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 $59,938.36 $77,644.63 $0.00 $0.00 $59,938.36 $77,644.63 Street Address: S9840 Hwy 93 City, State and Zip: Eleva, WI 54738 Filing Period Name: Covers all activity from 08/01/2012 through 10/22/2012 Fall Pre-Election 2012 Name of Committee/Corporation: Warren Petryk 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 $46,027.00 $94,597.00 $2,000.00 $9,350.00 $44.91 $71.80 $48,071.91 $104,018.80 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0103195 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) $79,529.97 $48,071.91 $127,601.88 $59,938.36 $4,975.98 $0.00 $67,663.52 * * 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: Jeatran, Jack T 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/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$59,938.36 $77,644.63

$0.00 $0.00

$59,938.36 $77,644.63

Street Address: S9840 Hwy 93

City, State and Zip: Eleva, WI 54738

Filing Period Name:

Covers all activity from 08/01/2012 through 10/22/2012

Fall Pre-Election 2012

Name of Committee/Corporation:

Warren Petryk 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

$46,027.00 $94,597.00

$2,000.00 $9,350.00

$44.91 $71.80

$48,071.91 $104,018.80

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0103195

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)

$79,529.97

$48,071.91

$127,601.88

$59,938.36

$4,975.98

$0.00

$67,663.52*

*

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:Jeatran, Jack T

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/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Warren Petryk For Assembly

08/03/2012 Stoering, Mark E 18309 Tristram Way, Eden Prairie, MN 55346

Utility Northern States Power - WI

1414 W Hamilton, Eau Claire, WI 54701

$125.00 $0.00

08/03/2012 Lund, Candyce J S9530 County Rd I, Eleva, WI 54738

Director Instructional Svc

CESA 10 725 W Park Ave, Chippewa Falls, WI 54729

$100.00 $0.00

08/03/2012 Elwood, Brian T 2005 Hunter Hill Ct, Hudson, WI 54016

$50.00 $0.00

08/03/2012 Horvath, Hollie 230 Locust St, Denver, CO 80220

Utility Xcel Energy 1800 Larimer St, Denver, CO 80202

$150.00 $0.00

08/03/2012 Larowe, Christopher W

502 Aztalan Dr, Madison, WI 53718

$100.00 $0.00

08/03/2012 Anderson, Deborah A

2417 Fairfax St, Eau Claire, WI 54701

$25.00 $0.00

08/03/2012 Dehnke, Daryl 3641 Stein Blvd, Eau Claire, WI 54701

$100.00 $0.00

08/03/2012 Jasicki, Raymond J

7241 Woodstock Curve, Bloomington, MN 55438-2362

$50.00 $0.00

08/10/2012 Gilbert, Linda L 3361 Southgate Ct, Eau Claire, WI 54701-7045

$100.00 $0.00

08/03/2012 Wogahn, Kristin M 3702 Timber Trails Ct, Eau Claire, WI 54701

Surgeon Evergreen Surgical SC

719 W Hamilton, Eau Claire, WI 54701

$500.00 $0.00

08/03/2012 Benevento, Doug H

6642 Tiger Tooth, Littleton, CO 80124-9560

Utility Xcel Energy 1800 Larimer St, Denver, CO 80202

$250.00 $0.00

08/03/2012 Raschka, Adam 3669 Sabertooth Trail, Madison, WI 53719

$100.00 $0.00

08/03/2012 Harvey, Stephanie J

1115 E Lowes Creek Rd, Eau Claire, WI 54701

consultant self 1115 E Lowes Creek Rd, Eau Claire, WI 54701

$500.00 $0.00

08/03/2012 Sparby, David M 1 Aspen Lane, St Paul, MN 55127-6501

Utility Xcel Energy 414 Nicollet Mall, Minneapolis, MN 55401

$250.00 $0.00

Monetary

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

08/10/2012 Zacho, Dennis H 311 E Lowes Creek Rd, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Young, John D 1404 Rust St, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Dingmann, Duane E

W7650 Redwood Dr, Eau Claire, WI 54701

retired $100.00 $0.00

08/10/2012 Moline, Terry AG 2954 E Princeton Ave, Eau Claire, WI 54701-1329

$100.00 $0.00

08/10/2012 Lasker, Kathy 1432 Cone Ct, Eau Claire, WI 54701-7441

retired $100.00 $0.00

08/10/2012 Krueger, Maripat E4517 473rd Ave, Menomonie, WI 54751

$50.00 $0.00

08/10/2012 LaGuardia, Taylor R

408 Southwood Ct, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Benning, Earl J 1629 Skeels Ave, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Nanstad, Phyllis R 3363 Southgate Ct, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Nohre, Dirk S 4228 Southtowne Dr, Eau Claire, WI 54701-2636

$100.00 $0.00

08/10/2012 Markquart, Malia 1512 Hoover Ave, Eau Claire, WI 54701

teacher Manz School 1000 E Fillmore, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Anderson, Kyle 2520 Cottagewood Ln, Altoona, WI 54720

$100.00 $0.00

08/10/2012 Rust, R H N4769 449th St, Menomonie, WI 54751-5478

$50.00 $0.00

08/10/2012 Peterson, Douglas R

W5230 Pine St, Durand, WI 54736-4822

President/CEO Chippewa Valley Hospital

1220 3rd Ave, Durand, WI 54736

$100.00 $0.00

08/10/2012 Ray, Kent E S7330 Tamara Dr, Eau Claire, WI 54701

Physician Marshfield Clinic

2116 Craig Rd, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Reit, Larry 4627 Old Wells Rd, Eau Claire, WI 54703-1828

$100.00 $0.00

08/10/2012 Armstrong, Michael L

121 Canterbury Rd, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 McFadden, Darin A

507 Indian Hills Dr, Eau Claire, WI 54703-2112

$50.00 $0.00

08/10/2012 Menard, Lawrence W

N1755 945th St, Eau Claire, WI 54701-1823

$100.00 $0.00

08/10/2012 Happe, Michael J 1725 Coolidge Ct, Eau Claire, WI 54701

$100.00 $0.00

Monetary

Page 4: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

08/10/2012 Lebakken, Cheryl M

2311 W Princeton Ave, Eau Claire, WI 54703

homemaker $250.00 $0.00

08/10/2012 Westrate, Brian J E11030 Deer Rd, Fall Creek, WI 54742

$100.00 $0.00

08/10/2012 Falkofske, Carrie J N5795 Couty Rd QQ, Prescott, WI 54021

$25.00 $0.00

08/10/2012 Van Gorden, Skip H

1020 Menomonie St, Eau Claire, WI 54703

dentist Menomonie Street Dental

1020 Menomonie St, Eau Claire, WI 54703

$100.00 $0.00

08/10/2012 Petryk, Wiliam W 5462 E Bald Eagle Blvd, White Bear Lake, MN 55110

$100.00 $0.00

08/10/2012 Albertson, Clifford A

5508 Mischler Dr, Eau Claire, WI 54701

$50.00 $0.00

08/10/2012 Falch, Charles 516 E Polk Ave, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 DeRosa, Michael F

211 McKinley Ave, Eau Claire, WI 54701-4813

Restaurant owner Eau-D, Inc 2127 Necessity St, Eau Claire, WI 54703

$250.00 $0.00

08/10/2012 Molitor, James N 160 W Humble Ave, Ellsworth, WI 54011-9123

$10.00 $0.00

08/10/2012 Falkofske, Gordon A

N5729 County Rd QQ, Prescott, WI 54021

retired $50.00 $0.00

08/10/2012 Ayres, Janice M 2816 Agnes St, Eau Claire, WI 54701-6607

homemaker $250.00 $0.00

08/10/2012 Menard, John R 603 Lamplighter Ct, Eau Claire, WI 54703

Manager Menards 5101 Menard Dr, Eau Claire, WI 54703-5817

$500.00 $0.00

08/10/2012 Bauer, Paul M N5185 610th St, Ellsworth, WI 54011

CEO Ellsworth Coop Creamery

203 N Wallace, Ellsworth, WI 54011

$250.00 $0.00

08/10/2012 Kristo, Suzanne C 4418 Memory Ln, Eau Claire, WI 54701

retired $400.00 $0.00

08/10/2012 Bartingale, Jack D 239 Corydon Rd, Eau Claire, WI 54701

retired $125.00 $0.00

08/10/2012 Lindner, David J 3520 State St, Eau Claire, WI 54701

retired $250.00 $0.00

08/10/2012 Prindle, William 624 E Tyler Ave, Eau Claire, WI 54701

Investment Counselor

Investor Counsel

624 E Tyler Ave, Eau Claire, WI 54701

$25.00 $0.00

08/10/2012 Brazzale, Mark W 1011 Primrose Ln, Altoona, WI 54720-2037

Onwer Grace Respirtory

2204 N Hillcrest Pkwy, #2, Atloona, WI 54720

$250.00 $0.00

08/10/2012 Wright, Brian H 3727 Echo Valley, Eau Claire, WI 54701

District Attorney Eau Claire County

720 Oxford, Eau Claire, WI 54701

$250.00 $0.00

Monetary

Page 5: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

08/10/2012 Becker, Brian K 618 Farr Ct, Eau Claire, WI 54701

Chiropractor Stucky Chiropractic Center

2105 E Clairemont, Eau Claire, WI 54701

$250.00 $0.00

08/10/2012 Killey, John T 3638 Cummings Ave, Eau Claire, WI 54701

Insurance Agent Killey Insurance

1720 Harding Ave, Eau Claire, WI 54701

$150.00 $0.00

08/10/2012 Bircher, Steven D 334 Lincoln Ave, Eau Claire, WI 54701-4015

Chiropractor Optimum Therapies, LLC

1309 Stout Rd, Menomonie, WI 54751

$250.00 $0.00

08/03/2012 LaGuardia, Pamela

408 Southwood Court, Eau Claire, WI 54701

Chiropractor Stucky Chiropractic Center

2105 E Clairemont, Eau Claire, WI 54701

$300.00 $0.00

08/10/2012 Harvey, Thomas M 1115 Lowes Creek Rd, Eau Claire, WI 54701

Optomotrist Chippewa Valley Eye Clinic

710 Wolske Bay Rd, Menomonie, WI 54751

$500.00 $0.00

08/10/2012 Pitchford, Timothy J

6461 Whitetail Dr, Eau Claire, WI 54701

Physician Marshfield Clinic

2116 Craig Rd, Eau Claire, WI 54701

$500.00 $0.00

08/10/2012 Baxa, Linda J PO Box 550, Independence, WI 54747

owner Marry-Go-Round

103 5th Ave N, Strum, WI 54770

$250.00 $0.00

08/10/2012 Happe, Philip J 823 Bradley Ave, Eau Claire, WI 54701-6514

retired $200.00 $0.00

08/10/2012 Vanden Bloomen, Dennis R

PO Box 1425, Eau Claire, WI 54702

Professor UW-Stout PO Box 190, Menomonie, WI 54751

$250.00 $0.00

08/10/2012 Strobel, David S 130 S Barstow, Eau Claire, WI 54701

Owner Strobel Insurance

130 S Barstow, Eau Claire, WI 54701

$150.00 $0.00

08/03/2012 LaGuardia, Jay 408 Southwood Court, Eau Claire, WI 54701

Chiropractor Stucky Chiropractic

2105 E Clairemont, Eau Claire, WI 54701

$100.00 $0.00

08/10/2012 Larson, Garrett R 328 Heather Ct, Eau Claire, WI 54701

Sales Epicor Software

4120 Dublin Blvd, Dublin, CA 94568

$500.00 $0.00

08/10/2012 Chilson, Stephen M

E4855 County Rd HH, Eleva, WI 54738

General Manager Chilson, Inc 3443 Hwy 93, Eau Claire, WI 54701

$300.00 $0.00

08/10/2012 Quella, Travis J E3015 Country Rd HH, Eleva, WI 54738

Sargeant of Police Eau Claire Police Dept

PO Box 496, Eau Claire, WI 54702

$200.00 $0.00

08/03/2012 Houser, Robert S 18701 64th Ave, Chippewa Falls, WI 54729

retired $200.00 $0.00

08/10/2012 Chilson, Bernard S7355 Homestead Rd, Eau Claire, WI 54701

Owner Chilson, Inc 3443 Hwy 93, Eau Claire, WI 54701

$250.00 $0.00

08/10/2012 Jereczek, Arvid N W3450 State Rd 37, Eau Claire, WI 54701

Owner American Express Transportation, LLC

W3450 State Rd 37, Eau Claire, WI 54701

$500.00 $0.00

08/10/2012 Kenyon, Thomas C

629 Farr Ct, Eau Claire, WI 54701

Owner Prairie Ag Supply, LLC

E6565 629th Ave, Menomonie, WI 54751

$250.00 $0.00

Monetary

Page 6: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/06/2012 Bostrom, John A 1516 Wilson Ave, Menomonie, WI 54751

$100.00 $0.00

09/06/2012 Burt, Charlotte E N5221 730th St, Ellsworth, WI 54011

$50.00 $0.00

08/17/2012 Fraser, Robert S 2911 Putnam Glen Pl, Eau Claire, WI 54701

retired $25.00 $0.00

08/17/2012 Stevens, Marilyn PO Box 165, Wheeler, WI 54772

$25.00 $0.00

08/17/2012 Schwankl, Richard B

2621 Frostwoods St, Eau Claire, WI 54703-1282

$50.00 $0.00

08/17/2012 Hofland, Allan P 2801 Northwinds dr, Eau Claire, WI 54701

$25.00 $0.00

08/10/2012 Farmer, Beatrice L 3667 Tamarack Ln, Eau Claire, WI 54701

retired $150.00 $0.00

09/06/2012 Berken, Nathan 2161 Effingham Way #102, Sun Prairie, WI 53590

$100.00 $0.00

08/10/2012 Kornitzer, William J

400 W 49th Ter, Kansas City, MO 64112

retired $200.00 $0.00

08/10/2012 Banchy, Terrance J

4274 Mill Ridge Circle, Eau Claire, WI 54703

Plant Manager Premier Dies 2700 Olson Drive, Chippewa Falls, WI 54729

$200.00 $0.00

08/17/2012 Schweiger, William D

1602 Pine St, Prescott, WI 54021

$100.00 $0.00

08/30/2012 Schaefer, Stuart M 3704 Glencrest ct, Eau Claire, WI 54701

$50.00 $0.00

08/23/2012 Hagness, Larry B 1118 Auth St, Durand, WI 54736

contractor Durand Builders

PO Box 10, Durand, WI 54736-0010

$500.00 $0.00

09/06/2012 Stenger, Scott E 44 East Mifflin St, Madison, WI 53703

owner Stenger Government Relations, LLC

44 East Mifflin St, Madison, WI 53703

$250.00 $0.00

08/30/2012 Schulte, Rachelle A

1410 Prairie Ln, Eau Claire, WI 54703

$50.00 $0.00

08/17/2012 Munger, Jon J 3855Timber Creek Ct, Eau Claire, WI 54701

President Doro, Inc 3112 Golf Rd, Eau Claire, WI 54701

$250.00 $0.00

08/17/2012 Pearson, Matthew M

327 Woodlands center, Harrison, NY 10528

Attorney Attorney At Law

327 Woodlands Center, Harrison, NY 10528

$324.00 $0.00

08/23/2012 Wieser, Joseph H W3659 390th Ave, Maiden Rock, WI 54750-8007

retired $250.00 $0.00

08/23/2012 Terpstra, Douglas W

4120 Cummings Ave, Eau Claire, WI 54701

$100.00 $0.00

Monetary

Page 7: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/20/2012 Loesel, Mitchell L 719 1st Street E, Altoona, WI 54720

$10.00 $0.00

09/20/2012 Horn, Allen L 2355 Sherman Creek Rd, Eau Claire, WI 54703

$25.00 $0.00

09/20/2012 Carlson, James L N47969 Golden Valley Rd, Osseo, WI 54758

$10.00 $0.00

09/20/2012 Karnitz, Jeffery W E3220 Jennifer Ln, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Simon, Heidi 219 W Tyler Ave, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Schmidt, Jonathan E

3550 Cummings Ave, Eau Claire, WI 54701

$20.00 $0.00

09/14/2012 Prindle, William 624 E Tyler Ave, Eau Claire, WI 54701

Investment Counselor

Investor Counsel

624 E Tyler Ave, Eau Claire, WI 54701

$25.00 $0.00

09/20/2012 Zirkle, Michael R 4031 Paula Pl, Eau Claire, WI 54703

$10.00 $0.00

09/20/2012 Golas, Mark A S7395 S David Dr, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Hoffman, David J 7107 Julius Dr, Eau Claire, WI 54701-5078

$10.00 $0.00

09/14/2012 Dabney, Kevin N24W22751 Emberwood Ct, Waukesha, WI 53186

President Speedy Loan 1011 N Mayfair Rd, Suite 301, Wauwatosa, WI 53226

$250.00 $0.00

09/14/2012 Turk, Frederick D S8800 Short Rd, Eau Claire, WI 54701

retired $100.00 $0.00

09/20/2012 Bogumill, John P 5163 Shellamie Dr, Eau Claire, WI 54701-8730

$50.00 $0.00

09/20/2012 Ebben, Robert M 1305 Oak Crest Ct, Eau Claire, WI 54701

$20.00 $0.00

09/20/2012 Hess, Donald G 2208 Menomonie St, Eau Claire, WI 54703

$25.00 $0.00

09/20/2012 Nestor, Jeffrey A 2927 W Hoyem Ln, Eau Claire, WI 54703

$20.00 $0.00

09/20/2012 Cassellius, Lewis M

4647 Southridge Ct, #7, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Banchik, Nathan L PO Box 201, Granger, IN 46530-0201

$10.00 $0.00

09/20/2012 Menard, Lawrence W

N1755 945th St, Eau Claire, WI 54701-1823

$50.00 $0.00

Monetary

Page 8: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/20/2012 Davidson, George R

1230 E Hamilton Ave, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Hayden, Richard J N6101 County Rd BB, Durand, WI 54736

$20.00 $0.00

09/20/2012 Rabeneck, Carl 2306 Tower Ridge Ave, Menomonie, WI 54751

$10.00 $0.00

09/20/2012 Mason, Chad P N450 690th St, Mondovi, WI 54755

$10.00 $0.00

09/20/2012 Anderson, Troy 5414 Benjamin St, Eau Claire, WI 54703

$10.00 $0.00

09/20/2012 Karlstad, Stephanie Y

N46673 Karlstad Rd, Osseo, WI 54758

$15.00 $0.00

09/20/2012 Basacker, Randy W

2221 Sherman Creek Rd, Eau Claire, WI 54703-7102

$10.00 $0.00

09/20/2012 Laube, Jeffrey A 3711 Gunnes Rd, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Gronemus, Nick 1532 Raedel Rd, Eau Claire, WI 54703

$10.00 $0.00

09/20/2012 Thornsen, Conrad K

17251 155th Ave, Jim Falls, WI 54748

$10.00 $0.00

09/20/2012 Larson, Rachel 804 Maple St, Eau Claire, WI 54703

$10.00 $0.00

09/20/2012 Depriest, Daniel B 1826 57th Ave, Chippewa Falls, WI 54729

$20.00 $0.00

09/20/2012 Prescher, Brett D 3154 Comet Ave, Eau Claire, WI 54703-3415

$10.00 $0.00

09/20/2012 Fischer, Martin F 5149 E Hamilton Ave, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Welke, Dennis L S12613 S Martin Dr, Strum, WI 54770

$25.00 $0.00

09/20/2012 Leith, Brett A E801 W Lowes Creek Rd, Eleva, WI 54738

$10.00 $0.00

09/20/2012 Neuser, Craig N1788 945th St, Eau Claire, WI 54701

$10.00 $0.00

09/20/2012 Menard, Lawrence F

2710 Sunset Dr, Eau Claire, WI 54703-6361

$25.00 $0.00

09/20/2012 Knapmiller, Michelle L

3108 Rosewood Ln, Eau Claire, WI 54703-4838

$10.00 $0.00

09/20/2012 Woodford, Gary M 2006 Rice Ct, Eau Claire, WI 54701

$20.00 $0.00

Monetary

Page 9: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/08/2012 Barker, Marguerite P

346 Wesley Ct, River Falls, WI 54022

$25.00 $0.00

10/08/2012 Ridenour, Robert V

4312 Woodridge Dr, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 McDonnell, Max E 266 Plum St, PO Box 373, Ellsworth, WI 54011

$10.00 $0.00

10/08/2012 Biesterveld, Roger W

2141 Altoona Ave, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 Medford, Robert L E10701 County Rd HH, Osseo, WI 54758-8857

$100.00 $0.00

09/20/2012 Volbrecht, Anne E 8991 Schumacher Rd, Fall Creek, WI 54742-9351

$50.00 $0.00

09/20/2012 Mertens, Thomas A

W3160 Rim Rock Rd, Eau Claire, WI 54701

$25.00 $0.00

09/27/2012 Kreibich, Robin G 3437 Nimitz St, Eau Claire, WI 54701-7200

$50.00 $0.00

09/20/2012 Felch, Robert J 534 E Riverview Dr, Eau Claire, WI 54703

$25.00 $0.00

10/08/2012 Smith, Jon A 1411 S Farwell St, Eau Claire, WI 54701-4009

Developer/contractor

Self 1411 S Farwell St, Eau Claire, WI 54701

$50.00 $0.00

09/20/2012 Appleby, Darren N1810 945th St, Eau Claire, WI 54701-1822

$25.00 $0.00

09/20/2012 Anderson, James C

3060 Hartwood Dr, Eau Claire, WI 54703

$10.00 $0.00

08/30/2012 Brucker, Wallace S8650 Heartwood Dr, Eleva, WI 54738

Physician Tomah Memorial Hospital

321 Butts Ave, Tomah, WI 54660

$300.00 $0.00

09/20/2012 Brucker, Wallace S8650 Heartwood Dr, Eleva, WI 54738

Physician Tomah Memorial Hospital

321 Butts Ave, Tomah, WI 54660

$200.00 $0.00

08/10/2012 Market, Daniel R 4655 North Shore Dr, Eau Claire, WI 54703-4109

President Market & Johnson

2350 Galloway St, Eau Claire, WI 54703

$500.00 $0.00

08/10/2012 Scheid, Joan Adell 3709 Bittersweet Rd, Eau Claire, WI 54701

homemaker $250.00 $0.00

09/27/2012 Gregory, Larry C 2500 W Cameron St, Eau Claire, WI 54703

$75.00 $0.00

10/04/2012 Albertson, Clifford A

5508 Mischler Dr, Eau Claire, WI 54701

$100.00 $0.00

10/04/2012 Berg, Troy 3720 Glen Crest ct, Eau Claire, WI 54701

Physician Chippewa Valley Orthopedics

4212 Southtowne dr, Eau Claire, WI 54701

$100.00 $0.00

Monetary

Page 10: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/08/2012 Diedrich, Paul C 332 Grover Rd, Eau Claire, WI 54701

$25.00 $0.00

10/08/2012 Betthauser, Donald

961 Dorbe St, Eau Claire, WI 54701-7072

$25.00 $0.00

10/08/2012 Polivka, Gregory L W5792 610th Ave, Beldenville, WI 54003

$30.00 $0.00

10/08/2012 Dosdall, Shawn M N3805 970th Street, Hager City, WI 54014-9803

$25.00 $0.00

10/08/2012 Olson, Lonnie G 240 Harvest Ln, Altoona, WI 54720

$40.00 $0.00

10/08/2012 Ochrymowycz, Judy Kay

4237 W Lowes Creek Rd, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 Bruckner, Thomas L

2711 Irene Dr, Eau Claire, WI 54701-6617

$25.00 $0.00

10/08/2012 Carstensen, Dean S

1304 Dogwod Dr, Eau Claire, WI 54701-7442

$40.00 $0.00

10/08/2012 Andre, Jeanne K 3504 Hoover Ave, Apt 203, Altoona, WI 54720

$10.00 $0.00

10/08/2012 Olson, Larrie E 2624 Haanstad Rd, Eau Claire, WI 54703

$25.00 $0.00

10/08/2012 Sabin, William J 1309 Timber Rd, Eau Claire, WI 54701-7472

$50.00 $0.00

10/08/2012 Scott, Ralph B 3372 Westhaven Ct, Eau Claire, WI 54701-7100

$25.00 $0.00

10/08/2012 Volkman, Beverly E

7043 US Hwy 12, Eau Claire, WI 54701

$25.00 $0.00

10/08/2012 Murphy, Ronald R N7064 County Rd QQ, Prescott, WI 54021

$25.00 $0.00

10/08/2012 Holte, James A N2478 County Rd H, Elk Mound, WI 54739

$100.00 $0.00

10/08/2012 Galstad, Roger I 6971 Balsam Rd, Eau Claire, WI 54701

$25.00 $0.00

10/08/2012 Radke, Robert J 211 W Hollywood St, Ellsworth, WI 54011

$30.00 $0.00

10/08/2012 Schwankl, Richard B

2621 Frostwoods St, Eau Claire, WI 54703-1282

$100.00 $0.00

10/08/2012 Schmuck, Carl H 4417 S Oakwood Hills Pkwy, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 Schoenthaler, Richard

N8773 1090th St, River Falls, WI 54022

$100.00 $0.00

Monetary

Page 11: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/11/2012 Torgerson, Jaye S W4970 County Rd Z, Eau Claire, WI 54701

$20.00 $0.00

10/11/2012 Van Wychen, James G

3365 Auger Ave, Warrens, WI 54666

$100.00 $0.00

10/11/2012 Stromwall, John A 222 Larchmont Rd, Eau Claire, WI 54701

$50.00 $0.00

10/11/2012 Bryce, Carolyn A 4115 Jeffers Rd, Arpt 123, Eau Claire, WI 54703-1597

$50.00 $0.00

10/11/2012 Lokkesmoe, Darren K

E3373 Jennifer Ln, Eau Claire, WI 54701

$25.00 $0.00

10/08/2012 Mettler, Margo L 2920 Pine Lodge Rd, Eau Claire, WI 54701

$50.00 $0.00

10/08/2012 Lowater, Julie N 652 Ripley Ave, Eau Claire, WI 54701

not provided Mayo Health Systems

1221 Whipple Street, Eau Claire, WI 54703

$250.00 $0.00

08/10/2012 Faulkner, Matthew S

3616 Eastwind Dr, Eau Claire, WI 54701

Executive Vice President

Market & Johnson

2350 Galloway St, Eau Claire, WI 54703

$500.00 $0.00

10/11/2012 Pittman, Delores 504 4th Ave E, Durand, WI 54736

$25.00 $0.00

10/08/2012 Shiffer, Cora R 3304 14th St, Apt 212, Eau Claire, WI 54703-2699

$50.00 $0.00

10/08/2012 Pannier, Elmer W 4316 Oakwood Hills Pkwy, Apt 220, Eau Claire, WI 54701-9177

$25.00 $0.00

08/10/2012 Evans, Thomas E 1170 Harbor Ridge Dr, Greensboro, GA 30642

President/Owner The Masters Group

6350 Lake Oconee Pkwy, Greensboro, GA 30642

$250.00 $0.00

10/11/2012 Albertson, Julie 5508 Mischler Dr, Eau Claire, WI 54701

$100.00 $0.00

10/11/2012 Myren, David O E4950 Traaseth Rd, Eleva, WI 54738

$50.00 $0.00

10/11/2012 Pittman, William N7596 Laschinger Ln, Arkansaw, WI 54721

$20.00 $0.00

09/06/2012 Jensen, Eric 5125 Flad Ave, Madison, WI 53711

owner Jensen Government Relations

16 N Carroll St, Suite 950, Madison, WI 53703

$250.00 $0.00

09/15/2012 Berg, Corrine 3720 Glen Crest ct, Eau Claire, WI 54701

homemaker $250.00 $0.00

09/27/2012 Welke, David S12814 County Rd D, Strum, WI 54770

Mailroom Courier Mayo Health Systems

1221 Whipple Street, Eau Claire, WI 54701

$250.00 $0.00

Monetary

Page 12: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/15/2012 Raynes, L Calvin 533 W Vine St, Mondovi, WI 54755

$25.00 $0.00

10/15/2012 Krings, John M N3474 50th St, Arkansaw, WI 54721-8409

$40.00 $0.00

10/15/2012 Hagen, R James PO Box 61, Eau Claire, WI 54702-0061

$25.00 $0.00

10/15/2012 Weddle, Stuart 2118 James Downey Rd, Independence, MO 64057

$50.00 $0.00

10/11/2012 Sieg, Alvin P 2839 6th Street, Eau Claire, WI 54703

$5.00 $0.00

10/11/2012 Fraser, Robert S 2911 Putnam Glen Pl, Eau Claire, WI 54701-5072

$25.00 $0.00

10/11/2012 Treu, Richard E W1211 County Rd E, Alma, WI 54610

$100.00 $0.00

10/11/2012 Brown, Stuart P 3824 Ponderosa Dr E, Eau Claire, WI 54701

$10.00 $0.00

10/15/2012 Schulte, Anna 579 Vincent Ln, Ellsworth, WI 54011

$50.00 $0.00

10/11/2012 Podvin, Francis J 2811 12th Street South, Wisconsin Rapids, WI 54494

$100.00 $0.00

10/11/2012 Kuehn, Paul W 3400 Garfield Rd, Eau Claire, WI 54701

$50.00 $0.00

10/11/2012 Dodge, Dennis N4827 County C, Ellsworth, WI 54011

$25.00 $0.00

10/10/2012 Baril, Lee S8337 Oriole Dr, Eau Claire, WI 54701

$50.00 $0.00

10/01/2012 Vlcek, Charlene W3151 Cty Rd HH, Eau Claire, WI 54701

$100.00 $0.00

10/15/2012 Schulte, Evan 579 Vincent Ln, Ellsworth, WI 54011

$100.00 $0.00

10/11/2012 Ahlberg, Trevor 4725 Windsor Ridge Dr, Irving, TX 75038

CEO Conntonwood Financial

1901 Gateway Dr, Suite 200, Irving, TX 75038

$500.00 $0.00

10/11/2012 Taylor, Thomas P 2811 Frank Street, Eau Claire, WI 54703

$25.00 $0.00

10/11/2012 Prindle, William 624 E Tyler Ave, Eau Claire, WI 54701

Investment Counselor

Investor Counsel

624 E Tyler Ave, Eau Claire, WI 54701

$25.00 $0.00

10/11/2012 Alevizos, Greg 6450 N Atwahl Dr, Glendale, WI 53209

President Capital-Husting Co, Inc

12001 W Carmen Ave, Milwaukee, WI 53225

$250.00 $0.00

Monetary

Page 13: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/18/2012 Moline, Dennis J W11911 778th Ave, River Falls, WI 54022

$50.00 $0.00

10/18/2012 Becker, Merlin N5385 Albany RR, Mondovi, WI 54755-9608

$25.00 $0.00

10/18/2012 Filmanowicz, Mark E

W291N3897 Round Hill Circle, Pewaukee, WI 53072-3165

General Counsel Payne & Dolan, Inc

PO Box 781, Waukesha, WI 53187

$250.00 $0.00

10/18/2012 Bechthold, Kurt D 9701 N Columbia Dr, Mequon, WI 53092

President & CEO Payne & Dolan, Inc

PO Box 781, Waukesha, WI 53187

$125.00 $0.00

10/18/2012 Kennedy, Stephen M

PO Box 1779, Janesville, WI 53547

Vice President & Secretary

Rock Road Companies, Inc

PO Box 1818, Janesville, WI 53547

$500.00 $0.00

10/15/2012 Watts, James K 4318 Pine Meadow Dr, Eau Claire, WI 54701

$25.00 $0.00

10/15/2012 Pettis, Paul M 29966 10th Ave, Cadott, WI 54727

$25.00 $0.00

10/15/2012 Carrington, Lawrence

N1498 830th St, Hager City, WI 54014

$25.00 $0.00

10/15/2012 Holman, Mary Ann 415 W Fillmore Ave, Eau Claire, WI 54701

$25.00 $0.00

10/18/2012 Bechthold, Lori R 9701 N Columbia Dr, Mequon, WI 53092

homemaker $125.00 $0.00

10/15/2012 McHugh, Richard 123 Canterbury rd, Eau Claire, WI 54701-7105

President Clubs Choice Fundraising

3421 Truax Blvd, Eau Claire, WI 54703

$100.00 $0.00

10/15/2012 Geske, Frederick PO Box 99, Fall Creek, WI 54742

$5.00 $0.00

10/18/2012 Crawford-Braly, L 3304 Oak St, Gaulier, MI 39553-5728

$25.00 $0.00

10/18/2012 Bechthold, David Lee

W303N1683 Arbor Dr, Delafield, WI 53018-2143

President Zenith Tech, Inc

PO Box 1028, Waukesha, WI 53187

$250.00 $0.00

10/18/2012 Bechthold, Helen PO Box 781, Waukesha, WI 53187-0781

homemaker $250.00 $0.00

10/18/2012 Kishaba, K 139 Canterbury Rd, Eau Claire, WI 54701-7105

$100.00 $0.00

10/18/2012 Cicchanowski, Stephen

1401 159th St Ct E, Tacoma, WA 98445

$25.00 $0.00

10/18/2012 Lovington, Ross C 2401 Rogue Valley Manor Dr, Medford, OR 97504-4511

$20.00 $0.00

10/18/2012 Mayer, Jay C 3131 Catur Lane, Eau Claire, WI 54701

$100.00 $0.00

Monetary

Page 14: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/15/2012 Lund, Candyce J S9530 County Rd I, Eleva, WI 54738

Director Instructional Svc

CESA 10 725 W Park Ave, Chippewa Falls, WI 54729

$200.00 $0.00

10/11/2012 Gardner, Wayne PO Box 268, Pittsville, WI 54466

self employed Self PO Box 268, Pittsville, WI 54466

$200.00 $0.00

10/11/2012 Bates, Dylan 13124 Blue Heron CV, Plainfield, IL 60585-1208

Physical Therapist ATI Physical Therapy

13124 Blue Heron Cove, Plainfield, IL 60585

$200.00 $0.00

08/10/2012 Ludwigson, Howard

5537 Bayview Drive, Eau Claire, WI 54703

$100.00 $0.00

10/15/2012 Wogernese, D G PO Box 165, Eau Claire, WI 54702

President Cobblestone Hotels, LLC

980 American Dr, Neenah, WI 54956

$250.00 $0.00

10/22/2012 Prince, John W 1229 Cummings St, Eau Claire, WI 54701

$70.00 $0.00

10/22/2012 McHugh, Patricia Libby

123 Canterbury Rd, Eau Claire, WI 54701-7105

$100.00 $0.00

10/22/2012 Nye, Grace L N2491 550th, Bay City, WI 54723-7621

$10.00 $0.00

10/22/2012 Weghorn, Mary C 811 11th Street W, Altoona, WI 54720

$25.00 $0.00

10/18/2012 Glaus, Greg N5743 Rusted Ln, Durand, WI 54736

Contractor self N5743 Rusted Ln, Durand, WI 54736

$50.00 $0.00

10/22/2012 Kitchens, Celinda 4251 Meadowwood Dr, Eau Claire, WI 54701

$25.00 $0.00

10/22/2012 Gillen, Steven 5306 29th St NE, Tacoma, WA 98422-3202

$20.00 $0.00

08/03/2012 Markquart, Michelle

N2844 960th Ave, Elk Mound, WI 54739

unknown Markquart Motors

2191 S Prairie View Rd, Chippewa Falls, WI 54729

$500.00 $0.00

10/11/2012 Lucas, Paul N37W26951 Kopmeier Dr, Pewaukee, WI 53072

Government Affairs

Miller Coors 3939 W Highland Blvd, Milwaukee, WI 53208

$150.00 $0.00

10/11/2012 Peterson, James Po Box 120, Medford, WI 54451

Owner James Peterson & Sons, Inc

PO Box 120, Medford, WI 54451

$500.00 $0.00

10/11/2012 Peterson, Joyce PO Box 120, Medford, WI 54451

employee James Peterson & Sons, Inc

PO Box 120, Medford, WI 54451

$500.00 $0.00

10/08/2012 Ricci, Mary Ann W8477 162nd Ave, Hager City, WI 54014-8010

homemaker $250.00 $0.00

08/10/2012 Ingram, William M N1317 County Rd C, Durand, WI 54736

self employed Self N1317 County Rd C, Durand, WI 54736

$200.00 $0.00

08/10/2012 Clinard, Dennis 5852 Cedar Rd, Sparta, WI 54656

President Clinard &Associates

5852 Cedar Rd, Sparta, WI 54656

$150.00 $0.00

Monetary

Page 15: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

08/23/2012 C, Thomas Cook 3833 Daystar Rd, Apt C, Madison, WI 53704

Executive Director RFW In Action

2000 Engel St, Suite 100, Madison, WI 53713

$100.00 $0.00

08/17/2012 Pabich, Tim 3350 Garfield Rd, Eau Claire, WI 54701

General Contractor

Royal Construction

3653 Greenway Street, Eau Claire, WI 54701

$250.00 $0.00

08/23/2012 Reck, Donald F 3403 Nimitz st, Eau Claire, WI 54701

Service & Tech-Utility

Northern States Power WI

1414 W Hamilton, Eau Claire, WI 54701

$100.00 $0.00

08/23/2012 Farrow, Pete 18731 64th Ave, Chippewa Falls, WI 54729

CEO & General Mgr

Group Health Cooperative

PO Box 3217, Eau Claire, WI 54702

$400.00 $0.00

08/03/2012 Hanke, James M 904 Emery Street, Eau Claire, WI 54701

Utility Xcel Energy 1414 W Hamilton, Eau Claire, WI 54701

$50.00 $0.00

08/03/2012 McKenna, James PO Box 2212, Brookfield, WI 53008

President North Shore Bank SSB

15700 W Bluemound Rd, Brookfield, WI 53005

$100.00 $0.00

08/03/2012 Amundson, Brian D

231 Heather Rd, Eau Claire, WI 54701

Utility Xcel Energy 1414 W Hamilton, Eau Claire, WI 54701

$50.00 $0.00

08/17/2012 Risch, Jay 3053 Trenton Dr, Sun Prairie, WI 53590

Lobbyist Wisconsin Bankers Assoc.

PO Box 8880, Madison, WI 53708

$100.00 $0.00

08/03/2012 Reck, Donald F 3403 Nimitz St, Eau Claire, WI 54701

Utility Xcel Energy 1414 W Hamilton, Eau Claire, WI 54701

$150.00 $0.00

08/10/2012 Vandehaar, Kent L 1737 Brickyard Ln, Chippewa Falls, WI 54729-2294

Dentist Self Employed

123 W Willow St, Chippewa Falls, WI 54729-2329

$100.00 $0.00

08/10/2012 McMahon, Michael J

3002 Catur Ln, Eau Claire, WI 54701

Chiropractor McMahon Chiropractic

3004 Golf Rd, Suite 100, Eau Claire, WI 54701

$200.00 $0.00

08/10/2012 Kenyon, David J 3379 Whispering Pines Ln, Eau Claire, WI 54701-7180

Dentist Self Employed

1326 Lynn Ave, Altoona, WI 54720-1943

$100.00 $0.00

08/03/2012 Jacobson, Gerald H

7503 123rd St, Chippewa Falls, WI 54729

President Northwestern Bank

202 Bridge St, Chippewa Falls, WI 54729

$125.00 $0.00

08/10/2012 Johnson, Blair T 3607 Greendale ct, Eau Claire, WI 54701-9217

Dentist Self Employed

1120 Oak Ridge Dr, Eau Claire, WI 54701-6133

$145.00 $0.00

Conduit Contribution

08/10/2012 McHugh, Richard 123 Canterbury Rd, Eau Claire, WI 54701

President Clubs Choice Fundraising

3421 Truax Blvd, Eau Claire, WI 54703

$150.00 $0.00

Sub Total $29,014.00

Monetary

Page 16: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/27/2012 Sheehan, Marie C 7098 Delaney Ave, Inver Grove, MN 55076

Retail Shift Leader Kwik Trip WI $4.50 $0.00

09/27/2012 Smith, Dorrene L 300 W Main St, Lot B, Hammond, MN 55991

Retail coworker Kwik Trip WI $4.50 $0.00

09/27/2012 Salzwedel, Beverly G

301 20 1/2 St NW, Stewartville, MN 55976

Retail coworker Kwik Trip WI $4.50 $0.00

09/27/2012 Sannes, Karsten A 300 Braund St #8, Onalaska, WI 54650

Bakery Production coworker

Kwik Trip WI $2.25 $0.00

09/27/2012 Royer, Jessica L 825 2nd St NW, Waseca, MN 56093

Retail Shift Leader Kwik Trip WI $4.50 $0.00

08/30/2012 Kent, Dale N90W20886 Scenic Dr, Menomonee Falls, WI 53051

Sales West Bend Mutual Ins

1900 S 19th Ave, West Bend, WI 53095

$100.00 $0.00

09/06/2012 McNeely, Juli S764 Hanson Rd, Spencer, WI 54479

Financial Advisor McNeely Financial

S764 Hanson Rd, Spencer, WI 54479

$100.00 $0.00

09/06/2012 DeGolier, Laura 114 S Main St, PMB 301, Fond du Lac, WI 54935

Financial Advisor DeGolier Insurance

114 S Main St, PMB 301, Fond du Lac, WI 54935

$100.00 $0.00

08/30/2012 Hoffert, Stan 3108 Warwick dr, Weston, WI 54476

President Wausau MedMal Mgmt

500 Third st, Ste 700, Wausau, WI 54403

$100.00 $0.00

09/27/2012 Schmitz, Chelsi L 329 S State St #4, Prairie Du Chien, WI 53821

Retail coworker Kwik Trip WI $2.00 $0.00

08/30/2012 Leitch, Laura 4222 Mandan Crescent, Madison, WI 53711-3062

Senior VP/General Counsel

Wisconsin Hospital Assoc

PO Box 259038, Madison, WI 53725-9038

$250.00 $0.00

08/30/2012 Pauly, James 3663 E Norport Dr, Port Washington, WI 53074

Sales West Bend Mutual Ins

1900 S 19th Ave, West Bend, WI 53095

$50.00 $0.00

09/14/2012 Lawler, David J 224 Gerland Rd, Rice Lake, WI 54868

Realtor Coldwell Banker

237 S Main St, Rice Lake, WI 54868

$100.00 $0.00

09/14/2012 Burnstad, Kent 9916 Elkhorn Rd, Tomah, WI 54660

President Burnstad's Market

24493 Flatiron Ave, Tomah, WI 54660

$250.00 $0.00

09/27/2012 Schemmel, Kay F 57854 Shady Ln, Mankato, MN 56001

Retail coworker Kwik Trip WI $1.50 $0.00

09/14/2012 Tainter, Allen D 2925 W Princeton Ave, Eau Claire, WI 54703

Realtor Century 21 Metro

1906 Brackett Ave, Eau Claire, WI 54701

$500.00 $0.00

09/14/2012 Fish, David 1425 Eagle Street, Chippewa Falls, WI 54729

Political Affairs Consultant

Hospital Sisters Health System

PO Box 19456, Springfield, IL 62794-9456

$150.00 $0.00

09/14/2012 Theisen, James W 1612 Ruby Lane, Eau Claire, WI 54703

Realtor J. Theisen, Inc

1808 Brackett Ave, Eau Claire, WI 54701

$100.00 $0.00

09/14/2012 Flor, John R 602 Pleasure St, Chetek, WI 54728

Realtor Six Lakes Realty

PO Box 45, Chetek, WI 54728

$50.00 $0.00

Conduit Contribution

Page 17: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/27/2012 Sullivan, Cody A 1724 Hiawatha Ct NE, Rochester, MN 55906

Retail coworker Kwik Trip WI $9.00 $0.00

09/27/2012 Slater, Cindy L 18540 552nd Ave, Wood Thunder, MN 56037

Retail Shift Leader Kwik Trip WI $9.00 $0.00

09/27/2012 Smith, Jean M PO Box 608, Holmen, WI 54636

Retail coworker Kwik Trip WI $9.00 $0.00

09/27/2012 Strouckel, Katherine A

1117 9th Ave NW, Rochester, MN 55901

Retail coworker Kwik Trip WI $9.00 $0.00

09/27/2012 Tauber, Rhonda F E16608 State Hwy 82, Hillsboro, WI 54634

Retail coworker Kwik Trip WI $8.00 $0.00

09/27/2012 Taylor, Alicia M 5091 Hudson Hollow Rd, Lancaster, WI 53813

Retail coworker Kwik Trip WI $8.00 $0.00

09/27/2012 Ross, Paula J W15613 Gilbert Rd, Osseo, WI 54758

Asst Store Manager

Kwik Trip WI $9.00 $0.00

09/27/2012 Sund, Ann M 124 13th Ave SE, Rochester, MN 55904

Retail coworker Kwik Trip WI $4.50 $0.00

09/27/2012 Silvers, Stephanie P

220 Niagara Ct NW, PO Box 153, Harmony, MN 55939

Retail coworker Kwik Trip WI $9.00 $0.00

09/27/2012 Stemper, Jill M 117 W Jackson St, Caledonia, MN 55921

Bakery Asst Supervisor

Kwik Trip WI $4.50 $0.00

09/27/2012 Struckmann, Sandra L

280 6th NW, Lot 24, Pine Island, MN 55963

Retail coworker Kwik Trip WI $4.50 $0.00

09/27/2012 Ruggles, Alisha S W3940 Mitchell Rd #67, Eau Claire, WI 54701

Asst Store Manager

Kwik Trip WI $9.00 $0.00

09/27/2012 Scheevel, Jennifer M

1915 19th Ave NW, Apt D, Rochester, MN 55901

Retail Shift Leader Kwik Trip WI $9.00 $0.00

09/27/2012 Schelbe, Cristin M 1308 Rosewood Tr, Onalaska, WI 54650

Retail Store Manager

Kwik Trip WI $9.00 $0.00

09/27/2012 Schwerin, Tammy L

437 Park St, Box 19, Union Center, WI 53962

Retail Store Manager

Kwik Trip WI $9.00 $0.00

09/27/2012 Scanlan, Tammy A 1639 Wood St, LaCrosse, WI 54603

Bakery Production Supervisor

Kwik Trip WI $9.00 $0.00

09/27/2012 Ryder, Kathleen A 3742 Locust Rd, Decorah, IA 52101

Food Service Leader

Kwik Trip WI $9.00 $0.00

09/27/2012 Sanders, Douglas B

4536 4th St NW, Rochester, MN 55901

Retail coworker Kwik Trip WI $9.00 $0.00

09/27/2012 Saunders, Amy B 131 Fulton St, Mankato, MN 56001

Retail Shift Leader Kwik Trip WI $9.00 $0.00

Conduit Contribution

Page 18: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/27/2012 McMahon, Samuel 8591 Franks Ln, Pulaski, WI 54162

EVP Premier Community Bank

230 Mavis Rd, PO Box 496, Marion, WI 54950

$25.00 $0.00

09/27/2012 Podewils, James 11930 W Van Norman, Greenfield, WI 53228

Retired $25.00 $0.00

09/27/2012 Cleven, Kristine 405 W Oak, Baraboo, WI 53913

Director-Legal WI Bankers Assoc

PO Box 8880, Madison, WI 53708

$10.00 $0.00

09/27/2012 Servais, Paul R N27655 Orion Ln, Arcadia, WI 54612

Food Svc District Leader

Kwik Trip WI $90.00 $0.00

09/27/2012 Teigen, Scott J 1274 Rustic Rd #4, Glenwood City, WI 54013

Chief Financial Officer

Kwik Trip not provided, Glenwood City, WI 54013

$261.00 $0.00

09/27/2012 Stortz, Joseph L 4931 Manor Brook Dr NW, Rochester, MN 55901

Food Service District Manager

Kwik Trip WI $16.00 $0.00

09/27/2012 Severson, Joann M

309 Columbia Ave, DeForest, WI 53532

Inventory Auditor Kwik Trip WI $18.00 $0.00

09/27/2012 Sill, Carol L W610 Pine St, Stoddard, WI 54658

Telecommunications Spec

Kwik Trip WI $18.00 $0.00

09/27/2012 Servais, Lynn M 11398 Gale St, Trempeleau, WI 54661

Human Resources Asst

Kwik Trip WI $16.00 $0.00

09/27/2012 Schmitz, Terrance L

1014 Reichow St, Oshkosh, WI 54902

Retail Zone Leader

Kwik Trip WI $90.00 $0.00

09/27/2012 Swarthout, Trevor A

1821 37th St NW, Rochester, MN 55901

Retail Shift Leader Kwik Trip WI $9.00 $0.00

09/27/2012 Talamantes, Nicholas J

3754 willow Heights Dr SW, Rochester, MN 55902

Retail Store Manager

Kwik Trip WI $9.00 $0.00

09/27/2012 Servais, Samuel D 23641 Pinewood Rd, Trempeleau, WI 54661

Retail District Leader

Kwik Trip WI $45.00 $0.00

09/27/2012 Smith, Kimberly K 1302 2nd Ave SW, Apt 4, Austin, MN 55912

Retail Store Manager

Kwik Trip WI $45.00 $0.00

09/27/2012 Suhr, Carl H 807 Tahoe Dr, Onalaska, WI 54650

Superintendant of Fleet Oper.

Kwik Trip WI $45.00 $0.00

09/27/2012 Schreiber, Brian J 4616 15th Ave NE, Rochester, MN 55901

Assistant Store Manager

Kwik Trip WI $45.00 $0.00

09/27/2012 Schroeder, Robert G

N5641 Sunset Dr, Onalaska, WI 54650

IT Retail Customer Support Mgr

Kwik Trip WI $27.00 $0.00

09/27/2012 Robinson, Kandy K

219 Webster, PO Box 681, Waterloo, IA 50704

Retail coworker Kwik Trip WI $41.75 $0.00

09/27/2012 Rudy, Theresa M 1994 Welke Dr, Hokah, MN 55941

Corporate accountant

Kwik Trip WI $45.00 $0.00

Conduit Contribution

Page 19: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/08/2012 Husby, Kris N52626 County Rd Y, Eleva, WI 54738

Office Manager Tri-County Communications Coop

417 5th Ave N, Strum, WI 54770

$200.00 $0.00

10/08/2012 Rue, Cheryl 435 1st Ave S, strum, WI 54770

CEO Tri-County Communications Coop

417 5th Ave N, Strum, WI 54770

$200.00 $0.00

10/08/2012 Tomlinson, Gina W1678 Heineman Ln, Cochrane, WI 54622

$100.00 $0.00

10/08/2012 Berger, Christy W3808 County Rd B, Durand, WI 54736

$100.00 $0.00

09/27/2012 Drace, John M N5954 Marts Rd, Black River Falls, WI 54615

Banker Jackson County Bank

8 Main Street, PO Box 490, Black River Falls, WI 54615

$150.00 $0.00

10/04/2012 Hymans, Daniel 2208 Campbell circle, Ashland, WI 54806-3640

President Memorial Medical Center

1615 Maple Lane, Ashland, WI 54806-3689

$100.00 $0.00

09/20/2012 Siler, Randy PO Box 146, Downsville, WI 54735

General manager West Wisconsin Telcom

PO Box 115, Downsville, WI 54735

$250.00 $0.00

09/27/2012 Orth, Robert 12319 N Woodfield Ct, Mequon, WI 53092

EVP Tri city national bank

6400 S 27th St, Oak Creek, WI 53154

$100.00 $0.00

09/20/2012 Stack, Patricia M 4050 Timber Ln, Cross Plains, WI 53528

Madison Gas & Electric

WI $50.00 $0.00

09/27/2012 Schmalz, Charles 947 E Pacific St, Appleton, WI 54911

Banker East WI Savings Bank

109 W 2nd St, Kaukauna, WI 54130

$36.00 $0.00

09/27/2012 Welsh, Michael 1218 Vine St, Bloomer, WI 54724

President/CEO Peoples State Bank

1401 Main Street, Bloomer, WI 54724

$50.00 $0.00

09/20/2012 Buck, Robin 1219 North Shore Dr, Menomonie, WI 54751

Public Relations West Wisconsin Telcom

PO Box 115, Downsville, WI 54735

$100.00 $0.00

09/20/2012 Keebler, Jeffrey M 7652 Heather Knoll Ln, Verona, WI 53593

Madison Gas & Electric

WI $75.00 $0.00

09/20/2012 Pellitteri, Joseph 7126 Turnberry Rd, Madison, WI 53719

Madison Gas & Electric

WI $75.00 $0.00

09/20/2012 Schaack, Linda L 912 Menomonie Ln, Madison, WI 53704

Madison Gas & Electric

WI $75.00 $0.00

09/20/2012 Bollom, Gregory A 4770 Enchanted Valley Rd, Middleton, WI 53562

Madison Gas & Electric

WI $75.00 $0.00

09/20/2012 Stenseth, Mark E4348 462nd Ave, Menomonie, WI 54751

Assistant manager West Wisconsin Telcom

PO Box 115, Downsville, WI 54735

$100.00 $0.00

09/20/2012 Blankenheim, David B

1506 Brynwood Dr, Madison, WI 53716

Madison Gas & Electric

WI $75.00 $0.00

09/20/2012 Mathis, Gary R 8502 Old Sauk Rd, Apt 221, Middleton, WI 53562

Madison Gas & Electric

WI $75.00 $0.00

Conduit Contribution

Page 20: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/11/2012 Brooks, Robert F 917 Ethel St, Wausau, WI 54403

President Marathon Savings Bank

500 Scott Street, PO Box 1666, Wausau, WI 54403

$50.00 $0.00

10/08/2012 Crandall, Dalene E 915 Lucille Ct, River Falls, WI 54022

Realtor WESTconsin Realty LLC

PO Box 607, 1601 Maxwell Dr, Hudson, WI 54016

$100.00 $0.00

10/11/2012 Strandberg, Hoyt W

PO Box 116, Alma Center, WI 54611

Director Jackson County Bank

8 Main Street, PO Box 490, Black River Falls, WI 54615

$100.00 $0.00

10/11/2012 McWilliams, Richard L

PO Box 55, Platteville, WI 53818

Chairman of the Board

Mound City Bank

25 E Pine St, PO Box 263, Platteville, WI 53818

$50.00 $0.00

10/08/2012 Burcalow, Larry 4701 County M, Middleton, WI 53562

$25.00 $0.00

10/08/2012 Janssen, William 4497 Oak Ridge circle, DePere, WI 54115

$25.00 $0.00

10/08/2012 Ladick, Dave 4517 Nicolet Ave, Stevens Point, WI 54481

$25.00 $0.00

10/08/2012 McConnell, Pat N8615 Old 49 Rd, Berlin, WI 54923

President FLASH, Inc PO Box 574, Green Lake, WI 54941

$150.00 $0.00

10/08/2012 Weiss, Gordon A W2045 Albany, Mondovi, WI 54755

Realtor Weiss Realty 319 W Madison St, Durand, WI 54736

$100.00 $0.00

10/08/2012 Webb, Gerald PO Box 193, strum, WI 54770

Operations Manager

Tri-County Communications Coop

417 5th Ave N, Strum, WI 54770

$200.00 $0.00

10/08/2012 Sluga, Matt 35797 Maple Street, Independence, WI 54747

Systems Technician

Tri-County Communications Coop

417 5th Ave N, Strum, WI 54770

$200.00 $0.00

10/08/2012 Dunham, Brian J 228 E Polk Ave, Eau Claire, WI 54701

Realtor Coldwell Banker

1021 Regis Ct, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 Theisen, Jeffery A 1906 Hoover ave, Eau Claire, WI 54701

Realtor J. Theisen, Inc

1808 Brackett Ave, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 Donnellan, Ned S 1717 Drummond St, Eau Claire, WI 54701

Realtor Donnellan Real Estate

1720 Harding Ave, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 Berg, Allan A 2725 W Menomonie St, Eau Claire, WI 54703

Realtor Edina Realty, Inc

2142 Brackett Ave, Eau Claire, WI 54701

$100.00 $0.00

10/08/2012 Larson, Chris 216 skyline Drive, EAu Claire, WI 54703

$25.00 $0.00

10/08/2012 Sweeney, Buck N315 Charley Bluff Rd, Milton, WI 53563

$50.00 $0.00

10/08/2012 Treml, Jack E3160 County T, Casco, WI 54205

$50.00 $0.00

Conduit Contribution

Page 21: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/11/2012 Brooks, Alenia W138 N6539 Manor Hill Blvd, Memonee Falls, WI 53051

Market Research Aurora Health Care

750 West Virginia Street, Milwaukee, WI 53204-1539

$200.00 $0.00

10/11/2012 Buettner, Susan 5286 Sandy Beach Rd, Belgium, WI 53004-9449

Sr VP Administrative Svcs

Aurora Health Care

750 West Virginia Street, Milwaukee, WI 53215

$100.00 $0.00

10/11/2012 Francaviglia, Stephen

W258 S7635 Prairieside Ct, Waukesha, WI 53189-6900

not provided Aurora Health Care

750 West Virginia Street, Milwaukee, WI 53215

$150.00 $0.00

10/11/2012 Welsh, Michael 1218 Vine Street, Bloomer, WI 54724

President & CEO Peoples State Bank

1401 Main Street, Bloomer, WI 54724

$100.00 $0.00

10/11/2012 Mayo, James F N7124 Arbor Ln, Durand, WI 54736

President & CEO Security Financial Bank

212 Prospect St, Durand, WI 54736

$150.00 $0.00

10/11/2012 Bauer, Jill A South 2 Will Rd, Durand, WI 54736

Accounting & Finance Officer

Security Financial Bank

212 Prospect St, Durand, WI 54736

$50.00 $0.00

10/11/2012 Carlson, Jay R N6450 1323 St, Prescott, WI 54021

Market President Security Financial Bank

212 Prospect St, Durand, WI 54736

$100.00 $0.00

10/11/2012 Kellar, Richard W283N3898 Yorkshire Terrace, Pewaukee, WI 53072

VP & Chief Admin Officer

Aurora West Allis Medical Ctr

8901 W Lincoln Ave, West Allis, WI 53227

$250.00 $0.00

10/11/2012 Sabelko, Julie M 212 E Main St, Apt 204, Durand, WI 54736

VP Retail Ops & HR

Security Financial Bank

212 Prospect St, PO Box 210, Durand, WI 54736

$50.00 $0.00

10/11/2012 Weiner, Gerald V N5655 Pleasant Ridge Ln, Durand, WI 54736

Retired $50.00 $0.00

10/11/2012 Tilton, Joe 1621 Melrose Ln, Balsam Lake, WI 54810

Service Worker Grantsburg School District

5000 E James Ave, Grantsburg, WI 54840

$100.00 $0.00

10/11/2012 Gunning, Jennifer W1208 Charcoal Rd, Hixton, WI 54635

Owner Re-Pete's Saloon

300 Gebhardt Rd, Black River Falls, WI 54615-9146

$500.00 $0.00

10/11/2012 Meisner, Carol 844 25 5/8 St, Chetek, WI 54728-5835

Owner Caddy Shack Bar & Grill

844 25 5/8 St, Chetek, WI 54728-5835

$500.00 $0.00

10/11/2012 Penk, James W15134 Elm Dr, Lublin, WI 54447

retired $400.00 $0.00

10/11/2012 Klaetsch, George 203 Lueders Rd, Sauk City, WI 53583

$50.00 $0.00

10/11/2012 Fabry, Dan 2024 East Higgins Hill, DePere, WI 54115

VP & COO of Mobil Service

Nsight 450 Security Blvd, Green Bay, WI 54313

$90.00 $0.00

10/11/2012 Lueck, Larry 2029 Rush Ct, DePere, WI 54115

Assoc Legal Council

Nsight 450 Security Blvd, Green Bay, WI 54313

$110.00 $0.00

Conduit Contribution

Page 22: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/18/2012 Michels, Barbara A 6831 N Hwy 83, Hartland, WI 53029

homemaker $500.00 $0.00

10/18/2012 Michels, Connie L 945 Country Club Ln, Fond Du Lac, WI 54935

homemaker $500.00 $0.00

10/15/2012 Fitzgerald, David S 1603 Harding Ave, Eau Claire, WI 54701

Realtor Kleven Real Estate

1603 Harding Ave, Eau Claire, WI 54701

$100.00 $0.00

10/11/2012 Just, Robert J PO Box 303, Platteville, WI 53818

President & CEO Mound City Bank

25 E Pine St, PO Box 263, Platteville, WI 53818

$50.00 $0.00

10/11/2012 Sopkowicz, Stanley

18902 Clark Lake Dr, Goodman, WI 54125

Director Laona State Bank

5308 Beech Street, PO Box 128, Laona, WI 54541

$50.00 $0.00

10/11/2012 Abens, James M 3808 Chippewa River Dr, Eau Claire, WI 54703

Chiropractor Abens/Olson Chiropractic

3420 Mall Dr, Suite 2, Eau Claire, WI 54701

$200.00 $0.00

10/11/2012 Hougen, Chris H 4541 Meadowbrook Ct, Eau Claire, WI 54701

Chiropractor Eau Claire Chiropractic SC

4606 Commerce Valley Rd, Eau Claire, WI 54701

$200.00 $0.00

10/11/2012 Gates, John 8 Lake Point Circle, Racine, WI 53402-2383

VP of Aurora Pharmacy

Aurora Health Care

750 West Virginia Street, Milwaukee, WI 53215

$100.00 $0.00

10/11/2012 Cruse, Randolph C

N7907 Hwy P, Whitewater, WI 53190

Director First Citizens State Bank

207 W Main St, PO Box 177, Whitewater, WI 53190

$50.00 $0.00

10/11/2012 Cummings, Mike 212 West Davenport St, Elkhorn, WI 53121-4538

Sr VP of Security Aurora Health Care

750 West Virginia Street, Milwaukee, WI 53204-1539

$200.00 $0.00

10/11/2012 Merner, Elizabeth N59W34981 Lake Dr, Oconomowoc, WI 53066-2470

Manager Humana, Inc N19W24133 Riverwood Pl, Suite 250, Pewaukee, WI 53072

$135.00 $0.00

10/11/2012 Petzold, David 3284 Sylvester Dr, Hartland, WI 53029-9351

Director Humana, Inc N19W24133 Riverwood Pl, Suite 250, Pewaukee, WI 53072

$215.00 $0.00

10/11/2012 Teff, Doug W4651 Greenbush Rd, Monroe, WI 53566-9426

Director Humana, Inc 1600 Aspen Commons, Suite 600, Middleton, WI 53562

$150.00 $0.00

10/11/2012 Bauer, William M 718 Farr Ct, Eau Claire, WI 54701

Chiropractor Optima Health & Vitality Ctr

3321A Golf Rd, Eau Claire, WI 54701

$300.00 $0.00

10/11/2012 McMahon, Michael J

3002 Catur Ln, Eau Claire, WI 54701

Chiropractor McMahon Chiropractic

3004 Golf Rd, Suite 100, Eau Claire, WI 54701

$300.00 $0.00

Conduit Contribution

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10/22/2012 Baxa, William 36423 Ash Street, Independence, WI 54747-0550

Dentist Self 35791 Osseo Rd, Independence, WI 54747-9096

$500.00 $0.00

10/18/2012 Schroeckenthaler, Fred

1965 Lepak Drive, Plover, WI 54467

Director - IT Sentry Insurance

1800 North Point Dr, Stevens Point, WI 54481

$100.00 $0.00

10/18/2012 Dengel, Doug 1017 S Fairway Dr, Sparta, WI 54656-1444

Agent American Family Insurance Group

PO Box 207, Sparta, WI 54656-0207

$25.00 $0.00

10/18/2012 Duval, Todd 817 E Sylvan Ave, Whitefish Bay, WI 53217-5353

Agency Sales Manager

American Family Insurance Group

5205 N Ironwood Rd, Suite 200, Glendale, WI 53217-4907

$25.00 $0.00

10/18/2012 Grant, Brad 619 Broadview Dr, Green Bay, WI 54301-2839

Agent American Family Insurance Group

862 Hansen Rd, Green Bay, WI 54304-5324

$25.00 $0.00

10/18/2012 Dahl, Michael 3445 Nimitz, Eau Claire, WI 54701-7200

Agent American Family Insurance Group

1241 Menomonie St, Suite A, Eau Claire, WI 54703-5974

$85.00 $0.00

10/18/2012 Anderson, David 21428 81st St, Bristol, WI 53104-9717

Agent American Family Insurance Group

7601 Pershing Blvd, Kenosha, WI 53142-4321

$25.00 $0.00

10/18/2012 Cutler, Larry 418 Oakland Ave, Sun Prairie, WI 53590-1614

Agent American Family Insurance Group

PO Box 82, Sun Prairie, WI 53590-0082

$75.00 $0.00

10/18/2012 Quinn, James 251 Tilson St E, West Salem, WI 54669-1211

Agent American Family Insurance Group

Po Box 130, West Salem, WI 54669-0130

$25.00 $0.00

10/18/2012 Hartman, David 1051 Victorian Lane, Plover, WI 54467

VP Segment Executive

Sentry Insurance

1800 North Point Dr, Stevens Point, WI 54481

$100.00 $0.00

10/18/2012 Thompson, Lynn 2600 Woodhaven Rd, Eau Claire, WI 54703

$75.00 $0.00

10/18/2012 Yeiser, Robert W5261 Windmill Ridge, New Glarus, WI 53574

Regional Field Exec

Sentry Insurance

1800 North Point Dr, Stevens Point, WI 54481

$50.00 $0.00

10/18/2012 Cress, Robert W 48 Oak Creek Trail, Madison, WI 53717

Funeral Director Cress Funeral Service

3610 Speedway Rd, Madison, WI 53705

$300.00 $0.00

10/18/2012 Hathaway, James N7042 County Rd X, Arkansaw, WI 54721

$75.00 $0.00

10/18/2012 Dokkestule, Larry N6667 650th Street, Beldenville, WI 54003

President & CEO Pierce Pepin Coop Svcs

W7725 US Hwy 10, PO Box 420, Ellsworth, WI 54011

$100.00 $0.00

Conduit Contribution

Page 24: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/22/2012 Humphrey, Kyle 804 Lochmore dr, Waunakee, WI 53597

Marketing Director Unity Health Plans Ins

840 Carolina st, Sauk City, WI 53583

$25.00 $0.00

10/22/2012 Snider, Kelly 4508 Wildwood Ct, Eau Claire, WI 54701

Sales Manager Security Health Plan

PO Box 8000, Marshfield, WI 54449

$100.00 $0.00

10/22/2012 Bruni, Chris S3597 Pine Knoll Ct, Baraboo, WI 53913

Sales Director Security Health Plan

PO Box 8000, Marshfield, WI 54449

$100.00 $0.00

10/22/2012 Nielsen, Thomas K 1857 River Ridge, Hudson, WI 54016

Realtor Coldwell Banker

1301 Coulee Rd, Suite 2, Hudson, WI 54016

$200.00 $0.00

10/22/2012 Gramz, Mark 39915 Cedar Ln, Oconomowoc, WI 53066

Marcus Theatres Corp

WI $25.00 $0.00

10/22/2012 Suick, Tim PO Box 532, Antigo, WI 54409

Suick Theatres

WI $50.00 $0.00

10/22/2012 Scaletta, John 355 W Dundee, Suite 202, Buffalo Grove, IL 60089

F&F Management

WI $25.00 $0.00

10/22/2012 Scharine, Denis C 207 Doty St, Fremont, WI 54940-9785

Dentist Self 403 Wolf River Dr, PO Box 550, Fremont, WI 54940-9038

$50.00 $0.00

10/22/2012 Peterson, Neil E 14320 Indian Ridge Dr, Brookfield, WI 53005-6450

Dentist Self 5019 W North Ave, Milwaukee, WI 53208-1121

$40.00 $0.00

10/22/2012 Johnson, Christopher D

3120 Eisenhower St, Eau Claire, WI 54701-6531

Dentist Self 507 Main Street, Eau Claire, WI 54701-3736

$100.00 $0.00

10/22/2012 Hegre, David A 414 E Pine St, River Falls, WI 54022

Realtor Kruger Real Estate

200 E Elm St, River Falls, WI 54022

$22.00 $0.00

10/22/2012 Riedel, Rhonda N41546 Cty Rd W, Granton, WI 54436

Account Executive Security Health Plan

PO Box 8000, Marshfield, WI 54449

$100.00 $0.00

10/22/2012 Lenth, Gary N1704 Boulder Ct, LaCrosse, WI 54601

CEO/Medical Director

Gunderson Lutheran Health Plan

3190 Gunderson dr, Onalaska, WI 54650

$100.00 $0.00

10/22/2012 McFadden, Darin 507 Indian Hills Dr, Eau Claire, WI 54703

COO Group Health Coop of EC

2503 N Hillcrest Pkwy, Altoona, WI 54720

$75.00 $0.00

Sub Total $17,013.00

Conduit Contribution

Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Total $46,027.00

Total UnItemized Contributions $0.00

Total Anonymous Contributions $0.00

Grand Total $46,027.00

Page 25: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Warren Petryk For Assembly

09/06/2012 Dunn Co Republican Party P.O. Box 311, Menomonie, WI 54751 $1,000.00 $0.00

09/15/2012 Republican Party-Eau Claire County

Pox Box 325, Eau Claire, WI 54702-0325 $500.00 $0.00

10/15/2012 Republican Women-Waukesha County

6907 Cummens Court, Hartford, WI 53027

$500.00 $0.00

Sub Total $2,000.00

Monetary

Non-Monetary (-): $0.00

Grand Total $2,000.00

Total $2,000.00

Date Full Name Address Amount YTD

Page 26: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Warren Petryk For Assembly

09/20/2012 godaddy.com 14455 N. Hayden Rd., Suite 226, Scottsdale, AZ 85260

$44.91 $0.00

Expense Refund

Total $44.91

Date Full Name Address Amount YTD

Page 27: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

09/03/2012 Norby, Jane 4328 Heartland Dr W, Eau Claire, WI 54701

Postage $11.10

08/28/2012 Festival Foods 3007 Mall Dr, Eau Claire, WI 54701

Postage $160.00

Comment(s): atlas

09/08/2012 Scheels 4710 Golf Rd, Eau Claire, WI 54701

Office Supplies

$21.05

08/03/2012 Spring Valley Lions PO Box 105 , Spring Valley, WI 54011

Parade Expenses - Fees, candy

$35.00

08/29/2012 Walmart 3915 Gateway Dr, Eau Claire, WI 54701

Office Supplies

$59.04

09/11/2012 Menards 3619 South Hastings Way, Eau Claire, WI 54701

Office Supplies

$21.07

09/08/2012 Office Max #549 4040 Commonwealth ave, Eau Claire, WI 54701

Office Supplies

$91.92

08/05/2012 Rep Assembly Campaign Com RACC

P.O. Box 215, Madison, WI 53701

Postage $812.14

08/30/2012 Holiday Inn Campus 2703 Craig Rd, Eau Claire, WI 54701

Fundraiser - Hall Rental

$1,422.39

Comment(s): postage and supplies

09/11/2012 Fleet Feet 402 Water Street, Eau Claire, WI 54703

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

$100.61

09/06/2012 Festival Foods 3007 Mall Dr, Eau Claire, WI 54701

Postage $160.00

Comment(s): ice cubes

08/19/2012 Holiday Stationstores 5511 Hwy 93, Eau Claire, WI 54701

Fundraiser - Food & Beverage

$1.79

Monetary

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount

Warren Petryk For Assembly

Page 28: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/26/2012 Advanced Mail, Inc 2908 Melby St, Eau Claire, WI 54703

Printing - Brochures

$5,155.17

09/26/2012 Eau Claire Postmaster 126 North Barstow, Eau Claire, WI 54701

Postage $69.35

09/25/2012 Kwik Trip 2232 Otter Rd, Eau Claire, WI 54701

Candidate Expenses - Gas

$53.30

09/25/2012 CLS Services, Inc N172 South Park Dr, Appleton, WI 54914

Printing - Yard Signs

$4,732.88

09/25/2012 Pierce Co Dairy Promo Committee

PO Box 69, Ellsworth, WI 54011

Fundraiser - Food & Beverage

$43.00

09/27/2012 Eau Claire Postmaster 126 North Barstow, Eau Claire, WI 54701

Postage $192.00

08/17/2012 WI Farm Bureau Federation

1241 John Q Hammons Dr, Madison, WI 53717

Parade Expenses - Fees, candy

$45.00

09/06/2012 Online Services 1300 South Calhoun Rd, Brookfield, WI 53005

IT - Campaign IT Maintenance

$870.00

08/17/2012 Laura Ingalls Wilder Days

PO Box 175, Pepin , WI

Parade Expenses - Fees, candy

$30.00

09/20/2012 Mills Fleet Farm 2003 US Hwy 12W, Menomonie, WI 54751

Candidate Expenses - Gas

$54.98

09/03/2012 Heinzen Printing 550 South Central Ave, PO Box 267, Marshfield, WI 54449

Printing - Brochures

$522.23

09/17/2012 Petryk, Warren S9840 Hwy 93, Eleva, WI 54738

Ellsworth Rod & Gun

Wisconsin 72, Ellsworth, WI 54011

Reimbursement - Food

$70.00

Comment(s): dinner tickets

09/17/2012 Kwik Trip 2232 Otter Rd, Eau Claire, WI 54701

Candidate Expenses - Gas

$90.70

08/09/2012 Pak Mail 2809 E Hamilton Ave, Eau Claire, WI 54701

Postage $48.75

09/14/2012 Festival Foods 3007 Mall Dr, Eau Claire, WI 54701

Postage $96.00

Monetary

Page 29: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

10/22/2012 Advanced Mail, Inc 2908 Melby St, Eau Claire, WI 54703

Mailing Service

$1,172.35

10/10/2012 Kwik Trip 940 Baldwin Plaza Dr, Baldwin, WI 54002

Candidate Expenses - Gas

$86.57

10/03/2012 Altoona Post Office Altoona, WI 54720

Postage $192.00

10/05/2012 Advanced Mail Inc 2908 Melby Street, Eau Claire, WI 54703

Printing - Brochures

$1,802.30

10/03/2012 Advanced Mail Inc 2908 Melby Street, Eau Claire, WI 54703

Printing - Brochures

$2,975.78

10/02/2012 Handymart #1046 West 6396 Hwy 35, Bay City , WI 54723

Candidate Expenses - Gas

$74.44

09/28/2012 Wisconsin Right to Life 9730 W Bluemound Rd, suite 200, Milwaukee, WI 53226

Mailing List $107.40

10/04/2012 Kwik Trip 2715 Golf Rd, Eau Claire, WI 54701

Candidate Expenses - Gas

$83.00

10/06/2012 Holiday Stationstore 5511 Hwy 93, Eau Claire, WI 54701

Candidate Expenses - Gas

$61.73

10/16/2012 Strategic Media Placement, Inc

7669 Stagers Loop, Delaware, OH 43015

Media - TV $10,500.00

09/05/2012 Henkel, Matthew 738 Lorillard Ct #203, Madison, WI 53703

Postage $225.00

10/15/2012 Advanced Mail, Inc 2908 Melby St, Eau Claire, WI 54703

Mailing Service

$4,449.29

10/16/2012 Peoples Bank 2720 Golf Rd, Eau Claire, WI 54701

Bank Charges

$20.00

Comment(s): updating website

10/10/2012 Timothy J Fehr Consulting

3115 Gregory Lane, Eau Claire, WI 54703

IT - Campaign Software

$65.00

10/16/2012 Maverick Media 944 Harlem st, Altoona, WI 54720

Media - Radio $1,800.00

10/18/2012 Clear Channel 619 Cameron Street, Eau Claire, WI 54703

Media - Radio $5,000.00

Monetary

Page 30: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

09/11/2012 Van Gorden, Skip H 1020 Menomonie St, Eau Claire, WI 54703

$50.00

09/11/2012 Wright, Brian H 3727 Echo Valley, Eau Claire, WI 54701

$100.00

Sub Total $150.00

Return Receipt

Comment(s): wire fee

10/22/2012 Peoples Bank 2720 Golf Rd, Eau Claire, WI 54701

Bank Charges

$20.00

10/02/2012 Kwik Trip 2232 Otter Rd, Eau Claire, WI 54701

Candidate Expenses - Gas

$72.30

10/22/2012 Strategic Media 7669 Stager Loop, Delaware, OH 43015

Media - TV $15,437.50

10/13/2012 Holiday Superstation 2806 Golf rd, Eau Claire, WI 54701

Candidate Expenses - Gas

$77.00

10/19/2012 Durand Broadcasting, Inc

114 W Main Street, Durand, WI 54736

Media - Radio $18.75

Comment(s): Eggs & Issues

10/22/2012 Eau Claire Area Chamber of Commerce

PO Box 1107, Eau Claire, WI 54702

Meeting Expenses

$16.00

10/19/2012 K&M Broadcasting, Inc 514 Vermillion St, Hastings, MN 55033

Media - Radio $360.00

10/14/2012 Kwik Trip 2232 Otter Rd, Eau Claire, WI 54701

Candidate Expenses - Gas

$73.00

10/17/2012 Durand Travel Stop 610 Hwy 10 East, Durand, WI 54736

Candidate Expenses - Gas

$72.15

10/20/2012 Holiday Superstation 2806 Golf rd, Eau Claire, WI 54701

Candidate Expenses - Gas

$57.33

Sub Total $59,788.36

Monetary

Total $59,938.36

Non-Monetary (-): $0.00

Grand Total $59,938.36

Page 31: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2cfis.wi.gov/ReportsOutputFiles/0103195FallPre-Election201244dd... · Sales Epicor Software 4120 Dublin Blvd, Dublin, CA 94568 $500.00

SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Warren Petryk 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

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ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A

Complete Committee Name:

Incurred Obligation Outstanding Amount:

10/22/2012 Republican Party of Wisconsin 148 East Johnson Street, Madison, WI 53703 $4,975.98

Sub Total $4,975.98

Incurred Obligation

Grand Total $4,975.98

Date Full Name Address Amount

$0.00

Warren Petryk For Assembly

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:

Loans Outstanding Amount:

Warren Petryk For Assembly

$0.00

Grand Total $0.00

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount