campaign finance report state of wisconsin · pdf fileadmin/prof - mgmt flash, inc. 630...

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2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $8,288.89 $8,288.89 $400.00 $400.00 $8,688.89 $8,688.89 Street Address: P.O. Box 78 City, State and Zip: Markesan, WI 53946 Filing Period Name: July Continuing 2012 Name of Committee/Corporation: Committee to Elect Joan Ballweg 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 $12,575.00 $12,575.00 $6,250.00 $6,250.00 $0.00 $0.00 $18,825.00 $18,825.00 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0104243 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) $6,036.73 $18,825.00 $24,861.73 $8,688.89 $0.00 $2,000.00 $16,172.84 * * 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: Schmidt, Marie L 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 · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$8,288.89 $8,288.89

$400.00 $400.00

$8,688.89 $8,688.89

Street Address: P.O. Box 78

City, State and Zip: Markesan, WI 53946

Filing Period Name: July Continuing 2012

Name of Committee/Corporation:

Committee to Elect Joan Ballweg

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

$12,575.00 $12,575.00

$6,250.00 $6,250.00

$0.00 $0.00

$18,825.00 $18,825.00

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0104243

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)

$6,036.73

$18,825.00

$24,861.73

$8,688.89

$0.00

$2,000.00

$16,172.84*

*

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:Schmidt, Marie L

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 · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Committee to Elect Joan Ballweg

01/30/2012 Baird, Katherine 356 Lac Verde Circle, Green Lake, WI 54941

$100.00 $100.00

01/30/2012 Walejko, Garrel N783 24th Avenue, Neshkoro, WI 54960-9307

$100.00 $100.00

01/30/2012 Seeliger, Elaine PO Box 408, Markesan, WI 53946

$50.00 $50.00

01/30/2012 Dillie, Joseph N4270 Cherokee, Markesan, WI 53946

$100.00 $100.00

01/30/2012 Vande Ven, Peter 106 Steven Lane, Markesan, WI 53946

$50.00 $50.00

01/30/2012 Miller, Patti PO Box 692, Wautoma, WI 54982

Admin/Prof - Executive

LifeQuest Services

N2930 State Road 22, Wautoma, WI 54982

$500.00 $500.00

01/30/2012 Lungwitz, Jack N2171 County Road E, Redgranite, WI 54970

$50.00 $50.00

01/30/2012 Ahonen, Donald T W2920 Wick Road, Markesan, WI 53946

$25.00 $25.00

02/20/2012 Graham, Joelle W8620 County Road E, Oxford, WI 53952

$25.00 $25.00

02/13/2012 Bartz, William W7924 Mallard Ct, Westfield, WI 53964

$10.00 $10.00

01/31/2012 Church, Rol W4050 Northwoods Trail, Wautoma, WI 54982

$50.00 $50.00

01/31/2012 Ballweg, Jeff 1/70 Ran Furly Street, St Albans, Christchurch 8041, New Zealand

$5.00 $5.00

02/13/2012 Milbauer, C. K. 3636 State Hwy 13, Wisconsin Dells, WI 53965

$25.00 $25.00

02/13/2012 Egbert, Arthur N5867 County Road A, Green Lake, WI 54941

$100.00 $100.00

Monetary

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

05/02/2012 Seeliger, Elaine PO Box 408, Markesan, WI 53946

$25.00 $75.00

05/02/2012 Soda, Kenneth W928 County Road J, Princeton, WI 54968

$25.00 $25.00

05/02/2012 Brooks, Allan W774 Center Rd, Markesan, WI 53946

$100.00 $100.00

04/24/2012 Foss, David 1140 County Road A, Grand Marsh, WI 53936

$50.00 $50.00

05/02/2012 Abendroth, David PO Box 183, Markesan, WI 53946

$50.00 $50.00

06/13/2012 Westra, Benjamin 400 Prospect Ave, Beaver Dam, WI 53916

President W.D.S. Construction, INC

111 Rowell Street, Beaver Dam, WI 53916

$300.00 $300.00

06/13/2012 Dolata, Paul J N7076 Pommering Rd, Ripon, WI 54971

Retired $250.00 $250.00

06/13/2012 Alling, Tonya 11 Stanton St, Ripon, WI 54971

$100.00 $100.00

06/13/2012 Fox, Belinda W1406 Miller Road, Markesan, WI 53946

$100.00 $100.00

03/09/2012 Smith Morse, Pam 3948 River Road, Wisconsin Dells, WI 53965

$35.00 $35.00

03/09/2012 Anderson, Shawn N8447 Hwy O, Wisconsin Dells, WI 53965

$15.00 $15.00

02/20/2012 Plagenz, Iolyn 422 S Bridge St, Markesan, WI 53946

$25.00 $25.00

04/24/2012 Vourvoulias, Winifred

W3177 Orchard Ave, Green Lake, WI 54941

$25.00 $25.00

02/20/2012 Baranowski, Mary Anne

472 Clay Street, PO Box 475, Green Lake, WI 54941

$75.00 $75.00

04/03/2012 Grosskreuz, William

2436 18th Avenue, Friendship, WI 53934

$25.00 $25.00

04/24/2012 Bumby, Mary Jane PO Box 3, Green Lake, WI 54941

$40.00 $40.00

04/24/2012 Souder, Leo N7873 Union Street, Ripon, WI 54971

$100.00 $100.00

04/03/2012 Chappa, Jim N6835 County Road Y, Princeton, WI 54968

$25.00 $25.00

04/03/2012 Cwik, Alexandria Green Lake, WI 54941

$30.00 $30.00

04/03/2012 Lambrecht, LeAnn W3921 State Road 44, Markesan, WI 53946

$25.00 $25.00

Monetary

Page 4: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

06/14/2012 Steiner, Rhonda N7381 Crystal Ridge Dr, Beaver Dam, WI 53916

$80.00 $80.00

06/14/2012 Justmann, Jeannine

N2028 County Road A, Markesan, WI 53946

$80.00 $80.00

06/14/2012 Goetz, Jim Jr 4130 Veith Ave, Madison, WI 53704

$50.00 $50.00

06/14/2012 Priske, Dan Illinois Avenue, Green Lake, WI 54941

$40.00 $40.00

06/14/2012 Sorenson, Steve PO Box 421, Ripon, WI 54971

Attorney Sorenson Law Office

620 E Fond du Lac St, Ripon, WI 54971

$250.00 $250.00

06/14/2012 Diercks, Stephen 109 S Scott Street, Coloma, WI 54930

Farmer Coloma Farms, Inc

109 S Scott Street, Coloma, WI 54930

$200.00 $200.00

06/14/2012 Kahl, Mitchell W3893 Bittersweet Lane, Fond Du Lac, WI 54937

Insurance Agent Jackson Kahl Insurance

39 S Main St, Fond Du Lac, WI 54935

$250.00 $250.00

06/14/2012 Rikkers, Helga 1100 Newbury St, Ripon, WI 54971

$50.00 $50.00

06/14/2012 Huth, Miriam W2128 Tuleta Hills Rd, Markesan, WI 53946

$50.00 $50.00

06/14/2012 Krentz, Steve W561 Cumberland Ave, Berlin, WI 54923

$100.00 $100.00

06/14/2012 Field, Roger N1348 County Road AA, Berlin, WI 54923

Pharmacist Self Employed

N1348 County Road AA, Berlin, WI 54923

$500.00 $500.00

06/14/2012 Moe, Michael W1430 County Road V, Berlin, WI 54923

Owner Moeland Title & Survey

PO Box 219, Wautoma, WI 54982

$500.00 $500.00

06/14/2012 Glehar, James 826 Layton Drive, Ripon, WI 54971

Owner AF Gelhar Co, Inc

N2402 County A, Markesan, WI 53946

$250.00 $250.00

06/14/2012 Bostelmann, Robert

W2136 State Road 23, Green Lake, WI 54941

$80.00 $80.00

06/14/2012 Kujawa, John 308 Memorial Rd, Berlin, WI 54923

President Farmers & Merchants Bank

123 W Huron, Berlin, WI 54923

$250.00 $250.00

06/14/2012 McConnell, Lynn N8615 Old 49 Road, Berlin, WI 54923

Admin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941

$200.00 $200.00

06/14/2012 Baird, Leonel 356 Lac Verde Circle, Green Lake, WI 54941

$80.00 $80.00

06/14/2012 Prentice, Robert 514 Fairview Ave, Ripon, WI 54971

Foundry Exectutive

AFK Corp 300 Pacific St, Ripon, WI 54971

$500.00 $500.00

06/14/2012 Leitz, Herman 120 Watson, Ripon, WI 54971

Insurance Agent Herman Leitz Agency

Po Box 252, Ripon, WI 54971

$250.00 $250.00

Monetary

Page 5: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

06/14/2012 Green, Patricia N5701 Lakeview Dr, Green Lake, WI 54941

$80.00 $80.00

06/14/2012 Braun, Steve W2092 Melmar Dr, Markesan, WI 53946

$100.00 $100.00

06/14/2012 Krentz, Kevin W499 County Road X, Berlin, WI 54923

$80.00 $80.00

06/14/2012 King, Jack 535 Russell Dr, Ripon, WI 54971

Restaurant Owner McDonalds Hwy 23 West, Ripon, WI 54971

$300.00 $300.00

06/14/2012 Reabe, Janet N5878 Lakeview Dr, Green Lake, WI 54941

$50.00 $50.00

06/14/2012 Holz, Tim 803 Metomen St, Ripon, WI 54971

$80.00 $80.00

06/14/2012 Otto, James 112 Bowen St, Box 73, Brandon, WI 53919

$80.00 $80.00

06/14/2012 Triemstra, Ronald W926 Woodland Circle, Green Lake, WI 54941

$80.00 $80.00

06/14/2012 Abendroth, David PO Box 183, Markesan, WI 53946

Truck Driver ABN Plainfield

N1766 County Road U, Markesan, WI 53946

$100.00 $150.00

06/14/2012 Seaman, Leone 308 S Washington St, Berlin, WI 54923

$50.00 $50.00

06/14/2012 Petersen, Daniel 669 Voyagers Trail, Berlin, WI 54923

$80.00 $80.00

06/14/2012 Waterhouse, Audrey

6712 Winged Foot Way, Plano, TX 75093

$100.00 $100.00

06/14/2012 Zastrow, Nancy N3094 N Kearley Rd, Markesan, WI 53946

$80.00 $80.00

06/14/2012 Kaminsky, Denise W3952 Artesian Rd, Fond Du Lac, WI 54937

$50.00 $50.00

06/14/2012 Sargent, Kyle 501 E Alice St, Appleton, WI 54911

$50.00 $50.00

06/14/2012 Ownby, Kim N6661 Valley View, Ripon, WI 54971

Physician's Asst CHN 225 Memorial Dr, Berlin, WI 54923

$500.00 $500.00

06/14/2012 Hinz, Michael 501 County Road M, Pickett, WI 54964

$50.00 $50.00

06/14/2012 McIntosh, Forbes 737 Seneca Pl, Madison, WI 53711

$100.00 $100.00

06/14/2012 Burns, Nancy N5774 Whitetail Ct, Green Lake, WI 54941

$50.00 $50.00

Monetary

Page 6: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

06/22/2012 Gray, David 733 Newbury Street, Ripon, WI 54971

$100.00 $100.00

06/22/2012 Busse, Robert W4826 Village Acres Lane, Princeton, WI 54968

$25.00 $25.00

06/22/2012 West, Karen W5852 Beechnut Ave, Wild Rose, WI 54984

$50.00 $50.00

06/22/2012 Beuthin, Joan 468 Clay Street, Green Lake, WI 54941

