campaign finance report state of wisconsin gab-2cfis.wi.gov/reportsoutputfiles/0105423january... ·...

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2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $768.64 $768.64 $0.00 $0.00 $768.64 $768.64 Street Address: 294 Meadowcreek Ct. #4 City, State and Zip: Pewaukee, WI 53072 Filing Period Name: Covers all activity from 07/01/2012 through 12/31/2012 January Continuing 2013 Name of Committee/Corporation: Adam Neylon for Assembly 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 $4,885.44 $4,885.44 $0.00 $0.00 $0.00 $0.00 $4,885.44 $4,885.44 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0105423 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) $0.00 $4,885.44 $4,885.44 $768.64 $0.00 $484.17 $4,116.80 * * 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: Kaminski, Daniel Email: [email protected] 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/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$768.64 $768.64

$0.00 $0.00

$768.64 $768.64

Street Address: 294 Meadowcreek Ct. #4

City, State and Zip: Pewaukee, WI 53072

Filing Period Name:

Covers all activity from 07/01/2012 through 12/31/2012

January Continuing 2013

Name of Committee/Corporation:

Adam Neylon for Assembly

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

$4,885.44 $4,885.44

$0.00 $0.00

$0.00 $0.00

$4,885.44 $4,885.44

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0105423

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)

$0.00

$4,885.44

$4,885.44

$768.64

$0.00

$484.17

$4,116.80*

*

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:

Kaminski, Daniel Email: [email protected]

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/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Adam Neylon for Assembly

11/19/2012 Tasker, Molly 1557 Sienna Dr., Melbourne, FL 32934

ATTORNEY Self employed

1557 Sienna Dr., Melbourne, FL 32934

$100.00 $0.00

11/20/2012 Bielski, Chris 1223 chadwick ln, West Dundee, IL 60118

SALES Central Steel $30.00 $0.00

11/28/2012 Morrison, Mitchel 21613 Pacific Coast Hwy, Malibu, CA 90265

INDEPENDENT CONTRACTOR

self-employed $25.00 $0.00

11/17/2012 Huffman, Hannah 7237 Tempe Dr, Madison, WI 53719

$10.00 $0.00

11/20/2012 lore mayo, david 15507F Turner St, Fort Polk, LA 71459

CAVALRY SCOUT SENIOR SCOUT

United States Armyq

$25.00 $0.00

11/25/2012 Bartmann, Douglas

123 N West Ave, Waukesha, WI 53186

REALTOR Shorewest Realtors

$25.00 $0.00

11/26/2012 Eckhorn, Andrew 3047 N. Troy Street, Chicago, IL 60618

TEACHER Chicago Public Schools

$17.00 $0.00

11/22/2012 Mason, Andrew 46 Canaan Rd, Strafford, NH 03884

STUDENT Carroll University

$10.00 $0.00

11/25/2012 Wallace, Allison 1034 22nd street south, arlington, VA 22202

NA na $25.00 $0.00

Monetary

11/16/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072

$484.17 $0.00

Sub Total $484.17

Personal Loan

12/04/2012 Phillips, Joe 224 S. James St., Waukesha, WI 53186

$80.00 $0.00

12/15/2012 Baumann, Myrtle 2068 Spaulding Ave, West Dundee, IL 60118

RETIRED $242.74 $0.00

12/15/2012 Yerk, Kayla 716 Maple Ave, Waukesha, WI 53186

$68.53 $0.00

Sub Total $391.27

In-Kind

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

12/06/2012 Morrison, Garry 250 W. Scott Unit E, Chicago, IL 60610

REGIONAL EMPLOYEE BENEFITS CONSULTANT

Reliance Standard Life Insurance

$25.00 $0.00

12/11/2012 Baumann, Ali 1506 VENICE BLVD, VENICE, CA 90291

EXECUTIVE ASSISTANT

20th Century Fox

10201 W Pico Blvd, Los Angeles, CA 90064

$500.00 $0.00

12/04/2012 Ryan, David W298 S5705 Cliffside Court, Waukesha, WI 53186

$50.00 $0.00

12/04/2012 Cerny, Luke 1504 N. Prospect Ave #212, Milwaukee, WI 53202

$50.00 $0.00

12/04/2012 Krcik, Emily 1504 N. Prospect Ave #212, Milwaukee, WI 53202

$50.00 $0.00

12/14/2012 Manke, Gladys 809 N Moreland Blvd, Waukesha, WI 53186

$50.00 $0.00

12/11/2012 Cerny, Miles & Mary

N1911 Cozy Lane, Antigo, WI 54409

RN Langlade Hospital

$50.00 $0.00

12/12/2012 Traub, JIll 1216 Chadwick Ln, West Dundee, IL 60118

HOMEMAKER $50.00 $0.00

12/04/2012 Nelis, Kevin 2734 N Kennicott Avenue, Arlington Heights, IL 60004

INVESTIGATOR State of Illinois

113 Newell St, Woodstock, IL 60098

$250.00 $0.00

12/04/2012 Best, Pam 1821 Ruben Drive, Waukesha, WI 53186

$50.00 $0.00

12/04/2012 Neylon, Conni 2068 Spaulding Ave, West Dundee, IL 60118

PROJECT CONTROLS

Day & Zimmerman

1500 Spring Garden St, Philadelphia, PA 17601

$500.00 $0.00

12/04/2012 Kaminski, Dan 229 S. James St., Waukesha, WI 53186

$50.00 $0.00

12/04/2012 Neylon, Thomas 2068 Spaulding Ave, West Dundee, IL 60118

$500.00 $0.00

12/04/2012 Alf, Vicky 2770 S Amor Drive, New Berlin, WI 53146

$50.00 $0.00

12/04/2012 Carroll, Kyle 229 S. James St., Waukesha, WI 53186

$50.00 $0.00

12/04/2012 Allen, Scott S42 W25312 Dale Drive, Waukesha, WI 53189

$50.00 $0.00

12/04/2012 Roberts, Diana 2414 Fox River Parkway Unit C, Waukesha, WI 53189

$40.00 $0.00

12/04/2012 Mueller, Karen 576 Chapel Hill Court, Wales, WI 53186

HOMEMAKER $250.00 $0.00

Monetary

Page 4: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

12/17/2012 Hanson, Chris 777 E Wisconsin Ave, Milwaukee, WI 53202

$40.00 $0.00

12/17/2012 Thielacker, Christian

418 Lemira Ave #2, Waukesha, WI 53188

$80.00 $0.00

12/15/2012 Lyons, Andrea 71 Dartmoor Dr., Crystal Lake, IL 60014

$40.00 $0.00

12/15/2012 Richardson, Mary 2941 Deer Path Ct., Carpentersville, IL 60110

$40.00 $0.00

12/17/2012 Gabor, Daniel 135 McCall St., Waukesha, WI 53186

$40.00 $0.00

12/30/2012 Zeinert, William 272 McKinley Ave, Clintonville, WI 54929

SHEPARD Bill Zeinert LLC

$28.00 $0.00

12/17/2012 Best, Keith 1821 Ruben Dr., Waukesha, WI 53186

SALES REP Edward Don Co.

$50.00 $0.00

12/28/2012 NUTT, BRIAN 107 N RAMMER AVE, ARLINGTON HEIGHTS, IL 60004

ACCOUNTANT WORLD KITCHEN

$50.00 $0.00

12/15/2012 Tossey, Bruce 83 White Pine Ln., Lake Villa, IL 60046

$25.00 $0.00

12/15/2012 Polek, Jennifer 322 Cambridge Dr., Grayslake, IL 60030

$70.00 $0.00

12/15/2012 Nutt, David 35W631 Old Barn Rd., Dundee, IL 60118

BUSINESS BANKING OFFICER

First Midwest Bank

8501 W Higgins Rd #1, Chicago, IL 60631

$100.00 $0.00

12/15/2012 Scheinpflug, Marilyn

8632 Major Ave, Morton Grove, IL 60053

$50.00 $0.00

12/17/2012 Zillmer, Hannah 2579 N. Stowell Ave Unit 1, Milwaukee, WI 53211

$60.00 $0.00

12/15/2012 Neylon, John 2110 Spaulding Ave., West Dundee, IL 60118

$50.00 $0.00

12/15/2012 Gorack, Mike 9701 May Street, Algonquin, IL 60110

$50.00 $0.00

12/15/2012 Bielski, Rick 1223 Chadwick Lane, West Dundee, IL 60118

$40.00 $0.00

12/15/2012 Whitfield, Jacob 9701 May Street, Algonquin, IL 60110

$50.00 $0.00

12/15/2012 Fritz, Al 35W820 Valley View Rd., Dundee, IL 60118

RETIRED $100.00 $0.00

Monetary

Page 5: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

12/31/2012 Sholty, Jason 1801 S. 55th Street, West Milwaukee, WI 53214

$100.00 $0.00

Sub Total $3,945.00

Monetary

Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Total $4,885.44

Total UnItemized Contributions $65.00

Total Anonymous Contributions $0.00

Grand Total $4,885.44

Page 6: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Adam Neylon for Assembly

Non-Monetary (-): $0.00

Total $0.00

Grand Total $0.00

Date Full Name Address Amount YTD

Page 7: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Adam Neylon for Assembly

Total $0.00

Date Full Name Address Amount YTD

Page 8: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

12/12/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072

Event or Fair Booth

$30.00

11/24/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072

Printing - Copies

$128.20

11/22/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072

Media - Website Development

$20.00

12/14/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072

Membership Dues - Community Org

$14.75

12/03/2012 Fed Ex 1249 Capitol Dr, Pewaukee, WI 53072

Postage $18.00

11/30/2012 WalMart 2000 S West Ave, Waukesha, WI 53189

Office Supplies

$24.77

12/04/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072

Fundraiser - Food & Beverage

$91.22

Monetary

12/04/2012 Phillips, Joe 224 S. James St., Waukesha, WI 53186

Fundraiser - Food & Beverage

$80.00

12/15/2012 Baumann, Myrtle 2068 Spaulding Ave, West Dundee, IL 60118

Fundraiser - Food & Beverage

$242.74

12/15/2012 Yerk, Kayla 716 Maple Ave, Waukesha, WI 53186

Printing - Copies

$68.53

Sub Total $391.27

In-Kind

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount

Adam Neylon for Assembly

Page 9: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

12/31/2012 Piryx, Inc 144 2nd St., 1st floor, San Francisco, CA 94105

Bank Charges

$50.43

Sub Total $377.37

Monetary

Total $768.64

Non-Monetary (-): $0.00

Grand Total $768.64

Page 10: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Adam Neylon for Assembly

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

Page 11: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

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

Adam Neylon for Assembly

Outstanding Incurred Obligations End of Report $0.00

Grand Total $0.00

Date Full Name Amount Paid

Page 12: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0105423January... · 1A. Contributions (Including Loans) from Individuals 1B. Contributions from Committees

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Beginning Loan Balance:

Adam Neylon for Assembly

$0.00

11/16/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072

$484.17 $0.00 $484.17

Sub Total $484.17

Personal Loan

Grand Total $484.17

Outstanding Loan Balance End of Report $484.17

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount