Form: CF-1 (Rev. 11/2018) Prescribed by: STATE OF WISCONSIN, Ethics Commission
Note: An amended registration statement must be filed within 10 days of any changes in information.
1. Is this an Amendment? No Yes If yes, please enter your committee number:
Committee Number
Other Officers (Optional)
Independent and local non-partisan candidates: Indicate by an asterisk (*) which officers are authorized to fill a vacancy in nomination due to death of candidate.
A21. Name A22. Title A23. Email A24. Phone
A25. Name A26. Title A27. Email A28. Phone
Treasurer/Administrator Information
A14. Name A15. Email A16. Phone
A17. Mailing Address A18. City A19. State A20. Zip
Depository Institution Information
A9. Institution Name A10. Street Address A11. City A12. State A13. Zip
SECTION A: GENERAL INFORMATION
A2. Registrant Type (Choose One)
Candidate Referendum Recall Conduit
Political Action (PAC) Independent Expenditure (IEC)
Political Party Legislative Campaign Committee
A1. Candidate Committee/Committee/Conduit Name
A3. Email A4. Phone
A5. Mailing Address A6. City A7. State A8. Zip
Filing Exemption
Registrants that will not accept contributions, make disbursements, or incur obligations in an aggregate
amount of more than $2,000 in a calendar year are eligible for exemption from filing campaign finance
reports. Exempt status is effective only for the calendar year in which it is granted. Registrants wishing
to remain on exempt status must renew each year. Candidates may not claim exemption in the year of
their election before the day they appear on the ballot.
A29. Exemption Affirmation
Yes, this registrant is eligible for exemption
No, this registrant is not eligible for exemption
SECTION B: CANDIDATE COMMITTEES
B1. Office Sought (include District/Branch) B2. Political Party B3. Election Date
Candidate Information
B4. Name B5. Email B6. Phone
B7. Mailing Address B8. City B9. State B10. Zip
Second Candidate Committee
An individual who holds a state or local elective office may establish a second candidate
committee to pursue another state or local office.
B11. Is this your only registered candidate committee in Wisconsin?
Yes, this is my only candidate committee in Wisconsin
No, this is my second candidate committee in Wisconsin
B12. Other Office Held or Sought (include District/Branch) Only complete B12 if you responded “No” to B11.
SECTION C: RECALL COMMITTEES
C1. Name of Official Subject to Recall
C3. Support
Oppose
C2. Office of Official Subject to Recall
CAMPAIGN FINANCE REGISTRATION STATEMENT
STATE OF WISCONSIN
Form: CF-1 (Rev. 11/2018) Prescribed by: STATE OF WISCONSIN, Ethics Commission
CAMPAIGN FINANCE REGISTRATION STATEMENT
STATE OF WISCONSIN
Note: An amended registration statement must be filed within 10 days of any changes in information.
SECTION G: CERTIFICATION
Accurate Information
I certify that I am an authorized representative of the registrant and that to my knowledge all of the information contained within this registration
is true, correct, and complete.
Timely Amendments
I am aware of the requirement to amend this registration statement within 10 days of any change of information contained within, as well as the
requirement to register within 10 days of meeting the requirements to register under Chapter 11 of Wisconsin Statutes.
Records Retention
I further acknowledge the requirement to maintain the records of the registrant in an organized and legible manner for three years from the date
of the most recent election in which this registrant participated.
Ongoing Compliance
This registrant shall continue to maintain its registration and comply with all applicable reporting requirements under Chapter 11 of Wisconsin
Statutes.
Treasurer/Administrator
G1. Printed Name G2. Signature G3. Date
Candidate (if applicable)
G4. Printed Name G5. Signature G6. Date
SECTION D: PAC, IEC, AND CONDUITS
D1. Sponsoring Organization D2. Email D3. Phone
D4. Mailing Address D5. City D6. State D7. Zip
SECTION F: REFERENDA COMMITTEES
F1. Nature of Referendum (if applicable)
F2. Support
Oppose
SECTION E: POLITICAL PARTY & LEGISLATIVE CAMPAIGN COMMITTEES
E1. Political Party (Name candidates appear under on a ballot)
E2. Does the Committee have a Segregated Fund?
No Yes
Segregated Fund Depository Institution Information (if applicable)
E3. Institution Name E4. Street Address E5. City E6. State E7. Zip
Instructions for Form: CF-1 (Rev. 11/2018) Prescribed by: STATE OF WISCONSIN, Ethics Commission
FORM INSTRUCTIONS
CAMPAIGN FINANCE REGISTRATION STATEMENT (CF-1)
Item 1. Is this an amendment? Check the appropriate
box. If “Yes” is checked, enter the committee ID number
if you have one. If “No’ is checked, proceed directly to
Section A.
Section A: General Information. All candidates,
committees, and conduits must complete section A.
Item A1: Committee/Conduit Name. All committees and
conduits must have a name. It is not required that the name
include the candidate or organization’s name, but it
is recommended, e.g., Friends of John Smith. A political
party committee wishing to operate under the same
name as a state political party committee must receive
authorization from that state party (WIS. STAT. §
11.0101(26)(a)1).
Depository Institution Information. All committees and
conduits must designate a depository institution. While
it is recommended that all committees have a
designated campaign depository account, candidates who
will serve as their own treasurer may designate a
single personal account to serve as the committee
depository account while claiming a filing exemption
and may intermingle personal and campaign funds
(WIS. STAT. § 11.0201(2)(b)).
Treasurer/Administrator Information. Each
committee must appoint a treasurer and each conduit must
appoint an administrator. Any adult may serve as a
treasurer or administrator. A candidate may serve as
his or her own treasurer. If a candidate is serving as
their own treasurer, this section may be left blank.
Section B: Candidate Committees.
Candidate committees must complete section B. No other
committee type should complete section B.
Section C: Recall Committees. Recall committees
must complete section C. No other committee type
should complete section C.
Section D: PAC, IEC, and Conduits. Political
action committees, independent expenditure
committees, and conduits must complete section D.
No other committee type should complete section B.
All fields in section D refer to the sponsoring
organization’s contact information.
Section E: Political Party and Legislative
Campaign Committees. Only political party
committees and legislative campaign committees
should complete section
Section E: Political Party and Legislative Campaign
Committees. Only political party committees and
legislative campaign committees should complete section
E.
Item E2. A political party or a legislative
campaign committee may establish a segregated fund
for purposes other than making contributions to a
candidate committee or making disbursements for
express advocacy (WIS. STAT. § 11.1104(6)). It is
recommended that the committee maintain the
segregated fund in a depository account separate from
the primary account, but it is not required.
Items E3 - E7. If the segregated fund is maintained with
the same depository institution as the primary
account, write “Same as primary account.” in E3.
Section F: Referendum Committees. Only
referenda committees should complete section F.
Section G: Certification. All committees and
conduits must complete section G.
Note: Use of this form is required by the Ethics Commission for registration of a political committee or conduit under
Chapter 11 of Wisconsin Statute. Completion of this form is mandatory for committees that file on paper. It is not the
Commission’s intention to use any personally identifiable information from this form for any other purpose.