!!!pi&-date.ethics.ks.gov/cfascanned/house/2006eleccycle/200610/h034cv_200610.pdfnov 17 06...
TRANSCRIPT
Nov 17 06 12:43p Integrity Solutions913-780-4815 p.2
KANSAS GOVERNMENTAL ETHICS COMMIR1!Cj:-'I'\ !f~l"RECEIPTS AND EXPENDITURES REPORT I"., ~~ OJ V~
OF A CANDIDATE FOR STATE OFFICE f~Uv t 7 2006GOY;;""
-"..'7'''''""2' -'h
OCTOBER 30, 2006 T~~;~:;'ST'=gT:;S~rg~$!O!i-',-", KA.".!s '--t
, AS66512 ;FILE WITH SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER
SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name of Candidate: 41 vi AI \/1 ck
Address: 3D -t..j vJA~k£~
CityandZipCode: k'It-M5.A:S: (!/IY, XttN)~ ~b/?»/
Office SoughtSFA:TE J..:Io~ flEP1l.ef!;avA-7)Oe::
County:Wy*JoJ1-:./.)7 7 G
District: 3+
B. Check only if appropriate: - Amended Filing - Termination Report
C. Sunnnary (covering the period from July 21, 2006 through October 26, 2006)
1. Cash on hand at beginning of period ..........................................................................
2. Total Contributionsand Other Receipts (UseSchedule A) Cb.~.r;.~~~~/{(l7-:;#I(?p...cA'E/>/T
3. Cash availablethis period (Add Lines 1 and2) ".
4. Total Expenditures and Other Disbursements (Use Schedule C) ,,,,,,,,,,,,,,,,, , ,
5. Cash on hand at close of period (Subtract Line 4 from 3) ""' ".
6. In-Kind Contributions (Use Schedule B) '"''''''
7. Other Transactions (Use ScheduleD) , ".....
~.+3-
4-to7. , Dl,~oD, Pc>FjlP2JO~~11>Z,.pl.p
-Zc~D
D, .'1 declare that this report~ including any accompanying schedules and statements, has been examined by meand to the best afmy knowledge and belief is true, correct and complete. I understand that the intentionalfailure to file this document or intentionally filing a false document is a class A misdemeanor."
!!!PI&-Date.
GEC Form Rev, 2001
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SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
-tfrl [lIA.I\/Jet< .3/1'r7£ Jl&i.J;5i!1?d;;~};l8V7iVl::!" .hI S7X/ <!/ :3 i(Name of Candidate: Party Committee or Political Committee)
PageL of 7-
Check Amount ofDate Name and Address Occupation of Individual Appropriate Box Cash, Check,
of Contnoutor Giving More Than $150 Loan orCalh Cbeck Loan Other
Other Receipt
fviot.
l3'AV1}/iMA 51»}-'-.I1t. MJN/.> rat -If1.Jt?
06
J IIb7 Vol/AI" €57"'fJt-.b /if. ){)D){- e. ks. "/1>9- 'qJ/7
iq"{hIv'C 1/ K £1 M-b. Mtg}.; C.4-L.h[JC/t?../ iC ..PJ :371:3 AlA//' ">7.
.5»JI1 (;-&7JtP -ZSt>J 2btJ --oVGif'IA-.M.b.pi(. k.:>. 1,..(.>zV -" ""2 63.?
7zY/C 6J7£7 /,/p / / #dAE4?;:I:£- /£//?- )/ If 07l!£P J)'Y 1(/0I JIll:vVY/yyl/ 7'q j,,(/-=»
t:>eJ
46()-
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SCHEDULE ABUTIONS AND OTHER RECEIPTS
1-
Date Name and Addressof Contributor
Occupation of IndividualGiving More Than $150
Chec}cAppropriate Box
ClUh Cheek Loan
Amount ofCash, Check,
Loan orOther Receipt
O1her
~
Complete if last page of Schedule A
Tota!:Itemized Receipts for Period
Total Uni1emized Contributions ($50 or less)
Sale of Political Materials (Unitemized)
Total Contn1IUtionsWhen Contributor Not Known
~lilH.1I~1!i~i..!j~tf~.!IJ§fmmg;g:1~;:~~~::::~:,;:~;:~;;~lliif11'::::'!j~i::'::f.fl:i'lli:j~!;!::mw!Ni:;1U:11:~:tt~~i~j:fu;;~
m n-_n p_m- - __m_--
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SCHEDULE B
11 IN-KIND CONTRIBUTIONS£NJ}JN VJCI<.S: .-)if
(Name of Candid te, Party Committee or Political Committee)
DateName, Address and Occupation
of Contributorlist occupation for those giving
an in-kind more than S150
Description ofIn-Kind
Contribution
Value ofIn-Kind
Contribution
---GL
Complete iflut page of Schedule B
Total Itemized (over $50) In-Kind Contributions --c7.g?-Tota! Unitemized ($50 or less) In-Kind Contributions
~!II'~lmJIPage-'- ofL
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SCHEDULE C .
