campaign finance report state of wisconsin...

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$5,669.93 $7,796.06

$0.00 $250.00

$5,669.93 $8,046.06

Street Address: 2863 S. Prairie View Road

City, State and Zip: Chippewa Falls, WI 54729

Filing Period Name: Recall 30 day report 2011

Name of Committee/Corporation:

Friends of Terry Moulton

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

$29,461.04 $40,251.04

$6,000.00 $11,700.00

$0.00 $0.00

$35,461.04 $51,951.04

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0104124

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)

$57,285.02

$35,461.04

$92,746.06

$5,669.93

$0.00

$0.00

$87,076.13*

*

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:Roth, Sara

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: Friends of Terry Moulton

11/23/2011 AHNEMAN, EDWARD

130 CANTERBURY RD, EAU CLAIRE, WI 54701

$100.00 $150.00

10/10/2011 ANDERSON, KELLEY P

1000 NORTH OAK AVE, MARSHFIELD, WI 54449

$100.00 $100.00

12/09/2011 ANDERSON, CANDACE

N7886 555TH ST, MENOMONIE, WI 54751

$30.00 $80.00

07/25/2011 ADLER, RICHARD M

214 W HUNT ST, GREENWOOD, WI 54437

$75.00 $75.00

11/23/2011 ADLER, RICHARD M

214 W HUNT ST, GREENWOOD, WI 54437

GENERAL MGR CLARK ELECTRIC COOP

GREENWOOD, WI 54437

$100.00 $175.00

12/09/2011 ANGLUM, MARY C

1680 196TH ST, CHIPPEWA FALLS, WI 54729

$100.00 $100.00

07/11/2011 BALTS, CHARLES W

4510 PUTTOR DR, EAU CLAIRE, WI 54701

$10.00 $10.00

11/28/2011 BALTS, CHARLES W

4510 PUTTOR DR, EAU CLAIRE, WI 54701

$25.00 $35.00

10/21/2011 BANNISTER, FRED

2374 1-1/2 AVE, CHETEK, WI 54728

RETIRED $200.00 $200.00

12/09/2011 APPEL, CYNTHIA 2863 S PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729

