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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 Jan 20__ Continuing Pre-Primary 20__ Spring Fall Special July 20__ Continuing Pre-election 2010 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 $ 5,444.88 $ 5,444.88 B. Contributions from Committees (Transfers-In) $ 700.00 $ 700.00 C. Other Income and Commercial Loans $ 2.00 $ 2.00 TOTAL RECEIPTS (Add totals from 1A, 1B, and 1C) $ 6,146.88 $ 6,146.88 1. DISBURSEMENTS A. Gross Expenditures $ 3,496.73 $ 3,496.73 B. Contributions to Committees (Transfers-Out) $ - $ - TOTAL DISBURSEMENTS (Add totals from 2A and 2B) $ 3,496.73 $ 3,496.73 CASH SUMMARY Cash Balance at Beginning of Report$ 2,564.47 $ 2,564.47 Total Receipts$ 6,146.88 $ 6,146.88 Subtotal$ 8,711.35 $ 8,711.35 Total Disbursements$ 3,496.73 $ 3,496.73 CASH BALANCE AT END OF REPORT $ 5,214.62 $ 5,214.62 INCURRED OBLIGATIONS (at close of period) $ 755.61 LOANS (at close of period) $ - 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 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 SCHEDULE 1-A from Individuals PAYROLL PAYROLL Personal CONDUIT_ID OCCUPATIO EMPLOYER EMPLOYER EMPLOYER EMPLOYER EMPLOYER DEDUCT DEDUCT END IN-KIND Loan NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP N TITLE NAME ADDRESS CITY STATE ZIP CODE AMOUNT YTD COMMENTS START DATE DATE 145 E. Alexander Badger Road 1/12/2010 Alexander Joseph 309 W. Washington Ave. #710 Madison WI 53703 President Company Suite 200 Madison WI 53713 250.00 250.00 1/26/2010 Archer Deborah 1722 Ludden Dr Cross Plains WI 535289491 100.00 100.00 2/27/2010 Bach Douglas 2700 Waunona Way Madison WI 537131527 35.00 35.00 1/5/2010 Barganz Stephanie N2187 Okee Bay Ct. Lodi WI 53555 50.00 50.00 1/13/2010 Basford Michael 1917 Schlimgen Ave. Madison WI 53704 25.00 25.00 1/12/2010 Bayrd Carousel 4901 Sherwood Rd Madison WI 53711 50.00 50.00 1/7/2010 Berger Ronald 6616 Meredith Way McFarland WI 53558 100.00 100.00 1/13/2010 Blanchard Brian 6722 Colony Dr. Madison WI 53717 25.00 25.00 1/13/2010 Richards Tammy 216 Acker Parkway DeForest WI 53532 100.00 100.00 1/13/2010 Buglass William 4175 Pavlak Dr. Deerfield WI 53531 100.00 100.00 1/7/2010 Circo Richard 5206 Lewis Ln McFarland WI 53558 20.00 20.00 McFarland 1/13/2010 Clark Cynthia 5216 Church St. McFarland WI 53558 Teacher School District 5101 Farwell McFarland WI 53558 150.00 150.00 1/12/2010 Cohen Rebecca 5806 Curtis St. McFarland WI 53558 75.00 75.00 1/7/2010 Crane David 6512 Lani Ln McFarland WI 535589247 35.00 35.00 1/7/2010 Crapp Pamela 2371 Keenan Rd. McFarland WI 53558 25.00 25.00 3/11/2010 DeWitt Ruth Ann 2508 Lalor Rd. Oregon WI 535752108 100.00 100.00 1/11/2010 Duranczyk Denise 324 Sherman St. Stoughton WI 53589 50.00 50.00 2/8/2010 Dykman Charles 4611 Tonyawatha Trail Monona WI 53716 100.00 100.00 900187 2/18/2010 Eppli Randy 6206 Hawk Xing McFarland WI 535589031 50.00 50.00 900010 2/1/2010 Garner Hiam 2118 Adams St. Madison WI 537112150 50.00 50.00 1/19/2010 Gehrke Jeffrey 5415 Lani Ln. McFarland WI 53558 50.00 50.00 900187 2/18/2010 Gerner Michael 5218 Hedden Cir. Middleton WI 535622429 100.00 100.00 130 Lakewood 1/13/2010 Goyke Gary 130 Lakewood Blvd Madison WI 537045914 Consultant Self-employed Blvd Madison WI 53704 125.00 125.00 1/13/2010 Rottier Nancy 130 Lakewood Blvd Madison WI 537045914 Attorney State of WI Madison WI 53706 125.00 125.00 1/28/2010 Greb Steven 1714 Labrador Rd Oregon WI 535752424 35.00 35.00 2/23/2010 Hanson Linda 5924 Oak Hollow Dr. McFarland WI 53558 50.00 50.00 1/3/2010 Harried Michael 5108 Rustic Way McFarland WI 53558 100.00 100.00 1/13/2010 Hasbrouck Phyllis 3113 View Rd. Madison WI 53711 35.00 35.00 1/19/2010 Hastings Elizabeth 2586 Lalor Rd Oregon WI 535752108 35.00 35.00 900187 2/25/2010 Hegenbarth James 7757 Solstice Ct. Verona WI 535938647 50.00 50.00 1/11/2010 Heidenway Carol 2142 Sand Hill Rd Oregon WI 53575 10.00 10.00 1/13/2010 Hein Dean & Mary 2903 Bible Camp Rd McFarland WI 53558 75.00 75.00 1/13/2010 Heller Rodney 2906 Siggelkow Rd McFarland WI 53558 50.00 50.00 2/1/2010 Currans-Sheehan Rachel Henry 2222 Regent St. Madison WI 537265322 100.00 100.00 1/13/2010 Hiniker Stephen 118 Bascom Pl. Madison WI 53705 75.00 75.00 2/1/2010 Houdek Nathan 29 E. Wilson St., #503 Madison WI 537033404 50.00 50.00 2/20/2010 Huber Mark 6402 Romford Rd. Madison WI 537112423 35.00 35.00 1/13/2010 Hulsey Brett 110 Merrill Crest Dr. Madison WI 53705 40.00 40.00 900187 2/18/2010 Kamperschroer George 2222 Chamberlain Ave. Madison WI 537263868 50.00 50.00 1/10/2010 Kane Patrick 6505 Lani Lane McFarland WI 535589253 50.00 50.00 1/13/2010 Kay Arlan 5685 Lincoln Rd. Oregon WI 53575 50.00 50.00 1/7/2010 Kennedy Patrick 5505 Chestnut Ln McFarland WI 53558 100.00 100.00 1/13/2010 Kreisman David 404 ½ W. Doty St. Madison WI 53703 50.00 50.00 1/10/2010 Kushner Jennifer 6105 Rivercrest Drive McFarland WI 53558 25.00 25.00 3/16/2010 La Fontaine John 6212 Exchange St. McFarland WI 53558 25.00 25.00 1/16/2010 Larson Ron 4757 Goodland Park Rd. Madison WI 537115900 25.00 25.00 2/7/2010 Larson Ronald J. 5924 Marsh Woods Rd. McFarland WI 535589107 25.00 25.00 1/28/2010 Lauber Renee 1252 Morrison Ct. Madison WI 537033818 25.00 25.00 1/3/2010 Leonard Quinn 6135 Exchange St. McFarland WI 535589238 50.00 50.00 1/13/2010 Levin Jeremy 1715 Hoyt St. Madison WI 537264016 35.00 35.00 1/3/2010 Licht Jane 2964 County Rd AB McFarland WI 53558 50.00 50.00 1/14/2010 Lorman James 516 Wingra St. Madison WI 53715 30.00 30.00 1/13/2010 Lowe Gretchen 205 Crystal Lane Madison WI 537142506 50.00 50.00 X 1/12/2010 Luloff Alan 5203 Indian Mound Drive McFarland WI 53558 84.88 84.88 1/9/2010 Magnuson Norma 870 Waban Hill Madison WI 53711 50.00 50.00 1/13/2010 Malott Melissa 222 S Carroll St Apt 109 Madison WI 537033323 15.00 15.00 1/13/2010 Matano Alfred 3745 Ross St. Madison WI 537055225 50.00 50.00 1/26/2010 Michalski Clifford 4773 Schneider Dr. Oregon WI 535752229 25.00 25.00 1/25/2010 Minihan Edmond 2379 Keenan Rd McFarland WI 535589753 50.00 50.00 1/13/2010 Smalley Charles 1533 Comanche Gln Madison WI 53704 50.00 50.00 1/13/2010 Palmer Constance 1533 Comanche Gln Madison WI 53704 100.00 100.00 1/20/2010 Payne Sharon 4505 Field Ave. McFarland WI 535589458 35.00 35.00 1/13/2010 Peterson Gary 210 Marinette Trl Madison WI 53705 50.00 50.00 2/14/2010 Pfeifer Judie 3032 Waubesa Ave. Madison WI 53711 50.00 50.00 1/3/2010 Plotkin Richard 5007 Falling Leaves Ln. McFarland WI 535589548 100.00 100.00 1/13/2010 Pribek John 5309 Leanne Ln McFarland WI 535588425 35.00 35.00 1/14/2010 Renslo Sheryl 2382 County Rd AB, Rt 4 McFarland WI 535589769 50.00 50.00 1/4/2010 Rolfsmeyer Charles 6503 Lani Lane McFarland WI 535589253 50.00 50.00 1/31/2010 Rusk Paul 1501 Pleasure Dr. Madison WI 537043825 30.00 30.00 900187 2/18/2010 Ryan Rebecca 4533 Rigney Ln Madison WI 537048128 50.00 50.00 1/13/2010 Saari Jason 455 Lori Ln Cottage Grove WI 53527 50.00 50.00 900187 2/18/2010 Samitt Craig 7697 Moraine Ridge Rd Verona WI 535938629 100.00 100.00 1/15/2010 Harrington Robert 5503 N. Cook St. McFarland WI 53558 50.00 50.00 1/13/2010 Smith Amber 5308 Golden Grove Cir. McFarland WI 53558 25.00 25.00 1/3/2010 Sobol Mary 5205 Broadhead St. McFarland WI 535589699 25.00 25.00 1/3/2010 Sobol Peter 5205 Broadhead St. McFarland WI 535589699 25.00 25.00 1/15/2010 Solheim Stanley 2380 Liatris Ln McFarland WI 535589756 35.00 35.00 900187 2/18/2010 Starmann-Harrison Mary 3013 Bryn Wood Dr. Madison WI 537115838 100.00 100.00 1/13/2010 Thiel Troy 2514 Chamberlain Ave. Madison WI 53705 50.00 50.00 2/8/2010 Thompson H Harv 6108 Rivercrest Dr.
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