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2A. Gross Expenditures
2B. Contributions to Committees (Transfers-Out)
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
2. DISBURSEMENTS
$7,540.61 $7,540.61
$0.00 $0.00
$7,540.61 $7,540.61
Street Address: 2147 45th Avenue
City, State and Zip: Star Prairie, WI 54026
Filing Period Name: July Continuing 2010
Name of Committee: Severson for Assembly
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
$20,298.70 $20,298.70
$1,600.00 $1,600.00
$0.00 $0.00
$21,898.70 $21,898.70
SUMMARY OF RECEIPTS AND DISBURSEMENTS
GAB ID: 0104915
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)
$0.00
$21,898.70
$21,898.70
$7,540.61
$0.00
$4,000.00
$14,358.09*
*
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:Otto, Carol
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: Severson for Assembly
03/25/2010 Severson, Julianne
50 Juntunen Rd, Esko, MN 55733
Homemaker $500.00 $500.00
03/25/2010 Severson, Arlen 50 Juntunen Rd, Esko, MN 55733
Education-Faculty Univ/College
University Of Minnesota Medical School - Duluth
1035 University Ave, Duluth, MN 55812
$500.00 $500.00
04/02/2010 Nelson, Margaret 611 S 8th St, Fargo, ND 58103
$50.00 $50.00
04/01/2010 Sullivan, Cathleen 22713 S Elbow Lake Rd, Siren, WI 54872
$25.00 $25.00
03/19/2010 Otto, Kirk 1211 Corey Ct, Osceola, WI 54020
$100.00 $100.00
04/08/2010 Pelletier, Barbara 1880 Big Lake Dr, Osceola, WI 54020
$100.00 $100.00
03/25/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$1,000.00 $1,000.00
03/19/2010 Otto, Carol 1211 Corey Ct, Osceola, WI 54020
$100.00 $100.00
04/02/2010 Goodlad, Robert 2022 10th Ave, Star Prairie, WI 54026
$25.00 $25.00
04/08/2010 Maki, Robert 43 Stillmeadow Rd, Esko, MN 55733
$100.00 $100.00
04/08/2010 Hartung, Richard 2142 Poplar Lane, Dresser, WI 54009
$100.00 $100.00
04/08/2010 Skistad, Sara 4157 Jandell Ave NE, St Michael, MN 55376
$100.00 $100.00
04/08/2010 Severson, Jon 44 Juntunen Rd, Esko, MN 55733
$100.00 $100.00
04/06/2010 Schanon, Michael 228 Keller Ave N, Amery, WI 54001
$25.00 $25.00
04/03/2010 Nielsen, Gayle 27440 County Road FF, Webster, WI 54893
$25.00 $25.00
04/07/2010 Finifrock, Kay 2637 County Road 6, Barnum, MN 55707
$10.00 $10.00
04/06/2010 Pelto, John 3521 Fox Ridge Trail, Highlands Ranch, CO 80126
$100.00 $100.00
Monetary
Date Full Name Address Occupation Employer Name
Employer Address
Amount YTD
04/26/2010 Dresel, Dale 215 E Harrison Av, Box 121, Grantsburg, WI 54840
Retired $200.00 $200.00
04/28/2010 Leahy, Jill 1589 Sunshine St, St Croix Falls, WI 54024
$25.00 $25.00
04/29/2010 Teigland, Dawn 11029 Ridge Point Blvd, Chisago City, MN 55013
$50.00 $50.00
04/22/2010 Brunckhorst, Lynn 502 Trillium Ln, Hudson, WI 54016
$100.00 $100.00
04/16/2010 Tauer, Ramona 2141 Maier Ct, Luck, WI 54853
$100.00 $100.00
04/16/2010 Clausen, Roberta 432 State Rd 46, Amery, WI 54001
$50.00 $50.00
04/22/2010 Seck, Edward PO Box 560, Luck, WI 54853
$100.00 $100.00
05/03/2010 Dahlmeier, Marilyn 1017 - 73rd Way N, Brooklyn Park, MN 55444
$100.00 $100.00
04/14/2010 Magnafici, Thomas 1818 - 120th Ave, St Croix Falls, WI 54024
Service - Landscaping
Self-employed
1818 - 120th Ave, St Croix Falls, WI 54024
$500.00 $500.00
04/14/2010 Magnafici, Gae 1818 - 120th Ave, St Croix Falls, WI 54024
Health Care -Nurse
Children's Hospitals and Clinics of MN
345 N Smith Ave, St Paul, MN 55102
$500.00 $500.00
04/14/2010 Johnson, Margo PO Box 325, Osceola, WI 54020
$100.00 $100.00
04/14/2010 Anderson, Deanna 1516 N 9th Ave E, Duluth, MN 55805
$10.00 $10.00
04/16/2010 Paulson, David 967 35th Ave, Amery, WI 54001
$100.00 $100.00
04/09/2010 Otto, Kirk W 5919 Centerville Rd, Apt 126, North Oaks, MN 55127
Retired $500.00 $500.00
04/10/2010 Waterworth, Leanne
779 Sandrock Rd, St Croix Falls, WI 54024
$25.00 $25.00
04/16/2010 Moseng, Carol 2765 390th St, Boyd, MN 56218
$25.00 $25.00
04/16/2010 Hazzard, Mary 609 Homes Ct, Osceola, WI 54020
$25.00 $25.00
04/16/2010 Hazzard, Heidi 607 Homes Ct, Osceola, WI 54020
$50.00 $50.00
04/16/2010 Jones, Samuel PO Box 105, Siren, WI 54872
$50.00 $50.00
04/16/2010 Uribe, Deborah 660 220th St, Osceola, WI 54020
$50.00 $50.00
04/16/2010 Kravik, Mark 571 280th St, Osceola, WI 54020
Administrative - Executive
Northwire Inc 110 Prospect Ave, Osceola, WI 54020
$500.00 $500.00
04/16/2010 Anderson, Charles 2301 19th St S W, Minot, ND 58701
$50.00 $50.00
Monetary
05/10/2010 Severson, Jon 44 Juntunen Rd, Esko, MN 55733
Track Supervisor Cloquet Terminal Railroad
315 St Louis Ave, Cloquet, MN 55720
$100.00 $200.00
05/10/2010 Daniels, Jennifer 400 Willow Lane Rd, Osceola, WI 54020
$100.00 $100.00
05/10/2010 Moore, Linda 713 Maple Leaf Ct, Osceola, WI 54020
$50.00 $50.00
05/10/2010 Bullard, Robert 805 Oakridge Dr, Osceola, WI 54020
$50.00 $50.00
05/07/2010 Choi, Erica 10 Canopy Lane, Ballston Lake, NY 12019
$25.00 $25.00
05/06/2010 Blomberg, Gene Box 452, Grantsburg, WI 54840
$50.00 $50.00
05/03/2010 Nelson, Shannon 2470 - 82nd Ave, Osceola, WI 54020
$50.00 $50.00
05/03/2010 Hartung, Richard 2142 Poplar Lane, Dresser, WI 54009
Retired $100.00 $200.00
05/03/2010 Taller, Robin 6519 Turnberry Ln S E, Olympia, WA 98501
$25.00 $25.00
05/10/2010 Gerlach, Susan 190 North Star Lane, St Croix Falls, WI 54024
$50.00 $50.00
05/05/2010 Johnson, David 539 Riverside Blvd, Amery, WI 54001-1131
$50.00 $50.00
05/05/2010 Hill, Martha 2342A - 30th Ave, Osceola, WI 54020
$25.00 $25.00
05/05/2010 Foster, David 604 Chieftain St, Osceola, WI 54020
$50.00 $50.00
05/07/2010 Salewski, Sheri 914 Oak Ridge Dr, Osceola, WI 54020
$50.00 $50.00
05/07/2010 Flage, Steve 1478 Crestwood Dr, New Richmond, WI 54017
$100.00 $100.00
05/07/2010 Johnson, Timothy PO Box 325, Osceola, WI 54020
$100.00 $100.00
05/05/2010 Lahti, Prudence 509 Birch St E, Frederic, WI 54837
$25.00 $25.00
05/03/2010 Mork, Aaron 882 - 217th St, Osceola, WI 54020
$50.00 $50.00
05/06/2010 Dahlberg, Maude 352 Skyline Dr, Grantsburg, WI 54840
$50.00 $50.00
05/05/2010 Peterson, Gordon 2004 - 110th Ave, Dresser, WI 54009
$100.00 $100.00
Monetary
05/16/2010 Jarchow, Adam 971 Apple River Ct, Balsam Lake, WI 54810
$50.00 $50.00
05/16/2010 Dahlberg, Mark 352 W Skyline Dr, Grantsburg, WI 54840
$50.00 $50.00
05/16/2010 Foster, Jill 1901B 60th Ave, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Wester, Dale 901 - 8th St, Centuria, WI 54824
$50.00 $50.00
05/16/2010 Cooper, Jane 1105 - 300th Ave, Frederic, WI 54837
$50.00 $50.00
05/16/2010 Lundin, C David 2141 Poplar ln, Dresser, WI 54009
$50.00 $50.00
05/15/2010 Chalker, Liz PO Box 755, Osceola, WI 54020
$75.00 $75.00
05/15/2010 Cutts, Sara 2650 Viebrock Dr, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Benitz, Larry 725 Maple Leaf Ct, Osceola, WI 54020
$25.00 $25.00
05/13/2010 Skistad, Sara 4157 Jandell Ave N E, St Michael, MN 55376
Homemaker $50.00 $150.00
05/16/2010 Paulson, Edith 967 - 35th Av, Amery, WI 54001
$50.00 $50.00
05/13/2010 Johnson, Andrew PO Box 325, Osceola, WI 54020
$25.00 $25.00
05/13/2010 Blomberg, Gene PO Box 452, Grantsburg, WI 54840
$25.00 $75.00
05/16/2010 Rawlings, Robert 1714 - 140th Ave, St Croix Falls, WI 54024
$50.00 $50.00
05/16/2010 Anderson, Rebecca
623 E Maryland St, St Croix Falls, WI 54024
$50.00 $50.00
05/16/2010 Neumann, Jessica 2309 - 40th Av, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Koosmann, Margaret
2069 County Rd X, Star Prairie, WI 54026
$50.00 $50.00
05/16/2010 Waterworth, Jonathan
778 Sandrock Rd, St Croix Falls, WI 54024
$25.00 $25.00
05/16/2010 Bechard, Sarah 127 Cottage Dr, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Walsh, John 434 - 219th St, Star Prairie, WI 54026
$35.00 $35.00
Monetary
05/16/2010 McKenzie, Laurie 2842 - 50th Ave, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Williams, Sheryl 909 Maple Dr, Osceola, WI 54020
$25.00 $25.00
05/12/2010 Gibbs, Julie 209 Meadowlark Lane, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Ross, David 13 Bridgeview Dr, Superior, WI 54880
$50.00 $50.00
05/16/2010 Stelter, Timothy 537 State Rd 35, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Aho, Bradford 12742 Gordon Dr, Eden Prairie, MN 55346
$50.00 $50.00
05/16/2010 Johnson, Amy 612 N Cascade St, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Engel, Thomas 145 Blanding Woods Rd, St Croix Falls, WI 54024
$50.00 $50.00
05/16/2010 Dietrich, Lisa 844 - 250th St, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Points, Debra PO Box 405, St croix Falls, WI 54024
$50.00 $50.00
05/16/2010 Smith, Amy 2247 - 83rd Ave, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Anderson, Janel 337 S Adams St, St Croix Falls, WI 54024
$65.00 $65.00
05/16/2010 Hazzard, Mary 609 Homes Ct, Osceola, WI 54020
$25.00 $50.00
05/16/2010 Bechard, Brian 127 Cottage Dr, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Van Bronkhorst, Marcy
1318 Greentree Dr, St Croix Falls, WI 54024
$50.00 $50.00
05/16/2010 Nelson, Therese 751 - 220th St, Osceola, WI 54020
Homemaker $250.00 $250.00
05/16/2010 Soltis, Neil 411b Ridge Rd, Osceola, WI 54020
$80.00 $80.00
05/16/2010 Nelson, Shirley 417 E Madison Ave, Grantsburg, WI 54840
$100.00 $100.00
05/16/2010 De Vries, Dean 116 Knoll Circle E, Burnsville, MN 55337
$100.00 $100.00
Monetary
05/28/2010 Thomas, Stephen 2450A 273rd St, St Croix Falls, WI 54024
$50.00 $50.00
05/28/2010 Schmidt, Curtis 2764 - 150th St, Luck, WI 54853
$100.00 $100.00
05/28/2010 Hahn, Nancy 2416 - 210th Ave, St Croix Falls, WI 54024
$50.00 $50.00
05/28/2010 Struve, Patrick 729 Idle Wild Dr, Balsam Lake, WI 54810
$100.00 $100.00
05/28/2010 Kravik, Deborah 571 - 280th St, Osceola, WI 54020
Education - Administration and Support
Self-Employed
571 - 280th St, Osceola, WI 54020
$500.00 $500.00
05/28/2010 Bergstedt, Kathleen
30 Sorila Rd, Esko, MN 55733
$25.00 $25.00
05/16/2010 Danielson, Craig 1877 - 60th Ave, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Danielson, Elizabeth
1877 - 60th Ave, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Blomberg, Gene PO Box 452, Grantsburg, WI 54840
$25.00 $100.00
05/16/2010 Chantelois, Jill PO Box 38, Osceola, WI 54020
$50.00 $50.00
05/24/2010 Jarchow, Barbara 2122A Pipe Lake Rd, Comstock, WI 54826
Homemaker $500.00 $500.00
05/16/2010 McKenzie, William 2842 - 50th Ave, Osceola, WI 54020
$50.00 $50.00
05/16/2010 Chantelois, Wilfred PO Box 38, Osceola, WI 54020
$50.00 $50.00
05/17/2010 Abell, Warren 2558 Frances Ave, Red Wing, MN 55066
$100.00 $100.00
05/20/2010 Seggelke, Richard 726 S Shore Dr, Amery, WI 54001
$50.00 $50.00
05/24/2010 Jarchow, Michael 2122A Pipe Lake Rd, Comstock, WI 54826
Owner Industrial Safety Inc.
418 - 3rd Ave, PO Box 68, Clear Lake, WI 54005
$500.00 $500.00
05/17/2010 Oswald, Steven 1901 - 60th Ave, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Kravik, Katina 141 Gateway Parkway, Osceola, WI 54020
Administrative - Executive
Northwire 110 Prospect Ave, Osceola, WI 54020
$120.00 $120.00
05/16/2010 Van Bronkhorst, Kevin
1318 Greentree Dr, St Croix Falls, WI 54024
$40.00 $40.00
05/16/2010 Lindvall, Donald 7132 Oak Grove Blvd, Minneapolis, MN 55423
$50.00 $50.00
Monetary
05/16/2010 Lauridsen, Darlene 2138 - 75th Ave, Osceola, WI 54020
$100.00 $100.00
06/30/2010 Olson, Garth PO Box 7, Osceola, WI 54020
$25.00 $25.00
06/29/2010 Swedberg, John 6713 County Rd X, Webster, WI 54893
$100.00 $100.00
06/29/2010 Gilbertson, Rose 247 South St, Amery, WI 54001
$20.00 $20.00
06/30/2010 Ruck, Audrey 1580 - 180th Av, Centuria, WI 54824
$25.00 $25.00
06/30/2010 Schanon, Michael 228 Keller Ave N, Amery, WI 54001
$25.00 $80.00
06/08/2010 White, Julie 1080 - 120th Ave, Amery, WI 54001
$25.00 $25.00
06/07/2010 Anderson, Kathryn 12402 State Road 48, Grantsburg, WI 54840
$30.00 $30.00
06/08/2010 Schanon, Michael 228 Keller Ave n, Amery, WI 54001
$30.00 $55.00
06/08/2010 Clausen, Roberta 432 State Road 46, Amery, WI 54001
$25.00 $75.00
06/01/2010 Williams, Ihleen 36987 US Hwy 169, Aitkin, MN 56431
$25.00 $25.00
06/29/2010 Dahlberg, Maude 352 W Skyline Dr, Grantsburg, WI 54840
Retired $150.00 $200.00
06/07/2010 Diesen, Patricia 4457 Sugar Maple Dr, Hermantown, MN 55811
$25.00 $25.00
06/01/2010 Rivard, Ray 20802 Lake Blvd, Shafer, MN 55074
$100.00 $100.00
06/10/2010 Wyatt, Virginia 2118C 150th Ave, St Croix Falls, WI 54024
$25.00 $25.00
06/08/2010 Kluge, Philip 904 - 90th St, Amery, WI 54001
$50.00 $50.00
06/14/2010 Peters, R D 873 White Pines Trail, Amery, WI 54001
$50.00 $50.00
06/11/2010 Scholz, Trevor 604 - 216th St, Osceola, WI 54020
$25.00 $25.00
06/08/2010 Isakson, Paul 420 Riverside Blvd, Amery, WI 54001
$50.00 $50.00
06/08/2010 Oman, Kenneth 1103 - 40th Ave, Amery, WI 54001
$40.00 $40.00
06/08/2010 Carson, Dennis 467A 95th St, Clear Lake, WI 54005
$100.00 $100.00
06/08/2010 Hartung, Kristine 2142 Poplar Lane, Dresser, WI 54009
$50.00 $50.00
Monetary
05/20/2010 Verhasselt, Gary 2391 State Road 35, #636, Osceola, WI 54020
Builder Verhasselt Construction
2391 State Road 35, Osceola, WI 54020
$245.00 $245.00
05/20/2010 Nelson, Mark 4868 High Crossing Blvd, Madison, WI 53704
$25.00 $25.00
06/07/2010 Berndt, William 985 Hazel St, River Falls, WI 54022
$100.00 $100.00
06/30/2010 Solland, Cedric PO Box 578, St Croix Falls, WI 54024
Owner Indianhead Glass Inc
141 N Washington, St Croix Falls, WI 54024
$250.00 $250.00
Sub Total $620.00
Conduit Contribution
05/16/2010 Mikkelson, Brenda 2401 State Rd 35, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Hazzard, Mary 609 Homes Ct, Osceola, WI 54020
$25.00 $75.00
05/16/2010 Jensen, Pete 2517 - 93rd Av, Osceola, WI 54020
$25.00 $25.00
06/29/2010 Hodder, Allen 109 - 185th St, Star Prairie, WI 54026
$20.00 $20.00
06/29/2010 Kelly, Sharon 1383A Bay View Dr, PO Box 824, St Croix Falls, WI 54024
$25.00 $25.00
05/16/2010 Mikkelson, Harold Chris
2401 State Rd 35, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Barrott, Dustin 708 Chieftain St, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Davis, Kenneth 608 Chieftain St, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Davis, Mandy 608 Chieftain St, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Newman, Renee 2277 - 40th Av, Osceola, WI 54020
$25.00 $25.00
05/16/2010 Monson, Jess 1984 Hines Lake View Dr, Cumberland, WI 54829
$25.00 $25.00
05/16/2010 Garriga, Lou PO Box 514, Osceola, WI 54020
$25.00 $25.00
Sub Total $13,325.00
Monetary
Comment(s): Mailing Labels
05/12/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$125.57 $125.57
03/22/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$9.75 $9.75
06/21/2010 Mikkelson, Harold Chris
2401 State Rd 35, Osceola, WI 54020
Owner The 4-Wheeler Guy
2401 State Rd 35, Osceola, WI 54020
$170.72 $195.72
Comment(s): Parades - Signs for Truck
06/23/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$92.49 $92.49
Comment(s): Printer Ink & Mailing Labels
Comment(s): Fundraiser - Food
Comment(s): Fundraiser -Food
05/12/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$8.94 $8.94
05/15/2010 Fox, Jeff 2188 - 100th Av, Dresser, WI 54009
$39.50 $39.50
Comment(s): Postage
05/13/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$270.77 $0.00
06/25/2010 Mattison, Philip 8540 - 215th St N, Forest Lake, MN 55025
Executive Core Products International, Inc.
808 Prospect Ave, Osceola, WI 54020
$429.16 $429.16
06/23/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$712.80 $0.00
05/16/2010 Rechelbacher, Horst
945 Pioneer Dr, Osceola, WI 54020
Owner HMR Enterprises Inc.
1017 Cascade St, Osceola, WI 54020
$185.00 $185.00
Comment(s): Fundraiser - Rentals
Comment(s): Beverages for fundraiser
Sub Total $2,044.70
In-Kind
06/28/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$4,000.00 $4,000.00
Sub Total $4,000.00
Personal Loan
Loan Forgiven (-): $0.00
Grand Total $20,298.70
Total UnItemized Contributions $0.00
Total Anonymous Contributions $309.00
Total $20,298.70
SCHEDULE 1-B RECEIPTS Contributions from Committees
(Transfers-In)
Complete Committee Name: Severson for Assembly
06/21/2010 Republican Party of Wisconsin 148 East Johnson Street, Madison, WI 53703
$500.00 $500.00
Sub Total $500.00
In-Kind
06/29/2010 Burnett County Republican Party 371 West Wisconsin Avenue, Grantsburg, WI 54840-7818
$100.00 $100.00
03/19/2010 Polk Co Republican Party PO Box 712, St Croix Falls, WI 54024 $500.00 $500.00
06/08/2010 Kitty Rhoades for Assembly P.O. Box 560, River Falls, WI 54022 $500.00 $500.00
Sub Total $1,100.00
Monetary
Grand Total $1,600.00
Date Full Name Address Amount YTD
SCHEDULE 1-C RECEIPTSOther Income and Commercial Loans
Complete Committee Name: Severson for Assembly
Total $0.00
Date Full Name Address Amount YTD
SCHEDULE 2-A DISBURSEMENTS Gross Expenditures
Complete Committee Name:
06/23/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
Walmart 2212 Glacier Dr, St Croix Falls, WI 54024
Office Supplies
$92.49
Comment(s): Fundraiser - Rental of Porta-potties
05/16/2010 Rechelbacher, Horst 945 Pioneer Dr, Osceola, WI 54020
Rowe Sewer Service
412 Bench St, PO Box 236, Taylors Falls, MN 55084
Fundraiser - Hall Rental
$185.00
06/21/2010 Mikkelson, Harold Chris
2401 State Rd 35, Osceola, WI 54020
The Copy Shop, Inc.
2071 Glacier Dr, Ste 4, St Croix falls, WI 54024
Parade Expenses - Fees, candy
$170.72
05/15/2010 Fox, Jeff 2188 County Rd F, Osceola, WI 54020
The Fox Ranch 2188 County Rd F, Osceola, WI 54020
Fundraiser - Food & Beverage
$39.50
Comment(s): Postage
06/23/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
Us Post Office Osceola, WI 54020
Postage $712.80
Comment(s): Beverages for fundraiser
05/16/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
Valley Spirits WI Fundraiser - Food & Beverage
$270.77
Comment(s): Parades - Signs for Truck
Comment(s): Fundraiser -Food
05/12/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
Cub Foods 1059 Meadowland Dr, White Bear Lake, MN 55127
Fundraiser - Food & Beverage
$8.94
Comment(s): Fundraiser - Food
05/12/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
Sam's Club White Bear Lake, MN 55127
Fundraiser - Food & Beverage
$125.57
03/22/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
Target Hudson, WI 54016
Office Supplies
$9.75
06/25/2010 Mattison, Philip 8540 - 215th St N, Forest Lake, MN 55025
Core Products International, Inc.
808 Prospect Ave, Osceola, WI 54020
Printing - Copies
$429.16
Comment(s): Mailing Labels
In-Kind
Date Full Name Address Vendor Name Vendor Address
Expense Purpose
Amount
Severson for Assembly
05/19/2010 Association Retreat Center
2372 - 30th Av, Osceola, WI 54020
Fundraiser - Food & Beverage
$95.00
05/24/2010 The Fox Ranch 2188 - 100th Av, Dresser, WI 54009
Fundraiser - Food & Beverage
$160.00
Comment(s): Meat for Fundraiser
05/18/2010 Sew Creative 805 Park Drive, Balsam Lake, WI 54810
Printing Misc. (buttons, bumper stickers, t-shirts)
$1,685.83
05/19/2010 Otto, Paul 4725 Victor Path, #6, Hugo, MN 55038
Trader Joe's 8960 Hudson Rd, Woodbury, MN 55125
Fundraiser - Food & Beverage
$75.00
06/30/2010 Interactive Business Solutions
1791 - 140th Av, St Croix Falls, WI 54024
Printing Misc. (buttons, bumper stickers, t-shirts)
$65.00
Comment(s): Printing -Business cards
Comment(s): Design and Printing of Candidate business cards
04/06/2010 RESCO 1450 Heggen St, Hudson, WI 54016
Printing - Brochures
$672.84
Comment(s): Fundraiser Invitations
04/06/2010 Interactive Business Solutions
1791 - 140th Av, St Croix Falls, WI 54024
Printing Misc. (buttons, bumper stickers, t-shirts)
$140.59
Comment(s): Printer Ink
05/07/2010 RESCO 1450 Heggen St, Hudson, WI 54016
Printing Misc. (buttons, bumper stickers, t-shirts)
$420.82
04/09/2010 USPS Osceola, WI 54020
Postage $44.00
04/09/2010 Walmart 2212 Glacier Dr, St Croix Falls, WI 54024
Office Supplies
$42.14
Monetary
Comment(s): Printer Ink & Mailing Labels
06/21/2010 Republican Party of Wisconsin
148 East Johnson Street, Madison, WI 53703
Consulting Fees - General
$500.00
Sub Total $2,544.70
In-Kind
03/30/2010 Deluxe Checks PO Box 1186, Lancaster, CA 93584
Bank Charges
$17.20
06/30/2010 Otto, Kirk 1211 Corey Ct, Osceola, WI 54020
Walmart 2212 Glacier Dr, St Croix falls, WI 54024
Office Supplies
$52.10
Comment(s): Charge for Checks
Comment(s): Paypal Fees
06/30/2010 Paypal WI Administrative Expenses
$1.80
06/30/2010 RESCO 1450 Heggen St, Hudson, WI 54016
Printing - Brochures
$514.59
06/30/2010 Otto, Kirk 1211 Corey Ct, Osceola, WI 54020
Costco Maplewood, MN Parade Expenses - Fees, candy
$167.86
06/30/2010 CLS Services Inc. N172 South Park Dr, Appleton, WI 54914
Printing - Yard Signs
$792.75
Comment(s): Printer Ink & Paper
Comment(s): Candidate Name Badges
06/30/2010 Otto, Kirk 1211 Corey Ct, Osceola, WI 54020
MyNameBadges WI Printing Misc. (buttons, bumper stickers, t-shirts)
$48.39
Sub Total $4,995.91
Monetary
Total $7,540.61
Non-Monetary (-): $0.00
Grand Total $7,540.61
SCHEDULE 2-B DISBURSEMENTS Contributions To Committees
(Transfers-Out)
Complete Committee Name: Severson for Assembly
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
Severson for Assembly
Grand Total $0.00
Date Full Name Amount Paid
ADDITIONAL DISCLOSURELoans
Individual, Committee or Commercial
SCHEDULE 3-B
Complete Committee Name:
Loans Outstanding Amount:
Severson for Assembly
$0.00
06/28/2010 Severson, Erik 2147 45th Avenue, Star Prairie, WI 54026
$4,000.00 $0.00 $4,000.00
Sub Total $4,000.00
Personal Loan
Grand Total $4,000.00
Date Lender Name Address Loan Amount Loan Payment + Forgiven Amount
Outstanding Amount
