|
|
CAMPAIGN FINANCE REPORT |
|
|
|
|
|
|
|
STATE OF WISCONSIN |
|
|
|
|
|
|
Is this report an Amendment? NO |
XXX |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
COMMITTEE IDENTIFICATION |
|
|
|
|
|
|
|
Name of Committee |
Carstensen for State Senate |
|
|
|
|
|
|
Address |
717 Orton Court |
|
|
OFFICE USE ONLY |
|
|
|
City, State, ZIP |
Madison WI 53703 |
|
|
WSEB # ID |
|
|
|
Please check if address is different than previously reported ____ |
|
|
|
|
|
|
|
NAME OF REPORT |
Jan 2001 Continuing Pre-Primary 20__ |
|
Spring |
Fall |
Special |
|
|
(Please circle) |
July 20__ Continuing Pre-election 20__ |
|
Spring |
Fall |
Special |
|
|
|
|
|
|
|
|
|
|
SUMMARY OF RECEIPTS AND DISBURSEMENTS |
|
Column A |
Column B |
Audited Totals |
|
|
|
1. RECEIPTS |
|
This Period |
YTD |
Office Use Only |
|
|
|
A. Contributions including Loans from Individuals |
|
$4.63 |
$20,068.54 |
|
|
|
|
B. Contributions from Committees (Transfers-In) |
|
$- |
|
|
|
|
|
C. Other Income and Commercial Loans |
|
$- |
$582.53 |
|
|
|
|
TOTAL RECEIPTS (Add totals from 1A, 1B, and 1C) |
|
$4.63 |
$20,651.07 |
|
|
|
|
1. DISBURSEMENTS |
|
|
|
|
|
|
|
A. Gross Expenditures |
|
$193.81 |
$27,703.68 |
|
|
|
|
B. Contributions to Committees (Transfers-Out) |
|
$- |
|
|
|
|
|
TOTAL DISBURSEMENTS (Add totals from 2A and 2B) |
|
$193.81 |
$27,703.68 |
|
|
|
|
CASH SUMMARY |
|
|
|
|
|
|
|
Cash Balance at Beginning of Report |
|
$4,833.89 |
|
|
|
|
|
Total Receipts |
|
$4.63 |
|
|
|
|
|
Subtotal |
|
$4,838.52 |
|
|
|
|
|
Total Disbursements |
|
$193.81 |
|
|
|
|
|
CASH BALANCE AT END OF REPORT |
|
$4,644.71 |
|
|
|
|
|
INCURRED OBLIGATIONS (at close of period) |
|
$40.00 |
|
|
|
|
|
LOANS (at close of period) |
|
$3,000.00 |
|
|
|
|
|
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 |
01/30/01 |
|||
|
Ellen J. Henningsen |
Daytime Phone |
224-0660 |
||||
|
|
|
|
|
|
|
|
|
NOTE: The information on this form is required by ss. 11.06, 11.20, Wisconsin. Stats. |
||||||
|
Failure to provide this information may subject you to the penalties os 11.60, 11.62, Wisconsin. Stas. |
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 1-A |
Contributions Including Loans from Individuals |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IN-KIND |
CONDUIT |
DATE |
LAST |
FIRST |
ADDRESS |
CITY |
ST |
ZIP |
EMPLOYER |
OCCUPATION |
AMOUNT |
YTD |
|
x |
|
10-00-00 |
Henningsen |
Ellen |
717 Orton Court |
Madison |
WI |
53703 |
|
|
$4.63 |
$63.28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 1-B |
Contributions from Committees |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IN-KIND |
DATE |
|
LAST |
FIRST |
ADDRESS |
CITY |
ST |
ZIP |
|
|
AMOUNT |
YTD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 1-C |
Other Income and Commercial Loans |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
|
LAST |
FIRST |
ADDRESS |
CITY |
ST |
ZIP |
|
|
AMOUNT |
YTD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 2-A |
Gross Expenditures |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In-Kind |
DATE |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
PURPOSE |
AMOUNT |
|
x |
10/00/00 |
Ellen Henningsen |
717 Orton Court |
Madison |
WI |
53703 |
Misc xerox and postage stamp |
$4.63 |
|
|
11/25/00 |
Voyager.net |
P.O. Box 790352 |
St. Louis |
MO |
63179 |
Webpage and e-mail service |
$189.18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 2-B |
Contributions to Committees |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In-Kind |
DATE |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
PURPOSE |
AMOUNT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 3-A |
Incurred Obligations Excluding Loans |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
PURPOSE |
Outstanding Balance Beg of Period |
New Obligations This Period |
Payment This Period |
Outstanding Bal Close of Period |
|
12/15/00 |
Umoja |
Box 2063 |
Madison |
WI |
53701 |
ad |
$- |
40 |
0 |
40 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 3-B |
Loans: Individual, Committee or Commercial |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
Outstanding Balance Beg of Period |
Cumulative Payments This Period |
Outstanding Balance End of Period |
Guaruntor (if any) Name and Address |
|
06/29/00 |
Carol Carstensen |
720 Orton Court |
Madison |
WI |
53703 |
$3,000.00 |
0 |
3000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 3-C |
Estimated Value of In-Kind Contributions Received |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
Place of Business |
Individ or Comm |
Description of Contribution |
Estimated Amount |
Estimated YTD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 3-D |
Estimated Value of In-Kind Contributions Given |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
Place of Business |
Individ or Comm |
Description of Contribution |
Estimated Amount |
Estimated YTD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 3-E |
Contributions Returned to Contributor |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE OF ORIGINAL CONTRIB |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
Amount Returned |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SCHEDULE 3-F |
Contributions Donated to Charity or Common School Fund |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
NAME |
ADDRESS |
CITY |
ST |
ZIP |
Reason |
Amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|