00
SCHEDULE 1-B RECEIPTS Contributions from Committees
(Transfers-In)
Complete Committee Name: Citizens for Tiffany
Non-Monetary (-): $0.00
Total $0.00
Grand Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans
Complete Committee Name: Citizens for Tiffany
Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 2-A DISBURSEMENTS Gross Expenditures
Complete Committee Name:
07/02/2012 Tiffany, Tom 4973 Willow Dam Road, Hazelhurst, WI 54531
Candidate Expenses - Gas
$698.42
07/02/2012 Wisconsin Public Service
PO Box 19003, Green Bay, WI 54307
Utilities - Electrical
$28.89
Comment(s): tees
07/02/2012 Custon Screen Graphics, LLC
632 North Fourth Street, Tomahawk, WI 54487
Printing Misc. (buttons, bumper stickers, t-shirts)
$208.89
07/07/2012 Verizon Wireless PO Box 4002, Acworth, GA 30101
Utilities - Phone / Cell Phone
$138.99
07/18/2012 Frontier PO Box 20550, Rochester, NY 14602
Utilities - Phone / Cell Phone
$147.87
07/18/2012 Red Crown Lodge, LLC 22 E Mifflin Street, Madison, WI 53703
Event or Fair Booth
$437.60
Comment(s): WHA PAC Breakfast
07/02/2012 Postmaster Crandon, WI 56548
Postage $135.00
Comment(s): 300 stamps
07/01/2012 The Osthoff Resort 101 Osthoff Ave, Elkhart Lake, WI 53020
Event or Fair Booth
$951.55
07/18/2012 Postmaster WI Mailing Service
$2,163.05
Comment(s): July lodging
07/02/2012 J & J Rentals 333 Prospect St, Rhinelander, WI 54501
Staff - Lodging
$200.00
Comment(s): August 3 event
07/17/2012 Rose Garden 131 West Thomas St, Wausau, WI 54403
Event or Fair Booth
$60.00
Comment(s): Down payment for Paul Ryan event
Monetary
Date Full Name Address Vendor Name Vendor Address
Expense Purpose
Amount
Citizens for Tiffany
07/02/2012 Tiffany, Tom 4973 Willow Dam Road, Hazelhurst, WI 54531
Unitemized $303.30
Comment(s): repairs
Sub Total $303.30
Unitemized
07/30/2012 Paypal WI Bank Charges
$14.13
Comment(s): paypal fees
Comment(s): phone supplies
07/02/2012 Tiffany, Tom 4973 Willow Dam Road, Hazelhurst, WI 54531
Utilities - Phone / Cell Phone
$137.13
Comment(s): gas reimburse for the month of June
Comment(s): Printing of Invites and Envelopes
07/30/2012 American Printing 2909 Syene Rd, Madison, WI 53713
Printing - Copies
$168.80
Sub Total $5,490.32
Monetary
Total $5,793.62
Non-Monetary (-): $0.00
Grand Total $5,793.62
SCHEDULE 2-B DISBURSEMENTS Contributions To Committees
(Transfers-Out)
Complete Committee Name: Citizens for Tiffany
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:
Incurred Obligation Outstanding Amount:
Grand Total $0.00
Date Full Name Address Amount
$0.00
Citizens for Tiffany
Grand Total $0.00
Date Full Name Amount Paid
ADDITIONAL DISCLOSURELoans
Individual, Committee or Commercial
SCHEDULE 3-B
Complete Committee Name:
Loans Outstanding Amount:
Citizens for Tiffany
$1,269.20
Grand Total $0.00
Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount
Outstanding Amount