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2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) 2. DISBURSEMENTS $49,634.20 $97,849.38 $0.00 $0.00 $49,634.20 $97,849.38 Street Address: S11665 Soeldner Road City, State and Zip: Spring Green, WI 53588 Filing Period Name: January Continuing 2011 Name of Committee/Corporation: Taxpayers for Marklein 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 $6,450.00 $67,559.76 $2,950.00 $8,200.00 $192.07 $192.07 $9,592.07 $75,951.83 SUMMARY OF RECEIPTS AND DISBURSEMENTS GAB ID: 0104815 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) $50,838.19 $9,592.07 $60,430.26 $49,634.20 $0.00 $0.00 $10,796.06 * * 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: Wall, Bill 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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Page 1: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

2A. Gross Expenditures

2B. Contributions to Committees (Transfers-Out)

TOTAL DISBURSEMENTS (Add totals from 2A and 2B)

2. DISBURSEMENTS

$49,634.20 $97,849.38

$0.00 $0.00

$49,634.20 $97,849.38

Street Address: S11665 Soeldner Road

City, State and Zip: Spring Green, WI 53588

Filing Period Name: January Continuing 2011

Name of Committee/Corporation:

Taxpayers for Marklein

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

$6,450.00 $67,559.76

$2,950.00 $8,200.00

$192.07 $192.07

$9,592.07 $75,951.83

SUMMARY OF RECEIPTS AND DISBURSEMENTS

GAB ID: 0104815

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)

$50,838.19

$9,592.07

$60,430.26

$49,634.20

$0.00

$0.00

$10,796.06*

*

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:Wall, Bill

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

Page 2: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

SCHEDULE 1-A RECEIPTS Contributions From Individuals

Complete Committee Name: Taxpayers for Marklein

10/27/2010 Forsythe, Mark W. 35352 Forst Lane, Prairie Du Chien, WI 53821

President/CEO Peoples State Bank, Prairie du Chien

301 E. Blackhawk Ave, Prairie Du Chien, WI 53821

$100.00 $0.00

10/26/2010 Knox, Randy W8854 Deer Run Trail, Cambridge, WI 53523

VP of Finance W. D. Hoard & Sons Company

PO Box 801, Fort Atkinson, WI 53538

$499.00 $0.00

10/22/2010 Schultist, Terry 352 Mulberry Drive, Delafield, WI 53018

Retired $500.00 $500.00

Comment(s): Howard Marklein, STATE HOUSE WI

10/23/2010 Nesbitt, Arthur PO Box 8, Fort Atkinson, WI 53538

CEO AWNWARD PO Box 8, Fort Atkinson, WI 53538

$200.00 $0.00

10/23/2010 Baryenbruch, Jerry 460 W. Leeson St., Spring Green, WI 53588

Owner Hometown Supermarket, Inc.

171 Worchester St., Spring Green, WI 53588

$300.00 $0.00

10/23/2010 Postler-Slattery, Diane

E10737 Tower Road, Wausau, WI 54403

President/COO, SVP of Quality & Extended Services

Aspirus - Wausau Hospital

333 Pine Ridge Blvd, Wausau, WI 54401

$200.00 $0.00

10/23/2010 Neshek, Milton 240 Penny Ln., Lake Geneva, WI 53147

Attorney Milton E. Neshek, LLC

1335 Geneva National Ave N, Lake Geneva, WI 53147

$175.00 $0.00

10/27/2010 Holman, David 3496 Leflore Ct, Verona, WI 53593-9690

$75.00 $75.00

10/27/2010 Schroeder, Larry 908 Hanksfield, Prairie du Sac, WI 53578-1163

$50.00 $50.00

10/27/2010 Hoege, Beverly 1372 21st ST, Reedsburg, WI 53959-2522

$50.00 $50.00

10/27/2010 Ayers, Mandy 731 Center Street, Black Earth, WI 53515-9557

$56.00 $56.00

10/27/2010 Kopp, Steven 909 Burning Wood Way, Madison, WI 53704-1015

$50.00 $50.00

10/27/2010 Tolly, Donald 7165 Belle Fontaine Blvd, Unit 101, Middleton, WI 53562-1079

$25.00 $25.00

10/27/2010 Kratochwill, Tom 3499 Buckwheat Ridge Rd, Lancaster, WI 53813-9639

$20.00 $20.00

Conduit Contribution

Date Full Name Address Occupation Employer Name

Employer Address

Amount YTD

Page 3: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

10/25/2010 McCaulley, James C

522 W North st., Dodgeville, WI 53533

County Conservationist

Iowa County Land Conservation

138 South Iowa St., Dodgeville, WI 53533

$150.00 $300.00

10/26/2010 Wand, Camella 13307 Hwy 11, Gratiot, WI 53541

$25.00 $25.00

10/26/2010 Timmerman, Todd J

5381 Beagle Ln, Platteville, WI 53818

Owner Timmerman Talents LLC

5381 Beagle Ln, Platteville, WI 53818

$200.00 $200.00

10/22/2010 Peterson, Keri 5840 Thorstrand Road, Madison, WI 53705

Housewife $500.00 $500.00

10/25/2010 Johns, Jason E 655 Sumac St., Oregon, WI 53575-3439

$100.00 $100.00

10/29/2010 Fischer, Lyle J 16165 Old Q Rd., Blanchardville, WI 53516

$50.00 $100.00

11/03/2010 Binning, Ron W8645 Glacial Dr, Whitewater, WI 53190

$50.00 $50.00

11/03/2010 Kniprath, Bob 7800 Schurch Rd., Barneveld, WI 53507

Financial Planner Self 7800 Schurch Rd, Barneveld, WI 53507

$100.00 $200.00

10/19/2010 Kinch, Sara 21600 Oak Park Rd, Mineral Point, WI 53565-9801

Self employed Sara Kinch 21600 Oak Park Rd, Mineral Point, WI 53565

$100.00 $200.00

10/22/2010 Peterson, Scott W 5840 Thorstrand Road, Madison, WI 53705

Vice President James Peterson Sons, Inc.

P.O. Box 120, Medford, WI 54451

$500.00 $500.00

10/22/2010 Gant, Karl 7618 Gant Rd, Blanchardville, WI 53516

$25.00 $25.00

10/22/2010 Mathy, Scott P 1895 Wood Run Pl, Onalaska, WI 54650

President Mathy Construction

P.O. Box 189, Onalaska, WI 54650

$250.00 $250.00

10/22/2010 Mathy, Lee'Ann N2104 Valley Road, LaCrosse, WI 54601

Homemaker $250.00 $250.00

Monetary

10/29/2010 Havens, Ferron 1406 East Hwy 18/151, Mt. Horeb, WI 53572

$50.00 $50.00

10/28/2010 Frank, Jennifer 292 Maple Heights Road, Marshall, WI 53559-9411

$50.00 $50.00

10/29/2010 Klaetsch, George 2715 LaFollette Ave, Madison, WI 53704

$50.00 $50.00

12/15/2010 Resch, Michael T 413 Forest St, Mt Horeb, WI 53572

CPA Smith & Gesteland, LLP

8383 Greenway Blvd Ste 400, Middleton, WI 53562

$250.00 $0.00

10/22/2010 Krause, Kristine M 8180 N. Gray Log Lane, Milwaukee, WI 53217-2860

$100.00 $100.00

Sub Total $2,800.00

Conduit Contribution

Page 4: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

12/31/2010 Griffiths, James 102 E. Madison Street, Dodgeville, WI 53533

$25.00 $75.00

12/31/2010 Gorman, Christina 695 Erik St, PO Box 841, Spring Green, WI 53588

$50.00 $50.00

12/31/2010 Bussan, Roger 1260 Plainview Rd, Plain, WI 53577

Dentist Self employed

1260 Plainview Rd, Plain, WI 53577

$100.00 $150.00

12/28/2010 Crawford, Karen 254 Shake Rag Street, Mineral Point, WI 53565

$10.00 $55.00

12/28/2010 Stinebrink, Dawn 32927 Stonebringer Lane, Hillpoint, WI 53937-7412

Retired $50.00 $250.00

12/31/2010 Kraemer, Betty J 1380 Greenleaf Ave, Plain, WI 53577

$50.00 $50.00

12/31/2010 Demo, Owen 100 Shea Drive, Belmont, WI 53510-9677

Appraiser Self employed

100 Shea Drive, Belmont, WI 53510

$25.00 $125.00

12/28/2010 Lins, Duane S8147 Hwy PF, Loganville, WI 53943

Farmer Self employed

S8147 Hwy PF, Loganville, WI 53943

$100.00 $200.00

11/11/2010 Driscoll, Tony 310 Tower Ct, Dodgeville, WI 53533

$50.00 $100.00

11/11/2010 Dunbar, John 4530 Penny Lane, Dodgeville, WI 53533

$100.00 $100.00

12/25/2010 Palmer, Lynn 2495 Keenan Rd., McFarland, WI 53558-9711

Dept Assistant Senior

UW Health Hospitals & Clinics

621 Science Drive, Madison, WI 53711

$100.00 $200.00

12/28/2010 Rideout, Howard R 1009 N Union St, Dodgeville, WI 53533-1235

$25.00 $50.00

11/03/2010 Unbehaun, Todd 405 W. Washington St., Dodgeville, WI 53533

$15.00 $15.00

11/05/2010 Atterholt, Wm Perry

1458 166th Ave, New Richmond, WI 54017-6580

Vice President Mathy Construction

P.O. Box 189, Onalaska, WI 54650

$250.00 $250.00

12/28/2010 Dedrick, Matt 157 Mulberry St., Sauk City, WI 53583

$25.00 $75.00

12/28/2010 Kraemer, Duane C 1190 Spruce Street, Plain, WI 53577

$25.00 $75.00

12/27/2010 Lohre, Regina M S9994 Shirley St., Prairie du Sac, WI 53578-9609

$25.00 $50.00

12/27/2010 Peckham, Allan 555 N. Washington St, PO Box 40, Spring Green, WI 53588

$50.00 $50.00

12/27/2010 Johnson, Paul A. 8910 State Hwy 78, Gratiot, WI 53541

$25.00 $50.00

Monetary

Page 5: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

12/31/2010 Straka, Kathryn S10996 Weidner Rd, Spring Green, WI 53588

$50.00 $50.00

12/31/2010 McFarlane, Richard

7130 State Rd 78, Sauk City, WI 53583

Sales McFarlane Mfg

1259 Water St, Sauk City, WI 53583

$100.00 $300.00

12/31/2010 Straka, Kathryn S10996 Weidner Rd, Spring Green, WI 53588

$50.00 $50.00

12/31/2010 Limmex, Richard J 6734 Lower Wyoming Rd, Spring Green, WI 53588

$50.00 $100.00

Sub Total $3,650.00

Monetary

Loan Forgiven (-): $0.00

Total $6,450.00

Grand Total $6,450.00

Total UnItemized Contributions $0.00

Total Anonymous Contributions $0.00

Page 6: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

SCHEDULE 1-B RECEIPTS Contributions from Committees

(Transfers-In)

Complete Committee Name: Taxpayers for Marklein

11/23/2010 WI Insurance Alliance PAC 44 East Mifflin Street, Suite 901, Madison, WI 53703

$250.00 $250.00

11/23/2010 Wisconsin Credit Union Legislative Action Fund

N25W23131 Paul Road, Suite 500, Pewaukee, WI 53072-5779

$250.00 $250.00

11/18/2010 Northwestern Mutual Life Political Action Committee

720 East Wisconsin Avenue, Milwaukee, WI 53202

$500.00 $500.00

12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224

$250.00 $250.00

11/24/2010 Corn PAC 22 N. Carroll Street, Suite 310, Madison, WI 53703

$150.00 $150.00

11/23/2010 Assn of State Prosecutors-PAC 4142 Hiawatha Drive, Madison, WI 53711 $250.00 $250.00

10/22/2010 Wisconsin Health Care Association PAC

21 Harbort Drive, Madison, WI 53704 $250.00 $250.00

10/19/2010 IFAPAC Wisconsin 22 N Carroll St, Ste 300, Madison, WI 53703

$200.00 $200.00

11/18/2010 Alliant Energy WI Gov Act Cte 4902 North Biltmore Lane, Madison, WI 53707

$350.00 $350.00

10/25/2010 Taxpayers for Suder 102 South Fourth Avenue, Abbotsford, WI 54405

$250.00 $500.00

10/22/2010 Taxpayers for Suder 102 South Fourth Avenue, Abbotsford, WI 54405

$250.00 $250.00

Sub Total $2,950.00

Monetary

Grand Total $2,950.00

Date Full Name Address Amount YTD

Page 7: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans

Complete Committee Name: Taxpayers for Marklein

11/13/2010 A. M. Mailing Services, LLC 100 Interstate Blvd, Edgerton, WI 53534-9399 $192.07 $192.07

Expense Refund

Total $192.07

Date Full Name Address Amount YTD

Page 8: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

SCHEDULE 2-A DISBURSEMENTS Gross Expenditures

Complete Committee Name:

10/19/2010 Dodge-Point Broadcasting

2163 Hwy 151, PO Box 9, Dodgeville, WI 53533

Media - Radio $360.00

10/25/2010 Dodge-Point Broadcasting

2163 Hwy 151, PO Box 9, Dodgeville, WI 53533

Media - Radio $2,160.00

10/19/2010 Queen B Radio Wisconsin, Inc.

51 Means Drive, Platteville, WI 53818

Media - Radio $333.20

11/03/2010 Election Energy 777 University Ave, Madison, WI 53715

Bank Charges

$4.60

11/11/2010 Election Energy 777 University Ave, Madison, WI 53715

Bank Charges

$6.00

10/22/2010 Queen B Radio Wisconsin, Inc.

51 Means Drive, Platteville, WI 53818

Media - Radio $2,438.70

10/22/2010 WEKZ W4765 Radio Lane, Monroe, WI 53566

Media - Radio $2,439.60

10/21/2010 Richard, Rob L 10260 County Rd Y, Mazomanie, WI 53560

Charter Cable of Madison

1241 John Q Hammons Drive, Suite 502, Madison, WI

Media - TV $5,012.45

10/21/2010 Richard, Rob L 10260 County Rd Y, Mazomanie, WI 53560

Great Graphics 3223 Parmenter St., Middleton, WI 53562

Printing - Brochures

$1,223.80

Monetary

11/30/2010 Marklein, Howard S11665 Soeldner Rd, Spring Green, WI 53588

$2,000.00

11/30/2010 MARKLIEN, HOWARD L

S11665 SOELDNER RD, SPRINGGREEN, WI 53588

$5,000.00

Sub Total $7,000.00

Loan Payment

Date Full Name Address Vendor Name Vendor Address

Expense Purpose

Amount

Taxpayers for Marklein

Page 9: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

10/26/2010 Fruit Broadcasting, LLC PO Box 529, Richland Center, WI 53581

Media - Radio $7.50

10/25/2010 A.M. Mailing Services, LLC

100 Interstate Blvd, Edgerton, WI 53534

Mailing Service

$1,905.78

10/25/2010 Post Office Dodgeville, WI 53533

Postage $4.90

10/26/2010 Richard, Rob L 10260 County Rd Y, Mazomanie, WI 53560

Republican Journal

P.O. Box 20, Darlington, WI 53530

Media - Newspaper

$231.00

10/26/2010 Richard, Rob L 10260 County Rd Y, Mazomanie, WI 53560

Sauk Prairie Eagle 725 Water St., Sauk City, WI 53583

Media - Newspaper

$71.40

10/26/2010 Richard, Rob L 10260 County Rd Y, Mazomanie, WI 53560

Dodgeville Chronicle

106 W. Merrimac St., Dodgeville, WI 53533

Media - Newspaper

$162.50

10/25/2010 A.M. Mailing Services, LLC

100 Interstate Blvd, Edgerton, WI 53534

Mailing Service

$9,452.03

10/26/2010 Richard, Rob L 10260 County Rd Y, Mazomanie, WI 53560

Sauk Prairie Star 801 Water St, Sauk City, WI 53583

Media - Newspaper

$129.00

10/29/2010 Richard, Rob L 10260 County Rd Y, Mazomanie, WI 53560

Post Office Mazomanie, WI 53560

Postage $96.80

10/30/2010 Advantage, Inc. 2300 Clarendon Blvd, Suite 1004, Arlington, VA 22201

Media - Phones / Robo calls

$467.75

10/25/2010 Home News 120 N. Worcester St, PO Box 39, Spring Green, WI 53588

Media - Newspaper

$134.40

10/23/2010 Advantage, Inc. 2300 Clarendon Blvd, Suite 1004, Arlington, VA 22201

Media - Phones / Robo calls

$515.85

10/23/2010 Leystra's Restaurant 200 Phillips Blvd, Sauk City, WI 53583

Volunteer Meals

$58.00

10/23/2010 Press Box 809 Water St., Sauk City, WI 53583

Volunteer Meals

$90.00

Monetary

Page 10: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

11/14/2010 Arthur's PO Box 116, Spring Green, WI 53588

Party Exp - Election Night

$743.33

11/04/2010 Republican Party of Wisconsin

148 East Johnson Street, Madison, WI 53703

Consulting Fees - General

$11,034.10

11/04/2010 U.S. Cellular Palatine, IL 60055-0203

Utilities - Phone / Cell Phone

$128.72

12/07/2010 U.S. Cellular Palatine, IL 60055-0203

Utilities - Phone / Cell Phone

$128.12

12/01/2010 Post Office Plain, WI 53577

Postage $44.00

11/30/2010 A.M. Mailing Services, LLC

100 Interstate Blvd, Edgerton, WI 53534-9399

Mailing Service

$817.40

10/28/2010 Grandma's Kitchen 503 Main Street, Highland, WI 53543

Volunteer Meals

$32.00

10/27/2010 ACP 4723 Cty Hwy YZ, P.O. Box 253, Dodgeville, WI 53533

Printing - Brochures

$560.25

11/06/2010 Marklein, Howard L S11665 Soeldner Rd, Spring Green, WI 53588

Magnum Communications

1021 N Superior Ave, #5, Tomah, WI 54660

Media - Radio $1,750.72

10/29/2010 Sauk Prairie Eagle Inn 655 Water Street, Prairie du Sac, WI 53578

Volunteer Meals

$30.00

10/30/2010 Kwik Trip 115 S. Iowa St., Dodgeville, WI 53533

Staff - Gas $29.30

10/31/2010 Tony's Tap 10 A Commerce St, Mineral Point, WI 53565

Volunteer Meals

$31.00

Sub Total $42,634.20

Monetary

Total $49,634.20

Non-Monetary (-): $0.00

Grand Total $49,634.20

Page 11: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

SCHEDULE 2-B DISBURSEMENTS Contributions To Committees

(Transfers-Out)

Complete Committee Name: Taxpayers for Marklein

Total $0.00

Registrant In-Kind Sub Total (-): $0.00

Non-Monetary (-): $0.00

Grand Total $0.00

Date Full Name Address Vendor Name Vendor Address

Amount

Page 12: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans

SCHEDULE 3-A

Complete Committee Name:

Incurred Obligation Outstanding Amount:

Grand Total $0.00

Date Full Name Address Amount

$0.00

Taxpayers for Marklein

Grand Total $0.00

Date Full Name Amount Paid

Page 13: CAMPAIGN FINANCE REPORT STATE OF …cfis.wi.gov/ReportsOutputFiles/0104815JanuaryContinuing...12/11/2010 Plumbers Local 75 PAC 11175 West Parkland Avenue, Milwaukee, WI 53224 $250.00

ADDITIONAL DISCLOSURELoans

Individual, Committee or Commercial

SCHEDULE 3-B

Complete Committee Name:

Loans Outstanding Amount:

Taxpayers for Marklein

$7,000.00

Grand Total $0.00

Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount

Outstanding Amount