$10.00 $10.00

06/14/2012 Butterbrodt, Thomas

N8621 Seward Dr, Berlin, WI 54923

$50.00 $50.00

06/14/2012 Herriot, Lyn PO Box 123, Ripon, WI 54971

$20.00 $20.00

06/14/2012 Jankowski, Julie W731 Silver Creek Rd, Green Lake, WI 54941

$50.00 $50.00

06/14/2012 Webster, Robert 8001 Radke Rd, Ripon, WI 54971

$100.00 $100.00

06/14/2012 Hess, Julie W1101 W Forest Ridge Rd, Berlin, WI 54923

$100.00 $100.00

06/14/2012 Miller, Betsey N5801 Brooklyn G Rd, Ripon, WI 54971

$5.00 $5.00

06/14/2012 Chesbrough, Robert

PO Box 485, Wautoma, WI 54982

$15.00 $15.00

06/14/2012 Duehring, David W902 Woodland Cir, Green Lake, WI 54941

$50.00 $50.00

06/14/2012 Schmidt, Marie PO Box 498, Markesan, WI 53946

Vice President Farmers State Bank

86 E Water St, Markesan, WI 53946

$250.00 $250.00

06/14/2012 Church, Rollin W4050 Northwoods Trail, Wautoma, WI 54982

Retired $100.00 $150.00

06/22/2012 Baranowski, Phil PO Box 475, Green Lake, WI 54941

$75.00 $75.00

06/19/2012 Krueger, Lori N2357 State Road 73, Markesan, WI 53946

$100.00 $100.00

06/14/2012 Zeratsky, John N5635 County Hwy A, Green Lake, WI 54941

$100.00 $100.00

06/14/2012 Clark, James 601 W Caroline St, Markesan, WI 53946

$50.00 $50.00

06/14/2012 Greening, Annelle Q802 Klondike Rd, Berlin, WI 54923

$25.00 $25.00

06/14/2012 Malchetske, Robert

478 River Dr, Berlin, WI 54923

$50.00 $50.00

Monetary

Page 7: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

05/02/2012 Ward, Andy 1802 Spohn Avenue, Madison, WI 53704

$60.00 $60.00

05/02/2012 Warren, Dale 104 Waters Edge Circle, Burlington, WI 53105

$20.00 $20.00

05/02/2012 Wathen, Douglas N8876 Sechlerville Road, Hixton, WI 54635

$30.00 $30.00

05/02/2012 Walsdorf, Michael W317 CTH HH, Kiel, WI 53042

$20.00 $20.00

05/02/2012 Velie, David Jr 625 East Pershing, Appleton, WI 54911

$15.00 $15.00

05/02/2012 Vike, Tim 1851 Hammond Rd, Edgerton, WI 53534

$20.00 $20.00

05/02/2012 Waechter, Robert E1776 County Road F, Luxemburg, WI 54217

$20.00 $20.00

05/02/2012 Valenta, Ricky 417 Northern Avenue, Green Bay, WI 54303

$20.00 $20.00

Conduit Contribution

06/22/2012 Souder, Leo J N7873 Union Street, Ripon, WI 54971

Farming Self N7873 Union Street, Ripon, WI 54971

$50.00 $150.00

06/22/2012 Bostelmann, Robert

W2136 State Road 23, Green Lake, WI 54941

President Midwest Firearm Products

W2136 State Road 23, Green Lake, WI 54941

$50.00 $130.00

06/22/2012 Priske, Daniel 596 Illinois Ave, Green Lake, WI 54941

$50.00 $90.00

06/22/2012 Abendroth, Susan 430 Sunrise Lane, Markesan, WI 54936

$20.00 $20.00

06/22/2012 Reich, Caren PO Box 285, Berlin, WI 54923

$50.00 $50.00

06/22/2012 Seeliger, Elaine PO Box 408, Markesan, WI 53946

Retired $50.00 $125.00

06/30/2012 Miller, Patti PO Box 692, Wautoma, WI 54982

$100.00 $100.00

06/30/2012 Church, Karen 643 Deerborn Dr, Grand Marsh, WI 54982

$20.00 $20.00

06/29/2012 Lambrecht, LeAnn W3921 State Road 44, Markesan, WI 53946

$20.00 $45.00

06/29/2012 Loehr, Cheryl 708 Well Street, Onalaska, WI 54650

$100.00 $100.00

06/29/2012 Brakebush, Carl N4985 6th Drive, Westfield, WI 53964

President Brakebush Bros, Inc.

