CAMPAIGN FINANCE REPORT
STATE OF WISCONSIN
GAB-2 COMMITTEE IDENTIFICATION Filing Period Name: July Continuing 2012 OFFICE USE ONLY Name of Friends of Tod Ohnstad Committee/Corporation: Street Address: 3814 18th Avenue GAB ID: 0105282 City, State and Zip: Kenosha, WI 53140
SUMMARY OF RECEIPTS AND DISBURSEMENTS Column A Column B This Period Calendar Year-To-Date
1. RECEIPTS
1A. Contributions (Including Loans) from Individuals $8,980.57 $8,980.57
1B. Contributions from Committees (Transfers-In) $890.00 $890.00
1C. Other Income and Commercial Loans $0.00 $0.00
TOTAL RECEIPTS (Add totals from 1A, 1B and 1C) $9,870.57 $9,870.57
2. DISBURSEMENTS
2A. Gross Expenditures $6,440.87 $6,440.87
2B. Contributions to Committees (Transfers-Out) $85.00 $85.00
TOTAL DISBURSEMENTS (Add totals from 2A and 2B) $6,525.87 $6,525.87 CASH SUMMARY
Cash Balance Beginning of Report* $0.00
Total Receipts $9,870.57
Subtotal $9,870.57
Total Disbursements $6,525.87
CASH BALANCE END OF REPORT* $3,344.70
INCURRED OBLIGATIONS
(Balance at the Close of This Period-3A) $0.00
LOANS (Balance at the Close of This Period-3B) $5,000.00 * Cash Balance as reported by committee
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: Kurklis-Ohnstad, Kristi Lynn Daytime Phone:
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. SCHEDULE 1-A RECEIPTS Contributions From Individuals
Complete Committee Name: Friends of Tod Ohnstad
Date Full Name Address Occupation Employer Employer Amount YTD Name Address Personal Loan
04/13/2012 Ohnstad, Tod 3814 18th Avenue, $5,000.00 $5,000.00 Oliver Kenosha, WI 53140 Sub Total $5,000.00
Monetary
04/20/2012 Frederick, Ronald 4718 60th St, $50.00 $50.00 Kenosha, WI 53144 04/20/2012 Higgins, Samuel 4625 Bryd Ave, $50.00 $50.00 Racine, WI 53405 04/26/2012 Goebel, Michael 1735 21st Ave, Retired $100.00 $150.00 Kenosha, WI 53140 04/22/2012 Drew, John 3415 N. Murray UAW UAW Region 680 Barclay $250.00 $250.00 Ave, Milwaukee, Representative 4 Blvd, WI 53211 Lincolnshire, IL 60069 04/22/2012 Baker, Lauren 3415 N. Murray Coordinator MPS 5225 W. Vliet $250.00 $250.00 Ave, Milwaukee, Career and St, Milwaukee, WI 53211 Technical WI 53208 Education 04/25/2012 Melrod, Jon 1313 Schiebel Ln, Property Jon Melrod 1313 Schiebel $250.00 $0.00 Sebastapol, CA Management Ln, Sebastapol, 95472 CA 95472 04/25/2012 Ruffalo, Vince 2104 Washington Retired $500.00 $500.00 Rd., Kenosha, WI 53140 05/10/2012 Juliana, Patrick 2002 53rd St., Alderman/Busines Patrick 4925 30th Ave, $100.00 $100.00 Kenosha, WI s Owner Automotive Kenosha, WI 53140 53140 05/10/2012 Keeling, Peni 7915 31st Ave, Retired $100.00 $100.00 Kenosha, WI 53142 05/09/2012 Gordon, Garvin 1734 Sheridan Retired $50.00 $50.00 Road, Madison, WI 53704 Comment(s): Pay Pal fees were taken out
05/13/2012 Ohnstad, John 6 Spring Lake Dr., Retired $100.00 $100.00 Newark, DE 19711 05/19/2012 Highland, Edna 426 8th Place, Retired $25.00 $25.00 Kenosha, WI 53140 05/30/2012 Hansen, Robert 527 1st St., Retired $150.00 $150.00 Racine, WI 53403 Monetary
05/30/2012 Zarletti, Larry 7815 46th Ave, Realtor Remax Elite 7520 39th Ave, $100.00 $100.00 Kenosha, WI Kenosha, WI 53142 53142 05/30/2012 Vena, Louie 24913 83rd Place, Retired $100.00 $100.00 #423, Salem, WI 53168 05/30/2012 Kiel, John B 3300 252nd Ave, Fireman City of 625 52nd St, $100.00 $100.00 Salem, WI 53168 Kenosha Kenosha, WI 53140 05/30/2012 Wilson, Curtis E 7525 28th Ave, Retired/Alderman City of 625 52nd St, $100.00 $100.00 Kenosha, WI of the 13th Kenosha Kenosha, WI 53143 53143 05/30/2012 Wilson, Margaret 7525 28th Ave, Retired $100.00 $100.00 A Kenosha, WI 53143 05/30/2012 Frederick, Ronald 6038 34th Ave, Retired $100.00 $100.00 R Kenosha, WI 53142 05/30/2012 Jurvis, Rick J 3824 21st Ave, $50.00 $50.00 Kenosha, WI 53140 05/30/2012 Gordon, Scott 5204 46th Ave, $50.00 $50.00 Kenosha, WI 53144 05/30/2012 Goebel, Michael J 1735 21st Ave, $50.00 $150.00 Kenosha, WI 53140 05/30/2012 Antaramian, 33831 Bassett $50.00 $50.00 Edward Rd., Burlington, WI 53105 05/30/2012 Storz, Joellyn 2414 23rd Ave, $40.00 $40.00 Kenosha, WI 53140 05/30/2012 Murphy, Paul 39422 104th St., $30.00 $30.00 Genoa City, WI 53128 05/30/2012 Jonker, Mary A 6914 53rd St., Unit $30.00 $30.00 47, Kenosha, WI 53144 05/30/2012 Parry, Jeffry L 5947 7th Ave, $25.00 $25.00 Kenosha, WI 53140 05/30/2012 Escobecio, Linda 4416 7th Ave, $25.00 $25.00 Kenosha, WI 53140 05/30/2012 Matthews, Bradley 3820 18th Ave, $25.00 $25.00 V Kenosha, WI 53140 05/30/2012 Schuch-Krebs, 3617 22nd Ave, $25.00 $25.00 Mary Kenosha, WI 53140 05/30/2012 Kubicki, Edward D 3617 22nd Ave, $25.00 $25.00 Kenosha, WI 53140 05/30/2012 Whiteside, Paul 7600 10th Ave, $25.00 $25.00 Kenosha, WI 53143 Comment(s): Paul Whiteside Sr. Monetary
05/30/2012 Reynolds, Judith A 7209 57th Ave, $25.00 $25.00 #204, Kenosha, WI 53142 05/30/2012 McCarthy, Mark 610 46th Place, $25.00 $25.00 Kenosha, WI 53140 05/30/2012 Ray, Forgianni 8731 45th Ave, $25.00 $25.00 Kenosha, WI 53142 05/30/2012 Kurklis, Donald J 525 39th St, $25.00 $25.00 Kenosha, WI 53140 05/30/2012 Kole, Ronald H 1812 37th St, $25.00 $25.00 Kenosha, WI 53140 05/30/2012 Kempinen, Karen 2223 23rd Ave, $15.00 $15.00 A Kenosha, WI 53140 05/30/2012 Buchholz, Norman 3707 19th Ave, $10.00 $10.00 Kenosha, WI 53140 05/30/2012 Bosman, Keith 8054 42nd Ave, $50.00 $50.00 #150, Kenosha, WI 53142 05/30/2012 Haugaard, Eric J 3818 5th Ave, $50.00 $50.00 Kenosha, WI 53140 06/03/2012 Roach, Karin W 705 Silent Sunday Teacher Kenosha 3600 52nd St, $200.00 $200.00 Ct., Racine, WI Unified Kenosha, WI 53402 School 53144 District Sub Total $3,475.00
Total UnItemized Contributions $505.57
Total Anonymous Contributions $0.00
Grand Total $8,980.57
Non-Monetary (-): $0.00
Loan Forgiven (-): $0.00
Total $8,980.57 SCHEDULE 1-B RECEIPTS Contributions from Committees (Transfers-In)
Complete Committee Name: Friends of Tod Ohnstad
Date Full Name Address Amount YTD
Monetary
04/17/2012 WI Bricklayers PAC P.O. Box 510617, New Berlin, WI 53151- $250.00 $250.00 0617 Comment(s): Bricklayers & Allied Craftworkers 17125 West Cleveland Ave. new Berlin, WI 53151-3538 PAC 05/30/2012 Friends of Bob Wirch 3007 Springbrook Road, Pleasant Prairie, $40.00 $40.00 WI 53158 06/07/2012 Sheet Metal Workers PAC 2201 Springdale Road, Waukesha, WI $100.00 $100.00 53186-2855 Comment(s): Check states Letter states Waukesha address Sheet Metal Workers International Union Local No. 18 Political Action Committe 5425 W. Vliet St. Milwaukee, WI 53208 06/13/2012 UAW Southeastern Wisconsin 9618 West Greenfield Avenue, West Allis, $500.00 $500.00 Area PAC Council WI 53214 Comment(s): Note: Address on the check is 7435 S Howell Ave Oak Creek, WI 53154-2109 Sub Total $890.00
Grand Total $890.00
Non-Monetary (-): $0.00
Total $890.00 SCHEDULE 1-C RECEIPTS Other Income and Commercial Loans
Complete Committee Name: Friends of Tod Ohnstad
Date Full Name Address Amount YTD
Total $0.00 SCHEDULE 2-A DISBURSEMENTS Gross Expenditures
Complete Committee Name: Friends of Tod Ohnstad
Date Full Name Address Vendor Name Vendor Expense Amount Address Purpose Monetary
04/16/2012 Accurate Printing 6618 37th Printing - $44.31 Ave, Copies Kenosha, WI 53142 04/17/2012 Nybergs 5038 6th Ave, Printing Misc. $8.44 Kenosha, WI (buttons, 53140 bumper stickers, t- shirts) Comment(s): Name Tag
04/17/2012 Midwest Graphics 9522 58th Printing Misc. $20.05 Place, Suite (buttons, 300, bumper Kenosha, WI stickers, t- 53144 shirts) Comment(s): District Maps
05/08/2012 Democratic Party of 110 King St., Mailing List $500.00 Wisconsin Suite 203, Madison, WI 53703 05/07/2012 Office Max 2301 S. IT - $330.17 Green Bay Campaign Rd, Racine, Computer WI 53406 Equip Comment(s): Printer, Fax, scanner
05/07/2012 KMart 4100 52nd St, KMart 4100 52nd St, Office $10.53 Kenosha, WI Kenosha, WI Supplies 53140 53140 Comment(s): Cards
05/02/2012 Loyola, Franscico 1355 52nd St, Media - $300.00 No. 3, Website Kenosha, WI Development 53140 04/24/2012 Chase PO Box Bank $17.50 659754, San Charges Antonio, TX 78265 04/30/2012 1and1.com 701 Lee Media - $10.47 Road, Suite Website 300, Development Chesterbook, PA 19087 05/12/2012 Nybergs 5038 6th Ave, Printing Misc. $73.85 Kenosha, WI (buttons, 53140 bumper stickers, t- shirts) Monetary
05/09/2012 Accurate Printing 6618 37th Printing - $133.99 Ave, Brochures KENOSHA, WI 53142 05/14/2012 Pay Pal WI Bank $1.75 Charges 06/01/2012 Budget Signs 2225 Printing - $1,757.40 Industrial Yard Signs Drive, Madison, WI 53713 06/01/2012 Budget Signs 2225 Printing Misc. $1,003.75 Industrial (buttons, Drive, bumper Madison, WI stickers, t- 53713 shirts) 05/30/2012 Boat House Pub 4917 7th Ave, Fundraiser - $249.57 Kenosha, WI Food & 53140 Beverage 05/30/2012 1 & 1 Internet Inc. 701 Lee Media - $9.99 Road, Suite Website 300, Development Chestterbroo k, PA 19087 05/30/2012 Accurate Printing 6618 37th Printing - $128.72 Ave, Copies Kenosha, WI 53141 06/03/2012 CVS 3726 North Office $31.39 22nd Ave, Supplies Kenosha, WI 53140 Comment(s): Thank you cards
06/03/2012 USPS WI Postage $46.25
06/07/2012 Office Max 6820 Office $15.59 Greenbay Supplies Road, Kenosha, WI 53144 06/10/2012 Amazon.com 1200 12th Amazon.com Printing - $114.99 Ave, Ste. Copies 1200, Seattle, WA 98144- 2734 Comment(s): Ink for Printer
06/06/2012 Accurate Printing 6618 37th Printing - $126.60 Ave, Brochures Kenosha, WI 53141 05/31/2012 Kenosha News 5800 7th Ave, Media - $104.00 Kenosha, WI Newspaper 53140 06/16/2012 Molina, Shanon 8938 14th Wages - $65.00 Ave, Campaign Kenosha, WI Staff 53143 Comment(s): From June 10th through June 16th Monetary
06/21/2012 Accurate Printing 6618 37th Printing - $592.92 Ave, Copies Kenosha, WI 53141 06/21/2012 Office Max 6820 Green Office $56.49 Bay Road, Supplies Kenosha, WI 53142 Comment(s): Mailing Labels
06/20/2012 USPS WI Postage $226.65
06/21/2012 USPS WI Postage $350.00
06/22/2012 Molina, Shannon 8938 14th Wages - $110.50 Ave, Campaign Kenosha, WI Staff 53143 Comment(s): 6-17-2012 to 6-22-12
Sub Total $6,440.87
Grand Total $6,440.87
Non-Monetary (-): $0.00
Total $6,440.87 SCHEDULE 2-B DISBURSEMENTS Contributions To Committees (Transfers-Out)
Complete Committee Name: Friends of Tod Ohnstad
Date Full Name Address Vendor Name Vendor Amount Address Monetary
05/29/2012 Friends of Jim Kreuser 3505 14th Place, $35.00 Kenosha, 53144 06/20/2012 Mark Pocan for P.O. Box 327, $50.00 Congress Madison , WI 53701- 0327 Sub Total $85.00
Grand Total $85.00
Non-Monetary (-): $0.00
Registrant In-Kind Sub Total (-): $0.00
Total $85.00 SCHEDULE 3-A ADDITIONAL DISCLOSURE Incurred Obligations Excluding Loans
Complete Committee Name: Friends of Tod Ohnstad
Incurred Obligation Outstanding Amount: $0.00
Date Full Name Address Amount
Grand Total $0.00
Date Full Name Amount Paid
Grand Total $0.00 SCHEDULE 3-B ADDITIONAL DISCLOSURE Loans Individual, Committee or Commercial
Complete Committee Name: Friends of Tod Ohnstad
Loans Outstanding Amount: $0.00
Date Lender Name Address Loan Amount Loan Payment + Outstanding Amount Forgiven Amount Personal Loan
04/13/2012 Ohnstad, Tod Oliver 3814 18th Avenue, $5,000.00 $0.00 $5,000.00 Kenosha, WI 53140 Sub Total $5,000.00
Grand Total $5,000.00