2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$41,436.92 $41,436.92
$2,750.00 $2,750.00
$44,186.92 $44,186.92
Street Address: 437 Lincoln Ave
City, State and Zip: Eau Claire, WI 54701
Filing Period Name:
Covers all activity from 01/01/2017 through 06/30/2017
July Continuing 2017
Name of Committee/Corporation:
Wachs for Assembly
CAMPAIGN FINANCE REPORT STATE OF WISCONSIN
ETHCF-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
$41,190.29 $41,190.29
$0.00 $0.00
$0.00 $0.00
$41,190.29 $41,190.29
SUMMARY OF RECEIPTS AND DISBURSEMENTS
GAB ID: 0105141
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)
$16,493.88
$41,190.29
$57,684.17
$44,186.92
$0.00
$36,000.00
$13,497.25*
*
I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete.
Signature of Candidate or Treasurer
Dana Wachs
Type or Print Name of Candidate or Treasurer: Date: Daytime Phone:
Email: [email protected], Michael W.
NOTE: The information on this form is required by 11.0204, 11.0304, 11.0404, 11.0504, 11.0604, 11.0804, 11.0904, Wis. Stats. Failure to providethe information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats.
ETHCF-2 (Rev. 04/16) This form is prescribed by the Wisconsin Ethics Commission, 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: Wachs for Assembly
01/22/2017 Parchem, Ben 800 4th St SE Apt 101, Minneapolis, MN 55414
NOT EMPLOYED $25.00 $25.00
01/22/2017 Nelson, Stacey 8907 Curvue Rd, Eau Claire, WI 54703
UNION ORGANIZER $25.00 $25.00
01/22/2017 Smetana, Dana 8287 Hillview Rd, Eau Claire, WI 54701
NOT EMPLOYED $10.00 $10.00
01/22/2017 Riggs, Nancy 6590 Hart Rd, Eau Claire, WI 54701
NOT EMPLOYED $3.00 $3.00
01/20/2017 Buckwheat, Richard
1590 Red Pine Dr, Eau Claire, WI 54701
NOT EMPLOYED $10.00 $35.00
01/22/2017 Huber, David 2802 Prestige Ct Apt 1, Eau Claire, WI 54703
CLERGY $10.00 $20.00
01/22/2017 Beaumier, Nancy 2748 N 76th St, Wauwatosa, WI 53222
NONE $10.00 $15.00
01/22/2017 Wilson, Kim 4896 Hobbs Rd, Fall Creek, WI 54742
NOT EMPLOYED $3.00 $28.00
02/05/2017 Harris, Kenneth W2923 Gruenhagen Rd, Birchwood, WI 54817
RETIRED $25.00 $25.00
02/05/2017 Chisholm, Thomas 316 W Spruce St, Chippewa Falls, WI 54729
PHYSICIAN $10.00 $10.00
02/05/2017 Sjoberg, Roy 1108 Vine St, Hudson, WI 54016
ATTORNEY $25.00 $75.00
02/05/2017 Klossner, Deborah 17681 County Highway, Chippewa Falls, WI 54729
IT MANAGER $25.00 $25.00
01/29/2017 Huber, David 2802 Prestige Ct Apt 1, Eau Claire, WI 54703
CLERGY $10.00 $20.00
01/29/2017 Cameron, Margaret
3401 Vineyard St, Eau Claire, WI 54703
RETIRED $50.00 $150.00
02/05/2017 Aiken-Felling, Sarah
2126 Ohm Ave, Eau Claire, WI 54701
ACUPUNCTURIST $10.00 $10.00
01/29/2017 McKinney, Sandra 2235 9th St, Eau Claire, WI 54703
NOT EMPLOYED $10.00 $10.00
Monetary
Date Full Name Address Occupation Amount YTD
04/22/2017 Tafel, Mark 3928 Aldrich Avenue South #1, Minneapolis, MN 55409
$25.00 $25.00
04/27/2017 Hagen, Kristi 6137 Andrew Dr, Eau Claire, WI 54701
TEACHER $50.00 $50.00
04/27/2017 Lester, Mitchell Santa Monica, CA 90405
PRESIDENT $3.00 $3.00
04/13/2017 Wall, Pamela 2538 Damon St, Eau Claire, WI 54701
RETIRED $10.00 $30.00
04/22/2017 Johnson, Daniel 3652 Tamarack Ln, Eau Claire, WI 54701
RETIRED $25.00 $125.00
04/27/2017 Young, Edward 115 W Grant Ave, Eau Claire, WI 54701
RETIRED $50.00 $50.00
04/28/2017 Engstrum, Chris 10457 19th Ave S, Seattle, WA 98168
BARTENDER $25.00 $25.00
04/29/2017 Happe, Philip 823 Bradley Ave, Eau Claire, WI 54701
Retired $250.00 $250.00
02/13/2017 Williams, Clark 13840 Valley Vista B, Sherman Oaks, CA 91423
SOCIAL WORKER $25.00 $25.00
02/14/2017 Treiber, Caryn N9021 590th St, Colfax, WI 54730
PROPERTY MANAGEMENT $10.00 $10.00
02/15/2017 Johnson, Daniel 3652 Tamarack Ln, Eau Claire, WI 54701
RETIRED $25.00 $125.00
04/13/2017 McLaughlin, Odelia
Eau Claire, WI 54701
NOT EMPLOYED $10.00 $30.00
02/05/2017 Webb, Jeanine 28911 295th Ave, Holcombe, WI 54745
NOT EMPLOYED $25.00 $25.00
02/08/2017 McLaughlin, Odelia
Eau Claire, WI 54701
NOT EMPLOYED $10.00 $30.00
02/15/2017 Sobotta, Betty 3716 Claymore Ln, Eau Claire, WI 54701
NOT EMPLOYED $25.00 $25.00
03/23/2017 McLaughlin, Odelia
Eau Claire, WI 54701
NOT EMPLOYED $10.00 $30.00
03/23/2017 Sieber, Janice Eau Claire, WI 54703
$10.00 $10.00
04/13/2017 Gordon, Suzon 3619 W Country Club, Altoona, WI 54720
RETIRED $10.00 $10.00
02/16/2017 Johnson, Paul 701 Walter St, Spooner, WI 54801
NOT EMPLOYED $5.00 $5.00
02/22/2017 Olson, Kenneth 3881 Timber Creek Ct, Eau Claire, WI 54701
CEO/PRESIDENT $500.00 $700.00
02/28/2017 Johnson, Daniel 3652 Tamarack Ln, Eau Claire, WI 54701
RETIRED $25.00 $125.00
Monetary
06/27/2017 Brittingham, Margaret
3367 W Grandview Rd, Phoenix, AZ 85053
RETIRED $25.00 $25.00
06/26/2017 Quinn, Tom 100 W Tainter St, Downing, WI 54734
EXECUTIVE DIRECTOR $50.00 $50.00
06/27/2017 Cohen, Hilary 1510 Shadford Rd, Ann Arbor, MI 48104
THEATER DIRECTOR $25.00 $25.00
05/18/2017 Pearson, Douglas 3712 Altoona Ave, Altoona, WI 54720
RETIRED $10.00 $20.00
05/18/2017 Langworthy, Julia Chippewa Falls, WI 54729
NOT EMPLOYED $10.00 $10.00
05/25/2017 Robson, Colleen 2947 Mallard Way, East Troy, WI 53120
TEACHER $25.00 $25.00
05/22/2017 Johnson, Daniel 3652 Tamarack Ln, Eau Claire, WI 54701
RETIRED $25.00 $125.00
05/09/2017 Haag, Eric 4708 Bergamot Way, Middleton, WI 53562
ATTORNEY $25.00 $25.00
06/26/2017 Holbrook, Mark Wisconsin Rapid, WI 54495
EDUCATOR $15.00 $15.00
05/13/2017 Wall, Pamela 2538 Damon St, Eau Claire, WI 54701
RETIRED $10.00 $30.00
05/09/2017 Past, Marie 2932 Putnam Glen Pl, Eau Claire, WI 54701
HOMEMAKER $25.00 $25.00
05/26/2017 Kurshinsky, Kathy S7450 Crestview Ct, Eau Claire, WI 54701
TEACHER $10.00 $10.00
06/13/2017 Wall, Pamela 2538 Damon St, Eau Claire, WI 54701
RETIRED $10.00 $30.00
06/09/2017 Howell, Penny N5946 Cass Ct, Green Lake, WI 54941
NURSE $5.00 $5.00
06/22/2017 Johnson, Daniel 3652 Tamarack Ln, Eau Claire, WI 54701
RETIRED $25.00 $125.00
06/15/2017 Jennerman, Kathleen
858 Starr Ave, Eau Claire, WI 54703
NOT EMPLOYED $10.00 $20.00
06/05/2017 Montanye, Kenneth
1933 Menomonie St, Eau Claire, WI 54703
TEACHER ASST./COACH $10.00 $10.00
06/05/2017 Buran, John 315 W Chestnut Ln, Grafton, WI 53024
ENGINEER $50.00 $50.00
06/08/2017 Pearson, Douglas 3712 Altoona Ave, Altoona, WI 54720
RETIRED $5.00 $20.00
06/08/2017 Beaumier, Nancy 2748 N 76th St, Wauwatosa, WI 53222
NONE $5.00 $15.00
Monetary
06/28/2017 Tlusty, Mary 1417 Rust St, Eau Claire, WI 54701
RETIRED $50.00 $50.00
06/28/2017 Tripp, Jim 621 Fagstad St, Menomonie, WI 54751
NOT EMPLOYED $25.00 $25.00
06/28/2017 Trotter, Paul 439 N 50th St, Milwaukee, WI 53208
SLP $5.00 $5.00
06/28/2017 Davenport, Thomas
1219 E Lexington Blv, Eau Claire, WI 54701
NOT EMPLOYED $25.00 $25.00
06/28/2017 Henning, Lorraine E5760 Ridge Rd, Eau Claire, WI 54701
NOT EMPLOYED $30.00 $30.00
06/28/2017 Petershack, Ricard 1628 N Golf Gln Unit D, Madison, WI 53704
ATTORNEY $25.00 $25.00
06/28/2017 Walters, John 6106 Aspen Ridge Dr, Eau Claire, WI 54703
N/A $25.00 $25.00
06/27/2017 Pawlisch, Curt 1702 Rutledge Street, Madison, WI 53704
NOT EMPLOYED $100.00 $200.00
06/27/2017 Ruddy, Mark 1016 Dodge St, Eau Claire, WI 54701
ARTIST $25.00 $25.00
06/27/2017 Schoonover, Patricia
56 Pearl St, Clintonville, WI 54929
INSTRUCTOR $5.00 $5.00
06/28/2017 BRUNNER, EDWARD
9625 Buskey Bay Dr, Iron River, WI 54847
NOT EMPLOYED $50.00 $50.00
06/27/2017 Grosch, Raymond N29W26628 Peterson D, Pewaukee, WI 53072
SOFTWARE CONSULTANT $25.00 $25.00
06/27/2017 Jakusz, Darlene 8380 Ambrose Ln, Amherst Junctio, WI 54407
RETIRED $10.00 $10.00
06/27/2017 Smith, Robert Nea 140 N Lakeview Dr, Cazenovia, WI 53924
NOT EMPLOYED $25.00 $25.00
06/28/2017 Attoe, Russell Madison, WI NOT EMPLOYED $5.00 $5.00
06/28/2017 Benaszeski, Linda 718 Bay Rd, Algoma, WI 54201
RETIRED TEACHER $25.00 $25.00
06/28/2017 BRUNER, LINDA 9625 Buskey Bay Dr, Iron River, WI 54847
NOT EMPLOYED $50.00 $50.00
06/27/2017 Stahl, Katherine N7607 1010th St, Elk Mound, WI 54739
FARMER $25.00 $25.00
06/27/2017 Urbas, Barry 206 Wisconsin St N Apt 304, Hudson, WI 54016
PROJECT MANAGER $100.00 $100.00
06/27/2017 Weld, Steve 4427 Memory Ln, Eau Claire, WI 54701
LAWYER $50.00 $50.00
Monetary
06/30/2017 Glass, William 6056 Inwood Dr, Eau Claire, WI 54701
SELF EMPLOYED $125.29 $125.29
06/29/2017 Wittenberg, Clare 2029 Sierra Dr S, Eau Claire, WI 54701
RN $25.00 $25.00
06/30/2017 Fiore, Susan 3256 Timber Ln, Verona, WI 53593
NOT EMPLOYED $50.00 $50.00
06/30/2017 Bolin, Maginel 720 Ingalls Rd, Menomonie, WI 54751
RETIRED $10.00 $10.00
06/29/2017 FENSKE, ROBERT
2622 New Pinery Rd, Portage, WI 53901
CPA $50.00 $50.00
06/29/2017 Considine, Gretchen
N6194 Breezy Hill Rd, Baraboo, WI 53913
PHYSICIAN ASSISTANT $100.00 $100.00
06/29/2017 Kincaid, Kerry 4441 S Lowes Creek R, Eau Claire, WI 54701
COUNCIL MEMBER $250.00 $250.00
06/29/2017 Freund, Dan E10415 County Road D, Fall Creek, WI 54742
SMALL BUSINESS PERSON $250.00 $250.00
06/28/2017 Wilson, Kim 4896 Hobbs Rd, Fall Creek, WI 54742
NOT EMPLOYED $25.00 $28.00
06/29/2017 White, Howard 2390 Ridgeview Dr Apt 308, Altoona, WI 54720
ATTORNEY $50.00 $50.00
06/29/2017 Cameron, Margaret
3401 Vineyard St, Eau Claire, WI 54703
RETIRED $100.00 $150.00
06/29/2017 Buckwheat, Richard
1590 Red Pine Dr, Eau Claire, WI 54701
NOT EMPLOYED $25.00 $35.00
06/29/2017 Sontag, Patti 312 S Beach Dr, Altoona, WI 54720
NOT EMPLOYED $100.00 $100.00
06/29/2017 Schwartz, Bob 401 Lincoln Ave, Eau Claire, WI 54701
COMPUTER PROGRAMMER $50.00 $50.00
06/29/2017 White, Cindy 3615 Wintergreen Ct, Eau Claire, WI 54701
GENERAL CERTFIED APPRAISE $250.00 $250.00
06/29/2017 Spreitzer, Mark 1718 Henderson Ave, Beloit, WI 53511
STATE REPRESENTATIVE $50.00 $50.00
06/29/2017 Larson, Brian 215 Roosevelt Ave, Eau Claire, WI 54701
NOT EMPLOYED $50.00 $50.00
06/29/2017 Lamoureux, Marian
940 Hi Ridge Ave, Waukesha, WI 53186
DIRECTOR OF FAITH FORMATI $25.00 $25.00
06/29/2017 Poss, Fred S5270 Sd Ln, Augusta, WI 54722
NOT EMPLOYED $50.00 $50.00
06/29/2017 Phillips, Jim 330 Lincoln Ave, Eau Claire, WI 54701
PROFESSOR $25.00 $25.00
Monetary
03/20/2017 Wachs, Dana John
437 Lincoln Ave, Eau Claire, WI 54701
$3,000.00 $36,000.00
05/08/2017 Wachs, Dana John
437 Lincoln Ave, Eau Claire, WI 54701
$33,000.00 $36,000.00
Sub Total $36,000.00
Personal Loan
06/30/2017 Pearson, Douglas 3712 Altoona Ave, Altoona, WI 54720
RETIRED $5.00 $20.00
06/30/2017 Peterson, David 430 McKinley Ave, Eau Claire, WI 54701
RETIRED $250.00 $250.00
06/30/2017 Sandbach, John 6204 Balcones Dr, Austin, TX 78731
PHYSICIAN $25.00 $25.00
06/30/2017 Rubitschun, Caitlin 720 Fairview Ter, Verona, WI 53593
TECHNICAL SERVICES $25.00 $25.00
06/30/2017 Sultan, Cathy 1451 Blackberry Road, Eau Claire, WI 54701
RETIRED $250.00 $250.00
06/30/2017 Sjoberg, Roy 1108 Vine St, Hudson, WI 54016
ATTORNEY $50.00 $75.00
06/30/2017 Pawlisch, Tess 2113 Powell St, San Francisco, CA 94133
ASSOCIATE $1.00 $1.00
06/30/2017 Jabrosky, Barbara 11152 W Tiger Cat Da, Hayward, WI 54843
NOT EMPLOYED $50.00 $50.00
06/30/2017 Jennerman, Kathleen
858 Starr Ave, Eau Claire, WI 54703
NOT EMPLOYED $10.00 $20.00
06/30/2017 Hanson, Nancy 1815 Benton Ave, Eau Claire, WI 54701
NOT EMPLOYED $25.00 $25.00
06/30/2017 Harnisch, Thomas 930 M St NW, Washington, DC 20001
POLICY ANALYST $10.00 $10.00
06/30/2017 Masten, Jeff 4705 S Grinnell Ave, Sioux Falls, SD 57106
NUCLEAR PHYSICIST/LAWYER $25.00 $25.00
06/30/2017 Paulson, Daniel N6925 549th St, Menomonie, WI 54751
NOT EMPLOYED $25.00 $25.00
06/30/2017 Pawlisch, Curt 1702 Rutledge Street, Madison, WI 53704
NOT EMPLOYED $100.00 $200.00
06/30/2017 Olson, Kenneth 3881 Timber Creek Ct, Eau Claire, WI 54701
CEO/PRESIDENT $200.00 $700.00
06/30/2017 Moen-Urseth, Kay N14321 705th St, New Auburn, WI 54757
NOT EMPLOYED $25.00 $25.00
Sub Total $5,180.29
Monetary
Total Anonymous Contributions $10.00
Grand Total $41,190.29
Total $41,190.29
Loan Forgiven (-): $0.00
Non-Monetary (-): $0.00
SCHEDULE 1-B RECEIPTS Contributions from Committees
(Transfers-In)
Complete Committee Name: Wachs for Assembly
Non-Monetary (-): $0.00
Total $0.00
Grand Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans
Complete Committee Name: Wachs for Assembly
Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 2-A DISBURSEMENTS Gross Expenditures
Complete Committee Name:
01/06/2017 Verizon 140 West St, New York, NY 10007
Utilities - Phone / Cell Phone
$107.40
01/04/2017 Wavecrest Consulting & Analytics, LLC
5809 N Santa Monica, Milwaukee, WI 53217
Consulting Fees - General
$6,000.00
01/09/2017 Cooke Strategy LLC
224 N Dewey St, Eau Claire, WI 54703
Consulting Fees - General
$500.00
01/09/2017 Common School Fund
125 S Webster St, Madison, WI 53703
Contribution to Charity
$15.00
01/01/2017 Google 1600 Amphitheatre Pk, Mountain View, CA 94043
IT - Campaign Software
$20.00
01/04/2017 Rapid Returns 2633 Lincoln Blvd, Santa Monica, CA 90405
Media - Online Advertising
$442.35
01/04/2017 Rapid Returns 2633 Lincoln Blvd, Santa Monica, CA 90405
Consulting Fees - Media
$2,000.00
01/18/2017 Intuit 2800 E Commerce Cent, Tucson, AZ 85706
Payroll Company Management Expense
$35.00
01/22/2017 ActBlue 14 Arrow St Ste 11, Cambridge, MA 02138
Bank Charges
$3.42
01/20/2017 ActBlue 14 Arrow St Ste 11, Cambridge, MA 02138
Bank Charges
$0.40
01/30/2017 Google 1600 Amphitheatre Pk, Mountain View, CA 94043
IT - Campaign Software
$96.00
01/29/2017 ActBlue 14 Arrow St Ste 11, Cambridge, MA 02138
Bank Charges
$2.78
Monetary
Date Communication Date
Full Name Address Vendor Name
Vendor Address
Expense Purpose
Amount
Wachs for Assembly
04/03/2017 Google 1600 Amphitheatre Pk, Mountain View, CA 94043
IT - Campaign Software
$20.00
03/15/2017 Intuit 2800 E Commerce Cent, Tucson, AZ 85706
Payroll Company Management Expense
$35.00
03/20/2017 Bursaw, Nick 416 Seaver Street, Eau Claire, WI 54701
Consulting Fees - General
$2,400.00
02/03/2017 Google 1600 Amphitheatre Pk, Mountain View, CA 94043
IT - Campaign Software
$20.00
02/03/2017 Wavecrest Consulting & Analytics, LLC
5809 N Santa Monica, Milwaukee, WI 53217
Consulting Fees - General
$2,000.00
02/05/2017 ActBlue 14 Arrow St Ste 11, Cambridge, MA 02138
Bank Charges
$4.76
03/14/2017 United States Postal Service
225 Madison St, Eau Claire, WI 54702
Office Supplies
$76.00
02/02/2017 NGP VAN 1101 15th St NW Ste 500, Washington, DC 20005
IT - Campaign Software
$450.00
02/02/2017 Rapid Returns 2633 Lincoln Blvd, Santa Monica, CA 90405
Consulting Fees - Media
$2,000.00
03/05/2017 ActBlue 14 Arrow St Ste 11, Cambridge, MA 02138
Bank Charges
$25.11
03/06/2017 Verizon 140 West St, New York, NY 10007
Utilities - Phone / Cell Phone
$107.40
03/09/2017 SquareSpace 225 Varick St Fl 12, New York, NY 10014
Media - Website Development
$96.00
02/06/2017 Verizon 140 West St, New York, NY 10007
Utilities - Phone / Cell Phone
$107.40
02/15/2017 Intuit 2800 E Commerce Cent, Tucson, AZ 85706
Payroll Company Management Expense
$35.00
03/03/2017 Google 1600 Amphitheatre Pk, Mountain View, CA 94043
IT - Campaign Software
$20.00
Monetary
06/14/2017 US Bank 131 S Barstow St, Eau Claire, WI 54701
Bank Charges
$45.00
06/02/2017 Google 1600 Amphitheatre Pk, Mountain View, CA 94043
IT - Campaign Software
$20.00
06/01/2017 Olsen, Brita 441 N Baldwin St, Madison, WI 53703
Printing - Copies
$152.69
06/30/2017 ActBlue 14 Arrow St Ste 11, Cambridge, MA 02138
Bank Charges
$150.01
06/15/2017 Rapid Returns 2633 Lincoln Blvd, Santa Monica, CA 90405
Consulting Fees - General
$3,500.00
06/14/2017 Verizon 140 West St, New York, NY 10007
Utilities - Phone / Cell Phone
$332.26
05/02/2017 Google 1600 Amphitheatre Pk, Mountain View, CA 94043
IT - Campaign Software
$20.00
04/13/2017 ActBlue 14 Arrow St Ste 11, Cambridge, MA 02138
Bank Charges
$9.05
06/12/2017 Budget Signs and Specialties
2225 Industrial Dr, Madison, WI 53713
Printing Misc. (buttons, bumper stickers, t-shirts)
$2,138.89
05/02/2017 NGP VAN 1101 15th St NW Ste 500, Washington, DC 20005
IT - Campaign Software
$450.00
05/19/2017 Rapid Returns 2633 Lincoln Blvd, Santa Monica, CA 90405
Consulting Fees - General
$3,000.00
05/12/2017 VR Research 510 16th St Ste 520, Oakland, CA 94612
Consulting Fees - General
$15,000.00
Sub Total $41,436.92
Monetary
Total $41,436.92
Non-Monetary (-): $0.00
Grand Total $41,436.92
SCHEDULE 2-B DISBURSEMENTS Contributions To Committees
(Transfers-Out)
Complete Committee Name: Wachs for Assembly
05/06/2017 Democratic Party of Wisconsin
15 N Pinckney, Suite 200, Madison, WI 53703
$2,750.00
Sub Total $2,750.00
Monetary
Non-Monetary (-): $0.00
Registrant In-Kind Sub Total (-): $0.00
Total $2,750.00
Grand Total $2,750.00
Date Full Name Address Vendor Name Vendor Address
Amount
ADDITIONAL DISCLOSUREIncurred Obligations Excluding Loans
SCHEDULE 3-A
Complete Committee Name:
Beginning Incurred Obligation Amount:
Grand Total $0.00
Date Full Name Address Amount
$0.00
Wachs for Assembly
Outstanding Incurred Obligations End of Report $0.00
Grand Total $0.00
Date Full Name Amount Paid
ADDITIONAL DISCLOSURELoans
Individual, Committee or Commercial
SCHEDULE 3-B
Complete Committee Name:
Beginning Loan Balance:
Wachs for Assembly
$0.00
Outstanding Loans End of Report $36,000.00
Grand Total $0.00
Date Full Name Amount Paid
05/08/2017 Wachs, Dana John 437 Lincoln Ave, Eau Claire, WI 54701 $33,000.00
03/20/2017 Wachs, Dana John 437 Lincoln Ave, Eau Claire, WI 54701 $3,000.00
Sub Total $36,000.00
Personal Loan
Grand Total $36,000.00
Date Full Name Address Amount