campaign finance report state of wisconsin...

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2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $16,762.65 $16,762.65 $0.00 $0.00 $16,762.65 $16,762.65 Street Address: 148 East Johnson City, State and Zip: Madison, WI 53703 Filing Period Name: Covers all activity from 01/01/2016 through 06/30/2016 July Continuing 2016 Name of Committee/Corporation: Rep Assembly Campaign Com RACC CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50 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 $5,500.00 $5,500.00 $11,500.00 $11,500.00 $112,600.00 $112,600.00 $129,600.00 $129,600.00 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0400002 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 $129,600.00 $129,600.00 $16,762.65 $0.00 $0.00 $112,837.35 * * I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete. Signature of Candidate or Treasurer Dan Knodl Type or Print Name of Candidate or Treasurer: Date: Daytime Phone: Email: [email protected] Knodl, Dan NOTE: The information on this form is required by 11.0204, 11.0304, 11.0404, 11.0504, 11.0604, 11.0804, 11.0904, Wis. Stats. Failure to provide the information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats. ETHCF-2 (Rev. 04/16) This form is prescribed by the Wisconsin Ethics Commission, P.O. Box 7984, Madison, WI 53707-7984, 608-266-8005. * Cash Balance as reported by committee

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Page 1: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$16,762.65 $16,762.65

$0.00 $0.00

$16,762.65 $16,762.65

Street Address: 148 East Johnson

City, State and Zip: Madison, WI 53703

Filing Period Name:

Covers all activity from 01/01/2016 through 06/30/2016

July Continuing 2016

Name of Committee/Corporation:

Rep Assembly Campaign Com RACC

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN

ETHCF-50COMMITTEE 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

$5,500.00 $5,500.00

$11,500.00 $11,500.00

$112,600.00 $112,600.00

$129,600.00 $129,600.00

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0400002

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

$129,600.00

$129,600.00

$16,762.65

$0.00

$0.00

$112,837.35*

*

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

Signature of Candidate or Treasurer

Dan Knodl

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

Email: [email protected], Dan

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

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

*Cash Balance as reported by committee

Page 2: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Rep Assembly Campaign Com RACC

02/08/2016 Schroeder, John W9563 Cty Rd D, Antigo, WI 54409

Farmer $250.00 $250.00

02/08/2016 Potaka, William 7548 Wiczek Rd, Amherst, WI 54406

$100.00 $100.00

02/08/2016 Mortensen, James 6520 Wazeecha Ave, Wisconsin Rapids, WI 54494

Self Employed $250.00 $250.00

02/08/2016 Somers, Nick 292 Maple Bluff Rd, Stevens Point, WI 54482

Self Employed $250.00 $250.00

02/08/2016 Shafel, Jim W7968 McIntosh Dr, Antigo, WI 54409

$100.00 $100.00

02/08/2016 Seidl, Arthur N5677 Chillie Rd, Deerbrook, WI

$150.00 $150.00

02/08/2016 Prince, Roger 202 Badget Rd, Hancock, WI 54943

$150.00 $150.00

Sub Total $1,250.00

Conduit Contribution

02/08/2016 Alexander, Joseph 309 West Washington, Madison, WI 53703

Self employed $3,000.00 $3,000.00

02/08/2016 Pavelski, James 4390 Deer Rd, Wisconsin Rapids, WI 54406

Self Employed $250.00 $250.00

03/11/2016 Nehls, Tyler 7027 Green Bay Rd, Kenosha, WI 53142

Self Employed $1,000.00 $1,000.00

Sub Total $4,250.00

Monetary

Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Grand Total $5,500.00

Total $5,500.00

Total Anonymous Contributions $0.00

Date Full Name Address Occupation Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Rep Assembly Campaign Com RACC

03/07/2016 Aqua America, Inc H20 Political Action Committee

762 West Lancaster Ave, Bryn Mawr, PA 19010

$1,000.00 $1,000.00

02/28/2016 Waste Management PAC 701 Pennsylvania Ave NW, Washington, DC 20002

$5,000.00 $5,000.00

06/29/2016 USbancorp Federal Political Action Committee

800 Nicollet Mall, Minneapolis, MN 55402 $500.00 $500.00

06/15/2016 Aggregate Producers of Wisconsin Political Action Committee

PO Box 2157, Madison, WI 53701 $1,000.00 $1,000.00

03/16/2016 CVS Health PAC 1275 Pennsylvania Ave NW, Washington, DC 20004

$3,000.00 $3,000.00

01/28/2016 Republican Assembly Campaign Committee

148 East Johnson, Madison, WI 53703 $500.00 $500.00

02/20/2016 Hilex Poly Co LLC 101 E Carolina Ave, Hartsville, SC 29550 $500.00 $500.00

Sub Total $11,500.00

Monetary

Non-Monetary (-): $0.00

Grand Total $11,500.00

Total $11,500.00

Date Full Name Address Amount YTD

Page 4: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Rep Assembly Campaign Com RACC

03/11/2016 DeRango the Pizza King 3114 Washington Ave, Racine, WI 55440 $500.00 $500.00

Monetary

03/11/2016 Bradshaw Medical 10325 58th Place, Kenosha, WI 53144 $1,500.00 $1,500.00

Monetary

03/11/2016 American Beverage Association 1101 16th St, Washington, DC 20038 $3,000.00 $3,000.00

Monetary

02/20/2016 Gimbel, Reilly, Guerin & Brown LLP

Two Plaza East, 330 E Kilbourn Ave, Milwaukee, WI 53202

$250.00 $250.00

Monetary

02/16/2016 Association of Dental Support Organizations

1235 South Clark St, Arlington, VA 22202 $1,500.00 $1,500.00

Monetary

02/09/2016 *Amend - New

Forest Country Potawatomi Community

PO Box 340, Crandon, WI 54520 $3,000.00 $3,000.00

Monetary

02/08/2016 Wisconsin Propane Gas Association

33 E Main St Ste 701, Madison, WI 53703 $1,500.00 $1,500.00

Monetary

02/08/2016 Wisconsin Bankers Association 4721 South Biltmore, Madison, WI 53708 $1,500.00 $1,500.00

Monetary

02/08/2016 WI Grocers Association 33 East Main Street, Madison, WI 53703 $1,500.00 $1,500.00

Monetary

02/08/2016 Metropolitan Milwaukee Assoc of Commerce

756 N Milwaukee St, Milwaukee, WI 53202 $12,000.00 $12,000.00

Monetary

02/08/2016 Kwik Trip 1626 Oak St, La Crosse, WI 54603 $1,500.00 $1,500.00

Monetary

02/08/2016 Hupy and Abraham, S.C. 11 E Kilbourn Ave, Milwaukee, WI 53202 $1,500.00 $1,500.00

Monetary

02/08/2016 Capitol Navigators Inc 22 E Mifflin St, Madison, WI 53703 $500.00 $500.00

Monetary

02/08/2016 BNSF Railway 2500 Lou Menk Dr, Fort Worth, TX 76131 $3,000.00 $3,000.00

Monetary

Date Full Name Address Amount YTD

Page 5: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

06/15/2016 Dresser Trap Rock, Inc 1000 East Ave Box 517, Dresser, WI 54009 $1,000.00 $1,000.00

Monetary

06/15/2016 Best, Michael 100 East Wisconsin Ave, Milwaukee, WI 53202

$500.00 $500.00

Monetary

06/15/2016 Agents Assistance Corp of Wisconsin

725 John Nolen Dr, Madison, WI 53713 $6,000.00 $6,000.00

Monetary

06/02/2016 Sanofi US Services Po Box 6944, Bridgewater, NJ 08807 $500.00 $500.00

Monetary

05/24/2016 National Grocers Association 1005 North Glebe Suite 250, Arlington, VA 22201

$500.00 $500.00

Monetary

05/19/2016 Michael Best 100 East Wisconsin, Milwaukee, WI 53202 $1,250.00 $1,250.00

Monetary

05/04/2016 Forest County Potawatomi Community

PO Box 340, Crandon, WI 54520 $6,000.00 $6,000.00

Monetary

05/03/2016 Altria Client Services PO Box 85088, Richmond, WI 23285 $12,000.00 $12,000.00

Monetary

04/29/2016 Wisconsin Small Business United 33 East Main St Ste 701, Madison, WI 53703 $1,000.00 $1,000.00

Monetary

04/29/2016 Associated Builders and Contractors

5330 Wall Street, Madison, WI 53718 $12,000.00 $12,000.00

Monetary

04/29/2016 ARDA Resort Owners Coalition 1201 15th Street NW Suite 400, Washington, DC 20005

$1,000.00 $1,000.00

Monetary

04/29/2016 Advance America 135 N Church St, Spartanburg, WI 29306 $1,000.00 $1,000.00

Monetary

04/04/2016 UnitedHealth Group Inc PO Box 1459, Minneapolis, MN 55440 $5,500.00 $5,500.00

Monetary

04/04/2016 PLS Financial Services One South Wacker Dr, Chicago, IL 60606 $1,000.00 $1,000.00

Monetary

04/04/2016 Phrma 950 F Street NW, Washington, DC 20004 $1,500.00 $1,500.00

Monetary

04/04/2016 Milwaukee Police Association 6310 West Bluemound, Milwaukee, WI 53213 $3,000.00 $3,000.00

Monetary

03/11/2016 Mark J Neu PT SC 5024 Green Bay Rd, Kenosha, WI 53144 $1,000.00 $1,000.00

Monetary

Page 6: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

06/30/2016 Wisconsin Propane Gas Association

33 E Main St Suite 701, Madison, WI 53703 $1,000.00 $1,000.00

Monetary

06/29/2016 Wisconsin State Telecommunications Association

122 W Washington Ave Suite 1050, Madison, WI 53703

$2,000.00 $2,000.00

Monetary

06/29/2016 Wisconsin Industrial Sand Association

2809 E Hamilton, Eau Claire, WI 54701 $3,000.00 $3,000.00

Monetary

06/29/2016 Wisconsin Funeral Directors Association

22 E Mifflin St Ste 1010, Madison, WI 53703 $2,000.00 $2,000.00

Monetary

06/29/2016 WBD Corporate 1 S Pinckney St., Ste 318, Madison, WI 53703 $12,000.00 $12,000.00

Monetary

06/29/2016 Dean Realty Group 1667 Capital Ave Ste D, Madison, WI 53705 $500.00 $500.00

Monetary

06/29/2016 Anheuser Busch One Busch Place, 202-8, St. Louis, MO 63118 $2,500.00 $2,500.00

Monetary

06/29/2016 Anheuser Busch One Busch Place, 202-8, St. Louis, MO 63118 $1,250.00 $1,250.00

Monetary

06/27/2016 Adams 500 Colonial Center Parkway, Roswell, GA 30076

$500.00 $500.00

Monetary

06/15/2016 Michels Corporation 817 West Main St, Brownsville, WI 53006 $250.00 $250.00

Monetary

06/15/2016 Healthy Paws Veterinary Clinic 429 North Main St, Sheboygan Falls, WI 53085

$100.00 $100.00

Monetary

Total $112,600.00

Page 7: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

05/06/2016 EGreen Recycling

140 CORPORATE DRIVE, Holtsville, WI 11742

IT - Campaign Computer Equip

$98.98

03/08/2016 Office Depot 4016 E Washington, Madison, WI 53704

Office Supplies

$168.79

03/25/2016 Cook & Company

600 New Hampshire Ave, Washington, DC 20037

Media - Newspaper

$350.00

03/25/2016 Shutterfly 2800 Bridge Parkway, Redwood City, CA 94065

Fundraiser - Entertainment

$55.39

02/09/2016 Edgewater 1001 Wisconsin Place, Madison, WI 53703

Fundraiser - Food & Beverage

$1,757.43

02/19/2016 Staples 4538 Verona Rd, Madison, WI 53711

Office Supplies

$2,759.70

03/25/2016 Southwest 2702 Love Field Dr., Dallas, TX 75235

Staff - Travel $232.97

04/29/2016 Milford Hills W5670 French Rd, Johnson Creek, WI 53038

Fundraiser - Food & Beverage

$2,275.99

04/21/2016 Quizno's 5501 Josh Birmingham, Charlotte, NC 28208

Volunteer Meals

$11.99

04/11/2016 Madison Club 5 East Wilson, Madison, WI 53703

Fundraiser - Food & Beverage

$4,953.15

03/30/2016 Microsoft Store 634 W Main St #400, Madison, WI 53703

IT - Campaign Computer Equip

$99.99

04/08/2016 Rigby 119 E Main St, Madison, WI 53703

Meeting Expenses

$689.29

Monetary

Date Communication Date

Full Name Address Vendor Name

Vendor Address

Expense Purpose

Amount

Rep Assembly Campaign Com RACC

Page 8: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

06/20/2016 Target 1000 Nicollet Mall, Madison, WI 55403

Office Supplies

$69.61

06/08/2016 Get Smart Products

PO Box 0018 , Maryknoll, NY 10545

Fundraiser - Entertainment

$173.50

05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703

Meeting Expenses

$87.80

06/29/2016 Office Depot 4016 E Washington, Madison, WI 53704

Office Supplies

$4.41

06/29/2016 Best Buy 2452 E Springs Dr, Madison, WI 53704

IT - Campaign Computer Equip

$632.99

06/20/2016 Target 1000 Nicollet Mall, Madison, WI 55403

Office Supplies

$34.79

05/19/2016 Beyer, Kit 708 Tamarack, Verona, WI 53593

Staff - Lodging

$136.85

05/11/2016 EGreen Recycling

140 CORPORATE DRIVE, Holtsville, WI 11742

IT - Campaign Computer Equip

$81.57

05/11/2016 Beyer, Kit 708 Tamarack, Verona, WI 53593

Staff - Lodging

$1,447.06

06/02/2016 Adobe 345 Park Ave, San Jose, CA 95110

IT - Campaign Computer Equip

$15.81

05/12/2016 Ford, Trevor 310 Rowe St, Stoughton, WI 54589

Staff - Lodging

$444.31

05/18/2016 Hampton Inn Suites

201 Main Street, Green Bay, WI 54301

Staff - Lodging

$142.60

05/18/2016 Denny's 2347 Wilson, Green Bay, WI

Volunteer Meals

$37.68

Sub Total $16,762.65

Monetary

Total $16,762.65

Non-Monetary (-): $0.00

Grand Total $16,762.65

Page 9: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Rep Assembly Campaign Com RACC

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 10: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

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

Rep Assembly Campaign Com RACC

Outstanding Incurred Obligations End of Report $0.00

Grand Total $0.00

Date Full Name Amount Paid

Page 11: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-50cfis.wi.gov/ReportsOutputFiles/0400002JulyContinuing2016b1e5b... · 05/26/2016 Hop Cat 222 W Gorham St, Madison, WI 53703 Meeting

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Beginning Loan Balance:

Rep Assembly Campaign Com RACC

$0.00

Outstanding Loans End of Report $0.00

Grand Total $0.00

Date Full Name Amount Paid

Grand Total $0.00

Date Full Name Address Amount