campaign finance report state of wisconsin gab-2cfis.wi.gov/reportsoutputfiles/0104422january... ·...

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2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $3,039.38 $14,628.93 $0.00 $500.00 $3,039.38 $15,128.93 Street Address: 1246 Blaine Avenue City, State and Zip: Racine, WI 53405 Filing Period Name: January Continuing 2012 Name of Committee/Corporation: Friends of Van Wanggaard CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-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 $32,711.00 $71,156.00 $11,500.00 $29,900.00 $0.00 $0.00 $44,211.00 $101,056.00 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0104422 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) $53,154.87 $44,211.00 $97,365.87 $3,039.38 $1,195.84 $0.00 $94,326.49 * * 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: Koykkari, Susan 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 the penalties 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

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Page 1: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$3,039.38 $14,628.93

$0.00 $500.00

$3,039.38 $15,128.93

Street Address: 1246 Blaine Avenue

City, State and Zip: Racine, WI 53405

Filing Period Name: January Continuing 2012

Name of Committee/Corporation:

Friends of Van Wanggaard

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

$32,711.00 $71,156.00

$11,500.00 $29,900.00

$0.00 $0.00

$44,211.00 $101,056.00

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0104422

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)

$53,154.87

$44,211.00

$97,365.87

$3,039.38

$1,195.84

$0.00

$94,326.49*

*

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:Koykkari, Susan

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

Page 2: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Friends of Van Wanggaard

12/19/2011 Marshall, John R. 2127 Laura Court, Waukesha, WI 53186

retired $1,000.00 $1,000.00

12/16/2011 Flegel, David D. 107 Lamplighter Lane, Racine, WI 53402-5329

executive Reliance Controls Corp

2001 Young Court, Racine, WI 53404

$500.00 $500.00

12/19/2011 Radwill, Scott 5107 Ravenswood Lane, Racine, WI 53402-2380

executive Master Appliance

2420 18th Street, Racine, WI 53403

$500.00 $500.00

12/16/2011 Mills, Stewart C. Jr.

512 Laurel Street, Brainerd, MN 56401

owner Lively Auto 512 Laurel Street, Brainerd, MN 56401

$1,000.00 $1,000.00

12/12/2011 Schuemann, Robert

1950 W. Dean Road, Milwaukee, WI 53217

retired $1,000.00 $1,500.00

12/12/2011 Poulsen, James D. 333 Lake Avenue #306, Racine, WI 53403

retired $500.00 $500.00

12/13/2011 Magulski, Thomas 24151 Fairway Drive, Kansasville, WI 53139

business consultant

Dover Partners LLC

1110 Central Avenue, Pautucket, RI 02861

$500.00 $500.00

12/27/2011 Eberle, David 3815 Lighthouse Drive, Racine, WI 53402

executive Norco Mfg. 2713 Nicholas Road, Franksville, WI 53126

$500.00 $500.00

12/27/2011 Schuemann, Robert

1950 W. Dean Road, River Hills, WI 53217

retired $1,000.00 $2,500.00

12/31/2011 Burke, Thomas A. 44 Harborview Drive, Racine, WI 53403

managment Modine Mfg. Co.

1500 DeKoven Avenue, Racine, WI 53403

$1,000.00 $1,000.00

12/23/2011 Butler, John A. 1005 Augusta Avenue, Wausau, WI 54403

physican Plastic Surgery Group

424 Pine Ridge Blvd., Wausau, WI 54401

$500.00 $500.00

12/20/2011 Bryant, A. W. 108 N. Barstow Street, Waukesha, WI 53186-4928

business executive Centruy Fence

1300 Hickory Street, Pewaukee, WI 53072

$1,000.00 $1,000.00

12/20/2011 Katzman, William R.

7373 South 92nd Street, Franklin, WI 53132

owner Eagle Disposal Inc.

21107 Omega Circle, Franksville, WI 53216

$250.00 $500.00

12/21/2011 Lynch, David J. 2300 Browns Lake Drive, Burlington, WI 53105

business executive Lynch Motors 2300 S. Browns Lake Road, Burlington, WI 53105

$500.00 $1,000.00

Sub Total $9,750.00

Recall Monetary

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/12/2011 Moyer, James E. 216 N. Colony Avenue, Union Grove, WI 53182-9645

$50.00 $50.00

12/12/2011 Uttke, Tim 1715 Menomonee Avenue, South Milwaukee, WI 53127

employee MGIC 270 E. Kilbourne Avenue, Milwaukee, WI 53202

$50.00 $150.00

12/12/2011 Schwalbach, Mary Ann C.

2633 Arrowhead Street, Racine, WI 53402

employee ACS Care and Solutions

9779 S. Franklin Drive, suite 300, Franklin, WI 53132

$100.00 $100.00

12/12/2011 Dederich, Bonnie L.

3341 Standish Lane, Racine, WI 53405

$100.00 $100.00

12/12/2011 Pryga, Kenneth A. 13410 104th Street, Pleasant Prairie, WI 53158

$20.00 $70.00

12/12/2011 Small, James J. 23615 8 Mile Road, Muskego, WI 53150

employee Greendale School Dist.

WI $25.00 $25.00

12/12/2011 Schweiger, Robert T.

W147 N8355 Manchester Drive, Menomonee Falls, WI 53051

retired $50.00 $50.00

12/12/2011 Behrens, Mark C. 2334 N. Colony Avenue, Franksville, WI 53126

president Johnson Insurance

1111 Commerce Drive, Racine, WI 53406

$50.00 $100.00

12/12/2011 Novine, Sandra R. 610 W. Lawn Avenue, Racine, WI 53405

$25.00 $25.00

12/12/2011 Treml, Glen N5184 Summit Court, Fond du Lac, WI 54937

$50.00 $50.00

12/12/2011 Murphy, Terry M. 11653 N. Canterbury Lane, Mequon, WI 53092-8307

retired $100.00 $100.00

12/12/2011 Obernberger, Bonnie A.

5927 Quaker Hill Drive, Racine, WI 53406

insurance Creative Insurance

8330 Corporate Drive, Racine, WI 53406

$200.00 $300.00

12/12/2011 Schmitt, Joyce T. 3113 90th Avenue, PO Box 652, Sturtevant, WI 53177-0652

$10.00 $20.00

12/12/2011 Flynn, Patrick L. 825 Riverbrook Drive, Racine, WI 53405

$50.00 $50.00

12/12/2011 Whitley, Kevin W. 4209 57th Drive, Sturtevant, WI 53177-3055

farmer Kevin Whitley 4209 57th Drive, Sturtevant, WI 53177-3055

$50.00 $100.00

12/12/2011 Slatinshek, Patricia D.

3350 S. Magdalena Drive, New Berlin, WI 53151

$5.00 $5.00

12/12/2011 Hanson, Donna M. 4834 E. Wind Lake Road, Union Grove, WI 53182-9657

$25.00 $25.00

Monetary

Page 4: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/13/2011 Pennefeather, Dennis L.

422 Park Avenue, Burlington, WI 53105

$25.00 $25.00

12/13/2011 Schmidt, Lawrence

9035 W. Mt. Vernon Avenue, Milwaukee, WI 53226

$10.00 $10.00

12/13/2011 Weiss, James 333 Lake Avenue #503, Racine, WI 53403

retired $100.00 $100.00

12/13/2011 Brown, Stephanie 221 Washington Street, River Falls, WI 54022

$50.00 $50.00

12/13/2011 Heller, David 1 Redwood Court, Racine, WI 53402

landscape architech

David Heller 1 Redwood Court, Racine, WI 53402

$100.00 $100.00

12/13/2011 Steiner, Ellis 3345 Taylor Avenue, Racine, WI 53405

$10.00 $10.00

12/12/2011 Saeger, Frank 2722 Raymond Avenue, Franksville, WI 53126

$5.00 $15.00

12/13/2011 Voss, Mark 2855 Twin Waters Lane, Franksville, WI 53126

$50.00 $50.00

12/12/2011 Wienke, Susan M. 35411 Lakeshore Drive, Burlington, WI 53105

$35.00 $35.00

12/12/2011 O'Brien, William J. 6761 Park Lane, Wind Lake, WI 53185-2703

$30.00 $30.00

12/13/2011 Tobler, NM PO Box 232, Oak Creek, WI 53154

$50.00 $50.00

12/13/2011 Chiappetta, James 1721 Tevino Trail, Racine, WI 53405

$50.00 $50.00

12/13/2011 McSweeny, Austin J.

2529 Wedgewood Court, Janesville, WI 53548

physican $25.00 $50.00

12/13/2011 Schilling, Robert S7W31430 Margaret Mary Court, Wales, WI 53183

$50.00 $100.00

12/13/2011 Dorval, Ben 820 17th Avenue, Union Grove, WI 53182

$50.00 $50.00

12/13/2011 Beere, Paul 733 N. English Settlement Ave, Burlington, WI 53105

$50.00 $50.00

12/13/2011 Kaczmarek, Brian 4331 S. 48th Street, Greenfield, WI 53220

$15.00 $15.00

12/13/2011 Jensen, Kai 3100 Pleasant Lane, Mount Pleasant, WI 53405

retired $100.00 $100.00

12/13/2011 Brunow, Barry 3126 Maurice Drive, Union Grove, WI 53182

retired $250.00 $250.00

Monetary

Page 5: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/19/2011 Morrical, Frances M.

1830 Heritage Road, Burlington, WI 53105

$25.00 $25.00

12/19/2011 Koellner, Jeffrey A. 1830 Heritage Road, Burlington, WI 53105

$25.00 $25.00

12/19/2011 Weyrum, Mary 9126 S. Annette, Oak Creek, WI 53154

$25.00 $25.00

12/19/2011 Bernacchi, Mary T. W308 S2809 Wild Berry Court, Waukesha, WI 53188

$25.00 $25.00

12/19/2011 Newbury, Ralph L. 325 Robins Run, Burlington, WI 53105

$25.00 $25.00

12/19/2011 Wilinski, John 5014 Hwy K, Franksville, WI 53126

machanic Krones Inc. WI $25.00 $50.00

12/19/2011 Huber, Mary H. 101 E. Birch Avenue, Whitefish Bay, WI 53217

$25.00 $50.00

12/13/2011 Meier, Clayton A. 1538 N. Green Bay Road, Mount Pleasant, WI 53406

retired $200.00 $200.00

12/13/2011 Pringle, Thomas H.

340 Smith Street, Burlington, WI 53105

$50.00 $50.00

12/13/2011 Akin, Timothy D. 2033 Carlisle Avenue, Racine, WI 53404

$100.00 $100.00

12/15/2011 Madrigrano, Glenn 4515 13th Street, Kenosha, WI 53144

business owner CJW Inc. 2437 Chicory Road, Racine, WI 53403

$250.00 $250.00

12/13/2011 Schumann, Eric R. 7312 Douglas Avenue, Racine, WI 53402

VP Caledonia Conversatory

PO Box 44714, Caledonia, WI 53402

$250.00 $750.00

12/13/2011 Quade, Bruce 923 Tamarack Way, Verona, WI 53593

$50.00 $50.00

12/13/2011 Mozol, John 565 Harvey Drive, Racine, WI 53405

$20.00 $20.00

12/13/2011 Turbush, Charles F.

1122 Crab Tree Circle, Racine, WI 53406-4202

$25.00 $25.00

12/15/2011 Mohrhauser, Peter J.

1330 38th Avenue, Kenosha, WI 53144

$50.00 $50.00

12/13/2011 Powers, Bernard J.

5315 Oak Forest Drive, Racine, WI 53406-1233

$100.00 $100.00

12/13/2011 Tyler, Charles III 1405 New Street, Union Grove, WI 53182

$50.00 $50.00

12/13/2011 Perkins, David M. 300 Lake Crest Drive, Racine, WI 53402

employee Racine Federated

3635 Washington Avenue, Racine, WI 53406

$250.00 $250.00

Monetary

Page 6: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/19/2011 Dillman, Robert C. W3991 Kenyon Drive, Lake Geneva, WI 53147-3490

$50.00 $50.00

12/19/2011 Frey, Maury 1957 Eastwood, Janesville, WI 53545

retired $25.00 $25.00

12/19/2011 Aiello, Royce H. 737 Monroe Avenue, Racine, WI 53405

$20.00 $20.00

12/19/2011 Kimball, Glen E. 27815 East Main Drive, Waterford, WI 53185-4623

$100.00 $100.00

12/19/2011 Fox, Steven C. 12550 Sunflower Drive, Franksville, WI 53126

engineer Unico Inc. WI $100.00 $100.00

12/19/2011 Hess, Gloria 22 S. River Road, Burlington, WI 53105

$25.00 $75.00

12/19/2011 Murphy, Terry M. 11653 N. Canterbury Lane, Mequon, WI 53092-8307

retired $50.00 $150.00

12/19/2011 Siesennop, Claudia L.

W5233 Sterlingworth Court, Elkhorn, WI 53121-2782

housewife $25.00 $25.00

12/19/2011 Cox, Lorraine 56 Illinois Street, Racine, WI 53405

$25.00 $25.00

12/19/2011 Sprang, James R. 2242 N. 63rd Street, Wauwatosa, WI 53213

$100.00 $100.00

12/19/2011 Zamecnik, Avis A. 460 Queen Anne Circle, Union Grove, WI 53182

retired $50.00 $50.00

12/19/2011 Smith, William D. 3352 Interlaken Drive, Oconomowoc, WI 53066

retired $50.00 $50.00

12/19/2011 Diekman, Fredrick 3212 La Salle Street, Racine, WI 53402

truck driver Expedited Freight Service

WI $50.00 $100.00

12/19/2011 Erdmann, Barbarann V.

S84 W12976 Blue Heron Lane, Muskego, WI 53150-4244

retired $50.00 $50.00

12/19/2011 Karan, Kenneth R. 6730 N. Atwahl Drive, Milwaukee, WI 53209

$50.00 $50.00

12/19/2011 Dudley, Jack C. 5335 S. Lakeshore Drive, Racine, WI 53403-9703

retired $50.00 $100.00

12/19/2011 Schveidler, Robert W.

5000 Graceland Blvd. #254, Racine, WI 53406

$50.00 $50.00

12/19/2011 Fearing, Peter R. PO Box 820, Williams Bay, WI 53191-0820

$50.00 $50.00

Monetary

Page 7: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/20/2011 Johnson, John O. 3916 Republic Avenue, Racine, WI 53405-3732

$100.00 $100.00

12/20/2011 Johnston, Roger L. W194 S7031 Hillendale Drive, Muskego, WI 53150-9094

$100.00 $100.00

12/20/2011 LaFave, Daniel J. 6903 4 Mile Road, Franksville, WI 53126

attorney Whyte Hirschboeck Dudek SC

555 E. Wells Street #1900, Milwaukee, WI 53202

$100.00 $100.00

12/20/2011 Barth, Steven R. 777 E. Wisconsin Avenue #3700, Milwaukee, WI 53202

$100.00 $100.00

12/20/2011 Gunnlaugsson, Gordon H.

31818 Muscovy Road, Hartland, WI 53029-9707

retired $100.00 $100.00

12/20/2011 Kirt, Donald G. 2339 Mohr Avenue, Racine, WI 53405

retired $100.00 $100.00

12/20/2011 Navratil, R. Thomas

4140 Trillium Lane, Racine, WI 53403

dentist $50.00 $50.00

12/19/2011 Williamson, Jacqueline

217 White Sand Lane, Racine, WI 53402

retired $200.00 $300.00

12/19/2011 Deckard, Jack H. 8148 N. Gray Log Lane, Fox Point, WI 53217-2860

self employed $100.00 $100.00

12/17/2011 Litwin, James S. 713 Roosevelt Avenue, Racine, WI 53406

$25.00 $50.00

12/20/2011 Schumannn, Eric R.

7312 Douglas Avenue, Racine, WI 53402

employee Caledonia Conservancy

PO Box 44714, Racine, WI 53404

$250.00 $1,000.00

12/17/2011 Mohrbacher, Mellisa M.

5313 Spring Street, Racine, WI 53406

florist Personal Touch

5445 Spring Street, Racine, WI 53406

$25.00 $25.00

12/19/2011 Coates, Glenn R. 2830 Michigan Blvd., Racine, WI 53402-4254

retired $100.00 $100.00

12/17/2011 Zinnen, Loraine A. 1702 Beaumont Avenue, Kansasville, WI 53139

retired $25.00 $25.00

12/20/2011 Beere, James M. 3345 Orion Circle, Racine, WI 53406-1323

president Pioneer Products

1917 S. Memorial Drive, Racine, WI 53403

$250.00 $250.00

12/17/2011 Bensman, William D.

131 Tera Lee Court, Racine, WI 53402-2859

retired $40.00 $40.00

12/16/2011 Vacek, Alma 6922 Beechnut Drive, Racine, WI 53402

$20.00 $20.00

12/17/2011 Reynolds, Jerry G. N56 W125 46 Silverspring Road, Menomonee Falls, WI 53051

$100.00 $100.00

Monetary

Page 8: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/20/2011 Christensen, Irving R.

1100 Fountain Hills Drive #336, Racine, WI 53406-3796

retired $35.00 $35.00

12/20/2011 Cook, John 5732 Dorset Avenue, Racine, WI 53406

computer systems administrator

HCSC WI $50.00 $85.00

12/20/2011 Crimmings, John Patrick

3025 Chatham Street, Racine, WI 53402-4001

real estate brooker First Weber Group

WI $50.00 $50.00

12/20/2011 Lees, Margaret Jean

8802 Bluebird Lane, Wind Lake, WI 53185

self employed $50.00 $50.00

12/20/2011 Chojnacki Widl, Jeffrey P.

1620 Monroe Avenue, South Milwaukee, WI 53172

tool and die maker Astro Tool WI $50.00 $50.00

12/20/2011 Davis, Glenn S. 4015 North Lane, Franksville, WI 53126

anesthesiologist Aurora Health Care

WI $50.00 $50.00

12/20/2011 Jacobson, Jean M. 6119 Heg Park Road, Wind Lake, WI 53185

retired $50.00 $225.00

12/20/2011 Crawford, Timothy P.

5611 Independence Road, Racine, WI 53406

attorney Timothy Crawford

840 Lake Avenue #200, Racine, WI 53403

$100.00 $100.00

12/20/2011 Wille, Gerald H. 8112 S. Mona Court, Oak Creek, WI 53154

retired $20.00 $20.00

12/20/2011 Jolly, Carl W. 6348 3rd Avenue, Kenosha, WI 53143

$50.00 $50.00

12/20/2011 Malinowski, Mary J.

3910 Frances Drive, Racine, WI 53405

$50.00 $50.00

12/20/2011 Steinbach, Ellsworth

4641 Tennessee Road, Racine, WI 53405

retired $50.00 $125.00

12/20/2011 Reaume, Scott C. 1923 Trevino Trail, Racine, WI 53405

accountant Modine Mfg. Co.

WI $50.00 $50.00

12/20/2011 Boucher, Bernice A.

4585 N. Sawyer Road, Oconomowoc, WI 53066-3331

$50.00 $50.00

12/20/2011 Riegelman, Robert G.

4601 Pleasant Lane, Racine, WI 53405-4850

$50.00 $50.00

12/20/2011 Stevens, Robert 5724 San Dell Way, Racine, WI 53402

$50.00 $50.00

12/20/2011 Nelson, Gerald T. 13904 Spring Street, Sturtevant, WI 53177-1250

$50.00 $50.00

12/20/2011 Davidson, Kristine S32 W33873 Hwy G, Dousman, WI 53118

$50.00 $50.00

12/20/2011 Selmo, Don L. 3308 Rosalind Avenue, Racine, WI 53405

$50.00 $50.00

Monetary

Page 9: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/20/2011 Ciaglia, Lucien 553 Sioux Drive, Fontana, WI 53125

retired $25.00 $25.00

12/20/2011 Erickson, Dean 4133 Courtney Road Suite 10, Franksville, WI 53126-9127

$25.00 $25.00

12/20/2011 Gardina, Paula 8359 Dora Lane, Racine, WI 53406-2568

$25.00 $50.00

12/20/2011 Bakke, Gilbert 522 Oak Lodge Road, Waterford, WI 53185

$25.00 $60.00

12/20/2011 Zak, Jerome 1900 Beaumont Avenue, Kansasville, WI 53139

$25.00 $25.00

12/20/2011 Hollenbach, Fritz 2092 Yorkshire Drive, Beloit, WI 53511-2384

$25.00 $25.00

12/20/2011 Kotten, LaVerne J. 5401 60th Street, Kenosha, WI 53144

$25.00 $25.00

12/20/2011 Jacobson, Elizabeth

1255 N. Sunnyslope Drive #103, Racine, WI 53406

retired $25.00 $25.00

12/20/2011 Weber, Vivian J. W125 N6649 Parkway Drive, Menomonee Falls, WI 53051-5254

retired $25.00 $25.00

12/20/2011 Torphy, Delores G. 808 Hialeah Drive, Racine, WI 53402-2160

retired $25.00 $25.00

12/20/2011 Baldukas, Joseph S.

7634 Hwy 38, Caledonia, WI 53108

office specialist Ikon Office Solution

WI $35.00 $35.00

12/20/2011 Lagowski, Kathleen A.

5331 S. 98th Street, Hales Corners, WI 53130-1501

$25.00 $25.00

12/20/2011 Domanik, Robert J.

8801 Mary Drive, Racine, WI 53406-3123

$25.00 $25.00

12/20/2011 Sweeney, Donna L.

PO Box 85, Delavan, WI 53115-0085

retired $25.00 $25.00

12/20/2011 Johnson, Edward L.

240 Chapel Terrace, Burlington, WI 53105-1655

$25.00 $25.00

12/20/2011 Czarnecki, Daniel 825 N. Prospect Avenue unit 1101, Milwaukee, WI 53202-3974

$25.00 $25.00

12/20/2011 Borgardt, Craig J. 6520 Hidden Creek Road, Racine, WI 53402

pharmacist Omnicare Inc WI $25.00 $25.00

Monetary

Page 10: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

12/21/2011 Hermann, Norman T.

4502 Farmington Lane, Racine, WI 53403

$50.00 $50.00

12/21/2011 Lemens, Martin E. 601 E. Ogden Avenue unit 510, Milwaukee, WI 53202

$25.00 $25.00

12/21/2011 Joerndt, Judith 3021 S. 27th Street, Franksville, WI 53126

$25.00 $25.00

12/20/2011 Hirsch, Nicholas 7062 Breezy Point Road, Wind Lake, WI 53185

$75.00 $75.00

12/20/2011 Hansen, John 2200 Kearney Avenue, Racine, WI 53403

$25.00 $25.00

12/20/2011 Allen, Ron 3605 Taurus Drive, Racine, WI 53406

eye surgeon Lasik Plus 15455 W. Bluemound Road, Brookfield, WI 53005

$200.00 $300.00

12/20/2011 Steimle, Susan C. 6430 Lindsay Lane, Racine, WI 53406-6356

$25.00 $25.00

12/21/2011 Hess, Bruce H. 5643 Freedy Avenue, Racine, WI 53406

$50.00 $100.00

12/20/2011 Ladwig, E. James 6437 Norfolk Lane, Racine, WI 53406-1859

retired $25.00 $25.00

12/20/2011 Saeger, Frank 2722 Raymond Avenue, Franksville, WI 53126-9641

$5.00 $20.00

12/20/2011 Sanders, Gary PO Box 370590, Milwaukee, WI 53237

$100.00 $100.00

12/21/2011 Pecze, Anthony 4918 52nd Street, Kenosha, WI 53144-6814

retired $150.00 $150.00

12/21/2011 Faria, Walter J. 7945 S. Wayland Drive, Oak Creek, WI 53154

$60.00 $60.00

12/21/2011 Duffeck, Valerie 3016 Old Mill Drive, Racine, WI 53405-1326

$100.00 $100.00

12/21/2011 Kloepping, Bruce W566 WIndy Lane, Brodhead, WI 53520-9534

salesman Archer Daniels Midland

4666 Faries Parkway, Decatur, IL 62526

$100.00 $100.00

12/20/2011 Groetzinger, Donald C.

79 Woodfield Court, Racine, WI 53402

$50.00 $50.00

12/20/2011 Schrank, Adam 8714 Racine Avenue, Wind Lake, WI 53185

$25.00 $25.00

12/20/2011 Jacobsen, James 5900 Sandview Lane, Racone, WI 53406

$50.00 $50.00

Monetary

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12/22/2011 Kikilas, Genevieve 7836 34th Avenue, Kenosha, WI 53142

$100.00 $100.00

12/22/2011 Slowinski, Mary 13405 W. Burleigh Road #207, Brookfield, WI 53005

$50.00 $50.00

12/22/2011 Christensen, Torben H.

3425 Taurus Court, Racine, WI 53406

president Wiscon Product Inc.

WI $100.00 $100.00

12/22/2011 Kulesha, Kenneth 6706 Riverdale Lane, Greendale, WI 53129

pilot FedEx 3620 Hanks Cross Road, Memphis, TN

$100.00 $100.00

12/22/2011 Stricker, Lynne E. 840 Riverbrook Drive, Racine, WI 53405

expiditor CNH WI $100.00 $100.00

12/21/2011 Shenkenberg, William

312 Beaumont Avenue, Kansasville, WI 53139-9432

self employed $25.00 $25.00

12/21/2011 Mouradian, Jennifer

W204 S10526 Victoria Drive, Muskego, WI 53150-9125

$25.00 $25.00

12/21/2011 Dittrich, Gerald G. 3269 E. Elm Road, Oak Creek, WI 53154

retired $20.00 $20.00

12/22/2011 Navin, James P. 6343 Walbrandt Road, Burlington, WI 53105-9054

$100.00 $100.00

12/21/2011 Jones, Derrick D. 3424 Kentucky Street, Racine, WI 53405-4622

$25.00 $50.00

12/21/2011 Orth, Donald E. 3614 Fenceline Road, Franksville, WI 53126

real estate brooker Washington Properties

WI $25.00 $50.00

12/21/2011 Furey, Edward C. 23730 Golf Road, Kansasville, WI 53139

$25.00 $75.00

12/21/2011 Detzer, David 8975 S. Blackbird Trail, Franklin, WI 53132-8588

$5.00 $10.00

12/22/2011 Kolb, Walter 1703 Pearl Street, Waukesha, WI 53186

self employed Audio Implements

1703 Pearl Street, Waukesha, WI 53186

$250.00 $250.00

12/22/2011 O'Neil, Patrick 1555 Hazel Lane, Winnetka, IL 60093-1312

$250.00 $250.00

12/21/2011 Krawczyk, Margaret

W190 S7543 Richdorf Drive, Muskego, WI 53150-8229

$10.00 $10.00

12/21/2011 Godshall, Thomas 923 Green Valley Drive, Waukesha, WI 53189

$10.00 $10.00

12/21/2011 Randow, Mary L. 3831 W. Sharon Lane, Franklin, WI 53132-9327

retired $10.00 $40.00

Monetary

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12/23/2011 Eastham, William E.

1840 N. Prospect Avenue #812, Milwaukee, WI 53202-1997

retired $100.00 $100.00

12/23/2011 Jelinek, Suzanne R.

3801 Charles Street, Racine, WI 53402-3329

$20.00 $20.00

12/23/2011 Weyers, Ronald A. PO Box 12057, Green Bay, WI 54307-2057

employee American Medical Security

3100 AMS Blvd., Green Bay, WI 54307

$500.00 $500.00

12/23/2011 Eastman, James A.

PO Box 728, Racine, WI 53401

president Merchant Moving and Storage

1215 State Street, Racine, WI 53403

$250.00 $500.00

12/22/2011 Haubrich, Charles O.

33343 Academy Road, Burlington, WI 53105-9614

retired $50.00 $50.00

12/22/2011 Woelbing, Lee J. 2689 Waukesha Road, Franklin, WI 53126

owner OEM Specialists

WI $50.00 $150.00

12/22/2011 Riesselmann, Ann 24909 71st Street, Salem, WI 53168-9756

$50.00 $50.00

12/22/2011 Shaw, David R. 321 54th Street, Kenosha, WI 53140

sales Accent Ind WI $50.00 $50.00

12/23/2011 Wozny, Roger L. 3746 E. Birchwood Avenue, Cudahy, WI 53110

$10.00 $10.00

12/22/2011 Heath, Brigette A. 2419 lakeshore Drive, Kansasville, WI 53139-9558

$50.00 $50.00

12/22/2011 Robarge, Geraldine A.

6830 S. 34th Street, Franklin, WI 53132-8349

$50.00 $50.00

12/22/2011 Copass, Clifford H. 9500 W. Cold Spring Road, Greenfield, WI 53228

engineer Johnson Controls

WI $50.00 $50.00

12/23/2011 Czernicki, Rochelle

3208 Heartland Land, Racine, WI 53402

accountant DuRocher Law Offices

WI $25.00 $25.00

12/23/2011 Janecky, Norma N.

3636 Hennipin Place, Racine, WI 53402

$35.00 $70.00

12/23/2011 Brinkman, Ronald 5719 Wildwood Drive, Racine, WI 53403

$25.00 $50.00

12/23/2011 Chesen, William P. 800 Platt Avenue, Lake Geneva, WI 53147

retired $25.00 $75.00

12/23/2011 Olesen, Myrna M. 333 Lake Avenue #608, Racine, WI 53403

retired $50.00 $150.00

12/23/2011 Clausing, Kathleen J.

2745 S. 111th Street, West Allis, WI 53227-3018

$25.00 $25.00

12/23/2011 Stys, Lawrence W. 1810 Newberry Lane, Racine, WI 53402-5528

retired $50.00 $50.00

Monetary

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12/24/2011 Lamers, Allen 2863 Gentle Hills Court, Depere, WI 54115

manager Lamers Bus Lines Inc.

2407 S. Point Road, Green Bay, WI 54313

$50.00 $150.00

12/24/2011 Gottfredsen, Susan M.

4815 Spring Street, Racine, WI 53406

self employed Gup's Westside Service

WI $25.00 $25.00

12/24/2011 Demark, Joanne 3657 Hennipin Place, Racine, WI 53402

$50.00 $100.00

12/24/2011 Hernke, Keith G. 17055 Beverly Drive, Brookfield, WI 53005

retired $100.00 $100.00

12/24/2011 Hammes, Jay 4738 Lighthouse Drive, Racine, WI 53402

retired $25.00 $50.00

12/23/2011 Reisdorf, Daniel H. 645 Tower Circle, Racine, WI 53402-2654

$50.00 $50.00

12/23/2011 Hansen, Bill 9311 N. Upper River Road, River Hills, WI 53217

executive Hansen Storage

WI $100.00 $100.00

12/23/2011 Detrie, Glenn R. 585 S. Stonehedge Drive #B, Brookfield, WI 53045-3668

retired $50.00 $50.00

12/24/2011 Kopecky, Jon A. 2331 St Clair Street, Racine, WI 53402

police officer Village of Big Bend

W230 S9185 Nevis Street, Big Bend, WI 53103

$100.00 $300.00

12/23/2011 Lehman, Brett C. 6725 Spruce Lane, Waterford, WI 53185

laborer BTL Pallet Corp

3310 W. Elm Road, Franklin, WI 53132

$100.00 $150.00

12/23/2011 Evanoff, Kristopher P.

8424 Stonegate Road, Wind Lake, WI 53185

sales CASE Technologies

208 Pine Street, Carnegie, PA 15106

$100.00 $100.00

12/23/2011 Walloch, G. 7792 W. Tuckaway Shores Drive, Franklin, WI 53132

$50.00 $50.00

12/23/2011 Porter, Joan 28322 Durand Avenue, Burlington, WI 53105-9408

retired $25.00 $25.00

12/23/2011 Longmore, Elaine E.

1505 92nd Street unit 36, Sturtevant, WI 53177-1871

$25.00 $75.00

12/23/2011 Cairns, Colleen C. 1613 Milwaukee Street, Delafield, WI 53018

$25.00 $25.00

12/23/2011 Thomas, Brian T. PO Box 126, Kenosha, WI 53141

$25.00 $25.00

12/23/2011 Halvorsen, Ronald G.

3027 Ruby Avenue, Racine, WI 53402-4030

retired $50.00 $50.00

12/23/2011 Brick, Phyllis H. 31400 Red Oak Lane, Waterford, WI 53185

$25.00 $25.00

Monetary

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12/27/2011 Koldeway, Roger 372 Conkey Street, Burlington, WI 53105

$50.00 $50.00

12/27/2011 Hansen, John 2200 Kearney Avenue, Racine, WI 53403

$50.00 $75.00

12/27/2011 Linski, Charles 1903 Springbrook North unit C, Waukesha, WI 53186

$15.00 $15.00

12/27/2011 Toeppe, Robert 4701 Park Ridge Drive, Racine, WI 53402

$100.00 $100.00

12/27/2011 Groetzinger, Donald C.

79 Woodfield Court, Racine, WI 53402

retired $100.00 $150.00

12/27/2011 Swarthout, David L.

9118 W. Center Street, Milwaukee, WI 53222

self employed The Hairitage 9118 W. Center Street, Milwaukee, WI 53222

$50.00 $50.00

12/27/2011 Welsh, John M. 26035 Windmere Drive, Wind Lake, WI 53185

$75.00 $75.00

12/27/2011 Karnes, Debra M. W301 N3108 Windrush Circle, Pewaukee, WI 53072

physician AMG Inc. WI $100.00 $100.00

12/27/2011 O'Leary, Kevin 512 Oak Ridge Drive, Hartland, WI 53029

retired $100.00 $100.00

12/24/2011 Hermann, Jamie R.

5143 Safe Harbor Court, Racine, WI 53403

$25.00 $50.00

12/24/2011 Nelson, Stephen M.

2401 59th Drive, Union Grove, WI 53182

$50.00 $50.00

12/27/2011 Biland, Alan T. 907 Silent Sunday Court, Racine, WI 53402

$25.00 $50.00

12/27/2011 Marini, Thomas 3521 Canada Goose Crossing, Racine, WI 53403

$100.00 $100.00

12/27/2011 Nelson, Suzzanne 13904 Spring Street, Sturtevant, WI 53177

retired $100.00 $100.00

12/27/2011 Garcia-Wright, Luz 1328 Blaine Avenue, Racine, WI 53405

$25.00 $50.00

12/27/2011 DeKeuster, Denise 8308 Majestic Hills Drive, Sturtevant, WI 53177

$25.00 $25.00

12/27/2011 Reilly, Eileen 3440 Taurus Drive, Racine, WI 53406

$50.00 $50.00

12/27/2011 Vinakmens, Andris 5229 Emstan Hills Road, Racine, WI 53406-5329

retired $1.00 $6.00

12/27/2011 Frahm, John A. 6520 Mariner Drive, Racine, WI 53406

$25.00 $25.00

Monetary

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12/28/2011 Whaley, John V. 610 Main Street, Racine, WI 53403

attorney John Whaley 610 Main Street, Racine, WI 53403

$100.00 $150.00

12/29/2011 Barrows, Mark W. 3759 Burr Oak Drive, Racine, WI 53406

retired $20.00 $20.00

12/28/2011 Wagner, Roberta L.

PO Box 307, Lyons, WI 53148-0307

$50.00 $50.00

12/28/2011 Grundy, Carol J. 9160 S. Nicholson Road, Oak Creek, WI 53154-4636

$25.00 $50.00

12/28/2011 Ivanoski, James P. 3309 Gayhart Street, Racine, WI 53406-5313

$25.00 $25.00

12/27/2011 Scherrer, James 2475 Upland Drive, Burlington, WI 53105

$100.00 $100.00

12/27/2011 Coleman, Dennis 9206 Millstone Drive, Racine, WI 53406

$25.00 $25.00

12/27/2011 Schick, Gregory 5314 Cynthia Lane, Mount Pleasant, WI 53406

$50.00 $50.00

12/28/2011 Hon, Jeffrey S. 300 Spring Street Apt 12, Rochester, WI 53167-0432

$25.00 $25.00

12/27/2011 Haubrich, Michael 1306 Silent Sunday Court, Racine, WI 53402

Financial advisor Financial Service Group

4812 Northwestern Avenue, Racine, WI 53406

$250.00 $250.00

12/27/2011 Papandrea, Rick N28 W30628 Red Fox Court, Pewaukee, WI 53072

$100.00 $100.00

12/27/2011 Groth, David 8700 Schaal Road, Burlington, WI 53105

$50.00 $50.00

12/27/2011 Wierschke, Jeff W2766 County Road OO, Sheboygan Falls, WI 53085

$25.00 $25.00

12/27/2011 Guetschow, Jerry 2424 W. Belmont Drive, Beloit, WI 53511

$50.00 $50.00

12/27/2011 Friedel, John 322 Orchard Lane, Green Bay, WI 54301

$25.00 $25.00

12/27/2011 Greer, William 4210 Washington Avenue, Racine, WI 53405

$25.00 $25.00

12/27/2011 Baillon, James N72 W7492 Beech Street, Cedarburg, WI 53012

$100.00 $100.00

12/27/2011 Hallen, Walter N73 W36338 S. Shore Drive, Oconomowoc, WI 53066

$25.00 $25.00

Monetary

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12/30/2011 Bongers, Henry B. 2400 River View Drive, Janesville, WI 53546

VP American Foods Group, LLC

WI $50.00 $50.00

12/30/2011 DeGroot, David 4127 Pleasant Lane, Racine, WI 53405

real estate Action Homebuyers, Inc.

WI $50.00 $50.00

12/30/2011 Gabbey, Michael J.

3030 Chatham Street, Racine, WI 53402

firefighter City Of Racine Fire Department

WI $100.00 $100.00

12/30/2011 Peterson, Clifton E.

6634 Third Avenue, Kenosha, WI 53143

physician $100.00 $100.00

12/30/2011 Straszewski, Jacqueline

5915 7 Mile Road, Racine, WI 53402-9749

$25.00 $25.00

12/29/2011 Sell, Vicki 4750 Lathrop Avenue, Racine, WI 53403

$50.00 $50.00

12/29/2011 Kobb, Ralph 2051 E. Spruce Court, Oak Creek, WI 53154-1233

$50.00 $75.00

12/29/2011 Kurz, Thomas J. N57 W33121 Cedar Bay Court, Nashotah, WI 53058

business manager Precision Service and Parts Inc.

WI $50.00 $50.00

12/29/2011 Williams, Oliver R. 1916 Wisconsin Avenue apt 303, Racine, WI 53403-2785

retired $25.00 $50.00

12/29/2011 Lefever, Ronald P. 2270 LaFontaine Court, Brookfield, WI 53045-4918

retired $40.00 $40.00

12/29/2011 Carril, Joseph Jr. 10117 7 Mile Road, Caledonia, WI 53108

retired $50.00 $50.00

12/29/2011 Welch, Sharon F. 3043 92nd Street, Sturtevant, WI 53177

self employed A & W Restaurant

3751 27th Street, Franksville, WI 53126

$150.00 $150.00

12/30/2011 Longsine, Tyler 2822 Sandalwood Road, Abrams, WI 54101-9718

$5.00 $15.00

12/30/2011 Schultz, Mark 1309 Yorkville Avenue, Union Grove, WI 53182

$10.00 $10.00

12/30/2011 Michel, James L. 3815 Spring Lake Drive, Racine, WI 53405-4949

$25.00 $50.00

12/29/2011 Lane, Ralph H. 6427 Charles Street, Racine, WI 53402

attorney Ralph Lane 6427 Charles Street, Racine, WI 53402

$200.00 $200.00

12/29/2011 Kister, Sharon A. 6931 Surrey Lane, Racine, WI 53402-1413

retired $50.00 $50.00

12/29/2011 Boho, Karla S. 3715 Linda Lane, Racine, WI 53405-4827

$50.00 $125.00

Monetary

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12/23/2011 Coffeen, Mark 5140 Timberland Trail, Wisconsin Rapids, WI 54494

Director Tax Accounting

Sentry Insurance

1800 North Point Drive, Stevens Point, WI 54481

$50.00 $0.00

12/23/2011 Donnelly, Thomas 1241 Coalfield Rd, Midlothian, VA 23114

Associate Director Claims

Sentry Insurance

1800 North Point Drive, Stevens Point, WI 54481

$50.00 $0.00

12/23/2011 Kloc, John 3732 Heffron Street, Stevens Point, WI 54481

Director Special Investigations Unit

Sentry Insurance

1800 North Point Drive, Stevens Point, WI 54481

$50.00 $0.00

12/23/2011 Anderson, Sherry 1925 Lepak Dr, Plover, WI 54467

Senior Director - Claims

Sentry Insurance

1800 North Point Drive, Stevens Point, WI 54481

$100.00 $0.00

12/23/2011 Andersen, Rodney G

1685 Golden Eagle Ct, Stevens Point, WI 54482

Director Sales - Business Products Life & Health

Sentry Insurance

1800 North Point Drive, Stevens Point, WI 54481

$100.00 $0.00

12/23/2011 Chase, Carl 706 S Main St, Waupaca, WI 54981

Director - Corporate Services

Sentry Insurance

1800 North Point Drive, Stevens Point, WI 54481

$50.00 $0.00

12/23/2011 Johnson, Stephen E2478 East Old Mill Run, Waupaca, WI 54981

Marketing Operations & Underwriting Planning - Business Products

Sentry Insurance

1800 North Point Drive, Stevens Point, WI 54481

$100.00 $0.00

Conduit Contribution

12/30/2011 Charlier, Sharon 26922 S. Elm Lane, Wind Lake, WI 53185

retired $5.00 $5.00

12/30/2011 Wanggaard, Gail H.

2977 S. Zeno Court, Aurora, CO 80013

$50.00 $50.00

12/30/2011 Smart, Jane C. 700 13th Avenue, Union Grove, WI 53182-1453

$50.00 $50.00

12/30/2011 Kujawski, Lawrence

13870 W. Crawford Drive, New Berlin, WI 53151-5314

$50.00 $50.00

12/31/2011 Grimmer, Dolores 2211 Rivershore Drive, Racine, WI 53405

$50.00 $50.00

12/30/2011 Bliming, Beth 210 Oregon Street, Racine, WI 53405

$50.00 $50.00

12/30/2011 Achtor, Gerald J. N30 W28771 W. Lakeside Drive, Pewaukee, WI 53072-3303

retired $100.00 $100.00

12/30/2011 Stacy, Tracy J. 5516 Acorn Trail, Racine, WI 53402

$50.00 $50.00

Sub Total $16,111.00

Monetary

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12/19/2011 Wall, Terrence R. PO Box 7700, Madison, WI 53707

chairman and CEO

T. Wall Properties

PO Box 7700, Madison, WI 53707

$500.00 $500.00

Sub Total $500.00

Recall Conduit Contribution

12/19/2011 Franke, Jerold 5824 Pilgrim Way, Racine, WI 53406

president Wispark LLC 301 W. Wisconsin Ave #400, Milwaukee, WI 53203

$200.00 $200.00

12/21/2011 Boldt, John I. 20612 81st Street, Bristol, WI 53104

professional engineer

Clark Dietz, Inc

4235 Green Bay Road, Kenosha, WI 53144

$250.00 $350.00

12/24/2011 Van Aartsen, Randy

15720 Brook Lane, Brookfield, WI 53005

$100.00 $100.00

12/29/2011 DeGolier, Laura 114 S Main Street, Fond du Lac, WI 54935

Financial Manager DeGolier Insurance

114 S Main Street, Fond du Lac, WI 54935

$150.00 $0.00

12/24/2011 Oberndorf, William 101 Walnut Street, San Francisco, CA 94118

Investor SPO Partners 591 Redwood Hwy. #3215, Mill Valley, CA 94941

$1,000.00 $0.00

12/24/2011 James, Virginia P.O. Box 60, Lambertville, NJ 08530

Retired Basic American, Inc.

600 Montgomery St., 28th Fl., San Francisco, CA 94111

$1,000.00 $0.00

12/24/2011 Dantchik, Arthur 206 Maple Hill Road, Gladwyne, PA 19035

Trader SIG 401 E. City Ave., #220, Bala Cynwyd, PA 19004

$1,000.00 $0.00

12/24/2011 Hume, Patricia 3640 Washington St., San Francisco, CA 94118

Travel agent Frosch International Travel

700 Airport Blvd., Suite 360, Burlingame, CA 94010

$1,000.00 $0.00

12/24/2011 Hume, William 3640 Washington St., San Francisco, CA 94118

Businessman Basic American, Inc.

600 Montgomery St., 28th Fl., San Francisco, CA 94111

$1,000.00 $0.00

Sub Total $6,200.00

Conduit Contribution

Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Total $32,711.00

Total UnItemized Contributions $0.00

Total Anonymous Contributions $150.00

Grand Total $32,711.00

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SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Friends of Van Wanggaard

12/31/2011 Metro Milw Assn of Commerce 756 North Milwaukee Street, Suite 400, Milwaukee, WI 53202

$10,000.00 $10,000.00

12/24/2011 WI Soc Anesthesiologists PAC 6737 W. Washington St., Suite 1300, Milwauke, WI 53214

$1,000.00 $1,000.00

Sub Total $11,000.00

Recall

12/15/2011 American Family PAC 6000 American Parkway, Madison, WI 53783

$500.00 $1,000.00

Sub Total $500.00

Recall Monetary

Non-Monetary (-): $0.00

Grand Total $11,500.00

Total $11,500.00

Date Full Name Address Amount YTD

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SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Friends of Van Wanggaard

Total $0.00

Date Full Name Address Amount YTD

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SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

Comment(s): paid check #1391

12/20/2011 EZ Contributions LLC 1300 S. Calhound Road, Brookfield, WI 53005

Bank Charges

$36.75

12/12/2011 Kansasville Fire Department

23730 Durand Avenue, PO Box 545, Kansasville, WI 53139

Media - Billboards / Outdoor Advertising

$150.00

Comment(s): Recall paid check 1395

Comment(s): paid check #1390

Comment(s): EZ fees 12-09 to 12-15

12/21/2011 Media Systems Affiliates

1300 S. Calhound Road, WI

Media - Online Advertising

$32.50

12/12/2011 USPS 2635 4 Mile Road, Racine, WI 53402

Office Supplies

$88.00

Comment(s): paid check 1392

Comment(s): EZ fee 12-2 to 12-8

12/21/2011 Millaegers 4838 Douglas Avenue, Racine, WI 53402

Office Supplies

$157.65

12/13/2011 EZ Contributions LLC 1300 S. Calhound Road, Brookfield, WI 53005

Bank Charges

$102.20

12/17/2011 Media Systems Affiliates

1300 S. Calhound Road, Brookfield, WI 53005

Office Supplies

$2,086.45

Comment(s): paid check 1394

12/17/2011 Adian, David R. 4750 Conlaine Drive, Racine, WI 53402

Office Supplies

$42.53

Comment(s): paid check 1393

Monetary

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount

Friends of Van Wanggaard

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Comment(s): Paid check #1396

12/28/2011 EZ Contributions LLC 1300 S. Calhound Road, Brookfield, WI 53005

Bank Charges

$167.30

Comment(s): EZ fee 12-16 to 12-22

12/27/2011 USPS 2635 4 Mile Road, Racine, WI 53402

Postage $176.00

Sub Total $3,039.38

Monetary

Total $3,039.38

Non-Monetary (-): $0.00

Grand Total $3,039.38

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SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Friends of Van Wanggaard

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

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ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A

Complete Committee Name:

Incurred Obligation Outstanding Amount:

Grand Total $0.00

Date Full Name Address Amount

$1,195.84

Friends of Van Wanggaard

Grand Total $0.00

Date Full Name Amount Paid

Page 25: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0104422January... · physican Plastic Surgery Group 424 Pine Ridge Blvd., Wausau, WI 54401 $500.00 $500.00

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Loans Outstanding Amount:

Friends of Van Wanggaard

$0.00

Grand Total $0.00

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount