CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 01/06/2012 Sarow, David G PO Box 212, Balsam Lake, WI 54810 Retired Retired WI $450.00 $450.00 Comment(s): personal loan to campaign

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$5,242.18 $5,242.18

$0.00 $0.00

$5,242.18 $5,242.18

Street Address: 604 Ramberg Ct.

City, State and Zip: Balsam Lake, WI 54810

Filing Period Name: July Continuing 2012

Name of Committee/Corporation:

Bever 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

$6,710.46 $6,710.46

$25.00 $25.00

$100.17 $100.17

$6,835.63 $6,835.63

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0105175

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)

$87.17

$6,835.63

$6,922.80

$5,242.18

$0.00

$700.00

$1,680.62*

*

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:Sarow, David G.

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

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Bever for Assembly

Comment(s): check

01/21/2012 Reynolds, Jacqueline

135 State Rd 35, Milltown, WI 54858

retired retired WI $28.00 $33.00

Comment(s): check

01/21/2012 Birling, Laura 2209 185th St., Milltown, WI 54858

$28.00 $28.00

Comment(s): check

01/09/2012 Moore, Greg 2022 Lamborn Ave., Superior, WI 54880

$10.00 $10.00

Comment(s): check

Comment(s): cash

01/21/2012 Peterson, Jeff 750 Round Lake Rd, Luck, WI 54853

retired retired WI $50.00 $98.25

01/09/2012 White, Karoline 780 280th Ave., Frederic, WI 54837

$6.00 $6.00

01/21/2012 Jones, Linda PO Box 219, Milltown, WI 54858

$20.00 $20.00

01/21/2012 Skow, Lois 1508 Lake Ave, Luck, WI 54853

$20.00 $20.00

Comment(s): cash

Comment(s): cash

Comment(s): cash

01/21/2012 Rosendahl, Carol 1708 180th St., Centuria, WI 54824

$20.00 $40.00

Monetary

Comment(s): personal loan to campaign

01/06/2012 Sarow, David G PO Box 212, Balsam Lake, WI 54810

Retired Retired WI $450.00 $450.00


01/06/2012 Sarow, Virginia A PO Box212, Balsam Lake, WI 54810


Sub Total $900.00

Personal Loan

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

Comment(s): check

01/30/2012 Sollman, Eugene 683 25th Ave., Clear Lake, WI 54005

$35.00 $35.00

Comment(s): check

01/27/2012 Crawford, Stephanie

654 82 St., Amery, WI 54001

teacher Unity School District

1908 State Hwy. 46, Balsam Lake, WI 54810

$100.00 $100.00

Comment(s): check

Comment(s): check

01/21/2012 Duerkop, Alton 1722 Larsen Lane, Centuria, WI 54824

$50.00 $60.00

02/01/2012 Christie, Kyle 532 Round Lake Lane, Osceola, WI 54020

$25.00 $25.00

Comment(s): check

01/21/2012 Muller, Bruce 1297 Cty. Rd G, Milltown, WI 54858

$28.00 $28.00

Comment(s): check

01/21/2012 Molepske, Jacki 5657 County F, Wisconsin Rapids, WI 54495

retired $200.00 $200.00

Comment(s): check

01/21/2012 Johnson, Heidi 911 State Rd. 48, Luck, WI 54853

$25.00 $25.00

01/21/2012 Leidl, Patrick PO Box 27, Turtle Lake, WI 54889

Dentist self PO Box 27, Turtle Lake, WI 54889

$100.00 $100.00

01/21/2012 Ditsch, Robert 1781 240th Ave., Luck, WI 54853

retired $100.00 $100.00

Comment(s): check

Comment(s): check

Comment(s): check

01/21/2012 Coleman, Joanne 1448 State Rd 46, Balsam Lake, WI 54810

$30.00 $30.00

Comment(s): check

01/21/2012 Paulsen, Dana PO Box 172, Milltown, WI 54858


1908 State Highway 46, Balsam Lake, WI 54810

$100.00 $100.00

Comment(s): check

01/21/2012 Johnson, Carol 2110 170th St., Milltown, WI 54858

$50.00 $50.00

Comment(s): check

01/21/2012 Wright, Robert 792A Horseshoe Lane, Dresser, WI 54009

$50.00 $50.00

Monetary

Comment(s): cash

02/25/2012 Rosendahl, Carol 1708 180th St, Centuria, WI 54824

educational assistant

Unity School District

1908 State Hwy 46, Balsam Lake, WI 54810

$5.00 $95.00

Comment(s): check

01/21/2012 Carly, Tamatha 1095 11th Ave., Cumberland, WI 54829

teacher Barron School District

100 West River Ave., Barron, WI 54812

$50.00 $50.00

Comment(s): check

Comment(s): Check

03/02/2012 McLaughlin, James H

25874 W Bass Lake Rd., Webster, WI 54893

$20.00 $20.00

02/02/2012 Weber, Sam 1988 S. Baker Rd., Balsam Lake,, WI 54810

teacher Unity Scool District

1908 150th St., Balsam Lake, WI 54810

$28.00 $28.00

02/22/2012 Perner, Melanie 22582 Assembly Dr., Grantsburg, WI 54840

$50.00 $50.00

Comment(s): check

02/22/2012 Nehring, Emily 6389 Polansky Rd., Siren, WI 54872

$10.00 $10.00

Comment(s): check


$10.00 $20.00

02/27/2012 Nelson, Jolayne 1532 State Rd. 35, Box460, Centuria, WI 54824

retired $100.00 $100.00

02/15/2012 Smith, Jane 1481 180th Ave., Balsam Lake, WI 54810

$50.00 $50.00

Comment(s): check

Comment(s): check

Comment(s): cash

02/25/2012 Anderson, Sharon 1684 Patterson Lane, Centuria, WI 54824

$20.00 $20.00

Comment(s): check

02/25/2012 Anderson, Aleta 717 S. Shore Dr., Amery, WI 54001


1908 State Hwy 46, Balsam Lake, WI 54810

$100.00 $100.00

Comment(s): cash

02/22/2012 Costerisan, Richard

PO Box 545, Siren, WI 54872

$20.00 $20.00

Comment(s): cash

02/25/2012 Meier, Pat 764 85th St., Amery, WI 54001

$20.00 $20.00

Monetary

Comment(s): check

03/31/2012 VosBenkowski, Jen

756 Round Lake Road, Luck, WI 54853

$28.00 $28.00

Comment(s): check

04/05/2012 Steinmetz, Lynn 1697 10th St., Turtle Lake, WI 54889


1908 150th St, Balsam Lake, WI 54810

$100.00 $100.00

Comment(s): check

03/27/2012 Alleva, William 1302 Central Ave, Centuria, WI 54824

retired $50.00 $71.46

Comment(s): check

03/29/2012 Toensing, Norm 623 Peterson Road, St. Croix Falls, WI 54024

retired $100.00 $100.00

02/27/2012 Dueholm, Robert 904 St. Highway 48, Luck, WI 54853

$10.00 $10.00

Comment(s): paypal

Comment(s): cash at fund raiser

03/31/2012 Bittner, Anna 718 Badlands Road, Hudson, WI 54016

$20.00 $20.00

Comment(s): check

Comment(s): check

02/06/2012 Krogstad, Rodney 229 Horseman Ave., Dresser, WI 54009

$10.00 $10.00

02/06/2012 Kienholz, Kathryn 2259 Antler Lake Lane, Milltown, WI 54858

CPA Deloitte Tax LLP

Minneapolis, MN 55055

$100.00 $0.00

03/31/2012 Hraychuck, Ann 1473 150th Ave., Balsam Lake, WI 54810

$50.00 $50.00

03/06/2012 Erickson, Rachael 1958 62nd St., Somerset, WI 54025

$40.00 $40.00

Comment(s): check

03/16/2012 Moore, Greg 2022 Lamborn, Superior, WI 54880

$10.00 $30.00

Comment(s): cash

04/06/2012 Rosendahl, Matt 109 S. 15th Ave.E., Duluth, MN 55805

$5.00 $5.00

Comment(s): check


professor U.W. Superior

WI $10.00 $40.00

Comment(s): cash

Monetary

Comment(s): check

04/04/2012 Rosendahl, Andrew

1010 S. Jackson St, Green Bay, WI 54301

Planner City of Green Bay

100 N. Jefferson St., Green Bay, WI 54301

$100.00 $100.00

Comment(s): check

04/04/2012 Adelman, Charles 2455 110th St., Luck, WI 54853

retired $50.00 $50.00

Comment(s): check

Comment(s): check

04/04/2012 Moore, Roxanne PO Box 21, Balsam Lake, WI 54810

Retired $50.00 $50.00

04/04/2012 Ogren, Ken PO Box 279, Centuria, Centuria, WI 54824

consultant WRTWC Inc PO Box 279, Centuria, WI 54824

$200.00 $200.00

Comment(s): check

04/05/2012 Thompson Baldwin, Lois

PO Box 91, Luck, WI 54853

$25.00 $25.00

Comment(s): check

04/05/2012 Christie, Nancy 532 Round Lake Lane, Osceola, WI 54020

$25.00 $25.00

Comment(s): check

04/05/2012 Bergren, Merle 1152 US Highway 8, Amery, WI 54500

$25.00 $25.00

04/04/2012 Cronick, Joe 2209 75th Ave., Osceola, WI 54020

$50.00 $50.00

04/05/2012 Boland, Chris 776 Round Lake Road, Luck, WI 54853

$15.00 $15.00

Comment(s): check

Comment(s): check

Comment(s): check

04/04/2012 Schladweiler, Calvin

717 Michigan Ave., PO Box 171, Centuria, WI 54824

$30.00 $30.00

Comment(s): check

04/04/2012 Halvorsen, Gladys PO Box 27, Milltown, WI 54858

$20.00 $20.00

Comment(s): check

04/05/2012 Molepske, Jackie 5657 County Road F, Wisconsin Rapids, WI 54495

retired $50.00 $272.00

Comment(s): cash

04/05/2012 Johnson, Birdie PO Box 436, Centuria, WI 54824

$10.00 $10.00

Monetary

Comment(s): check

05/03/2012 Paulsen, Karen 305 State Road 46, Balsm Lake, WI 54810

$50.00 $50.00

Comment(s): check


$10.00 $50.00

04/20/2012 Olson, Kay 30207 Burlingame Road, Danbury, WI 54830

$10.00 $10.00

Comment(s): check

Comment(s): check

04/26/2012 Williams, Guy PO Box 232, Balsam Lake, WI 54810

retired $50.00 $50.00

05/07/2012 Stoll, Sharon 1227 !70th Ave, Balsam Lake, WI 54810

$50.00 $50.00

04/11/2012 Castellano, Priscilla

PO Box 194, Milltown, WI 54858

$10.00 $10.00

Comment(s): cash

04/11/2012 Randall, Ann 516 W. Main St., Balsam Lake, WI 54810

$50.00 $50.00

Comment(s): check

04/11/2012 Larson, Kari 1349 State Road 46, Balsam Lake, WI 54810

$28.00 $28.00

04/20/2012 Sexton, Paul 7631 Cty Road B, Siren, WI 54872

retired $100.00 $100.00

04/11/2012 Bowman, Elizabeth

11525 Luther Point Road, Grantsburg, WI 54840

$10.00 $10.00

Comment(s): check

Comment(s): check

Comment(s): check

04/18/2012 Otto, Janet 327 Stokely Road, Milltown, WI 54858

$25.00 $25.00

Comment(s): check

04/18/2012 Sullivan, Robert 6019 Pike Lake Road, Webster, WI 54872

retired $20.00 $20.00

Comment(s): check

04/11/2012 Carlson, Joan 2148 80th St., Luck, WI 54853

$28.00 $28.00

Comment(s): cash

04/18/2012 Costerisan, Richard

23328 Nyren Road, Siren, WI 54872

retired $50.00 $70.00

Monetary

03/31/2012 Roddel, Tim 12375 Oak Park Blvd. N.E., Blaine, MN 55434

$20.00 $20.00

Comment(s): cash

06/01/2012 Berthold, Mary 425 Howard Lane, Balsam Lake, WI 54810

retired $50.00 $50.00

Comment(s): cash

03/31/2012 Netwall, Cheryl 1770 Holiday Dr., Centuria, WI 54824


1908 150th St, Balsam Lake, WI 54810

$100.00 $100.00

03/31/2012 Skow, Lois 1508 Lake Ave, Luck, WI 54853

retired $20.00 $40.00

Comment(s): check

Comment(s): ACTBLUE


Professor UW Superior Box 2000, Superior, WI 54880

$10.00 $60.00

Comment(s): check

05/12/2012 Beseler, Brian 330 Peterson Drive, Dresser, WI 54009

$25.00 $25.00

Comment(s): check

05/24/2012 Dueholm, Eric 806 150th St., Luck, WI 54853

Vice-President Colliers International

900 2nd Ave S., Suite 550, Minneapolis, MN 55402

$100.00 $100.00

Comment(s): check

Comment(s): check

Comment(s): check

05/22/2012 Duerkop, Sue 1722 Larsen Lane, Centuria, WI 54824

$75.00 $75.00

05/30/2012 Boyken, Mark 1797 Pinewood Road, St. Croix Falls, WI 54024

retired $100.00 $100.00

03/31/2012 Morris, Mike 1510 240th Ave, Luck, WI 54853

$28.00 $28.00

Comment(s): check

03/31/2012 Klatt, Richard 1459 150th Ave, Balsam Lake, WI 54810

$50.00 $50.00

Comment(s): check

03/31/2012 Johanson, Christine

897 250th Ave, Luck, WI 54853

$25.00 $25.00

Comment(s): check

03/31/2012 Fjorden, Priscilla Box 276, Milltown, WI 54858

$25.00 $25.00

Comment(s): check

Monetary

Comment(s): actblue

06/30/2012 Larson, Alec 1349 State Rd. 46, Balsam Lake, WI 54810

server Thirsty Otter 101 Cty. Rd I, Balsam Lake, WI 54810

$30.00 $30.00

Comment(s): actblue

06/27/2012 Eastman, Lisa PO Box 675, Newell, SD 57760

Senior Living Administrator

Park Meadows Senior Living

5901 W. 107th St., Overland Park, KS 66207

$100.00 $100.00

Comment(s): tshirts

Comment(s): actblue

06/30/2012 Stori, Susan 816 Glover Rd., River Falls, WI 54022

Sales/Marketing Seasons On The Saint Croix Gallery

401 2nd St., Hudson, WI 54022

$25.00 $25.00

06/27/2012 Heutmaker, Bradley

4630 St. Paul Blvd., Rochester, NY 14617

CMO Chairman's Management LLC

4630 St. Paul Blvd, New York, Rochester, WI 14617

$20.00 $20.00

06/20/2012 Rosendahl, Carol 1708 180th st, Centuria, WI 54824



1908 150th st, Balsam Lake, WI 54810

$20.00 $145.00

Comment(s): 3 tshirts

06/20/2012 Duerkop, Sue 1722 Larsen Lane, Centuria, WI 54824

retired $18.00 $93.00

Comment(s): tsirts

06/18/2012 Nehring, Marilyn 1783 175th Ave., Centuria, WI 54824

retired $25.00 $25.00

06/25/2012 Bever, Adam 604 Ramberg Ct., balsam Lake, WI 54810

$54.00 $54.00

06/20/2012 Eisenman, Jessica 348 100th St., Amery, WI 54001

$30.00 $30.00

06/27/2012 Pashby, Donald 203 Donavon Cove Road, Shell Lake, WI 54871

$25.00 $25.00

Comment(s): tshirt

Comment(s): tshirt

06/20/2012 Erickson, Rachael 1958 62nd St, Somerset, WI 54025

$20.00 $60.00

Comment(s): tshirt

06/20/2012 Muller, Karen 1297 Cty Rd G, Milltown, WI 54858

$18.00 $18.00

Comment(s): tshirts

06/20/2012 Sarow, Gina 1251 220th ave, Milltown, WI 54858

retired $19.00 $369.00

Comment(s): tshirt

06/20/2012 Crawford, Stephanie

654 82nd st, Amery, WI 54001


1908 150th st, Balsam Lake, WI 54810

$9.00 $109.00

Monetary

Comment(s): food for fund raiser

01/21/2012 Holicky, Cara 1425 300th Ave, Frederic, WI 54837


1908 Hwy 46, Balsam Lake, WI 54810

$20.00 $20.00

Comment(s): supplies for fund raiser

01/17/2012 Alleva, William 1302 Central Ave., Centuria, WI 54824

Retired $21.46 $21.46


01/21/2012 Reynolds, Jacqueline

135 State Rd. 35, Milltown, WI 54858


In-Kind

Comment(s): paypal- enter 1.75 expense

Comment(s): actblue



1908 150th St., Balsam Lake, WI 54810

$50.00 $175.00

Comment(s): actblue

06/21/2012 Graf, Colleen 2637 101 Lane N., Brooklyn Park, MN 55444

$25.00 $25.00

Comment(s): actblue

06/26/2012 Molepske, Jennifer 5304 Reddin Rd., Wisconsin Rapids, WI 54495

$20.00 $20.00

Comment(s): actblue

06/25/2012 Willis, Melissa 775E. 96th St., Indianapolis, IN 46420

$40.00 $40.00

Comment(s): actblue

06/11/2012 Mealey, Matt 1397 Mallard Lane, Balsam Lake, WI 54810

teacher New Richmond School District

701 E. 11th St., New Richmond, WI 54017

$20.00 $20.00

Comment(s): actblue

01/11/2012 Peterson, Jeff 750 Round Lake Rd, Luck, WI 54853

retired $50.00 $50.00

Comment(s): actblue

06/11/2012 Peterson, Jeff 750 Round Lake Rd., Luck, WI 54853

retired $20.00 $120.00

Comment(s): actblue

06/11/2012 Molepske, Jackie 5657 Cty. Rd. F, Wisconsin Rapids, WI 54495

retired $50.00 $322.00

Sub Total $4,548.00

Monetary



retired $22.00 $222.00


01/21/2012 Anderson, Jodi PO Box 142, Milltown, WI 54858

$20.00 $20.00



01/21/2012 Cook, Karla 1207 150th St., Balsam Lake, WI 54810

$13.50 $13.50

01/21/2012 Bielmeier, Mike 2058 80th St, Luck, WI 54853

$15.00 $15.00


01/21/2012 Leidle, Linda 814 233rd St., Osceola, WI 54020

$10.00 $10.00


01/21/2012 Petzel, Debbie 2037 180th Ave, Centuria, WI 54824

$25.00 $25.00

Comment(s): food for fund raising

01/21/2012 Arndt, Al PO Box 251, Milltown, WI 54858


1908 Hwy 46, Balsam Lake, WI 54810

$20.00 $20.00




$25.00 $125.00

01/21/2012 Duerkop, Al 1722 Larsen Lane, Centuria, WI 54824

$10.00 $10.00




01/21/2012 Zipperer, Craig 1657 70th St., Balsam Lake, WI 54810

$13.50 $13.50


01/21/2012 Pfaff, Jeff 2490 204th St, Luck, WI 54824

$10.00 $10.00


01/21/2012 Johnson, Heidi 911 State Hwy.48, Luck, WI 54853

$15.00 $15.00


01/21/2012 Peterson, Betsy 106 Ranger Ct., Milltown, WI 54858

$5.00 $5.00

In-Kind

Comment(s): entertainment for fund raiser

01/21/2012 Liedl, Pat PO Box 27, Turtle Lake, WI 54889

dentist self PO Box 27, Turtle Lake, WI 54889

$150.00 $250.00



01/21/2012 Carly, Tamatha 1095 11th Ave., Turtle Lake, WI 54889

teacher Barron School District

100 West River Ave., Barron, WI 54812

$150.00 $200.00






$90.00 $90.00


01/21/2012 Daugherty, Mike 220 Cloutier Lane #3, Somerset, WI 54025

postal worker US Postal Service

311 Main St., Somerset, WI 54025

$150.00 $150.00

01/21/2012 Anderson, Brad 717 S. Shore Dr., Amery, WI 54001

fabricator Amery Welding and Fabricating

455 Griffin Blvd., Amery, WI 54001

$150.00 $150.00

Comment(s): entertainment for fund raising

01/21/2012 Binford, Pat 413 131/2 St., Dallas, WI 54733-9628

self self 413 131/2 St., Dallas, WI 54733-9628

$150.00 $150.00

Sub Total $1,090.46

In-Kind

Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Total $6,710.46

Total UnItemized Contributions $0.00

Total Anonymous Contributions $172.00

Grand Total $6,710.46

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)


04/25/2012 Assembly Democratic Camp Comm

P.O. Box 814, Madison, WI 53701 $25.00 $25.00

Comment(s): graphic design for nomination papers

Sub Total $25.00

In-Kind


Grand Total $25.00

Total $25.00

Date Full Name Address Amount YTD

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans


Comment(s): received on 12-2-2011 but not reported to campaign until 1-15-2012

01/01/2012 paypal 2122 N. First St., San Jose, CA 95131 $0.13 $0.13

Other Income

Comment(s): received on 12-8-2012. Not reported to campaign until 1-15-2012

01/01/2012 paypal 2122 N. First St., San Jose, CA 95131 $0.04 $0.04

Other Income

Comment(s): refund of deposit for hall rental for fund raiser

01/23/2012 Village of Milltown PO Box 485, Milltown, WI 54858 $100.00 $100.00

Expense Refund

Total $100.17

Date Full Name Address Amount YTD

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

01/21/2012 Petzel, Debbie 2037 180th Ave, Centuria, WI 54824

Fundraiser - Food & Beverage

$25.00



01/21/2012 Reynolds, Jacqueline 135 State Rd. 35, Milltown, WI 54858


$5.00


Comment(s): supplies for fund raiser

01/21/2012 Leidle, Linda 814 233rd St., Osceola, WI 54020


$10.00

01/17/2012 Alleva, William 1302 Central Ave., Centuria, WI 54824


$21.46

01/21/2012 Holicky, Cara 1425 300th Ave, Frederic, WI 54837


$20.00

01/21/2012 Duerkop, Al 1722 Larsen Lane, Centuria, WI 54824


$10.00




01/21/2012 Arndt, Al PO Box 251, Milltown, WI 54858


$20.00

In-Kind



$100.00



$100.00

Sub Total $200.00

Loan Payment

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount

Bever for Assembly

01/21/2012 Daugherty, Mike 220 Cloutier Lane #3, Somerset, WI 54025

Fundraiser - Entertainment

$150.00


01/21/2012 Binford, Pat 413 131/2 St., Dallas, WI 54733-9628


$150.00



01/21/2012 Bielmeier, Mike 2058 80th St, Luck, WI 54853


$15.00

Comment(s): entertainment for fund raising

01/21/2012 Anderson, Brad 717 S. Shore Dr., Amery, WI 54001


$150.00


01/21/2012 Zipperer, Craig 1657 70th St., Balsam Lake, WI 54810


$13.50


01/21/2012 Peterson, Betsy 106 Ranger Ct., Milltown, WI 54858


$5.00

01/21/2012 Anderson, Jodi PO Box 142, Milltown, WI 54858


$20.00

01/21/2012 Johnson, Heidi 911 State Hwy.48, Luck, WI 54853


$15.00


01/21/2012 Pfaff, Jeff 2490 204th St, Luck, WI 54824


$10.00




$22.00


01/21/2012 Cook, Karla 1207 150th St., Balsam Lake, WI 54810


$13.50




$25.00


In-Kind

03/27/2012 Zamba, Larry 24503 75th St, Salem, WI 53168

Media - Website Development

$500.00

Comment(s): magnetic signs

05/19/2012 PaperWorx Design 131 Birch St., Amery, WI 54001

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

$102.23

Comment(s): palm pieces

05/22/2012 Eagle Industries PO Box 250, Balsam Lake, WI 54810


$382.49

Comment(s): business cards


Media - Graphic Design

$29.89

06/01/2012 ActBlue Wisconsin PO Box 382110, Cambridge, MA 02238-2110

ActBlue Fees $1.98


Printing - Brochures

$464.20

Comment(s): polo shirts

04/25/2012 sew creative 201 Main St, Balsam Lake, WI 54810

Candidate Expense - Clothing

$95.35

Comment(s): name tag

Monetary




$90.00


01/21/2012 Liedl, Pat PO Box 27, Turtle Lake, WI 54889


$150.00


01/21/2012 Carly, Tamatha 1095 11th Ave., Turtle Lake, WI 54889


$150.00


04/25/2012 Assembly Democratic Camp Comm

P.O. Box 814, Madison, WI 53701


$25.00

Comment(s): graphic design for nomination papers

Sub Total $1,115.46

In-Kind

Comment(s): t shirts


ActBlue Fees $2.97


ActBlue Fees $9.29

03/20/2012 PaperWorx Design 131 Birch St.`, Amery, WI 54001

Printing - Copies

$582.78

06/04/2012 Somerset Rotary PO Box 246, Somerset, WI 54025

Parade Expenses - Fees, candy

$50.00

06/07/2012 TL Enterprises Box 67, Milltown, WI


$234.00

Comment(s): pay pal fees

01/07/2012 Zamba, Larry 24503 75th St, Salem, WI 53168

Consulting Fees - General

$314.00

Comment(s): candidate boot camp

02/01/2012 Pay pal 2211 N 1st St., San Jose , CA 95131

Administrative Expenses

$3.79

Comment(s): parade fee

03/20/2012 Intercounty Leader 107 N.Washington St., St. Croix Falls, WI 54024

Media - Newspaper

$61.00

Comment(s): ad for fund raiser



$487.66

Comment(s): design logo

03/26/2012 USPS Amery, WI 54001

Postage $73.70

01/17/2012 Bever, Adam 604 Ramberg, Balsam Lake, WI 54810

Candidate Expenses - Travel

$211.08

01/16/2012 Village of Milltown Box 485 , Milltown, WI 54810

Fundraiser - Hall Rental

$125.00

Comment(s): room costs at Best Western for candidate boot camp

Monetary

04/09/2012 US Postal Service Balsam Lake, WI 54810

Postage $90.00

05/25/2012 Wings, foundation 1339 190th Ave., Balsam Lake, WI 54810

Charitable Donation

$100.00

Comment(s): sponsorship of a hole for the golf outing fund raiser

Comment(s): pay pal fee for jeff peterson donation


ActBlue Fees $3.56

Comment(s): 200 stamps

01/11/2012 Paypal 2211 N First St., San Jose, CA 95131

Administrative Expenses

$1.75

Sub Total $3,926.72

Monetary

Total $5,242.18


Grand Total $5,242.18

SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)


Total $0.00

Registrant In-Kind Sub Total (-): $0.00


Grand Total $0.00

Date Full Name Address Vendor Name Vendor Address

Amount

ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A


Incurred Obligation Outstanding Amount:

Grand Total $0.00

Date Full Name Address Amount

$0.00

Bever for Assembly

Grand Total $0.00

Date Full Name Amount Paid

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B


Loans Outstanding Amount:

Bever for Assembly

$0.00


$450.00 $100.00 $350.00



$450.00 $100.00 $350.00


Sub Total $700.00

Personal Loan

Grand Total $700.00

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount

Documents

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 01/06/2012 Sarow, David G PO Box 212, Balsam Lake, WI 54810 Retired Retired WI $450.00 $450.00 Comment(s): personal loan to campaign