CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012-08-02 · 07/30/2012 Nimm, Sean 3225 Olympia Ave, Stevens Point, WI 54481 Dir-Pricing & Prod Dev-Trans Sentry Insurance a

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$5,793.62 $16,838.48

$0.00 $0.00

$5,793.62 $16,838.48

Street Address: P.O. Box 59

City, State and Zip: Merrill, WI 54452

Filing Period Name:

Covers all activity from 07/01/2012 through 07/30/2012

Fall Pre-Primary 2012

Name of Committee/Corporation:

Citizens for Tiffany

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

$10,120.00 $75,002.63

$0.00 $15,970.22

$0.00 $7.59

$10,120.00 $90,980.44

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0104212

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)

$100,268.43

$10,120.00

$110,388.43

$5,793.62

$0.00

$1,269.20

$104,594.81*

*

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:Koth, James

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: Citizens for Tiffany

Comment(s): Tom Tiffany, STATE HOUSE 35th WI

07/19/2012 Braun, Richard 1106 Sixth St., Kewaunee, WI 54216

Director Baylake Bank, Sturgeon Bay

217 N. 4th Ave., P.O. Box 9, Sturgeon Bay, WI 54235

$200.00 $0.00

07/30/2012 Terharn, Susanne S.

6310 West Cedar, Wauwatosa, WI 53213

Manager MillerCoors 3939 West Highland Blvd., P.O. Box 482, Milwaukee, WI 53201

$100.00 $0.00

07/30/2012 Scully, Timothy H. 619 Laura Drive, Falls Church, VA 22046

Vice President Government Affairs

MillerCoors 1501 M. Street NW, Suite 330, Washington DC, DC 20005

$100.00 $0.00

07/19/2012 Wolf, Bruce 2929 S. Telemark Cir., Green Bay, WI 54313

Owner Comfort Suites

1951 Bond St., Green Bay, WI 54303

$100.00 $0.00

07/19/2012 Pope, Chico 11802 Charley Bluff Rd., Milton, WI 53563

Owner Buckhorn Supper Club

11802 Charley Bluff Rd., Milton, WI 53563

$150.00 $0.00

Comment(s): Tom Tiffany, STATE HOUSE 35th WI

07/19/2012 Kellman, Michael 14315 W. Meadowshire Ct., New Berlin, WI 53151

Banker North Shore Bank, SSB

15700 W. Bluemound Rd, Brookfield, WI 53005

$200.00 $0.00

07/30/2012 Beversdorf, Brett 1427 Sky Line Dr, Stevens Point, WI 54482

Aviation Manager Sentry Insurance a Mutual Company

1800 North Point Drive, Stevens Point, WI 54481

$50.00 $0.00

07/30/2012 Wright III, James T.

W149 N7420 Hidden Meadow Drive, Menomonee Falls, WI 53051

Sales Planning Director

MillerCoors 3939 West Highland Blvd., P.O. Box 482, Milwaukee, WI 53201

$100.00 $0.00

07/30/2012 Long, N. Thomas 6836 North Barnett Lane, Fox Point, WI 53217

President & CEO MillerCoors 3939 West Highland Blvd., P.O. Box 482, Milwaukee, WI 53201

$100.00 $0.00

07/30/2012 Sheehy, James J. 19170 Glacier Parkway, Brookfield, WI 53045

VP Procurement MillerCoors 3939 West Highland Avenue, P.O. Box 482, Milwaukee, WI 53201

$100.00 $0.00

Conduit Contribution

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

07/09/2012 Lau, Craig W1879 Cty Rd A, Tomahawk, WI 54487

$25.00 $25.00

Monetary

07/03/2012 Meyer, Daniel 3355 Star Creek Lane, Green Bay, WI 54311

ADMINISTRATOR Aurora BayCare Med Ctr

PO Box 8900, Green Bay, WI 54308

$100.00 $100.00

07/05/2012 Size, Tim 2215 Commonwealth Av, Madison, WI 53726

EXECUTIVE DIRECTOR

Rural Wisconsin Health Coop

880 Independence Lane, Sauk City, WI 53583

$250.00 $250.00

07/01/2012 Schmidt, Mary W2528 Brookhaven Dr, Appleton, WI 54915

PUBLIC RELATIONS

Boldt 2525 N Roemer Rd, Appleton, WI 54911

$500.00 $500.00

07/30/2012 Knishka, James 3060 Portarligton Lane, Fitchburg, WI 53711

Application Dvlpmt Mgr

Sentry Insurance a Mutual Company


$100.00 $0.00

07/30/2012 Nimm, Sean 3225 Olympia Ave, Stevens Point, WI 54481

Dir-Pricing & Prod Dev-Trans



$100.00 $0.00

07/30/2012 Olson, Donald 4823 Barbara's Lane, Stevens Point, WI 54481

VP Segment Executive (TR)



$100.00 $0.00

07/30/2012 Durall, Robert 1950 Ashford Drive, Plover, WI 54467

Dir-IT Customer Service



$100.00 $0.00

07/30/2012 Garth, Vincent 4285 Sterling Drive, Plover, WI 54467

Assoc Dir Sales - Cycle



$100.00 $0.00

07/30/2012 Hackl, Mark 4440 River Drive, Plover, WI 54467

SVP Group Exec C/L DW and L&H



$200.00 $0.00

07/30/2012 Wunrow, Gary 2710 Cambridge Ct., Plover, WI 54467

Project Manager Sr



$100.00 $0.00

07/30/2012 Peters, Frank 7085 Bass Lake Road, Lake Tomahawk, WI 54539-9311

Retired $200.00 $0.00

07/03/2012 Quinn, George 1809 Jefferson St, Madison, WI 53711

SENIOR POLICY ADVISOR

Wisconsin Hospital Association

PO Box 259038, Madison, WI 53725

$100.00 $100.00

07/30/2012 Trautschold, Mark 4272 Windsong Place, Plover, WI 54467

SVP Chief Claims Officer



$100.00 $0.00

07/30/2012 Wittmann, Richard 996 Newhaven Circle, Sun Prairie, WI 53590

VP Chief Marketing Officer



$50.00 $0.00

Sub Total $3,300.00

Conduit Contribution

07/27/2012 Barden, Alvin 4427 Chain O'Lakes Rd, Eagle River, WI 54521

RETIRED $50.00 $50.00

07/27/2012 Kennedy, Robert 208 E Polk St, Crandon, WI 54520

RETIRED $20.00 $20.00

07/27/2012 Bardenwerper, James

1190 Wilke Trail, St Germain, WI 54558

RETIRED $20.00 $20.00

07/04/2012 Rosand, Craig 1701 Wyoming, Superior, WI 54880

TEACHER Superior School District

$100.00 $200.00

07/01/2012 Stober, M James PO Box 150, Presque Isle, WI 54557

$50.00 $50.00

07/01/2012 Klenke, John 3463 Yorkshire Rd, Green Bay, WI 54311

Assemblyman WI State Legislature

PO Box 8953, Madison, WI 53708

$250.00 $250.00

07/01/2012 Collins, Kelly V N4243 Schielke Rd, Gleason, WI 54435

$20.00 $20.00

07/01/2012 Shepherd, Jeremy 5592 Huntingwood Way, Waunakee, WI 53597

$100.00 $100.00

07/25/2012 Marshall, John 2127 Laura Ct, Waukesha, WI 53186

RETIRED $500.00 $500.00

07/04/2012 Granlund, Thomas 8955 Blumenstein Rd, Woodruff, WI 54568

$20.00 $20.00

07/02/2012 Sill, Ron 130 Lakeshore Dr, Minocqua, WI 54548

$50.00 $50.00

07/30/2012 Heitzer, Richard 1448 Shady Lane, St Germain, WI 54558

RND Foam Systems

17100 W Victor Rd, New Berline, WI 53151

$100.00 $100.00

07/30/2012 Thompson, Dennis 8859 Art Thompson Rd, Harshaw, WI 54529

$50.00 $50.00

07/20/2012 Smith, Olive 1010 Mason St, Rhinelander, WI 54501

$25.00 $25.00

07/30/2012 Witt, Pat PO Box 700, Crivitz, WI 54114

$50.00 $50.00

07/01/2012 Musson, Nadine 4712 Island View, Rhinelander, WI 54501

President Dolson, Inc 150 Stevens Street, Rhinelander, WI 54501

$500.00 $500.00

07/01/2012 Macintosh, Robert PO Box 369, Lakewood, WI 54138

OWNER Nicolet Plastics

16685 State Rd 32, Mountain, WI 54149

$1,000.00 $1,000.00

07/20/2012 Longsine, Tyler 2822 Sandalwood Rd, Abrams, WI 54101

$10.00 $10.00

07/01/2012 Tonne, John 8640 Lakeview Dr K-W, Minocqua, WI 54548

Owner Paul Bunyan 8653 US Highway 51 N, Minocqua, WI 54548

$500.00 $500.00

Monetary

07/29/2012 Kienitz, Paul N2730 Thiel Dr, Merrill, WI 54452

$50.00 $50.00

07/28/2012 Markewycz, Yurgen

N1591 Bluebird Lane, Merrill, WI 54452

RETIRED $250.00 $250.00

07/30/2012 Davis, Virgil 2700 Range Line Rd, Rhinelander, WI 54501

RETIRED $25.00 $25.00

07/28/2012 Krahn, Kurt N11379 Stone hill Lane, Rhinelander, WI 54501

RETIRED $25.00 $25.00

07/28/2012 Kopecko, Bill PO Box 1957, Eagle River, WI 54521

$100.00 $100.00

07/28/2012 Tillema, Dowe 606 17th St, Mosinee, WI 54455

$50.00 $50.00

07/27/2012 Mitchell, James W5431 N Shore Dr, Irma, WI 54442

$50.00 $50.00

07/27/2012 Schumann, William

PO Box 249, Manitowish Waters, WI 54545

$25.00 $25.00

07/28/2012 Casadonte, Carol 11225 Killarney Bay Dr, Tomahawk, WI 54487

$50.00 $50.00

07/28/2012 Wipperfurth, Thomas

840 Cedar St, Minocqua, WI 54548

$20.00 $20.00

07/30/2012 McQuillen, Robert PO Box 1732, Eagle River, WI 54521

RETIRED $100.00 $100.00

07/26/2012 Knab, Michael W6609 Hwy 64 & 107, Merrill, WI 54452

RETIRED $20.00 $20.00

07/27/2012 Renkas, Paul PO Box 297, Wabeno, WI 54566

$10.00 $10.00

07/29/2012 Lemke, CarolAnn W8551 White Birch Rd, Crivitz, WI 54114

RETIRED $15.00 $15.00

07/30/2012 Landolt, Patricia 1513 Clairville Rd, Oshkosh, WI 54904

RETIRED $50.00 $50.00

07/29/2012 Koch, Paul 5374 Moonlite Dr, De Pere, WI 54115

RETIRED $100.00 $100.00

07/27/2012 Draeger, James N5454 Hwy B, Deerbrook, WI 54424

$100.00 $100.00

07/28/2012 Fehrmann, William 1305 Champagne St, Merrill, WI 54452

$25.00 $25.00

07/27/2012 Linn, Stephen 1427 Snowshoe Lane, Eagle River, WI 54521

RN Ministry Health Care

$50.00 $50.00

07/27/2012 Kuppenheimer, Mary

3025 Kentuck Lake Rd, Phelps, WI 54554

retired $250.00 $250.00

Monetary

07/30/2012 Lucas, Paul N37W26951 Kopmeier Dr, Pewaukee, WI 53072

$250.00 $250.00

07/30/2012 Lee, Steven PO Box 290, Manitowish Waters, WI 54545

$50.00 $50.00

07/30/2012 Newman, Tim N10872 Cty Rd H, Gleason, WI 54435

PRODUCE WORKER

Trig's Food & Drug

232 S Courtney, Rhinelander, WI 54501

$200.00 $200.00

07/30/2012 Beals, Ralph PO Box 202, Tomahawk, WI 54487

RETIRED $100.00 $100.00

07/30/2012 Knapstein, Ray PO Box 71, Woodruff, WI 54568

SELF EMPLOYED $25.00 $25.00

07/02/2012 Ketelle, Pam 7825 Agawak Rd, Minocqua, WI 54548

Owner PJ's Up North 397 Hwy 51N, Arbor Vitae, WI 54568

$250.00 $0.00

07/29/2012 Kemerling, James 1125 Easthill Pl, Wausau, WI 54403

CEO Riiser Oil Company

709 S 20th Ave, Wausau, WI 54402

$100.00 $100.00

07/30/2012 Czerniawski, Jo 601 Piper St, Tomahawk, WI 54487

RETIRED $100.00 $100.00

07/30/2012 Neuschaefer, William

118280 High Meadow Dr, Brookfield, WI 53045

DENTIST $25.00 $25.00

07/28/2012 Dobrinski, Chris 8690 Ranchwood Rd, Minocqua, WI 54548

$50.00 $50.00

07/29/2012 Szmurlo, Charles 9388 Meadowlark Rd, Harshaw, WI 54529

$20.00 $20.00

07/30/2012 Phillips, Matt 1425 Moline St, Stoughton, WI 53589

$100.00 $100.00

07/29/2012 Engebretsen, Gary 2502 Rio Grande Dr, Merrill, WI 54452

RETIRED $25.00 $25.00

07/30/2012 Gardner, Donald PO Box 200, Florence, WI 54121

$100.00 $100.00

07/30/2012 Fonti, Vincent 1816 Buckhorn Rd, Arbor Vitae, WI 54568

RETIRED $100.00 $100.00

07/30/2012 Kovacich, Joseph W1527 Country Squire Rd, Gleason, WI 54435

$20.00 $20.00

07/30/2012 Tonne, John 8640 Lakeview Dr, Minocqua, WI 54548

OWNER Paul Bunyan's

8653 Hwy 51 N, Minocqua, WI 54548

$500.00 $1,000.00

Sub Total $6,820.00

Monetary

Total UnItemized Contributions $0.00

Total Anonymous Contributions $0.00

Loan Forgiven (-): $0.00

Total $10,120.00

Grand Total $10,120.00

Non-Monetary (-): $0.00

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)



Total $0.00

Grand Total $0.00

Date Full Name Address Amount YTD

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans


Total $0.00

Date Full Name Address Amount YTD

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

07/02/2012 Tiffany, Tom 4973 Willow Dam Road, Hazelhurst, WI 54531

Candidate Expenses - Gas

$698.42

07/02/2012 Wisconsin Public Service

PO Box 19003, Green Bay, WI 54307

Utilities - Electrical

$28.89

Comment(s): tees

07/02/2012 Custon Screen Graphics, LLC

632 North Fourth Street, Tomahawk, WI 54487

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

$208.89

07/07/2012 Verizon Wireless PO Box 4002, Acworth, GA 30101

Utilities - Phone / Cell Phone

$138.99

07/18/2012 Frontier PO Box 20550, Rochester, NY 14602


$147.87

07/18/2012 Red Crown Lodge, LLC 22 E Mifflin Street, Madison, WI 53703

Event or Fair Booth

$437.60

Comment(s): WHA PAC Breakfast

07/02/2012 Postmaster Crandon, WI 56548

Postage $135.00

Comment(s): 300 stamps

07/01/2012 The Osthoff Resort 101 Osthoff Ave, Elkhart Lake, WI 53020

Event or Fair Booth

$951.55

07/18/2012 Postmaster WI Mailing Service

$2,163.05

Comment(s): July lodging

07/02/2012 J & J Rentals 333 Prospect St, Rhinelander, WI 54501

Staff - Lodging

$200.00

Comment(s): August 3 event

07/17/2012 Rose Garden 131 West Thomas St, Wausau, WI 54403

Event or Fair Booth

$60.00

Comment(s): Down payment for Paul Ryan event

Monetary

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount



Unitemized $303.30

Comment(s): repairs

Sub Total $303.30

Unitemized

07/30/2012 Paypal WI Bank Charges

$14.13

Comment(s): paypal fees

Comment(s): phone supplies



$137.13

Comment(s): gas reimburse for the month of June

Comment(s): Printing of Invites and Envelopes

07/30/2012 American Printing 2909 Syene Rd, Madison, WI 53713

Printing - Copies

$168.80

Sub Total $5,490.32

Monetary

Total $5,793.62


Grand Total $5,793.62

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


Grand Total $0.00

Date Full Name Amount Paid

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B


Loans Outstanding Amount:


$1,269.20

Grand Total $0.00

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount

Documents

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012-08-02 · 07/30/2012 Nimm, Sean 3225 Olympia Ave, Stevens Point, WI 54481 Dir-Pricing & Prod Dev-Trans Sentry Insurance a