CAMPAIGN FINANCE REPORT STATE OF WISCONSIN
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1 CAMPAIGN FINANCE REPORT STATE OF WISCONSIN Is this report an Amendment? YES NO COMMITTEE IDENTIFICATION Name of Committee Address 1421 Waldorf Blvd. OFFICE USE ONLY City, State, ZIP Madison, WI WSEB # ID Please check if address is different than previously reported NAME OF REPORT Jan 20 Continuing Pre-Primary 20 Spring Fall Special (Please circle) July 20 Continuing Pre-election 20_08_ Spring Fall Special SUMMARY OF RECEIPTS AND DISBURSEMENTS Column A Column B Audited Totals 1. RECEIPTS This Period YTD Office Use Only A. Contributions including Loans from Individuals $ 2, $ 3, B. Contributions from Committees (Transfers-In) $ $ C. Other Income and Commercial Loans $ - TOTAL RECEIPTS (Add totals from 1A, 1B, and 1C) $ 3, $ 4, DISBURSEMENTS A. Gross Expenditures $ 3, $ 1, B. Contributions to Committees (Transfers-Out) $ - TOTAL DISBURSEMENTS (Add totals from 2A and 2B) $ 3, $ 1, CASH SUMMARY Cash Balance at Beginning of Report $ 2, Total Receipts $ 3, Subtotal $ 5, Total Disbursements $ 3, CASH BALANCE AT END OF REPORT $ 1, INCURRED OBLIGATIONS (at close of period) $ - LOANS (at close of period) $ - 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 3/24/2008 Aaron J. Backer Treasurer Daytime Phone NOTE: The information on this form is required by ss , 11.20, Wisconsin. Stats. Failure to provide this information may subject you to the penalties os 11.60, 11.62, Wisconsin. Stas.
2 SCHEDULE 1-A Contributions Including Loans from Individuals IN- CON KIND DUIT DATE LAST FIRST ADDRESS CITY ST ZIP EMPLOYER OCCUPATION AMOUNT YTD Wolverine Investments, North Wolcott W. Jackson Blvd, Investment 2/5/2008 Subeck Scott Avenue Chicago IL Chicago, IL Advisor $ $ /5/2008 Zeps Dace 3013 Worthington Avenue Madison WI $ $ /5/2008 Ramer Durrell 5706 Piping Rock Road Madison WI $ $ /5/2008 Woodruff Jackie 5 Dumont Circle Madison WI $ $ /5/2008 Wallace Russell 6202 Davenport Drive Madison WI $ $ /5/2008 Bockhorst Tammy 1617 East Lake Bluff Blvd. Shorewood WI Self-employed $ $ /6/2008 Winkelhake Marjorie 7707 N. Brookline Drive, #113 Madison WI $ $ Comanche Retired/homemak 2/9/2008 Palmer Connie Glen Madison WI er $ $ /10/2008 Mosman John 8243 Starr Grass Drive Madison WI $ $ /10/2008 Davis III Kay 1021 Riverview Drive Stoughton WI $ $ /10/2008 Clear Mark 110 Shiloh Drive Madison WI $ $ /10/2008 Backer Aaron 1421 Waldorf Blvd Madison WI $ $ /10/2008 Anonymous Donor Cash $ 5.00 $ /10/2008 Jensen Jane 5471 Williamsburg Way Madison WI $ $ /10/2008 Elizabeth Schmidt 1354 Field Court Mt. Horeb WI $ $ /10/2008 Rudolph Jackie 1524 Waldorf Blvd Madison WI $ $ /12/2008 Worzala David John 1907 Rowley Avenue Madison WI $ $ /15/2008 Sielaff Karen 14 Georgetown Court Madison WI UW Cancer Center, Madison WI Nurse $ $
3 2/16/2008 Erickson Sandra 6828 Park Ridge Drive Madison WI $ $ /21/2008 Talcott Myron 6754 Raymond Road, #214 Madison WI $ $ /26/2008 Loumos Dean 2724 Milwaukee Street Madison WI $ $ /21/2008 Subeck Susan 2625 Corinth Road Olympia Fields IL Homemaker $ $ /21/2008 Miller Mark 4903 Roigan Terrace Monona WI $ $ /27/2008 Vilbrandt Susan 938 Pontiac Trail Madison WI $ $ /28/2008 Cohen Mark 7051 Watts Road Madison WI $ $ /29/2008 Erickson Charles 1541 Jefferson Street Madison WI $ $ /29/2008 Sargent Justin 1638 Mayfield Lane Madison WI $ $ /29/2008 Sargent Melissa 1638 Mayfield Lane Madison WI $ $ /29/2008 Peterson David 2018 Chamberlain Avenue Madison WI $ $ /29/2008 Wealti Shane Innovative Picking 1802 Fordem Avenue Madison WI Technologies, Ixonia WI Comanche Glen Madison WI Software Development Manager $ $ Retired/homemak er $ $ /2/2008 Palmer Connie 1533 Comanche 3/2/2008 Smalley Charles Glen Madison WI $ $ /4/2008 Woodruff Jacqueline 5 Dumont Circle Madison WI $ $ /5/2008 Passman Donald 3118 Todd Drive Madison WI The University of Wisconsin, Madison WI Professor $ $ /5/2008 Coyier Dennis 2866 Alydor Way Cottage Grove WI $ $ /8/2008 Erickson Charles 1541 Jefferson Street Madison WI $ $ /8/2008 Ellingson Susan 1922 Vilas Avenue Madison WI $ $ /8/2008 Ihlenfeld Gayle 1205 Burning Wood Way Madison WI $ $ 75.00
4 3/8/2008 Stodder Suzan 3210 Bluff Street, #2 Madison WI $ $ Spring Rose 3/8/2008 Farley Linda Road Verona WI $ $ /8/2008 Stoebig Thomas 4309 Hegg Avenue Madison WI $ $ /8/2008 Keys Linda 2 North Rock Road Madison WI $ $ /10/2008 Schuessler James 22 North 7th Street Madison WI $ $ /10/2008 MacCubbin Jean 3530 Heather Crest Madison WI $ $ /10/2008 Mapp Jim 1927 Commonwealth Avenue Madison WI $ $ /10/2008 Deer Constance 4821 Scheider Road Oregon WI $ $ /12/2008 Lee Lindsey 1323 Spaight Street Madison WI Cargo Coffee, Madison, WI Owner $ $ /12/2008 Poulson Gary 637 Charles Lane Madison WI $ $ UW Cancer 3/12/2008 Sielaff Karen 14 Georgetown Court Madison WI Center, Madison WI Nurse $ $ /12/2008 Chance Ron 205 Dixon Street Madison WI $ $ /12/2008 Craney Terrance 10 Madeline Island Madison WI $ $ South Gammon X 3/12/2008 Subeck Lisa Road Madison WI Candidate $ $ /13/2008 Hecht Anne 2524 Targhee Street Fitchburg WI $ $ /13/2008 Godfrey Robert 228 Lakewood Blvd. Madison WI $ $ Lois Lowry 3/14/2008 LaMar Larry Lane Madison WI $ $ /15/2008 Storley David 7818 Lois Lowry Lane Madison WI $ $ Promega Corp, 3/15/2008 Silveira Arlene 5760 Barbara Drive Madison WI Fitchburg, WI Director of Marketing $ $ X 3/17/2008 Selin Cris 6767 Frank Lloyd REALTORS Wright Avenue, Direct Giver #214 Middleton WI Program Conduit SEB# $ $ 25.00
5 SCHEDULE 1-B Contributions from Committees IN- KIND DATE LAST FIRST ADDRESS CITY ST ZIP AMOUNT 2/8/2008 Barbara Vedder Friends of 2314 East Dayton Madison WI $ /25/2008 Kathleen Falk Friends of PO Box 8832 Madison WI $ /11/2008 Teaching Assistants Assoc. PAC 254 W. Gilman Street Madison WI $
6 YTD $ $ $
7 SCHEDULE 1-C Other Income and Commercial Loans DATE LAST FIRST ADDRESS CITY ST ZIP AMOUNT YTD
8 SCHEDULE 2-A Gross Expenditures In- Kind DATE NAME ADDRESS CITY ST ZIP PURPOSE AMOUNT /7/2008 Wells Print and Digital P.O. Box 1744 Madison WI 1744 Printing lit piece $ /8/2008 Paypal.com Fees $ /13/2008 Wells Print and Digital P.O. Box 1744 Madison WI Printing and Mailing lit piece $ 1, /3/2008 Paypal.com Fees $ /4/2008 Postmaster 733 Struck Street Madison WI Postage $ /6/2008 Postmaster 733 Struck Street Madison WI Postage $ /6/2008 Wells Print and Digital P.O. Box 1744 Madison WI Printing $ X 3/12/2008 Lisa Subeck 818 S. Gammon Road Madison WI Website hosting $ /14/2007 Wells Print and Digital P.O. Box 1744 Madison WI Printing and Mailing lit piece $
9 SCHEDULE 2-B Contributions to Committees In-Kind DATE NAME ADDRESS CITY ST ZIP PURPOSE AMOUNT
10 SCHEDULE 3-A Incurred Obligations Excluding Loans DATE NAME ADDRESS CITY ST ZIP PURPOSE Outstanding Balance Beg of Period New Obligations This Period Payment This Period Outstanding Bal Close of Period
11 SCHEDULE 3-B Loans: Individual, Committee or Commercial DATE NAME ADDRESS CITY ST ZIP Outstanding Balance Beg of Period Cumulative Payments This Period Outstanding Balance End of Period Guaruntor (if any) Name and Address
12 SCHEDULE 3-C Estimated Value of In-Kind Contributions Received DATE NAME ADDRESS CITY ST ZIP Place of Business Individ or Comm Description of Contribution Estimated Amount 3/12/2008 Subeck Lisa 818 South Gammon Road Mad ison WI Candidate Web site hosting $ SCHEDULE 3-D Estimated Value of In-Kind Contributions Given DATE NAME ADDRESS CITY ST ZIP Place of Business Individ or Comm Description of Contribution Estimated Amount SCHEDULE 3-E Contributions Returned to Contributor DATE OF ORIGINAL CONTRIB NAME ADDRESS CITY ST ZIP Amount Returned SCHEDULE 3-F Contributions Donated to Charity or Common School Fund DATE NAME ADDRESS CITY ST ZIP Reason Amount
13 Estimated YTD Estimated YTD
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