$25.00 $25.00

12/09/2011 ARNESON, LON C

4104 143RD ST, CHIPPEWA FALLS, WI 54729

OPTOMETRIST NORTHWOODS FAMILY EYECARE LLC

113 N BRIDGE ST, CHIPPEWA FALLS, WI 54729

$250.00 $250.00

12/05/2011 ATKINSON, DOROTHY M

1615 BIRCH ST, EAU CLAIRE, WI 54703

$25.00 $50.00

Monetary

10/10/2011 Kubichek, John 4019 Hwy NN, West Bend, WI 53095

Retired $650.00 $650.00

Comment(s): RECALL CONTRIBUTION

Sub Total $650.00

Recall Conduit Contribution

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

12/02/2011 BOUCHER, BERNICE A

4585 N SAWYER RD, OCONOMOWOC, WI 53066

$50.00 $100.00

10/17/2011 BRAZZALE, CAROL J

1011 PRIMROSE LN, ALTOONA, WI 54720

RESPIRATORY THERAPIST

GRACE HOME RESPIRATORY

2204 HILLCREST PKWY, EAU CLAIRE, WI 54701

$100.00 $250.00

10/17/2011 BOUCHER, BERNICE A

4585 N SAWYER RD, OCONOMOWOC, WI 53066

$50.00 $50.00

11/28/2011 BLUSKE, MONTE R

10288 161ST ST, CHIPPEWA FALLS, WI 54729

$50.00 $50.00

11/21/2011 BRYCE, CAROLYN A

4115 JEFFERS RD APT 123, EAU CLAIRE, WI 54703

RETIRED $100.00 $175.00

12/02/2011 BRYANT, JOHN 1227 THERBROOK ST, CHIPPEWA FALLS, WI 54729

$50.00 $100.00

12/09/2011 BROWN, STEPHANIE

221 WASHINGTON ST, RIVER FALLS, WI 54022

$100.00 $100.00

11/23/2011 BRUCKNER, THOMAS L

2711 IRENE DR, EAU CLAIRE, WI 54701

$25.00 $25.00

12/05/2011 BATEMAN, LINDA C

18151 30TH AVE, CHIPPEWA FALLS, WI 54729

$100.00 $100.00

07/11/2011 BAUMAN, DOROTHY E


$50.00 $50.00

12/02/2011 BARTINGALE, JACK D

239 CORYDON RD, EAU CLAIRE, WI 54701

$25.00 $25.00

12/06/2011 BLACK, BARBARA J

PO BOX 427, COLFAX, WI 54730

$20.00 $20.00

12/06/2011 BARBERG, WARREN

307 S FARWELL ST, EAU CLAIRE, WI 54701

$10.00 $35.00

11/21/2011 BIELEFELDT, SHARILYN

5441 BENJAMIN ST, EAU CLAIRE, WI 54703

$35.00 $50.00

12/02/2011 BIELEFELDT, SHARILYN

5441 BENJAMIN ST, EAU CLAIRE, WI 54703

$50.00 $100.00

09/16/2011 BERGH, ROBERT 1384 CTY HWY F, EAU CLAIRE, WI 54703

RETIRED $200.00 $200.00

11/28/2011 BAUMAN, GERALD A


$50.00 $50.00

11/28/2011 BERG, TROY 3720 GLEN CREST CT, EAU CLAIRE, WI 54701

$100.00 $100.00

Monetary

11/21/2011 BURR, RYAN B 10610 24TH AVE, EAU CLAIRE, WI 54703

$100.00 $100.00

12/05/2011 BURNS, ROBERT 3237 VENUS AVE, EAU CLAIRE, WI 54703

$25.00 $75.00

11/28/2011 CAPAUL, DAVID P

208 N 8TH ST BOX 241, CORNELL, WI 54732

$50.00 $50.00

12/09/2011 BURTON, THOMAS B

111 WEST WILSON ST APT 704, MADISON, WI 53703

$15.00 $15.00

12/05/2011 BUONINCONTRO, ROBERT

314 E SHERMAN AVE, FORT ATKINSON, WI 53538

SALES THEBCO 4126 ROBERTSON RD, MADISON, WI 53714

$200.00 $200.00

12/09/2011 DOUGHTY, DANIEL J

4554 EASTLAND CT, EAU CLAIRE, WI 54703

$100.00 $100.00

10/21/2011 BURNS, ROBERT 3237 VENUS AVE, EAU CLAIRE, WI 54703

$25.00 $50.00

12/09/2011 BURCH, SCOTT 2410 WOODHAVEN RD, EAU CLAIRE, WI 54703

$50.00 $50.00

12/09/2011 CARR, MIRIAM A 415 W GRANT AVE, EAU CLAIRE, WI 54701

$10.00 $10.00

10/17/2011 DEROSA, MICHAEL F

211 MCKINLEY AVE, EAU CLAIRE, WI 54701

$100.00 $100.00

12/02/2011 DEDRICKSON, JAMES R

5275 210TH ST, CADOTT, WI 54727

RETIRED $200.00 $200.00

12/09/2011 DOBRENZ, CAROL A

2916 TRINITY ST, EAU CLAIRE, WI 54703

$50.00 $50.00

12/05/2011 DEROSA, MICHAEL

211 MCKINLEY AVE, EAU CLAIRE, WI 54701

OWNER EAU D INC 2127 NECESSITY ST, EAU CLAIRE, WI 54703

