27
2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $7,569.53 $7,569.53 $0.00 $0.00 $7,569.53 $7,569.53 Street Address: PO Box 123 City, State and Zip: Dodgeville, WI 53533 Filing Period Name: July Continuing 2012 Name of Committee/Corporation: Maureen May-Grimm 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 $9,530.06 $9,530.06 $280.04 $280.04 $142.20 $142.20 $9,952.30 $9,952.30 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0105091 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) $8,980.86 $9,952.30 $18,933.16 $7,569.53 $0.00 $5,244.60 $11,363.63 * * 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: Rikli, Angela Kay 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

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

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Page 1: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

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

2. DISBURSEMENTS

$7,569.53 $7,569.53

$0.00 $0.00

$7,569.53 $7,569.53

Street Address: PO Box 123

City, State and Zip: Dodgeville, WI 53533

Filing Period Name: July Continuing 2012

Name of Committee/Corporation:

Maureen May-Grimm 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

$9,530.06 $9,530.06

$280.04 $280.04

$142.20 $142.20

$9,952.30 $9,952.30

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0105091

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)

$8,980.86

$9,952.30

$18,933.16

$7,569.53

$0.00

$5,244.60

$11,363.63*

*

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:Rikli, Angela Kay

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-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Maureen May-Grimm for Assembly

01/07/2012 Wyman, Marion R 4250 Green Leaf Dr, Dodgeville, WI 53533

$50.00 $0.00

01/07/2012 Cates Jr., Richard L

5992 County Rd T, Spring Green, WI 53588

$25.00 $0.00

01/07/2012 Coogan, Penny 407 Mineral St, Mineral Point, WI 53565

$15.00 $0.00

01/07/2012 Federman, Lois 336 Dodge St, Mineral Point, WI 53565

$25.00 $0.00

01/01/2012 Burnside, Laura 1120 S Grandview Ave, Dubuque, IA 52003

$100.00 $0.00

01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588

$25.00 $0.00

01/03/2012 Berg, Michael 2961 Cty Hwy F, Blanchardville, WI 53516

$50.00 $0.00

01/07/2012 Ziegler, Alyssa 440 Park Ave, Prairie du Sac, WI 53578

$15.00 $0.00

01/30/2012 Stephenson, Julie R

4003 Greysville Rd, Mineral Point, WI 53565

$25.00 $0.00

01/07/2012 Wallace, Laurie 1601 Cty Rd QQ, Mineral Point, WI 53565

$25.00 $0.00

01/30/2012 Dankmeyer, Virginia E

2705 Oak Drive, Apt B, La Crosse, WI 54601

$25.00 $0.00

01/07/2012 Willow, Jon Anne 2346 N 66th St, Milwaukee, WI 53213-1431

$25.00 $0.00

01/07/2012 Bennett, Clark 735 State Rd 23, Mineral Point, WI 53565

$25.00 $0.00

01/07/2012 Braun, Gregg 1734 Pine St, McHenry, IL 60051

Director Centegra Health System

4201 Medical Center Dr, McHenry, IL 60050

$100.00 $0.00

01/07/2012 Dunn, Bernard 3240 SW College Ave, Topeka, KS 66611

$50.00 $0.00

Monetary

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

02/18/2012 Kunde, Ryan 1222 Locust St., Dubuque, IA 52001

$20.00 $0.00

02/18/2012 Beaman, Sandee F

216 N Iowa St., Mineral Point, WI 53565

$12.50 $0.00

02/18/2012 Beaman, Frank D 216 N Iowa St., Mineral Point, WI 53565

$12.50 $0.00

02/18/2012 Heniene, Moe 1635White St., #1, Dubuque, IA 52001

$40.00 $0.00

02/18/2012 Illich, Russ 129 Main St, #3, Dubuque, IA 52001

$40.00 $0.00

02/18/2012 Bothfeld, Liz 3344 Rohowetz, Dodgeville, WI 53533

$20.00 $0.00

02/18/2012 Gelander, Leslie 9521 S Trumbull, Evergreen Park, IL 60805

$40.00 $0.00

02/18/2012 Inagaki, Ryan 8389 Kemp Ct, Dubuque, IA 52003

$20.00 $0.00

02/06/2012 Brockett, Mark 1131 Main, Apt 2, Dubuque, IA 52001

$20.00 $0.00

02/06/2012 Akinsika, Yetunde 2691 Raven Oaks Dr, Dubuque, IA 52001

$20.00 $0.00

02/18/2012 Fisher, Shari 15 Shake Rag St., Mineral Point, WI 53565

$25.00 $0.00

02/18/2012 Simonson, John 1851 Twin Bridges Rd., Mineral Point, WI 53565

$50.00 $0.00

01/30/2012 Connolly, Ann M 6111 84th Ave. SE, Mercer Island, WA 98040

Retired $100.00 $0.00

01/30/2012 Hay, Lisa A 320 Tower St, Mineral Point, WI 53565-1444

Innkeeper Lisa Hay 320 Tower St, Mineral Point, WI 53565

$150.00 $0.00

Comment(s): T-shirt

02/18/2012 Dahl, C Victoria 3769 9th St., Mineral Point, WI 53565

$15.00 $0.00

Comment(s): T-shirt

02/18/2012 Brand-Biere, Ginger

4215 Wilson Rd., Dodgeville, WI 53533

$50.00 $0.00

02/18/2012 Hall, Lois D 104 William St., Mineral Point, WI 53565

$25.00 $0.00

02/18/2012 Pelton, Judy 313 Maiden St., Mineral Point, WI 53565

$15.00 $0.00

Monetary

Page 4: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

04/07/2012 Marshall, David 8951 Clay Hill Rd, Barneveld, WI 53507

$50.00 $0.00

04/02/2012 Terrill, Ann County W 144, Mineral Point, WI 53565

$20.00 $0.00

02/18/2012 McDonald, James 155 Merry Christmas Ln, Mineral Point, WI 53565

$20.00 $0.00

02/18/2012 Grimm, Paige 131 Spruce St, Mineral Point, WI 53565

$30.00 $0.00

03/25/2012 Boyle, Robert 440 Horizon St., Darlington, WI 53530

$50.00 $0.00

03/25/2012 Eastwood, Mary 8786 County Rd D, South Wayne, WI 53587

$50.00 $0.00

02/18/2012 Olsen-Birner, Kate 321 Mineral St., Mineral Point, WI 53565

$25.00 $0.00

04/07/2012 Reinstein, Fern 515 May St, Platteville, WI 53818

$25.00 $0.00

02/18/2012 Grimm, Gerard 131 Spruce St, Mineral Point, WI 53565

$30.00 $0.00

02/18/2012 Pittz, Tony 221 Copper St., Mineral Point, WI 53565

Bartender/Owner Tony's Tap 10 Commerce St., Mineral Point, WI 53565

$120.00 $0.00

03/25/2012 Leonard, Willette 6558 Sylvan Rd., Hollandale, WI 53544

$25.00 $0.00

03/28/2012 Parsons, Barbara 370 W Pine St, Platteville, WI 53818-3116

Retired $100.00 $0.00

03/28/2012 McSherry, David K 2200 Mill Dam Rd, Barneveld, WI 53507

Retired $25.00 $0.00

04/07/2012 Hopper, Jennifer 505 Front St, Mineral Point, WI 53565

$50.00 $0.00

04/06/2012 Miller, Lewis 10896 Smith Rd, Pecatonica, IL 61063

$10.00 $0.00

03/25/2012 Nichols, Nancy C 2549 Mt. Hope Rd., Dodgeville, WI 53533

Retired/Farmer $100.00 $0.00

03/25/2012 Viney, Michael 635 Pyrite Rd., Platteville, WI 53581

$35.00 $0.00

03/28/2012 Caraway, Paula 136 Reimann Rd, Arena, WI 53503-9610

$20.00 $0.00

03/25/2012 Bowden, Larry 960 Broadway, Platteville, WI 53818

$50.00 $0.00

Monetary

Page 5: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

04/08/2012 Burnside, Laura 1120 S Grandview Ave, Dubuque, IA 52003

unemployed $100.00 $200.00

04/18/2012 Donaghue, Deborah

23 Commerce St, Mineral Point, WI 53565

Restaurant/Bar Owner

$100.00 $0.00

04/18/2012 Martin, Katherine 1510 County Rd QQ, Mineral Point, WI 53565

Retired $50.00 $0.00

03/17/2012 Cary, Steve PO Box 243, Blanchardville, WI 53516

Teacher Pecatonica Schools

710 School St, Blanchardville, WI 53516

$25.00 $0.00

03/17/2012 Gottschalk, Marilyn

235 Virgin Ave, Platteville, WI 53818

Retired $30.00 $0.00

04/28/2012 Smith, Ross 525 Copper St, Mineral Point, WI 53565

$25.00 $0.00

04/14/2012 Argall, Mary F 107 Dodge St, Mineral Point, WI 53565-1114

Retired $5.00 $0.00

04/14/2012 Rikli, Angela K 110 W Clarence St, Dodgeville, WI 53533

Director Customer Service

Ascensus WI $50.00 $0.00

04/14/2012 Stauffacher, Hazel 806 Keep St, Darlington, WI 53530

$50.00 $0.00

03/17/2012 Smith, Robert N 140 N Lakeview Dr, Cazenovia, WI 53924

$25.00 $0.00

04/13/2012 Harris, Beverly I 110 Dodge St, PO Box 171, Mineral Point, WI 53565

Retired teacher $100.00 $0.00

04/14/2012 Lindsey, Everett R 4613 Brecken Rd, Mineral Point, WI 53565-8935

Physician Mineral Point Medical Center

104 High St, #1, Mineral Point, WI 53565

$100.00 $0.00

04/14/2012 Gottschalk, Marilyn

235 Virgin Ave, Platteville, WI 53818

Retired $35.00 $65.00

03/01/2012 Singh, Brijesh 13810 S Hallet St, Olathe, KS 66062

Project Manager IBM 700 Locust St, Dubuque, IA 52001

$25.00 $0.00

03/17/2012 Ballard, Jim PO Box 297, Dodgeville, WI 53533

Retired $75.00 $0.00

03/17/2012 Rezazadeh, Reza 1080 Eastman St, Platteville, WI 53818

Retired $50.00 $0.00

04/14/2012 Engels, David 215 Merry Christmas Ln, Mineral Point, WI 53565

$25.00 $0.00

04/14/2012 Francois, Lucas D 6607 Clovernook Rd, Middleton, WI 53562

Superintendent Mineral Point School District

705 Ross St, Mineral Point, WI 53565

$100.00 $0.00

04/14/2012 Sterba, Diane A 206 W Commerce St, Mineral Point, WI 53565-1091

$25.00 $0.00

Monetary

Page 6: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

05/19/2012 Fransen, Philip N9581 Carla Dr, Belleville, WI 53508-9686

$25.00 $0.00

05/20/2012 Stephenson, Julie R

4003 Greysville rd, Mineral Point, WI 53565

$15.00 $40.00

05/19/2012 Spring, Judy E13119 Hwy 33, Baraboo, WI 53913

retired $350.00 $0.00

Comment(s): T-shirt

04/28/2012 Tsubokura, Christine

710 Washington St, Mineral Point, WI 53565

Social Worker Uplands Counseling

1118 Professional Dr, Dodgeville, WI 53533

$25.00 $0.00

04/28/2012 Buss, Barbara 712 Pleasant St, Mineral Point, WI 53565

Teacher Assistant $50.00 $0.00

04/28/2012 Koehler, Margaret M

341 Harris St, Mineral Point, WI 53565

$50.00 $0.00

04/28/2012 Fiedler, George M 152 Antoine St, Mineral Point, WI 53565

Line Technician Alliant Energy Mineral Point, WI 53565

$25.00 $0.00

04/28/2012 Smith, Sue Ann M 525 Copper St, Mineral Point, WI 53565

$25.00 $0.00

05/18/2012 Frank, Eileen 5366 State Rd 130, Dodgeville, WI 53533

legal assistant Frank Law Office

403 W Wilson St, Madison, WI 53703

$25.00 $0.00

04/28/2012 U'ren, Geri 3928 Jackson St, Mineral Point, WI 53565

$50.00 $0.00

04/28/2012 Strangstad, Lynette

327 Doty St, Mineral Point, WI 53565

Self employed $25.00 $0.00

05/09/2012 Griffiths, Alice 102 E Madison St, Dodgeville, WI 53533

Retired $100.00 $0.00

05/09/2012 Gottschalk, Marilyn

235 Virgin Ave, Platteville, WI 53818

Retired $25.00 $90.00

05/18/2012 Miller, Margaret 813 W Carroll St, Portage, WI 53901

Painter Building Savers

813 W Carroll St, Portage, WI 53901

$20.00 $0.00

05/09/2012 Biancofiore, Rebecca L

1392 Bushnell St, Beloit, WI 53511

Barista Cafe Manna Java

1600 Locust St, Dubuque, IA

$15.00 $0.00

05/05/2012 Myck, Stephen R 7794 Cherry Wood Ln, Verona, WI 53593

Financial Specialist

University of Wisconsin Madison

716 Langdon St, Madison, WI 53706

$100.00 $0.00

04/28/2012 Fitzsimons, Jeanne

5451 Sunny Ridge Rd, Mineral Point, WI 53565

$25.00 $0.00

05/12/2012 Wisnefske, Kris W4634 Richland Rd, Monroe, WI 53566

Registered Nurse Monroe Clinic 515 22nd Ave, Monroe, WI 53566

$50.00 $0.00

05/05/2012 Gruszynski, Stan W3034 Twin Creek Road, Porterfield, WI 54159

$50.00 $0.00

Monetary

Page 7: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

05/25/2012 Brockett, Mark 1131 Main, Apt 2, Dubuque, IA 52001

$20.00 $40.00

05/26/2012 Gorgen, Steve 111 Copper St, Mineral Point, WI 53565

$25.00 $0.00

05/24/2012 Reaves, Paula J 610 Hill St, Wisconsin Rapids, WI 54494-4821

Teacher Wisconsin Rapids Public Schools

Wisconsin Rapids, WI

$25.00 $0.00

05/24/2012 Campbell, Karen 4001 Berg Rd, Dodgeville, WI 53533

$50.00 $0.00

05/24/2012 Knapp, Madeline 6252 N Springfield Ave, Chicago, IL 60659

$50.00 $0.00

05/24/2012 Miller, Donna R 345 Mill St, Loganville, WI 53943

$50.00 $0.00

05/19/2012 Humke, Lisa 614 Upland Dr, Dodgeville, WI 53533

$25.00 $0.00

05/19/2012 Jablonski, Marcia 311 S Iowa St, Mineral Point, WI 53565

$100.00 $0.00

05/17/2012 Dunn, Monica 330 Maiden St, Mineral Point, WI 53565

Unemployed $100.00 $112.00

05/19/2012 Rhode, Dan 1100 N Johns St, Dodgeville, WI 53533

teacher Mineral Point School

705 Ross St, Mineral Point, WI 53565

$50.00 $0.00

05/24/2012 Hawkins, Donald M

219 Commerce St, Mineral Point, WI 53565

Retired $50.00 $0.00

05/19/2012 Boyer, William 4638 Cty Hwy Z, Dodgeville, WI 53533

retired $100.00 $0.00

05/19/2012 Van Matre, Jean 19008 Cty Rd D, Darlington, WI 53530-9518

$25.00 $0.00

05/24/2012 Rand, Carla 26034 Ridge Lane, Belmont, WI 53510

School Counselor Mineral Point Unified Schools

705 Ross St, Mineral Point, WI 53565

$15.00 $0.00

05/24/2012 Nelson, Lee C 5194 N Clay Hill Rd, Spring Green, WI 53588

Sales Conney Safety

Madison, WI $25.00 $0.00

05/24/2012 Palzkill, Roger 513 Ridge St, Mineral Point, WI 53565

$25.00 $0.00

05/24/2012 Rundell, Richard 1270 Perry Dr, Platteville, WI 53818

Retired $25.00 $0.00

05/16/2012 Woodriff, Barbara 2308 10th St, Monroe, WI 53566

retired $50.00 $0.00

05/24/2012 McSherry, David K 2200 Mill Dam Rd, Barneveld, WI 53507

$25.00 $50.00

05/24/2012 Nichols, Nancy C 2549 Mount Hope Rd, Dodgeville, WI 53533-8547

Retired $50.00 $150.00

Monetary

Page 8: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

05/28/2012 Mutschler, John 706 N Main St, Dodgeville, WI 53533

Teacher Mount Horeb Area School District

1304 E Lincoln St, Mount Horeb, WI 53572

$15.00 $0.00

Comment(s): T-shirt

Comment(s): T-shirt

05/29/2012 Melendez, Hiram 1920 Shelby St, Dubuque, IA 52001

Project Manager IBM 700 Locust St, Dubuque, IA 52001

$25.00 $0.00

05/27/2012 Frank, Eileen 5366 State Rd 130, Dodgeville, WI 53533

$15.00 $40.00

05/24/2012 Simonson, Julia 1851 Twin Bridge Rd, Mineral Point, WI 53565

$62.01 $0.00

05/30/2012 Archer, Doug 7849 Commerce Park, Apt 101, Dubuque, IA 52002

$40.00 $0.00

05/31/2012 Klusendorf, Brad 5241 N Clay Hill Rd, Spring Green, WI 53588

$25.00 $0.00

05/24/2012 Simonson, John 1851 Twin Bridge Rd, Mineral Point, WI 53565

Retired $325.25 $487.56

05/29/2012 Illich, Russ 129 Main St, #3, Dubuque, IA 52001

Project Manager IBM 700 Locust St, Dubuque, IA 52001

$25.00 $65.00

05/26/2012 Gibbon, Judie 1413 Bea Ann Dr, Dodgeville, WI 53533

$25.00 $0.00

05/25/2012 Rice, Arden 513 N Baltimore St, Spring Green, WI 53588-9111

$50.00 $0.00

05/31/2012 Nutter, Kathleen 108 3rd St, Mineral Point, WI 53565-1504

$30.00 $0.00

05/28/2012 Spurley, Kris 450 Wisconsin St, Linden, WI 53553

$100.00 $0.00

05/29/2012 Dravis, Susan PO Box 727, Dubuque, IA 52004

$25.00 $0.00

05/29/2012 Gelander, Leslie 9521 S Trumbull, Evergreen Park, IL 60805

Project Manger IBM 700 Locust St, Dubuque, IA 52001

$60.00 $100.00

05/29/2012 Moy, Rita 169 Main St #2F, Dubuque, IA 52001

$25.00 $0.00

05/31/2012 Lindgren, Ellen 6621 Maywood Ave, Middleton, WI 53562

$50.00 $0.00

05/29/2012 Katuri, Martha 1717 Kane St #48, Dubuque, IA 52001-0551

Quality Analyst IBM 700 Locust, Dubuque, IA 52001

$50.00 $0.00

05/29/2012 Asongwe, Emmanuel

205 Bluff St #3A, Dubuque, IA 52001-6979

$25.00 $0.00

Monetary

Page 9: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

Comment(s): t-shirt

06/23/2012 Wyman, Marion R 4250 Green Leaf Dr, Dodgeville, WI 53533

Unemployed $15.00 $118.99

Comment(s): t-shirt

06/20/2012 Frank, Eileen 5366 State Rd 130, Dodgeville, WI 53533

$20.00 $60.00

06/10/2012 Bausch, Kate E Cornelia St, Darlington, WI 53530

$15.00 $0.00

Comment(s): t-shirt

05/29/2012 Hartley, Kaylin 1130 Solon St, Dubuque, IA 52001

$25.00 $0.00

05/29/2012 Miller, Rachel 195 W 17th St, Dubuque, IA 52001

$15.00 $0.00

05/29/2012 Schmidt, Tony 195 W 17th St, Dubuque, IA 52001

$15.00 $0.00

06/01/2012 Dearth, Barb 2784 County Road F, Blanchardville, WI 53516

Medical Technoligists

Group Health Cooperative of South Central Wisconsi

675 W Washington Ave, Madison, WI

$25.00 $0.00

Comment(s): t-shirt

05/28/2012 Poller, Jacky WI $15.00 $0.00

Comment(s): T-shirt

02/21/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

$20.00 $0.00

02/18/2012 Wyman, Marion R 4250 Green Leaf Dr, Dodgeville, WI 53533

Unemployed $50.00 $103.99

03/17/2012 Simonson, John 1851 Twin Bridge Rd, Mineral Point, WI 53565

$12.01 $162.31

06/10/2012 Schneider, James 33067 Fulton St, Gotham, WI 53540

$10.00 $0.00

06/03/2012 McGuire, John J 333 W Mifflin St Apt. 2030, Madison, WI 53703

Analyst Conney Safety

3202 Latham Dr, Madison, WI 53713

$200.00 $0.00

06/03/2012 Kavanagh, Alice 3908 Dophin Dr, Madison, WI 53719

Customer Service Conney Safety

3202 Latham Dr, Madison, WI 53713

$25.00 $0.00

06/03/2012 Taylor, Melessa 609 N Mechanic St, Albany, WI 53502

Product Manager Conney Safety

3202 Latham Dr, Madison, WI 53713

$100.00 $0.00

06/03/2012 Martinelli, Terri 1130 N High Point Rd #210, Madison, WI 53717

$25.00 $0.00

Monetary

Page 10: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

01/02/2012 Lawver, Jeff 609 High St, Mineral Point, WI 53565

$25.00 $0.00

01/02/2012 Coleman, No First Name

2950 State Highway 39, Mineral Point, WI 53565

Retired $50.00 $0.00

01/08/2012 Austin, Richard 803 Fair Street, Mineral Point, WI 53565

$25.00 $0.00

Conduit Contribution

06/30/2012 Wiegel, Penny 23349 Holland Road, Belmont, WI 53510

Teacher Mineral Point Schools

Ross St, Mineral Point, WI 53565

$25.00 $0.00

06/13/2012 Gottschalk, Marilyn

235 Virgin Ave, Platteville, WI 53818

Retired $25.00 $115.00

06/05/2012 Brainerd, Geoffrey W

5242 Palfrey Rd, Shullsburg, WI 53586-9459

Retired $100.00 $0.00

06/23/2012 Rhode, Dan 1100 N Johns St, Dodgeville, WI

teacher Mineral Point School

705 Ross St, Mineral Point, WI 53565

$20.00 $0.00

06/13/2012 Yeager, Phillip 3318 Spring Valley Rd, Dodgeville, WI 53533

$50.00 $0.00

Comment(s): t-shirt

06/23/2012 Von Ruden, Mary 407 Pearl, Sparta, WI 54656

Retired $25.00 $0.00

06/13/2012 Kaczur-Tate, June 329 Harris St, Mineral Point, WI 53565

$15.00 $0.00

06/30/2012 Steger, Marilyn 13639 County Rd G, Darlington, WI 53530

Accountant Virtue Motors Highway 23 South, Darlington, WI 53530

$150.00 $0.00

06/30/2012 Lawrence, Diana 153 Northbreeze Dr, Appleton, WI 54911

Self-Employed $25.00 $0.00

06/13/2012 Koopman, Ronald 565 S. Hillcrest Dr, Verona, WI 53593

Sales Conney Safety Products

3202 Latham Dr, Madison, WI 53713

$25.00 $0.00

06/30/2012 Herr, Molly M 5920 Wild rose Ln, Eau Claire, WI 54701

Physician Mayo Clinic 200 First St SW, Rochester, MN 55905

$250.00 $0.00

06/13/2012 Bernard Schaber, Penny

815 East Washington St, Appleton, WI 54911-5660

state representative

State of Wisconsin

po box 8953, state capitol, Madison, WI 53708

$125.00 $0.00

06/16/2012 Schmidt, Pamela w132 n6230 Marach, Menomonee Falls, WI 53051

Attorney Whyte Hirschboeck Dudek, SC

555 E. Wells Street, Suite 1900, Milwaukee, WI 53202

$25.00 $0.00

06/23/2012 Barnes, Walter 2473 Mount Hope Rd, Dodgeville, WI 53533

unemployed $100.00 $0.00

Sub Total $7,539.27

Monetary

Page 11: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

05/12/2012 Potocki, Jane 1107 Lost Grove Rd, Mineral Point, WI 53565

$50.00 $0.00

05/12/2012 Coleman, No First Name

2950 State Highway 39, Mineral Point, WI 53565

Retired $50.00 $250.00

05/12/2012 Fox, Sarah 1238 E. Lake Rd, Mineral Point, WI 53565

physician Mineral Point Medical Center

104 High St, Mineral Point, WI 53565

$100.00 $0.00

05/05/2012 Bachner, Anne 4091 County Road Z, Dodgeville, WI 53533

Retired Teacher $75.00 $0.00

05/12/2012 Spevacek, William 1871 Twin Bridge Rd, Mineral Point, WI 53565

$50.00 $0.00

04/07/2012 Karcher, Kim 476 Atlanta Ave, San Jose, CA 95125

Director of Human Resources

Kelly-Moore Paint Co

987 Commercial St, San Carlos, CA 94070

$150.00 $0.00

04/07/2012 Coleman, No First Name

2950 State Hwy 39, Mineral Point, WI 53565

Retired $50.00 $150.00

03/03/2012 Vitta, Joel 399 Sinsinawa Ave, East Dubuque, IL 61025

Project Manager IBM 700 Locust St, Dubuque, IA 52001

$50.00 $0.00

02/11/2012 Coleman, No First Name

2950 State Highway 39, Mineral Point, WI 53565

Retired $50.00 $100.00

01/22/2012 Aas, Marcia 509 East Cornelia Street, Darlington, WI 53530

$50.00 $0.00

02/11/2012 Vaughn, Frederick 110 Spruce St., Mineral Point, WI 53565

$25.00 $0.00

02/11/2012 Swink, Caroline 12102 S Park East Dr, Perkins, OK 74059

$50.00 $0.00

04/28/2012 Kaiser, Cathryn 4407 County Rd DD, Mineral Point, WI 53565

Medical Doctor SMDV/Dean 833 S Iowa St, Dodgeville, WI 53533

$50.00 $0.00

04/28/2012 Meyer, Barbara 10756 Trotter Rd, Argyle, WI 53504

$10.00 $0.00

05/05/2012 Zellner, Paula W3034 Twin Creek Road, Porterfield, WI 54159

Political Coordinator

SEIU/WI Jobs Now

260 E Highland Ave, Milwaukee, WI 53202

$50.00 $0.00

04/28/2012 Ginsberg, Gail 301 S Home Ave, Oak Park, IL 60302

Attorney $100.00 $0.00

03/03/2012 May-Grimm, Maureen Theresa

240 South St, Mineral Point, WI 53565

$1.00 $0.00

04/28/2012 Tennessen, Charles

3893 Mill Creek Rd, Dodgeville, WI 53533

Teacher Dodgeville School District

307 N Iowa St, Dodgeville, WI 53533

$75.00 $0.00

03/17/2012 Coleman, No First Name

2950 State Hwy 39, Mineral Point, WI 53565

Retired $50.00 $200.00

Conduit Contribution

Page 12: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

03/12/2012 Simonson, John 1851 Twin Bridge Rd., Mineral Point, WI 53565

$11.77 $84.95

03/12/2012 Simonson, John 1851 Twin Bridge Rd., Mineral Point, WI 53565

$65.35 $150.30

02/18/2012 Dunn, Monica 330 Maiden St, Mineral Point, WI 53565

Unemployed $12.00 $0.00

Comment(s): Silent Auction Item

03/12/2012 Simonson, John 1851 Twin Bridge Rd., Mineral Point, WI 53565

$23.18 $73.18

Comment(s): Bread for Fundraiser

05/29/2012 Hughes, Coleen WI $7.15 $0.00

Comment(s): M&M's for fundraiser

05/29/2012 Burnside, Todd 1120 S Grandview Ave, Dubuque, IA 52003

$15.00 $0.00

Comment(s): Wine for fundraiser

05/29/2012 Burnside, Laura 1120 S Grandview Ave, Dubuque, IA 52003

$4.00 $204.00

Comment(s): Stationary, Envelopes and return address labels

Comment(s): Food for Volunteer Meeting.

02/18/2012 Baker, Dorothy 58 Shake Rag St, Mineral Point, WI 53565

$50.00 $0.00

Comment(s): Silent Auction Item

02/11/2012 Wyman, Marion R 4250 Green Leaf Dr, Dodgeville, WI 53533

$3.99 $53.99

In-Kind

05/24/2012 Zautke, Claire 3162 S 42nd St, Milwaukee, WI 53215

Executive Assistant

Milwaukee County

901 N 9th St, Milwaukee, WI 53233

$25.00 $0.00

05/24/2012 Schnadt, Glenn H 20215 Coneflower Ln, Richland Center, WI 53581-8647

Unemployed $200.00 $0.00

05/24/2012 Meyer, Barbara 10756 Trotter Rd, Argyle, WI 53504-9714

Retired $10.00 $20.00

05/05/2012 Mayfield, M Kent 5653 State Road 130, Dodgeville, WI 53533

retired $25.00 $0.00

06/01/2012 Heinz, Victoria 337 E Jefferson St, Spring Green, WI 53588

Customer Service Manager

Alliant Energy 4901 N Biltmore Ln, Madison, WI 53718

$25.00 $0.00

Sub Total $1,471.00

Conduit Contribution

Page 13: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

06/30/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

$244.60 $264.60

Comment(s): In-Kind ContributionsParade Receipts=$37.90Mileage=$206.70

Sub Total $244.60

Personal Loan

05/28/2012 Johnson, Jan 356 N Chestnut St, Mineral Point, WI 53565

self employed $3.00 $0.00

Comment(s): Memorial Day Parade Signs

Comment(s): Food for fundraiser

Comment(s): Brownies for fundraiser

05/29/2012 Miller, Rachel 195 W 17th St, Dubuque, IA 52001

$7.00 $22.00

06/03/2012 McGuire, John J 333 W Mifflin St Apt 2030, Madison, WI 53703

Analyst Conney Safety

3202 Latham Dr, Madison, WI 53713

$40.00 $240.00

06/03/2012 Bill, John 410 Westin Dr, Madison, WI 53719

$32.75 $0.00

Comment(s): Food for fundraiser

Sub Total $275.19

In-Kind

Non-Monetary (-): $0.00

Loan Forgiven (-): $0.00

Total $9,530.06

Total UnItemized Contributions $0.00

Total Anonymous Contributions $0.00

Grand Total $9,530.06

Page 14: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Maureen May-Grimm for Assembly

06/12/2012 Wisconsin Progress PAC 211 S. Paterson, Suite 210, Madison, WI 53703

$155.04 $0.00

06/12/2012 Wisconsin Progress PAC 211 S. Paterson, Suite 210, Madison, WI 53703

$100.00 $255.04

Comment(s): Training

Comment(s): Nomination Paper Design

Comment(s): $155.04 Campaign Consulting

06/01/2012 Assembly Democratic Camp Comm

P.O. Box 814, Madison, WI 53701 $25.00 $0.00

Sub Total $280.04

In-Kind

Non-Monetary (-): $0.00

Grand Total $280.04

Total $280.04

Date Full Name Address Amount YTD

Page 15: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Maureen May-Grimm for Assembly

Comment(s): Refund from US Cellular for monthly cell phone service

06/22/2012 US Cellular Dept 0203, Palatine, IL 60055 $21.10 $0.00

Expense Refund

Comment(s): Refund from US Cellular for monthly cell phone service

06/22/2012 US Cellular Dept0203, Palatine, IL 60055 $21.10 $0.00

Expense Refund

Comment(s): Check #1008 $100.00 to Mitchell Brothers LLC on 2/5/12

01/07/2012 Mitchell Brothers LLC 250 High St, Mineral Point, WI 53565 $100.00 $0.00

Monetary

Total $142.20

Date Full Name Address Amount YTD

Page 16: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

01/30/2012 Best Buy #208 7357 W Towne Way, Madison, WI 53719

Office Supplies

$16.34

Comment(s): Food and supplies for volunteer meeting.

01/30/2012 Sports Unlimited 411 S Lindsey St, Dodgeville, WI 53533

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

$144.63

Comment(s): Printer ink.

01/14/2012 Iveys Pharmacy 128 High St, Mineral Point, WI 53565

Office Supplies

$6.32

Comment(s): Square card reader to take credit/debit card contributions.

01/17/2012 Piggly Wiggly 316 W Spring St, Dodgeville, WI 53533

Meeting Expenses

$21.41

Comment(s): Thank you notes.

Comment(s): T-shirts.

02/13/2012 Farmers Savings Bank 305 Doty St., Mineral Point, WI 53565

Bank Charges

$2.00

01/23/2012 U.S. Cellular Dept. 0203, Palatine, IL 60055

Utilities - Phone / Cell Phone

$21.10

02/09/2012 Radioshack 3500 Dodge St., Dubuque, IA 52003-5261

IT - Campaign Computer Equip

$10.69

Comment(s): Service Charge.

01/02/2012 Total Choice Hosting PO Box 518, Oxford, MI 48371

Utilities - Internet Access

$5.95

01/07/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02138

ActBlue Fees $11.09

02/03/2012 Total Choice Hosting PO Box 518, Oxford, MI 48371

Utilities - Internet Access

$5.95

01/03/2012 Wellstone Action 2446 University Ave W, Suite 170, St. Paul, MN 55114

Consulting Fees - General

$200.00

Monetary

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount

Maureen May-Grimm for Assembly

Page 17: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

Comment(s): Receipt Pad

03/05/2012 Ivey's Pharmacy 128 High St., Mineral Point, WI 53565

Office Supplies

$6.32

Comment(s): Thank You notes.

02/22/2012 US Cellular DEPT 0203, Palatine, IL 60055

Utilities - Phone / Cell Phone

$21.10

02/19/2012 Ivey's Pharmacy 128 High St., Mineral Point, WI 53565

Office Supplies

$1.36

03/18/2012 Webb, Susan M 404 Front St., Mineral Point, WI 53565

Media - Graphic Design

$20.00

Comment(s): design of contribution envelopes

03/19/2012 Webb, Susan M 404 Front St., Mineral Point, WI 53565

Media - Graphic Design

$50.00

Comment(s): design palm card

02/17/2012 Inkwell Printers 202 E Chapel St., Dodgeville, WI 53533

Office Supplies

$24.32

Comment(s): Karaoke poster and contribution cards.

02/18/2012 Littel Printing Company 4535 Helgensen Dr., Madison, WI 53718

Office Supplies

$839.78

02/11/2012 ActBlue Technical Services

14 Arrow St., Cambridge, MA 02135

ActBlue Fees $3.96

02/02/2012 Inkwell Printers 202 E Chapel St., Dodgeville, WI 53533

Office Supplies

$28.49

Comment(s): Paper and envelopes.

Comment(s): Contribution envelopes.

01/08/2012 ActBlue Technical Services

14 Arrow St., Cambridge, MA 02135

ActBlue Fees $0.99

01/22/2012 ActBlue Technical Services

14 Arrow St., Cambridge, MA 02135

ActBlue Fees $1.98

02/11/2012 ActBlue Technical Services

14 Arrow St., Cambridge, MA 02135

ActBlue Fees $0.99

02/18/2012 Garske, Pat 201 W Railroad St, Lena, IL 61048

Fundraiser - Entertainment

$300.00

Comment(s): Karaoke entertainment.

01/02/2012 ActBlue Technical Services

14 Arrow St., Cambridge, MA 02135

ActBlue Fees $2.97

Monetary

Page 18: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

Comment(s): Thank you notes.

04/28/2012 Ivey's Pharmacy 128 High St, Mineral Point, WI 53565

Office Supplies

$6.32

03/16/2012 Budget Signs & Specialties LLC

2225 Industrial Dr, Madison, WI 53713

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

$21.05

03/21/2012 US Cellular DEPT 0203, Palatine, IL 60055

Utilities - Phone / Cell Phone

$21.10

03/12/2012 Postmaster Dodgeville, WI 53533

Mailing Service

$70.00

Comment(s): 2 name engraved badges

03/19/2012 Piggly Wiggly 316 W Spring St., Dodgeville, WI 53533

Meeting Expenses

$16.31

04/03/2012 Total Choice Hosting PO Box 518, Oxford, MI 48371

Utilities - Internet Access

$5.95

03/05/2012 Total Choice Hosting PO Box 518, Oxford, MI 48371

Utilities - Internet Access

$5.95

Comment(s): Food and supplies for volunteer meeting.

Comment(s): Post office box rental for 1 year (PO Box 123 Dodgeville, WI)

Comment(s): 10,000 palm cards

03/23/2012 Wells Print & Digital Services

3121 Watford Way, Madison, WI 53713

Printing - Brochures

$766.56

Comment(s): Postage stamps

04/12/2012 United States Postal Office

269 High St, Mineral Point, WI 53565-9998

Postage $45.00

Comment(s): Domain Registration Renewal maureenmaygrimm.com - 1 year registration

03/12/2012 Google 1600 Ampitheatre Pkwy, Mountain View, CA 94043

Media - Website Development

$10.00

Comment(s): Parking

02/23/2012 City of Madison Parking 215 Martin Luther King Jr. Blvd, Suite 100, P.O. Box 2986, Madison, WI 53701-2986

Candidate Expenses - Parking

$8.40

Monetary

Page 19: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

Comment(s): Postage to send fundraising materials

05/16/2012 Republican Journal 316 Main St, Darlington, WI 53580

Media - Newspaper

$41.00

Comment(s): Subscription

05/15/2012 US Postal Service Dubuque, IA 52001-9998

Postage $6.80

05/16/2012 Littel Printing Co. LLC 4535 Helgesen Dr, Madison, WI 53718-6747

Postage $112.00

Comment(s): for 500 letters/envelopes

05/16/2012 The Monroe Times 1065 4th Ave West, Monroe, WI 53566

Media - Newspaper

$85.00

Comment(s): Subscription

Comment(s): monthly cell phone charges

05/01/2012 Total Choice Hosting PO Box 518, Oxford, MI 48371

Utilities - Internet Access

$5.95

Comment(s): Internet Access

04/23/2012 US Cellular Dept 0203, Palatine, IL 60055

Utilities - Phone / Cell Phone

$21.10

Comment(s): for 500 letters/envelopes

04/23/2012 Inkwell Printers LLC 202 E Chapel St, Dodgeville, WI 53533

Printing - Copies

$9.50

Comment(s): Check #1015 40 sets of nomination signature papers.

05/16/2012 Littel Printing Co. LLC 4535 Helgesen Dr, Madison, WI 53718-6747

Printing - Brochures

$144.54

Comment(s): 500 fundraising letters & envelopes

05/16/2012 Littel Printing Co. LLC 4535 Helgesen Dr, Madison, WI 53718-6747

Mailing Service

$238.67

05/12/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $9.89

04/28/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $2.97

04/28/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $6.33

05/05/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $7.91

Monetary

Page 20: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

06/06/2012 Farmers Savings Bank 305 Doty St, Mineral Point, WI 53565

Bank Charges

$5.00

06/13/2012 Rebholz, Jacob 2 West Gorham St, Apt 101, Madison, WI 53703

Consulting Fees - General

$1,875.00

Comment(s): Fax fee

Comment(s): Fee for processing credit card donation.

02/21/2012 Square Inc 110 5th Street, San Francisco, CA 94103-2918

Solicitation Expenses

$0.55

05/27/2012 Walmart 601 E Leffler St, Dodgeville, WI 53533

Parade Expenses - Fees, candy

$10.36

06/01/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $1.98

05/24/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $9.29

06/05/2012 Total Choice Hosting PO Box 518, Oxford, MI 48371

Utilities - Internet Access

$5.95

05/24/2012 US Cellular Dept 0203, Palatine, IL 60055

Utilities - Phone / Cell Phone

$21.10

05/23/2012 US Cellular Dept 0203, Palatine, IL 60055

Utilities - Phone / Cell Phone

$140.09

Comment(s): Parade Supplies

Comment(s): Check #1017 for reimbursement of Fundraiser Food & Beverages

05/28/2012 Vitta, Joel 399 Sinsinawa Ave, East Dubuque, IL 61025

Fundraiser - Food & Beverage

$52.28

Comment(s): Printer ink

06/03/2012 Office Max 7341 West Towne Way, Madison, WI 53719

Office Supplies

$63.80

Comment(s): Envelopes

05/28/2012 Walgreens 1133 N Johns St, Dodgeville, WI 53533

Office Supplies

$2.31

Comment(s): nomination signatures - copies of

05/28/2012 Piggly Wiggly 316 W Spring St, Dodgeville, WI 53533

Printing - Copies

$6.96

Monetary

Page 21: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

04/07/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $5.93

Comment(s): Monthly fee for Donor Vault

06/01/2012 Democratic Party of Wisconsin

110 King St, Suite 203, Madison, WI 53703

IT - Campaign Software

$57.00

Comment(s): Mileage

06/30/2012 Rebholz, Jacob 2 West Gorham St., Apt 101, Madison, WI 53703

Consulting Fees - General

$198.53

06/30/2012 ActBlue Technical Services

14 Arrow St., Cambridge, MA 02135

ActBlue Fees $1.98

06/20/2012 Sports Unlimited 411 S Lindsey St, Dodgeville, WI 53533

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

$283.59

Comment(s): Check #1019

06/10/2012 Grandstay Hotel & Suites

300 Mall Drive, Appleton, WI 54913

Staff - Lodging

$197.58

06/14/2012 Wells Print & Digital Services

PO Box 1744, Madison, WI 53701-1744

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

$216.14

Comment(s): 5000 stickers

06/13/2012 US Cellular Dept 0203, Palatine, IL 60055

Utilities - Phone / Cell Phone

$81.39

04/07/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $1.98

03/17/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $1.98

03/03/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $2.02

06/13/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $5.93

06/16/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $0.99

06/23/2012 ActBlue Technical Services

14 Arrow St, Cambridge, MA 02135

ActBlue Fees $3.95

Sub Total $6,669.70

Monetary

Page 22: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

Comment(s): M&M's for fundraiser

05/29/2012 Hughes, Coleen WI Fundraiser - Food & Beverage

$7.15

Comment(s): Wine for fundraiser

Comment(s): Bread for fundraiser

05/29/2012 Burnside, Laura 1120 S Grandview Ave, Dubuque, IA 52003

Fundraiser - Food & Beverage

$4.00

02/18/2012 Baker, Dorothy 58 Shake Rag St, Mineral Point, WI 53565

Fundraiser - Auction Item

$50.00

Comment(s): Silent Auction Item

02/18/2012 Dunn, Monica 330 Maiden St, Mineral Point, WI 53565

Fundraiser - Auction Item

$12.00

05/29/2012 Burnside, Todd 1120 S Grandview Ave, Dubuque, IA 52003

Fundraiser - Food & Beverage

$15.00

02/11/2012 Wyman, Marion R 4250 Green Leaf Dr, Dodgeville, WI 53533

Volunteer Meals

$3.99

Comment(s): Food for Volunteer Meeting.

Comment(s): Silent Auction Item

Comment(s): Stationery, envelopes and return address labels

03/12/2012 Simonson, John 1851 Twin Bridge Rd., Mineral Point, WI 53565

Office Supplies

$65.35

Comment(s): Printer Cartridge

03/12/2012 Simonson, John 1851 Twin Bridge Rd., Mineral Point, WI 53565

Office Supplies

$23.18

Comment(s): Printer Cartridge

03/12/2012 Simonson, John 1851 Twin Bridge Rd., Mineral Point, WI 53565

Office Supplies

$11.77

In-Kind

02/05/2012 Mitchell Brothers LLC 250 High St, Mineral Point, WI 53565

$100.00

Comment(s): Check #1008 $100.00 to Mitchell Brothers LLC

Sub Total $100.00

Return Receipt

Page 23: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

Comment(s): Part of Personal Loan 6/30/12

06/30/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

Candidate Expenses - Parking

$2.00

Comment(s): Part of Personal Loan 6/30/12

Comment(s): Part of Personal Loan 6/30/12

06/30/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

Candidate Expenses - Mileage

$206.70

06/30/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

Volunteer Meals

$26.40

Comment(s): $155.04 Campaign Consulting

06/30/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

Office Supplies

$2.52

Comment(s): Part of Personal Loan 6/30/12

06/12/2012 Wisconsin Progress PAC

211 S. Paterson, Suite 210, Madison, WI 53703

Consulting Fees - General

$155.04

06/01/2012 Assembly Democratic Camp Comm

P.O. Box 814, Madison, WI 53701

Media - Graphic Design

$25.00

Comment(s): Nomination Paper Design

06/03/2012 McGuire, John J 333 W Mifflin St Apt 2030, Madison, WI 53703

Fundraiser - Food & Beverage

$40.00

Comment(s): Part of Personal Loan 6/30/12

05/29/2012 Miller, Rachel WI Fundraiser - Food & Beverage

$7.00

Comment(s): Brownies for fundraiser

Comment(s): Food for fundraiser

Comment(s): Memorial Day Parade Signs

06/30/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

Parade Expenses - Fees, candy

$6.98

05/28/2012 Johnson, Jan Chestnut St, Mineral Point, WI 53565

Parade Expenses - Fees, candy

$3.00

06/03/2012 Bill, John 410 Westin Dr, Madison, WI 53719

Fundraiser - Food & Beverage

$32.75

Comment(s): Food for fundraiser

In-Kind

Page 24: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

Comment(s): Training

06/12/2012 Wisconsin Progress PAC

211 S. Paterson, Suite 210, Madison, WI 53703

Consulting Fees - General

$100.00

Sub Total $799.83

In-Kind

Total $7,569.53

Non-Monetary (-): $0.00

Grand Total $7,569.53

Page 25: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Maureen May-Grimm 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

Page 26: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A

Complete Committee Name:

Incurred Obligation Outstanding Amount:

Grand Total $0.00

Date Full Name Address Amount

$0.00

Maureen May-Grimm for Assembly

Grand Total $0.00

Date Full Name Amount Paid

Page 27: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN GAB-2 · 2012. 7. 17. · 01/07/2012 Cates, Kim J 5992 Cty Rd T, Spring Green, WI 53588 $25.00 $0.00 01/03/2012 Berg, Michael 2961 Cty Hwy

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Loans Outstanding Amount:

Maureen May-Grimm for Assembly

$5,000.00

Comment(s): In-Kind ContributionsParade Receipts=$37.90Mileage=$206.70

06/30/2012 May-Grimm, Maureen Theresa

240 South Street, Mineral Point, WI 53565

$244.60 $0.00 $244.60

Sub Total $244.60

Personal Loan

Grand Total $244.60

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount