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CAMPAIGN FINANCE REPORT STATE OF WISCONSIN Is this report an Amendment? No COMMITTEE IDENTIFICATION Name of Committee Friends of Patrick Miles Address 5410 North Pass OFFICE USE ONLY City, State, ZIP McFarland, WI 53558 GAB # ID NAME OF REPORT July 2010 Continuing Spring Fall Special 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 $ 287.98 $ 5,732.86 B. Contributions from Committees (Transfers-In) $ - $ 700.00 C. Other Income and Commercial Loans $ 2.44 $ 4.44 TOTAL RECEIPTS (Add totals from 1A, 1B, and 1C) $ 290.42 $ 6,437.30 1. DISBURSEMENTS A. Gross Expenditures $ 2,298.62 $ 5,795.35 B. Contributions to Committees (Transfers-Out) $ - $ - TOTAL DISBURSEMENTS (Add totals from 2A and 2B) $ 2,298.62 $ 5,795.35 CASH SUMMARY Cash Balance at Beginning of Report$ 5,214.62 $ 2,564.47 Total Receipts$ 290.42 $ 6,437.30 Subtotal$ 5,505.04 $ 9,001.77 Total Disbursements$ 2,298.62 $ 5,795.35 CASH BALANCE AT END OF REPORT $ 3,206.42 $ 3,206.42 INCURRED OBLIGATIONS (at close of period) $ 591.10 LOANS (at close of period) $ 287.98 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 7/20/2010 Patrick Miles Candidate Daytime Phone 608-206-6462 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, 11.62, Wisconsin Stats. Contributions Including Loans from SCHEDULE 1-A Individuals PAYROLL PAYROLL Personal CONDUIT_ID OCCUPATION EMPLOYER EMPLOYER EMPLOYER EMPLOYER EMPLOYER DEDUCT START DEDUCT END IN-KIND Loan NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP TITLE NAME ADDRESS CITY STATE ZIP CODE AMOUNT YTD COMMENTS DATE DATE Pd bills out of pocket, will X 3/27/2010 Miles Patrick (Candidate) 5410 North Pass McFarland WI 53558 287.98 reimburse Contributions from SCHEDULE 1-B Committees IN-KIND DATE COMMITTEE NAME GAB ID Number ADDRESS CITY ST ZIP AMOUNT YTD COMMENTS Other Income and SCHEDULE 1-C Commercial Loans REASON FOR DATE LAST NAME/BUSINESS NAME FIRST NAME GAB ID ADDRESS CITY ST ZIP INCOME AMOUNT COMMENTS 03/31/10 Summit CU Bank interest $ 0.95 04/30/10 Summit CU Bank interest $ 0.53 05/31/10 Summit CU Bank interest $ 0.49 06/30/10 Summit CU Bank interest $ 0.47 Gross Expenditures (NOT contributions to SCHEDULE 2-A other committees) PERSONAL EXPENSE PURPOSE IND. IN-KIND LOAN PYMT DATE LAST NAME/BUSINESS NAME FIRST NAME GAB ID ADDRESS CITY ST ZIP CODE AMOUNT COMMENTS EXP/RECOUNT 04/01/10Summit Credit Union BC 3.00 Overdraft Fee 03/26/10Budget Signs & Specialtie 2225 Industrial Driv Madison WI 53713 PYS 467.63Yard signs 04/01/10Wells Print & Digital Services 3121 Watford Way Madison WI 53713 PCP / MSERV 665.72 Print & Mail endorsement mailer 04/06/10Littel Printing Co. 4535 Helgesen Dr Madison WI 53718 PB 470.53 Get Out the Vote Door Cards 04/13/10McFarland House Café 5923 Exchange St McFarland WI 53558 PEN 403.76 Election night party 01/03/10Sam's Club Madison WI POST $88.00 Postage for 01/13 fundraiser mailing 01/03/10Costco 2150 Deming Way Middleton WI 53562 OS $10.43 #10 Envelopes 01/03/10FedEx Kinko's 7805 Mineral Point Road Madison WI 53717 PCP $23.21 Copying of 01/13 fundraiser invites 01/08/10Dane County Clerk 215 MLK Drive Madison WI ADMEX $5.75 Copying of opponent's nominiation papers 01/13/10Staples 6580 Monona Drive Monona WI 53716 OS $5.05 Name badge stickers 01/23/10Sam's Club Madison WI POST $8.80 Postage for thank you notes 02/05/10Dane County Clerk 215 MLK Drive Madison WI ADMEX $0.75 Copying of opponent's Jan finance report 01/29/10Stamps.com POST $10.00 e-Postage for thank you notes 03/21/10Stamps.com POST $15.99 Monthly Svc Fee - February 80 W. Sierra Madre Blvd Unit 10/23/09DiscountASP.net #273 Sierra Madre CA 91024 UTILW $120.00Website hosting Expense_Purpose_Code Expense Description If an expense, does not match a code provided; please list that expense as ADMEX and enter additional detail in the comments section provided. ACT ActBlue Fees ADMEX Administrative Expenses BC Bank Charges BOOTH Event or Fair Booth CC Contribution to Committee CD Charitable Donation CGEN Consulting Fees - General CMED Consulting Fees - Media CTC Contribution to Charity DCONV Data Conversion FA Fundraiser - Auction Item FE Fundraiser - Entertainment FF Filing Fee FFB Fundraiser - Food & Beverage FHR Fundraiser - Hall Rental GIFT Gifts ICM Internal Communication with Members ITX Income Tax (Interest Income) LFCA Legal Fees - Compliance/Administrative MEDBB Media - Billboards / Outdoor Advertising MEDGD Media - Graphic Design MEDIA Media - Issue Ads MEDN Media - Newspaper MEDPH Media - Phones / Robo calls MEDR Media - Radio MEDTV Media - TV MEET Meeting Expenses ML Mailing List MPA Membership pins / awards MSERV Mailing Service OF Office Furniture OR Office Rent OS Office Supplies PACT Professional - Accounting PB Printing - Brochures PCP Printing - Copies PEFC Parade Expenses - Fees, candy PEN Party Exp - Election Night PHB Phone Bank Printing Misc. (buttons, bumper stickers, t- PM shirts) POST Postage PYS Printing - Yard Signs RF Reimbursement - Food SE Solicitation Expenses SO Forfeitures ST Sales Tax STEB Staff - Employee Benefits Costs STG Staff - Gas STIN Staff - Insurance STL Staff - Lodging STM Staff - Mileage STPK Staff - Parking STRV Staff - Travel SVP Survey/Polls TE Tickets to Events UID Unitemized UTILE Utilities - Electrical UTILG Utilities - Gas UTILI Utilities - Internet Access UTILP Utilities - Phone / Cell Phone UTILW Media - Website Development VM Volunteer Meals WCM Wages - Campaign Manager WCS Wages - Campaign Staff WET Wages - Employment Taxes These codes are current as of 11- You may want to 12-09. New codes may be added print this list to have as needed. Please login to CFIS it easily accessible to view any additional codes that when you complete may have been added. the Schedule 2-A. SCHEDULE 2-B Contributions to Committees IN-KIND DATE GAB ID NAME OF COMMITTEE ADDRESS CITY ST ZIP AMOUNT YTD COMMENTS SCHEDULE 3-A Incurred Obligations Excluding Loans Outstanding New Outstanding Balance Beg Obligations Payment This Bal Close of DATE NAME ADDRESS CITY ST ZIP PURPOSE of Period This Period Period Period 03/24/10 Insty Prints 5401 Monona Drive Monona WI 53716 PCP - Photocopies $0.00 31.65 $0.00 $ 31.65 04/06/10 Premiere Political Communications LLC 4616 Fessenden St NW Washington DC 20016 MEDPH - Robo calls $0.00 94.05 $0.00 $ 94.05 04/06/10 Premiere Political Communications LLC 4616 Fessenden St NW Washington DC 20016 MEDPH - Live GOTV calls $0.00 273.20 $0.00 $ 273.20 04/05/10 Citizens for Dane County's Future ML $0.00 42.20 $0.00 $ 42.20 MEDGD - dispute with vendor over 03/24/10 Alto Clef Productions 113 State Street Madison WI 53703 amount $0.00 150.00 $0.00 $ 150.00 01/03/10 Sam's Club Madison WI Postage for 01/13 fundraiser mai $88.00 0.00 $88.00 $ - 01/03/10 Costco 2150 Deming Way Middleton WI 53562 #10 Envelopes $10.43 0.00 $10.43 $ - 01/03/10 FedEx Kinko's 7805 Mineral Point Road Madison WI 53717 Copying of 01/13 fundraiser invit $23.21 0.00 $23.21 $ - 01/08/10 Dane County Clerk 215 MLK Drive Madison WI Copying of opponent's nominiatio $5.75 0.00 $5.75 $ - 01/13/10 Staples 6580 Monona Drive Monona WI 53716 Name badge stickers $5.05 0.00 $5.05 $ - 01/23/10 Sam's Club Madison WI Postage for thank you notes $8.80 0.00 $8.80 $ - 02/05/10 Dane County Clerk 215 MLK Drive Madison WI Copying of opponent's Jan financ $0.75 0.00 $0.75 $ - 01/29/10 Stamps.com e-Postage for thank you notes $10.00 0.00 $10.00 $ - 03/21/10 Stamps.com Monthly Svc Fee - February $15.99 0.00 $15.99 $ - 10/23/09 DiscountASP.net 80 W. Sierra Madre Blvd Unit #273 Sierra Madre CA 91024 Website hosting $120.00 $0.00 $120.00 $ - 03/18/10 Budget Signs & Specialties 2225 Industrial Drive Madison WI 53713 Yard Signs $467.63 $0.00 $467.63 $ - $ - $ - $ - $ - SCHEDULE 3-B Loans: Individual, Committee or Commercial Outstanding Cumulative Outstanding Balance Beg New Loans Payments This Balance End Guarantor (if any) DATE NAME ADDRESS CITY ST ZIP of Period This Period Period of Period Name and Address Patrick Miles 03/27/10 (Candidate) 5410 North Pass McFarland WI 53558 $ - $287.98 $ - $ 287.98 None $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - 0 SCHEDULE 4 TERMINATION REQUEST A committee may terminate its registration and reporting requirements if the committee will no longer receive · contributions, make disbursements or incur obligations, and the obligations and cash balance have been reduced to zero. · Candidates may not terminate prior to the election in which they are participating. Non-candidate committees registered with the state must pay the $100 filing fee if they have over $2,500 in total · disbursements for the calendar year. · Please read carefully and, if necessary, indicate how residual committee funds have been disposed of or if outstanding loans or obligations have been forgiven. Sign and date the termination request at the bottom of this page. · Make sure the termination box on the cover page of this report is checked.
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