$250.00 $350.00

12/09/2011 CONLIN, MICHAEL R

5240 SUNSET VIEW DR, EAU CLAIRE, WI 54701

$100.00 $100.00

11/23/2011 COLEMAN, KEITH 678 CEDARWOOD CT, CHIPPEWA FALLS, WI 54729

$15.00 $30.00

07/25/2011 DECKER, RON 953 RICHARD DR 2, EAU CLAIRE, WI 54701

$5.00 $5.00

12/05/2011 CONROY, MICHAEL W

3213 DALE RD, EAU CLAIRE, WI 54703

$100.00 $100.00

Monetary

11/28/2011 FRASER, ROBERT S

2911 PUTNAM GLEN PL, EAU CLAIRE, WI 54701

RETIRED $50.00 $150.00



$50.00 $200.00



$25.00 $100.00

12/05/2011 FIELDS, DARCY 3561 SHARON DR, EAU CLAIRE, WI 54701

$100.00 $100.00

12/09/2011 FROGNER, DAVID

613 IVERSON RD, COLFAX, WI 54730

$35.00 $55.00

11/23/2011 GARCIA, JOEL 3714 EASTWIND DR, EAU CLAIRE, WI 54701

$100.00 $100.00

07/11/2011 GIBSON, ED C 3258 FERN CT, EAU CLAIRE, WI 54703

$10.00 $10.00

12/06/2011 EBNER, ROBERT 109 PARKSIDE DR, CAMERON, WI 54822

$50.00 $50.00

10/10/2011 ELLIAS, YAKUB A 1123 ONSTAD DR, MARSHFIELD, WI 54449

$50.00 $50.00

12/09/2011 EARNEST, ROBERT A

2517 EAGLE TERRACE, EAU CLAIRE, WI 54703

$50.00 $50.00

11/23/2011 FELLER, ANDREA G

820 PAVELSKI RD, EAU CLAIRE, WI 54703

$25.00 $25.00

11/28/2011 DREGER, RAYMOND

11861 20TH ST, COLFAX, WI 54730

$100.00 $100.00

11/23/2011 ELLISON, DORIS B

N8579 HAY CREEK RD, WILLARD, WI 54493

$100.00 $100.00

10/06/2011 FARMER, BRYAN J

3667 TAMARACK LN, EAU CLAIRE, WI 54701

$30.00 $80.00

10/28/2011 FELCE, JEROME L

5498 210TH ST, CADOTT, WI 54727

$20.00 $20.00

11/28/2011 EVANS, JOHN 625 SHORELINE CT, EAU CLAIRE, WI 54703

MD EAU CLAIRE ANETHESIA

1101 W CLAIREMONT AVE, EAU CLAIRE, WI 54703

$100.00 $300.00

10/17/2011 ERICKSON, NELLIE B


$25.00 $25.00

10/06/2011 EVANS, JOHN 625 SHORELINE CT, EAU CLAIRE, WI 54703

$100.00 $200.00

Monetary

10/17/2011 GWIAZDA, GREGORY


$100.00 $100.00

12/02/2011 GUNTHERT, BECKY

1012 LAKE RD, ALTOONA, WI 54720

$100.00 $100.00

11/23/2011 HARSTAD, OPAL A

957 DANCING OAKS CIRCLE APT 11, MENOMONIE, WI 54751

$20.00 $20.00

12/02/2011 HANSEN, RAYMOND A

E1415 BALSAM RD, EAU CLAIRE, WI 54701

$20.00 $20.00

12/09/2011 GRAY, GARY R 6333 164TH ST, CHIPPEWA FALLS, WI 54729

RETIRED $250.00 $250.00

07/11/2011 HOOGESTEGER, JAMES L

7821 N. CIRCLE DR, WI RAPIDS, WI 54494

$15.00 $15.00

07/11/2011 GROSSKLAUS, CHARLES M

5055 N SHORE DR, EAU CLAIRE, WI 54703

$100.00 $100.00

12/09/2011 GREEN, MARY J 2860 MERCURY AVE, EAU CLAIRE, WI 54703

$100.00 $100.00

12/05/2011 HARTMAN, KATHERINE B

320 E COLOME ST APT 303, CHIPPEWA FALLS, WI 54729

$50.00 $50.00

07/05/2011 HELGEMO, ROBERT R


$25.00 $25.00

12/09/2011 HEBERT, THOMAS J


$250.00 $450.00

11/23/2011 HOLTE, JAMES A N2478 CTY RD H, ELK MOUND, WI 54739

FARMER SELF N2478 CTY RD H, ELK MOUND, WI 54739

$150.00 $200.00

11/23/2011 HELGERSON, MARGARET A

PO BOX 186, CORNELL, WI 54732

$10.00 $20.00

12/09/2011 HAYHOE, BRUCE C

3339 BOCA CIEGA DR, NAPLES, FL 34112

$15.00 $15.00

12/05/2011 HASELWANDER, KATHYRN

3705 FREEDOM DR, EAU CLAIRE, WI 54703

HOMEMAKER $250.00 $250.00

12/02/2011 HEBERT, THOMAS J


DENTIST HEBERT DENTAL

4710 COMMERCE VALLEY RD, EAU CLAIRE, WI 54701

$200.00 $200.00

11/08/2011 HEARD, MARY 5977 N SHORE DR, EAU CLAIRE, WI 54703

$25.00 $75.00

Monetary

10/06/2011 KRENZ, MATTHEW D.

E10645 W HILLSDALE DR, FALL CREEK, WI 54742

$20.00 $20.00

12/02/2011 KRESSIN, JOHN 1823 KRANZFELDER ST, BLOOMER, WI 54724

GREETER WALMART 2786 COMMERCIAL BLVD, CHIPPEWA FALLS, WI 54729

$150.00 $150.00

11/28/2011 KOLB, WALTER 1703 PEARL ST, WAUKESHA, WI 53186

MFG SELF EMPLOYED

1703 PEARL ST, WAUKESHA, WI 53186

$250.00 $250.00

12/02/2011 KRUSE, THOMAS J

3406 LESLIE LN, EAU CLAIRE, WI 54703

$100.00 $100.00

12/09/2011 KUKUK, LLOYD 12475 66TH AVE, CHIPPEWA FALLS, WI 54729

RETIRED $150.00 $200.00

12/09/2011 KUEHL, JEROME H

1519 GREEN VIEW DR, CHIPPEWA FALLS, WI 54729

$50.00 $50.00

11/23/2011 KUEHNER, MARVIN E

9802 CTY RD Y, MARSHFIELD, WI 54449

PHYSICIAN MARSHFIELD CLINIC

100 N OAK AVE, MARSHFIELD, WI 54449

$100.00 $200.00

12/09/2011 JONES, JEFFREY R

5985 N SHORE DR, EAU CLAIRE, WI 54703

RETIRED $100.00 $200.00

07/11/2011 KEWAN, THOMAS M

4810 RIVERCREST DR, EAU CLAIRE, WI 54703

RETIRED $100.00 $425.00

12/09/2011 KOGUTKIEWICZ, WALTER M

5336 CTY HWY K, CHIPPEWA FALLS, WI 54729

$100.00 $200.00

12/09/2011 IRVINE, JEFFREY D

7028 CTY RD K, CHIPPEWA FALLS, WI 54729

DESIGN HOMES

2915 QUAIL RIDGE RD, EAU CLAIRE, WI 54703

$250.00 $250.00



RETIRED $100.00 $525.00



RETIRED $25.00 $750.00

11/23/2011 KLEICH, WILLIAM S

10691 CTY HWY X, CHIPPEWA FALLS, WI 54729

$100.00 $100.00

10/06/2011 KEWAN, TOM 4810 RIVERCREST DR, EAU CLAIRE, WI 54703

RETIRED $100.00 $625.00



RETIRED $100.00 $725.00

Monetary

10/28/2011 LAUER, STEVE M 2115 DECLARATION DR, EAU CLAIRE, WI 54703

OWNER LAUER CUSTOM WEAPONRY

CHIPPEWA FALLS, WI 54729

$100.00 $200.00

12/05/2011 LARSON, RICHARD D

4920 S LOWES CREEK RD, EAU CLAIRE, WI 54701

$50.00 $50.00

07/25/2011 LEE, DENNIS J C1607 BALSAM, STRATFORD, WI 54484

$25.00 $25.00

12/09/2011 LEBAKKEN, JEFFREY L

2311 W PRINCETON AVE, EAU CLAIRE, WI 54703

OWNER LEBAKKENS 2842 MELBY ST, EAU CLAIRE, WI 54703

$250.00 $250.00

07/15/2011 LAGRANDER, SANDY

W11299 BROEK RD, STANLEY, WI 54768

SELF EMPLOYED LAGRANDERS HILLSIDE DAIRY

W11229 BROEK RD, STANLEY, WI 54768

$125.00 $125.00

07/11/2011 LA SEE, JAMES J EP4052 CTY TRK E, STRATFORD, WI 54484

$25.00 $25.00

12/06/2011 MARTIN, GARY P M325 FIR ST, MARSHFIELD, WI 54449

DENTIST MARTIN DENTAL

605 E 4TH ST, MARSHFIELD, WI 54449

$250.00 $250.00


$50.00 $100.00


$25.00 $50.00

12/09/2011 MANTIK, RACHEL A

1506 TAFT AVE, EAU CLAIRE, WI 54701

$25.00 $25.00

11/23/2011 LYBERG, DENNIS C

14262 42ND AVE, CHIPPEWA FALLS, WI 54729

$50.00 $50.00

10/28/2011 MARKQUART, MICHELLE R

N2844 960TH ST, ELK MOUND, WI 54739

SELF EMPLOYED SELF N2844 960TH ST, ELK MOUND, WI 54739

$200.00 $200.00

10/10/2011 MARKQUART, LEE

4411 OLD SCHOOL CT, EAU CLAIRE, WI 54701

$100.00 $100.00

11/28/2011 LUBS, JOHN 8133 162ND ST, CHIPPEWA FALLS, WI 54729

RETIRED $250.00 $475.00

10/10/2011 LESLIE, JOHN C 23427 45TH AVE, CADOTT, WI 54727

$100.00 $300.00


RETIRED $100.00 $200.00

10/17/2011 LUBS, JOHN A 8133 162ND ST, CHIPPEWA FALLS, WI 54729

$100.00 $225.00


$100.00 $400.00

Monetary

11/23/2011 MORRELL, JAMES W

11561 22ND AVE, CHIPPEWA FALLS, WI 54729

$15.00 $15.00

07/05/2011 MUELLER, MARK W


OBTAINING $100.00 $150.00

12/02/2011 MITCHELL, GREG 2503 BOTSFORD AVE, ALTOONA, WI 54720

$100.00 $100.00

11/23/2011 MILLER, MIKEALEEN

N12009 890TH ST, COLFAX, WI 54730

$25.00 $50.00

12/09/2011 MUELLER, MARK W


$100.00 $250.00

12/09/2011 MYERS, RAYMOND B


$50.00 $175.00

11/23/2011 MURPHY, TIM J 1005 TIMBER VIEW DR, ALTOONA, WI 54720

VP NORTRAX 3506 OAKWOOD DR, EAU CLAIRE, WI 54701

$200.00 $200.00

07/05/2011 MYERS, RAYMOND B


RETIRED $50.00 $125.00

12/02/2011 MAYER, JAY C 3131 CATUR LN, EAU CLAIRE, WI 54701

$100.00 $100.00

08/10/2011 MAZUR, JUDITH F

12338 189TH ST, JIM FALLS, WI 54748

$25.00 $25.00

12/05/2011 MATTIX, ORPHA I 3335 JILL AVE, EAU CLAIRE, WI 54701

$50.00 $75.00

12/09/2011 MICHELS, PAUL 8451 CTY HWY C, BLOOMER, WI 54724

FARMER SELF EMPLOYED

8451 CTY HWY C, BLOOMER, WI 54724

$150.00 $150.00

11/28/2011 MATSON, GLENN C

1327 EDGEWOOD DR, ALTOONA, WI 54720

$10.00 $30.00

10/21/2011 MAZUR, JUDITH F

12338 189TH ST, JIM FALLS, WI 54748

$25.00 $50.00

12/02/2011 MCLEOD, GEORGE L

2715 N ELCO RD, FALL CREEK, WI 54742

$20.00 $20.00

10/06/2011 MICHELS, RAYMOND

13601 STATE HWY 64, BLOOMER, WI 54724

$100.00 $225.00

12/02/2011 MCFADDEN, DARIN

507 INDIAN HILLS DR, EAU CLAIRE, WI 54703

$50.00 $50.00

11/23/2011 MCCREDDEN, DANIEL J

704 S JACKSON, THORP, WI 54771

$25.00 $25.00

11/23/2011 MCDONOUGH, LYNN A

1841 MENOMONIE ST, EAU CLAIRE, WI 54703

$50.00 $50.00

Monetary

12/05/2011 PETERSON, MARIAN A

13203 39TH AVE N, CHIPPEWA FALLS, WI 54729

RETIRED $50.00 $135.00

10/17/2011 NORGAARD, NONA K

1105 BARRY AVE, EAU CLAIRE, WI 54701

$50.00 $100.00



$25.00 $50.00

12/05/2011 NORTH, DANNY E

PO BOX 297, NEW AUBURN, WI 54757

$50.00 $50.00



CUSTOMER SERVICE REP

AMERICAN FAMILY INSURANCE

2440 LONDON RD, EAU CLAIRE, WI 54703

$50.00 $150.00

10/10/2011 MYKLEJORD, DUANE

314 MAGNOLIA DR, MARSHFIELD, WI 54449

$100.00 $100.00

12/02/2011 PETERSON, ELDRED R

739 E SUMMIT AVE, CHIPPEWA FALLS, WI 54729

$10.00 $10.00

12/02/2011 NIENAST, JEWEL N207 W MCMILLAN ST, MARSHFIELD, WI 54449

$50.00 $50.00

11/28/2011 NELSON, DELOS 420 S BARSTOW ST, EAU CLAIRE, WI 54701

$100.00 $100.00

12/02/2011 NUTTALL, BRUCE E

21094 150TH ST, BLOOMER, WI 54724

$25.00 $25.00

11/23/2011 PAPKE, LOIS J S8020 HILLVIEW RD, EAU CLAIRE, WI 54701

$25.00 $25.00

12/02/2011 OLSON, CRAIG W 704 UNION ST, RIVER FALLS, WI 54022

$10.00 $10.00

10/06/2011 PETERSON, MARIAN A

13203 39TH AVE N, CHIPPEWA FALLS, WI 54729

$35.00 $85.00

12/02/2011 PERRINE, JOHN C

113 WEST 10TH ST, NEILLSVILLE, WI 54456

$25.00 $50.00

12/05/2011 OHRT, THOMAS P

S10005 LOWES CREEK RD, ELEVA, WI 54738

$50.00 $50.00

12/09/2011 OASHGAR, BEVERLY

306 N SEGOE RD UNIT 103, MADISON, WI 53705

$50.00 $50.00

11/23/2011 OLIVER, ROBERT A

18480 122ND AVE, JIM FALLS, WI 54748

PRESIDENT SOS LLC 18480 122ND AVE, JIM FALLS, WI 54748

$100.00 $150.00

10/17/2011 OLIVER, ROBER A

18480 122ND AVE, JIM FALLS, WI 54748

$50.00 $50.00

Monetary

11/23/2011 RICE, GENE H W6890 BRIDGE RD, MONDOVI, WI 54755

$25.00 $25.00

11/23/2011 ROEHL, EVERETT G

11574 N GALVIN AVE, MARSHFIELD, WI 54449

CEO ROEHL TRANSPORT

PO BOX 750, MARSHFIELD, WI 54449

$300.00 $300.00

11/28/2011 REEDER, SUSAN J

N6802 539TH ST, MENOMONIE, WI 54751

$20.00 $20.00

12/09/2011 RAIHLE, DAVID H 15496 221ST AVE, BLOOMER, WI 54724

ATTORNEY SELF 99 E GRAND AVE, CHIPPEWA FALLS, WI 54729

$250.00 $250.00

10/10/2011 RALEIGH, TIM C2274 FAIR VIEW RD, STRATFORD, WI 54484

$25.00 $25.00

12/09/2011 ROLLAND, BARBARA J

3396 WESTHAVEN CT, EAU CLAIRE, WI 54701

$100.00 $100.00

12/09/2011 RUFLEDT, JANICE

19375 130TH ST, BLOOMER, WI 54724

$100.00 $100.00

10/06/2011 POEHNELT, MATT H

26748 240TH ST, HOLCOMBE, WI 54745

$25.00 $25.00

12/02/2011 POEHNELT, MATT H

26748 240TH ST, HOLCOMBE, WI 54745

$25.00 $50.00

12/02/2011 PLANK, SOLOMON

N8368 970TH ST, COLFAX, WI 54730

$25.00 $25.00

11/23/2011 RAETHER, DOUGLAS J

1271 WEST AVE, RICE LAKE, WI 54868

PHYSICIAN MARSHFIELD CLINIC

1700 W STOUT ST, RICE LAKE, WI 54868

$100.00 $200.00

11/23/2011 PEVAN, ROBERT D

501 S MAIN ST, CHIPPEWA FALLS, WI 54729

$100.00 $100.00

07/25/2011 POTTS, ARLENE 13905 44TH AVE, CHIPPEWA FALLS, WI 54729

$25.00 $25.00

11/23/2011 QUINN, SUSAN L 4332 WOODRIDGE DR, EAU CLAIRE, WI 54701

$50.00 $50.00

07/01/2011 RAETHER, DOUGLAS J

1271 WEST AVE, RICE LAKE, WI 54768

$100.00 $100.00

07/25/2011 PRITCHETT, E MILO

1525 CORNELL ST, EAU CLAIRE, WI 54703

$50.00 $50.00

11/23/2011 PREGENT, LAUREE L


$100.00 $100.00

11/23/2011 PRINCE, JOHN W 1229 CUMMINGS AVE, EAU CLAIRE, WI 54701

$30.00 $30.00

Monetary

12/05/2011 SHIFFER, CORA R

3304 14TH ST APT 212, EAU CLAIRE, WI 54703

$50.00 $85.00

10/10/2011 SHIFFER, CORA R

3304 14TH ST APT 212, EAU CLAIRE, WI 54703

$35.00 $35.00

11/28/2011 SCHLAEPP, ROGER

1242 22ND ST, CADOTT, WI 54727

$25.00 $25.00

12/02/2011 SCHILLING, STEVE

2004 WEST MEAD ST, EAU CLAIRE, WI 54703

SELF EMPLOYED FJ SCHILLING

2004 WEST MEAD ST, EAU CLAIRE, WI 54703

$250.00 $250.00

12/02/2011 SCHNEIDER, PATRICIA

1609 6TH AVE, BLOMER, WI 54724

$20.00 $20.00

07/15/2011 SCHLIESMAN, MARYGRACE

1631 NORTON ST, WI RAPIDS, WI 54494

$50.00 $50.00

12/02/2011 SABIN, WILLIAM J 1309 TIMBER RD, EAU CLAIRE, WI 54701

$50.00 $50.00

11/23/2011 SHAY, GERALD 3056 PHOENIX AVE, EAU CLAIRE, WI 54701

$25.00 $50.00

10/21/2011 SCHELLIN, ROBERT B

3453 MIDWAY ST, EAU CLAIRE, WI 54703

$50.00 $50.00

11/23/2011 SCHALLER, NELSON A

E5265 INTERLACHEN BLVD, ELEVA, WI 54738

$50.00 $50.00

12/02/2011 SEITZ, MARTIN W 890 JERICO LN, SUN PRAIRIE, WI 53590

$50.00 $50.00

12/02/2011 SCOTT, NOEMA 3372 WESTHAVEN CT, EAU CLAIRE, WI 54701

$50.00 $50.00

10/06/2011 SHAY, GERALD W.

3056 PHOENIX AVE, EAU CLAIRE, WI 54703

$25.00 $25.00

12/09/2011 SENN, BONNIE M 10875 43RD AVE, CHIPPEWA FALLS, WI 54729

HOMEMAKER $250.00 $250.00

10/10/2011 SCHUMACHER, RITA M

E6448 830TH AVE, COLFAX, WI 54730

$5.00 $10.00

12/05/2011 SCHNEIDER, PATRICIA

1609 6TH AVE, BLOOMER, WI 54724

$10.00 $30.00

10/06/2011 SCHWANKL, DOROTHY M

2621 FROSTWOODS ST, EAU CLAIRE, WI 54703

RETIRED $250.00 $250.00

07/05/2011 SCHWANKL, RICHARD B


RETIRED $250.00 $250.00

Monetary

12/02/2011 THEISEN, FAY I 3603 W COUNTRY CLUB LN, ALTOONA, WI 54720

$100.00 $100.00

07/11/2011 THILL, JAMES R 430 S BEACH DR, ALTOONA, WI 54720

$100.00 $100.00

11/28/2011 THILL, JAMES R 430 S BEACH DR, ALTOONA, WI 54720

OBTAINING $100.00 $200.00

10/10/2011 STRAND, JON I 472 GLENWOOD CT, CHIPPEWA FALLS, WI 54729

$100.00 $100.00

12/05/2011 SYLTE, JAMES D 1614 DEBLENE LN, EAU CLAIRE, WI 54703

$25.00 $25.00

10/17/2011 THORSON, MARGUERITE

327 MARSHALL ST, CHIPPEWA FALLS, WI 54729

$25.00 $85.00

12/02/2011 SIEBENSHUH, DELORES J

740 BROADWAY ST, EAU CLAIRE, WI 54703

$25.00 $25.00

07/05/2011 SIEG, ALVIN P 2839 6TH ST, EAU CLAIRE, WI 54703

$10.00 $20.00


$5.00 $25.00

12/02/2011 STIENMETZ, HERB M

5083 40TH ST, ELK MOUND, WI 54739

$20.00 $45.00

11/23/2011 SHORE, SUSAN M

245 BAY SHORE DR, WAUSAU, WI 54401

$50.00 $50.00

12/02/2011 SHUKES, GIGLIOLA

3133 N MAPLE RD, BUTTERNUT, WI 54514

$15.00 $15.00


$5.00 $30.00

10/31/2011 STARCK, SHIRLEY J

7583 280TH ST, CADOTT, WI 54727

$20.00 $20.00

12/09/2011 STARCK, SHIRLEY J

7583 280TH ST, CADOTT, WI 54727

$25.00 $45.00

12/05/2011 STEWARD, SUE 19420 67TH AVE, CHIPPEWA FALLS, WI 54729

$50.00 $50.00

11/21/2011 SOMMERFELD, CHRISTINE

704 IRVINE ST, CHIPPEWA FALLS, WI 54729

$25.00 $25.00

12/05/2011 STABER, DAVID 5601 210TH ST, CADOTT, WI 54727

$100.00 $100.00

12/09/2011 STAPELMANN, JEAN D

5951 CATER RD, EAU CLAIRE, WI 54701

$30.00 $30.00

Monetary

12/02/2011 WOOD, DAVE 3648 GOLD RIDGE RD, EAU CLAIRE, WI 54701

AGRICULTURAL SALES

ANIMIX LLC $200.00 $200.00

12/05/2011 WILLIAMS, NADINE M

2316 24TH AVE, RICE LAKE, WI 54868

$100.00 $100.00

12/09/2011 WING, ROBERT C 5709 70TH ST, CHIPPEWA FALLS, WI 54729

$50.00 $175.00

11/21/2011 WOLF, DENNIS B 16606 ST HWY 178, JIM FALLS, WI 54748

$50.00 $50.00

12/09/2011 VLCEK, CHARLENE K

W3151 CTY RD HH, EAU CLAIRE, WI 54701

SKILLED TRADE MECH/REPAIR

R &R REPAIR


$100.00 $110.00

12/09/2011 VOLKMAN, BEVERLY E

7043 US HWY 12, EAU CLAIRE, WI 54701

$25.00 $25.00

10/10/2011 WAGONER, PAUL E

N4525 MONDEAUX DR, MEDFORD, WI 54451

$30.00 $30.00

12/05/2011 VLCEK, CHARLENE K


$10.00 $10.00

12/09/2011 WHITE, DEAN J 18051 CTY HWY OO, CHIPPEWA FALLS, WI 54729

$50.00 $50.00

12/02/2011 THORSON, MARGUERITE

327 MARSHALL ST, CHIPPEWA FALLS, WI 54729

RETIRED $20.00 $105.00

12/02/2011 VARTY, TOM 13546 93RD ST, BLOOMER, WI 54724

$100.00 $100.00

11/23/2011 WATTON, DANIEL

19480 53RD AVE, CHIPPEWA FALLS, WI 54729

$100.00 $100.00

07/01/2011 WHEELER, ROBERT L

2840 12TH ST, EAU CLAIRE, WI 54703

$25.00 $25.00

12/09/2011 WHEELER, HEIDI J


$30.00 $30.00

12/09/2011 WHEELER, VICTORIA L


$50.00 $50.00

12/09/2011 WESTERMANN, DOROTHY A

941 VIOLET AVE, EAU CLAIRE, WI 54701

$25.00 $50.00

10/28/2011 WEINMEISTER, DONALD D

6709 S SHORE DR, ALTOONA, WI 54720

$50.00 $50.00

07/25/2011 WELSH, MICHAEL E

1218 VINE ST, BLOOMER, WI 54724

BANKER PEOPLES STATE BANK OF BLOOMER

1401 MAIN ST, BLOOMER, WI 54724

$50.00 $150.00

11/08/2011 WESTERMANN, DOROTHY A

941 VIOLET AVE, EAU CLAIRE, WI 54701

$25.00 $25.00

Monetary


12/02/2011 BOLLINGER, MICHAEL A

2830 SOLEM LN, EAU CLAIRE, WI 54703

TRAINER IMPLEMENTOR

ORACLE CORP

500 ORACLE PKWY, REDWOOD SHORES, CA

$250.00 $250.00


12/09/2011 DARLEY, JEFFREY S


COO W.S. DARLEY

1051 PALMER ST, CHIPPEWA FALLS, WI 54729

$500.00 $500.00

Recall

10/10/2011 Rolak, Loren A M211 Edgewood, Marshfield, WI 54490

$100.00 $100.00

12/06/2011 ZIEHME, MAYNARD

E6421 490TH AVE, MENOMONIE, WI 54751

$10.00 $20.00

10/17/2011 ZIEMANN, RICHARD J

543 S STATE ST, FALL CREEK, WI 54742

$25.00 $75.00

12/09/2011 WUSSOW, CHARLOTTE A

S8930 CTY RD Z, MONDOVI, WI 54755

$50.00 $50.00

07/15/2011 ZACHO, DENNIS H

311 E LOWES CRK RD, EAU CLAIRE, WI 54701

RETIRED $100.00 $150.00

12/09/2011 ZACHO, DENNIS H

6504 THOMAS JEFFERSON CT, NAPLES, FL 34108

$100.00 $250.00

07/25/2011 ZIEHME, MAYNARD

E6421 490TH AVE, MENOMONIE, WI 54751

$10.00 $10.00

11/23/2011 ZORN, LARRY L 3335 MC IVOR ST, EAU CLAIRE, WI 54701

$50.00 $50.00

07/25/2011 ZWIEFELHOFER, MARLYN L


$50.00 $50.00

11/23/2011 ZIEMANN, RICHARD


RETIRED $50.00 $125.00

12/05/2011 ZIEMANN, RICHARD J


$50.00 $175.00

09/28/2011 ZIEN, DAVID 1716 63RD ST, EAU CLAIRE, WI 54703

$50.00 $75.00

12/09/2011 ZIEN, DAVID 1716 63RD ST, EAU CLAIRE, WI 54703

RETIRED $50.00 $125.00

Sub Total $17,680.00

Monetary

12/05/2011 SCHWANKL, DOROTHY M


$500.00 $750.00


12/02/2011 PETEFISH, BILL 18440 30TH AVE, CHIPPEWA FALLS, WI 54729

OWNER ADEPT ENGRAVING LLC

$500.00 $500.00


12/02/2011 WANEK, RONALD G

1205 SNELL ISLE BLVD NE, ST. PETERSBURG, FL 33704

OWNER ASHLEY FURNITURE

108 W MAIN ST, ARCADIA, WI

$500.00 $500.00




12/09/2011 HARVEY, STEPHANIE J

1115 E LOWES CREEK RD, EAU CLAIRE, WI 54701

CEO INDEPENDENT SURGERY CENTER


$1,000.00 $1,000.00

12/02/2011 DAVIDSON, TOMMY L

7429 ROYAL HARBOUR CIR, OOLTEWAH, TN 37363

$1,000.00 $1,500.00

07/15/2011 HARVEY, THOMAS M

1115 E LOWES CREEK RD, EAU CLAIRE, WI 54701

SURGEON INDEPENDENT SURGERY CENTER


$500.00 $500.00


12/02/2011 GILBERTSON, STEPHEN H


RETIRED $500.00 $500.00



12/06/2011 MCHUGH, RICHARD


$100.00 $100.00


12/05/2011 NEUMANN, MARK W

W330 N6233 HASSLINGER DR, NASHOTAH, WI 53058

BUSINESS OWNER

NEUMANN DEVELOPMENT

W16N24132 PRAIRIE CT, WAUKESHA, WI

$500.00 $500.00


07/11/2011 HEBERT, JEAN M 10134 161ST ST, CHIPPEWA FALLS, WI 54729

$500.00 $1,000.00


11/28/2011 HUBBARD, MELANIE

W5451 HIGHLAND DR, NEW GLARUS, WI 53574

ASSEMBLY DIRECTOR

REP PARTY OF WI

148 E JOHNSON ST, MADISON, WI

$1,000.00 $1,000.00

Recall

08/31/2011 BENRUD, LORA N4427 CTY RD Y, MENOMONIE, WI 54751

$25.00 $25.00

10/17/2011 WITMER, JOSEPH L.

