2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$1,793.03 $5,128.72
$0.00 $250.00
$1,793.03 $5,378.72
Street Address: 3489 Blackwolf Run
City, State and Zip: Green Bay, WI 54311
Filing Period Name:
Covers all activity from 07/01/2012 through 07/30/2012
Fall Pre-Primary 2012
Name of Committee/Corporation:
Friends of Dave Hansen
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
$10,685.25 $23,438.83
$4,000.00 $12,150.00
$0.00 $0.00
$14,685.25 $35,588.83
SUMMARY OF RECEIPTS AND DISBURSEMENTS
GAB ID: 0103835
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)
$127,753.14
$14,685.25
$142,438.39
$1,793.03
$0.00
$0.00
$140,645.36*
*
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:Hansen, Jane M
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
SCHEDULE 1-A RECEIPTS Contributions From Individuals
Complete Committee Name: Friends of Dave Hansen
07/25/2012 Vesely, Deborah 1715 E Sonata Dr, Green Bay, WI 54311-4315
$25.00 $75.00
07/25/2012 Vanderbloemen, Tony
PO Box 8291, Green Bay, WI 54308-8291
PRESIDENT Greater Green Bay Area Labor Council
$50.00 $125.00
07/25/2012 Johansen, Jens 2579 Nicolet Dr, Green Bay, WI 54311-7225
$50.00 $90.00
07/25/2012 Hansen, Donald 7222 Grand Pkwy, Wauwatosa, WI 53213-3658
$50.00 $50.00
07/25/2012 Martin, Thomas 3236 Gray Hawk Trl, Suamico, WI 54313-8380
$50.00 $50.00
07/25/2012 Decker, Deb 2821 Bristol Mountain Trl, Green Bay, WI 54313-9216
RETAIL SALES Decker Enterprises
2821 Bristol Mountain Trl, Green Bay, WI 54313-9216
$125.00 $125.00
07/25/2012 Soletski, James 496 Menlo Park Rd, Green Bay, WI 54302-4853
RETIRED Retired $100.00 $160.00
07/25/2012 Cole, Danny 5107 Sampson Rd, Abrams, WI 54101-9506
$20.00 $30.00
07/25/2012 Bialcik, Karen 2808 University Ave, Green Bay, WI 54311-5856
$25.00 $25.00
07/25/2012 Miller, Connie 1196 Division St, Green Bay, WI 54303-3002
$30.00 $51.00
07/25/2012 Schroeder, Carla 1014 Willard Dr, Green Bay, WI 54304-5868
$35.00 $35.00
07/25/2012 Vander Kelen DDS, Paul
3934 Saint Croix Cir E, Green Bay, WI 54301-1075
$50.00 $50.00
07/25/2012 Kraft, Michael 2551 Oakwood Ave, Green Bay, WI 54301-1809
RETIRED PROFESSOR
UWGreen Bay
2551 Oakwood Avenue, Green Bay, WI 54301
$50.00 $185.00
07/25/2012 Smits, Clayton 826 Jordan Rd, De Pere, WI 54115-3255
$50.00 $50.00
07/25/2012 Hansen, Mary Jo 336 N Taylor St, Green Bay, WI 54303-3331
$12.50 $37.50
Monetary
Date Full Name Address Occupation Employer Name
Employer Address
Amount YTD
07/25/2012 Blaney, Kerry 3595 Valley Brooke Ln, Green Bay, WI 54313-7593
$100.00 $100.00
07/25/2012 Schultz, Nancy 810 Neufeld St, Green Bay, WI 54304-2236
$50.00 $95.00
07/25/2012 Weix, Lou Ann 1596 Meadow Wood Ct., Green Bay, WI 54313
NURSE ANESTHITIST
Self employed
1596 Meadow Wood Ct, Green Bay, WI 54313-7179
$250.00 $500.00
07/17/2012 Kolakowski, Edward
1011 Denis Pl, Green Bay, WI 54303-1730
$25.00 $50.00
07/25/2012 BiceAllen, Thomas 1179 Emilie St, Green Bay, WI 54301-3107
$25.00 $25.00
07/27/2012 Cothern, Gary 490 Polaris Rd, Green Bay, WI 54302-4842
$50.00 $50.00
07/25/2012 Baer, Betty 1673 Twin Lakes Cir, Green Bay, WI 54311-4207
$50.00 $50.00
07/25/2012 Bialcik, Corey 2808 University Ave, Green Bay, WI 54311-5856
$25.00 $50.00
07/25/2012 Scott, Sarah 1021 S Irwin Ave, Green Bay, WI 54301-3127
$30.00 $30.00
07/27/2012 Scannell, Randy 854 Dousman St, Green Bay, WI 54303-2953
$25.00 $25.00
07/27/2012 Linsmeier, Mark 2310 S 9th St, Manitowoc, WI 54220-6618
$25.00 $25.00
07/25/2012 Kuse, Gary 1024 Gross Ave, Green Bay, WI 54304-2554
$25.00 $25.00
07/17/2012 Loehlein, Ken 2266 Sunrise Ct, Green Bay, WI 54302-4063
$50.00 $50.00
07/27/2012 Kaye, Lorna 523 Larscheid St, Green Bay, WI 54302-3613
$25.00 $25.00
07/25/2012 Decker, Chuck 2821 Bristol Mountain Trl, Green Bay, WI 54313-9216
RETAIL SALES Decker Enterprises
$125.00 $125.00
07/25/2012 Hinckley, Jim 3457 Spring Green Rd, Green Bay, WI 54313-7567
RETIRED ORTHO SURGEON
None $150.00 $400.00
07/30/2012 Umentum, Conrad 2640 Mary Jo Ct, Green Bay, WI 54311-5416
$50.00 $75.00
07/27/2012 Fermanich, Pat 3415 Pierce Ave, Marinette, WI 54143-4147
$25.00 $25.00
07/27/2012 Renn Malcheski, Frances
3564 S Ridge Rd, De Pere, WI 54115-7695
$20.00 $20.00
Monetary
07/27/2012 Schmidt, Sheila 411 French St, Peshtigo, WI 54157-1203
$30.00 $30.00
07/25/2012 Ridderbush, Bonnie
1054 6th St, Green Bay, WI 54304
$12.50 $12.50
07/17/2012 Engel, Richard 2453 Deer Path Ct, Abrams, WI 54101-9578
$50.00 $80.00
07/17/2012 Meyer, Catherine 837 Ernst Dr, Green Bay, WI 54304-2201
RETIRED None $50.00 $150.00
07/17/2012 Nerenhausen, Donald
710 Arbutus Ave, Oconto, WI 54153-2002
$50.00 $50.00
07/17/2012 Calder, John 1658 Lilac Ln, Green Bay, WI 54302-2314
$25.00 $25.00
07/25/2012 Wall, Jamie 1241 Lawe St, Green Bay, WI 54301-3424
$20.00 $40.00
07/27/2012 Fermanich, Michael
3415, Marinette, WI 54143
$25.00 $25.00
07/17/2012 Calder, Phyllis 1658 Lilac Ln, Green Bay, WI 54302-2314
$25.00 $25.00
07/17/2012 Engel, Pamela 2453 Deer Path Ct, Abrams, WI 54101-9578
$50.00 $50.00
07/25/2012 Martin, Connie 116 W Morningside Dr, Kaukauna, WI 54130-3577
$10.00 $10.00
07/17/2012 Heidner, Chuck 2971 Durham Rd, Green Bay, WI 54311-7296
RETIRED retired $250.00 $250.00
07/27/2012 Scannell, Rose 854 Dousman St, Green Bay, WI 54303-2953
$25.00 $25.00
07/25/2012 Steve, Dorvinen 1510 Cardinal Ln, Green Bay, WI 54313-7117
$25.00 $25.00
07/25/2012 Miller, Ron 1196 Division St, Green Bay, WI 54303-3002
$30.00 $51.00
07/25/2012 Nusbaum, Nancy 1319 N Summer Range Rd, De Pere, WI 54115-3540
$100.00 $100.00
07/17/2012 Kaul, Lucille W4973 Pathfinder Circle, Shawano, WI 54166
$25.00 $75.00
07/18/2012 Schlag, Mary 2076 Town Hall Rd, Green Bay, WI 54311-6208
$50.00 $50.00
07/17/2012 Crain, John 718 Cass St, Green Bay, WI 54301-3634
$50.00 $50.00
Monetary
07/18/2012 Rodon, Katherine 365 Warren Ct, Green Bay, WI 54301-2955
$25.00 $50.00
07/18/2012 Donart, Michael 3278 Bitters Ct, Green Bay, WI 54301-1545
$30.00 $55.00
07/19/2012 Nixon, Tim 331 Windward Rd, Green Bay, WI 54311
ATTORNEY Godfrey and Kahn SC
333 Main St Ste 600, Green Bay, WI 54301-5122
$250.00 $250.00
07/17/2012 De Groot, Carol 2105 Enderby Ln, Green Bay, WI 54311-7408
RETIRED, NOT EMPLOYED
retired, not employed
2105 Enderby Lane, Green Bay, WI 54311
$200.00 $300.00
07/17/2012 Hackbarth, Eugene
933 Oakdale Avenue, De Pere, WI 54115
$12.50 $12.50
07/17/2012 Ziesemer, Doris 1210 Mount Mary Dr, Green Bay, WI 54311-5822
$40.00 $90.00
07/25/2012 Smits, Rose 826 Jordan Rd, De Pere, WI 54115-3255
$50.00 $50.00
07/18/2012 Cuene, Mary 3490 Bay Highlands Dr, Green Bay, WI 54311-7318
$25.00 $25.00
07/17/2012 Bloch, Ethyle 400 Rainbow Dr Apt 3, Peshtigo, WI 54157-1620
$25.00 $25.00
07/17/2012 Opoien, James 1907 Riverside Ave, Marinette, WI 54143-1218
$25.00 $60.00
07/25/2012 Hansen, Dennis 336 N Taylor St, Green Bay, WI 54303-3331
$12.50 $37.50
07/23/2012 Zielbauer, Gary 2675 Good Shepard Ln, Green Bay, WI 54313
$64.00 $64.00
Comment(s): inkind
07/25/2012 Colford, Nancy 1032 S Irwin Ave, Green Bay, WI 54301-3128
$25.00 $50.00
07/18/2012 Quam, Mark 2458 Julie Cir, De Pere, WI 54115-8731
$50.00 $50.00
07/17/2012 Damitz, JoLynn 9603 County J, Lena, WI 54139
$25.00 $100.00
07/17/2012 Gardner, Perry 1911 Lakeside Pl, Green Bay, WI 54302-1220
SALES Gardner enterprises, inc
1911 LAKESIDE PLACE, GREEN BAY, WI 54302
$100.00 $300.00
07/17/2012 Saari, Clifford 1647 Forest Glen Dr, Green Bay, WI 54304
$30.00 $55.00
07/25/2012 BiceAllen, Janyse 1179 Emilie St, Green Bay, WI 54301-3107
$25.00 $25.00
Monetary
07/17/2012 Crain, Judy 718 Cass St, Green Bay, WI 54301-3634
$50.00 $50.00
07/27/2012 Malcheski, Mike 3564 S Ridge Rd, De Pere, WI 54115-7695
$20.00 $20.00
07/25/2012 Platten, Kevin 344 Columbia Ave, Green Bay, WI 54303
$20.00 $40.00
07/17/2012 Fleurant, Kenneth 960 Cedarview Ct, Green Bay, WI 54311
PROFESSOR RETIRED
University of Wisconsin retired
$100.00 $160.00
07/17/2012 Fleurant, Paula 960 Cedarview Ct, Green Bay, WI 54311-5911
RETIRED Registered nurse
960 Cedarview Ct., Green Bay, WI 54311
$100.00 $260.00
07/17/2012 Spice, Terrance 160 S Beebe Ave, Peshtigo, WI 54157-1304
$50.00 $50.00
07/17/2012 Heidner, Judith 2971 Durham Rd, Green Bay, WI 54311-7296
RETIRED none $250.00 $250.00
07/17/2012 Martin, Teresa 2888 Flowering Peach Dr, Suamico, WI 54313-3231
$15.00 $30.00
07/17/2012 Coleman, Gary Keith
1926 Pike Ln, De Pere, WI 54115-3747
$25.00 $50.00
07/19/2012 Kral, Ronald 2406 Grouse Ct, Green Bay, WI 54311-5233
RETIRED TEACHER
Retired Teacher
$200.00 $200.00
07/25/2012 Vesely, Lawrence 1715 E Sonata Dr, Green Bay, WI 54311-4315
$25.00 $75.00
07/17/2012 Margis, Bill 2897 Circle Shore Dr, Green Bay, WI 54302-4701
$20.00 $20.00
07/25/2012 Kaye, Harvey 523 Larscheid St, Green Bay, WI 54302-3613
$25.00 $25.00
07/25/2012 Dorvinen, Mary 1510 Cardinal Ln, Green Bay, WI 54313-7117
$25.00 $100.00
07/25/2012 Vanremortel, Paul 643 S Huron St, De Pere, WI 54115-3236
$25.00 $45.00
07/25/2012 Milz, Andrene 975 Edwin St, Marinette, WI 54143
$50.00 $50.00
07/25/2012 Vander Kelen, Nancy
3934 Saint Croix Cir E, Green Bay, WI 54301-1075
$50.00 $50.00
07/17/2012 Duffy, William 1181 Division St, Green Bay, WI 54303
$50.00 $100.00
07/17/2012 Burkart, Marjorie 3185 Windland Dr, Green Bay, WI 54311-7607
$50.00 $50.00
Monetary
07/25/2012 Shiner, Jamie 502 Scott Dr, Green Bay, WI 54303-3104
$20.00 $30.00
07/25/2012 Shaughnessy, Marjorie
155 Webster Heights Dr, Green Bay, WI 54301-2365
$25.00 $25.00
07/17/2012 Olbrich, Gerald 3404 Crescent Dr, Green Bay, WI 54301-1326
$50.00 $50.00
07/25/2012 Stover, Deb 2576 Huntington Way, Suamico, WI 54173
NOT EMPLOYED none 2576 Huntington Way, suamico, WI 54173
$100.00 $150.00
07/25/2012 Ridderbush, Jim 1054 6th St, Green Bay, WI 54304-2435
$12.50 $12.50
07/25/2012 Debroux, Dean 1916 Creamery Rd, De Pere, WI 54115-9405
TEACHER Ashwaubenon Sch District
$50.00 $150.00
07/25/2012 Kramer, Zachary 20 N Blair St Apt 209, Madison, WI 53703-2463
$100.00 $100.00
07/25/2012 De Broux, Kathy 1916 Creamery Rd, De Pere, WI 54115-9405
$50.00 $50.00
07/25/2012 Komp, Thomas 2071 Elvira Way, Green Bay, WI 54313
$50.00 $50.00
07/25/2012 Webb, Mary 3086 Par Court, Green Bay, WI 54313
$100.00 $100.00
07/25/2012 Haworth, Linda 1036 Marshall Ave, Green Bay, WI 54303-4220
$25.00 $25.00
07/27/2012 Gardner, Ben 3046 Conesta Dr, Green Bay, WI 54311-4985
$2.00 $2.00
07/03/2012 Guderyon, Laurence
933 Coppens Rd, Green Bay, WI 54303-3819
$50.00 $50.00
07/25/2012 Cole, Theresa 5107 Sampson Rd, Abrams, WI 54101-9506
$20.00 $20.00
07/17/2012 Muehl, Barbara 1817 Beethoven Dr, Green Bay, WI 54311-7393
$100.00 $100.00
07/25/2012 Schultz, Chuck 810 Neufeld St, Green Bay, WI 54304-2236
$50.00 $95.00
07/25/2012 Hinckley, Pat 3457 Spring Green Rd, Green Bay, WI 54313-7567
RETIRED TEACHER
Retired $150.00 $150.00
07/17/2012 Hackbarth, Kathy 933 Oakdale Ave, De Pere, WI 54115-2633
$12.50 $12.50
07/25/2012 Jenquin, Christopher
610 S Jackson St Apt 1, Green Bay, WI 54301-3535
$20.00 $80.00
Monetary
07/29/2012 Hornick, Margaret 25 Lewis Avenue, Great Barrington, MA 01230
$3.00 $3.00
07/29/2012 Weymann, Barbara
7610 San Marcos, Atascadero, CA 93422
$25.00 $25.00
07/27/2012 Yarmark, Brad 8403 N Ridge Trl, Milton, WI 53563-8722
$50.00 $50.00
07/27/2012 Fukuda, Michiko 2818 Passy Ave, San Diego, CA 92122-3137
$2.50 $2.50
07/27/2012 Wion, Phillip 3012 Shady Ave, Pittsburgh, PA 15217-2724
$6.25 $6.25
07/27/2012 Lee, Daniel 6133 W Spokane St, Milwaukee, WI 53223-5432
$6.25 $6.25
07/27/2012 cohen, bruce 7 ware st., worcester, MA 01602
$2.50 $37.50
Conduit Contribution
07/25/2012 Rauscher, Ronald 3063 Nuthatch Ln, Oconto, WI 54153-9283
RETIRED retired Oconto High School
1505 Cornell Rd, Suamico, WI 54313-8925
$250.00 $250.00
07/17/2012 Martin, Teresa 2888 Flowering Peach Dr, Suamico, WI 54313-3231
$15.00 $30.00
07/19/2012 Jahnke, Daniel 1255 9th St, Green Bay, WI 54304-3258
$50.00 $100.00
07/17/2012 Johnsen, Richard 847 Gerard Dr, Green Bay, WI 54302-2468
$5.00 $10.00
07/27/2012 Schmidt, Joe 411 French Street, Peshtigo, WI 54157
$30.00 $30.00
07/17/2012 Tubbs, Bill 2523 Betty Ct, Green Bay, WI 54301-1814
$25.00 $25.00
07/30/2012 Schacht, Beverly 672 Winding Brook Trl, Little Suamico, WI 54141-9379
$25.00 $25.00
07/17/2012 Hujet, Carl 1217 Gross Ave, Green Bay, WI 54304-2556
$50.00 $100.00
07/25/2012 Kuse, Diane 1024 Gross Ave, Green Bay, WI 54304-2554
$25.00 $25.00
07/25/2012 Rauscher, Joanne 3063 Nuthatch Ln, Oconto, WI 54153-9283
TEACHER Oconto Literacy Charter School
$250.00 $250.00
07/25/2012 Carr, Gwen 229 S Durkee St, Appleton, WI 54911-5718
$20.00 $20.00
Sub Total $6,646.00
Monetary
07/29/2012 sultar, joanne 2911 deakin, berkeley, CA 94705
$5.00 $5.00
07/29/2012 mercaitis, pat 14454 kussmaul rd., mt. hope, WI 53816
$3.00 $3.00
07/29/2012 Asmus, Sigrid 4009 24 Ave W, Seattle, WA 98199-1505
$11.00 $21.00
07/29/2012 Mills, Joan 1699 Twin Lakes Cir, Green Bay, WI 54311-4225
N/A N/A 1699 Twin Lakes Circle, Green Bay, WI 54311
$250.00 $300.00
07/29/2012 Ziehmke, Angela 215 W. Maple Street #104, Milwaukee, WI 53204
$20.00 $20.00
07/29/2012 Perlson, Judith 725 Gaslight Dr, Algonquin, IL 60102-3209
$10.00 $35.00
07/29/2012 Muldown, Carolyn PO Box 1839, Sequim, WA 98382-4331
$25.00 $25.00
07/29/2012 Wells, Jacqueline 4255 Gulf Dr., #123, Holmes Beach, FL 34217
$3.00 $3.00
07/29/2012 Schuette, Kathleen 8906 North Ave, Cleveland, WI 53015-1245
$50.00 $50.00
07/29/2012 MacIntyre, Kathy 2812 Windsor Pl, Waukesha, WI 53188-2666
$25.00 $25.00
07/29/2012 McKinnon, Patty 1756 Morning View Rd., Brussels, WI 54204
$10.00 $10.00
07/29/2012 Garrington, Robert 701 10th Ave W, Ashland, WI 54806
$3.00 $3.00
07/29/2012 Lipchik, Elliot 3320 N Lake Dr, Milwaukee, WI 53211-2907
$10.00 $10.00
07/29/2012 Mead, Judy 922 High Ave, Hillsboro, WI 54634-9037
$3.00 $3.00
07/29/2012 Kersten, Karen 849 Smits St, De Pere, WI 54115-3611
$10.00 $10.00
07/29/2012 Bowen, Glenn 5350 South Jornada Road, Las Cruces, NM 88011
$3.00 $3.00
07/29/2012 Cup Choy, Esther 1719 E. Bijou St.. #501, Colorado Springs, CA 80909
$3.00 $8.00
07/29/2012 Foster, Gloria 3906 Chatham Ln, Canandaigua, NY 14424-8200
$10.00 $30.00
07/29/2012 Katz, Shirley 1030 Silver Hill Rd, Redwood City, CA 94061
$3.00 $3.00
Conduit Contribution
07/08/2012 McCloskey, Elizabeth
1602 Michigan Avenue, LaPorte, IN 46350
$25.00 $25.00
07/29/2012 Hall, Lucinda 105 W. Kirkwood, Fairfield, IA 52556
$3.00 $3.00
07/15/2012 Sokolowski, Denise
3224 W Morgan ave, Milwaukee, WI 53221
$20.00 $20.00
07/08/2012 Lavietes, Marc H 35 Mercer St Apt 4W, New York, NY 10013-5809
$10.00 $10.00
07/29/2012 Grendahl, Beth 10919 W Place St, Exeland, WI 54835
$3.00 $3.00
07/29/2012 Voutila, Georgene 3776 South Logan Avenue, Milwaukee, WI 53207
$10.00 $10.00
07/29/2012 Walker, Michael 3146 Kettle Moraine Pkwy., Hubertus, WI 53033
$50.00 $50.00
07/29/2012 Cerqua, Ferne 4922 26th Street, Kenosha, WI 53144
$10.00 $10.00
07/29/2012 holden, donald 18208 scarlet oak ln, edmond, OK 73012
$5.00 $5.00
07/29/2012 Cheeld, Charles PO Box 2995, Palm Springs, CA 92263
$10.00 $10.00
07/29/2012 Williamson, Marcia 4602 Bunker Hill Lane, Madison, WI 53704
$3.00 $3.00
07/29/2012 chapman, stanley 20 mcphillips ave, mobile, AL 36604
$10.00 $10.00
07/29/2012 Myers, Frances 8788 County Road A, Hollandale, WI 53544
$10.00 $10.00
07/29/2012 Stuart, Judith 1610 N Prospect Ave, Apt 1202, Milwaukee, WI 53202
$25.00 $25.00
07/29/2012 Kavanau, Jerry 5838 Ferber St., San Diego, CA 92122
$3.00 $3.00
07/29/2012 steigernebitt, jani 3923 W street, omaha, NE 68107
$3.00 $3.00
07/29/2012 Garthus, Rolf 10094 CR D, Amherst, WI 54406
$10.00 $10.00
07/29/2012 Merrill, Kimm 3230 Geele Ave, Sheboygan, WI 53083
$3.00 $3.00
07/29/2012 Jesse, Jim W340 N6648 Timberline Rd, Oconomowoc, WI 53066
$10.00 $10.00
Conduit Contribution
07/29/2012 Dreyer, Bruce 1421 west edgerton ave unit m, Milwaukee, WI 53221
$10.00 $10.00
07/29/2012 Lieberman, Leslie 1606 C Beekman Place, NW, Washington, DC 20009
$25.00 $25.00
07/29/2012 Greub, Barbara 304 N. Winter, River Falls, WI 54022
$10.00 $10.00
07/29/2012 Medina, Judith 4699 Hoover Street, Oregon, WI 53575
$10.00 $10.00
07/15/2012 DORO, LindA 1103 Raleigh St, Green Bay, WI 54304-3819
$50.00 $50.00
07/15/2012 nelson, janet 701 Carol Lynn Dr, Little Chute, WI 54140-2408
$25.00 $25.00
07/15/2012 Murray, David 1439 W. Summerdale Ave., Chicago, IL 60640
$10.00 $35.00
07/29/2012 McLean, Ann 1673 Twin Lakes Cir, Green Bay, WI 54311-4207
$100.00 $100.00
07/29/2012 Jossart, Julie 4161 Bruns Ave, Madison, WI 53714
$10.00 $10.00
07/15/2012 McKee, Sarah 9 Chadwick CT, Amherst, MA 01002
$10.00 $10.00
07/15/2012 Gibbons, Jeannie 3828 Marks Place, Fort Worth, TX 76116
$10.00 $13.00
07/15/2012 Burton, Nancy 7033 N. Kedzie, #414, Chicago, IL 60645
$25.00 $25.00
07/27/2012 Hardman, Ann 114 Brown Ave, Louisville, KY 40207-5002
$5.00 $5.00
07/29/2012 Krause, Elsie 360 12th st, Prairie Farm,, WI 54762
$3.00 $3.00
07/29/2012 Lawler, Dennis 2256 Gemini St.., Houston, TX 77058
$3.00 $3.00
07/15/2012 Hartshorne, Annette
2892 Mickelson pkwy #110, Fitchburg, WI 53711
$25.00 $25.00
07/15/2012 Jakusz, Darlene 8380 Ambrose Ln, Amherst Jct, WI 54407-9580
$25.00 $50.00
07/15/2012 Welch, Edward 932A Twisp River Rd., Twisp, WA 98856
$25.00 $25.00
07/15/2012 Frechette, Lisa 1901 N. Appleton St., Appleton, WI 54911
$50.00 $50.00
Conduit Contribution
07/29/2012 Rice, Nathaniel 37803 Valley Rd, Summit, WI 53066-4761
$14.00 $14.00
07/15/2012 koller, robert 411 roselawn blvd, green bay, WI 54301
$100.00 $100.00
07/15/2012 Law, Karen 384 Thomas Ct, Neenah, WI 54956-4722
$15.00 $30.00
07/29/2012 Quinn, Catherine N3W31717 Twin Oaks Dr, Delafield, WI 53018-2859
$10.00 $60.00
07/29/2012 Bloom, Andrea 134 E. Winthrop P.O. Box 487, Earlville, IL 60518
$3.00 $3.00
07/29/2012 Carlson, Pamela 3722 S. Bayberry Lane, Greenfield, WI 53228
$25.00 $25.00
07/29/2012 Erlenborn, Derek 5209 Tolman Ter., Madison, WI 53711
$3.00 $3.00
07/29/2012 Schroeder, Jack 5430 Monona Dr. #106, Monona, WI 53716
$10.00 $10.00
07/29/2012 McKeeganGuinn, Rev. Susan
57 E. Sedgemeadow St., ELKHORN, WI 53121
$25.00 $25.00
07/29/2012 MCKENNEY, RUTH
706 so. McCann Ave., SPRINGFIED, MO 65804
$3.00 $3.00
07/29/2012 Knoernschild, David
N8566 Booth Lake Hts, East Troy, WI 53120
$3.00 $3.00
07/15/2012 Butler, Elizabeth 1110 S Alves St, Henderson, KY 42420-4018
$25.00 $25.00
07/15/2012 Aripez, Gerard 45139 Nygren Rd, Zumbrota, MN 55992-5111
$10.00 $10.00
07/29/2012 Roush, Joanne 409 Cleveland St, Menasha, WI 54952-3453
$10.00 $10.00
07/22/2012 Anderson, Lisa 894 Elmore Street, Green Bay, WI 54303
$25.00 $25.00
07/29/2012 SCHUMACHER, B.
1811 HARVARD DRIVE, ALAMEDA, CA 94501
$50.00 $50.00
07/29/2012 Kurzon, Steven 2420 W. good Hope Rd. #38, Milwaukee, WI 53209
$25.00 $25.00
07/22/2012 Servais, James 4607 Reforestation Rd, Suamico, WI 54313-8517
RETIRED none none, none, WI 54313
$10.00 $140.00
Conduit Contribution
07/29/2012 Rosenus, Alan 20621 Lomita Ave, Saratoga, CA 95070
$25.00 $25.00
07/29/2012 Foster, Gloria 3906 Chatham Ln, Canandaigua, NY 14424-8200
$10.00 $30.00
07/29/2012 Drucker, Jerold 775 Calle Del Norte, Camarillo, CA 93010
$10.00 $10.00
07/29/2012 Dale, Gillian 127 Poli St., Ventura, CA 93001
$25.00 $25.00
07/15/2012 Schmidt, Warren 4965 Rome Corners Rd, Brooklyn, WI 53521-9422
$10.00 $10.00
07/29/2012 parrishburnett, jeanette
W7942 Dike Rd., Fond du Lac, WI 54937
$10.00 $10.00
07/15/2012 Phillips, Susan 2753 Pheasant Run, Cottage Grove, WI 53527-9782
$10.00 $20.00
07/15/2012 klelis, charles 13 Hill Street, north Caldwell, NJ 07006
$10.00 $10.00
07/27/2012 Naze, Mark 555 Hunters Run, Oneida, WI 54155-8609
$100.00 $100.00
07/15/2012 Korb, Joan P.O. Box 410, Egg Harbor, WI 54209
ASST. DIST. ATTORNEY
State of Wisconsin
P.O. Box 7869, Madison, WI 53707
$250.00 $250.00
07/29/2012 Compagna, Joseph
11 Longley Rd, Unit C4, Shirley, MA 01464
$10.00 $10.00
07/29/2012 Zechman, Martin 9317 Winter Frost Pl, Verona, WI 53593
$10.00 $10.00
07/15/2012 Murphy, James PO Box 27, Farmington, ME 04938
$25.00 $25.00
07/15/2012 McLaughlin, Stephen
631 Massachusetts Ave NE, Washington, DC 20002-6005
$25.00 $25.00
07/15/2012 Kidder, Carolyn A. 42 Main St, Chesterbrook, PA 19087-5839
$25.00 $25.00
07/15/2012 Bobbe, Terry 9896 County Rd N # D, Brussels, WI 54204-9777
$25.00 $50.00
07/15/2012 Vandenberg, Jim 1106 Michaline Drive, Green Bay, WI 54304
$10.00 $10.00
07/29/2012 deviley, mary 1126 Thorndale St, Green Bay, WI 54304-3915
$10.00 $30.00
Conduit Contribution
07/15/2012 Berke, George 2120 South Bay Lane, Reston, VA 20191
$25.00 $25.00
07/15/2012 Roberts, Jane A. N 6893 Hunters Ridge Road, Delavan, WI 53115
$35.00 $35.00
07/15/2012 Kaiver, Leon 3060 Birch Rd, Suamico, WI 54173-7930
$25.00 $25.00
07/15/2012 Floading, Charles 9074 N Maura Ln, Brown Deer, WI 53223
$25.00 $25.00
07/15/2012 Verges, Christine 406 Maple Ln, Coleman, WI 54112-9530
RETIRED EDUCATOR
N/A 406 Maple Lane, Coleman, WI 54112
$50.00 $200.00
07/15/2012 Sekelsky, Joseph 413 High St, Colfax, WI 54730-9533
$25.00 $25.00
07/29/2012 Jones, Jennifer 2512 Rebecca Dr, Racine, WI 53402
$25.00 $25.00
07/15/2012 Buckles, Warren 1217 Rutledge St, Madison, WI 53703-3826
$100.00 $100.00
07/29/2012 Levine, Caroline 1815 Summit Ave, Madison, WI 53726
$10.00 $35.00
07/29/2012 Wendtland, Mary Lou
6348 Maywick DR, Madison, WI 53718
$3.00 $3.00
07/15/2012 Thibodeaux, Joyce 113 Oakdale Loop, Houma, LA 70360-5932
$50.00 $100.00
07/15/2012 Artzt, Alice 51 Hawthorne Ave., Princeton, NJ 08540
$5.00 $6.00
07/15/2012 Stone, Doug 2920 S. Wentworth Ave, Milwaukee, WI 53207
$25.00 $25.00
07/29/2012 Johnson, Daniel 3652 Tamarack Lane, Eau Claire, WI 54701
$25.00 $25.00
07/29/2012 Sandersen, Linda 4856 N. Shoreland Ave., Whitefish Bay, WI 53217
$10.00 $10.00
07/29/2012 Radford, Mary 1876 Quail Court, Sun Prairie, WI 53590
$3.00 $3.00
07/29/2012 Gill, Gary 4725 Regent St, Madison, WI 53705-4821
$25.00 $25.00
07/29/2012 Findley, Helen 6225 Mineral Point Rd Apt C61, Madison, WI 53705-4575
$10.00 $10.00
07/15/2012 Murphy, Carol 590 S Hillcrest Dr, Verona, WI 53593-1516
$5.00 $5.00
Conduit Contribution
07/29/2012 macari, emma 17835 gebhardt rd, brookfield, WI 53045
$10.00 $10.00
07/29/2012 Lake, Sara 100 W Walnut St Apt 321, Green Bay, WI 54303
$10.00 $10.00
07/29/2012 Corneli, Patrice 272 C Street, SLC, UT 84103
$10.00 $10.00
07/29/2012 Geiger, H Jack 28 Schermerhorn Street, Brooklyn, NY 11201
$50.00 $50.00
07/29/2012 Marston, Linda 1022 Indiana Ave., Wisconsin Dells, WI 53965
$10.00 $10.00
07/15/2012 Brackenbury, Bev N1651 East Rd., Waupaca, WI 54981
$25.00 $25.00
07/29/2012 Brey, Judith 2101 Winfield Drive, Reedsburg, WI 53959
$10.00 $10.00
07/17/2012 Childress, Jason 109 Buckingham Ln, Madison, WI 53714-2412
PUBLIC AFFAIRS DIRECTOR
Foley & Lardner LLP
$50.00 $150.00
07/29/2012 westerlund, paula W9904 ButternutLane, Pepin, WI 54759
$25.00 $25.00
07/29/2012 Gotthelf, Robert 909 E. Tamarack Dr., Bayfield, CO 81122
$5.00 $5.00
07/29/2012 McClennen, Michael
951 Burr Oak Lane, Madison, WI 53713
$25.00 $50.00
07/15/2012 Sutherland, FRED J.
357 E. Camp Rd., Germantown, NY 12526
$25.00 $35.00
07/27/2012 Plati, Crystal 1833 New Hampshire Ave NW Apt 501, Washington, DC 20009-3227
$2.50 $2.50
07/29/2012 Vlisides, Mary 4904 Midoor Rd, Monona, WI 53716
$25.00 $25.00
07/29/2012 Martin, Bill 11670 SW 114th Place, Tigard, OR 97223
$10.00 $10.00
07/27/2012 Snyder, Elizabeth 5113 View Rd, Langley, WA 98260-9554
$5.00 $5.00
07/15/2012 Westhofen, Barbara
214 N. Union St., Appleton, WI 54911
$35.00 $35.00
07/27/2012 Snyder, Don 1948 Telemark Ct, Green Bay, WI 54313-4378
$100.00 $100.00
07/27/2012 Minnie, Arthur Ide 216 Isabella St 107 East Street, Radcliffe, IA 50230-7714
$2.50 $2.50
Conduit Contribution
07/29/2012 Guidry, Lawrence 213 environs rd, Sterling, VA 20165
$50.00 $50.00
07/29/2012 Siegl, Brian 3820 N Farwell Ave, Shorewood, WI 53211
$15.00 $15.00
07/29/2012 Janquart, Richard 2651 N Grant Blvd, Milwaukee, WI 53210
$10.00 $10.00
07/29/2012 Murphy, Carol 590 S. Hillcrest Drive, Verona, WI 53593
$3.00 $3.00
07/29/2012 Lefevre, Ruth B 33664 Hampton Rd, Eugene, OR 97405
$5.00 $5.00
07/29/2012 Stephenson, Patrick
w1476 Rose Lane, Brodhead, WI 53520
$25.00 $25.00
07/29/2012 Broek, Trudy J 6029 Reed Rd, Ridgeway, WI 53582
$5.00 $5.00
07/29/2012 Coutant, Jacaie 4848 N Lydell Ave Apt 105, Milwaukee, WI 53217
$10.00 $10.00
07/29/2012 Monroe, George 1580 Sherman Ave #305, Evanston, IL 60201
$10.00 $10.00
07/29/2012 Karl, Lauree 8503 Louis St, Rothschild, WI 54474
$3.00 $3.00
07/29/2012 Luetschwager, Sonja
9763 County Rd A, Mt Horeb, WI 53572
$10.00 $10.00
07/29/2012 Brenner, Rachel 3207 Stevens st. #3, Madison, WI 53705
$25.00 $25.00
07/29/2012 GrahamRussell, Marlena
P.O. Box 3748, Peachtree City, GA 30269
$5.00 $5.00
07/29/2012 Turner, Maryann P.O. box 236, Solon springs, WI 54873
$10.00 $10.00
07/29/2012 SchulzElsing, Sharon
5408 W. 32nd St., Sioux Falls, SD 57106
$3.00 $3.00
07/29/2012 Long, Eugene 5522 Estates Dr., Oakland, CA 94618
$10.00 $10.00
07/29/2012 Grenard, Mark Hayduke
12810 N. Cave Creek Rd. #105, Phoenix,Yuck,Sprawl, AZ 85022
$3.00 $3.00
07/29/2012 Hansen MD, Marc F
[email protected], Fitchburg, WI 53711
$10.00 $10.00
07/29/2012 Herr, Lucille 1600 N. Rhododendron Dr. #205, Florence, OR 97439
$3.00 $3.00
Conduit Contribution
07/29/2012 Follett, Michael 2031 Dorset Dr, Green Bay, WI 54311-5019
$10.00 $10.00
07/29/2012 Sutherland, FRED J.
357 E. Camp Rd., Germantown, NY 12526
$10.00 $35.00
07/15/2012 Bartkowiak, Mary 16940 Burleigh Place, Brookfield, WI 53005
$25.00 $50.00
07/15/2012 McClennen, Michael
951 Burr Oak Lane, Madison, WI 53713
$25.00 $50.00
07/15/2012 Farnum, Lorna 3305 Druid Ln, Rossmoor, CA 90720-4841
$3.00 $3.00
07/29/2012 Gibbons, Jeannie 3828 Marks Place, Fort Worth, TX 76116
$3.00 $13.00
07/15/2012 Quigley, Carole 3627 SE 33rd Pl Apt 1, Portland, OR 97202-3051
$25.00 $25.00
07/29/2012 Bader, Jessica 121 East 31st Street Apartment 7B, New York, NY 10016
$3.00 $3.00
07/22/2012 Janczy, Joseph 226 W MADISON ST, Lake Mills, WI 53551-1131
$10.00 $10.00
07/29/2012 Zehner, Kristen 118 Blue Spruce Ln, Marshall, WI 53559
$10.00 $10.00
07/29/2012 Evans, Marta 855 Kenton Rd., Deerfield, IL 60015
$3.00 $3.00
07/29/2012 Christofferson, Robert
W9416 Parkway Dr, Poynette, WI 53955
$10.00 $10.00
07/27/2012 Korth, Audrey 2151 Holland Way, Merrick, NY 11566
$2.50 $2.50
07/29/2012 smeaton, glenn 4467 libby road, madison, WI 53711
$50.00 $50.00
07/27/2012 Sweasy, Jane 2764 E Carrera Ct, Green Bay, WI 54311-7277
$100.00 $100.00
07/29/2012 Riggins, John 728 Michigan Ave, South Milwaukee, WI 53172-2645
$3.00 $3.00
07/29/2012 GIDEON, RAYNOLD
1357 BELFAST DRIVE, LOS ANGELES, CA 90069
$3.00 $3.00
07/29/2012 Brooks, Sam 1271 POPLAR AVE APT 212, MEMPHIS, TN 38104
$10.00 $10.00
07/29/2012 Stevens, Mark 8576 N. Pelham Pky., Bayside, WI 53217
$10.00 $10.00
Conduit Contribution
07/29/2012 Halpert, Saul 12060 Hoffman St., 206, Studio City, CA 91604
$10.00 $10.00
07/29/2012 Farnsworth, Scott 1010 Hagerer Street, Racine, WI 53402
$25.00 $25.00
07/29/2012 Prichard, Ann 2700 Randall Way, Hayward, CA 94541
$10.00 $10.00
07/29/2012 Wise, David 3316 Ivy st., Madison, WI 53714
$25.00 $25.00
07/27/2012 Martin, William 11670S SW 114th Pl, Portland, OR 97223-4110
$2.50 $2.50
07/27/2012 Shelly, Mack 3454 Southdale Dr, Ames, IA 50010-8433
$62.50 $62.50
07/29/2012 kahn, peter 15 Circle Drive, shoreham, NY 11786
$10.00 $10.00
07/27/2012 Strauss, David 594 Mannakee St, Rockville, MD 20850-1912
$12.50 $12.50
07/29/2012 Connor, Nancy N5237 Cty Rd ZZ, Plymouth, WI 53073
$10.00 $10.00
07/22/2012 Albrecht, Kelley 272 N Kendrick Ave, Burlington, WI 53105
$25.00 $25.00
07/27/2012 Palakovich, Julie 107 Charles St, Rockville, MD 20850-1510
$3.75 $3.75
07/29/2012 Scola, Laurel 618 Illinois St, Racine, WI 53405
$10.00 $10.00
07/29/2012 Eddy, Sarah 408 S. Main St., Apt. 306, Janesville, WI 53545
$3.00 $3.00
07/29/2012 Kraus, Leonard 57 Paradox Drive, Worcester, MA 01602
$6.00 $6.00
07/29/2012 Gilbert, Lois 1325 Fascination Circle, El Sobrante, CA 94803
$3.00 $3.00
07/29/2012 bacon, joe and betsy
N6802 190th St., Spring Valley, WI 54767
$25.00 $25.00
07/29/2012 Fowler, Louise 625 N. Segoe Rd. #505, Madison, WI 53705
$25.00 $25.00
07/29/2012 Donnelly, Marguerite
T6683 N. Troy St., Wausau, WI 54403
$10.00 $10.00
07/29/2012 Roberts, Stephen 1954 Camden Lane, West Bend, WI 53090
$10.00 $10.00
Conduit Contribution
07/29/2012 Kenney, Susan 318 Monroe Street, Sauk City, WI 53583
$10.00 $10.00
07/29/2012 Bartelme, Milton 8645 W. Travis Court, Franklin, WI 53132
$3.00 $3.00
07/29/2012 brazda, shirley 255 carolina meadows villa, Chapel hill, NC 27517
$3.00 $3.00
07/29/2012 Versenyi, Diana 668 Main St, Williamstown, MA 01267-2642
$5.00 $5.00
07/29/2012 Painter, Dean 1444 S. San Mateo Dr., Palm Springs, CA 92264
$10.00 $10.00
07/29/2012 Hamburg, Steve 2 Glendon circle, White Plains, NY 10605
$10.00 $10.00
07/29/2012 Dodson, Nancy 1159 Cedar Hill Road, Blackstone, VA 23824
$10.00 $10.00
07/29/2012 Sabin, Benjamin 1930 East Washington, Madison, WI 53704
$10.00 $10.00
07/29/2012 cramer, richard 941 aspen road, kohler, WI 53044
$3.00 $3.00
07/29/2012 norman, pam 246 w madison st, spring green, WI 53588
$10.00 $10.00
07/29/2012 Berger, Toby 810 Gilliams Mountain Ct., Charlottesville, VA 22903
$18.00 $18.00
07/29/2012 Dalton, Robert 2428 Woodland Terrace, Neenah, WI 43956
$25.00 $25.00
Sub Total $4,024.25
Conduit Contribution
Non-Monetary (-): $0.00
Loan Forgiven (-): $0.00
Total $10,685.25
Total UnItemized Contributions $0.00
Total Anonymous Contributions $15.00
Grand Total $10,685.25
SCHEDULE 1-B RECEIPTS Contributions from Committees
(Transfers-In)
Complete Committee Name: Friends of Dave Hansen
07/25/2012 Bay Lakes United Educators PAC 1136 N Military Ave, Green Bay, WI 54303
$1,000.00 $1,000.00
07/30/2012 United Transportation Union PAC 24950 Country Club Blvd, Ste 340, North Olmsted, OH 44070
$1,000.00 $1,000.00
07/30/2012 WI Laborers District Council 4633 Liuna Way, Suite 101, DeForest, WI 53532
$500.00 $500.00
07/19/2012 Forest Co Potawatomi Comm PAC
7 N Pinckney Street, Suite 300, Madison, WI 53703
$500.00 $500.00
07/30/2012 UFCW Local 1473 PAC 2001 North Mayfair Road, Milwaukee, WI 53226
$1,000.00 $1,000.00
Sub Total $4,000.00
Monetary
Non-Monetary (-): $0.00
Grand Total $4,000.00
Total $4,000.00
Date Full Name Address Amount YTD
SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans
Complete Committee Name: Friends of Dave Hansen
Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 2-A DISBURSEMENTS Gross Expenditures
Complete Committee Name:
07/26/2012 Sams Club 2740 W Mason St, Green Bay, WI 54303-4966
Office Supplies
$63.06
07/03/2012 Merchant Bank 1307 Walt Whitman Rd, Melville, NY 11747-3011
Bank Charges
$25.00
07/06/2012 Postmaster Packerland Dr, Green Bay, WI 54303
Postage $390.00
07/16/2012 ActBlue Technical Services
PO Box 382110, Cambridge, MA 02238-2110
ActBlue Fees $53.39
07/24/2012 ActBlue Technical Services
PO Box 382110, Cambridge, MA 02238-2110
ActBlue Fees $2.78
07/16/2012 Sams Club 2740 W Mason St, Green Bay, WI 54303-4966
Office Supplies
$74.19
07/08/2012 ActBlue Technical Services
PO Box 382110, Cambridge, MA 02238-2110
ActBlue Fees $1.39
07/29/2012 ActBlue Technical Services
PO Box 382110, Cambridge, MA 02238-2110
ActBlue Fees $81.67
07/03/2012 Hansen, Dave N 3489 Blackwolf Run, Green Bay, WI 54311
Parade Expenses - Fees, candy
$68.45
07/25/2012 Festival Foods 2534 Steffens Ct, Green Bay, WI 54311-4504
Fundraiser - Food & Beverage
$12.15
07/25/2012 Dollar Tree 2350 E Mason St, Green Bay, WI 54302-3747
Fundraiser - Food & Beverage
$14.77
Monetary
Date Full Name Address Vendor Name Vendor Address
Expense Purpose
Amount
Friends of Dave Hansen
07/02/2012 Wells Print and Digital 3121 Watford Way, Madison, WI 53713-3250
Printing Misc. (buttons, bumper stickers, t-shirts)
$632.64
07/12/2012 WOCO 3829 State Highway 22, Oconto, WI 54153-9426
Media - Radio $70.00
07/26/2012 Zielbauer, Gary 2675 Good Shepard Ln, Green Bay, WI 54313
Fundraiser - Food & Beverage
$64.00
07/25/2012 Woodmans 2400 Dousman St, Green Bay, WI 54303
Fundraiser - Food & Beverage
$36.09
07/03/2012 Sprint 2348 E Mason St, Green Bay, WI 54302-3746
Utilities - Phone / Cell Phone
$108.96
07/12/2012 Sprint 2348 E Mason St, Green Bay, WI 54302-3746
Utilities - Phone / Cell Phone
$94.49
Sub Total $1,793.03
Monetary
Total $1,793.03
Non-Monetary (-): $0.00
Grand Total $1,793.03
SCHEDULE 2-B DISBURSEMENTS Contributions To Committees
(Transfers-Out)
Complete Committee Name: Friends of Dave Hansen
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
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
Friends of Dave Hansen
Grand Total $0.00
Date Full Name Amount Paid
ADDITIONAL DISCLOSURELoans
Individual, Committee or Commercial
SCHEDULE 3-B
Complete Committee Name:
Loans Outstanding Amount:
Friends of Dave Hansen
$0.00
Grand Total $0.00
Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount
Outstanding Amount