N4993 6th Drive, Westfield, WI 53964

$250.00 $250.00

Sub Total $10,515.00

Monetary

Page 8: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

06/14/2012 Bergstrom, Richard

1501 Rue Reynard, Menasha, WI 54952

Auto Dealer Owner

Bergstrom Automotive

One Neenah Center, Neenah, WI 54956

$250.00 $250.00

06/14/2012 Flood, James 763 Red Fox Run, Fond Du Lac, WI 54937

Auto Dealer Owner

Holiday Chrysler Dodge Jeep

815 S Rolling Meadows Dr, Fond Du Lac, WI 54937

$250.00 $250.00

06/14/2012 Dorsch, Mike 230 Beau Rivage Ct, De Pere, WI 54115

Auto Dealer Owner

Dorsch Ford L-M Kia

2641 Eaton Rd, Green Bay, WI 54311

$250.00 $250.00

06/30/2012 Bernander, Jon B N8617 Peterson Road, Wisconsin Dells, WI 53964

Banker Bank of Wisconsin Dells

716 Superior St, Wisconsin Dells, WI 53965

$150.00 $150.00

06/22/2012 Hogan, Rebecca 401 Wyalusing Dr, Madison, WI 53718

$100.00 $100.00

06/22/2012 Becker, Lawrence N2657 14th Road, Montello, WI 53949

$100.00 $100.00

06/14/2012 Clemens, David E10191 Pickerel Slough, Wisconsin Dells, WI 53965

Dentist Dells Dental 245 W Munroe Ave, Wisconsin Dells, WI 53965

$250.00 $250.00

05/02/2012 Wyngaard, Kenneth

238 S Maple Street, Kimberly, WI 54136

$5.00 $5.00

05/02/2012 Weidner, Theodore

N6938 Old County Road DD, Burlington, WI 53105

$20.00 $20.00

06/14/2012 Cuene, Kevin 1000 Fox River Drive, De Pere, WI 54115

Auto Dealer Owner

Broadway Automotive Inc

2700 S Ashland Ave, Green Bay, WI 54306

$250.00 $250.00

06/14/2012 Reinsch, Tom N4593 Horner Rd, Ripon, WI 54971

Vice President Condon Oil Co

PO Box 184, Ripon, WI 54971

$150.00 $150.00

06/14/2012 Goetz, Jim Sr PO Box 489, Portage, WI 53901

$50.00 $50.00

Sub Total $2,030.00

Conduit Contribution

Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Total $12,575.00

Total UnItemized Contributions $30.00

Total Anonymous Contributions $0.00

Grand Total $12,575.00

Page 9: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Committee to Elect Joan Ballweg

06/13/2012 Wisconsin Hospitals PAC 5510 Research Park Drive, PO Box 259038, Madison, WI 53711

$200.00 $200.00

06/14/2012 FONEPAC 122 West Washington Avenue, Suite 1050, Madison, WI 53703

$500.00 $500.00

06/13/2012 WI Grocers Assn PAC 33 East Main St., Suite 701, Madison, WI 53703

$100.00 $100.00

04/24/2012 AGCWI PAC 4814 East Broadway, Madison, WI 53716 $250.00 $250.00

04/24/2012 WI State Council of Carpenters 115 West Main Street, Madison, WI 53703

$500.00 $500.00

06/22/2012 Milwaukee Police Association Political Action Committee

6310 West Bluemound Road, Milwaukee, WI 53213

$500.00 $500.00

06/29/2012 WI Institute of CPA's PAC 235 N. Executive Drive #200, Brookfield, WI 53005

$250.00 $250.00

06/14/2012 Alliant Energy WI Gov Act Cte 4902 North Biltmore Lane, Madison, WI 53718

$200.00 $200.00

06/14/2012 WH&LA PAC 1025 South Moorland Road, Suite 200, Brookfield, WI 53005

$100.00 $100.00

06/14/2012 WI Petroleum Mrktrs & C-Store Assoc. PAC

121 S Pinckney St Ste 300, Madison, WI 53703

$250.00 $250.00

02/20/2012 Cooperative Outreach for Objective Politics

1 South Pinckney Street, Suite 810, Madison, WI 53703-2869

$500.00 $500.00

03/09/2012 Act Comm/Rural Electrification 1 South Pinckney Street, Suite 810, Madison, WI 53703-2869

$500.00 $500.00

02/13/2012 WI Dental Assn PAC 10 East Doty Street, #509, Madison, WI 53703

$500.00 $500.00

05/02/2012 CenturyLink Employees' Political Action Committee

1099 New York Avenue NW, Suite 250, Washington, DC 20001

$200.00 $200.00

01/30/2012 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224

$500.00 $500.00

03/09/2012 United Association Local 118 PAC 3030 39th Ave, Room 125, Kenosha, WI 53144

$500.00 $500.00

03/09/2012 Steamfitters Local 601 PAC 3300 South 103rd Street, Milwaukee, WI 53227

$250.00 $250.00

03/09/2012 Sprinkler Fitters Local 183 W175 N5700 Technology Drive, Menomonee Falls, WI 53051

$250.00 $250.00

03/09/2012 Waste Management Employees PAC

701 Pennsylvania Ave., NW, Suite 590, Washington, DC 20004

$200.00 $200.00

Sub Total $6,250.00

Monetary

Non-Monetary (-): $0.00

Grand Total $6,250.00

Total $6,250.00

Date Full Name Address Amount YTD

Page 10: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Committee to Elect Joan Ballweg

Total $0.00

Date Full Name Address Amount YTD

Page 11: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

Comment(s): Total Unitemized Expenditures $20 or Less

06/30/2012 UnItemized WI Unitemized $2.20

Sub Total $2.20

Unitemized

05/29/2012 Office Max 2420 East Springs, Madison, WI 53703

Office Supplies

$43.02

06/06/2012 Government Accountability Board

212 East Washington Avenue, 3rd Floor, P.O. Box 7984, Madison, WI 53707-7984

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

$85.00

06/01/2012 Office Depot 4016 E Washington Ave, Madison, WI 53704

Office Supplies

$21.08

Comment(s): Rack Cards

04/06/2012 Republican Party of Wisconsin

148 East Johnson Street, Madison, WI 53703

Consulting Fees - General

$7,500.00

Comment(s): consulting fees/general

05/22/2012 US Post Office 735 N Margaret, Markesan, WI 53946

Postage $225.00

05/22/2012 Heinzen Printing 550 South Central Ave, Marshfield, WI 54449

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

$356.59

02/28/2012 US Postmaster 735 N Margaret, Markesan, WI 53946

Postage $56.00

Sub Total $8,286.69

Monetary

Non-Monetary (-): $0.00

Grand Total $8,288.89

Total $8,288.89

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount

Committee to Elect Joan Ballweg

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SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Committee to Elect Joan Ballweg

06/29/2012 Mary Czaja for Assembly

PO Box 751, Tomahawk, WI 54487

$400.00

Sub Total $400.00

Monetary

Non-Monetary (-): $0.00

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

Total $400.00

Grand Total $400.00

Date Full Name Address Vendor Name Vendor Address

Amount

Page 13: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A

Complete Committee Name:

Incurred Obligation Outstanding Amount:

Grand Total $0.00

Date Full Name Address Amount

$0.00

Committee to Elect Joan Ballweg

Grand Total $0.00

Date Full Name Amount Paid

Page 14: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN · PDF fileAdmin/Prof - Mgmt Flash, Inc. 630 Commercial Ave, Green Lake, WI 54941 $200.00 $200.00 06/14/2012 Baird, Leonel 356 Lac Verde

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Loans Outstanding Amount:

Committee to Elect Joan Ballweg

$2,000.00

Grand Total $0.00

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount