CAMPAIGN FINANCE REPORT STATE OF WISCONSIN...
Transcript of CAMPAIGN FINANCE REPORT STATE OF WISCONSIN...
2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$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
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
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
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
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
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
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
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
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
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
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