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Campaign Finance Report State of Wisconsin

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CAMPAIGN FINANCE REPORT STATE OF WISCONSIN Is this report an Amendment? COMMITTEE IDENTIFICATION Name of Committee Ashton Kirsch for State Assembly Address 1921 Crawford Street OFFICE USE ONLY City, State, ZIP Baraboo, WI, 53913 GAB # ID 0105513 NAME OF REPORT Jan 2014 Continuing x Pre-Primary 20__ Spring Fall Special July 20__ Continuing Pre-election 20__ Spring Fall Special SUMMARY OF RECEIPTS AND DISBURSEMENTS Column A Column B Audited Totals 1. RECEIPTS This Period YTD Office Use Only A. Contributions including Loans from Individuals $ 45,312.13 B. Contributions from Committees (Transfers-In) $ - C. Other Income and Commercial Loans $ - TOTAL RECEIPTS (Add totals from 1A, 1B, and 1C) $ 45,312.13 $ - 1. DISBURSEMENTS A. Gross Expenditures $ 9,507.51 B. Contributions to Committees (Transfers-Out) $ - TOTAL DISBURSEMENTS (Add totals from 2A and 2B) $ 9,507.51 $ - CASH SUMMARY Cash Balance at Beginning of Report $ - Total Receipts $ 45,312.13 Subtotal $ 45,312.13 Total Disbursements $ 9,507.51 CASH BALANCE AT END OF REPORT $ 35,804.62 INCURRED OBLIGATIONS (at close of period) $ - LOANS (at close of period) $ 27,000.00 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 Ashton Kirsch Ashton Kirsch /n/ 07/21/14 Email Daytime Phone [email protected] 608-393-6355 NOTE: The information on this form is required by ss. 11.06, 11.20, Wis. Stats. Failure to provide this information may subject you to the penalties of ss.11.60, 11.61, Wisconsin Stats. GAB-2S (03/14) Government Accountability Board, P.O. Box 7984, Madison, WI 53707- 7984 | Phone: 608-261-2028 | Fax: 608-264-9319 | web: https://cfis.wi.gov | email: [email protected] Ashton Kirsch for State Assembly SCHEDULE 1-A Contributions Including Loans from Individuals Perso CONDUIT EMPL EMPLOY EMPLO IN- nal _ID OCCUPAT EMPLOYER EMPLOYER OYER ER YER ZIP KIND Loan NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP ION TITLE NAME ADDRESS CITY STATE CODE AMOUNT YTD COMMENTS 3/12/2014 Alvarez Jair 313 N. Midvale Blvd, Madison WI 53705 30.00 30.00 3/12/2014 Giese Willard W12032 County RoBaraboo WI 53913 50.00 50.00 3/12/2014 Walker Troy 2219 Surrey Lane Baraboo WI 53913 50.00 50.00 3/13/2014 Cross Richard Drive Baraboo WI 53913 Partner Jenkins, 221 3rd o WI 53913 100.00 100.00 3/14/2014 Meegan John S4436 Johnson Road Baraboo WI 53913 99.00 99.00 3/14/2014 Smith Walter Baraboo WI 53913 CPA Smith CPA 102 4th Ave o WI 53913 100.00 100.00 3/19/2014 Bant Joyce 6937 Highway 51 Hazelhurst WI 54331 25.00 25.00 4/5/2014 Gierach Joshua STE 103 Madison WI 53719 25.00 25.00 4/5/2014 Baker David 6025 Raymond Rd. Madison WI 53711 25.00 25.00 3/24/2014 Horkan Peter 600 12th Ave, Apt 401 Nashville TN 37203 100.00 100.00 3/29/2014 Kowalke Penelope 810 Rosemary Lane Baraboo WI 53913 Owner The Sweet Hut 1305 nsin n 53965 500.00 500.00 3/30/2014 Kirsch Ashton 1921 Crawford St Baraboo WI 53913 10.00 10.00 4/17/1989 McGrath Susan 614 N. Eagle Street Napervile IL 60563 Resources Gallagher Place Itasca Illinois 60143 100.00 100.00 4/17/2014 Carter Mindy Drive Waunakee WI 53957 10.00 10.00 4/17/2014 Toepel Rob 100 N. Hinman Ave Marshfield WI 54449 20.00 20.00 4/17/2014 Pakyz Troy 9435 Hwy. Y Sauk City WI 53583 50.00 50.00 4/17/2014 Swyers Harold Avenue Pewaukee WI 53072 Seargent US Airforce Blvd. n WI 53704 150.00 150.00 4/18/2014 Zikmund Sampson 518 E. Johnson St Madison WI 53703 25.00 25.00 4/18/2014 Cruz Ricardo 625 Pleasant St. Middleton WI 53562 25.00 25.00 4/22/2014 Hutchens Jonathan 202 W Mulberry St. Baraboo WI 53913 Golf Pro Baraboo CC 401 Mine Rd o WI 53913 100.00 100.00 4/22/2014 Dunne Thomas 2850 S. Miner St. #4 Milwaukee WI 53221 EFI Smartline St kee WI 53913 50.00 50.00 4/22/2014 Dalsky Matthew 10.00 10.00 4/22/2014 Gatton Devin 4530 Jenewein Road Fitchburg WI 53711 Student MATC Street n WI 53703 100.00 100.00 4/23/2014 Scheflow Jonathan 10.00 10.00 6/4/2014 Steil Bryan 2117 Savanna Dr. Janesville WI 53546 Attorney Regal Beloit Street Beloit WI 53511 100.00 100.00 6/10/2014 Feldt Mary 576 East View Road Verona WI 53593 50.00 50.00 6/11/2014 Shaver Jon 5533 Lago Vista Lane Frisco TX 75034 CEO Financial Corp Canyons ore CA 94551 500.00 500.00 trying to get this 6/13/2014 Yeager Steve 411 Coleman Rd Madison WI 53704 50.00 50.00 6/16/2014 Haag Thomas 3128 Waucheeta Tr. Madison WI 53711 CEO Collections Stoughton n WI 53716 100.00 100.00 6/16/2014 Oashgar Beverly Unit 103 Madison WI 53705 25.00 25.00 6/18/2014 Schultz Jeffery 27670 London Ave Wilton WI 54670 25.00 25.00 6/20/2014 Spreen Jeffery 2039 Stephanie Court Black Earth WI 53515 25.00 25.00 6/22/2014 Brandt Megan 880 Garden Dr #81 Sun Prairie WI 53590 25.00 25.00 6/24/2014 Bates Joshua 7215 S. Delaine Drive Oak Creek WI 53154 10.00 10.00 6/24/2014 Sloan Scott 2031 Commerce St. Milwaukee WI 53212 Disc Jokey Self Employed Commerce kee WI 53212 100.00 100.00 6/24/2014 Giese Rebecca Road W Baraboo WI 53913 50.00 50.00 6/25/2014 Caflisch Nanci 725 Bascom Hill Dr Baraboo WI 53913 50.00 50.00 6/25/2014 Schwarzkopf Aaron #1401 Madison WI 53703 25.00 25.00 6/25/2014 Clark Dustin 10.00 10.00 6/25/2014 Kozarek Robert 10.00 10.00 6/25/2014 Jesse Amy Dr, Apt 6 Janesville WI 53545 50.00 50.00 6/25/2014 O'Rourke Thomas 10.00 10.00 6/25/2014 Hensley Bryce Drive Kildeer Il 60047 25.00 25.00 6/25/2014 Plooster Daniel #401 Minneapolis MN 55414 25.00 25.00 6/25/2014 Wakesman Jeff 10.00 10.00 6/25/2014 Stitch Blair #510 Springs GA 30328 50.00 50.00 6/25/2014 Morton Blake 6201 Rivercrest Dr. McFarland WI 53558 15.00 15.00 6/25/2014 Camillo Andrew 10.00 10.00 6/26/2014 Salgado Mauel 10.00 10.00 6/26/2014 Haering Nicholas 8580 N 5th St Brown Dear WI 53223 25.00 25.00 6/26/2014 Tarrolly Stephanie South 253 Minneapolis MN 55408 25.00 25.00 6/27/2014 Gorecki Timothy 5259 S. 26th St Milwaukee WI 53221 50.00 50.00 6/27/2014 Gee Dudley 5.00 5.00 6/27/2014 McKenna Danielle 626 E Kilbourn Ave Milwaukee WI 53202 10.00 10.00 Page 3 of 142 Ashton Kirsch for State Assembly SCHEDULE 1-A Contributions Including Loans from Individuals Perso CONDUIT EMPL EMPLOY EMPLO IN- nal _ID OCCUPAT EMPLOYER EMPLOYER OYER ER YER ZIP KIND Loan NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP ION TITLE NAME ADDRESS CITY STATE CODE AMOUNT YTD COMMENTS 6/27/2014 McKinley Aubry 3862 S. Lake Dr 404 St. Francis WI 53235 10.00 10.00 6/27/2014 Sperry Alex 5.00 5.00 6/27/2014 Hookstead David 5.00 5.00 6/27/2014 Turner Jessie Dr. Reedsburg WI 53959 25.00 25.00 6/27/2014 Grisby E-Ben 5.00 5.00 6/27/2014 Carrol Ian 706 9th Ave Baraboo WI 53913 10.00 10.00 6/27/2014 Trueblood Kim 902 Stewart Ave Wasau WI 54401 20.00 20.00 6/27/2014 Moore Jackson 1309 Stewart Street Madison WI 53715 10.00 10.00 6/27/2014 Reuter Heather 209 Madison WI 53719 10.00 10.00 6/27/2014 Long Chris 228 Swanton Road Madison WI 53714 10.00 10.00 6/28/2014 Lewis Clote Commerce, apt 127 Milwaukee WI 53212 25.00 25.00 6/28/2014 Summers David 18 S. Gardens Way Fitchburg WI 53711 strategy Aristotle, Inc. 205 ngton MA 20003 150.00 150.00 6/29/2014 Gustafson Jane 14170 NE 183rd Woodinville WA 98072 50.00 50.00 6/29/2014 Lawver Jacob 380 W Washington Madison WI 53703 50.00 50.00 6/30/2014 Stephens Lauren Temperance Ave Fresno CA 93727 10.00 10.00 6/30/2014 Meyer Lisa Trail McFarland WI 53558 50.00 50.00 6/30/2014 Kingsolver Chad 861 Revere Ave Dayton OH 45420 10.00 10.00 6/30/2014 Adam Michael 5447 Patriot Dr. Madison WI 53718 10.00 10.00 6/30/2014 Scott John PO Box 66 Lake Delton WI 53940 Owner Construction Munroe Ave Delton WI 53940 200.00 200.00 6/30/2014 Kaufmann Lawrence PO Box 891 Sun Prairie WI 53590 25.00 25.00 6/30/2014 Straub Nathan Apt 210 Madison WI 53719 Analyst Group Point Road n WI 53705 450.00 500.00 6/30/2014 O'neill Patrik 302 E. Willow Road Fox Point WI 53217 10.00 10.00 6/30/2014 Ziegler Jessica 126 4th Street Baraboo WI 53913 Co-Owner Zachs Bar 126 4 th Street o WI 53913 100.00 100.00 6/30/2014 Haag Thomas 3128 Waucheeta Tr.
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    WISCONSIN HEALTH CARE ASSOCIATION & WISCONSIN CENTER FOR ASSISTED LIVING 2012 MEMBERSHIP DIRECTORY & DESK REFERENCE YOUR DIRECTORY TO LONG-TERM CARE IN WISCONSIN Enriching Lives... Through Personalized Service Brookfi eld Rehabilitation & Specialty Care -SNF Meadowmere Madison Assisted Living 18740 Bluemound Road, Brookfi eld, WI 53045 Community - RCAC 262-782-0230 5601 Burke Rd., Madison, WI 53718 608-268-9100 Greentree Health & Rehabilitation Center -SNF 70 Greentree Road, Clintonville, WI 54929-1099 Mitchell Manor Senior Living 715-823-2194 Community—West Allis - RCAC, CBRF, SNF 5301 W. Lincoln Avenue, West Allis, WI 53219 Pine Manor Health Care Center -SNF 414-615-7200 1625 East Main Street, Clintonville, WI 54929 715-823-3135 Meadowmere Northshore Assisted Living Community - RCAC River Hills West Health Care Center -SNF 10803 N. Port Washington Road 321 Riverside Drive, Pewaukee, WI 53072-4678 Mequon, WI 53092 262-691-2300 262-478-2200 Sunny Hill Health Care Center -SNF Meadowmere Oak Creek Senior Living 4325 Nakoma Road, Madison, WI 53711-3796 Community - RCAC, CBRF, IL 608-271-7321 701 E. Puetz Road, Oak Creek, WI 53154 414-766-2100 The Virginia Health & Rehabilitation Center -SNF 1451 Cleveland Avenue, Waukesha, WI 53186 Meadowmere Southport Assisted Living 262-547-2123 Community - RCAC 8351 Sheridan Road, Kenosha, WI 53143 262-948-1100 Call Us For A Tour Today! 367357_Five.indd 1 3/10/11 8:34:30 AM 572455_Reinhart.indd 1 2/4/12 3:05:58 PM 575285_mjcare.indd 1 17/02/12 4:00 AM 573055_Security.indd 1 07/02/12 9:40 PM Table of Contents A Letter from the Executive Directors .........................7 Agencies & Organizations WHCA/WiCAL Service Corporation ............................8 Department of Health Services .................................95 About the WHCA/WiCAL ..........................................