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Wisconsin Association
of School Boards
School District
Election Schedule
2015 Spring Election
Supporting, Promoting and Advancing Public Education
SCHEDULE AT-A-GLANCE 2015 SPRING ELECTION
NOVEMBER 2014
25
• Deadline for Publication of Notice of Election
DECEMBER
1
• Earliest Date for Circulation of Nomination Papers, If Required
(NOTE: Nomination Papers Are Not Required in Many School Districts)
• Most Candidates will File Declarations of Candidacy, Campaign Finance
Registrations, and Nomination Papers (If Required) during this Period
• Deadline for Incumbents to File Notice of Non-Candidacy (5:00 p.m.)
• Filing of January Continuing Report by Campaign Finance Registrants
• Candidate Deadline for Filing All Documents Needed to Establish Eligibility to
Appear on the Ballot (5:00 p.m.)
• Clerk Makes Initial Determination of Candidates' Eligibility for Ballot
12 - 19 • Continuing Report Forms Mailed to Campaign Finance Registrants
• Drawing of Lots for Ballot Order; Certify Nominations to County Clerk(s)
• When a Primary is Required, Notice to Municipal Clerks of Primary Election
19 - 26 • If Primary Election is Being Held, Pre-Primary Election Report Forms Mailed
On or Before 26 • If Primary Election is Being Held, Provide Municipal Clerk with Ballots
(If Required)
27
1 - Jan. 6
26
JANUARY 2015
1 - Feb. 2
6
13
• Deadline for Filing Petition to Change Number, Apportionment or Election of School Board Members in Unified School Districts
FEBRUARY
2
• Deadline for Filing January Continuing Report
3
•
3 - 9
• Deadline for Filing Pre-Primary Election Report
3 - 17 • Reporting of Late Contributions (If Required)
10
•
On or Before 16 • If Primary Election is Being Held, Choose Board of Canvassers
16
• Notice of Primary Election
17
• Spring Primary Election
On or About 18 • Receipt of Election Materials and Other Related Duties
On or About 18 - 24
• Canvass of Primary Returns and Written Determination of Primary Results
If Delinquencies in Filing Continuing Report:
— Notify Registrants Who Have Failed to Comply
— Make List of Delinquents for Public Inspection
— Notify Regarding Discrepancies
— Compile Current List of All Reports and Statements
If Delinquencies in Filing Pre-Primary Election Report:
— Notify Registrants Who Have Failed to Comply
— Make List of Delinquents for Public Inspection
— Notify Regarding Discrepancies
— Compile Current List of All Reports and Statements
FEBRUARY (continued)
On or About 19 - 27
• Recount Request May Be Filed
On or About 20 - 27
• If Primary Election was Held, Drawing of Lots for Ballot Order
On or About 23 - 27
• If Primary Election was Held, Certify Nominations to County Clerk(s)
MARCH
9 - 16
• Pre-Election Report Forms Mailed
16
• Provide Municipal Clerk with Ballots (If Required)
24 - 30 • Deadline for Filing Pre-Election Report
24 - April 7
• Reporting Late Contributions (If Required)
31
•
If Delinquencies in Filing Pre-Election Report:
— Notify Registrants Who Have Failed to Comply
— Make a List of Delinquents for Public Inspection
— Notify Regarding Discrepancies
— Compile a Current List of All Reports and Statements
APRIL
On or Before 6
• Choose Board of Canvassers
6
• Notice of Spring Election
7
• Spring Election
After 7 • Filing Campaign Finance Termination or Suspension Report
On or About 8
• Receipt of Election Materials and Other Related Duties
8 - 14
• Canvass of Election Returns and Written Determination of Election Results
On or About 9 - 17
• Recount Request May Be Filed
On or About 13 - 17
• Notification of Election
On or Before 27 • Filing of Official Oath
27
• School Board Members Take Office
27 - May 27
• Election of School Board Officials
JUNE
22*
• Deadline for Filing Petition to Change Number, Apportionment or Election of School Board Members in Union High School Districts (*This date is the deadline if the union high
• Deadline for Filing Petition to Change Number, Apportionment or Election of School Board Members in Common School Districts (**This date is the deadline if the common district 29**
school district annual meeting is held on the third Monday in July.)
annual meeting is held on the fourth Monday in July.)
29 - July 6
• Continuing Report Forms Mailed to Campaign Finance Registrants
1 - 20
• Filing of July Continuing Report by Campaign Finance Registrants
21
•
JULY
If Delinquencies in Filing Continuing Report:
— Notify Registrants Who Have Failed to Comply
— Make a List of Delinquents for Public Inspection
— Notify Regarding Discrepancies
— Compile a Current List of All Reports and Statements
WASB SCHOOL DISTRICT
ELECTION SCHEDULE
2015 Spring Election
The Wisconsin Association of School Boards (WASB) has prepared the School District Election
Schedule as a reference for common, union high and unified school districts for use throughout
the upcoming primary and election season. The “2015 Spring Election Schedule At-A-Glance” is
included as a convenient calendar of events. Additionally, we have included a list and set of forms
from the Government Accountability Board (GAB) after page 18.
All cited references are to sections of the Wisconsin Statutes as amended to date. The references also
may be found in WASB’s Updated Wisconsin School Laws.
In addition to contacting the WASB with election-related questions, districts are encouraged
to contact their county clerks and the GAB (608-266-8005) for information on local rules,
operational matters, and related issues. School board clerks also should monitor the GAB website
for potential training opportunities and election-related publications. Regarding the latter, the
Election Administration Manual for Wisconsin Municipal Clerks may be particularly useful (available
at http://gab.wi.gov/clerk/education-training/election-administration-manual).
The WASB School District Election Schedule is designed to provide general information and
commentary as a service to members based on current law as it existed at the time of publication. It
should not be relied upon as legal advice. If legal advice is required, the services of competent legal
counsel should be obtained.
Edited by Dan Rossmiller and Dan Mallin
Published by:
WISCONSIN ASSOCIATION OF SCHOOL BOARDS, INC.
122 W. Washington Avenue, Suite 400
Madison, WI 53703
608-257-2622 or 877-705-4422 (Toll-Free)
Website: wasb.org
School District
Election Schedule
2015 Spring election
November 25, 2014
Publication of Notice of Election in Common, Union High School and Unified Districts
No later than the 4th Tuesday in November prior to the spring election, the school district clerk shall publish
a Type A notice, under s. 10.01(2)(a). See also Section 120.06(6)(b).
The purpose of this notice is to inform the public and potential candidates of the offices to be elected and
inform voters of the upcoming election. This notice must be entitled “Notice of Election” and include
the following information: (1) date of the election; (2) offices to be elected; (3) name(s) of the current
incumbent(s); (4) length of the term(s) and expiration date(s); (5) beginning date for circulating nomination
papers, if applicable; (6) deadline for filing declarations of candidacy and (if applicable) nomination papers;
(7) proper location to file declarations of candidacy and (if applicable) nomination papers; (8) statement on
where to find district boundary information; and (9) date of primary election, if required. Also, please note
that more information is required if a referendum will be held.
Note: Once you have published your Type A notice on Nov. 25, it is a good idea to send a copy to your county
clerk(s). This will alert the county clerk(s) to the fact you are having an election in the spring and the offices that
are up for election. (Please note that if your school district will be voting on a school district referendum at the
spring primary or at the spring election, the clerk(s) must publish a “Type A: Notice of Referendum Election” on the
4th Tuesday before the election at which the referendum will be on the ballot. In 2015, the 4th Tuesday before the
spring primary is January 20 and 4th Tuesday before the spring election is March 10.)
November 30, 2014
Nomination Papers Generally Not Required
All candidates for school board, including incumbents, are required to file a declaration of candidacy and a
campaign finance registration statement. However, in most Wisconsin school districts, candidates for school
board are not required to file nomination papers in addition to the declaration of candidacy and campaign
finance registration statement.
Where nomination papers are required, any qualified elector of the school district who desires to be a
candidate shall file nomination papers in the form prescribed under s. 8.10(2) and (3) with the school
district clerk at the place specified in the notice of election.
Nomination papers are required in a first class city school system (i.e., MPS). Section 119.08(2)
Nomination papers are required if a school district contains territory lying within a 2nd class city, or if
the school board or annual meeting requires nomination papers. Cities of 39,000 and less than 150,000
generally constitute cities of the 2nd class, although population alone is not determinative.
Section 62.05(1)(b)
In a school district which does not contain territory lying within a 2nd class city, the school board may, or in
a common or union high school district the school board or annual meeting may, by resolution adopted not
later than the last Tuesday in November preceding an election for members of the school board, require that
nomination papers be filed by all candidates seeking election to the school board or rescind such a resolution
if one was previously made. Section 120.06(6)(a) and (b)
WASB School District Election Schedule
3
December 2014 to January 6, 2015
Campaign Finance Law Registration, Reporting Exemptions, and Depositories
Every candidate must file a Campaign Registration Statement (GAB-1).
In addition, the following are also required to register:
(1) each committee other than a personal campaign committee; and
(2) each political group supporting or opposing a referendum which makes or accepts contributions,
incurs obligations or makes disbursements in a calendar year in an aggregate amount in excess of
$25.00; and
(3) each individual, other than a candidate or agent of a candidate, who accepts contributions, incurs
obligations or makes disbursements in a calendar year in an aggregate amount in excess of $25.00
shall file a Campaign Registration Statement (Form GAB-1) with the school district clerk.
Sections 11.05(1) and (2)
A candidate shall comply with the registration requirement no later than the time that he or she becomes a
candidate as defined in s. 11.01(1). Every candidate shall file a Campaign Registration Statement with the
school district clerk. If a candidate appoints a campaign treasurer, the Registration Statement shall be signed
by the treasurer as well. If no registration statement by or on behalf of the candidate has been filed by the
applicable deadline for filing nomination papers or a declaration of candidacy, the name of the candidate may
not appear on the ballot. Sections 8.30(2) and 11.05(2g)
Any person, committee or group which does not anticipate accepting contributions, making
disbursements or incurring obligations in excess of an aggregate total of $1000 in a calendar year, and
does not anticipate accepting contributions from a single source (other than contributions made by the
candidate himself or herself ) exceeding $100 may so indicate on the filing statement, and will then be
exempt from any further campaign finance filing requirement. Section 11.05(2r)
Each candidate in an election shall appoint a campaign treasurer and shall designate a campaign depository
account within five business days of the first contribution. Subject to certain conditions, a candidate may
serve as his or her own campaign treasurer. A candidate who serves as his or her own campaign treasurer, and
who claims the exemption from filing campaign finance reports that is permitted under s. 11.05(2r), may
designate a single personal account as his or her campaign depository account, and may intermingle personal
and other funds with campaign funds. If a separate depository account is later established by the candidate,
the candidate shall transfer all campaign funds in the personal account to the new depository account.
Sections 11.10(1) and 11.14(3)
Note: A candidate who will receive no contributions and make no disbursements is still required to file the
Campaign Registration Statement as provided in s. 11.10(1), but the candidate need not appoint a campaign
treasurer or designate a campaign depository account until the first contribution is received or disbursement
made. In order to avoid appointing a campaign treasurer and designating a depository, it is not sufficient that the
candidate qualifies for and claims the exemption from filing reports that is permitted under s. 11.05(2r). Rather,
the candidate must further receive no contributions and make no disbursements in any amount. Section 11.05(2g)
December 1, 2014
Circulation of Nomination Papers If Required
Nomination papers, if required, shall be circulated not sooner than December 1. Section 8.10(2)(a)
(See Nomination Papers Generally Not Required, p.1)
4
WASB School District Election Schedule
December 26, 2014
Incumbent Notice of Non-Candidacy
No later than 5 p.m. on the second Friday preceeding the latest time prescribed for filing declarations of
candidacy an incumbent may file written notification with the school district clerk if the incumbent is
not a candidate for reelection to his or her office. If an incumbent is not a candidate and fails to file this
notification, the deadline for filing declarations of candidacy is extended for other candidates.
Section 120.06(6)(b)3
January 1 to February 2*, 2015
Deadline for Filing Continuing Report
Campaign finance law continuing reports required under s. 11.06(1) shall be received by the school district
clerk no earlier than January 1 and no later than January 31*. This report must include all contributions
received and transactions made as of the end of December 31. Sections 11.20(4) and (8)(b)
* In 2015, January 31 falls on a Saturday. Therefore, the 2015 deadline is February 2 provided that the filing
office does not maintain hours on Saturdays.
January 6, 2015
Deadline for Filing of Declarations of Candidacy, Campaign Registration Statements,
and Nomination Papers (if required)
No later than 5 p.m. on the first Tuesday in January prior to the spring election, or on the next day if
Tuesday is a holiday, any qualified elector of the school district, including incumbents, may file a sworn
declaration of candidacy (Form GAB-162SD), campaign finance registration statement (Form GAB-1)
and nomination papers, where required, with the school district clerk in the form provided in s. 8.21 at the
place specified in the notice of the election. The district office must remain open until 5:00 p.m. to receive
candidate's filings on the day of the filing deadline (January 6, 2015).
If an incumbent fails to file a declaration of candidacy and nomination papers, where required, by January 6,
2015, and has not timely filed a notice of non-candidacy, all candidates for the office held by the incumbent,
other than the incumbent, may file a written declaration of candidacy or nomination papers, where required,
no later than 72 hours after January 6, 2015. Section 120.06(6)(b) In the event an incumbent fails to file
and also fails to file a notice of non-candidacy, the district office must remain open until 5:00 p.m. on the
day of the extended filing deadline (Friday, January 9, 2015).
In the event of a change in any of the information provided in the declaration as provided in s. 8.21, a
candidate shall file an amended declaration under oath with the school district clerk. Section 120.06(6)(b)
Once filed, a declaration of candidacy or nomination papers may not be withdrawn. Section 120.06(7)(a)
The Government Accountability Board has reviewed its interpretation of the qualifications for school board
candidates and, accordingly, has revised the Declaration of Candidacy form to create a new form (GAB-162SD)
specifically for school board candidates.
School Board Member (At-Large): To qualify to be a candidate for the school board running at large, an
individual must be a qualified elector* of the school district at the time of filing a Declaration of Candidacy.
Section 120.06(2).
School Board Member Representing an Apportioned Area: To qualify to be a candidate for the school board
running in a geographically apportioned area of the school district, an individual must be a qualified elector* of
WASB School District Election Schedule
5
the school district at the time of filing a Declaration of Candidacy and must be a resident of the apportioned area
at the time of taking office (i.e., the 4th Monday in April). Sections 120.05(1)(d) and 120.06(2), (4).
*A qualified elector is defined in s. 6.02 as a U.S. citizen, 18 years of age or older, who has resided in the election
district for at least 28 days before any election at which he or she offers to vote (and who is not disqualified by
virtue of one or more of the impediments described in s. 6.03).
Eligibility for Appearance on Ballot
The names of candidates, including incumbents, who have not timely filed declarations of candidacy and
campaign finance registration statements shall not appear on the ballot. The school district clerk may refuse
to place a candidate’s name on the ballot if the candidate: (1) is required to fill out nomination papers as
required in s. 120.06(6), but has not done so; or (2) would not qualify for office due to age, residence or
other impediment. Section 8.30
January 9, 2015
Deadline for Filing Challenges to Ballot Access Documents
Any challenge to the sufficiency of a candidate’s nomination papers, where nomination papers are required,
must made by verified complaint and must be filed with the appropriate filing officer (in this case with the
school district clerk) within 3 calendar days after the filing deadline for the challenged nomination papers.
The challenge must be established by affidavit, or other supporting evidence, demonstrating a failure to comply with statutory or other legal requirements. Section 8.07; GAB 2.07, Wis. Admin. Code
The form of the complaint and its filing must comply with the requirements of ch. GAB 20, Wis. Admin.
Code. The complainant shall file both an original and a copy of the challenge at the time of filing the
complaint; however, the failure of the complainant to provide the filing officer with a copy of the challenge
complaint will not invalidate the challenge complaint. The filing officer shall make arrangements to have
a copy of the challenge delivered to the challenged candidate within 24 hours of the filing of the challenge
complaint. The filing officer may impose a fee for the cost of photocopying the challenge and for the cost of
delivery of the challenge to the respondent.
The response to a challenge to nomination papers must be filed, by the candidate being challenged, within 3
calendar days of the filing of the challenge and must be verified.
After the deadline for filing a response to a challenge, but not later than the date for certifying candidates to
the ballot, the local filing officer shall decide the challenge with or without a hearing. Section GAB 2.07, Wis.
Admin. Code
Note: In the event there is a formal challenge to any candidate’s nomination papers (or to some other aspect of a
candidate’s eligibility to appear on the ballot), it can be helpful for the school district clerk to notify the relevant
county clerk(s) that the school district’s ability to determine ballot order and certify the candidate(s) may be delayed
until the challenge is resolved.
January 12 to January 19, 2015
Continuing Report Forms Mailed
Not earlier than January 12, 2015 nor later than January 19, 2015, the school district clerk must mail
campaign finance law continuing report forms to registrants by 1st class mail unless they have registered
under the general reporting exemption under s. 11.05(2r) or have filed a suspension report under s.
11.19(2). Whenever any notice of the filing requirements under the campaign finance law is sent to a
candidate’s campaign treasurer, the school district clerk shall also send notice to the candidate if he or she has
appointed a separate treasurer. Sections 11.22(3) and 11.20(4)
6
WASB School District Election Schedule
January 13, 2015
Verification of Declarations of Candidacy
No later than 5 p.m. on the 2nd Tuesday in January, the school district clerk shall verify the declarations
of candidacy or certify the names of the candidates who have filed valid nomination papers. In making
verifications or certifications, the school district clerk shall designate the form of each candidate’s name to
appear on the ballot in the manner prescribed in s. 7.08(2)(a). Section 120.06(7)(a)
Note: As further explained below, school district clerks should use form GAB-405 (Certificate of Nomination) to
certify to the appropriate county clerk(s) the names of ballot-eligible candidates and the order in which candidates
will appear on the ballot.
When A Primary Election is Required
The school board shall require a primary election if there are more than two candidates for any seat on a
three-member school board or more than twice as many candidates as there are members to be elected to
an unnumbered school board of more than three members. If there are more than twice as many candidates
as there are members to be elected from any area to which members are elected pursuant to a plan of
apportionment, or more than two candidates for any seat on a numbered school board, the school board
shall require a primary election for such positions. When there is a primary election, it shall be held in
conjunction with the spring primary. Section 120.06(7)(b)
Drawing of Lots for Ballot Order - for Placement on the Spring Primary Ballot (or,
Where No Primary is Required, for Placement on Spring Election Ballot)
Not later than the 2nd Tuesday in January, or the next day if the first Tuesday is a holiday, the school district
clerk shall determine the order in which the names of candidates shall appear on the ballot by supervising
the drawing of lots for placement on the spring primary ballot, or, where no primary is required, for
placement on spring election ballot. Section 120.06(8)(b)
For those offices requiring a primary, the names of the winners of the primary election will be redrawn in a
similar fashion not later than 3 days after the primary canvass to determine the order of placement on the
spring election ballot. Section 5.60(1)(b) and (4)(c)
Note: School district clerks are not required to publish a notice of the meeting at which the drawing of lots
for ballot order occurs; however, the drawing must be done publicly and a candidate has a right to be present
and witness this meeting if he or she wishes. The clerk should keep a record of the procedures followed during
the drawing. The drawing is to be random. Therefore, it would be inappropriate to, for example, simply put
candidates’ names in alphabetical order (unless they are randomly drawn in that order).
Once the time for challenging a candidate's eligibility to appear on the ballot has passed and the eligible candidates
and the ballot order are known, the school district clerk should transmit a list of certified candidates to the relevant
county clerk(s) using the GAB-405 (Certificate of Nomination) form. It is recommended that the school district
clerk also send the county clerk(s) a copy of each candidate's GAB-1 form and a copy of each candidate’s declaration
of candidacy (GAB-162SD) form. Providing this information to the county clerk(s) will help ensure that the
candidates’ names appear on the ballot correctly.
Notice to Municipal Clerks of Primary Election
The school district clerk must notify the municipal clerk of each municipality lying wholly or partially within
the school district of the primary election, if one is to be held, and of the spring election and furnish such
clerks with a copy of the notice of the school board election. Section 120.06(8)(a)
WASB School District Election Schedule
7
January 19 to 26, 2015
Pre-Primary Election Report Forms Mailed
Not earlier than January 19 nor later than January 26, the school district clerk must mail pre-primary
election report forms by 1st class mail to registrants. However, forms need not be sent to a registrant who
has made an indication that aggregate contributions, disbursements and obligations will not exceed the
general reporting exemption amount specified under s. 11.05(2r) or to a registrant who has been granted a
suspension under s. 11.19(2). Whenever any notice of the filing requirements under this chapter is sent to
a candidate's campaign treasurer, the filing officer shall also send a notice to the candidate if he or she has
appointed a separate treasurer. Sections 11.20(2) and 11.22(3)
On or Before January 26, 2015
Provide Municipal Clerk with Ballots
Where paper ballots are utilized at a spring primary or election, the school district clerk shall provide the
municipal clerk with an adequate supply of ballots at least 22 days before the primary. The primary ballot
should direct electors to “vote for one” where only one school board seat is subject to a primary election.
Where more than one school board seat is subject to a primary election, the ballot should direct electors to
vote for not more than the number of school board seats subject to the primary election. Sections 5.58(1g) and
120.06(8)(d)
(Ballots must be available by January 27, 2015 in the municipal clerk’s office for absentee voting at the spring
primary (if a primary is required). Section 7.15(1)(cm))
January 27, 2015
Deadline for Filing Petition to Change Number,
Apportionment or Election of School Board Members in Unified School Districts
At least 70 days prior to the election of school board members in a unified school district, a petition may
be filed with the school district clerk requesting a change in the number of school board members, the
establishment of a plan of apportionment, or a plan for election to numbered seats. Sections 120.02 and
120.41(2)
February 2*, 2015
Deadline for Filing January Continuing Campaign Finance Report
*The statutory deadline for filing this report is January 31. However, in 2015, January 31 falls on a Saturday.
Therefore, the 2015 deadline is February 2 provided that the filing office does not maintain hours on Saturdays.
February 3, 2015
Duties of Clerk Regarding Delinquencies in Filing Continuing Report
The school district clerk shall:
(1) Determine whether each financial report or statement required to be filed has been filed in the form
8
and by the time prescribed by law and whether it conforms on its face to the requirements. Also, the
clerk shall immediately send to any registrant who is delinquent in filing or who has filed otherwise
than in the proper form, a notice that the registrant has failed to comply. Whenever a candidate has
appointed another person as campaign treasurer, the clerk shall send notice to both persons.
Section 11.22(9);
WASB School District Election Schedule
(2) Make a list of delinquents for public inspection. Section 11.22(5);
(3) Notify the Government Accountability Board and the district attorney, in writing, of any facts
within the clerk’s knowledge or evidence in the clerk’s possession, including errors or discrepancies in
reports or statements and delinquencies in filing, which may be grounds for civil action or criminal
prosecution. Section 11.22(4); and
(4) Compile and maintain a current list of all reports and statements, or parts thereof, pertaining to each
candidate, individual, committee or group. Section 11.22(6)
February 3 to February 9, 2015
Deadline for Filing Pre-Primary Election Report
Pre-primary and pre-election reports under s. 11.06(1) shall be received by the school district clerk no earlier
than 14 days and no later than eight days preceding the primary and the election. Reports shall be received no
later than February 9, 2015. Section 11.20(2) Such reports must include all contributions and transactions made
as of the end of the 15th day preceding the primary. Section 11.20(8)(a)
February 3 to February 17, 2015
Reporting Late Contributions and Late Disbursements
If any contribution or contributions of $500 or more cumulatively are received from a single contributor
later than 15 days prior to the election or primary such that is not included in the pre-primary or preelection report, it must be reported (Form GAB-3) to the school district clerk within 48 hours of receipt.
Certain late disbursements must similarly be reported. Sections 11.12(5) and 11.12(6)
Note: Local candidate committees are not required to file this report; however, political action committees,
and groups supporting or opposing a referendum must file this report when receiving late contributions. If the
contribution is received by a local political committee or group, this report must be filed with the appropriate clerk
of the county, city, town, village or school district.
February 10, 2015
Duties of Clerk Regarding Delinquencies in Filing Pre-Primary Election Report
The school district clerk shall:
(1) Determine whether each financial report or statement required to be filed has been filed in the form
and by the time prescribed by law and whether it conforms on its face to the requirements. Also, the
clerk shall immediately send to any registrant who is delinquent in filing or who has filed otherwise
than in the proper form, a notice that the registrant has failed to comply. Whenever a candidate has
appointed another person as campaign treasurer, the clerk shall send notice to both persons.
Section 11.22(9);
(2) Make a list of delinquents for public inspection. Section 11.22(5);
(3) Notify the Government Accountability Board and the district attorney, in writing, of any facts
within the clerk’s knowledge or evidence in the clerk’s possession, including errors or discrepancies in
reports or statements and delinquencies in filing, which may be grounds for civil action or criminal
prosecution. Section 11.22(4); and
(4) Compile and maintain a current list of all reports and statements, or parts thereof, pertaining to each
candidate, individual, committee or group. Section 11.22(6)
WASB School District Election Schedule
9
On or Before February 16, 2015
Choose Board of Canvassers
The school district clerk shall choose two qualified electors prior to the date of the election being canvassed
who shall, with the school district clerk, constitute the school district board of canvassers. If the school
district clerk is a candidate at the election being canvassed, the other two members of the board of canvassers
shall designate a third member to serve in lieu of the clerk for that election. Section 7.53(3) The GAB advises
that members of the board of canvassers should be sworn in. (It is recommended that GAB-154 form be
used.)
February 16, 2015
Notice of Primary
The clerk shall publish a Class 1 notice, in accordance with Ch. 985, on the Monday before the primary
election. If publication is made in a newspaper which does not publish on Monday, publication shall be
made on the closest preceding day on which the newspaper publishes. If, due to the method of delivering
newspapers in the school district, the school district clerk determines that more effective notice will be
provided by publication at an earlier date, the school district clerk may publish the notice not earlier than
three days before the primary. The notice shall contain the following information:
(1) The date of the election;
(2) The names of all candidates in the order in which they are listed on the ballot;
(3) The location and open hours of polling places and a designation of which persons should vote at
each polling place; and
(4) A facsimile ballot and the relevant portions of the voting instructions under s. 10.02(3).
Sections 10.01(2)(b) and 120.06(8)(c)
February 17, 2015
Spring Primary
The spring primary is held on the third Tuesday in February. Section 5.02(22)
On or About February 18, 2015
Receipt of Election Materials and Other Related Duties
After the election the school district clerk shall:
(1) Receive all election materials from municipal clerk(s), including ballots (after they have been counted, reported and secured) if the school district election ballots are separate. Sections 7.51(5)(b) and 120.06(8)(e);
(2) Assure that the election returns are canvassed as required by law. Sections 7.53(3), 120.06(8)(f ), and 120.06(14); (See next section below, which relates to this subject.)
(3) Retain and later supervise the destruction of election materials from the primary, and from the spring election, pursuant to s. 7.23, insofar as applicable. Section 120.06(8)(g); and
(4) Assure that the recount of the election, if any, is conducted by the municipal and school district boards of canvassers pursuant to s. 9.01. Section 120.06(8)(h)
10
WASB School District Election Schedule
On or About February 18 to February 24, 2015*
Canvass of Election Returns and Written Determination of Primary Results
The board of canvassers shall prepare a written statement showing the numbers of votes cast for each person
for each office and for and against each question and shall prepare a determination showing the names of
the persons who have won nomination to the school board and the results of any school district referendum.
Each statement and determination shall be attested by each of the canvassers, and the statement and
determination shall be filed in the school district office. Sections 7.53(3)(a) and 120.06(14)
The board of canvassers must wait to begin its work until after the municipal clerk(s) have delivered the tally
sheets, inspectors’ statements, ballots, and applicable envelopes and materials to the school district clerk. The
municipal clerks are generally required to deliver these materials no later than 4 p.m. on the day after the
election. Sections 7.51(5)(b) and 7.53(3)(a)
The latest possible date and time that the canvass may commence is 9 a.m. on the Tuesday after the election.
Section 7.53(3)(a)
Once the canvassing of the election begins, it is to continue, without adjournment, until it is completed.
However, as an exception to this rule, if the board of canvassers has met before 4 p.m. on the Monday after
the election and thereafter receives amended statements, tally sheets, and lists from a municipal clerk for
provisional or absentee ballots that are eligible to be counted under s. 6.97 (4) or s. 7.515(6)(b), then the
board of canvassers must reconvene no later than 9 a.m. on the Tuesday after the election and adjust the
returns accordingly. Sections 7.51(5)(b) and 7.53(3)(a)
Note: Districts are encouraged to carefully review section 7.53(3)(a) of the Wisconsin Statutes. In order to be
certain that the board of canvassers will avoid the need to reconvene to adjust the returns to account for provisional
or absentee ballots, as further described in the above paragraph, the meeting of the board of canvassers would have
to be scheduled to begin either: (1) at 4 p.m. or later on the Monday after the election; or (2) at 9 a.m. or earlier
on the Tuesday after the election. When scheduling the meeting of the board of canvassers, school district clerks are
encouraged to coordinate with the applicable municipal clerks regarding any outstanding provisional or absentee
ballots that are eligible to be counted under s. 6.97 (4) or s. 7.515(6)(b).
In all cases, the board of canvassers must complete the canvass and prepare its statements and determinations
no later than 4 p.m. on the Tuesday after the election. Section 7.53(3)(a)
A duly selected and convened board of canvassers may constitute a governmental body for the purposes
of the open meetings law. As such, a meeting of the board of canvassers would be subject to the notice
provisions under the open meetings law. Sections 19.83 and 19.84
*Due to statutory changes related to the conduct of canvassing, this section indicates an approximate timeline for
conducting the canvass. The ending date of the canvass will determine the timeline for recount requests.
Written Determination of Primary Results
The board of canvassers shall prepare a written statement certifying the names of the persons who have
won nomination to the school board. Section 7.53(3)
On or About February 19 to February 27, 2015
Recount Request
Any candidate voted for at any election may request a recount. The petitioner shall file a verified petition
or petitions accompanied by the fee prescribed by law, if any, with the school district clerk not earlier than
the time of completion of the canvass and not later than 5 p.m. on the third business day following the last
meeting day of the board of canvassers determining the election for that office. Section 9.01(1)(a)
WASB School District Election Schedule
11
On or About February 20 to February 27, 2015
Drawing of Lots for Ballot Order
Not later than the third day following the completion of the canvass of the primary election, if a primary is
held, the school district clerk shall determine order in which the names of the candidates for school board
seats are printed on the ballot by supervising the drawing of lots. Section 5.60(4)(c)
Note: Sections 5.60(4)(c) and 120.06(8)(b) appear to be in conflict. Section 120.06(8)(b) calls for the school
board clerk to supervise the drawing of lots not later than the second day following the completion of the canvass
of the primary election, if any. The timeline in section 5.60(4)(c) appears to better account for the three days a
candidate is allowed to petition for a recount. In the event of a recount, it is recommended that you contact the
Government Accountability Board for advice on scheduling the drawing of lots for ballot order.
On or About February 23 to February 27, 2015
Clerk Certifies Nomination
As soon as the deadline for filing a petition for a recount has passed, the school district clerk shall certify
nominations after the primary. When a valid petition for a recount is filed, the school district clerk shall not
certify the nomination for the office in question until the recount has been completed and the time allowed
for filing an appeal has passed, or is appealed until the appeal is decided. Section 7.53(3) and (4)
(In a first class city school district -- i.e., MPS -- the municipal board of canvassers or election commissioners
certifies nominations after each primary election. Section 7.53(3)(b) )
Note: Generally, the certification will occur by end of day on February 27; however, if the canvass of the primary
can be completed earlier and there is no recount request, the certification of nominations can occur earlier. School
district clerks should use form GAB-405 (Certificate of Nomination) to certify the spring election candidates to the
appropriate county clerk(s).
March 9 to March 16, 2015
Pre-Election Report Forms Mailed
Not earlier than March 9 nor later than March 16, the school district clerk must mail pre-election report
forms to registrants by 1st class mail. However, forms need not be sent to a registrant who has made an
indication that aggregate contributions, disbursements and obligations will not exceed the general reporting
exemption amount specified under s. 11.05(2r) or to a registrant who has been granted a suspension under
s. 11.19(2). Whenever any notice of the filing requirements under this chapter is sent to a candidate’s
campaign treasurer, the filing officer shall also send a notice to the candidate if he or she has appointed
a separate treasurer. Sections 11.20(2) and 11.22(3)
On or Before March 16, 2015
Provide Municipal Clerk with Ballots
Where paper ballots are utilized, the school district clerk shall provide the municipal clerk an adequate
supply of ballots for the spring election at least 22 days before the election. Sections 5.60(4) and 120.06(8)(d)
(Ballots must be available by March 17, 2015 in the municipal clerk’s office for absentee voting at the spring election. Section
7.15(1)(cm))
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WASB School District Election Schedule
March 24 to March 30, 2015
Deadline for Filing Pre-Election Report
Pre-election reports under s. 11.06(1) shall be received by the school district clerk no earlier than 14 days
and no later than eight days preceding the election. Reports shall be received no later than March 30. Such
reports must include all contributions and transactions made as of the end of the 15th day preceeding the
election. Section 11.20(2) and (8)(a)
March 24 to April 7, 2015
Reporting Late Contributions and Late Disbursements
If any contribution or contributions of $500 or more cumulatively are received from a single contributor
later than 15 days prior to the election or primary such that is not included in the pre-primary or preelection report, it must be reported (Form GAB-3) to the school district clerk within 48 hours of receipt.
Certain late disbursements must similarly be reported. Sections 11.12(5) and 11.12(6)
Note: Local candidate committees are not required to file this report; however, political action committees, and
groups supporting or opposing a referendum must file this report when receiving late contributions. Per the
instructions on Form GAB 3, if the contribution is received by a local political committee or group, this report
must be filed with the appropriate clerk of the county, city, town, village or school district.
March 31, 2015
Duties of Clerk Regarding Delinquencies in Filing Pre-Election Report
The school district clerk shall:
(1) Determine whether each financial report or statement required to be filed has been filed in the
form and by the time prescribed by law and whether it conforms on its face to the requirements of
this chapter. Also, the clerk shall immediately send to any registrant who is delinquent in filing or
who has filed otherwise than in the proper form, a notice that the registrant has failed to comply.
Whenever a candidate has appointed another person as campaign treasurer, the clerk shall send
notice to both persons. Section 11.22(9);
(2) Make a list of delinquents for public inspection. Section 11.22(5);
(3) Notify the Government Accountability Board and the district attorney, in writing, of any facts
within the clerk’s knowledge or evidence in the clerk’s possession, including errors or discrepancies in
reports or statements and delinquencies in filing, which may be grounds for civil action or criminal
prosecution. Section 11.22(4); and
(4) Compile and maintain a current list of all reports and statements, or parts thereof, pertaining to each
candidate, individual, committee or group. Section 11.22(6)
On or Before April 6, 2015
Choose Board of Canvassers
The school district clerk shall choose two qualified electors prior to the date of the election being canvassed
who shall, along with the school district clerk, constitute the school district board of canvassers. If the
school district clerk is a candidate at the election being canvassed, the other two members of the board of
canvassers shall designate a third member to serve in lieu of the clerk for that election. Section 7.53(3) The
GAB advises that members of the board of canvassers should be sworn in. (It is recommended that form
GAB-154 be used for this.)
WASB School District Election Schedule
13
April 6, 2015
Notice of Spring Election
The clerk shall publish a Class 1 notice, in accordance with Ch. 985, on the Monday before the spring
election. If publication is made in a newspaper which does not publish on Monday, publication shall be
made on the closest preceding day on which the newspaper publishes. If, due to the method of delivering
newspapers in the school district, the school district clerk determines that more effective notice will be
provided by publication at an earlier date, the school district clerk may publish the notice not earlier than
three days before the election. The notice shall contain the following information:
(1) The date of the election;
(2) The names of all candidates in the order in which they are listed on the ballot;
(3) The location and open hours of polling places and a designation of which persons should vote at
each polling place; and
(4) A facsimile ballot and the relevant portions of the voting instructions under s. 10.02(3).
Sections 10.01(2)(b), 10.01(2)(d), and 120.06(8)(c)
April 7, 2015
Spring Election
The spring election is held on the first Tuesday in April. Section 5.02(21)
After April 7, 2015
Filing Campaign Finance Termination or Suspension Report
Whenever any registrant disbands or determines that obligations will no longer be incurred, contributions
will no longer be received or disbursements made, and the registrant has no outstanding incurred
obligations, the registrant shall file a termination report with the school district clerk. The termination
report must indicate a cash balance on hand of zero at the end of the reporting period, and must indicate the
disposition of residual funds. Residual funds may be used for any legal political purpose, returned to the donors
in an amount not exceeding the original contribution or donated to a charitable organization or the common
school fund.
Any registrant who determines that obligations will no longer be incurred, contributions received or
disbursements made in an aggregate amount of more than $1,000 in the applicable calendar year may file
a suspension report with the board clerk. A suspension is effective only for the calendar year in which it is
granted, unless the registrant changes its filing status before the end of that year or files a termination report.
If a termination or suspension report is not filed and the registrant has not claimed an exemption from
filing campaign finance reports, the registrant must continue to file periodic reports with the clerk.
Sections 11.19(1) and (2)
On or About April 8, 2015
Receipt of Election Materials and Other Related Duties
After the election the school district clerk shall:
14
(1) Receive all election materials from municipal clerk(s), including ballots (after they have been counted, reported and secured) if the school district election ballots are separate. Sections 7.51(5)(b) and 120.06(8)(e);
WASB School District Election Schedule
(2) Assure that the election returns are canvassed as required by law. Sections 7.53(3), 120.06(8)(f ), and 120.06(14); (See next section below, which relates to this subject.)
(3) Retain and later supervise the destruction of election materials from the primary, and from the spring election, pursuant to s. 7.23, insofar as applicable. Section 120.06(8)(g); and
(4) Assure that the recount of the election, if any, is conducted by the municipal and school district boards of canvassers pursuant to s. 9.01. Section 120.06(8)(h)
April 8 to April 14, 2015*
Canvass of Election Returns and Written Determination of Election Results
The board of canvassers shall prepare a written statement showing the numbers of votes cast for each person
for each office and for and against each question and shall prepare a determination showing the names of the
persons who are elected to the school board and the results of any school district referendum. Each statement
and determination shall be attested by each of the canvassers, and the statement and determination shall be
filed in the school district office. Sections 7.53(3)(a) and 120.06(14)
The board of canvassers must wait to begin its work until after the municipal clerk(s) have delivered the tally
sheets, inspectors’ statements, ballots, and applicable envelopes and materials to the school district clerk. The
municipal clerks are generally required to deliver these materials no later than 4 p.m. on the day after the
election. Sections 7.51(5)(b) and 7.53(3)(a)
The latest possible date and time that the canvass may commence is 9 a.m. on the Tuesday after the election.
Section 7.53(3)(a)
Once the canvassing of the election begins, it is to continue, without adjournment, until it is complete.
However, as an exception to this rule, if the board of canvassers has met before 4 p.m. on the Monday after
the election and thereafter receives amended statements, tally sheets, and lists from a municipal clerk for provisional or absentee ballots that are eligible to be counted under s. 6.97 (4) or s. 7.515(6)(b), then the board
of canvassers must reconvene no later than 9 a.m. on the Tuesday after the election and adjust the returns
accordingly. Sections 7.51(5)(b) and 7.53(3)(a)
Note: Districts are encouraged to carefully review section 7.53(3)(a) of the Wisconsin Statutes. In order to be
certain that the board of canvassers will avoid the need to reconvene to adjust the returns to account for provisional
or absentee ballots, as further described in the above paragraph, the meeting of the board of canvassers would have
to be scheduled to begin either (1) at 4 p.m. or later on the Monday after the election, or (2) at 9 a.m. or earlier
on the Tuesday after the election. When scheduling the meeting of the board of canvassers, school district clerks are
encouraged to coordinate with the applicable municipal clerks regarding any outstanding provisional or absentee
ballots that are eligible to be counted under s. 6.97 (4) or s. 7.515(6)(b).
In all cases, the board of canvassers must complete the canvass and prepare its statements and determinations
no later than 4 p.m. on the Tuesday after the election. Section 7.53(3)(a)
A duly selected and convened board of canvassers may constitute a governmental body for the purposes of
the open meetings law. As such, a meeting of the board of canvassers would be subject to the notice provisions under the open meetings law. Sections 19.83 and 19.84
*Due to statutory changes related to the conduct of canvassing, this section indicates an approximate timeline for
conducting the canvass. The ending date of the canvass will determine the timeline for recount requests.
WASB School District Election Schedule
15
Written Determination of Election Results
The board of canvassers shall prepare a written statement and determination of the results of the election and
shall file them in the school district office. Sections 7.53(3)(a) and 120.06(14)
On or About April 9 to April 17, 2015
Recount Request
Any candidate voted for at any election may request a recount. The petitioner shall file a verified petition
or petitions accompanied by the fee prescribed by law, if any, with the school district clerk not earlier than
the time of completion of the canvass and not later than 5 p.m. on the third business day following the last
meeting day of the board of canvassers determining the election for that office. Section 9.01(1)
On or about April 13 to April 17, 2015
Notification of Election
As soon as the deadline for filing a petition for a recount has passed, the school district clerk shall issue
promptly a certificate of election to each person elected to any office. When a valid petition for a recount is
filed, the municipal clerk shall not issue the certificate of election for the office in question until the recount
has been completed and the time allowed for filing an appeal has passed, or if appealed until the appeal is
decided. Sections 7.53(3)*, 7.53(4) and 120.06(10)*
*The deadlines for issuing a certificate of election, as expressed differently in s. 7.53(3) and s. 120.06(10), should
be harmonized by issuing the certificates as soon as the recount petition deadline passes or, if applicable, as soon as
the recount process is completed.
(In a first class city school district --i.e., MPS -- the municipal board of canvassers or election commissioners
issues certificates of election to persons elected to the MPS board of school directors. Section 7.53 (3)(b))
On or Before April 27, 2015
Filing of Official Oath
On or prior to the fourth Monday in April, a school board member shall take and file the official oath. The
school district clerk has authority to administer the oath of office. A notary public or other person with the
authority to administer the oath may also administer the oath to members. The forms of the oath are set
out in s. 19.01. An official oath form (GAB-154) is included with other Government Accountability Board
forms. Sections 120.06(4), 120.06(10), 120.17(10), 120.42(2) and 887.01(1)
April 27, 2015
School Board Members Take Office
School board members take office, provided they have taken and filed the official oath, on the fourth
Monday in April. Sections 120.06(4) and 120.42(2)
April 27 to May 27, 2015
Election of School Board Officials
In the case of a common or union high school district school board with more than three members, the
school board shall annually elect a school district president, vice president, treasurer, and clerk from among
its members at a school board meeting held on or within 30 days after the fourth Monday in April.
Section 120.05(1)(c)
Annually, on or within 30 days after the 4th Monday in April, the school board in a unified school district
16
WASB School District Election Schedule
shall elect a school district president, vice president, clerk, and treasurer from among its members and a
school board secretary who need not be a member of the school board. Section 120.43(1)
The clerk shall report the name and post office address of each officer of the school district, within 10
days after the election or appointment of the officer, to the clerk and treasurer of each municipality having
territory within the school district. Sections 120.17(1) and 120.44(2)
The clerk, secretary, or other administrative officer of the school district shall provide the county clerk with
the name, phone number, email address, and post-office address of local officials. Section 59.23(2)(s)
June 22, 2015*
Deadline for Filing Petition to Change Number, Apportionment
or Election of School Board Members in Union High School Districts
At least 30 days prior to the annual meeting in a union high school district, a petition requesting a change in
the number of school board members, the establishment of a plan of apportionment, or a plan for election
from numbered seats may be filed with the board clerk. Sections 120.02 and 120.08(1)
Note: By statute, when the last day for filing a document with any officer or agent of any school district falls on a
Saturday and the duly established official office hours of such officer or agent, to which the document is required to
be filed, do not include any office hours thereof on such Saturday, the filing may be done on the next succeeding day
that is not a Sunday or a legal holiday. Section 990.001(4)(c)
* This date is the deadline if the union high school district annual meeting is held on the third Monday in July and if the district
office is closed on Saturday, June 20, 2015.
June 29, 2015 **
Deadline for Filing Petition to Change Number, Apportionment or
Election of School Board Members in Common School Districts
At least 30 days prior to the annual meeting in a common high school district, a petition requesting a change
in the number of school board members, the establishment of a plan of apportionment, or a plan for election
from numbered seats may be filed with the board clerk. Sections 120.02 and 120.08(1)
Note: By statute, when the last day for filing a document with any officer or agent of any school district falls on a
Saturday and the duly established official office hours of such officer or agent, to which the document is required to
be filed, do not include any office hours thereof on such Saturday, the filing may be done on the next succeeding day
that is not a Sunday or a legal holiday. Section 990.001(4)(c)
** This date is the deadline if the common district annual meeting is held on the fourth Monday in July and if the district office is
closed on Saturday, June 27, 2015.
June 29 to July 6, 2015
Continuing Report Forms Mailed
(See notation on filing campaign finance termination report and avoiding this continuing report requirement.)
Not earlier than June 29 nor later than July 6, the school district clerk must mail campaign finance law
continuing report forms by 1st class mail to registrants. However, forms need not be sent to a registrant who
has made an indication that aggregate contributions, disbursements and obligations will not exceed the
general reporting exemption amount specified under s. 11.05(2r) or to a registrant who has been granted a
suspension under s. 11.19(2). Whenever any notice of the filing requirements under this chapter is sent to
a candidate’s campaign treasurer, the filing officer shall also send a notice to the candidate if he or she has
appointed a separate treasurer. Sections 11.20(4) and 11.22(3)
WASB School District Election Schedule
17
July 1 to July 20, 2015
Deadline for Filing of Continuing Report
(See notation on filing campaign finance termination report and avoiding this continuing report requirement.)
Campaign finance law continuing reports shall be received by the school district clerk no earlier than July 1
and no later than July 20. This report must include all contributions received and transactions made as of the
end of June 30. Section 11.20(4)
July 21, 2015
Duties of Clerk Regarding Delinquencies in Filing Continuing Report
The school district clerk must:
(1) Determine whether each financial report or statement required to be filed has been filed in the form
and by the time prescribed by law, and whether it conforms on its face to the requirements of the
campaign finance law. Also, the clerk shall immediately send to any registrant who is delinquent in
filing, or who has filed otherwise than in the proper form, a notice that the registrant has failed to
comply. Whenever a candidatehas appointed another person as campaign treasurer, the clerk shall
send notice to both persons. Section 11.22(9);
(2) Make a list of delinquents for public inspection. Section 11.22(5);
(3) Notify the Government Accountability Board and the district attorney, in writing, of any facts
within the clerk’s knowledge or evidence in the clerk’s possession including errors or discrepancies in
reports or statements and delinquencies in filing which may be grounds for civil action or criminal
prosecution. Section 11.22(4); and
(4) Compile a current list of all reports and statements pertaining to each candidate, individual,
committee or group. Section 11.22(6)
18
WASB School District Election Schedule
Government Accountability
Board Forms
Ballot Access Checklist for School District Candidates (GABIS-5)
Campaign Finance Checklist - School Districts (GABIS-8)
Campaign Registration Statement (GAB-1)
Declaration of Candidacy (GAB-162SD)
Nomination Paper for Nonpartisan Office (GAB-169)
Notification of Noncandidacy (GAB-163)
Campaign Finance Report (GAB-2L) and Campaign Finance No Activity Report (GAB-2a)
Special Report of Late Contribution (GAB-3)
Certificate of Nomination (EB-405/GAB-405)
School Board Primary Ballot, At-Large (GAB-222)
School Board Primary Ballot, Numbered Seats (GAB-223)
School Board Primary Ballot, Apportioned Seats (GAB-224)
School Board Election Ballot, At-Large (GAB-225)
School Board Election Ballot, Numbered Seats (GAB-226)
School Board Election Ballot, Apportioned Seats (GAB-227)
Tabular Statement of Votes Cast (GAB-106)
Statement of the Municipal Board of Canvassers (GAB-106/AP)
Certificate of Election (GAB-153)
Official Oath (GAB-154)
BALLOT ACCESS CHECKLIST
FOR 2015
SCHOOL DISTRICT CANDIDATES
Each of the following forms must be completed and filed on time by candidates for school
district office in order for the candidate's name to be placed on the ballot at the February 17,
2015 Spring Primary and the April 7, 2015 Spring Election.
The filing officer for school district offices is the school district clerk. Candidates should
contact their filing officer for further information or to obtain any of the necessary forms.
All school district candidates must:


Complete and submit a Campaign Registration Statement (Form GAB-1) to the filing
officer no later than 5:00 p.m. on Tuesday, January 6, 2015.
 New candidates should file a campaign registration statement as soon as intent to
seek elective office is known and before funds are collected or spent
Wis. Stat. §§ 11.05(2g), 11.10(1).
 Continuing candidates should file an amended campaign registration statement
indicating the office sought and the new primary and election dates. A current form
must be filed with the filing officer by January 6, 2015, or the candidate's name will
not be placed on the ballot. If the form is faxed or emailed, the original document
must follow postmarked no later than January 6, 2015. Wis. Stat. §§ 8.10(5),
8.30(2), 120.06(6)(b), Wis. Admin. Code GAB § 6.04.
Complete and submit a Declaration of Candidacy (Form GAB-162SD) to the filing
officer no later than 5:00 p.m. on Tuesday, January 6, 2015. If this form is not filed
with the filing officer by January 6, 2015, the candidate's name will not be placed on the
ballot. If the form is faxed or emailed, the original document must follow postmarked no
later than January 6, 2015. Wis. Stat. §§ 8.10(5), 8.21, 8.30(4), 120.06(6)(b), Wis.
Admin. Code GAB § 6.04.
If nomination papers are used, a school district candidate must also:

Circulate and submit Nomination Paper for Nonpartisan Office (Form GAB-169) to the
filing officer. Original nomination papers (no photocopies, faxes, or emailed documents)
must be received by the filing officer no later than 5:00 p.m. on Tuesday, January 6,
2015. Nomination papers may not be circulated before December 1, 2014. If nomination
papers are not filed with the school district clerk (where required) by January 6, 2015, the
candidate's name will not be placed on the ballot. Wis. Stat. §§ 8.10(2), 120.06(6)(b),
Wis. Admin. Code GAB § 6.04(2).
Note: All candidates should file a Campaign Registration Statement (Form GAB-1) or
amended statement before circulating nomination papers.
The number of signatures required on nomination papers is as follows:
Board of school directors - 1st class cities
School district officer - with territory within a 2nd class city
School district officer - with no territory within a 1st
or 2nd class city
400 - 800
100 - 200
20 - 100
GABIS-5 | Rev 2014-08 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 | web: gab.wi.gov | email: [email protected]
CAMPAIGN FINANCE CHECKLIST
FOR 2015 MUNICIPAL AND
SCHOOL DISTRICT CANDIDATES
Candidates should determine if they are required to make financial disclosure reports.
For Milwaukee City offices, the filing officer is the Milwaukee City Board of Election
Commissioners. For all other municipal offices the filing officer is the municipal clerk. For school
district offices, the filing officer is the school district clerk. Candidates should contact their filing
officer for further information or to obtain any of the necessary forms.
If NOT eligible for exemption from reporting requirements:

Obtain a copy of the Campaign Finance Overview – Local Candidates Manual from
your filing officer and carefully review it with your treasurer.

Complete and submit a January Continuing Campaign Finance Report (Form GAB-2L)
to the filing officer no later than February 2, 2015, if registered before January 1, 2015.
This report covers activity from July 1, 2014, or the date of registration (whichever is later),
through December 31, 2014. Wis. Stat. §11.20(4).

Complete and submit a Pre-Primary Campaign Finance Report (Form GAB-2L) to the
filing officer no later than February 9, 2015, if a primary is held. This report covers activity
from January 1, 2015, through February 2, 2015.

Complete and submit a Pre-Election Campaign Finance Report (Form GAB-2L) to
the filing officer, no later than March 30, 2015. This report covers activity from February 3,
2015, through March 23, 2015, if a primary is held, or January 1, 2015, through March 23,
2015, if no primary is held.

Complete and submit a July Continuing Campaign Finance Report (Form GAB-2L)
to the filing officer no later than July 20, 2015. This report covers activity from March 24,
2015, through June 30, 2015.

Committees must file “Continuing Reports” until a termination report (GAB-2L) is filed.
GABIS-8 | Rev 2014-08 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 | web: gab.wi.gov | email: [email protected]
CAMPAIGN REGISTRATION STATEMENT
STATE OF WISCONSIN
GAB-1
FOR OFFICE USE ONLY
IF A CANDIDATE DOES NOT FILE THIS STATEMENT BY THE DEADLINE FOR FILING NOMINATION PAPERS,
THE CANDIDATE’S NAME WILL NOT BE PLACED ON THE BALLOT.
NOTICE: ANY CHANGE OF INFORMATION ON THIS REGISTRATION STATEMENT MUST BE FILED WITHIN 10 DAYS.
IS THIS AN AMENDMENT?


Yes
No
1. CANDIDATE AND CANDIDATE COMMITTEE INFORMATION
Name of Candidate
Party Affiliation
Office Sought (include district or branch number)
Residence Address (number and street)
Primary Date
Candidate Telephone Number (residence)
City, State and Zip Code
Election Date
Candidate Telephone Number (employment)
Campaign Committee Name (if any)
Check One:
 Personal Campaign Committee

Support Committee
Campaign Committee Address (if different than above) - Number, Street, City, State and Zip Code
Candidate Email Address
Committee Email Address
Telephone Number (if different than above)
2. POLITICAL COMMITTEE INFORMATION
(For use ONLY by Political Action Committees, Political Party Committees, Political Groups, etc.)
Name of Committee
Address - Number, Street, City, State and Zip Code
Telephone Number
Committee Email Address
Sponsoring Organization - Name and Complete Address
Acronym (if any)
Type of Committee:
A.

B.

C.

D.

E.

F.
G.


Special Interest Committee (PAC)



Resident Committee
Nonresident Committee – (Must also file GAB-40 with WI Secretary of State’s Office)
Incorporated Labor Organization - Attach Information Required by s.11.05(3)(n), Stats.
Political Party Committee

National

State

County

Other ___________________________________________
Legislative Campaign Committee – Attach Statement Required by s.11.05(3)(o), Stats.
Political Group (Referendum) __________________________________________
Name of Referendum
Recall Committee ____________________________________________________
Name of Officer Subject to Recall
- Attach Statement Required by s.9.10(2)(d)

Support

Oppose

Support Recall

Oppose Recall
Independent Disbursement Committee - Also, Complete Oath of Independent Expenditures, Form GAB-6
Individual - Also, Complete Oath of Independent Expenditures, Form GAB-6
GAB-1 (Rev. 4/2014)
THIS FORM IS PRESCRIBED BY: WISCONSIN GOVERNMENT ACCOUNTABILITY BOARD
P.O. Box 7984, Madison, WI 53707-7984
Phone: 608-261-2028 | Fax: 608-264-9319 | web: https://cfis.wi.gov | email: [email protected]
3. COMMITTEE TREASURER (Campaign finance correspondence is mailed to this address.)
Treasurer’s Name
Telephone Number (residence)
Address (number and street)
Telephone Number (employment)
City, State and Zip Code
Treasurer Email Address
4. PRINCIPAL OFFICERS OF COMMITTEE AND OTHER CUSTODIANS OF BOOKS AND ACCOUNTS
Attach additional listing if necessary. Indicate which officers or committee members are authorized to fill a vacancy in nomination due to death of candidate by an
asterisk(*). This provision only applies to independent and local nonpartisan candidates. s.8.35, Stats.
NAME
MAILING ADDRESS
Email Address
Phone #
POSITION
5. DEPOSITORY INFORMATION
Name of Financial Institution
Account Number (Attach list of any additional accounts and deposit boxes, location, type and number,
i.e., savings, checking, money market, etc.)
Address (number and street)
City, State and Zip Code
CERTIFICATION
TREASURER
I, _________________________________ (print full name) certify the information in this statement is true, correct and complete.
Signature ____________________________________, Treasurer
____________________________________
Date
CANDIDATE (or recall petitioner)
I, __________________________________(print full name) certify the information in this statement is true, correct and complete,
and that this is the only committee authorized to act on my behalf.
Signature ____________________________________, Candidate/Petitioner
____________________________
Date
+ + + EXEMPTION FROM FILING CAMPAIGN FINANCE REPORTS §11.05(2r), Wis. Stats. + + +
You may be eligible for an exemption from filing campaign finance reports. Consult the Campaign Finance Instruction and
Bookkeeping Manual to determine if the registrant qualifies for exemption.

This registrant is eligible for exemption. This registrant will not accept contributions, make disbursements or incur obligations in an
aggregate amount of more than $1,000 in a calendar year or accept any contribution or cumulative contributions of more than $100 from
a single source during the calendar year, except contributions by a candidate to his or her campaign of $1,000 or less in a calendar year.

This registrant is no longer eligible to claim exemption.
____________________________________________________________
Signature of Candidate or Treasurer
_____________________________________
Date
THE INFORMATION ON THIS FORM IS REQUIRED BY §§9.10(2)(d), 11.05, 11.06(7), WIS. STATS. FAILURE TO PROVIDE
THE INFORMATION MAY SUBJECT YOU TO THE PENALTIES OF §§8.30(2), 11.60, 11.61, 11.66, WIS. STATS.
CAMPAIGN REGISTRATION STATEMENT (GAB-1) INSTRUCTIONS
Who Must Register
Candidates
Non-candidate
committees
Referenda
committees
When
As soon as they form the intent to run
for office. Prior to raising or spending
any funds, beyond those needed to open
a bank account
Before spending or taking in more than
$300
Before spending or taking in more than
$2,500
Where
Local office or referenda- with the local
clerk (town, village, city, school)
State office or statewide referenda – with
the Government Accountability Board
For a mix of state and local offices – with
the Government Accountability Board
Completing a Registration Statement
Section 1: Candidate and Candidate Committee Information - Section 1 should be completed by candidate committees only.

Campaign Committee Name – Any candidate that accepts a donation must have a committee. Any
communication (flyers, newspaper ads, website) requires a disclaimer ‘Paid for by Committee name, individual
name, treasurer’.
o Candidates are only allowed one active committee for all state and local offices sought. If you are
seeking multiple offices (town, county, school board), or plan to seek another office in the future, you
may want to consider a generic committee name without the name of the office sought such as ‘Friends
of …’, or ‘Committee to Elect ….’. This will allow you to keep the same committee name for various
offices.
o Your committee name does not have to include your last name, but including your last name makes
searching for your committee easier.
Section 2: Non-Candidate Committee Information - Section 2 should be completed by non-candidate committees only.


A. Special Interest Committee (PAC)
o PACs may receive money from individuals or other PACs, and contribute money directly to candidates.
PACs may not accept money from corporations, including LLCs.
o Committees intending to make only independent disbursements, without contributing to or coordinating
with candidate committees, should register as an Independent Disbursement committee, letter F below.
o A resident committee is based in Wisconsin and must report all receipts and expenses.
o A non-resident committee is based outside of Wisconsin and must report only receipts from Wisconsin
residents and expenses in Wisconsin state-level contests. A non-resident committee does not have to
report cash balances. A non-resident committee must also file a GAB-40 form with the Wisconsin
Secretary of State.
B. Political Party Committee
o To use the name of one of the recognized political parties in Wisconsin – Constitution, Democratic,
Libertarian, or Republican, you must have permission from the state party.

F. Independent Disbursement Committee
o Committees making only independent disbursements may not contribute to or coordinate with candidate
committees. These committees may accept unlimited contributions from individuals and from
corporations. Before spending any money for or against a candidate, an Independent Disbursement
committee must file a notarized GAB-6 Oath of Independent Disbursement stating whether they support
or oppose the candidate.
Section 3. Campaign Treasurer - Section 3 should be completed by all committees.
All committees must name a treasurer. A Candidate may designate any elector to serve as their treasurer, or the candidate may server as
his/her own treasurer. It is important that the treasurer’s name, complete address, telephone number and email address be provided on the
registration statement and be kept current. All notices and forms for campaign finance reports will be sent to this person at the
address given in this section. Failure to receive notice of the filing requirement does not exempt a candidate from the requirement to file
the reports.
Item 4. Principal Officers of the Committee and Other Custodians of Books and Accounts (Optional)
If the committee has officers or other contacts besides the treasurer, they should be listed in Item 4. For a recall committee, the recall
petitioner must be included here. The G.A.B. recommends that you provide more than one person’s contact information.
Item 5. Depository Information (MANDATORY)
In some cases, banks may require a completed GAB-1 registration form to open a bank account. Your committee may register without a
bank account, but the GAB-1 form must be amended within 10 days to report any change, including a new bank account number.
Failure to provide depository information within 5 business days of the first donation and before making any disbursements may
disqualify a candidate for ballot placement. (Wis. Stats. §11.10(1))
In general, all committees must have and provide a campaign depository account number. One of three things must be entered here:
1. Separate Campaign bank account
o This account may be used only for campaign funds
o The bank may require an Employer Identification Number (EIN) from the IRS to open a committee
account
2. Only Candidates may use a personal bank account
o This is allowed only if the candidate is claiming the exemption from filing finance reports (under $1,000
of receipts, under $1,000 expenses, no more than $100 from a single source)
3. Only Candidates are allowed to not have a bank account, but only if:
o The candidate will receive no contributions and make no disbursements. No communications may be
authorized or distributed. This includes in-kind contributions and expenses.
o The candidate must claim exemption by checking the appropriate box on this form.
o The candidate should add a hand-written statement to the form that he or she will spend no money.
Candidates running for more than one elected office are only allowed one campaign depository account. All contributions and all
disbursements for all offices must be run through the one account.
Certification
The candidate and committee treasurer must sign the original registration statement of a personal campaign committee or a support
committee certifying that the information is true, correct, and complete, and that the committee is the only committee authorized to act on
the candidate’s behalf. For a recall committee, the recall petitioner and the treasurer must both sign. A candidate serving as his/her own
treasurer only needs to sign once. Non-candidate committees require only the treasurer’s signature. Amendments to the registration may be
signed by either the candidate or treasurer. If there is a change in treasurer, the new treasurer should sign.
Exemption From Filing Campaign Finance Reports
All committees must file campaign finance reports, unless they check the box to claim exemption and remain within those limits.
o A non-candidate committee may not accept more than $100 from any single source (individual or
committee) in one calendar year.
o A candidate committee may not accept more than $100 from any other single source (individual or
committee) in a calendar year. The candidate may contribute up to $1000 to their own committee.
o A committee may not spend more than $1000 total in a calendar year.
o A referenda committee that does not accept contributions, make disbursements, or incur obligations of more
than $2,500 is not required to register or file campaign finance reports. Referenda committees over this
threshold may not claim exemption – they must register and file all required reports.
If a committee on exempt status exceeds any of the limits listed above:
o The committee must immediately file an amended GAB-1 with the appropriate filing officer, revoking the
exempt status.
o The committee must report all campaign finance activity back to the beginning of the calendar year. Any
reports past their deadline that were not filed should be filed as soon as possible.
If a committee filed reports for the previous calendar year, and wishes to go on exempt status for the upcoming year, the committee must
file a January Continuing report covering all activity through December 31 st. Include an updated GAB-1 requesting exempt status for the
upcoming year.
Amending a Registration Statement
When any of the information reported on the registration statement changes the statement must be amended by filing a new GAB-1. The
candidate or treasurer must file the new GAB-1 within 10 days of the change, checking the “yes” box at the top of the form to indicate that
it is an amendment.
FOR OFFICE USE ONLY
Declaration of Candidacy
School Board Candidates
(See instructions for preparation on back)
Is this an amendment?
 Yes
(if you have already filed a DOC for this election)
 No
(if this is the first DOC you have filed for this election)
I, ______________________________________________________________, being duly sworn, state that
Candidate's name
I am a candidate for the office of School Board Member, _______________________________________________,
Include seat number or name of apportioned area, if applicable
and, at the time of filing this document, I will meet the applicable age, citizenship, residency and voting qualification
requirements, if any, prescribed by the constitutions and laws of the United States and the State of Wisconsin, and that
I will otherwise qualify for office, if nominated and elected.
I have not been convicted of a felony in any court within the United States for which I have not been pardoned.1
My present address, including my municipality of residence for voting purposes is:
Town of
Village of
City of
House or fire no.
Street Name
Mailing Municipality and State
Zip code



Municipality of Residence for Voting
My name as I wish it to appear on the official ballot is as follows:
______________________________________________________________________________________________
(Any combination of first name, middle name or initials with surname. A nickname may replace a legal name.)
STATE OF WISCONSIN
County of
_____
(County of notarization)
}
(Signature of candidate)
ss.
Subscribed and sworn to before me this ______day of ___________________, ________.
_________________________________________________________________
(Signature of person authorized to administer oaths)
NOTARY SEAL
NOT REQUIRED
or  is permanent.
My commission expires
 Notary Public or ________________________________________________
(Official title, if not a notary)
The information on this form is required by Wis. Stat. § 8.21, Stats., Art. XIII, Sec. 3, Wis. Const., and must be filed with the filing
officer in order to have a candidate's name placed on the ballot. Wis. Stats. §§8.05 (1)(j), 8.10 (5), 8.15 (4)(b), 8.17 (2), 8.20 (6),
120.06 (6)(b).
GAB-162SD For School District Candidates | 2013-09 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 |
web: gab.wi.gov | email: [email protected]
1 A 1996 constitutional amendment bars any candidate convicted of a misdemeanor which violates the public trust from running for or
holding a public office. However, the legislature has not defined which misdemeanors violate the public trust. A candidate convicted of any
misdemeanor is not barred from running for or holding a public office until the legislature defines which misdemeanors apply.
Instructions for Completing the Declaration of Candidacy
All candidates seeking ballot status for election to school district office in the State of Wisconsin must properly
complete and file a Declaration of Candidacy. This form must be ON FILE with the proper school district clerk
no later than the deadline for filing nomination papers or the candidate's name will not appear on the ballot. A
facsimile will be accepted if the FAX copy is received by the school district clerk no later than the filing deadline
and the signed original declaration is received by the school district clerk with a postmark no later than the filing
deadline.
Information to be provided by the candidate:
 Type or print your name on the first line.
 The title of the office and any seat number or apportioned district for which you are seeking election
must be inserted on the second line.
 Felony convictions: Your name cannot appear on the ballot if you have been convicted of a felony
in any court in the United States for which you have not been pardoned. Please see footnote on
page 1 for further information with respect to convictions for misdemeanors involving a violation of
public trust. These restrictions only apply to candidates for state and local office.
 Your current address, including your municipality of residence for voting purposes, must be inserted on the
fourth line. This must include your entire mailing address (street and number, municipality where you
receive mail) and the name of the municipality in which you reside and vote (town, village, or city of __).
If your address changes before the election, an amended Declaration of Candidacy must be filed with the
School District Clerk. Wis. Stat. §.8.21.
 Type or print your name on the fifth line as you want it to be printed on the official ballot. You may use your full
legal name, or any combination of first name, middle name, and initials, or nickname with last name.
Note: The Government Accountability Board has determined that, absent any evidence of an
attempt to manipulate the electoral process, candidates are permitted to choose any
form of their name, including nicknames, by which they want to appear on the ballot.
No titles are permitted. In addition, names such as “Red” or “Skip” are permitted, but
names which have an apparent electoral purpose or benefit, such as “Lower taxes,”
“None of the above” or “Lower Spending” are not permitted. It is also not permissible
to add nicknames in quotes or parentheses between first and last names. For
example, John “Jack” Jones or John (Jack) Jones are not acceptable, but John
Jones, Jack Jones or John Jack Jones are acceptable.
This form must be sworn to and signed in the presence of a notary public or other person authorized to
administer oaths, such as a county, municipal or school district clerk. Wis. Stat. § 8.21(2).
Information to be provided by the person administering the oath:
 The county of notarization.
 The date the Declaration of Candidacy was signed and the oath administered.
 The signature and title of the person administering the oath. If signed by a notary public, the date the
notary’s commission expires must be listed. The notary seal is not required.
All school district candidates must file this form with the appropriate school district clerk no later than the deadline
for filing nomination papers. Wis. Stats. §§ 8.10 (5), 8.15 (4)(b), 8.17 (2), 8.20 (6), 8.50 (3)(a), 120.06 (6)(b).
NOMINATION PAPER FOR NONPARTISAN OFFICE Candidate's name; no titles may be used. Name of municipality for voting purposes  Town  Village _________________________________________  City (name of municipality) Street, fire, or rural route number; box number (if rural route); and name of street or road Name of municipality for mailing purposes State zip code Type of election  spring  special WI Title of office Election date Branch, district or seat number  Branch  District  Seat
Name of jurisdiction or district in which candidate seeks office I, the undersigned, request that the candidate, whose name and address are listed above, be placed on the ballot at the election described above as a candidate so that voters will have the opportunity to vote for  him or  her for the office listed above. I am eligible to vote in the jurisdiction or district in which the candidate named above seeks office. I have not signed the nomination paper of any other candidate for the same office at this election. The municipality used for mailing purposes, when different than municipality of residence, is not sufficient. The name of the municipality of residence must always be listed. Signatures of Electors Printed Name of Electors 1. Street and Number or Rural Route Municipality of Residence Rural address must also include box or fire no Provide name of municipality Date of Signing  Town  Village
 City 2.  Town  Village
 City 3.  Town  Village
 City 4.  Town  Village
 City 5.  Town  Village
 City 6.  Town  Village
 City
7.  Town  Village
 City 8.  Town  Village
 City 9.  Town  Village
 City
10.  Town  Village
 City CERTIFICATION OF CIRCULATOR I,_________________________________________________________________ certify: I reside at _________________________________________________________________. (Name of circulator) (Circulator's residence ‐ Include number, street, and municipality.) I further certify I am either a qualified elector of Wisconsin, or a U.S. citizen, age 18 or older who, if I were a resident of this state, would not be disqualified from voting under Wis. Stat. §6.03. I personally circulated this nomination paper and personally obtained each of the signatures on this paper. I know that the signers are electors of the jurisdiction or district the candidate seeks to represent. I know that each person signed the paper with full knowledge of its content on the date indicated opposite his or her name. I know their respective residences given. I intend to support this candidate. I am aware that falsifying this certification is punishable under Wis. Stat. § 12.13(3)(a). ________________________________ ____________________________________________________________________ (Date) (Signature of circulator) GAB‐169 | Rev. 2014‐04 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707‐7984 | 608‐261‐2028 | web: gab.wi.gov | email: [email protected]
Page No.
INSTRUCTIONS FOR PREPARING NOMINATION PAPERS FOR NONPARTISAN OFFICE This is a sample nomination paper form. It conforms to the statutory requirements for nomination papers for nonpartisan office. All information concerning the candidate must be completed in full before circulating this form to obtain signatures of electors. All information concerning the signing electors and the circulator must be completed in full before filing with the appropriate filing officer. This form may be reproduced in any way. A candidate's picture and biographical data may also be added to this form. The Government Accountability Board has determined that no disclaimer or other attribution statement is required on nomination papers. Candidates are advised to send a sample of their completed form the filing officer for review before circulation. Page Numbers – Number each page consecutively, beginning with “1”, before submitting to the filing officer. A space for page numbers has been provided in the lower right‐hand corner of the form. Candidate's Name ‐ Insert the candidate's name. A candidate may use his or her full legal name, or any combination of first name, middle name, and initials or nickname with last name. The Government Accountability Board has determined that, absent any evidence of an attempt to manipulate the electoral process, candidates are permitted to choose any form of their name, including nicknames, by which they want to appear on the ballot. No titles are permitted. In addition, names such as “Red” or “Skip” are permitted, but names which have an apparent electoral purpose or benefit, such as “Lower taxes,” “None of the above” or “Lower Spending” are not permitted. It is also not permissible to add nicknames in quotes or parentheses between first and last names. For example, John “Jack” Jones or John (Jack) Jones are not acceptable, but John Jones, Jack Jones or John Jack Jones are acceptable. Candidate's Residence ‐ If a candidate's municipality of residence is different from the municipality used for mailing purposes, both must be given. Indicate if the municipality of residence is a town, village, or city. Date of Election ‐ Insert the date of the election. If the nomination paper is being circulated for a spring election, the date is the first Tuesday in April. If the election is a special nonpartisan election, the date of the special election must be listed. Title of Office ‐ The name of the office must be listed along with any branch, district, or seat number that clearly identifies the office the candidate is seeking. If necessary, the name of the jurisdiction that identifies the office, such as Dane County Circuit Court Judge, Branch 3, must also be listed. Name of Jurisdiction ‐ The nomination papers must also indicate the municipality or jurisdiction in which the signing electors are qualified to vote, as it relates to the office sought by the candidate named on the nomination paper. For example, for a statewide office the jurisdiction is the State of Wisconsin. Others may be the county, town, village, city, aldermanic district, school district, or town sanitary district, as required. Signatures and Printed Name of Electors ‐ Only qualified electors of the jurisdiction or the district the candidate seeks to represent may sign the nomination papers. Each signer must also legibly print their name. Each elector's municipality of residence must be listed on the nomination paper along with the mailing address, including any street, fire or rural route number, box number (if rural route) and street or road name. The Street & Number or Rural Route section for each elector’s address is split into two lines. The first line is for the street address. The second line is for the municipality for mailing purposes. The Municipality of Residence listed for each signing elector must clearly identify the town, village or city where the elector's voting residence is located. A post office box number alone does not show where the elector actually resides. The date the elector signed the nomination paper, including month, day and year, must be indicated. Ditto marks that follow correct and complete address or date information are acceptable. The circulator may add any missing or illegible address or date information before the papers are filed with the filing officer. Signature of Circulator ‐ The circulator should carefully read the language of the Certification of Circulator. THE CIRCULATOR MUST PERSONALLY PRESENT THE NOMINATION PAPER TO EACH SIGNER. THE NOMINATION PAPER MAY NOT BE LEFT UNATTENDED ON COUNTERS OR POSTED ON BULLETIN BOARDS. The circulator's complete address (including municipality of residence) must be listed in the certification. After obtaining signatures of electors, the circulator must sign and date the certification. Other Instructions ‐ Candidates and circulators should review Ch. GAB §§ 2.05, 2.07, Wis. Adm. Code.  Original nomination papers must be in the physical custody of the appropriate filing officer by the filing deadline. A postmark on the filing deadline is NOT sufficient. Nomination papers CANNOT be faxed to the filing officer. Ch. GAB § 6.04(2), Wis. Adm. Code.  Nomination papers with the required number of signatures must be filed with the appropriate filing officer no later than 5:00 p.m. on the first Tuesday in January (or the next day if the first Tuesday is a holiday) before the spring election. Special elections may have different filing deadlines. Check with the filing officer.  In order for a candidate's name to be placed on the ballot, a candidate must file a Campaign Registration Statement (GAB‐1), a Declaration of Candidacy (GAB‐162), and Nomination Papers (GAB‐169) containing the appropriate number of signatures for the office sought no later than the filing deadline. Wis. Stat. § 8.10(3). Candidates for state office and municipal judge must also file a statement of economic interests with the Government Accountability Board by the third business day after the nomination paper filing deadline. Wis. Stat. § 19.43. If any one of these required forms is not filed by the deadline, the candidate's name will not be placed on the ballot. Wis. Stat. § 8.30. 
If a candidate or circulator has any questions, he or she should contact the filing officer. FOR OFFICE USE ONLY
NOTIFICATION OF NONCANDIDACY
I, ________________________________________________, state that I am currently the
(please print name)
incumbent officeholder for the office listed below.
I will not be a candidate for this office at the next election. I understand that the
timely receipt* of this notice will avoid an extension of the deadline for filing ballot
access documents.
TITLE OF OFFICE: _________________________________________________________
(print current office, including district #, if any)
NEXT
NEXT ELECTION DATE: ___________________________________________________
SIGNATURE: _________________________________
DATE OF SIGNING: __________________________
*Notification must be received by the proper filing officer no later than 5:00 p.m. on
the 2nd Friday preceding the deadline for filing ballot access documents to avoid an
extension of time for filing such papers.
The information on this form is filed in accordance with §§.8.05(1)(j), 8.10(2)(a), 8.15(1), 8.20(8)(a), 120.06(6)(b), Wis. Stats.
This form is prescribed by the Government Accountability Board, 212 East Washington Avenue, 3rd Floor, P.O. Box 7984,
Madison, WI 53707-7984, (608) 266-8005, FAX (608)267-0500, http://gab.wi.gov Email: [email protected].
GAB
GAB-163 (4/2009)
CAMPAIGN FINANCE REPORT
LOCAL COMMITTEES OF WISCONSIN
Is This Report an Amendment:
Yes
No
Instructions for completing schedules are on the back of each schedule.
COMMITTEE IDENTIFICATION
Name of Committee
Street Address
OFFICE USE ONLY
City, State and Zip Code
Please check if address is different than previously reported, and complete the Campaign Registration Statement in the back of this form.
NAME OF REPORT
January Continuing _____
Pre-Primary _____
Spring
Fall
Special
July Continuing _____
Pre-Election _____
Spring
Fall
Special
SUMMARY OF RECEIPTS AND
DISBURSEMENTS
Column A
This Period
Column B
Calendar
Year-To-Date
1. RECEIPTS
1A. Contributions (Including Loans) from Individuals
$
$
1B. Contributions from Committees (Transfers-In)
$
$
1C. Other Income and Commercial Loans
$
$
$
$
2A. Gross Expenditures
$
$
2B. Contributions to Committees (Transfers-Out)
$
$
$
$
TOTAL RECEIPTS (Add totals from 1A, 1B and 1C)
Termination Report
also complete Schedule 4
2. DISBURSEMENTS
TOTAL DISBURSEMENTS (Add totals from 2A and 2B)
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)
$
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
Email
Date:
Daytime Phone:
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 the penalties of
ss.11.60, 11.61, Wis. Stats.
GAB-2L (Rev. 04/14)
This form is prescribed by the Government Accountability Board. Completed forms must be filed with your local clerk.
Instructions for Completing Summary Page of Form GAB-2
Instructions for Completing Schedules are on the Back of Each Schedule
Committee Identification
►
►
Print or type the complete name and mailing address of your committee.
If the report is an amendment to a previous report filed, check the “yes” box. If the report is NOT an amendment, check the
“no” box.
Name of Report
►
Check the box next to the name of the report being filed, and enter the correct calendar year. For information concerning
filing dates and report names, refer to the CFIS website – https://cfis.wi.gov. .
Summary of Receipts and Disbursements
►
Committees should complete the detailed pages in Schedules 1-A through 3-B before completing this summary section of the
report form.
Receipts
1A. Contributions (Including Loans) From Individuals: Enter the amount of Total Contributions from Individuals
(Schedule 1-A) in Column A of the Summary page. Add the amount entered in Column A to contributions previously
reported for this calendar year, if any, and enter the amount in Column B, Calendar Year-to-Date.
1B. Contributions From Committees (Transfers-In): Enter the amount from Total Contributions (Transfers-In) Received
From Committees (Schedule 1-B) in Column A of the Summary page. Add the amount entered in Column A to contributions
previously reported for this calendar year, if any, and enter the amount in Column B, Calendar Year-to-Date.
1C. Other Income and Commercial Loans: Enter the amount of Total Other Income (Schedule 1-C) in Column A. Add the
amount entered in Column A to other income previously reported for this calendar year, if any, and enter the amount in
Column B, Calendar Year-to-Date.
Total Receipts: Add the amounts entered on lines 1-A, 1-B and 1-C, in Column A and enter the total in Total Receipts. Add
the amount of Total Receipts previously reported, if any, and enter the amount in Column B, Calendar Year-to-Date.
Disbursements
2A. Gross Expenditures: Enter the amount from Total Expenditures (Schedule 2-A) in Column A of the Summary page. Add
the amount in Column A to expenditures previously reported for this calendar year, if any, and enter the amount in Column B,
Calendar Year-to-Date.
2B. Contributions to Committees (Transfers-Out): Enter the amount from Total Contributions (Transfers-Out) Made to
Committees (Schedule 2-B) in Column A of the Summary page. Add the amount in Column A to contributions previously
reported for this calendar year, if any, and enter the amount in Column B, Calendar Year-to-Date.
Total Disbursements: Add the amounts entered on lines 2-A and 2-B in Column A and enter the total in Total Disbursements.
Add this amount to Total Disbursements previously reported, if any, and enter the amount in Column B, Calendar Year-to-Date.
Cash Summary
Cash Balance Beginning of Report: If this report is the first report filed by the committee, the cash balance will be zero. If
this is not the first report filed by the committee, enter the cash balance from the end of the last report period. The beginning cash
balance of a report must always be the same as the ending cash balance of the prior report.
Total Receipts: Enter the amount from Total Receipts in Column A of the Summary page.
Subtotal: Add Cash Balance Beginning of Report to Total Receipts and enter the amount.
Total Disbursements: Enter the amount from Total Disbursements in Column A of the Summary page.
Cash Balance End of Report: Subtract Total Disbursements from Subtotal and enter the amount. The cash balance at the end
of the report period should equal the reconciled balance in the checking account plus any savings or investment accounts.
Incurred Obligations: Enter the amount from Total Incurred Obligations (Schedule 3-A) in Column A of the Summary page.
Incurred obligations must be carried forward on each report until paid in full.
Loans: Enter the amount from the Total Outstanding Loans (Schedule 3-B) in Column A of the Summary page. Loans must be
carried forward on each report until paid in full.
Sign and Date the Report
The treasurer or candidate must sign and date each report filed. Each report must be complete, correct, and in compliance with
the reporting format. Please include a daytime phone number and a contact person if someone other than the treasurer prepares
the report.
RECEIPTS
SCHEDULE 1-A
Page ____ of ____
Contributions (Including Loans) From Individuals
Complete Committee Name
Instructions for completing schedules are on the back of each schedule.
Date
/
Calendar
Year-to-Date Total
Check if:  In-Kind  Loan Conduit
Full Name, Mailing Address and Zip Code
Conduit Name:_______________________________
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
Amount
Calendar
Year-to-Date Total
Check if:  In-Kind  Loan Conduit
Full Name, Mailing Address and Zip Code
Conduit Name:_______________________________
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
Amount
Calendar
Year-to-Date Total
Check if:  In-Kind  Loan Conduit
Full Name, Mailing Address and Zip Code
Conduit Name:_______________________________
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
Amount
Calendar
Year-to-Date Total
Check if:  In-Kind  Loan Conduit
Full Name, Mailing Address and Zip Code
Conduit Name:_______________________________
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
Amount
Calendar
Year-to-Date Total
Check if:  In-Kind  Loan Conduit
Full Name, Mailing Address and Zip Code
Conduit Name:_______________________________
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
Amount
Calendar
Year-to-Date Total
Check if:  In-Kind  Loan Conduit
Full Name, Mailing Address and Zip Code
Conduit Name:_______________________________
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
Amount
Calendar
Year-to-Date Total
/
Date
/
Amount
/
Date
/
Conduit Name:_______________________________
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
/
Date
/
Check if:  In-Kind  Loan Conduit
Full Name, Mailing Address and Zip Code
/
Date
/
Calendar
Year-to-Date Total
/
Date
/
Amount
/
Date
/
Occupation, Name and Address of Principal Place
Of Employment (if year-to-date total exceeds $100)
/
Date
/
Full Name, Mailing Address and Zip Code
/
Check if:
 In-Kind
 Loan Conduit
Conduit Name:_______________________________
SUBTOTAL ITEMIZED CONTRIBUTIONS THIS PAGE
$
TOTAL ITEMIZED CONTRIBUTIONS
$
TOTAL UNITEMIZED CONTRIBUTIONS $20 OR LESS
$
TOTAL CONTRIBUTIONS RECEIVED FROM INDIVIDUALS
$
Instructions for Completing Schedule 1-A
RECEIPTS - Contributions (Including Loans) From Individuals
General Instructions:
► Print or type the complete name of your committee in the box provided.
► Duplicate as many pages as you will need in order to report contributions, including loans from individuals, on this form.
► Enter the number of Schedule 1-A pages in the upper right corner of the form.
Date: Enter the date (month, day, year) each contribution was RECEIVED. Do not enter the date that appears on the
contributor’s check or the date deposited, unless it is the same as the date received (is in committee’s possession and control).
Full Name, Mailing Address, and Zip Code:
1. For contributions over $20: Enter the full name and address of the contributor.
2. For single or cumulative contributions totaling over $100 in a calendar year: Enter the full name and address of the
contributor. Enter the occupation and the name and address of principal place of employment.
Calendar Year-to-Date Total: Add contributions previously received this calendar year, from this contributor to the
contributions received in this report period. The Calendar Year-to-Date Total for an individual must always be entered. The
Current Amount and Year-to-Date Total will be identical on the first report period of the calendar year. Once the individual’s
Calendar Year-to-Date Total exceeds $100, you must enter the contributor’s occupation, and the name and address of the
principal place of employment.
Subtotal Itemized Contributions this page: Enter the total of all the contributions listed on this page. If additional pages
are used, enter the subtotal for each separate page.
Total Itemized Contributions: Add the subtotals from all pages of Schedule 1-A. If more than one page, enter the total on
only the last page of Schedule 1-A.
Total Unitemized Contributions $20 or less: Enter the total of unitemized contributions of $20 or less only on the last
page of Schedule 1-A.
Total Contributions Received from Individuals: Add the Total Itemized Contributions to the Total Unitemized
Contributions $20 or Less and enter the amount only on the last page of Schedule 1-A.
Special Instructions:
 Contributions and loans from individuals on Schedule 1-A include any cash, personal or individual loans, purchase of
tickets to fundraising events, memberships, gifts, advances, in-kind contributions, and all other personal contributions
from an individual including the candidate. An in-kind contribution is any goods, property, or services provided to the
committee free or for less than the fair market value. (Volunteer services are not a contribution.
 In-kind contributions from individuals must also be reported as in-kind expenditures on Schedule 2-A to avoid
distortion of the cash balance.
 When the contribution is in-kind, a loan, or is received through a conduit, check the appropriate box in the section where
the contribution is listed. If you receive a personal check or cash, no box needs to be checked.
 Contributions from individuals transferred through conduits are reported on Schedule 1-A under the individual
contributor’s name with the name of the conduit listed. The transmittal letter accompanying the conduit check, identifies
the conduit and lists the individuals who are the original sources of the contributions. These contributions are subject to
itemization on the same basis as other individual contributions; if over $100, the occupation, name, and address of
employer must be provided.
 Any individual loans, either from the candidate or from another individual, must be reported on Schedule 1-A and on
Schedule 3-B, Additional Disclosure, Loans, until paid in full. Loans from individuals are subject to individual
contribution limits (see Campaign Finance Manual).
 Each contributor’s name, address, and amount must be listed separately. Contributions from joint accounts shall be
reported as coming from the individual signing the check, unless the signor indicates otherwise. If the amount is divided,
each individual must be itemized separately. Do not report a contribution as coming from more than one individual.
 Receipts from raffles, auctions, garage sales, and other similar fundraising events are individual contributions and must be
recorded. When receipts consist of single contributions of $20 or less, please report the amount in Unitemized Receipts of
$20 or Less. Any single contributions that exceed $20 must be itemized.
 Do not report contributions from political action committees, political party committees, or other candidate committees on
Schedule 1-A. These contributions must be reported on Schedule 1-B.
RECEIPTS
SCHEDULE 1-B
Page ____ of ____
Contributions from Committees
(Transfers-In)
Complete Committee Name
Instructions for completing schedules are on the back of each schedule.
Date
/
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
/
Date
/
Calendar
Year-To-Date Total
/
Date
/
Amount
/
Date
/
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
/
Date
/
Calendar
Year-To-Date Total
/
Date
/
Amount
/
Date
/
Check if:  In-Kind  Loan
Full Name of Committee, Mailing Address and Zip Code
/
Date
/
Calendar
Year-To-Date Total
/
Date
/
Amount
/
Date
/
Full Name of Committee, Mailing Address and Zip Code
/
Check if:
 In-Kind
 Loan
SUBTOTAL CONTRIBUTIONS (Transfers-In) THIS PAGE
$
TOTAL CONTRIBUTIONS (Transfers-In) RECEIVED FROM COMMITTEES
$
Instructions for Completing Schedule 1-B
RECEIPTS
Contributions From Committees (Transfers-In)
General Instructions:
►
Print or type the complete name of your committee in the box provided.
►
Duplicate as many pages as you will need in order to report contributions from committees (transfers-in) on this form.
►
Enter the number of Schedule 1-B pages in the upper right corner of the form.
►
Each contribution received from a committee must be itemized regardless of the amount.
Date:
Enter the date (month, day, year) each contribution was received. DO NOT enter the date which appears on the contributor’s
check or the date deposited, unless it is the same as the date received.
Complete Name and Address of Committee:
Enter the full name and address of each contributor. If the committee is not registered with the Government Accountability
Board or with the local clerk, you are not allowed to accept it.
Amount:
Enter the amount of the contribution this period.
Calendar Year-to-Date Total:
Add contributions previously received this calendar year, from this committee to the contributions received in this report period.
The Calendar Year-to-Date Total for a committee must always be entered. The Current Amount and Year-to-Date Total will be
identical on the first report period of the calendar year.
Subtotal Contributions (Transfers-In) This Page:
Enter the total of all the contributions (transfers-in) listed on this page. If additional pages are needed, enter the subtotal for
each separate page.
Total Contributions (Transfers-In) Received from Committees:
Add the subtotals from all pages of Schedule 1-B. If more than one page, enter the total on only the last page of Schedule 1-B.
Special Instructions:
 Contributions transferred through conduits are reported as individual contributions on Schedule 1-A.
 In reporting contributions from committees, provide the complete name and address of each committee making a
contribution.
 Contributions From Committees (Transfers-In) consist of any funds received from a political party committee, political
action committee, political group (referenda), candidate committee or a legislative campaign committee.
 In-kind contributions from a committee must also be reported as an in-kind offset in Schedule 2-A to avoid distortion of the
cash balance. An in-kind contribution is any goods, service, or property provided to the committee free or for less than the
fair market value. (Volunteer services are not a contribution.)
 When the contribution is in-kind, check the in-kind box in the section where the contribution is listed.
 Contributions received from a sole proprietorship or partnership must be reported as individual contributions in
Schedule 1-A. You must verify that the original source of the contribution is from personal funds. Contributions from
partnerships must reflect the partners’ share in the partnership unless otherwise specified.
 Contributions may not be accepted from corporations (including LLC), cooperatives, associations, or unregistered
committees.
SCHEDULE 1-C
RECEIPTS
Page ____ of ____
Other Income and Commercial Loans
Complete Committee Name
Instructions for completing schedules are on the back of each schedule.
Date
/
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
Full Name, Mailing Address and Zip Code
of Source of Income
Type of Income
Amount
/
C
Date
/
/
C
Date
/
/
Ch
Date
/
/
C
Date
/
/
Date
/
/
C
Date
/
/
C
Date
/
/
Ch
Date
/
/
Ch
Date
/
/
SUBTOTAL OTHER INCOME THIS PAGE
$
TOTAL ITEMIZED OTHER INCOME
$
TOTAL UNITEMIZED OTHER INCOME $20 OR LESS
$
TOTAL OTHER INCOME
$
Instructions for Completing Schedule 1-C
RECEIPTS
Other Income and Commercial Loans
General Instructions:
► Print or type the complete name of your committee in the box provided.
► Duplicate as many pages as you will need in order to report other income and commercial loans on this form.
► Enter the number of Schedule 1-C pages in the upper right corner of the form.
Date:
Enter the date (month, day, year) other income and commercial loans were RECEIVED.
Full Name, Mailing Address and Zip Code of Source of Income:
Identify the source of income by providing the name and address of the commercial lending institution. Provide the name and
address of any person or business from which other income was received.
Describe Type of Income:
Describe the type of income, e.g., loan from commercial lender for campaign expenses, refund from utility, refund of an
over-payment to a vendor, interest on savings, or returned or lost contribution checks previously listed on Schedule 2-B, etc.
Use more than one box or attach an additional sheet if needed.
Amount:
Enter the amount of other income and commercial loans of more than $20 for this period only.
Subtotal Other Income This Page:
Enter the total of all the other income itemized on this page. If additional pages are used, enter the subtotal for each separate
page.
Total Itemized Other Income:
Add the subtotals from all pages of Schedule 1-C. If more than one page, enter the total on only the last page of Schedule 1-C.
Total Unitemized Other Income $20 or less:
Enter the total of unitemized other income of $20 or less on the last page of Schedule 1-C.
Total Other Income:
Add the Total Itemized Other Income to the Total Unitemized Other Income of $20 or Less and enter the amount on only the
last page of Schedule 1-C.
Special Instructions:
 Personal loans from individuals (including the candidate) must be reported on Schedule 1-A.
 Other income and commercial loans include loans received from any financial institution. Loans must also be listed
on Schedule 3-B, Additional Disclosure-Loans, until paid in full.
 When a contribution given by your committee to another committee is returned to you, report the receipt of the
returned contribution in this schedule. Please indicate (under the Type of Income box) the original date your
contribution was given.
 When a loan from a commercial lending institution is guaranteed by individuals, the full name and mailing address of
each guarantor and the balance of the amount guaranteed by each guarantor at the end of the reporting period must be
reported on Schedule 3-B. The amount of the guarantee is considered a contribution from the guarantor and subject
to individual contribution limits until the amount is repaid to the lending institution.
 Other income includes refunds and interest received. Receipts from fundraising events (auctions, dinners, etc.) and
from the sale of commercial items for the purpose of raising funds for political purposes are contributions and must
be reported on Schedule 1-A or 1-B.
DISBURSEMENTS
SCHEDULE 2-A
Page ___ of ___
Gross Expenditures
Complete Committee Name
Instructions for completing schedules are on the back of each schedule.
Date
/
Amount
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
Specific Purpose of Expenditure
Amount
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
Specific Purpose of Expenditure
Amount
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
Specific Purpose of Expenditure
Amount
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
Specific Purpose of Expenditure
Amount
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
Specific Purpose of Expenditure
Amount
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
Specific Purpose of Expenditure
Amount
/
Date
/
Specific Purpose of Expenditure
/
Date
/
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
/
Date
/
Amount
/
Date
/
Specific Purpose of Expenditure
/
Date
/
Check if:  In-Kind Offset
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
/
Date
/
Amount
/
Date
/
Specific Purpose of Expenditure
/
Date
/
Full Name, Mailing Address and Zip Code
Of Person or Business to Whom Payment is Made
/
Check if:
 In-Kind Offset
SUBTOTAL ITEMIZED EXPENDITURES THIS PAGE
$
TOTAL ITEMIZED EXPENDITURES
$
TOTAL UNITEMIZED EXPENDITURES $20 OR LESS
$
TOTAL EXPENDITURES
$
Instructions for Completing Schedule 2-A
DISBURSEMENTS
Gross Expenditures
General Instructions:
► Print or type the complete name of your committee in the box provided.
► Duplicate as many pages as you will need in order to report gross expenditures on this form.
► Enter the number of Schedule 2-A pages in the upper right corner of the form.
Date: Enter the date (month, day, year) the disbursement was made.
Full Name, Mailing Address, and Zip Code of Person or Business to Whom Payment Is Made: Enter the name and
complete address of the person or business to whom payments were made.
Specific Purpose of Expenditure: Enter the specific purpose of the expenditure. Expenditures must be made for political
purposes only. An expenditure is for a political purpose when it influences the election or nomination for election of any
individual to federal, state or local office. A complete description of the type of expenditure or reimbursement must be given
(i.e., food for fundraiser or campaign T-shirts for resale). You may use more than one box or attach an additional sheet if
needed.
Subtotal Itemized Expenditures This Page: Enter the total of all the expenditures listed on this page. If additional pages
are used, enter the subtotal for each separate page.
Total Itemized Expenditures: Add the subtotals from all pages of Schedule 2-A. If more than one page, enter the total
itemized on only the last page of Schedule 2-A.
Total Unitemized Expenditures $20 or less: Enter the total of unitemized expenditures of $20 or less on only the last page
of Schedule 2-A. Note: If you itemize expenditures of $20 or less, DO NOT include those amounts again in the total of
unitemized expenditures.
Total Expenditures: Add the Total Itemized Expenditures to the Total Unitemized Expenditures ($20 or less), and enter the
amount on the last page of Schedule 2-A.
Special Instructions:
 Only expenditures of more than $20 must be itemized. Expenditures of $20 or less should be totaled and reported as
unitemized expenditures.
 Expenditures for general services, such as consulting, data processing, or reimbursement, should be broken down into the
specific services rendered, e.g., salary, travel, data entry, polling.
 In-kind contributions reported in Schedule 1-A or 1-B, must also be reported as in-kind offsets in Schedule 2-A.
 Expenditures incurred for in-kind contributions to other registrants must be reported in Schedule 2-B, NOT 2-A. See
instructions on Schedule 2-B.
 All expenditures must be made from the campaign depository and must be used for political purposes only.
 It is permissible for a candidate or an agent of a committee to pay for items from personal funds as long as receipts are
submitted to the treasurer for reimbursement from the depository. Reporting of a reimbursement must include information
that describes the nature of the original expenditure, and the original vendor of the good(s) or service(s).
 It is permissible to maintain a petty cash account to pay for minor items provided that funds for the petty cash account are
drawn from the campaign depository and that a record of the transactions is kept. Expenditures over $20 must be paid by
negotiable instrument, and be itemized on the report. Expenditures under $20 may be included in unitemized expenditures.
If itemized, the purpose of each expenditure must be provided. Only the specific expenditures are reported. Contributions
received, deposited, and later returned to the original contributor must be reported as an expense in Schedule 2-A.
 Independent expenditures made by committees filing the Oath for Committees and Individuals Making Independent
Disbursements (GAB-6) must be reported in Schedule 2-A and itemized on the Report of Independent Disbursements
(GAB-7).
DISBURSEMENTS
SCHEDULE 2-B
Contributions To Committees
(Transfers-Out)
Page _____ of _____
Complete Committee Name
Instructions for completing schedules are on the back of each schedule.
Date
/
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
Amount
Calendar
Year-To-Date Total
/
Date
/
Calendar
Year-To-Date Total
/
Date
/
Amount
/
Date
/
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
/
Date
/
Calendar
Year-To-Date Total
/
Date
/
Amount
/
Date
/
Check if:  In-Kind  Loan
Full Name, Mailing Address and Zip Code
/
Date
/
Calendar
Year-To-Date Total
/
Date
/
Amount
/
Date
/
Full Name, Mailing Address and Zip Code
/
Check if:
 In-Kind
 Loan
SUBTOTAL CONTRIBUTIONS (Transfers-Out) THIS PAGE
$
TOTAL CONTRIBUTIONS (Transfers-Out) MADE TO COMMITTEES
$
Instructions for Completing Schedule 2-B
DISBURSEMENTS
Contributions to Committees
General Instructions:
►
Print or type the complete name of your committee in the box provided.
►
Duplicate as many pages as you will need in order to use this form to report Contributions to Committees
(Transfers-Out). Enter the number of Schedule 2-B pages in the upper right corner of the form.
►
Each contribution made to another committee must be itemized regardless of the amount.
Date:
Enter the date (month, day, year) that each contribution was made to another committee.
Complete Name and Address of Committee:
Enter the full name and address of each committee.
Amount:
Enter the amount of the contribution given in this period.
Calendar Year-to-Date Total:
Add contributions previously given this calendar year to this committee, to the contributions given in this report period.
The Calendar Year-to-Date Total for a committee must always be entered. The Current Amount and Year-to-Date Total
will be identical on the first report period of the calendar year.
Subtotal Contributions (Transfers-Out) This Page:
Enter the total of all the contributions (Transfers-Out) listed on this page. If additional pages are used, enter the subtotal
for each separate page.
Total Contributions (Transfers-Out) Made to Committees:
Add the subtotals from all pages of Schedule 2-B. If more than one page, enter the total on only the last page of
Schedule 2-B.
Special Instructions:
 If a contribution is made to a candidate for local office, please print the word “Local” in the space for the ID#. This
would include candidates for municipal, school district, and county office. Note: District Attorney and Circuit
Court Judge are considered state offices.
 Contributions to Committees (Transfers-Out) consist of any funds contributed to a political party committee,
political action committee, political group (referenda), candidate committee, or legislative campaign committee.
 When the contribution is in-kind, check the in-kind box in the section where the contribution is listed.
 When the contribution is a loan, check the loan box in the section where the contribution is listed.
 For each in-kind contribution, the name and address of the candidate or committee receiving the contribution must
be listed, along with the name and address of the person or business to whom payment was made and the amount and
date of the in-kind contribution.
1. If the committee purchases goods or services and gives them to another committee in the same reporting period
as an in-kind contribution, the amount must be reported only once as an expense on Schedule 2-B.
2. If the committee already possesses goods or services and gives them to another committee as an in-kind
contribution, the amount must be offset by a matching receipt (or negative expense) to avoid errors in the bank
balance.
SCHEDULE 3-A
ADDITIONAL DISCLOSURE
Page ____ of ____
Incurred Obligations Excluding Loans
Complete Committee Name
Instructions for completing schedules are on the back of each schedule.
Outstanding
Balance Beginning
This Period
Date
/
New Obligations or
Additions
This Period
Cumulative Payments
This Period
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
Date
/
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
Date
/
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
Date
/
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
Date
/
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
Date
/
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
Date
/
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
Date
/
Full Name, Mailing Address and Zip Code of Creditor
/
Nature of Debt (Purpose)
SUBTOTAL ITEMIZED OBLIGATIONS THIS PAGE
$
TOTAL ITEMIZED OBLIGATIONS
$
TOTAL UNITEMIZED OBLIGATIONS $20 OR LESS
$
TOTAL INCURRED OBLIGATIONS
$
Outstanding Balance
At Close of This
Period
Instructions for Completing Schedule 3-A
ADDITIONAL DISCLOSURE
Incurred Obligations Excluding Loans
General Instructions:
►
Print or type the complete name of your committee in the box provided.
►
Duplicate as many pages as you will need in order to report incurred obligations on this form.
►
Enter the number of Schedule 3-A pages in the upper right corner of the form.
Date: Enter the date (month, day, year) the obligation was incurred.
Full Name, Mailing Address, and Zip Code of Creditor:
Enter the complete name and address of the creditor.
Nature of Debt (Purpose):
Describe the specific purpose for which the obligation was incurred (See Schedule 2-A for instructions).
Balance Columns:
In the first column, enter the amount, if any, at the beginning of this report period. If this is a new obligation, there is no
beginning balance. If this is an existing obligation, the beginning balance should equal the previous report period’s
closing balance. In the second column, enter the amount of any new obligations or additions to existing obligations. In
the third column, enter any payments made this report period (payments this period must also be reported in Schedule
2-A). In the fourth column, enter the outstanding balance at the close of this report period. Note: If there is a remaining
balance, it must be carried forward to the next report’s beginning balance.
Subtotal Itemized Obligations:
Enter the total of all the incurred obligations listed on this page. If additional pages are used, enter the subtotal for each
separate page.
Total Itemized Obligations:
Add the subtotals from all pages of Schedule 3-A. If more than one page, enter the total on only the last page of
Schedule 3-A.
Total Unitemized Obligations $20 or less:
Enter the total unitemized obligations of $20 or less on only the last page of Schedule 3-A.
Total Incurred Obligations:
Add the Total Itemized Obligations to the Total Unitemized Obligations $20 or Less and enter the amount on only the
last page of Schedule 3-A.
Special Instructions:
 Incurred obligations are to be reported when an enforceable agreement has been reached. If the exact amount of the
obligation has not yet been defined then the amount of the obligation must be estimated. Although the committee
may not have received a bill, the amount recorded should be a good faith estimate of the amount owed.
 The balance of all incurred obligations should be reported from the time incurred until paid in full.
 Each obligation must be carried forward on subsequent reports until the obligation has been reduced to zero.
 When a payment is made on an obligation, the transaction should be reported as a payment on Schedule 3-A and as an
expenditure on Schedule 2-A.
 If the committee has a dispute over the amount owed to a vendor, this must be noted in the “purpose”.
SCHEDULE 3-B
ADDITIONAL DISCLOSURE
Page ____ of ____
Loans
Individual, Committee or Commercial
Complete Committee Name
Instructions for completing schedules are on the back of each schedule.
Full Name, Mailing Address and Zip Code of Loan Source
Outstanding
Balance Beginning
of This Period
New Loans This
Period
Cumulative
Payments
This Period
Outstanding
Balance
End of This Period
New Loans This
Period
Cumulative
Payments
This Period
Outstanding
Balance
End of This Period
New Loans This
Period
Cumulative
Payments
This Period
Outstanding
Balance
End of This Period
Date
/
/
List All Endorsers or Guarantors (if any)
Full Name, Mailing Address and Zip Code
of Guarantor
Occupation
Name and Address of Employer
Amount Guaranteed Outstanding
Full Name, Mailing Address and Zip Code
of Guarantor
$
Occupation
Name and Address of Employer
Amount Guaranteed Outstanding
$
Full Name, Mailing Address and Zip Code of Loan Source
Outstanding
Balance Beginning
of This Period
Date
/
/
List All Endorsers or Guarantors (if any)
Full Name, Mailing Address and Zip Code
of Guarantor
Occupation
Name and Address of Employer
Amount Guaranteed Outstanding
Full Name, Mailing Address and Zip Code
of Guarantor
$
Occupation
Name and Address of Employer
Amount Guaranteed Outstanding
$
Full Name, Mailing Address and Zip Code of Loan Source
Outstanding
Balance Beginning
of This Period
Date
/
/
List All Endorsers or Guarantors (if any)
Full Name, Mailing Address and Zip Code
of Guarantor
Occupation
Name and Address of Employer
Amount Guaranteed Outstanding
Full Name, Mailing Address and Zip Code
of Guarantor
$
Occupation
Name and Address of Employer
Amount Guaranteed Outstanding
$
SUBTOTAL OUTSTANDING LOANS THIS PAGE
$
TOTAL OUTSTANDING LOANS
$
Instructions for Completing Schedule 3-B
ADDITIONAL DISCLOSURE
Loans – Individual, Committee or Commercial
General Instructions:
►
Print or type the complete name of your committee in the box provided.
►
Duplicate as many pages as you will need in order to report loans on this form.
►
Enter the number of Schedule 3-B pages in the upper right corner of the form.
Date:
Enter the date (month, day, year) the loan was made.
Full Name, Mailing Address, and Zip Code of Loan Source:
Enter the complete name and address of the loan source.
Balance Columns:
In the first column, enter the actual amount at the beginning of this reporting period. If this is a new loan, the outstanding
beginning balance is zero and the amount of the loan is recorded under the section “New Loans This Period”. If this is an
existing loan, the outstanding beginning balance should equal the previous report period’s closing (outstanding) balance.
In the third column, enter any payments made during this report period (payments made this period must also be reported
in Schedule 2-A). In the fourth column, enter the outstanding balance at the end of this report period. Note: If there is a
remaining balance, it must be carried forward to the next report’s beginning balance.
List All Endorsers or Guarantors (If Any):
In the space provided on the form, provide the full name, mailing address and zip code of any guarantors of loans. Enter
the amount guaranteed which is outstanding at the end of the reporting period for each guarantor. See the notes below on
how to apportion loan guarantees. If the amount guaranteed exceeds $100, enter the guarantor’s occupation, name and
address of principal place of employment.
Special Instructions:
 A loan guarantee is considered a contribution from the guarantor until the loan is repaid.
 If more than one person guarantees a loan, the amount of the loan is assigned to the guarantors in equal shares, in the
proportion that the guarantors bear to the total amount guaranteed unless a different share is specified in the loan
instrument.
 When a payment which reduces the unpaid balance of the loan is made to the lending institution, the amount assigned
to each guarantor is reduced in equal shares, unless a different share is specified in the loan instrument.
 The outstanding amount of a loan or loan guarantee plus the total contributions to the campaign by the guarantor may
not exceed the individual contribution limit.
 Any reductions in loans which are not offset by expenditures in Schedule 2-A must be explained (e.g., candidate
forgives self loans).
CAMPAIGN REGISTRATION STATEMENT
STATE OF WISCONSIN
GAB-1
FOR OFFICE USE ONLY
IF A CANDIDATE DOES NOT FILE THIS STATEMENT BY THE DEADLINE FOR FILING NOMINATION PAPERS,
THE CANDIDATE’S NAME WILL NOT BE PLACED ON THE BALLOT.
NOTICE: ANY CHANGE OF INFORMATION ON THIS REGISTRATION STATEMENT MUST BE FILED WITHIN 10 DAYS.
IS THIS AN AMENDMENT?


Yes
No
1. CANDIDATE AND CANDIDATE COMMITTEE INFORMATION
Name of Candidate
Party Affiliation
Office Sought (include district or branch number)
Residence Address (number and street)
Primary Date
Candidate Telephone Number (residence)
City, State and Zip Code
Election Date
Candidate Telephone Number (employment)
Campaign Committee Name (if any)
Check One:
 Personal Campaign Committee

Support Committee
Campaign Committee Address (if different than above) - Number, Street, City, State and Zip Code
Candidate Email Address
Committee Email Address
Telephone Number (if different than above)
2. POLITICAL COMMITTEE INFORMATION
(For use ONLY by Political Action Committees, Political Party Committees, Political Groups, etc.)
Name of Committee
Address - Number, Street, City, State and Zip Code
Telephone Number
Committee Email Address
Sponsoring Organization - Name and Complete Address
Acronym (if any)
Type of Committee:
A.

B.

C.

D.

E.

F.
G.


Special Interest Committee (PAC)



Resident Committee
Nonresident Committee – (Must also file GAB-40 with WI Secretary of State’s Office)
Incorporated Labor Organization - Attach Information Required by s.11.05(3)(n), Stats.
Political Party Committee

National

State

County

Other ___________________________________________
Legislative Campaign Committee – Attach Statement Required by s.11.05(3)(o), Stats.
Political Group (Referendum) __________________________________________
Name of Referendum
Recall Committee ____________________________________________________
Name of Officer Subject to Recall
- Attach Statement Required by s.9.10(2)(d)

Support

Oppose

Support Recall

Oppose Recall
Independent Disbursement Committee - Also, Complete Oath of Independent Expenditures, Form GAB-6
Individual - Also, Complete Oath of Independent Expenditures, Form GAB-6
GAB-1 (Rev. 4/2014)
THIS FORM IS PRESCRIBED BY: WISCONSIN GOVERNMENT ACCOUNTABILITY BOARD
P.O. Box 7984, Madison, WI 53707-7984
Phone: 608-261-2028 | Fax: 608-264-9319 | web: https://cfis.wi.gov | email: [email protected]
3. COMMITTEE TREASURER (Campaign finance correspondence is mailed to this address.)
Treasurer’s Name
Telephone Number (residence)
Address (number and street)
Telephone Number (employment)
City, State and Zip Code
Treasurer Email Address
4. PRINCIPAL OFFICERS OF COMMITTEE AND OTHER CUSTODIANS OF BOOKS AND ACCOUNTS
Attach additional listing if necessary. Indicate which officers or committee members are authorized to fill a vacancy in nomination due to death of candidate by an
asterisk(*). This provision only applies to independent and local nonpartisan candidates. s.8.35, Stats.
NAME
MAILING ADDRESS
Email Address
Phone #
POSITION
5. DEPOSITORY INFORMATION
Name of Financial Institution
Account Number (Attach list of any additional accounts and deposit boxes, location, type and number,
i.e., savings, checking, money market, etc.)
Address (number and street)
City, State and Zip Code
CERTIFICATION
TREASURER
I, _________________________________ (print full name) certify the information in this statement is true, correct and complete.
Signature ____________________________________, Treasurer
____________________________________
Date
CANDIDATE (or recall petitioner)
I, __________________________________(print full name) certify the information in this statement is true, correct and complete,
and that this is the only committee authorized to act on my behalf.
Signature ____________________________________, Candidate/Petitioner
____________________________
Date
+ + + EXEMPTION FROM FILING CAMPAIGN FINANCE REPORTS §11.05(2r), Wis. Stats. + + +
You may be eligible for an exemption from filing campaign finance reports. Consult the Campaign Finance Instruction and
Bookkeeping Manual to determine if the registrant qualifies for exemption.

This registrant is eligible for exemption. This registrant will not accept contributions, make disbursements or incur obligations in an
aggregate amount of more than $1,000 in a calendar year or accept any contribution or cumulative contributions of more than $100 from
a single source during the calendar year, except contributions by a candidate to his or her campaign of $1,000 or less in a calendar year.

This registrant is no longer eligible to claim exemption.
____________________________________________________________
Signature of Candidate or Treasurer
_____________________________________
Date
THE INFORMATION ON THIS FORM IS REQUIRED BY §§9.10(2)(d), 11.05, 11.06(7), WIS. STATS. FAILURE TO PROVIDE
THE INFORMATION MAY SUBJECT YOU TO THE PENALTIES OF §§8.30(2), 11.60, 11.61, 11.66, WIS. STATS.
CAMPAIGN REGISTRATION STATEMENT (GAB-1) INSTRUCTIONS
Who Must Register
Candidates
Non-candidate
committees
Referenda
committees
When
As soon as they form the intent to run
for office. Prior to raising or spending
any funds, beyond those needed to open
a bank account
Before spending or taking in more than
$300
Before spending or taking in more than
$2,500
Where
Local office or referenda- with the local
clerk (town, village, city, school)
State office or statewide referenda – with
the Government Accountability Board
For a mix of state and local offices – with
the Government Accountability Board
Completing a Registration Statement
Section 1: Candidate and Candidate Committee Information - Section 1 should be completed by candidate committees only.

Campaign Committee Name – Any candidate that accepts a donation must have a committee. Any
communication (flyers, newspaper ads, website) requires a disclaimer ‘Paid for by Committee name, individual
name, treasurer’.
o Candidates are only allowed one active committee for all state and local offices sought. If you are
seeking multiple offices (town, county, school board), or plan to seek another office in the future, you
may want to consider a generic committee name without the name of the office sought such as ‘Friends
of …’, or ‘Committee to Elect ….’. This will allow you to keep the same committee name for various
offices.
o Your committee name does not have to include your last name, but including your last name makes
searching for your committee easier.
Section 2: Non-Candidate Committee Information - Section 2 should be completed by non-candidate committees only.


A. Special Interest Committee (PAC)
o PACs may receive money from individuals or other PACs, and contribute money directly to candidates.
PACs may not accept money from corporations, including LLCs.
o Committees intending to make only independent disbursements, without contributing to or coordinating
with candidate committees, should register as an Independent Disbursement committee, letter F below.
o A resident committee is based in Wisconsin and must report all receipts and expenses.
o A non-resident committee is based outside of Wisconsin and must report only receipts from Wisconsin
residents and expenses in Wisconsin state-level contests. A non-resident committee does not have to
report cash balances. A non-resident committee must also file a GAB-40 form with the Wisconsin
Secretary of State.
B. Political Party Committee
o To use the name of one of the recognized political parties in Wisconsin – Constitution, Democratic,
Libertarian, or Republican, you must have permission from the state party.

F. Independent Disbursement Committee
o Committees making only independent disbursements may not contribute to or coordinate with candidate
committees. These committees may accept unlimited contributions from individuals and from
corporations. Before spending any money for or against a candidate, an Independent Disbursement
committee must file a notarized GAB-6 Oath of Independent Disbursement stating whether they support
or oppose the candidate.
Section 3. Campaign Treasurer - Section 3 should be completed by all committees.
All committees must name a treasurer. A Candidate may designate any elector to serve as their treasurer, or the candidate may server as
his/her own treasurer. It is important that the treasurer’s name, complete address, telephone number and email address be provided on the
registration statement and be kept current. All notices and forms for campaign finance reports will be sent to this person at the
address given in this section. Failure to receive notice of the filing requirement does not exempt a candidate from the requirement to file
the reports.
Item 4. Principal Officers of the Committee and Other Custodians of Books and Accounts (Optional)
If the committee has officers or other contacts besides the treasurer, they should be listed in Item 4. For a recall committee, the recall
petitioner must be included here. The G.A.B. recommends that you provide more than one person’s contact information.
Item 5. Depository Information (MANDATORY)
In some cases, banks may require a completed GAB-1 registration form to open a bank account. Your committee may register without a
bank account, but the GAB-1 form must be amended within 10 days to report any change, including a new bank account number.
Failure to provide depository information within 5 business days of the first donation and before making any disbursements may
disqualify a candidate for ballot placement. (Wis. Stats. §11.10(1))
In general, all committees must have and provide a campaign depository account number. One of three things must be entered here:
1. Separate Campaign bank account
o This account may be used only for campaign funds
o The bank may require an Employer Identification Number (EIN) from the IRS to open a committee
account
2. Only Candidates may use a personal bank account
o This is allowed only if the candidate is claiming the exemption from filing finance reports (under $1,000
of receipts, under $1,000 expenses, no more than $100 from a single source)
3. Only Candidates are allowed to not have a bank account, but only if:
o The candidate will receive no contributions and make no disbursements. No communications may be
authorized or distributed. This includes in-kind contributions and expenses.
o The candidate must claim exemption by checking the appropriate box on this form.
o The candidate should add a hand-written statement to the form that he or she will spend no money.
Candidates running for more than one elected office are only allowed one campaign depository account. All contributions and all
disbursements for all offices must be run through the one account.
Certification
The candidate and committee treasurer must sign the original registration statement of a personal campaign committee or a support
committee certifying that the information is true, correct, and complete, and that the committee is the only committee authorized to act on
the candidate’s behalf. For a recall committee, the recall petitioner and the treasurer must both sign. A candidate serving as his/her own
treasurer only needs to sign once. Non-candidate committees require only the treasurer’s signature. Amendments to the registration may be
signed by either the candidate or treasurer. If there is a change in treasurer, the new treasurer should sign.
Exemption From Filing Campaign Finance Reports
All committees must file campaign finance reports, unless they check the box to claim exemption and remain within those limits.
o A non-candidate committee may not accept more than $100 from any single source (individual or
committee) in one calendar year.
o A candidate committee may not accept more than $100 from any other single source (individual or
committee) in a calendar year. The candidate may contribute up to $1000 to their own committee.
o A committee may not spend more than $1000 total in a calendar year.
o A referenda committee that does not accept contributions, make disbursements, or incur obligations of more
than $2,500 is not required to register or file campaign finance reports. Referenda committees over this
threshold may not claim exemption – they must register and file all required reports.
If a committee on exempt status exceeds any of the limits listed above:
o The committee must immediately file an amended GAB-1 with the appropriate filing officer, revoking the
exempt status.
o The committee must report all campaign finance activity back to the beginning of the calendar year. Any
reports past their deadline that were not filed should be filed as soon as possible.
If a committee filed reports for the previous calendar year, and wishes to go on exempt status for the upcoming year, the committee must
file a January Continuing report covering all activity through December 31 st. Include an updated GAB-1 requesting exempt status for the
upcoming year.
Amending a Registration Statement
When any of the information reported on the registration statement changes the statement must be amended by filing a new GAB-1. The
candidate or treasurer must file the new GAB-1 within 10 days of the change, checking the “yes” box at the top of the form to indicate that
it is an amendment.
SCHEDULE 4
TERMINATION REQUEST
Complete Committee Name

A committee may terminate its registration and reporting requirements if the committee will no longer receive contributions,
make disbursements or incur obligations, and the cash balance and obligations have been reduced to zero.

Candidates may not terminate prior to the election in which they are participating.

Please read carefully and, if necessary, indicate how residual committee funds have been disposed of or if outstanding loans or
obligations have been forgiven. Sign and date the termination request at the bottom of this page.

Make sure the termination box on the cover page of this report is checked.

Please note: An audit must be completed and all obligations, including settlement offers, fulfilled before termination can be
granted. All records must be maintained until 3 years after the date of an election in which the registrant participates, even if
termination is granted. (Per Wis. Stats. 11.12(3))
DISPOSAL OF RESIDUAL FUNDS
THIS INFORMATION SHOULD ALSO BE INCLUDED ON SCHEDULE 2-A AND/OR 2-B.
Date
Recipient
Amount
LOAN OR DEBT FORGIVENESS
I hereby forgive all personal loans or have assumed responsibility for any and all debts of my campaign committee.
Date
Endorser, Guarantor, or Creditor
Amount
TERMINATION REQUEST. I hereby request that the committee registration be terminated. I declare that the committee has not incurred
any obligations and does not anticipate incurring any. The committee does not anticipate receiving any further contributions or making any
disbursements. I further state that the cash balance has been reduced to zero and that all remaining funds have been disposed of in the
manner prescribed by law.
_________________________________________________________________________ ____________________________________
Signature of Candidate or Treasurer
Date
SPECIAL REPORT OF LATE CONTRIBUTION
CANDIDATE/COMMITTEE/INDIVIDUAL INFORMATION
Candidate/Committee/Individual Name
GAB I.D. # (if assigned)
Address (Number, Street)
Email Address
City, State, Zip Code
Telephone Number
CONTRIBUTOR INFORMATION
(See Instructions on Reverse Side of Form)
Complete Name of Contributor
Date of Contribution
Address (Number and Street) of Contributor
AMOUNT OR FAIR MARKET VALUE OF
CONTRIBUTION.
$______________________
City, State, Zip Code
Total Contribution(s) Received From
Contributor Since
Last Report $__________________________
Occupation
Name and Address of Principal Place of Employment
Complete Name of Contributor
Date of Contribution
Address (Number and Street) of Contributor
AMOUNT OR FAIR MARKET VALUE OF
CONTRIBUTION.
$______________________
City, State, Zip Code
Total Contribution(s) Received From
Contributor Since
Last Report $__________________________
Occupation
Name and Address of Principal Place of Employment
Complete Name of Contributor
Date of Contribution
Address (Number and Street) of Contributor
AMOUNT OR FAIR MARKET VALUE OF
CONTRIBUTION.
$______________________
City, State, Zip Code
Total Contribution(s) Received From
Contributor Since
Last Report $__________________________
Occupation
Name and Address of Principal Place of Employment
I, ________________________________________________ , certify that the information in this report is true, correct and complete.
(PRINT NAME)
______________________________________________________________________
Signature of Candidate or Treasurer
______________________________
Date
THE INFORMATION ON THIS FORM IS REQUIRED BY ss. 11.12(5), 11.23(6), STATS. FAILURE TO PROVIDE THE INFORMATION MAY SUBJECT YOU TO
THE PENALTIES OF ss. 11.60, 11.61, 11.66, STATS.
THIS FORM IS PRESCRIBED BY: The Wisconsin Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 |
Phone: 608-261-2028 | Fax: 608-264-9319 | Web: https://cfis.wi.gov | Email: [email protected]
GAB-3 (Rev. 04/14)
INSTRUCTIONS FOR FILING SPECIAL REPORT OF LATE CONTRIBUTION
When This Report is Required:
A special report of late contribution must be filed for contributions of $500 or more received after
the closing date of the Pre-Primary or Pre-Election report and before the primary or election. This
report must be filed for 1) any contribution of $500 or more, and 2) contributions from a single
source totaling $500 or more received during this 15 day period. It must be filed within 24 hours of
receiving the contributions.
Who Must File This Report:
This report must be filed by all statewide, legislative and judicial candidates receiving late
contributions. Political party committees, and political action committees must file this report when
receiving late contributions. Groups supporting or opposing a referendum must file this report only
if already over the $2,500 registration threshold, or if the late contribution causes the referendum
committee to exceed the $2,500 registration threshold. Local candidate committees are not required
to file this report.
Where to File a Special Report of Late Contribution:
The special report of late contribution must be filed with the appropriate filing officer. If the
contribution is received by a committee or candidate registered with the Government
Accountability Board, the report must be filed with the Government Accountability Board. If the
contribution is received by a local political committee or group, the report must be filed with the
appropriate clerk of the county, city, town, village or school district.
Miscellaneous Information:
1.
The report must be faxed, emailed, or postmarked within 48 hours of receipt of the contribution.
2.
More than one contribution can be reported on this form.
3.
The information contained in this special report of late contribution must be included on the
next regular report filed by the registrant. The contribution must be included in the
appropriate schedule: 1-A for contributions from individuals or 1-B for contributions from
committees.
Certificate of Nomination
General Instructions:
Please Review Fully
Please use uppercase (CAPITAL) letters only. Fill in circles as appropriate.
This form is used to document the transmission of candidate information. Candidate names should be listed on the form in
the order they should appear on the ballot. After entering information into SVRS, Providers should file this form for reference.
Jurisdiction Information
Clerk Last Name
1
Clerk First Name
2
Union
Unified
Common
School Dist.
Relier Information
3
Town
Village
City
Municipality
County
HINDI #
Provider Information
4
County
HINDI #
Town
Village
City
Municipality
HINDI #
Election Information
Date of Election (MM/DD/YYYY)
/
/
Type of Election
5
Office
Vote for 1
Vote for not more than:
(Please Specify)
Candidate Information
Ballot
Position
Town
Village
City
Sch. Dist.
I, ______________________________, Clerk for the
of __________________________, certify that the names of the
candidates in Section 6 are for the office at the election on the date listed in Section 5, as determined by law, and that such names
must be placed on the official ballot in the order listed.
6
7
Comments
Signature
School Clerk Signature
X
Date (MM/DD/YYYY)
/
/
Relier Signature
X
Date (MM/DD/YYYY)
/
/
Provider Signature
X
Date (MM/DD/YYYY)
/
/
EB-405 (REV 1/2006)
Certificate of Nomination
General Instructions: This form should be completed by either a school district clerk or a municipal clerk. The
Please Review Fully
completed form should be submitted to your county clerk or provider, unless directed
otherwise.
This form is used to transmit information about candidate ballot placement to be entered into
SVRS. Clerks should complete a separate form for each county. If there are candidates for
more than one office, complete a separate form for each office. This form constitutes a
certificate of nomination that may also be used for ballot creation.
Each section on the front side of this document corresponds to the sections below (1-6).
1
Whether School District Clerk or Relier Clerk, please provide your current last and first names in the spaces
provided. Enter your formal names, as indicated on official government documents; no nicknames.
2
Only required if form is being completed on behalf of a School District. Fill in appropriate circle for type of School
District. Complete name of School District.
3
Only required if form is being completed on behalf of a municipality. Fill in appropriate circle for type of
municipality. Complete name of municipality. Complete name of county where municipality is located.
4
•
To be completed by School District Clerk. Complete name of county where school district is located. If school
district is located in more than one county, complete a separate form for each county.
•
To be completed by Relier Clerk. Complete name of county or municipality that provides SVRS services to
you.
•
Complete date of election.
•
Complete election type, i.e. Spring Primary, Spring Election, September Primary, General Election, Special
Primary, Special Election.
•
Complete office, i.e. Town Supervisor, Village Trustee, Mayor, School Board Supervisor.
•
Fill in the circle to indicate that the office is to be listed on the ballot as “Vote for One” or “Vote for not more
than”. If “Vote for not more than” indicate the number of seats to be elected.
•
Complete the certification with the appropriate information for name of clerk and jurisdiction.
•
List candidates’ names as they should appear on the ballot and in the order they should appear.
5
6
7
For School District Clerk, provide a list of municipalities within the school district. If additional space is required,
please use a blank sheet of paper to document the municipalities and attach it to this form.
Signature:
•
By signing in this space, the School District Clerk is certifying the candidate information for the office at the
election listed.
•
By signing in this space, the Relier Clerk is certifying the candidate information for the office at the election
listed.
•
By signing in this space the County Clerk or Provider Clerk is acknowledging receipt of this information and
has entered this information into SVRS.
EB-405 Instructions (REV 1/2006)
OFFICIAL PRIMARY BALLOT
FOR NONPARTISAN OFFICE
NOTICE TO ELECTORS: THIS BALLOT MAY BE INVALID UNLESS INITIALED BY
2 ELECTION INSPECTORS. IF CAST AS AN ABSENTEE BALLOT, THE BALLOT
MUST BEAR THE INITIALS OF THE MUNICIPAL CLERK OR DEPUTY CLERK.
To vote for a candidate whose name is printed on the ballot, make a cross (X) in the square at the
RIGHT of the name of the candidate for whom you desire to vote. To vote for a person whose
name does not appear on the ballot, write the name in the blank space provided for the purpose.
School Board Members
Vote for not more than Three
(insert name).......................................................................................................................................... 
(insert name).......................................................................................................................................... 
(insert name).......................................................................................................................................... 
(insert name).......................................................................................................................................... 
(insert name).......................................................................................................................................... 
(insert name).......................................................................................................................................... 
(insert name).......................................................................................................................................... 
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
GAB-222- Spring Primary Paper Ballot for School Districts with
Unnumbered Seats Ss. 5.52, 120.06(7)(b), Wis. Stats.
(Rev. 1/2003)
The number of persons may need to be modified. If only one
person is to be elected, the instructions must be: Vote for one.
When more than one person is to be elected, the instructions must
be: Vote for not more than …(insert number of persons to be
elected).
Sample reverse side of official paper ballot
(Insert title from front of ballot)
(Insert date of election)
For
____________________________________________________
(insert name of municipality: city, town or village, and ward #(s)
Ballot issued by
_______________________________
_______________________________
(initials of election inspectors)
Absentee ballot issued by
__________
__________
(initials of municipal clerk or deputy clerk)
(If issued by SVDs, both SVDs must initial.)
Certification of Voter Assistance
I certify that I marked this ballot at the request and direction of a voter, who is
authorized under the law to receive assistance.
____________________________________________________
(signature of assistor)
GAB-229 Reverse side of paper ballot| Rev 2014-03 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 |
web: gab.wi.gov | email: [email protected]
OFFICIAL PRIMARY BALLOT
FOR NONPARTISAN OFFICE
NOTICE TO ELECTORS: THIS BALLOT MAY BE INVALID UNLESS
INITIALED BY 2 ELECTION INSPECTORS. IF CAST AS AN ABSENTEE
BALLOT, THE BALLOT MUST BEAR THE INITIALS OF THE MUNICIPAL
CLERK OR DEPUTY CLERK.
To vote for a person whose name is printed on the ballot, make a cross (X) in the
square at the RIGHT of the name of the person for whom you desire to vote. To vote
for a person whose name does not appear on the ballot, write the name in the blank
space provided for the purpose.
School Board Member 1
Vote for One

(insert name).......................................................................................................................... 
(insert name).......................................................................................................................... 
(insert name)..........................................................................................................................
.................................................................................................................................................
School Board Member 2
Vote for One

(insert name)............ ............................................................................................................. 
(insert name).......................................................................................................................... 
(insert name)..........................................................................................................................
.................................................................................................................................................
School Board Member 3
Vote for One

(insert name).......................................................................................................................... 
(insert name).................................................................................................. ....................... 
(insert name)..........................................................................................................................
................................................................................................................................................
The number of the seats to be elected may need to be modified.
FORM GAB-223-Spring Primary Paper Ballot for School Districts
With Numbered Seats Ss. 120.02(4) and 120.06(7)(b), Wis. Stats.
(Rev. 1/2003)
Sample reverse side of official paper ballot
(Insert title from front of ballot)
(Insert date of election)
For
____________________________________________________
(insert name of municipality: city, town or village, and ward #(s)
Ballot issued by
_______________________________
_______________________________
(initials of election inspectors)
Absentee ballot issued by
__________
__________
(initials of municipal clerk or deputy clerk)
(If issued by SVDs, both SVDs must initial.)
Certification of Voter Assistance
I certify that I marked this ballot at the request and direction of a voter, who is
authorized under the law to receive assistance.
____________________________________________________
(signature of assistor)
GAB-229 Reverse side of paper ballot| Rev 2014-03 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 |
web: gab.wi.gov | email: [email protected]
OFFICIAL PRIMARY BALLOT
FOR NONPARTISAN OFFICE
NOTICE TO ELECTORS: THIS BALLOT MAY BE INVALID UNLESS
INITIALED BY 2 ELECTION INSPECTORS. IF CAST AS AN ABSENTEE
BALLOT, THE BALLOT MUST BEAR THE INITIALS OF THE MUNICIPAL
CLERK OR DEPUTY CLERK.
To vote for a person whose name is printed on the ballot, make a cross (X) in the
square at the RIGHT of the name of the person for whom you desire to vote. To vote
for a person whose name does not appear on the ballot, write the name in the blank
space provided for the purpose.
School Board Member from
Vote for One

(insert name).............................................................................................................................. 
(insert name).............................................................................................................................. 
(insert name)..............................................................................................................................
....................................................................................................................................................
School Board Member from
Vote for One

(insert name)............................................................................................................................... 
(insert name)............................................................................................................................... 
(insert name)...............................................................................................................................
......................................................................................................................................................
School Board Member from
Vote for One

(insert name)............................................................................................................................... 
(insert name)............................................................................................................................... 
(insert name)...............................................................................................................................
......................................................................................................................................................
The number of the seats to be elected may need to be modified
FORM GAB-224-Spring Primary Paper Ballot for School Districts
With Apportioned Seats Ss. 120.02(2) and 120.06(7)(b), Wis. Stats.
(Rev. 1/2003)
Sample reverse side of official paper ballot
(Insert title from front of ballot)
(Insert date of election)
For
____________________________________________________
(insert name of municipality: city, town or village, and ward #(s)
Ballot issued by
_______________________________
_______________________________
(initials of election inspectors)
Absentee ballot issued by
__________
__________
(initials of municipal clerk or deputy clerk)
(If issued by SVDs, both SVDs must initial.)
Certification of Voter Assistance
I certify that I marked this ballot at the request and direction of a voter, who is
authorized under the law to receive assistance.
____________________________________________________
(signature of assistor)
GAB-229 Reverse side of paper ballot| Rev 2014-03 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 |
web: gab.wi.gov | email: [email protected]
OFFICIAL BALLOT
FOR NONPARTISAN OFFICE
NOTICE TO ELECTORS: THIS BALLOT MAY BE INVALID UNLESS
INITIALED BY 2 ELECTION INSPECTORS. IF CAST AS AN ABSENTEE
BALLOT, THE BALLOT MUST BEAR THE INITIALS OF THE MUNICIPAL
CLERK OR DEPUTY CLERK.
To vote for a candidate whose name is printed on the ballot, make a cross (X) in the
square at the RIGHT of the name of the candidate for whom you desire to vote. To
vote for a person whose name does not appear on the ballot, write the name in the
blank space provided for the purpose.
School Board Member
Vote for not more than Three

(insert name)................................................................................................................................. 
(insert name)................................................................................................................................. 
(insert name)................................................................................................................................. 
(insert name)................................................................................................................................. 
(insert name)................................................................................................................................. 
(insert name).................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
FORM GAB-225 (Rev. 1/2003)
Spring Election Ballot for School
Districts with Unnumbered seats
S. 5.52, Wis. Stats.
The number of persons may need to be modified. If only one person is
to be elected, the instructions must be: Vote for one. When more than one
person is to be elected, the instructions must be: Vote for not more than
(insert number of persons to be elected).
Sample reverse side of official paper ballot
(Insert title from front of ballot)
(Insert date of election)
For
____________________________________________________
(insert name of municipality: city, town or village, and ward #(s)
Ballot issued by
_______________________________
_______________________________
(initials of election inspectors)
Absentee ballot issued by
__________
__________
(initials of municipal clerk or deputy clerk)
(If issued by SVDs, both SVDs must initial.)
Certification of Voter Assistance
I certify that I marked this ballot at the request and direction of a voter, who is
authorized under the law to receive assistance.
____________________________________________________
(signature of assistor)
GAB-229 Reverse side of paper ballot| Rev 2014-03 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 |
web: gab.wi.gov | email: [email protected]
OFFICIAL BALLOT
FOR NONPARTISAN OFFICE
NOTICE TO ELECTORS: THIS BALLOT MAY BE INVALID UNLESS
INITIALED BY 2 ELECTION INSPECTORS. IF CAST AS AN ABSENTEE
BALLOT, THE BALLOT MUST BEAR THE INITIALS OF THE MUNICIPAL
CLERK OR DEPUTY CLERK.
To vote for a candidate whose name is printed on the ballot, make a cross (X) in the
square at the RIGHT of the name of the candidate for whom you desire to vote. To
vote for a person whose name does not appear on the ballot, write the name in the
blank space provided for the purpose.
School Board Member No. 1
Vote for One

.............................................................................................................. 
(insert name)...............................................................................................................................
(insert name)...............
....................................................................................................................................................................
.
School Board Member No. 2
Vote for One

(insert name).............................................................................................................................. 
(insert name)..............................................................................................................................
....................................................................................................................................................
School Board Member No. 3
Vote for One

(insert name).............................................................................................................................. 
(insert name).............................................................. ...............................................................
.....................................................................................................................................................
FORM GAB-226-Official Election Ballot for School Districts
With Numbered Seats S. 120.02(4), Wis. Stats.
(Rev 1/2003)
The number of the seats to be elected may need to be modified.
Sample reverse side of official paper ballot
(Insert title from front of ballot)
(Insert date of election)
For
____________________________________________________
(insert name of municipality: city, town or village, and ward #(s)
Ballot issued by
_______________________________
_______________________________
(initials of election inspectors)
Absentee ballot issued by
__________
__________
(initials of municipal clerk or deputy clerk)
(If issued by SVDs, both SVDs must initial.)
Certification of Voter Assistance
I certify that I marked this ballot at the request and direction of a voter, who is
authorized under the law to receive assistance.
____________________________________________________
(signature of assistor)
GAB-229 Reverse side of paper ballot| Rev 2014-03 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 |
web: gab.wi.gov | email: [email protected]
OFFICIAL BALLOT
FOR NONPARTISAN OFFICE
NOTICE TO ELECTORS: THIS BALLOT MAY BE INVALID UNLESS
INITIALED BY 2 ELECTION INSPECTORS. IF CAST AS AN ABSENTEE
BALLOT, THE BALLOT MUST BEAR THE INITIALS OF THE MUNICIPAL
CLERK OR DEPUTY CLERK.
To vote for a candidate whose name is printed on the ballot, make a cross (X) in the
square at the RIGHT of the name of the candidate for whom you desire to vote. To
vote for a person whose name does not appear on the ballot, write the name in the
blank space provided for the purpose.
School Board Member from..........…
Vote for One

(insert name)......................................................................................................................... 
(insert name).........................................................................................................................
................................................................................................................................................
School Board Member from............
Vote for One

(insert name)......................................................................................................................... 
(insert name).........................................................................................................................
................................................................................................................................................
School Board Member from........
Vote for One

(insert name).................................................................................................................. ...... 
(insert name).........................................................................................................................
.................................................................................................................................................
FORM GAB-227-Spring Election Ballot for School Districts
With Apportioned Seats S. 120.02(2), Wis. Stats
(Rev. 1/2003)
The number of the seats to be elected may need to be modified.
Sample reverse side of official paper ballot
(Insert title from front of ballot)
(Insert date of election)
For
____________________________________________________
(insert name of municipality: city, town or village, and ward #(s)
Ballot issued by
_______________________________
_______________________________
(initials of election inspectors)
Absentee ballot issued by
__________
__________
(initials of municipal clerk or deputy clerk)
(If issued by SVDs, both SVDs must initial.)
Certification of Voter Assistance
I certify that I marked this ballot at the request and direction of a voter, who is
authorized under the law to receive assistance.
____________________________________________________
(signature of assistor)
GAB-229 Reverse side of paper ballot| Rev 2014-03 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 |
web: gab.wi.gov | email: [email protected]
Tabular Statement of Votes Cast
, WI
(insert municipality and county, if county canvass insert county only)
(type of election)
_______________ Election - _______________ (date of election)
(For County Use Only)
For a Partisan Primary, insert political party
Office:
Reporting Units:
Candidates:
Total Votes Cast-Candidates:
Total Votes Cast-Office:
GAB-106 (Rev. 8/98-G.A.B. 12/09) Tabular - Board of Canvassers Report
Scattering
(for Counties only)
Completing the Tabular Statement of Votes Cast
Instructions For Municipal Canvass:
 Write the name of your municipality, the kind of election - primary, spring, or special election, etc., and the date of the
election in the heading.
 Enter the complete name of the office with the seat or district number in the shaded area.
 List the names of the candidates for the office in ballot order below the shaded area.
 Make sure that all wards or ward combinations are listed in proper numerical order in the left hand column. The
smallest number in a combination determines the order. (Example: Wards 1&4; Wards 2,6 & 7; and Wards 3&5.)
 For each reporting unit, list the number of votes cast for each candidate.
 Don’t forget the write-in votes - they must be listed individually by name.
 Enter the total number of votes cast for each candidate at the bottom of the column. Please give the total number of
votes cast (not voters!) for each office in the “Total Votes Cast-Office” space. This total is the sum of the vote totals
for each candidate plus the write-ins.
Notes for Municipal and County Clerks:
Combining Reporting Units. A municipality may provide for combined wards by resolution up to 30 days* before
the spring primary or election, if your population is under 35,000. It’s important to remember that for the spring
primary and the spring election, wards in a municipality may be combined for judicial offices even though separate
results may be required for county, municipal, or school district offices. The wards being combined must use the same
polling place.
*60 days before a September Primary or General Election.
Reporting for annexations requires special attention. As long as the area being annexed belongs to the same
representative districts, i.e., congressional, legislative, and county supervisory districts, as the adjacent area to which
it’s being annexed, then the annexed area is reported together with the adjacent area using the same ward number. But
if the annexed area has different representative districts from its adjacent area or crosses county lines, the municipality
is required by law to create a separate ward giving it the next consecutive number. All election results from this new
ward must be reported under the new ward number.
Instructions For County Canvass:

Write the name of your county, the kind of election - primary, partisan primary, spring/general election, or special,
etc., and the date of the election in the heading.

A separate report must be completed for each political party in a partisan primary only. Write in the name of the
political party on the line provided.

Enter the complete name of the office with the branch or district number in the shaded area.

List the names of the candidates for the office in ballot order below the shaded area.

Please list all municipalities and wards in the correct order in the left hand column. The smallest number in a
combination determines the order. (Example: Wards 1&4; Wards 2,6 & 7; and Wards 3&5.)
1. Towns, alphabetically, wards numerically.
2. Villages, alphabetically, wards numerically.
3. Cities, alphabetically, wards numerically.

Make sure that all wards or ward combinations are listed along with the municipality name. If a municipality is
divided by wards, but combines them for voting purposes and reports one total, you must still identify the numbers
of the wards being reported. (Example: Town of Anywhere, Wards 1&2. If a municipality is not divided by wards
do not list “Ward 1.”)

For each reporting unit, list the number of votes cast for each candidate.

Don’t forget the scattering column - if there are no write-in votes for a reporting unit, list 0.

Enter the total number of votes cast for each candidate at the bottom of the column. Please give the total number of
votes cast (not voters!) for each office in the “Total Votes Cast-Office” space. This total is the sum of the vote totals
for each candidate plus the scattering.
GAB-106 Instructions, Board of Canvass Report
Certification of the Board of Canvassers
We, the undersigned, certify that we are the members of the Board of Canvassers for
.
(insert municipality and county, if county canvass insert county only)
We certify that the attached Tabular Statement of Votes Cast and Summary Statement of the
Board of Canvassers, canvassed and prepared by us, are correct and true as compiled from the
original returns made to the
__________________________________ Clerk.
(County, Municipal, School District)
We further determine and certify that the following persons received the greatest and the next to
greatest (for primary only) number of votes for the respective office for which each was a
candidate on ________________________________.
(Insert date of primary or election)
OFFICE
HIGHEST CANDIDATE
(Title of Office)
(Name of Winning Candidate)
SECOND
HIGHEST CANDIDATE
(For Primary Only)
(Name of Second Highest Candidate)
BOARD OF CANVASSERS
(1)
________________
(2) _____________________________________
(3) _____________________________________
(4) _____________________________________
(5) _____________________________________
(Date)
This document is signed by:
For a municipal election – The inspectors when there is only one polling place and one set of election results. s.7.53(1), Stats.
For a municipal election – The municipal board of canvassers when there are 2 or more reporting units. s.7.53(2)(a), Stats.
For state and county elections – The county board of canvassers. s.7.60(2), Stats.
GAB-106(Rev.8/98 – G.A.B. 12/09)
Certification - Board of Canvassers Report
Summary Statement of the Board of Canvassers
_______________ Election - _______________, _____
The total number of votes cast for _______________________________ was _______
of which
(insert office)
received
(candidate’s name)
________________________________
received
_______
received
_______
(candidate’s name)
________________________________
(candidate’s name)
Scattering (for county only)
received
The total number of votes cast for _______________________________ was
of which
(insert office)
________________________________
received
_______
received
_______
received
_______
(candidate’s name)
________________________________
(candidate’s name)
________________________________
(candidate’s name)
Scattering (for county only)
received
The total number of votes cast for _______________________________ was
(insert office)
of which
________________________________
received
(candidate’s name)
________________________________
received
(candidate’s name)
________________________________
received
(candidate’s name)
Scattering (for county only)
GAB-106(Rev.8/98-G.A.B.12/09)
Summary Statement - Board of Canvassers Report
received
STATEMENT OF THE MUNICIPAL BOARD OF CANVASSERS
Reconciliation of Late-Arriving and Provisional Ballots Processed
______________________________, ________
(Date of Primary or Election)
□ No absentee ballots were returned and no provisional ballots rehabilitated.
Election night results stand.
_______________________________(MBOC must complete and sign certification below.*)______________________________________
1. Breakdown of Absentee Ballot Processing
a. Total number of absentee ballots counted by MBOC: ____________
b. Total number of absentee ballots rejected by MBOC: ____________
c. .………………………………………… TOTAL: ____________
(Number must match the number in 3.a. below.)
2. Breakdown of Provisional Ballot Processing
a. Total number of provisional ballots counted by MBOC: ____________
b. Total number of provisional ballots rejected by MBOC: ____________
c. ……………………………….………………..TOTAL: ____________
(Number must match the number in 3.b. below.)
3. Total Number of Ballots Processed by MBOC
a. Total number of absentee ballots processed by MBOC:
____________
b. Total number of provisional ballots processed by MBOC: ____________
c. ………………………………………..………….TOTAL: ____________
1c+2c=3c
* CERTIFICATION OF MUNICIPAL BOARD OF CANVASSERS *
We, the undersigned, certify that we are the members of the Municipal Board of Canvassers for
.
(insert municipality and county)
We certify that the above Reconciliation of Ballots Processed and the attached Statement of Tally of
Late-Arriving Absentee Ballots and Provisional Ballots prepared by us, are correct and true as compiled
from the absentee and provisional ballots provided to us by
__________________________________________, Clerk.
(Name of Municipal Clerk)
(1)
BOARD OF CANVASSERS
________________
(2) _____________________________________
(3) _____________________________________
(4) _____________________________________
(5) _____________________________________
(Date)
GAB-106/AP | 2012-07 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 | web: gab.wi.gov | mail: [email protected]
STATEMENT OF TALLY OF LATE-ARRIVING ABSENTEE BALLOTS
AND PROVISIONAL BALLOTS
______________________________, ________
(Date of Primary or Election)
The total number of votes tallied for _______________________________ was________,
(insert office)
of which
received
_______
(candidate’s name)
________________________________
received
_______
received
_______
received
_______
(candidate’s name)
________________________________
(candidate’s name)
________________________________
(candidate’s name)
The total number of votes tallied for _______________________________ was
of which
(insert office)
________________________________
received
_______
(candidate’s name)
________________________________
received
_______
received
_______
received
_______
(candidate’s name)
________________________________
(candidate’s name)
________________________________
(candidate’s name)
The total number of votes tallied for _______________________________ was
(insert office)
of which
________________________________
received
_______
(candidate’s name)
________________________________
received
_______
received
_______
received
_______
(candidate’s name)
________________________________
(candidate’s name)
________________________________
(candidate’s name)
The total number of votes tallied for _______________________________ was
(insert office)
of which
________________________________
received
_______
(candidate’s name)
________________________________
received
_______
received
_______
received
_______
(candidate’s name)
________________________________
(candidate’s name)
________________________________
(candidate’s name)
GAB-106/AP | 2012-07 | Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984 | 608-261-2028 | web: gab.wi.gov | mail: [email protected]
CERTIFICATE OF ELECTION
STATE OF WISCONSIN
}
ss.
______________________
(insert issuing authority)
I,
,
(insert name and title of person issuing certificate)
of the
, of the State of Wisconsin, certify that
(agency or municipality)
,
(insert name of elected person)
as appears from the official canvass of the votes cast at a ______________________________
(insert type of election)
Election held in
, Wisconsin, on
(county or municipality)
, was duly elected
(insert date of election)
_____________________________________________________________________
(insert title of office to which elected)
to hold office for a
term, commencing on
(insert length of term)
and ending on
,
(insert first day of term)
.
(insert last day of term)
IN TESTIMONY WHEREOF,
I have set my hand and affixed the Seal of
________________________, this ____ day
of ___________________________, ______.
_____________________________________
(Signature)
_____________________________________
(Title)
GAB-153 (Rev. 9/99)
_____________________________________
(Agency)
Official Oath
STATE OF WISCONSIN,
)
) ss
______________________ County )
I, ______________________________________________, having been elected or appointed to
the office of ___________________________________________________________________
(title)
swear (or affirm) that I will support the constitution of the United States and the constitution of
the State of Wisconsin, and will faithfully and impartially discharge the duties of said office to
the best of my ability.
So help me God.
_______________________________________
(Signature of elected or appointed official)
Subscribed and sworn to before me this __________ day of _____________________, _______.
_________________________________________________________
(Signature of person authorized to administer oaths)
My commission expires _____________________, or is permanent
Notary Public
, or ________________________________________
(Official title, if not a notary)
GAB-154 (12/09)
The information on this form is required by Article IV, Section 28 of the Wisconsin Constitution, §. 19.01 (1), (lm), Wis. Stats.
This form is prescribed by the Government Accountability Board, P.O. Box 7984, Madison, WI 53707-7984, 608-266-8005, [email protected]
http://gab.wi.gov.
Wisconsin Association
of School Boards
Supporting, Promoting and Advancing Public Education
122 W. Washington Ave., Suite 400
Madison, WI 53703
608-257-2622
(Toll Free) 877-705-4422