160 STONEBRIDGE RD APT 306, PLATTEVILLE, WI 53818

$25.00 $25.00

10/17/2011 RAHMLOW, BRADLEY R

823 N STAR DR, BLK RIVER FALLS, WI 54615

$25.00 $25.00

10/17/2011 SINZ, TAMMY W2172 SPRING CREEK RD, DURAND, WI 54736

$50.00 $50.00

09/28/2011 BARTOLERIO, DEB

301 N ROCHESTER ST, MUKWONAGO, WI 53149

$71.04 $71.04

10/17/2011 COMSTOCK, LARRY E

N11895 ELKER RD, HUMBIRD, WI 54746

$50.00 $50.00

09/28/2011 AHNEMAN, EDWARD C.


PRESIDENT UNITED BANK

50518 CHARLES ST, OSSEO, WI 54758

$50.00 $50.00

10/17/2011 PAMPERIN, TOM 135 PINE RIDGE CT, MARION, WI 54950

$50.00 $50.00

11/28/2011 WING, ROBERT C 5709 70TH ST, CHIPPEWA FALLS, WI 54729

RETIRED $100.00 $125.00

09/28/2011 DOUGHERTY, MICHAEL J.

831 N. STAR DR, BLK RIVER FALLS, WI 54615

$25.00 $25.00

10/17/2011 MCWILLIAMS, RICHARD L

PO BOX 55, PLATTEVILLE, WI 53818

$100.00 $100.00

10/17/2011 NOHRE, DIRK 4228 SOUTHTOWNE DR, EAU CLAIRE, WI 54701

$100.00 $100.00

09/28/2011 JUST, ROBERT PO BOX 303, PLATTEVILLE, WI 53818

$50.00 $50.00

10/28/2011 JACOBSON, GERALD H


$75.00 $75.00

11/21/2011 JORGENSON, ROLYN

246 ROOSEVELT ST, VALDERS, WI 54242

$75.00 $75.00

Conduit Contribution

12/05/2011 WOGAHN, BRENT M

3702 TIMBER TRAILS CT, EAU CLAIRE, WI 54701

PHYSICIAN EVERGREEN SURGICAL ASSOC

719 W HAMILTON, EAU CLAIRE, WI 54703

$500.00 $500.00


Sub Total $7,850.00

Recall

10/31/2011 MEADOWS, CHRISTOPHER

2117 MAIN ST, STEVENS PT, WI 54481

$100.00 $100.00

10/31/2011 DUFRESNE, MICHELE

5509 ELMWOOD AVE, STEVENS PT, WI 54482

$100.00 $100.00

10/31/2011 DURALL, ROBERT

1950 ASHFORD DR, PLOVER, WI 54467

$100.00 $100.00

10/31/2011 FRENCH, DONALD

417 W TRILLIUM CT, STEVENS PT, WI 54482

$100.00 $100.00

08/31/2011 YARRINGTON, NIKI

3333 SCHNEIDER AVE SE, MENOMONIE, WI 54751

$50.00 $50.00

08/31/2011 KLOPP, JASON PO BOX 172, BALDWIN, WI 54002

$50.00 $50.00

08/31/2011 LENTZ, GREGORY

N4549 CTY HWY Y, MENOMONIE, WI 54751

$50.00 $50.00

08/31/2011 MCWITHEY, ANGELA

2215 4TH AVE N APT 4, MENOMONIE, WI 54751

$10.00 $10.00

08/31/2011 JANSSEN, SARA 1203 WILSON DR, EAU CLAIRE, WI 54703

$75.00 $75.00

10/31/2011 GOLDBERG, JOSEPH

4416 HEFFRON ST, STEVENS PT, WI 54482

$100.00 $100.00

08/31/2011 BERNIER, DENISE

1305 VIRGINIA LN, EAU CLAIRE, WI 54703

$25.00 $25.00

08/31/2011 CHRISINGER, ERIC

N2326 EGENERGER RD, BLK RIVER FALLS, WI 54615

$50.00 $50.00

08/31/2011 SCHULTZ, MARY 820 VIKING DR, REEDSBURG, WI 53959

$50.00 $50.00

08/31/2011 SCHINDLER, LEO E5342 732ND AVE, MENOMONIE, WI 54751

$25.00 $25.00

08/31/2011 SCHMITZ, MICHAEL

533 OAKPARK CIRCLE, MENOMONIE, WI 54751

$25.00 $25.00

08/31/2011 NOTHEM, STEVEN

130 PAINE ST, KIEL, WI 53042

$50.00 $50.00

08/31/2011 RASSBACH, RICHARD

11TH ST, PRAIRIE FARM, WI 54762

$50.00 $50.00

08/31/2011 ROESCH, SCOTT 827 HERITAGE TRL, OSHKOSH, WI 54904

$25.00 $25.00


10/06/2011 RUBENZER, DEANNE

514 FAIRFIELD CT, CHIPPEWA FALLS, WI 54729

PUBLIC POLICY CONSULTANT

ST. JOSEPH'S HOSPITAL

2661 CTY HWY I, CHIPPEWA FALLS, WI 54729

$125.00 $125.00

10/06/2011 RICHARDS, THERESA

M208 MARSH LN, MARSHFIELD, WI 54449

DIRECTOR MINISTRY @ ST. JOSEPH'S HOSPITAL

611 ST. JOSEPH AVE, MARSHFIELD, WI 54449

$150.00 $150.00

12/09/2011 NESS, JOHN 6778 182ND ST, CHIPPEWA FALLS, WI 54729

$25.00 $25.00

10/06/2011 WOLF, EDWARD 1988 21-7/8 ST, RICE LAKE, WI 54868

CEO LAKEVIEW MEDICAL CENTER

1100 N MAIN ST, RICE LAKE, WI 54868

$200.00 $200.00

10/06/2011 POTTER, BRIAN 2014 MICA RD, MADISON, WI 53719

SR. VP WI HOSPITAL ASSOC

PO BOX 259038, MADISON, WI 53725

$225.00 $225.00

10/06/2011 BOESE, JENNIFER

6968 AVALON LN, MADISON, WI 53719

$100.00 $100.00

10/17/2011 STEWART, TIMOTHY

408 W SCHOFIELD ST, GREENWOOD, WI 54437

$50.00 $50.00

10/06/2011 FISH, DAVID 1425 EAGLE ST, CHIPPEWA FALLS, WI 54729

POLITICAL AFFAIRS CONSULTANT

HOSPITAL SISTERS HEALTH SYSTEM

PO BOX 19456, SPRINGFIELD, IL 62794

$250.00 $250.00

10/06/2011 DEICH, FAYE 3524 PARKSIDE CIRCLE W, EAU CLAIRE, WI 54701

COO SACRED HEART HOSPITAL

900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701

$250.00 $250.00

Sub Total $3,281.04


Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Total $29,461.04

Total UnItemized Contributions $0.00

Total Anonymous Contributions $0.00

Grand Total $29,461.04

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)


12/09/2011 WI Dental Assn PAC 10 East Doty Street, #509, Madison, WI 53703

$2,500.00 $2,500.00


Sub Total $2,500.00

Recall

08/31/2011 Wisconsin Credit Union Legislative Action Fund

N25W23131 Paul Road, Suite 500, Pewaukee, WI 53072-5779

$250.00 $250.00

08/31/2011 WPSR Employees PAC P.O. Box 19001, Green Bay, WI 54307-9001

$500.00 $500.00

11/28/2011 Republican Women-Waukesha County

6907 Cummens Court, Hartford, WI 53027

$1,000.00 $1,000.00

11/28/2011 AT&T Wisconsin Employee PAC 722 North Broadway, 13th Floor, Milwaukee, WI 53202

$1,000.00 $1,000.00

10/10/2011 Altria Group, Inc. Political Action Committee

101 Constitution Avenue, NW, Suite 400W, Washington, DC 20001

$250.00 $250.00

12/09/2011 WI Insurance Alliance PAC 44 East Mifflin Street, Suite 901, Madison, WI 53703

$500.00 $500.00

Sub Total $3,500.00

Monetary



Total $6,000.00

Date Full Name Address Amount YTD

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans


Total $0.00

Date Full Name Address Amount YTD

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

12/02/2011 EZ CONTRIBUTIONS 1300 S CALHOUN RD, BROOKFIELD, WI 53005

Administrative Expenses

$37.50

Comment(s): ONLINE BANK CHARGES



$10.50




$7.00



$7.00



Comment(s): ENTRY FEE

07/24/2011 PREMIUM WATERS 600 E PARK AVE, CHIPPEWA FALLS, WI 54729

Parade Expenses - Fees, candy

$50.00

07/29/2011 UNITED DATA TECH PO BOX 270635, MILWAUKEE, WI 53227

Mailing Service

$2,300.00

Comment(s): PRINTING T SHIRTS

07/08/2011 KOZELKA & WALL CLOTHING

PO BOX 171, DODGEVILLE, WI 53533

Printing Misc. (buttons, bumper stickers, t-shirts)

$181.99

Comment(s): ENVELOPES

07/18/2011 GREAT GRAPHICS 3223 PARMENTER ST, MIDDLETON, WI 53562

Office Supplies

$322.86

Monetary

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount


10/10/2011 HEINZEN PRTG PO BOX 267, MARSHFIELD, WI 54449

Office Supplies

$620.34

Comment(s): LETTERHEAD

Comment(s): MADISON FISHING EVENT

09/30/2011 CAPITOL STATION POSTAL STORE

MADISON, WI 53703

Postage $616.00

10/05/2011 LYONS, JEFF OBTAINING Fundraiser - Entertainment

$100.00

10/10/2011 Moulton, Terry 980 118th Street, Chippewa Falls, WI 54729

Meeting Expenses

$110.38

12/04/2011 GORDY'S 212 BAY ST, CHIPPEWA FALLS, WI 54729

Fundraiser - Food & Beverage

$81.26

12/01/2011 WIS TOWNS Meeting Expenses

$35.00

Comment(s): FOOD/BEV

10/21/2011 WFRW Meeting Expenses

$25.00

Comment(s): MADISON FISHING EVENT

Comment(s): CANDY

08/27/2011 SHOPKO 2677 STATE HWY 53, CHIPPEWA FALLS, WI 54729

Postage $44.00

Comment(s): STAMPS

Comment(s): STAMPS

Comment(s): MAILING

08/13/2011 FARM & FLEET 2583 S PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729

Parade Expenses - Fees, candy

$111.61

Comment(s): ENTRY FEE

09/12/2011 HANSON, JEFF OBTAINING Fundraiser - Entertainment

$350.00

09/10/2011 COLFAX DISTRICT Parade Expenses - Fees, candy

$20.00

08/29/2011 Moulton, Terry 980 118th Street, Chippewa Falls, WI 54729

Media - Radio $612.00

Comment(s): REIMBURSE FOR RADIO ADS

Monetary

12/06/2011 WALMART 2786 COMMERCIAL BLVD, CHIPPEWA FALLS, WI 54729

Fundraiser - Food & Beverage

$27.49

Sub Total $5,669.93

Monetary

Total $5,669.93



SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)


Total $0.00

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


Grand Total $0.00

Date Full Name Address Vendor Name Vendor Address

Amount

ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A


Incurred Obligation Outstanding Amount:

Grand Total $0.00

Date Full Name Address Amount

$0.00


Grand Total $0.00

Date Full Name Amount Paid

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B


Loans Outstanding Amount:


$0.00

Grand Total $0.00

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount

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