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2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$768.64 $768.64
$0.00 $0.00
$768.64 $768.64
Street Address: 294 Meadowcreek Ct. #4
City, State and Zip: Pewaukee, WI 53072
Filing Period Name:
Covers all activity from 07/01/2012 through 12/31/2012
January Continuing 2013
Name of Committee/Corporation:
Adam Neylon 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
$4,885.44 $4,885.44
$0.00 $0.00
$0.00 $0.00
$4,885.44 $4,885.44
SUMMARY OF RECEIPTS AND DISBURSEMENTS
GAB ID: 0105423
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)
$0.00
$4,885.44
$4,885.44
$768.64
$0.00
$484.17
$4,116.80*
*
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:
Kaminski, Daniel Email: [email protected]
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: Adam Neylon for Assembly
11/19/2012 Tasker, Molly 1557 Sienna Dr., Melbourne, FL 32934
ATTORNEY Self employed
1557 Sienna Dr., Melbourne, FL 32934
$100.00 $0.00
11/20/2012 Bielski, Chris 1223 chadwick ln, West Dundee, IL 60118
SALES Central Steel $30.00 $0.00
11/28/2012 Morrison, Mitchel 21613 Pacific Coast Hwy, Malibu, CA 90265
INDEPENDENT CONTRACTOR
self-employed $25.00 $0.00
11/17/2012 Huffman, Hannah 7237 Tempe Dr, Madison, WI 53719
$10.00 $0.00
11/20/2012 lore mayo, david 15507F Turner St, Fort Polk, LA 71459
CAVALRY SCOUT SENIOR SCOUT
United States Armyq
$25.00 $0.00
11/25/2012 Bartmann, Douglas
123 N West Ave, Waukesha, WI 53186
REALTOR Shorewest Realtors
$25.00 $0.00
11/26/2012 Eckhorn, Andrew 3047 N. Troy Street, Chicago, IL 60618
TEACHER Chicago Public Schools
$17.00 $0.00
11/22/2012 Mason, Andrew 46 Canaan Rd, Strafford, NH 03884
STUDENT Carroll University
$10.00 $0.00
11/25/2012 Wallace, Allison 1034 22nd street south, arlington, VA 22202
NA na $25.00 $0.00
Monetary
11/16/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072
$484.17 $0.00
Sub Total $484.17
Personal Loan
12/04/2012 Phillips, Joe 224 S. James St., Waukesha, WI 53186
$80.00 $0.00
12/15/2012 Baumann, Myrtle 2068 Spaulding Ave, West Dundee, IL 60118
RETIRED $242.74 $0.00
12/15/2012 Yerk, Kayla 716 Maple Ave, Waukesha, WI 53186
$68.53 $0.00
Sub Total $391.27
In-Kind
Date Full Name Address Occupation Employer Name
Employer Address
Amount YTD
12/06/2012 Morrison, Garry 250 W. Scott Unit E, Chicago, IL 60610
REGIONAL EMPLOYEE BENEFITS CONSULTANT
Reliance Standard Life Insurance
$25.00 $0.00
12/11/2012 Baumann, Ali 1506 VENICE BLVD, VENICE, CA 90291
EXECUTIVE ASSISTANT
20th Century Fox
10201 W Pico Blvd, Los Angeles, CA 90064
$500.00 $0.00
12/04/2012 Ryan, David W298 S5705 Cliffside Court, Waukesha, WI 53186
$50.00 $0.00
12/04/2012 Cerny, Luke 1504 N. Prospect Ave #212, Milwaukee, WI 53202
$50.00 $0.00
12/04/2012 Krcik, Emily 1504 N. Prospect Ave #212, Milwaukee, WI 53202
$50.00 $0.00
12/14/2012 Manke, Gladys 809 N Moreland Blvd, Waukesha, WI 53186
$50.00 $0.00
12/11/2012 Cerny, Miles & Mary
N1911 Cozy Lane, Antigo, WI 54409
RN Langlade Hospital
$50.00 $0.00
12/12/2012 Traub, JIll 1216 Chadwick Ln, West Dundee, IL 60118
HOMEMAKER $50.00 $0.00
12/04/2012 Nelis, Kevin 2734 N Kennicott Avenue, Arlington Heights, IL 60004
INVESTIGATOR State of Illinois
113 Newell St, Woodstock, IL 60098
$250.00 $0.00
12/04/2012 Best, Pam 1821 Ruben Drive, Waukesha, WI 53186
$50.00 $0.00
12/04/2012 Neylon, Conni 2068 Spaulding Ave, West Dundee, IL 60118
PROJECT CONTROLS
Day & Zimmerman
1500 Spring Garden St, Philadelphia, PA 17601
$500.00 $0.00
12/04/2012 Kaminski, Dan 229 S. James St., Waukesha, WI 53186
$50.00 $0.00
12/04/2012 Neylon, Thomas 2068 Spaulding Ave, West Dundee, IL 60118
$500.00 $0.00
12/04/2012 Alf, Vicky 2770 S Amor Drive, New Berlin, WI 53146
$50.00 $0.00
12/04/2012 Carroll, Kyle 229 S. James St., Waukesha, WI 53186
$50.00 $0.00
12/04/2012 Allen, Scott S42 W25312 Dale Drive, Waukesha, WI 53189
$50.00 $0.00
12/04/2012 Roberts, Diana 2414 Fox River Parkway Unit C, Waukesha, WI 53189
$40.00 $0.00
12/04/2012 Mueller, Karen 576 Chapel Hill Court, Wales, WI 53186
HOMEMAKER $250.00 $0.00
Monetary
12/17/2012 Hanson, Chris 777 E Wisconsin Ave, Milwaukee, WI 53202
$40.00 $0.00
12/17/2012 Thielacker, Christian
418 Lemira Ave #2, Waukesha, WI 53188
$80.00 $0.00
12/15/2012 Lyons, Andrea 71 Dartmoor Dr., Crystal Lake, IL 60014
$40.00 $0.00
12/15/2012 Richardson, Mary 2941 Deer Path Ct., Carpentersville, IL 60110
$40.00 $0.00
12/17/2012 Gabor, Daniel 135 McCall St., Waukesha, WI 53186
$40.00 $0.00
12/30/2012 Zeinert, William 272 McKinley Ave, Clintonville, WI 54929
SHEPARD Bill Zeinert LLC
$28.00 $0.00
12/17/2012 Best, Keith 1821 Ruben Dr., Waukesha, WI 53186
SALES REP Edward Don Co.
$50.00 $0.00
12/28/2012 NUTT, BRIAN 107 N RAMMER AVE, ARLINGTON HEIGHTS, IL 60004
ACCOUNTANT WORLD KITCHEN
$50.00 $0.00
12/15/2012 Tossey, Bruce 83 White Pine Ln., Lake Villa, IL 60046
$25.00 $0.00
12/15/2012 Polek, Jennifer 322 Cambridge Dr., Grayslake, IL 60030
$70.00 $0.00
12/15/2012 Nutt, David 35W631 Old Barn Rd., Dundee, IL 60118
BUSINESS BANKING OFFICER
First Midwest Bank
8501 W Higgins Rd #1, Chicago, IL 60631
$100.00 $0.00
12/15/2012 Scheinpflug, Marilyn
8632 Major Ave, Morton Grove, IL 60053
$50.00 $0.00
12/17/2012 Zillmer, Hannah 2579 N. Stowell Ave Unit 1, Milwaukee, WI 53211
$60.00 $0.00
12/15/2012 Neylon, John 2110 Spaulding Ave., West Dundee, IL 60118
$50.00 $0.00
12/15/2012 Gorack, Mike 9701 May Street, Algonquin, IL 60110
$50.00 $0.00
12/15/2012 Bielski, Rick 1223 Chadwick Lane, West Dundee, IL 60118
$40.00 $0.00
12/15/2012 Whitfield, Jacob 9701 May Street, Algonquin, IL 60110
$50.00 $0.00
12/15/2012 Fritz, Al 35W820 Valley View Rd., Dundee, IL 60118
RETIRED $100.00 $0.00
Monetary
12/31/2012 Sholty, Jason 1801 S. 55th Street, West Milwaukee, WI 53214
$100.00 $0.00
Sub Total $3,945.00
Monetary
Non-Monetary (-): $0.00
Loan Forgiven (-): $0.00
Total $4,885.44
Total UnItemized Contributions $65.00
Total Anonymous Contributions $0.00
Grand Total $4,885.44
SCHEDULE 1-B RECEIPTS Contributions from Committees
(Transfers-In)
Complete Committee Name: Adam Neylon for Assembly
Non-Monetary (-): $0.00
Total $0.00
Grand Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans
Complete Committee Name: Adam Neylon for Assembly
Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 2-A DISBURSEMENTS Gross Expenditures
Complete Committee Name:
12/12/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072
Event or Fair Booth
$30.00
11/24/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072
Printing - Copies
$128.20
11/22/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072
Media - Website Development
$20.00
12/14/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072
Membership Dues - Community Org
$14.75
12/03/2012 Fed Ex 1249 Capitol Dr, Pewaukee, WI 53072
Postage $18.00
11/30/2012 WalMart 2000 S West Ave, Waukesha, WI 53189
Office Supplies
$24.77
12/04/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072
Fundraiser - Food & Beverage
$91.22
Monetary
12/04/2012 Phillips, Joe 224 S. James St., Waukesha, WI 53186
Fundraiser - Food & Beverage
$80.00
12/15/2012 Baumann, Myrtle 2068 Spaulding Ave, West Dundee, IL 60118
Fundraiser - Food & Beverage
$242.74
12/15/2012 Yerk, Kayla 716 Maple Ave, Waukesha, WI 53186
Printing - Copies
$68.53
Sub Total $391.27
In-Kind
Date Full Name Address Vendor Name Vendor Address
Expense Purpose
Amount
Adam Neylon for Assembly
12/31/2012 Piryx, Inc 144 2nd St., 1st floor, San Francisco, CA 94105
Bank Charges
$50.43
Sub Total $377.37
Monetary
Total $768.64
Non-Monetary (-): $0.00
Grand Total $768.64
SCHEDULE 2-B DISBURSEMENTS Contributions To Committees
(Transfers-Out)
Complete Committee Name: Adam Neylon 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
ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans
SCHEDULE 3-A
Complete Committee Name:
Beginning Incurred Obligation Amount:
Grand Total $0.00
Date Full Name Address Amount
$0.00
Adam Neylon for Assembly
Outstanding Incurred Obligations End of Report $0.00
Grand Total $0.00
Date Full Name Amount Paid
ADDITIONAL DISCLOSURELoans
Individual, Committee or Commercial
SCHEDULE 3-B
Complete Committee Name:
Beginning Loan Balance:
Adam Neylon for Assembly
$0.00
11/16/2012 Neylon, Adam 294 Meadowcreek Ct. #4, Pewaukee, WI 53072
$484.17 $0.00 $484.17
Sub Total $484.17
Personal Loan
Grand Total $484.17
Outstanding Loan Balance End of Report $484.17
Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount
Outstanding Amount