CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE
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1 CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? NO COMMITTEE IDENTIFICATION Name of Committee Tobias 4 Dane County 18 Address 814 Havey Road City, State, ZIP Madison,WI OFFICE USE ONLY Please check if address is different than previously reported NAME OF REPORT July 15 continuing report for 2016 election 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, $ 6, B. Contributions from Committees (Transfers-In) $ $ C. Other Income and Commercial Loans $ - TOTAL RECEIPTS (Add totals from 1A, 1B, and 1C) $ 2, $ 7, DISBURSEMENTS A. Gross Expenditures $ 4, $ 7, B. Contributions to Committees (Transfers-Out) $ - TOTAL DISBURSEMENTS (Add totals from 2A and 2B) $ 4, $ 7, CASH SUMMARY Cash Balance at Beginning of Report $ - $2, Total Receipts $ 2, $7, Subtotal $ 2, $7, Total Disbursements $ 4, $7, CASH BALANCE AT END OF REPORT $ (2,116.98) 0 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 07/15/2016 AdamTobias Adam Tobias tobias4danecounty Daytime Phone NOTE: The information on this form is required by ss , , , , , , , Wis. Stats. Failure to provide the information may subject you to the penalties of ss , , Wis. Stats. Print the completed report and file with your local clerk or election commission by the filing deadline. ETHCF-2LE (01/16)
2 SCHEDULE 1-A Contributions Including Loans from Individuals IN-KIND CONDUIT DATE LAST FIRST ADDRESS CITY ST ZIP OCCUPATION AMOUNT YTD COMMENTS 1891 St. Albert the government 03/31/16 Larowe Christopher Great Drive Sun Prairie WI relations $ $ /04/16 Cheong Sek 513 Orchard Dr Madison WI $ $ /01/16 Lewke David 1442 Wheeler Road Madison Wi retired $ $ Sherman owner of printing 03/31/16 Tiefenthaler Todd Ave. Madison WI company $ $ /01/16 Tiziani Dennis 5000 N. Sherman Ave. Madison WI PGA professional $ $ Midtown 03/31/16 Willett Sue Road Verona WI retired $ $ /31/16 Bruskewitz Eileen 5134 Reynolds Ave Waunakee WI retired $ $ /24/16 Stebbins Peter 3618 Alpine Rd Madison WI $ $ /24/16 Richardson William 2040 Allen Blvd Middleton WI retired $ $ /24/16 Bottensek Rose 3613 Cascade Road Madison WI $ $ /24/16 Borchardt Dorothy 1717 Elka Lane Madison WI retired $ $ /24/16 Ferrell Brooke 7122 E Valley Ridge Drive Madison WI $ $ /31/16 Republican Party of Dane County PO Box 945 Madison WI $ $ Greater Madison Chamber of Commerce Direct 03/28/16 Givers PO Box 71 Madison WI $ $ x 04/06/16 Brad Boykes 660 John Nolan Drive Madison WI $ $ x 03/24/16 Procter Robert 6101 Gateway Grn Monona WI $ $ /26/16 Reeder Carmen 149 Pine View Drive Madison WI security coodinator $ 9.65 $ /22/16 Berken Nathan 3158 N 104th St. Wauwatosa WI government relations $ $ 48.25
3 SCHEDULE 1-B Contributions from Committees IN- KIND DATE COMMITTEE NAME Ethics ID# ADDRESS CITY ST ZIP AMOUNT YTD COMMENTS Realtors Association of South 03/24/16 CentralWisconsin 4801 Forest Run Road Madison WI $ $
4 SCHEDULE 1-C Other Income and Commercial Loans DATE NAME ADDRESS CITY ST ZIP REASON FOR INCOME AMOUNT COMMENTS
5 SCHEDULE 2-A Gross Expenditures IN-KIND DATE NAME ADDRESS CITY ST ZIP PURPOSE AMOUNT COMMENTS 03/25/16 A Quality Signs 4606 Pflaum Rd Madison WI Campaign signs $ /25/16 North/Eastside Senior Coalition 1625 Northport Drive #125 Madison WI Ad in the Golden Times $140 03/31/16 Nortside Planning Council 1202 Northport Drive Madison WI Ad in Northside News $ /31/16 Chase Bank 100 East Washington Ave. Madison WI monthy service fee $ ad design, printing charge for mailers 04/04/16 Kramer Printing 5515 Catfish Court Waunakee WI and postage. $2,650 04/07/16 Kramer Printing 5515 Catfish Court Waunakee WI ad design and printing charge for door hangers. $ /18/16 Ruck Us Inc. campaign website fee $ /18/18 Ruck Us Inc. campaign website fee $ /29/16 Chase Bank 100 East Washington Ave. Madison WI monthy service fee $ /03/16 Dane County Humane Society 5132 Voges Rd Madison Wi campaign donation $ /26/16 Democracy.com 231 Front St. Suite 107 Brooklyn NY campaign contribution fees $ /22/16 Democracy.com 231 Front St. Suite 107 Brooklyn NY campaign contribution fees $ 1.75
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? YES NO NO COMMITTEE IDENTIFICATION Name of Committee Amos Roe for School Board Address PO Box City, State, ZIP Madison WI
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE
COMMITTEE IDENTIFICATION Name of Committee CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? n Yes Anna for Dane Address P.O. Box 6094 City, State, ZIP Monona, WI, 53716 OFFICE
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