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2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$3,880.74 $3,880.74
$0.00 $0.00
$3,880.74 $3,880.74
Street Address: PO Box 2
City, State and Zip: Dodgeville, WI 53533-0002
Filing Period Name:
Covers all activity from 01/01/2014 through 06/30/2014
July Continuing 2014
Name of Committee/Corporation:
Novak 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
$15,696.24 $15,696.24
$500.00 $500.00
$0.00 $0.00
$16,196.24 $16,196.24
SUMMARY OF RECEIPTS AND DISBURSEMENTS
GAB ID: 0105503
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
$16,196.24
$16,196.24
$3,880.74
$0.00
$0.00
$12,315.50*
*
I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete.
Signature of Candidate or Treasurer
Todd Novak
Type or Print Name of Candidate or Treasurer: Date: Daytime Phone:
Email: [email protected], Beverly
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: Novak For Assembly
02/18/2014 Berle, Christian A 6 Snows CT NW, Washington, DC 20037
Legislative Director
Freedom to Work Action Fund
6 Snows CT NW, Washington, DC 20037
$100.00 $100.00
03/05/2014 Waskowski, Thaddeus
756 Pleasant Oak Dr, Oregon, WI 53575
Attorney Stafford Rosenbaum
222 W Washington Ave #900, Madison, WI 53703
$150.00 $150.00
03/20/2014 Anderson, Carol L 106 Mound Street, Cobb, WI 53526
Retired $250.00 $250.00
03/10/2014 Mueller, Roger 369 White Waters Trl, Nekoosa, WI 54457
Retired Attorney $100.00 $100.00
02/20/2014 Meyers, John M 3110 County Road K, Barneveld, WI 53507
$50.00 $50.00
02/15/2014 Anderson, Beverly 831 Division Street, Darlington, WI 53530
Retired $100.00 $100.00
02/24/2014 Martens, Sally County Road Y, Dodgeville, WI 53533
Retired $100.00 $100.00
03/20/2014 Nuzum, Christopher B
202 West Division St, Dodgeville, WI 53533
Funeral Director Gorgen Funeral Service LLC
400 E Grace St, Dodgeville, WI 53533
$500.00 $500.00
03/24/2014 Mueller, Thomas J PO Box 145, Dodgeville, WI 53533
Owner Mueller Implement Inc
4948 County Road YZ, Dodgeville, WI 53533
$200.00 $200.00
03/22/2014 Novak, Barbara K 1440 County Road B, Cobb, WI 53526
Returns Lands End 2 Lands End Lane, Dodgeville, WI 53595
$500.00 $500.00
03/22/2014 Novak, Timothy S 1440 County Road B, Cobb, WI 53526
Factory Worker Tri State Pallet
5023 Highway 80, Highland, WI 53543
$250.00 $250.00
03/13/2014 Collins, Thomas R 103 Bier St, Ridgeway, WI 53582
$50.00 $50.00
03/22/2014 Novak, Daniel A 1620 Bills Rd E, Highland, WI 53543
Maintenance Lands End 2 Lands End Lane, Dodgeville, WI 53595
$500.00 $500.00
03/22/2014 Murphy, Susan Novak
725 4th Ave Nw, Mount Vernon, IA 52314
Teacher Central City School District
400 Barber St, Central City, IA 52214
$500.00 $500.00
Monetary
Date Full Name Address Occupation Employer Name
Employer Address
Amount YTD
04/10/2014 Lehman, John M 393 Irish Hollow Road, Highland, WI 53543
Doctor Blackhawk Area Health
551 Main Street, Highland, WI 53543
$100.00 $100.00
04/11/2014 O'Flahrity, Jo Ann 101 S Wilson St, PO Box 43, Cobb, WI 53526
$25.00 $25.00
04/07/2014 Jackson, Bob 213 N Iowa Street, Dodgeville, WI 53533
Attorney Jackson Law Firm
213 N Iowa Street, Dodgeville, WI 53533
$100.00 $100.00
04/04/2014 Martens, Sally 2240 County Road Y, Dodgeville, WI 53533
Retired $100.00 $200.00
04/11/2014 Benish, Ronald 326 Isabell Street, Highland, WI 53543
Reitred $100.00 $100.00
04/11/2014 Peterson, Russell 518 Blacks Grove Road, Dodgeville, WI 53533
$25.00 $25.00
04/11/2014 Esch, Dan 3253 Lehner Road, Dodgeville, WI 53533
$50.00 $50.00
03/20/2014 Fedler, Ronald G 3291 Hunters Hollow Rd, Dodgeville, WI 53533
President Goldleaf Development Llc
2379 University Ave Madison, Madison, WI 53726
$500.00 $500.00
03/21/2014 Ritchie, Donald R 402 School Street, Cobb, WI 53526
Retired $500.00 $500.00
03/21/2014 Ritchie, Ronald P PO Box 188, Cobb, WI 53526
President Ritchie's 507 W Main St, Cobb, WI 53526
$500.00 $500.00
03/31/2014 Jewell, Lisa B 5101 Weaver Rd, Dodgeville, WI 53533
Self-employed Lisa Jewell 5101 Weaver Road, Dodgeville, WI 53533
$500.00 $500.00
03/21/2014 Klass, Chelsie R 523 Marilyn Drive, Cobb, WI 53526
Business Manager Ritchie’s 507 W Main St, Cobb, WI 53526
$150.00 $150.00
03/21/2014 Ritchie, Jon 308 Moundview St, PO Box 92, Cobb, WI 53526
Vice-President Ritchie's 1849 Ervin Johnson Dr, Darlington, WI 53530
$500.00 $500.00
04/03/2014 Pipal, John R 411 Virginia Terrace, Dodgeville, WI 53533
Attorney Pipal Law Office
213 N Iowa St, PO Box 142, Dodgeville, WI 53533
$100.00 $100.00
03/31/2014 Jewell, Greg 5101 Weaver Rd, Dodgeville, WI 53533
President Jewell Assoicates Engineers
560 Sunrise Drive, Spring Green, WI 53588
$500.00 $500.00
03/29/2014 Perry, Dana B 4350 County Road K, Barneveld, WI 53507
$25.00 $25.00
03/21/2014 Ritchie-Hallada, Connie M
4250 Park Ridge, Dodgeville, WI 53533
Treasurer Ritchie's 507 W Main St, Cobb, WI 53526
$500.00 $500.00
03/28/2014 Koehler, Margaret M
314 Harris Street, Mineral Point, WI 53565
Attorney Koehler Law Office
248 High Street, PO Box 109, Mineral Point, WI 53565
$100.00 $100.00
Monetary
04/14/2014 Crawford, Karen 254 Shake Rag St, Mineral Point, WI 53565
Retired $100.00 $100.00
04/16/2014 Weaver, Ed 4723 County Road YZ, Dodgeville, WI 53533
Owner Advantage Printing
4723 County Road YZ, Dodgeville, WI 53533
$100.00 $100.00
04/10/2014 Swanson, John 525 Powell St, Dodgeville, WI 53533
Pharmacist Walgreens 1133 N Johns St, Dodgeville, WI 53533
$100.00 $100.00
04/11/2014 Anderson, Charles 319 W Parry St, Dodgeville, WI 53533
$50.00 $50.00
04/12/2014 Metcalf, John A 413 E Madison St, PO Box 304, Dodgeville, WI 53533
$25.00 $25.00
04/11/2014 Kratochwill, Robert 413 W Spring St, Dodgeville, WI 53533
Retired $100.00 $100.00
04/10/2014 Jungbluth, Ruth 2823 Sunny Slope Road, Dodgeville, WI 53533
$25.00 $25.00
04/16/2014 Donahue, Louise 144 Kings Ct, Dodgeville, WI 53533
$25.00 $25.00
04/11/2014 Hennessey, Lorraine
4497 County Road B, Dodgeville, WI 53533
Retired $500.00 $500.00
04/10/2014 Rule, Carole 2375 Sunny Slope Road, Dodgeville, WI 53533
Retired $100.00 $100.00
04/10/2014 Gates, Carol 624 Orchard Ridge Rd, Dodgeville, WI 53533
$25.00 $25.00
04/10/2014 McCutchin, Klinton 727 W Clarence St, Dodgeville, WI 53533
Retired $125.00 $125.00
04/15/2014 Simplot, Marvin 484 Snow Bottom Road, Highland, WI 53543
$35.00 $35.00
04/12/2014 Palzkill, John 4022 State Road 39, Mineral Point, WI 53565
$25.00 $25.00
04/11/2014 Ladd, David A 130 E Madison St, Dodgeville, WI 53533
Retired $250.00 $250.00
04/11/2014 James, Calvin 2688 County Road XX, Livingston, WI 53554
Retired $250.00 $250.00
04/11/2014 Walker, Ron 110 Division St, Cobb, WI 53526
Attorney Walker Law Office
110 Division St, Cobb, WI 53526
$100.00 $100.00
04/11/2014 Crubaugh, Florence
407 E North St, Dodgeville, WI 53533
Retired $100.00 $100.00
04/10/2014 Althaus, Maurice J 112 W Walnut St, Dodgeville, WI 53533
$10.00 $10.00
Monetary
04/30/2014 Nelson, Larry 1243 W Lake Road, Mineral Point, WI 53565
$35.00 $35.00
04/26/2014 Bennett, Phyllis 510 Front Street, Mineral Point, WI 53565
$20.00 $20.00
04/30/2014 Brunner, Paullette J
63375 Cliffwood Dr, Prairie Du Chien, WI 53821
$25.00 $25.00
04/24/2014 Hughes, Don N1245 Honey Creek Rd, Monroe, WI 53566
CFO Swiss Colony 1112 7th Ave, Monroe, WI 53566
$250.00 $250.00
04/29/2014 Messer, Diane M 616 Prairie Hills Dr, Dodgeville, WI 53533
School Administrator
Dodgeville School District
307 North Iowa, Dodgeville, WI 53533
$250.00 $250.00
04/30/2014 Ceniti, Mary Jo 729 State Road 23, Mineral Point, WI 53565
President Farmers Savings Bank
305 Doty Street, Mineral Point, WI 53565
$100.00 $100.00
04/27/2014 Meyers, Nancy 3110 County Road K, Barneveld, WI 53507
$25.00 $25.00
04/16/2014 Limmex, Vincent 4950 County Hwy C, Spring Green, WI 53588
Retired $100.00 $100.00
04/15/2014 Heimerl, Darlene 500 Orchard Ridge Rd, Dodgeville, WI 53533
$25.00 $25.00
04/13/2014 Potterton, Paul 900 High Point Road, Dodgeville, WI 53533
Retired $100.00 $0.00
04/24/2014 Faull, Tom 462 Wasley Street, PO Box 404, Linden, WI 53553
Retired $100.00 $100.00
04/14/2014 Bishop, Brad 1249 State Hwy 18, Cobb, WI 53526
General Manager C.R. Bishop & Sons Inc
1302 State Hwy 18, Cobb, WI 53526
$100.00 $100.00
04/16/2014 Gluege, Rosemary PO Box 203, Livingston, WI 53554
$20.00 $20.00
04/12/2014 Felley, Albert 25 Shake Rag St, Mineral Point, WI 53565
$50.00 $50.00
04/18/2014 Thomas, Janice E 1821 Skidmore Rd, Stoughton, WI 53589
$25.00 $25.00
04/22/2014 Saether, Paul T PO Box 154, Blanchardville, WI 53516
Owner Saether Funeral Home
109 Water St, Blanchardville, WI 53516
$100.00 $100.00
04/22/2014 Fritsch, Phyllis A 208 E Main St, Cobb, WI 53526
$50.00 $50.00
04/13/2014 Felly, Eadie Graham
25 Shake Street, Mineral Point, WI 53565
$50.00 $50.00
04/14/2014 Anderson, Jim PO Box 101, Saint Germain, WI 54558
Manager Elbert's Resort & Condo's
PO Box 101, Saint Germain, WI 54558
$100.00 $100.00
04/18/2014 Lovaas, Judy R PO Box 161, Dodgeville, WI 53533
Retired $500.00 $500.00
Monetary
05/29/2014 Ladd, Mary Ellen 4476 County Road Q, Dodgeville, WI 53533
$50.00 $50.00
05/08/2014 Novak, Raymond 915 N. Swam Road, Tucson, AZ 85711
Doctor Private Practice
915 N. Swam Road, Tucson, AZ 85711
$200.00 $200.00
05/16/2014 Gevelinger, Eleanor
411 Vern Court, Dodgeville, WI 53533
$50.00 $50.00
05/16/2014 Prazak, Albert J 4364 Park Ridge Rd, Dodgeville, WI 53533
Retired $250.00 $250.00
05/25/2014 Byrne, Timothy J 467 Signature Dr, Middleton, WI 53562
Vice President M3 Insurance 3113 W Beltline Hwy, Madison, WI 53713
$500.00 $500.00
05/01/2014 Hennessey, Chris 201 Kings Ct, Dodgeville, WI 53533
$50.00 $50.00
05/01/2014 Dochnahl, Denine 3865 County Road Q, Dodgdeville, WI 53533
Printing Woodward Printing Services
11 Means Dr, Platteville, WI 53818
$100.00 $100.00
05/01/2014 Mayer, Phillip B 3981 Evans Quarry Road, Dodgeville, WI 53533
Retired $100.00 $100.00
05/01/2014 Poad, Debra 411 Copper St, Mineral Point, WI 53565
$50.00 $0.00
04/21/2014 Strahota, Joan 5480 Caddis Bend #104, Fitchburg, WI 53711
$25.00 $25.00
04/27/2014 Michek, Mary Jo 2259 Osborne Road, Dodgeville, WI 53533
$50.00 $50.00
04/29/2014 Sand, Mary Novak 5 Ayrshire, Cromwell, CT 06416
$50.00 $50.00
05/13/2014 Johnsen, Loren M 966 County Road B, Cobb, WI 53526
$25.00 $25.00
05/15/2014 Gollon, David C 2842 County Road Z, Dodgeville, WI 53533
Owner Gollon Bait & Fish Farm
5117 Highway 191, Dodgeville, WI 53533
$250.00 $250.00
05/20/2014 Hoernke, Beverly J 4008 County Road J, Dodgeville, WI 53533
Retired $100.00 $100.00
05/10/2014 Masters, Mel 2624 Pellow Road, Mineral Point, WI 53565
$25.00 $25.00
05/11/2014 Fingerson, Eileen 405 Mound View St, PO Box 297, Cobb, WI 53526
$50.00 $50.00
05/08/2014 Lindner, Patricia A 612 W Division St, Dodgeville, WI 53533
$50.00 $50.00
05/09/2014 Susan, Donaldson A
104 Aspen Glen Dr, Spring Green, WI 53588
President Vivid Inc-House on the Rock
5754 State Road 23, Spring Green, WI 53588
$250.00 $250.00
Monetary
Comment(s): T-Shirts
05/21/2014 Wall, Bill 512 West Fountain St, Dodgeville, WI 53533
Owner The Sweatshop
133 N Iowa St, Dodgeville, WI 53533
$500.00 $500.00
05/21/2014 Wall, Leesa 512 W Fountain St, Dodgeville, WI 53533
Owner The Sweatshop
133 N Iowa St, Dodgeville, WI 53533
$247.97 $247.97
Comment(s): T-Shirts
Sub Total $747.97
In-Kind
06/05/2014 Houck, John 126 Diagonal St, Dodgeville, WI 53533
Owner Houck Funeral Homes
126 Diagonal St, Dodgeville, WI 53533
$200.00 $200.00
06/30/2014 Novak, Todd D 202 W Division St, Dodgeville, WI 53533
Candidate Candidate 202 W Division St, Dodgeville, WI 53533
$438.27 $438.27
06/09/2014 Dyke, Christine 223 E Swayne St, Dodgeville, WI 53533
$90.00 $90.00
06/16/2014 Gorgen, Gregory 310 Ridge Street, Mineral Point, WI 53565
Retired $200.00 $200.00
Sub Total $14,948.27
Monetary
Non-Monetary (-): $0.00
Loan Forgiven (-): $0.00
Total $15,696.24
Total UnItemized Contributions $0.00
Total Anonymous Contributions $0.00
Grand Total $15,696.24
SCHEDULE 1-B RECEIPTS Contributions from Committees
(Transfers-In)
Complete Committee Name: Novak For Assembly
06/27/2014 Rep Assembly Campaign Com RACC
P.O. Box 215, Madison, WI 53701 $500.00 $500.00
Comment(s): Mailing List
Sub Total $500.00
In-Kind
Non-Monetary (-): $0.00
Grand Total $500.00
Total $500.00
Date Full Name Address Amount YTD
SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans
Complete Committee Name: Novak For Assembly
Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 2-A DISBURSEMENTS Gross Expenditures
Complete Committee Name:
05/07/2014 ACP 4723 County Road YZ, Dodgeville, WI 53533
Solicitation Expenses
$91.16
Comment(s): Fundraising Printing
04/16/2014 ACP 4723 County Highway YZ, Dodgeville, WI 53533
Solicitation Expenses
$300.43
Comment(s): Paypal Fee
04/16/2014 PayPal WI Bank Charges
$3.20
Comment(s): Endorsement Stamp
03/21/2014 Dodgeville Chronicle 106 West Merrimac St, Dodgeville, WI 53533
Office Supplies
$15.09
Comment(s): Postage Mailing
04/09/2014 Dodgeville Post Office 1121 N Johns St, Dodgeville, WI 53533
Postage $130.56
Comment(s): Palm pieces
06/06/2014 Heinzen Printing 550 South Central Ave, PO Box 267, Marshfield , WI 54449-0900
Printing - Brochures
$683.64
Comment(s): Vehicle Signs
06/12/2014 Funk Sign Copmany 114 E Spring Street, Dodgeville, WI 53533
Media - Billboards / Outdoor Advertising
$89.68
05/01/2014 Kacy Hack 3414 Coventry Drive , Janesville, WI 53546
Media - Graphic Design
$113.75
Comment(s): Logo Design
05/30/2014 Alphagraphics 3223 Parmenter Street, Middleton, WI 53562
Printing - Brochures
$766.99
Monetary
Date Full Name Address Vendor Name Vendor Address
Expense Purpose
Amount
Novak For Assembly
05/21/2014 Wall, Leesa 512 W Fountain St, Dodgeville, WI 53533
Printing Misc. (buttons, bumper stickers, t-shirts)
$247.97
Comment(s): T-Shirts
05/21/2014 Wall, Bill 512 West Fountain St, Dodgeville, WI 53533
Printing Misc. (buttons, bumper stickers, t-shirts)
$500.00
Comment(s): Voter List
06/27/2014 Republican Party of Wisconsin, The
148 E Johnson St, Madison, WI 53703
Mailing List $500.00
Comment(s): T-Shirts
Sub Total $1,247.97
In-Kind
Comment(s): Stamps
Comment(s): Website Devlopment
02/14/2014 Dodgeville Post Office 1121 N Johns Street, Dodgeville, WI 53533
Administrative Expenses
$80.00
Comment(s): Envelopes
03/03/2014 Gatton, Sean 310 Sumac Dr, Green Bay, WI 54313
Media - Website Development
$250.00
Comment(s): Supplies
06/03/2014 Dodgeville Post Office 1121 N Johns St, Dodgeville, WI 53533
Postage $48.00
Comment(s): Post Office Box Rent/postage
06/08/2014 A Smart Sign Store 32 Court Street, Suite 2200, Brooklyn, NY 11201
Office Supplies
$60.27
Sub Total $2,632.77
Monetary
Total $3,880.74
Non-Monetary (-): $0.00
Grand Total $3,880.74
SCHEDULE 2-B DISBURSEMENTS Contributions To Committees
(Transfers-Out)
Complete Committee Name: Novak 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
Novak 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:
Novak For Assembly
$0.00
Outstanding Loans End of Report $0.00
Grand Total $0.00
Date Full Name Amount Paid
Grand Total $0.00
Date Full Name Address Amount
