2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $88,245.07 $210,294.08 $0.00 $0.00 $88,245.07 $210,294.08 Street Address: 720 North 136th Avenue City, State and Zip: Marathon, WI 54448 Filing Period Name: Post Election reporting period for special elections 2012 (Gov., Lt. Gov., Sen. 13, 21,23, & 29) Name of Committee/Corporation: Friends of Jerry Petrowski 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 $36,200.00 $184,044.05 $950.00 $17,308.64 $17.96 $42.33 $37,167.96 $201,395.02 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0103686 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) $64,221.57 $37,167.96 $101,389.53 $88,245.07 $0.00 $0.00 $13,144.46 * * 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: Nichols, Peggy J 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
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2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$88,245.07 $210,294.08
$0.00 $0.00
$88,245.07 $210,294.08
Street Address: 720 North 136th Avenue
City, State and Zip: Marathon, WI 54448
Filing Period Name: Post Election reporting period for special elections 2012 (Gov., Lt. Gov., Sen. 13, 21,23, & 29)
Name of Committee/Corporation:
Friends of Jerry Petrowski
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
$36,200.00 $184,044.05
$950.00 $17,308.64
$17.96 $42.33
$37,167.96 $201,395.02
SUMMARY OF RECEIPTS AND DISBURSEMENTS
GAB ID: 0103686
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)
$64,221.57
$37,167.96
$101,389.53
$88,245.07
$0.00
$0.00
$13,144.46*
*
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:Nichols, Peggy J
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: Friends of Jerry Petrowski
05/26/2012 Frank, Mike 4918 Fond du Lac Tr., Middleton, WI 53705
beer distributor Frank Beer Dist. Inc.
2115 Pleasant View Road, Middleton, WI 53562
$500.00 $500.00
05/26/2012 Baer, Gerald 3108 Hamilton Street, Wausau, WI 54403
beer distributor Baer's Beverage Inc.
7205 Zinzer Street, Weston, WI 54476
$500.00 $700.00
05/26/2012 Zastrow, Doug 3023 N. 11th St., Wausau, WI 54403
beer distributor Zastrow the Beer Man
3300 Thielman St., Merrill, WI 54452
$500.00 $500.00
05/26/2012 Kwapil, Don 406 Carl Schurz Drive, Watertown, WI 53098
beer distributor River City Distributing
1224 Clark Street, Watertown, WI 53098
$500.00 $500.00
05/22/2012 Prange, Phil 208 Lakewood Blvd., Madison, WI 53704
president/CEO Wisconsin Business Council
14 W. Mifflin St., Suite 314, Madison, WI 53703
$500.00 $500.00
05/25/2012 Gray, Charlie 8106 Southridge Dr., Rothschild, WI 54474
business owner C.T. Gray Inc. 10202 Park Plaza, Rothschild, WI 54474
$500.00 $700.00
05/24/2012 Gray, Charlie 8106 Southridge Dr., Rothschild, WI 54474
business owner C.T. Gray Inc. 10202 Park Plaza, Rothschild, WI 54474
$200.00 $200.00
05/26/2012 Ziegelbauer, Christine
2533 Lopez Lane, Green Bay, WI 54311
beer distributor Triangle Distributing
1201 Ashwaubenon Street, Green Bay, WI 54311
$500.00 $500.00
05/22/2012 Droessler, William E.
5010 Valley Dr., McFarland, WI 53558
$100.00 $100.00
05/22/2012 Daniels, Donald T. 190 Chelsea Circle, Union Grove, WI 53182
$100.00 $100.00
06/02/2012 Martin, Chris 235 East Porter, Ogelsby, IL 61348
crane operator Snook Crane 12 Enterprise Drive, LaSalle, IL 61301
$625.00 $625.00
06/02/2012 Warren, James N6202 Wolf River Rd., Shawano, WI 54166
real estate Warren Nett & Associates LLC
101 S. Main St., Shawano, WI 54166
$500.00 $500.00
05/22/2012 Daniels, Daniel B. 203 56th Ave., Kenosha, WI 53144
$100.00 $100.00
06/05/2012 Barr, Char A. 3108 Hilltop Ave., Wausau, WI 54401
realtor Coldwell Banker Action Realty
928 Grand Ave., Schofield, WI 54476
$420.00 $420.00
Conduit Contribution
Date Full Name Address Occupation Employer Name
Employer Address
Amount YTD
05/22/2012 Hougen, Chris H. 4541 Meadowbrook Court, Eau Claire, WI 54701
$100.00 $100.00
05/22/2012 McNally, Matthew T.
N9889 18th Ave., Necedah, WI 54646
chiropractor McNally Spinal Care LLC
1021 N. Superior Ave., Tomah, WI 54660
$150.00 $150.00
05/22/2012 Brouillette, David L.
N5479 Loraine Drive, Fredonia, WI 53021
$100.00 $100.00
05/22/2012 Lyne, Jeffrey R. 5842 Tree Line Drive, Fitchburg, WI 53711
chiropractor Luedtke-Storm-Mackey Chiropractic
1633 W. Main Street, Sun Prairie, WI 53590
$250.00 $250.00
05/22/2012 Koshick, James P. 3135 S. Manor Ct., New Berlin, WI 53151
chiropractor New Berlin Chiropractic
15800 W. National Ave., New Berlin, WI 53151
$200.00 $200.00
05/22/2012 Kickels, Wayne 2300 Rocky Top Road, Lenoir City, TN 37771
$40.00 $40.00
05/22/2012 Boots, James R. A119 Elm St., Combined Locks, WI 54113
chiropractor Boots Chiropractic
1020 Truman St., Suite B, Kimberly, WI 54136
$200.00 $200.00
05/22/2012 Boots, William J. 600 Glenview Ave., Combined Locks, WI 54113
chiropractor Boots Chiropractic
1020 Truman St., Suite B, Kimberly, WI 54136
$200.00 $200.00
05/22/2012 Peterson, Mark D. 5406 Alderson St., Schofield, WI 54476
chiropractor Everest Chiropractic
5406 Alderson St., Schofield, WI 54476
$175.00 $175.00
05/22/2012 Yeomans, Steven G.
404 Eureka St., Ripon, WI 54971
chiropractor Yeomans-Edinger Chiropractic
PO Box 263, Ripon, WI 54971
$200.00 $200.00
05/22/2012 Schmittfranz, James D.
W887 County Road TT, Mondovi, WI 54755
$100.00 $100.00
05/22/2012 Stender, Jeremy P.
2040 Rice Ct., Eau Claire, WI 54701
chiropractor Stender Chiropractic
824 S. Hastings Way, Eau Claire, WI 54701
$200.00 $200.00
05/22/2012 Tessendorf, Thomas N.
735 S. Gibson Dr., Medford, WI 54451
chiropractor Tessendorf Chiropractic Clinic
115 E. Perkins St., Medford, WI 54451
$150.00 $150.00
05/22/2012 Bronston, Leo J. 163 Larkspur Ln., Onalaska, WI 54650
chiropractor Bronston Chiropractic Clinic
1202 County Rd. PH, Onalaska, WI 54650
$250.00 $250.00
05/22/2012 Wass, Christopher L.
7403 Starflower Drive, Wausau, WI 54401
chiropractor Everest Chiropractic Clinic
5406 Alderson St., Schofield, WI 54476
$250.00 $250.00
05/22/2012 Swenson, Robert F.
844 Renee Court, Kaukauna, WI 54130
chiropractor Swenson Chiropractic SC
1414 N. Richmond St., Appleton, WI 54911
$200.00 $200.00
05/22/2012 Church, John E. PO Box 2611, Janesville, WI 53547
chiropractor Church Chiropractic Clinic LLC
1515 Mt. Zion Ave., Janesville, WI 53545
$250.00 $250.00
Conduit Contribution
05/23/2012 Verbanac, Daniel J.
3363 Maryknoll Court, Green Bay, WI 54313
$75.00 $75.00
05/23/2012 Weight, Robert J. 1888 Woodcrest Circle, Mosinee, WI 54455
$50.00 $50.00
05/22/2012 Madejski, Nancy 1056A East Michigan St., Orlando, WI 32806
$50.00 $50.00
05/22/2012 Scheetz, Raymond 18810 94th Ave. W., Seattle, WI 98020
$25.00 $25.00
05/22/2012 Zahrt, Ron 1708 Highwood Ln., Wausau, WI 54403
realtor First Weber Group Northern Wisconsin
2007 N. Mountain Rd., Wausau, WI 54401
$400.00 $400.00
05/22/2012 Leslie, Lana Collins
35 West Main St., Suite B, Ventura, CA 93001
$100.00 $100.00
05/22/2012 Van Ess, Jackson 436 N. Good Hope Rd., DePere, WI 54115
$100.00 $100.00
05/23/2012 Socha, Rick W. R10511 River Bank Lane, Ringle, WI 54471
Regional Customer Service Manager
Wisconsin Public Service Corporation
700 North Adams Street, PO Box 19001, Green Bay, WI 54307-9001
$250.00 $250.00
05/22/2012 Lawson, Fran 220 Highland Avenue, Stanton, IA 51573
$25.00 $25.00
05/22/2012 Presutti, John 1607N Douglas Ave., Arlington Heights, IL 60004
$100.00 $100.00
05/23/2012 Agnoli, Steven F. 233 E. Frederick Street, Rhinelander, WI 54501
$50.00 $50.00
05/23/2012 McCambridge, Roger M.
2932 Hidden Lake Lane, Suamico, WI 54313
$50.00 $50.00
05/23/2012 Larson, Thomas H.
6405 Connie Lane, Schofield, WI 54476
$50.00 $50.00
05/23/2012 Schott, James F. 996 Thornberry Creek Drive, Oneida, WI 54155
$100.00 $100.00
05/23/2012 Olson, Brian L. 2474 Julie Circle, De Pere, WI 54115
$25.00 $25.00
05/23/2012 Bohlin, Donald W. R10716 Plover View Road, Hatley, WI 54440
$100.00 $100.00
05/23/2012 Bellile, Darin T. 6202 Jalen Circle, Weston, WI 54476
$50.00 $50.00
05/23/2012 Ford, Diane L. 2485 Wildwood Drive, Green Bay, WI 54302
$50.00 $50.00
05/23/2012 Egtvedt, Gregory W.
485 Edelweiss Drive, Green Bay, WI 54302
$50.00 $50.00
Conduit Contribution
05/30/2012 Sczygelski, Sidney 4603 Indigo Drive, Wausau, WI 54401
$100.00 $100.00
06/02/2012 Giustiniani, George
1414 4th Street, Bay City, MI 48708
$20.00 $20.00
05/30/2012 Pandl, Therese 1189 Pleasant Valley Dr., Oneida, WI 54155
$100.00 $100.00
05/25/2012 Freeman, Mary Jo 924 River Rd., Mosinee, WI 54455
$100.00 $100.00
05/30/2012 Kachelski, Joe 534 Cabrillo Ct., Verona, WI 53593
CEO Wisconsin Statewide Health Information Network
5510 Research Park Drive, Fitchburg, WI 53711
$200.00 $200.00
06/02/2012 Naru, James 3900 Grange Road, Middleville, MI 49333
$25.00 $25.00
06/02/2012 Diller, John C. 26140 Hickory Blvd., #301, Bonita Springs, FL 34134
$100.00 $100.00
05/23/2012 Zagrzebski, Ralph P.
2880 W. Wausau Avenue, Wausau, WI 54401
$25.00 $25.00
05/23/2012 Eslami, Ahmad 16160 Shore Line Dr., Brookfield, WI 53005
self employed dentist
Dr. Ahmad Eslami
2323 S. 109th St., Ste. 275, West Allis, WI 53227
$150.00 $150.00
05/23/2012 Zehren, Philip J. 1761 Martinwood Court, De Pere, WI 54115
$25.00 $25.00
05/24/2012 Klante, David A. 2230 Derrin Lane, Brookfield, WI 53045
$50.00 $50.00
05/23/2012 Zagrzebski, Kelly T.
3802 King Bird Avenue, Wausau, WI 54401
$50.00 $50.00
05/23/2012 Jackson, Mark K. 3956 Weatherwood Trl., Verona, WI 53593
self employed dentist
Dr. Mark K. Jackson
20 S. Park St., Ste. 506, Madison, WI 53715
$250.00 $250.00
05/24/2012 Kubasa, Julie 3230 West Southway Drive, Franklin, WI 53132
$50.00 $50.00
05/24/2012 Engel, John A. W327 N4218 Anchor Rode Lane, Nashotah, WI 53058
$100.00 $100.00
05/24/2012 Foley, Timothy J. W289 N4137 Farm Valley Court, Pewaukee, WI 53072
$100.00 $100.00
05/24/2012 Mulleady, James R.
PO Box 679, Minocqua, WI 54548
$100.00 $100.00
05/24/2012 Horton, William H.D.
2240 Beechwood Avenue, Wilmette, IL 60091
Chief Communications & Public Affairs Officer
MillerCoors 250 South Wacker Drive, Chicago, IL 60606
$200.00 $200.00
Conduit Contribution
05/22/2012 Davis, Dwight PO Box 647, Sister Bay, WI 54234
board chairman Greenheck Corporation
400 Ross Ave., Schofield, WI 54476
$500.00 $500.00
05/22/2012 Arnold, John L. 36 Paget Rd., Madison, WI 53704
engineer MSI 480 Progress Way, Sun Prairie, WI 53590
$1,000.00 $1,000.00
Monetary
06/02/2012 Beil, Richard W12819 Uecker St., Caroline, WI 54928
funeral director Beil-Didier Funeral Home
299 S. Main Street, Clintonville, WI 54929
$150.00 $150.00
06/02/2012 Didier, Robert 45 Brent Street, Clintonville, WI 54929
$100.00 $100.00
06/02/2012 Koebert, Robert 541 E. Erie St., #404, Milwaukee, WI 53202
physician Aurora Healthcare
750 W. Virginia St., PO Box 341880, Milwaukee, WI 53234
$250.00 $250.00
06/02/2012 Rivard, Pete 1832 45th Ave., Osceola, WI 54020
$25.00 $25.00
06/02/2012 Stafsholt, Robert 1402 160th St., New Richmond, WI 54017
$50.00 $50.00
06/02/2012 Schmitt, Ryan 109 W. Pleasant St., Iron Ridge, WI 53035
toolmaker CDM Tool & Mfg.
749 N. Wokes Dr., Hartford, WI 53027
$130.00 $130.00
06/02/2012 Hermanson, Cory 12086 Woodberry Rd., Darlington, WI 53530
foreman/laborer Terra Engineering
2201 Vondron Road, Madison, WI 53718
$170.00 $170.00
06/02/2012 Farrell, Carolyn 5511 Toyawatha Trail, Madison, WI 53716
physician Aurora Healthcare
750 W. Virginia St., PO Box 341880, Milwaukee, WI 53234
$200.00 $200.00
06/05/2012 Gitter, Dan 110 Harrison Ave., Clintonville, WI 54929
$25.00 $25.00
06/05/2012 Tran, Chan D. 14260 Lilly Heights Dr., Brookfield, WI 53005
self employed dentist
Dr. Chan D. Tran
12770 W. North Ave., Suite A, Brookfield, WI 53005
$200.00 $200.00
06/06/2012 Krutz, David 2596 County Road ZZ, DePere, WI 54115
$100.00 $100.00
06/04/2012 Pugal, Trisha 316 Muirfield Circle, North Prairie, WI 53153
$50.00 $50.00
06/05/2012 Klimek, Leah 400 Mountain Bay Trail Dr., Apt. 8, Shawano, WI 54166
$25.00 $25.00
06/05/2012 Johnson, Larry 1354 Sunset Beach Rd., Suamico, WI 54173
$25.00 $25.00
Sub Total $13,505.00
Conduit Contribution
05/22/2012 Whitmore, Alice M. 798 Fairway Drive, Mosinee, WI 54455
retired $100.00 $150.00
05/22/2012 Smart, Grant A. 2705 N. 28th Ave., Wausau, WI 54401
$50.00 $50.00
05/22/2012 Pietz, Colin D. 3102 Bally Park Place, Weston, WI 54476
$100.00 $100.00
05/22/2012 Lindwall, Dale A. T7000 Steel Lane, Wausau, WI 54403
$100.00 $100.00
05/22/2012 Weinkauf, Douglas L.
3737 N. 6th St., Wausau, WI 54403
business owner/civil engineer
Anderson Engineering Inc.
5655 N. 28th Ave., Brokaw, WI 54417
$100.00 $350.00
05/22/2012 Ballweg, Joan 170 W. Summit Street, Markesan, WI 53946
$100.00 $100.00
05/25/2012 Darling, Alberta H. 1325 W. Dean Rd., River Hills, WI 53217
Wisconsin State Senator - 8th District
Wisconsin State Legislature
Room 317 East - State Capitol, PO Box 7882, Madison, WI 53707-7882
$1,000.00 $1,000.00
05/25/2012 Rengel, Thomas N.
603 Gray Place, Wausau, WI 54403
physician Aspirus 425 Pine Ridge Blvd., Ste. 220, Wausau, WI 54401
$500.00 $1,000.00
05/30/2012 Greenheck, Robert C.
4021 Camp Phillips Rd., Schofield, WI 54476
co owner Greenheck Fan
400 Ross Ave., Schofield, WI 54476
$1,000.00 $1,000.00
05/22/2012 Johns, Timothy W11807 Pine Creek Dr., Park Falls, WI 54552
$10.00 $20.00
05/23/2012 Stroyny, Gary M. 671 Oak Road, Mosinee, WI 54455
management Greenheck Fan Corp.
400 Ross Ave., Schofield, WI 54476
$500.00 $500.00
05/23/2012 Wurman, Leonard T5942 North Troy St., Wausau, WI 54403
retired $500.00 $500.00
06/05/2012 Barr, Char A. 3108 Hilltop Ave., Wausau, WI 54401
realtor Coldwell Banker Action Realty
928 Grand Ave., Schofield, WI 54476
$80.00 $500.00
05/22/2012 Chmielewski, Peggy
3616 S. Kansas Ave., St. Francis, WI 53235
$20.00 $20.00
05/22/2012 Frechette, Simon 5603 Woodlyn Rd., Frederick, MD 21703
$25.00 $25.00
06/01/2012 Weinkauf, Allen T2560 Fawn Road, Wausau, WI 54401
president Integrity Grading & Excavating
605 Grossman Drive, Schofield, WI 54476
$500.00 $625.00
06/01/2012 Weinkauf, Daniel A.
4901 Indigo Drive, Wausau, WI 54401
project manager Integrity Grading & Excavating
605 Grossman Drive, Schofield, WI 54476
$500.00 $500.00
06/01/2012 Geier, Ruth E. 311 S. 32nd Ave., Wausau, WI 54401
vice president Integrity Grading & Excavating
605 Grossman Drive, Schofield, WI 54476
$500.00 $500.00
Monetary
05/23/2012 Williams, Jack R. 1212 Eastview Dr., Wausau, WI 54403
$100.00 $100.00
05/22/2012 Morris, Susan 1456 Locker Road, Mosinee, WI 54455
$30.00 $55.00
05/23/2012 Gabriel, Ray E. 1310 Millview Dr., Batavia, IL 60510
$25.00 $25.00
05/23/2012 Palmer, Clark 1302 Fifth Avenue, Antigo, WI 54409
$25.00 $75.00
05/22/2012 Mildbrand, Gail W5339 Whittlesey Ave., Medford, WI 54451
$50.00 $50.00
05/22/2012 Stinebrink, Craig A.
32927 Stonebringer Lane, Hillpoint, WI 53937
$25.00 $25.00
05/22/2012 Boucher, Bernice A.
4585 N. Sawyer Rd., Oconomowoc, WI 53066
$50.00 $100.00
05/22/2012 Becker, Sue Ellen A.
5702 Mary Lane, Weston, WI 54476
$25.00 $25.00
05/22/2012 Gulsvig, Neil 2306 Eagle Valley Ln., Wausau, WI 54403
$100.00 $100.00
05/22/2012 Peterson, Carol D. 503 High St., Apt. 48, Mosinee, WI 54455
$10.00 $40.00
05/22/2012 Menard, Theresa L.
2209 Four Mile Road, Marathon, WI 54448
$25.00 $25.00
05/22/2012 LaBarre, Shirl 10152 Abby Lane, Hayward, WI 54843
$50.00 $50.00
05/22/2012 Kurtz, Jeffrey A. 1200 Country Club Road, Schofield, WI 54476
retired $250.00 $250.00
05/22/2012 Passow, Thom 308 S. 1st Ave., Wausau, WI 54401
business owner Wausau Awards & Engraving
308 S. 1st Ave., Wausau, WI 54401
$250.00 $500.00
05/22/2012 Kurtzweil, Edwin R.
1384 11th Ave., Edgar, WI 54426
$20.00 $45.00
05/22/2012 Montgomery, Ronald R.
1632 1 3/4 St., Turtle Lake, WI 54889
$30.00 $60.00
05/22/2012 Braatz, Verona 909 N. 136th Ave., Marathon, WI 54448
$50.00 $100.00
05/22/2012 Grebe, Roger W. 3016 11th St., Wausau, WI 54403
$50.00 $100.00
05/22/2012 Rust, Mike 1796 S. County Rd. X, Mosinee, WI 54455
$30.00 $30.00
05/22/2012 Rheinschmidt, Gordon
306 4th Street, Mosinee, WI 54455
$30.00 $55.00
Monetary
05/24/2012 Bates, Ann K. 2702 Meadowlark Dr., Mosinee, WI 54455
$50.00 $50.00
05/24/2012 Zagzebski, Edwin 720 Country Club Road, Schofield, WI 54476