campaign finance report state of …cfis.wi.gov/reportsoutputfiles/0105696januarycontinuing...the...

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2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $164,883.92 $545,447.55 $0.00 $0.00 $164,883.92 $545,447.55 Street Address: 962 Churchill Lane City, State and Zip: Fond du Lac, WI 54935 Filing Period Name: Covers all activity from 10/25/2016 through 12/31/2016 January Continuing 2017 Name of Committee/Corporation: Feyen for Senate CAMPAIGN FINANCE REPORT STATE OF WISCONSIN ETHCF-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 $41,200.90 $177,197.86 $103,845.00 $398,000.84 $0.00 $47.00 $145,045.90 $575,245.70 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0105696 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) $58,249.03 $145,045.90 $203,294.93 $164,883.92 $0.00 $400.00 $38,411.01 * * 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 Tim Lakin Type or Print Name of Candidate or Treasurer: Date: Daytime Phone: Email: [email protected] Feyen, Lori 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 …cfis.wi.gov/ReportsOutputFiles/0105696JanuaryContinuing...the information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$164,883.92 $545,447.55

$0.00 $0.00

$164,883.92 $545,447.55

Street Address: 962 Churchill Lane

City, State and Zip: Fond du Lac, WI 54935

Filing Period Name:

Covers all activity from 10/25/2016 through 12/31/2016

January Continuing 2017

Name of Committee/Corporation:

Feyen for Senate

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN

ETHCF-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

$41,200.90 $177,197.86

$103,845.00 $398,000.84

$0.00 $47.00

$145,045.90 $575,245.70

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0105696

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)

$58,249.03

$145,045.90

$203,294.93

$164,883.92

$0.00

$400.00

$38,411.01*

*

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

Tim Lakin

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

Email: [email protected], Lori

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 …cfis.wi.gov/ReportsOutputFiles/0105696JanuaryContinuing...the information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Feyen for Senate

10/27/2016 Czerwinski, Frank 3677 S 82nd St, Milwaukee, WI 53220

$15.00 $15.00

10/26/2016 Wieland, John 1609 W 6th Ave, Oskosh, WI 54902

$25.00 $25.00

10/27/2016 Lindberg, James 560 N Rolling Meadows Dr, North Fond du Lac, WI 54937

$100.00 $100.00

10/27/2016 Haskett, Elizabeth 30 Prestige Cir, Fond du Lac, WI 54935

$50.00 $50.00

10/25/2016 McFarland, James 1633 N Prospect Ave, Unit 17A, Milwaukee, WI 53202

$100.00 $100.00

10/26/2016 Tangen, Brad 1451 S 77th St, West Allis, WI 53214

$25.00 $25.00

10/26/2016 Marhefke, Mary 2875 Commander Ct, Oshkosh, WI 54901

$25.00 $25.00

10/27/2016 Meyer, Samuel 42 N Main St, Fond du Lac, WI 54935

$100.00 $100.00

10/28/2016 Knudson, Jamie N5975 Sweet Pea Dr, Appleton, WI 54915

Business Owner $500.00 $500.00

10/28/2016 Isselman, John 6761 Hickory Rd, Box 20, Newburg, WI 53060

$5.00 $5.00

10/29/2016 Asmus, Alton 707 Tulip Ln, Waupun, WI 53963

$25.00 $25.00

10/28/2016 Rose, David N3490 Cty Rd W, Eden, WI 53019

$35.00 $35.00

10/27/2016 Townsend, John 297 Roosevelt St, Fond du Lac, WI 54935

$25.00 $25.00

10/27/2016 Miller, Ted 76 Oakridge Ct, Fond du Lac, WI 54937

Doctor $200.00 $200.00

10/28/2016 Bonzelet, Sharon 33 E 9th St, Fond du Lac, WI 54935

$5.00 $5.00

10/27/2016 Weber, Mark 1042 Sycamore Tree Dr, Fond du Lac, WI 54935

$50.00 $50.00

Monetary

Date Full Name Address Occupation Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0105696JanuaryContinuing...the information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats

11/01/2016 Hornung, Robert 768 Red Fox Run, Fond du Lac, WI 54937

$100.00 $100.00

11/01/2016 Leszczynski, Thomas

4539 Greystone Dr, Richfield, WI 53076

$15.00 $15.00

11/01/2016 Peterson, Scott 5840 Thorstrand Rd, Madison, WI 53705

President & CEO $1,000.00 $1,000.00

11/01/2016 Gegare, William 1469 Larkspur Ln, Oneida, WI 54155

Area Manager $200.00 $200.00

11/01/2016 Hierl, Thomas N5262 Club De Neveu Dr, Fond du Lac, WI 54937

Retired $200.00 $200.00

11/01/2016 Hoffman, Mark 20 S 5th St, Black River Falls, WI 54615

VP Equipment $1,000.00 $1,000.00

11/01/2016 Rasmussen, John 4062 Oregon St, Oshkosh, WI 54902

retired $250.00 $250.00

11/01/2016 Shoemaker, Terry 444 Ledgewood Dr, Fond du Lac, WI 54935

$100.00 $100.00

10/30/2016 Castle, Michael 800 Bauman St, Oshkosh, WI 54902

$100.00 $100.00

10/30/2016 Leitner, Joseph 18814 Twin Bay Ln, Kiel, WI 53042

Business Owner $500.00 $500.00

10/30/2016 Santini, Leo N5580 Timber Ridge Dr, Fond du Lac, WI 54937

$30.00 $30.00

11/01/2016 Florio, Phillip 514 Oak Crest Dr, Oshkosh, WI 54904

$100.00 $100.00

10/29/2016 Bindert, Clarence 569 Boyd St, Fond du Lac, WI 54935

$20.00 $20.00

10/29/2016 Eggert, Mark 479 Reagan Rd, Kewaskum, WI 53040

$100.00 $100.00

10/31/2016 Kuechler, Michael 893 Country Club Ln, Fond du Lac, WI 54935

$100.00 $100.00

10/31/2016 Schumacher, Joe W5231 Kennedy Dr, Fond du Lac, WI 54935

$30.00 $30.00

11/01/2016 Asmus, Alton 707 Tulip Ln, Waupun, WI 53963

$50.00 $50.00

10/30/2016 Walloch, G.J. 7792 Tuckaway Shores Dr, Franklin, WI 53132

$30.00 $30.00

10/31/2016 Ahern, David 406 N Peters Ave, Apt E104, Fond du Lac, WI 54935

$50.00 $50.00

10/31/2016 Gulig, R.J. 406 N. Peters Ave, Apt E104, Fond du Lac, WI 54935

$25.00 $25.00

Monetary

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10/26/2016 Davis, Dwight PO Box 647, Sister Bay, WI 54234

Business Owner $1,000.00 $1,000.00

10/26/2016 Ariens, Daniel 1376 Navajo Trail, Green Bay, WI 54313

President/CEO $2,000.00 $2,000.00

10/26/2016 Smith, Jay 4101 Cty Rd M, Middleton, WI 53562

Chairman $2,000.00 $2,000.00

10/26/2016 Mayer, Scott 9733 W Ryan Rd, Franklin, WI 53132

President/CEO $1,000.00 $1,000.00

Conduit Contribution

11/02/2016 Erwin, Chesley 712 Woodridge Dr, Manitowoc, WI 54220

$35.00 $35.00

11/02/2016 Everson, Eric W4039 Fairlane Cir., Fond du Lac, WI 54935

President/CEO $506.58 $506.58

11/01/2016 Snow, Todd 505 S. West St., Waupun, WI 53963

$100.00 $100.00

11/01/2016 Wettstein, Clare 463 S. Park Ave, Fond du Lac, WI 54935

$50.00 $50.00

11/01/2016 Trembly, Jeffrey 3040 Wilderness Pl, Oshkosh, WI 54904

VP $250.00 $250.00

11/01/2016 Wadium, Mark 2309 Willard Ave, Madison, WI 53704

$90.00 $90.00

11/01/2016 Welch, Laura N10408 Lakeland Rd, Fox Lake, WI 53933

$25.00 $25.00

11/02/2016 Kenyon, David PO Box 205, Oakfield, WI 53065

$30.00 $30.00

12/07/2016 Welsch, Jessica 613 Greenfield Dr., Deforest, WI 53532

$100.00 $100.00

12/23/2016 Daniel, Esch 1632 Quail Ridge Cirle, Woodbury, MN 55125

Business Owner $100.00 $100.00

11/02/2016 Jaeger, Jeanne 475 Grove St, Apt 200, Lomira, WI 53048

$30.00 $30.00

12/03/2016 Zimmerman, James

102 Center Rd., Rosendale, WI 54974

$50.00 $50.00

11/02/2016 Lentz, Friedhart 308 N Main St, Rosendale, WI 54974

$12.00 $12.00

11/02/2016 Luetzow, Thomas N7406 Cty Trunk E, Watertown, WI 53094

$100.00 $100.00

11/03/2016 Loest, Erv 308 Eilbes Ct, Beaver Dam, WI 53916

$50.00 $50.00

Sub Total $6,813.58

Monetary

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10/27/2016 Fosso, Shelda S. 1435 Addie Pkwy, Oshkosh, WI 54904

Chiropractor $50.00 $50.00

10/27/2016 Freitag, Brad K. 609 E. Park Ave, Monticello, WI 53570

Chiropractor $300.00 $300.00

10/27/2016 Farah, Dan A. 7696 Haines Road, Sturgeon Bay, WI 54235

Chiropractor $250.00 $250.00

10/27/2016 Early, James W4969 Mariearl Ln, Fond du Lac, WI 54935

Chiropractor $100.00 $100.00

10/27/2016 Edinger, Mark S. 118 Howard St, Ripon, WI 54971

Chiropractor $300.00 $300.00

10/27/2016 Ellefson, Judy F. W6341 Cedar Cliff Dr, Hortonville, WI 54944

Chiropractor $300.00 $300.00

10/27/2016 Becker, Trudy 185 W Rainbow Ridge Dr, #314, Oak Creek, WI 53154

manager $200.00 $200.00

10/27/2016 Boots, James R. A119 Elm St, Combined Locks, WI 54113

Chiropractor $100.00 $100.00

10/27/2016 Boots, William J. 600 Glenview Ave, Combined Locks, WI 54113

Chiropractor $100.00 $100.00

10/27/2016 Bauer, Shayne W6959 Burch Ct., Fond du Lac, WI 54935

Chiropractor $300.00 $300.00

10/27/2016 Dorn, Clint W7062 Cty Rd. JJ, Hortonville, WI 54944

Chiropractor $275.00 $275.00

10/26/2016 Spude, Michael E4741 Rolling Ridge Rd, Spring Green, WI 53588

President $500.00 $500.00

10/26/2016 Wiese, Peter 621 Elm Ave W, Menomonie, WI 54751

Realtor $700.00 $700.00

10/27/2016 Condon, Elsa N5029 W. Spearhead Road, Juneau, WI 53039

Ag Banker $252.32 $252.32

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Dean, Eric 209 Church St., Algoma, WI 54201

General Manager $100.00 $100.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Boyson, Craig G. PO Box 2292, Appleton, WI 54912

Chiropractor $300.00 $300.00

10/27/2016 Capesius, Scott A. 2334 Tumbleweed Trail, Green Bay, WI 54313

Chiropractor $140.00 $140.00

10/27/2016 Coggins, David 2101 Stoney Brook Ct, Manitowoc, WI 54220

Banker $50.00 $50.00

Conduit Contribution

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Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Klusendorf, Bryan J.

17 Arbor Ln, Appleton, WI 54915

Chiropractor $100.00 $100.00

10/27/2016 Lundy, Paul C. 4919 Fillmore Ln., Florence, WI 54121

Director $100.00 $100.00

10/27/2016 Levine, Abe 230 Sheridan Point Ln., Atlanta, GA 30342

Chief Financial Officer $100.00 $100.00

10/27/2016 Groskopp, William C.

1309 Maria Lane, Menasha, WI 54952

Chiropractor $300.00 $300.00

10/27/2016 Grieves, Brian M. W5547 Castle Road, Shawano, WI 54166

Chiropractor $125.00 $125.00

10/27/2016 Hogan, Jan Patrick 4686 Toepfer Road, Middleton, WI 53562

$50.00 $50.00

10/27/2016 Heimerl, Joshua J. 5220 Pierce Drive, Manitowoc, WI 54220

Chiropractor $150.00 $150.00

10/27/2016 Gauthier, Thomas A.

1609 White Swan Dr, Oshkosh, WI 54901

Chiropractor $100.00 $100.00

10/27/2016 Kloiber, Thomas C.

1942 N 7th St, Sheboygan, WI 53081

Chiropractor $100.00 $100.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Goetzman, Lance 1301 Orchard Drive, Kaukauna, WI 54130

Director $10.00 $10.00

10/27/2016 King, Dennis J. 3103 N Brookhills Dr, Green Bay, WI 54313

Chiropractor $600.00 $600.00

10/27/2016 Jones, Denise L. 126 W Garland St, West Salem, WI 54669

Chiropractor $100.00 $100.00

10/27/2016 Klemp, Darrel D. W4603 State Highway 156, Bonduel, WI 54107

Chiropractor $100.00 $100.00

10/27/2016 Kirchman, Lance W.

630 N. Main Street, Luxemburg, WI 54217

Chiropractor $100.00 $100.00

10/27/2016 Holland, Brenda M.

W4969 Mariearl Ln., Fond du Lac, WI 54935

Chiropractor $100.00 $100.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Johnson, William E.

2912 Bluebird Dr, Portage, WI 53901

Chiropractor $600.00 $600.00

10/27/2016 Johnson, Kimberly A.

2971 Ryf Raod, Oshkosh, WI 54904

Chiropractor $100.00 $100.00

Conduit Contribution

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10/27/2016 Sell, Robert D. E1412 Dayton Rd, Waupaca, WI 54981

Chiropractor $300.00 $300.00

10/27/2016 Servais, Robert A. 2570 County Road ZZ, De Pere, WI 54115

Chiropractor $600.00 $600.00

10/27/2016 Schubbe, Peter J. 2601 Schaefer Cir, Appleton, WI 54915

Chiropractor $200.00 $200.00

10/27/2016 Schnell, William F. 2708 Branch St., Duluth, MN 55812

Director $250.00 $250.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Schubbe, John D. 4721 W Pine St, Appleton, WI 54915

Chiropractor $500.00 $500.00

10/27/2016 Metzler, Cheryl A. 4809 Columbus Street, Two Rivers, WI 54241

Chiropractor $100.00 $100.00

10/27/2016 Miller, Kay A. 1081 S Park Ave, Fond du Lac, WI 54935

Chiropractor $170.00 $170.00

10/27/2016 Olm, Carroll J. 435 W. Starin Road, #210D, Whitewater, WI 53190

Director $150.00 $150.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Maiman, Daniel E. N3350 Frances Ln, New London, WI 54961

Chiropractor $600.00 $600.00

10/27/2016 McConnell, Patrick P.O. Box 574, Green Lake, WI 54941

Banker $50.00 $50.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Scherer, Cynthia A.

4501 Grimson Road, Oshkosh, WI 54904

Chiropractor $800.00 $800.00

10/27/2016 Scherer, Thomas E.

4501 Grimson Road, Oshkosh, WI 54904

Chiropractor $500.00 $500.00

10/27/2016 Schmudlach, Steven

574 Ashbury Dr., Fond Du Lac, WI 54935

Community Bank President $200.00 $200.00

10/27/2016 Resch, Christopher D.

496 Plummers Harbor Road, Neenah, WI 54956

Chiropractor $115.00 $115.00

10/27/2016 Pennings, Thomas W5924 Sweet Clover Drive, Appleton, WI 54915

Vice President $150.00 $150.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Raihala, Carmel 240 Terrce Court, Green Bay, WI 54301

Chiropractor $100.00 $100.00

Conduit Contribution

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11/01/2016 Banaszynski, Diana

N1641 Maxwell Way, Fort Atkinson, WI 53538

Homemaker $250.00 $250.00

11/01/2016 Brown, Laurel 5434 Whalen Rd, Oregon, WI 53575

Real Estate Agent $1,000.00 $1,000.00

10/30/2016 Lueck, Larry 2029 Rush Ct, De Pere, WI 54115

Assoc. Legal Council $500.00 $500.00

10/27/2016 Yeomans, Steven G.

404 Eureka St, Ripon, WI 54971

Chiropractor $600.00 $600.00

10/27/2016 Zachor, Nathan A. 1122 Herne Ball Way, Green Bay, WI 54313

Chiropractor $160.00 $160.00

10/27/2016 Zilisch, Don R. 1931 N Erb St, Appleton, WI 54911

Chiropractor $120.00 $120.00

10/27/2016 Stevens, Joel A. N7414 State Rd 57, Plymouth, WI 53073

Chiropractor $100.00 $100.00

10/27/2016 Streblow, Jonathon M.

331 Truman St, PO Box 323, Valders, WI 54245

Chiropractor $150.00 $150.00

10/27/2016 Sweasy, Jane 2764 E. Carrera Ct., Green Bay, WI 54311

President $100.00 $100.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Yarmark, Brad 1901 Ruger Ave., Janesville, WI 53545

Vice President/Territory Manager $100.00 $100.00

10/27/2016 Smith, Todd L. 15 Floral Dr., Kimberly, WI 54136

Chiropractor $100.00 $100.00

10/27/2016 Steinhoff, Steven J.

W4130 South Shore Drive, Palmyra, WI 53156

Director $75.00 $75.00

10/27/2016 Swenson, Robert F.

844 Renee Court, Kaukauna, WI 54130

Chiropractor $550.00 $550.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

10/27/2016 Weis, Kurt 1131 E. Stonegate Dr., Oak Creek, WI 53154

Vice President/General Manager $100.00 $100.00

10/27/2016 Wink, Craig S. 924 Forest Ave Ste 101, Fond du Lac, WI 54935

Chiropractor $400.00 $400.00

10/27/2016 Vanden Boogart, Jay M.

W8805 Enterprise Circle, Beaver Dam, WI 53916

EVP $50.00 $50.00

10/27/2016 Thibodeau, Daniel J.

1916 S Sundown Ln, Appleton, WI 54915

Chiropractor $100.00 $100.00

10/27/2016 Trongaard, Craig L.

6804 N. Elm Street, Platteville, WI 53818

Director $50.00 $50.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

Conduit Contribution

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11/07/2016 Sewell, Michael G. 2662 Maple Hills Dr, Green Bay, WI 54313

Realtor $50.00 $50.00

11/08/2016 Cullen, James 839 Harding Street, Janesville, WI 53545

$100.00 $100.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

11/05/2016 Sattler, Thomas J. W162 S7009 Olive Circle, Muskego, WI 53150

SVP-Sales/Marketing $100.00 $100.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

11/05/2016 Sonnentag, Tim 1003 Sonnentage Lane, P.O. Box 423, Marathon, WI 54448

Director $250.00 $250.00

11/01/2016 Petersen, Marc 1400 Lakeridge Dr, Oconomowoc, WI 53066

Insurance Agent $250.00 $250.00

11/01/2016 Steiner, Linda 24026 Oakwood Lane, Kansasville, WI 53139

Retired $250.00 $250.00

11/01/2016 Thiel, Jeff W296 N6774 Franchar Dr., Hartland, WI 53029

Insurance $250.00 $250.00

11/01/2016 Leitch, Steve N8259 945th St, River Falls, WI 54022

Insurance Agent $250.00 $250.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

11/01/2016 Dunker, Dave W290 N7102 Leanne Ct, Hartland, WI 53029

Insurance Agency Owner $250.00 $250.00

11/01/2016 Froh, Michael PO Box 36, Elkhart Lake, WI 53020

Insurance Agent $250.00 $250.00

11/05/2016 Kramper, Edward J.

3694 E. Dyreson Road, Mc Farland, WI 53558

Director $100.00 $100.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

11/05/2016 Ongna, Philip W3538 County Road OO, Sheboygan Falls, WI 53085

Director $25.00 $25.00

Comment(s): Dan Feyen, STATE SENATE 18th WI

11/01/2016 Walston, Michael N4157 County Road E, Kewaunee, WI 54216

Agency Principal $250.00 $250.00

11/02/2016 Mugan, James 430 E Division St, Fond du Lac, WI 54935

COO $150.00 $150.00

11/05/2016 Kincaid, Gary W1581 Island Rd., Palmyra, WI 53156

Director $70.00 $70.00

Conduit Contribution

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12/14/2016 McFadden, Darin 507 Indian Hills Drive, Eau Claire, WI 54703

Chief Operating Officer $250.00 $250.00

12/14/2016 Marsh, Jeffrey 1400 W. South Park Ave, Oshkosh, WI 54902

Optometrist $100.00 $100.00

12/14/2016 Foss, Dylan 124 Stoney Beach Road, Oshkosh, WI 54902

Optometrist $100.00 $100.00

12/14/2016 Fox, Richard 9203 Sunny Ridge Lane, Cedarburg, WI 53012

$50.00 $50.00

12/14/2016 Lepley, Grant N4596 Kelly Road, Fond du Lac, WI 54437

Optometrist $100.00 $100.00

12/06/2016 Godar, Tom W343 N6475 Bayview Rd, Oconomowoc, WI 53066

Shareholder $100.00 $100.00

12/06/2016 Kawski, Marci 6935 Dominion Dr., Madison, WI 53718

Attorney $50.00 $50.00

12/06/2016 Miske, Daniel 10619 North Gazebo Hill Pkwy E, Mequon, WI 53092

Partner $100.00 $100.00

12/06/2016 Eberle, Paul 14320 Hillside Rd., Elm Grove, WI 53122

Assistant CEO $75.00 $75.00

12/14/2016 Dean, Eric 209 Church St., Algoma, WI 54201

General Manager $100.00 $200.00

11/08/2016 Maxwell, Michael 3270 Sylvester Drive, Hartland, WI 53029

Judge $250.00 $250.00

12/06/2016 Arnold, Bruce 118 West Dogwood Ct #109n, Mequon, WI 53092

Partner $100.00 $100.00

12/13/2016 Hartman, John 1521 Belle Plane Cir, Green Bay, WI 54313

Executive Vice President $125.00 $125.00

12/13/2016 Wertsch, Paul 4221 Venetian Ln, Madison, WI 53718

Physician $50.00 $50.00

12/14/2016 Ames, Ryan 2848 Newport Avenue, Oshkosh, WI 54904

Optometrist $50.00 $50.00

12/13/2016 Clarke, Gerald 509 S. Washburn St, Oshkosh, WI 54904

Physician $200.00 $200.00

12/06/2016 Pickart, Joseph 2518 North 91st St., Wauwatosa, WI 53213

Partner $75.00 $75.00

12/07/2016 Somers, Nick 292 Maple Bluff Rd, Stevens Point, WI 54482

Farmer $250.00 $250.00

12/13/2016 Campbell, Andrew 10604 N Port Washington Rd, Mequon, WI 53092

Physician $125.00 $125.00

Conduit Contribution

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12/31/2016 Brummond, James P

3114 Vanessa Way, Sun Prairie, WI 53590

Reg Dir Customer Operations $250.00 $250.00

12/31/2016 Frett, Terry W239 N3490 Pewaukee Rd, Suite 101, Peawaukee, WI 53072

President $125.00 $125.00

12/30/2016 Jones, Greg 107 S Franklin St, Oconto Falls, WI 54154

Funeral Director $500.00 $500.00

12/14/2016 Wauters, Paul 2619 E. Glacier Dr., Green Bay, WI 54302

Real Estate Manager/Creative Director $100.00 $100.00

12/14/2016 Yarmark, Brad 1901 Ruger Ave., Janesville, WI 53545

Vice President/Territory Manager $50.00 $150.00

12/31/2016 Haeuser, LeRoy C 12589 N Wauwatosa Rd, Mequon, WI 53097

Insurance & Financial Advisor $125.00 $125.00

12/14/2016 Wahlin, Don 2571 Havey Lane, Stoughton, WI 53589

Chief Executive Officer $1,000.00 $1,000.00

12/14/2016 Midlikowski, Gail 1602 Centennial Parkway, Waunakee, WI 53597

Vice President, Operations $250.00 $250.00

12/14/2016 Oskey, Luellen 1292 Sunny Creek Dr, Green Bay, WI 54313

Director $1,000.00 $1,000.00

12/14/2016 Plesha, Rob 229 S. Owen Dr., Madison, WI 53705

VP - Actuarial & Small Group and Individual $250.00 $250.00

12/27/2016 Little, Steven W5265 Bechaud Beach Dr., Fond du Lac, WI 54935

Executive Vice President $250.00 $250.00

12/14/2016 Mertens, Margaret 106 S Chestnut Ave, Marshfield, WI 54449

Chiropractor $250.00 $250.00

12/14/2016 Michels, Timothy J 6831 N. Hwy 83, Hartland, WI 53029

Vice President $1,000.00 $1,000.00

12/14/2016 Sokol, Tessa 2961 Snowmist Trail, Madison, WI 53719

Optometrist $100.00 $100.00

12/14/2016 Thomson, Jim 2604 E 40th Street, Davenport, IA 52807

Chief Operating Officer $250.00 $250.00

12/14/2016 Sarazen, Jeffrey 4501 Stettin Drive, Wausau, WI 54401

Optometrist $50.00 $50.00

12/14/2016 Robert, Smith N68W 5733 Bridge Commons Ct, Cedarburg, WI 53012

$50.00 $50.00

12/14/2016 Rothman, Jay 1101 E. Circle Drive, Whitefish Bay, WI 53217

Attorney-Partner $250.00 $250.00

Conduit Contribution

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12/31/2016 Larsen, John O 1223 Bongard Dr., Waunakee, WI 53597

SVP Alliant Energy $500.00 $500.00

12/31/2016 Lawrence, Dan 5553 Peters Drive, West Bend, WI 53095

Agency Manager $125.00 $125.00

12/31/2016 Kromanaker, Tony G

N1725 N Spring Dr, Greenville, WI 54942

CPA $250.00 $250.00

12/31/2016 Rebecca, Johnson L

1300 Sundt Lane, Stoughton, WI 53589

Reg Dir Customer Operations $250.00 $250.00

12/31/2016 Koob, Richard A N14W23833 Stone Ridge Dr, #400, Waukesha, WI 53188

Financial Representative $125.00 $125.00

Sub Total $34,387.32

Conduit Contribution

Loan Forgiven (-): $0.00

Total $41,200.90

Non-Monetary (-): $0.00

Total Anonymous Contributions $0.00

Grand Total $41,200.90

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SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Feyen for Senate

12/07/2016 WIA PAC 44 E. Mifflin St., Suite 901, Madison, WI 53703

$150.00 $150.00

12/07/2016 WI Petroleum Mrktrs & C-Store Assoc. PAC

122 W Washington Ave Ste 101, Madison, WI 53703

$500.00 $500.00

12/07/2016 WI Dental Assn PAC 122 W. Washington Ave., Ste 600, Madison, WI 53703

$1,000.00 $1,000.00

12/07/2016 Wisconsin Credit Union Legislative Action Fund

N25W23131 Paul Road, Suite 500, Pewaukee, WI 53072-5779

$500.00 $500.00

12/07/2016 WI Grocers Assn PAC 33 East Main St., Suite 701, Madison, WI 53703

$500.00 $500.00

12/09/2016 Humana Inc. Political Action Committee

975 F Street, NW, Suite 550, Washington, DC 20004

$1,000.00 $1,000.00

12/08/2016 Anthem, Inc. Political Action Committee (Anthem PAC)

120 Monument Circle, Indianapolis, IN 46204

$500.00 $500.00

12/07/2016 WHCA-WiCAL PAC 131 W. Wilson St. suite 1001, Madison, WI 53703

$250.00 $250.00

10/31/2016 GOPAC Wisconsin 2300 CLARENDON BLVD STE 1305, ARLINGTON, VA 22201

$2,000.00 $2,000.00

10/28/2016 Forestry and Paper Products PAC 5485 Grande Market Drive, Suite B, Appleton, WI 54913

$1,000.00 $1,000.00

11/02/2016 Friends of Dave Craig P.O. Box 323, Big Bend, WI 53103 $500.00 $500.00

11/01/2016 Republican Party of 6th Congressional District of WI

1609 West 6th Avenue, Oshkosh, WI 54902

$2,000.00 $2,000.00

10/26/2016 Rohrkaste for Assembly 1417 Mahler Blvd, Neenah, WI 54956 $150.00 $150.00

10/25/2016 4th Cong Dist Republican Club c/o James McFarland, 1633 N. Prospect Ave. #17A, Milwaukee, WI 53202

$500.00 $500.00

10/26/2016 Winnebago County Republican Party

P.O. Box 176, Oshkosh, WI 54903 $1,000.00 $1,000.00

10/26/2016 Roth For Wisconsin P.O. Box 2224, Appleton, WI 54912 $500.00 $500.00

12/07/2016 Aggregate Producers of Wisconsin Political Action Committee

PO Box 2157, Madison, WI 53701 $500.00 $500.00

12/07/2016 WH&LA PAC 1025 South Moorland Road, Suite 200, Brookfield, WI 53005

$250.00 $250.00

12/07/2016 Prof Firefighters of WI PAC 522 Ontario Rd, Green Bay, WI 54311 $250.00 $250.00

12/07/2016 FONEPAC 122 West Washington Avenue, Suite 1050, Madison, WI 53703

$500.00 $500.00

11/29/2016 WRA WI Restaurant Assn PAC 2801 Fish Hatchery Road, Madison, WI 53713

$500.00 $500.00

11/30/2016 Wisconsin Hospitals PAC 5510 Research Park Drive, PO Box 259038, Madison, WI 53711

$1,000.00 $1,000.00

Sub Total $15,050.00

Monetary

Date Full Name Address Amount YTD

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11/01/2016 Republican Party of Wisconsin 148 East Johnson Street, Madison, WI 53703

$9,549.00 $9,549.00

11/08/2016 Committee to Elect a Republican Senate

P.O. Box 2741, Madison, WI 53701 $18,200.00 $18,200.00

11/08/2016 Committee to Elect a Republican Senate

P.O. Box 2741, Madison, WI 53701 $3,600.00 $3,600.00

10/26/2016 Republican Party of Wisconsin 148 East Johnson Street, Madison, WI 53703

$12,974.00 $12,974.00

10/26/2016 Committee to Elect a Republican Senate

P.O. Box 2741, Madison, WI 53701 $22,100.00 $22,100.00

11/01/2016 Republican Party of Wisconsin 148 East Johnson Street, Madison, WI 53703

$10,937.00 $10,937.00

10/26/2016 Republican Party of Wisconsin 148 East Johnson Street, Madison, WI 53703

$11,435.00 $11,435.00

Sub Total $88,795.00

In-Kind

Total $103,845.00

Non-Monetary (-): $0.00

Grand Total $103,845.00

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SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Feyen for Senate

Total $0.00

Date Full Name Address Amount YTD

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SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

10/26/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$1.27

10/25/2016 Whispering Springs Golf Club

380 Whispering Springs Dr, Fond du Lac, WI 54937

Fundraiser - Food & Beverage

$755.38

10/26/2016 Republican Party of Wisconsin

148 E. Johnson St., Madison, WI 53703

Arena Communications

1780 Sequoia Vista Circle, Salt Lake City, UT 84104

Mailing Service

$24,409.00

10/26/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$1.27

10/25/2016 Lakin, Tim 7 Aurora Ln, Fond du Lac, WI 54935

USPS 99 W 2nd St, Fond du Lac, WI 54935

Postage $94.00

10/25/2016 Republican Party of Wisconsin

148 E Johnson St, Madison, WI 53703

Arena Communications

1780 Sequoia Vista Cir., Salt Lake City, UT 84104

Mailing Service

$34,506.00

10/25/2016 Radio Plus 210 S Main St, Fond du Lac, WI 54935

Media - Online Advertising

$318.00

10/27/2016 Action Advertiser

N6637 Rolling Meadows Dr, Fond du Lac, WI 54937

Media - Book/Brochure Advertising

$1,600.98

10/27/2016 Lakin, Tim 7 Aurora Ln, Fond du Lac, WI 54935

50-50 Factory Outlet

661 W Johnson St, Fond du Lac, WI 54935

Fundraiser - Food & Beverage

$23.85

10/27/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$4.20

10/29/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$1.27

Comment(s): Plates, Napkins, Silverware

Monetary

Date Communication Date

Full Name Address Vendor Name

Vendor Address

Expense Purpose

Amount

Feyen for Senate

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11/04/2016 Feyen, Dan 962 Churchill Ln, Fond du Lac, WI 54935

Candidate Expenses - Mileage

$872.10

11/03/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$2.25

11/03/2016 Republican Party of Wisconsin

148 East Johnson Street, Madison, WI 53703

EP Direct 1479 S. Hickory St., Fond du Lac, WI 54936

Mailing Service

$1,856.36

10/31/2016 Lakin, Tim 7 Aurora Ln, Fond du Lac, WI 54935

Mail Chimp 675 Ponce de Leon Ave, Suite 5000, Atlanta, GA 30308

Mailing List $50.00

10/31/2016 Radio Plus 210 S Main St, Fond du Lac, WI 54935

Media - Online Advertising

$765.00

10/31/2016 Sebastian's Steakhouse

770 S Main St, Fond du Lac, WI 54935

Volunteer Meals

$260.00

11/02/2016 CLS N172 S. Park Dr., Appleton, WI 54914

Printing - Yard Signs

$714.00

10/30/2016 Lakin, Tim 7 Aurora Ln, Fond du Lac, WI 54935

Facebook 1601 Willow Rd, Menlo Park, CA 94025

Media - Online Advertising

$504.17

10/31/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$4.20

11/01/2016 Rock River Country Club

700 County Park Rd, Waupun, WI 53963

Fundraiser - Hall Rental

$100.00

11/02/2016 Anedot Po Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$1.47

11/02/2016 Anedot Po Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$1.66

11/01/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$0.88

11/01/2016 Anedot PO Box 84314, Baton Rouge, LA 70884

Credit Card Fees

$10.05

11/01/2016 Lakin, Tim 7 Aurora Ln, Fond du Lac, WI 54935

CnD Specialties

115 E Main St, PO Box 337, Eden, WI 53019

Fundraiser - Food & Beverage

$90.45

Monetary

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12/12/2016 Committee to Elect a Republican Senate

P.O. Box 2741, Madison, WI 53701

Madison's 119 King St., Madison, WI 53703-8475

Fundraiser - Food & Beverage

$847.54

11/20/2016 Victory Ent. 5200 30th St. SW #7, Davenport , IA 52802

Media - Website Development

$346.39

12/15/2016 Lakin, Tim 7 Aurora Lane, Fond du Lac, WI 54935

Google Ad Words

75 Ninth Ave, New York, NY 10011

Media - Online Advertising

$162.83

11/20/2016 Feyen, Dan 962 Churchill Lane, Fond du Lac, WI 54935

Candidate Expenses - Mileage

$289.98

11/10/2016 Lakin, Tim 7 Aurora Lane, Fond du Lac, WI 54935

Kwik Trip 1061 E. Johnson St., Fond du Lac, WI 54935

Staff - Gas $350.00

11/11/2016 EP Direct 1479 S. Hickory St., Fond du Lac, WI 54937

Printing - Brochures

$677.75

11/14/2016 Lakin, Tim 7 Aurora Lane, Fond du Lac, WI 54935

Google Ad Words

75 Ninth Ave, New York, NY 10011

Media - Online Advertising

$550.00

11/04/2016 Feyen, Dan 962 Churchill Ln, Fond du Lac, WI 54935

Office Supplies

$179.30

11/04/2016 Feyen, Dan 962 Churchill Ln, Fond du Lac, WI 54935

Candidate Expenses - Meals

$117.54

11/09/2016 Lakin, Tim 7 Aurora Lane, Fond du Lac, WI 54935

Buffalo Wild Wings

121 N. Pioneer Rd., Fond du Lac, WI 54935

Volunteer Meals

$226.90

11/14/2016 Lakin, Tim 7 Aurora Lane, Fond du Lac, WI 54935

Facebook 1601 Willow Rd, Menlo Park, CA 94025

Media - Online Advertising

$1,165.88

11/15/2016 Romportl, Dan 9995 W. North Ave. #166, Wauwatosa, WI 53226

Consulting Fees - General

$1,000.00

11/17/2016 USPS 99 W 2nd St, Fond du Lac, WI 54935

Postage $102.00

Comment(s): PO Box rental

11/15/2016 Jolly, Marie 119 E. Johnson St., Madison, WI 53703

Consulting Fees - General

$1,000.00

11/15/2016 Lakin, Tim 7 Aurora Lane, Fond du Lac, WI 54935

Consulting Fees - General

$2,000.00

Monetary

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10/26/2016 Republican Party of Wisconsin

148 East Johnson Street, Madison, WI 53703

Arena Communcations

1780 Sequoia Vista Cir., Salt Lake City, UT 84104

Mailing Service

$12,974.00

10/26/2016 Republican Party of Wisconsin

148 East Johnson Street, Madison, WI 53703

Arena Communications

1780 Sequoia Vista Cir., Salt Lake City, UT 84104

Mailing Service

$11,435.00

10/31/2016 Republican Party of Wisconsin

148 East Johnson Street, Madison, WI 53703

Arena Communications

1780 Sequoia Vista Circle, Salt Lake City, UT 84104

Mailing Service

$10,937.00

11/08/2016 Committee to Elect a Republican Senate

P.O. Box 2741, Madison, WI 53701

Medium Buying

3380 Tremony Rd., Columbus, OH 43221

Media - TV $3,600.00

11/08/2016 Committee to Elect a Republican Senate

P.O. Box 2741, Madison, WI 53701

RedPrint PO Box 710993, Herndon, VA 20171

Media - TV $18,200.00

10/31/2016 Republican Party of Wisconsin

148 East Johnson Street, Madison, WI 53703

Arena Communications

1780 Sequoia Vista Circle, Salt Lake City, UT 84104

Mailing Service

$9,549.00

10/26/2016 Committee to Elect a Republican Senate

P.O. Box 2741, Madison, WI 53701

Medium Buying

3380 Tremont Rd, Suite 290, Columbus, OH 43221

Media - TV $22,100.00

Sub Total $88,795.00

In-Kind

12/29/2016 NRA 11250 Waples Mill Rd, Fairfax, VA 22030

Membership Dues - Community Org

$125.00

Sub Total $76,088.92

Monetary

Total $164,883.92

Non-Monetary (-): $0.00

Grand Total $164,883.92

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SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Feyen for Senate

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:

Beginning Incurred Obligation Amount:

Grand Total $0.00

Date Full Name Address Amount

$0.00

Feyen for Senate

Outstanding Incurred Obligations End of Report $0.00

Grand Total $0.00

Date Full Name Amount Paid

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ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Beginning Loan Balance:

Feyen for Senate

$400.00

Outstanding Loans End of Report $400.00

Grand Total $0.00

Date Full Name Amount Paid

Grand Total $0.00

Date Full Name Address Amount