CAMPAIGN FINANCE REPORT STATE OF WISCONSIN CF-2 COMMITTEE IDENTIFICATION Filing Period Name: January Continuing 2018 OFFICE USE ONLY Covers all activity from 07/01/2017 through 12/31/2017 Name of Committee/Corporation: Citizens for T. Anthony Zielinski Street Address: 2463 South Superior Street City, State and Zip: Milwaukee, WI 53207 SUMMARY OF RECEIPTS AND DISBURSEMENTS Committee ID: Column A This Period 0103115 Column B Calendar Year-To-Date 1. RECEIPTS 1A. Contributions (Including Loans) from Individuals $176,220.00 $200,033.00 1B. Contributions from Committees (Transfers-In) $0.00 $0.00 1C. Other Income and Commercial Loans $0.00 $0.00 $176,220.00 $200,033.00 $3,192.96 $6,149.09 $0.00 $110.00 $3,192.96 $6,259.09 TOTAL RECEIPTS (Add totals from 1A, 1B and 1C) 2. DISBURSEMENTS 2A. Gross Expenditures 2B. Contributions to Committees (Transfers-Out) TOTAL DISBURSEMENTS (Add totals from 2A and 2B) CASH SUMMARY Cash Balance Beginning of Report * $50,041.53 Total Receipts $176,220.00 Subtotal $226,261.53 Total Disbursements $3,192.96 CASH BALANCE END OF REPORT * $223,068.57 INCURRED OBLIGATIONS (Balance at the Close of This Period-3A) LOANS $0.00 (Balance at the Close of This Period-3B) $100,000.00 * Cash Balance as reported by committee I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Candidate or Treasurer: Signature of Candidate or Treasurer Date: Daytime Phone: Biever, Michelle Email: mbiever@sitzhau.com 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 provide the information may subject you to the penalties of ss. 11.1400, 11.1401, Wis. Stats. CF-2 (Rev. 04/16) This form is prescribed by the Wisconsin Ethics Commission, P.O. Box 7984, Madison, WI 53707-7984, 608-266-8005. SCHEDULE 1-A Complete Committee Name: Date Full Name RECEIPTS Contributions From Individuals Citizens for T. Anthony Zielinski Address Occupation Amount YTD Monetary 07/05/2017 Franco, George 1021 W National Ave., Milwaukee, WI 53204 President $200.00 $200.00 07/05/2017 Khatibi, Javid 2839 W Lincoln Ave., Milwaukee, WI 53215 Manager $150.00 $150.00 09/11/2017 Dhawan, Mandeep 10325 Plummtreet Co 205, Hales Corners, WI 53130 Owner $400.00 $700.00 09/11/2017 Kaul, Iqbal Owner $400.00 $400.00 $100.00 $100.00 $786.00 $786.00 $100.00 $100.00 $600.00 $600.00 9754 W St. Stephens Dr., Franklin, WI 53132 09/14/2017 Sampson, Michael 200 E Ohio Ave., Milwaukee, WI 53207 09/30/2017 Mitola, John 3116 S Kinnickinnic Ave., Milwaukee, WI 53207 President 10/04/2017 Brugel, Marcia 2935 S. Logan Ave., Milwaukee, WI 53207 10/04/2017 Poklar, Ron 2935 S. Logan Ave., Milwaukee, WI 53207 10/13/2017 Safina, David 615 E Brady St., Milwaukee, WI 53202 $50.00 $50.00 10/13/2017 Safina, Giovanni 1033 N Old World 3rd St., Milwaukee, WI 53203 $50.00 $50.00 10/13/2017 Safina, Joe 615 E Brady St., Milwaukee, WI 53202 $50.00 $50.00 10/13/2017 Safina, Salvatore 1033 N Old World 3rd St., Milwaukee, WI 53202 $50.00 $50.00 10/13/2017 Smith, Robert 212 E Mineral St., Milwaukee, WI 53204 $50.00 $50.00 10/16/2017 Patel, Amrit N. 4858 South 26th St, m, WI 53204 Owner $500.00 $500.00 10/17/2017 Feker, Maricela 2334 N. Met to Wee Lane, Wauwatosa, WI 53226 Housewife $750.00 $750.00 President Monetary 10/17/2017 Patel, Ashokkumar 3972 S 96th St., Greenfield, WI 53228 Owner $300.00 $300.00 10/17/2017 Piette, John 2518 S Superior St., Milwaukee, WI 53207 Owner $700.00 $700.00 10/23/2017 Gonzalez Lopez, Luis 1993 S. Muskego Ave., Milwaukee, WI 53204 Owner $300.00 $300.00 10/23/2017 Montoto, Greg 7994 S. Sussana Court, Franklin, WI 53132 $150.00 $150.00 10/23/2017 Orozco, Ramon 2125 South 35th St., Milwaukee, WI 53215 $100.00 $100.00 10/24/2017 Hahn, Jeremy 3035 S. Smith Lake Rd, West Bend, WI 53090 Owner $300.00 $300.00 10/24/2017 Houden, Chris 307 Farwell Dr., Madison, WI 53704 CEO $750.00 $750.00 10/24/2017 Lechuga, Jose 616 W. Historic Mitchell St., Milwaukee, WI 53204 Owner $500.00 $500.00 10/24/2017 Stamates, Jay 702 S. 2nd St., Milwaukee, WI 53204 Owner $200.00 $300.00 10/24/2017 Walia, Ajit 4725 N 159th St., Brookfield, WI 53005 Owner $400.00 $400.00 10/24/2017 Zarate, Jose 11609 N Boblink, Mequon, WI 53092 Owner $400.00 $750.00 10/26/2017 Carrasco, Blanca 1031 S Layton Blvd, Milwaukee, WI 53215 $100.00 $100.00 10/26/2017 Curry, Todd 202 E Center St., Milwaukee, WI 53202 $50.00 $50.00 10/26/2017 Hernandez, Alfredo 3170 S 13th St., Milwaukee, WI 53215 $100.00 $100.00 10/26/2017 Isela Real, Rosa 907 W Oklahoma Ave., Milwaukee, WI 53215 $777.00 $777.00 10/26/2017 Sanchez, Ramon 1530 E Elm Rd., Oak Creek, WI 53154 $100.00 $100.00 10/26/2017 Tubens, Joseph 1513 Mackinac Ave., South Milwaukee, WI 53172 $50.00 $50.00 10/27/2017 Konicek, Ryan 10125 S 52nd St., Franklin, WI 53132 President $500.00 $500.00 10/29/2017 Abidalrahim, Khaled 6560 Hill Ridge Dr., Greendale, WI 53129 Owner $100.00 $200.00 Manager Monetary 10/29/2017 Rodriguez, Abel 1104 W Lincoln Ave., Milwaukee, WI 53215 $200.00 $200.00 10/29/2017 Salazar, Francisco 1116 S 12th St., Milwaukee, WI 53204 Owner $500.00 $500.00 10/30/2017 Martinez, Inocenco 1819 S 9th St., Milwaukee, WI 53204 Bartender $300.00 $300.00 10/30/2017 Patel, Sanjay 4157 W Whispering Ridge Pass, Franklin, WI 53132 Owner $750.00 $750.00 11/01/2017 Asad, Samer 715 S 5th St., Milwaukee, WI 53204 Owner $300.00 $300.00 11/01/2017 Rodriguez, Patricia 2566 S 6th St., Milwaukee, WI 53204 Owner $400.00 $400.00 11/01/2017 Santos, Abel 1325 W. Greenfield Ave., Milwaukee, WI 53204 Owner $250.00 $250.00 11/07/2017 Dertz, Tim 9101 W Hawthorne Lane, Franklin, WI 53132 Principal $500.00 $500.00 11/16/2017 Patel, Bharatkumar 2212 Lewis Ave., Apt 304, Zion, IL 60099 Owner $500.00 $500.00 11/16/2017 Patel, Deepika 2212 Lewis Ave., Apt 304, Zion, IL 60099 Housewife $500.00 $500.00 11/16/2017 Puchert, Ron 933 W Oklahoma, Milwaukee, WI 53215 Retired $200.00 $200.00 11/22/2017 Santos, Marco 2100 S 7th St., Milwaukee, WI 53215 Owner $380.00 $380.00 11/27/2017 Misiewicz, Greg 2335 S. Parkside Dr., New Berlin, WI 53151 President $777.00 $777.00 11/28/2017 Singh, Baljinder 2714 S 13th St., Milwaukee, WI 53215 Owner $300.00 $300.00 11/30/2017 Lee, Joel S. 923 E. Kilbourn Ave., Apt 2700, Milwaukee, WI 53202 President $1,000.00 $1,780.00 11/30/2017 Raffaelli, Don 5615 Grandview Dr., Greendale, WI 53129 Vice President $2,000.00 $2,000.00 12/04/2017 Brisk, Joseph 307 N. Lake Rd., Oconomowoc, WI 53066 Owner $6,000.00 $6,000.00 12/04/2017 Dhaliwal, Darshan 7833 W. Hawthorne Road, Mequon, WI 53097 President $1,000.00 $1,000.00 12/04/2017 Fricker, Brian President $3,000.00 $3,000.00 6169 S 39th St., Milwaukee, WI 53221 Monetary 12/04/2017 Hussain, Waqar 4550 South 123rd St, Greenfield, WI 53220 Owner $200.00 $985.00 12/04/2017 Hussain, Waqar 4550 South 123rd St, Greenfield, WI 53220 Owner $1,800.00 $2,785.00 12/04/2017 Klein, Dennis 241 N Broadway, Suite 400, Milwaukee, WI 53202 President $5,000.00 $5,000.00 12/04/2017 Mason, Shan L. W190S7066 Wentland Dr., Muskego, WI 53150 Owner $1,000.00 $1,000.00 12/05/2017 Bahena, Fernando 15300 W 21st St., Wadsworth, IL 60083 Owner $3,000.00 $3,000.00 12/05/2017 Gonzalez Lopez, Luis 1993 S. Muskego Ave., Milwaukee, WI 53204 Owner $400.00 $700.00 12/05/2017 Read, Brian 6410 Washington Blvd, Wauwatosa, WI 53213 President $2,000.00 $2,000.00 12/05/2017 Singh, Gurmukh 9501 70th St., Kenosha, WI 53142 Owner $500.00 $500.00 12/06/2017 Asad, Sam 715 S 5th St., Milwaukee, WI 53204 Owner $500.00 $500.00 12/06/2017 Jaber, Faraj 8644 S River Terrace Dr., Franklin, WI 53132 Owner $1,000.00 $1,000.00 President $800.00 $900.00 12/06/2017 Singh, Lakhwinder 565 East Jordan Lane, Oak Creek, WI 53154 12/15/2017 Engel, Mike 3626 Menomonee River Park Place, Wauwatosa, WI 53222 Owner $500.00 $500.00 12/18/2017 Bielinski, John 2310 Highland Dr., Las Vegas, NV 89102 Member $750.00 $750.00 12/18/2017 Brinkman, Mark 3200 West Bonniwell Rd., Mequon, WI 53097 Owner $500.00 $500.00 12/18/2017 Hernandez, Alfredo 6435 S Warnimont Ave., Franklin, WI 53220 Owner $700.00 $700.00 12/18/2017 Utter, Chris N17W30615 Woodland Dr., Delafield, WI 53018 Owner $1,000.00 $1,000.00 12/20/2017 Agacki, Joel 7636 Rogers Ave., Wauwatosa, WI 53213 Student $500.00 $500.00 12/20/2017 Blair, Scott 11967 West Sarah Court, Greenfield, WI 53228 President $500.00 $500.00 Monetary 12/20/2017 Cauble, David 1504 Old Barn Circle, Libertyville, IL 60048 President $700.00 $700.00 12/20/2017 Cauble, Kristine 1504 Old Barn Circle, Libertyville, IL 60048 Housewife $700.00 $700.00 12/20/2017 Feker, Michael 2334 N. Met to Wee Lane, Wauwatosa, WI 53226 Owner $600.00 $600.00 12/20/2017 Flores, Tatiana 3300 South 13th St., Milwaukee, WI 53215 Owner $500.00 $500.00 12/20/2017 Giuffre, Frank 8685 S. Deerwood Lane, Franklin, WI 53132 Vice President $250.00 $250.00 12/20/2017 Giuffre, Jr., Frank S71W15138 Rosewood Dr., Muskego, WI 53150 Vice President $600.00 $600.00 Owner $600.00 $600.00 President $5,000.00 $6,780.00 12/20/2017 Gomez, Francisco 2274 S Layton Blvd, Milwaukee, WI 53215 12/20/2017 Lee, Joel 923 E Kilbourn Ave., Apt 2700, Milwaukee, WI 53202 12/20/2017 McCartan, Mary 2188 Tarpon Rd, Naples, WI 34102 Retired $3,000.00 $3,000.00 12/20/2017 Montemeyer, Lenor 5770 Stefanie Way, Caledonia, WI 53108 Owner $1,000.00 $1,000.00 12/20/2017 Reyes, Yomary 1029 S 10th St., Milwaukee, WI 53204 $50.00 $50.00 12/20/2017 Rodriguez, Patricia 2566 S 6th St., Milwaukee, WI 53204 Owner $100.00 $500.00 12/20/2017 Zbieranek, Dale 9564 S. 35th St., Franklin, WI 53132 Owner $200.00 $200.00 12/22/2017 Abidalrahim, Khaled 6560 Hill Ridge Dr., Greendale, WI 53129 Owner $300.00 $500.00 12/22/2017 Arteaga, Anthony 6326 Parkview Road, Greendale, WI 53129 President $1,000.00 $1,000.00 12/22/2017 Rehan, Rakesh 3448 S. Taylor Ave., Apt #2, Milwaukee, WI 53207 Owner $1,000.00 $1,000.00 12/24/2017 Ismail, Zainul B 13515 W Foxwood Ct., New Berlin, WI 53151 Pharmacist $600.00 $1,100.00 12/24/2017 Lopez, Lorenzo 3913 S Holmes Ave., Cudahy, WI 53110 Manager $150.00 $150.00 12/24/2017 Maria Lopez, Ana 5572 S Elaine Ave., Cudahy, WI 53110 Housewife $150.00 $150.00 Monetary 12/24/2017 Snoubar, Hasan 6982 South Carmel Dr., Franklin, WI 53132 Owner $600.00 $600.00 12/27/2017 Weichmann, Sue 1010 N Cass St., Milwaukee, WI 53202 Retired $5,000.00 $5,000.00 12/28/2017 Ersel, Dan N765 2nd St Road, Watertown, WI 53098 Owner $3,000.00 $3,000.00 12/29/2017 Olson, Tim 2263 N. Lake Dr, Milwaukee, WI 53202 Self-Employed $1,000.00 $1,000.00 Sub Total $75,720.00 In-Kind 10/23/2017 Orozco, Ramon 2125 South 35th St., mi, WI 53215 11/01/2017 Rodriguez, Patricia 2566 S 6th St., Milwaukee, WI 53204 Owner $300.00 $300.00 Owner $200.00 $600.00 Sub Total $500.00 Personal Loan 11/24/2017 Zielinski, T. Anthony 2463 S Superior Street, Milwaukee, WI 53207 $100,000.00 $100,000.0 0 Sub Total $100,000.00 Total Anonymous Contributions $0.00 Grand Total $176,220.00 Non-Monetary (-): $0.00 Loan Forgiven (-): $0.00 Total $176,220.00 SCHEDULE 1-B Complete Committee Name: Date RECEIPTS Contributions from Committees (Transfers-In) Citizens for T. Anthony Zielinski Full Name Address Amount YTD Grand Total $0.00 Non-Monetary (-): $0.00 Total $0.00 SCHEDULE 1-C RECEIPTS Other Income and Commercial Loans Complete Committee Name: Date Citizens for T. Anthony Zielinski Full Name Address Amount Total $0.00 YTD SCHEDULE 2-A Complete Committee Name: Date Communication Date DISBURSEMENTS Gross Expenditures Citizens for T. Anthony Zielinski Full Name Address Vendor Name Vendor Address Expense Purpose Amount Monetary 07/24/2017 Verizon Wireless 5790 N Port Washington Road, Glendale, WI 53217 Utilities Phone / Cell Phone $69.91 08/30/2017 Burns, David PO Box 1326, Keaau, HI 96749 Media Website Development $60.00 09/15/2017 Paypal 2211 N 1st Street, San Jose, CA 95131 Credit Card Fees $3.20 09/30/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $34.10 10/24/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $17.65 10/24/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $10.65 10/25/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $26.40 10/25/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $21.30 11/05/2017 Sitzberger & Company, S.C 611 N Barker Road, Suite 200, Brookfield, WI 53045 Professional Accounting 11/22/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $13.45 11/27/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $27.35 $867.00 Monetary 11/29/2017 Go Daddy 14455 N Hayden Road, Suite 226, Scottsdale, AZ 85260 Media Website Development $42.51 11/30/2017 City of Milwaukee 809 N Broadway St. , Milwaukee, WI 53202 Office Rent $82.20 11/30/2017 Go Daddy 14455 N Hayden Road, Suite 226, Scottsdale, AZ 85260 Media Website Development $25.08 12/02/2017 Burns, David PO Box 1326, Keaau, HI 96749 Media Website Development $200.00 12/02/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $70.15 12/02/2017 Weber Printing 3048 North 34th St., Milwaukee, WI 53210 Media Billboards / Outdoor Advertising $205.92 12/04/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $63.27 12/04/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $7.03 12/04/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $35.15 12/04/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $105.15 12/06/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $35.15 12/12/2017 BMO Harris Bank PO Box 94033, Palatine, IL 60094-4033 Bank Charges $12.00 12/15/2017 Paypal 2211 N 1st Street, San Jose, CA 95131 Credit Card Fees $14.80 Monetary 12/18/2017 Eastman, Marissa 212 E. Mineral St., Milwaukee, WI 53204 Administrativ e Expenses $68.74 12/18/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $24.65 12/19/2017 Madrigrano, Jodi 1627 216th Ave., Union Grove, WI 53182 Wages Campaign Staff $350.00 12/20/2017 Paypal 2211 N 1st Street, San Jose, CA 95131 Credit Card Fees $6.10 12/20/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $21.15 12/22/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $35.15 12/24/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $21.15 12/28/2017 Square, Inc. 1455 Market Street , Suite 600, San Francisco, CA 94103 Credit Card Fees $87.30 12/29/2017 Paypal 2211 N 1st Street, San Jose, CA 95131 Credit Card Fees $29.30 Sub Total $2,692.96 In-Kind 10/23/2017 Orozco, Ramon 2125 South 35th St., mi, WI 53215 Event or Fair Booth $300.00 11/01/2017 Rodriguez, Patricia Event or Fair Booth $200.00 2566 S 6th St., Milwaukee, WI 53204 Sub Total $500.00 Grand Total $3,192.96 Non-Monetary (-): $0.00 Total $3,192.96 SCHEDULE 2-B DISBURSEMENTS Contributions To Committees (Transfers-Out) Complete Committee Name: Date Citizens for T. Anthony Zielinski Full Name Address Vendor Name Vendor Address Amount Grand Total $0.00 Non-Monetary (-): $0.00 Registrant In-Kind Sub Total (-): $0.00 Total $0.00 SCHEDULE 3-A ADDITIONAL DISCLOSURE Incurred Obligations Excluding Loans Complete Committee Name: Citizens for T. Anthony Zielinski Beginning Incurred Obligation Amount: Date $0.00 Full Name Address Amount Grand Total Date Full Name $0.00 Amount Paid Grand Total $0.00 Outstanding Incurred Obligations End of Report $0.00 SCHEDULE 3-B ADDITIONAL DISCLOSURE Loans Individual, Committee or Commercial Complete Committee Name: Citizens for T. Anthony Zielinski Beginning Loan Balance: $0.00 Date Full Name Address Amount Personal Loan 11/24/2017 Date Zielinski, T. Anthony 2463 S Superior Street, Milwaukee, WI 53207 $100,000.00 Sub Total $100,000.00 Grand Total $100,000.00 Full Name Amount Paid Grand Total $0.00 Outstanding Loans End of Report $100,000.00