EXPENDITURES Al'\1) OTHER DISBURSEMENTS
(;1.(//# Vt(./<,.th7~ "-~~~Vc::- A/5/)Vt!-/37'(Name of Candidate,Party Committeeor PoliticalCommittee)
Date Name and Address
.? 1 L> &7.1rj!" M..4/ AJ f1/~r t7;::;;::::;Ct
}ZzJ.. OG17Ac0 k5. t»1>d-J 99f/8p~ I-YtP-Z75-"2r777
.1bJ /lie MIl NlEW5 PIFP~~-Ipf I k- C'~ 11..1 D .
i2~ 'Wi1'l;~p,7E v-.JE:ST}JE:W..J;£~/J? .K. c . )<5-
-?;f¥/ t!ALU.//'j Vi ck'/ t{.. 3t7 'I 'W;ZIt};Z/l
x- (!~J(S- lklo/
¥Z5/ I /liE{!/ll? Iv'k~&rb<.7,q: I<-c. MP.
"J ~J 57J1c1 .&/'./77J'(2-1a- 91t7p &01£ DJ:[ -
vI IE) U( 11.5.'
'1 ZS/ -dc: ;r;,N..5J4-5>"7?J-;'6' (;l t?fi~lif, . v
)(, C. rl S- '
'l~fpl 71;;A'iw5Jt> 47/ &:tpp;/<_c.1(5.
? /.uJ S7JJCj ]!'V//J'?IJfp~ 9//?? th~ c-D;Z -L.£M. J(s-./P/p z/
7/J1/t;f I. T ({oJ!5/#s-iJ-V'k-- C . J::..c.- ~
cA cc;,J=-#. /011
-~- /ft>.z-,v ~~ I 1DD.££:::
c;de:~ ¥ /0/2-rPt!P,z:p1!. Uf£i)rk~.;tMJ!:J
I
-
v ph wv/ c£~~.s... Ft;I/C71~ 5D ~GA-M Y"Alfj ,If) J t?~cd=.JstIcY.3>- /
11:1::>"0€}!:(-r is J~
CAe: c~ .1;l:-/ t) / tj--
ft)..vJj~ Pr ,P'L"J'G:K3;
cAc~/o/.5/1.bz» Nc:~/J/&l--
C£.{cck -#- /P/~It!> ;z.)/ ;J61US f?A-f?v-.. -
e),ef:c)c; -#- /£;)7
f'RMJ7/15 Pr ~7E~
~Acci~-l:L /P/~r;,~ M&?Nt:J rb-£ 7/46b/ .>7~.b ..u~o-V L7p C!..4~
n~ ,h2h)Dalii B273' -
Purpose of Expenditureor Disbursement
fvS//1!>C: 70 J;-.sso.:;
~e~ /lJ/Ofib IN NG:W-S. "f1'tl£)t
p.8
Amount
2~
IDD -
ryb~
JDD~
J{)~
2/J1> c~
0-'>5t>-
25~
PageL of Z
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SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS
!khJ'N \/1 cJ«. ,<:::fit-'T£ J.loo.;e:: ikfg~A =OtiC; hit; 7t'11C-J .3 4-(Name ofCandidate,/Party Committee or Political Committee)
3 '-1-'jg
Complete if last page of Schedule C
Page -Z of-z-..
Date I Name and Address I Purpose of Expenditure I Amountor Disbursement
j I
16% wit- LIfE .bOUE
FE:CpP".c 7'hE. Sf!;- OF2S13/ I ¥71 s: /iMJ>Bz.- " el.L/16 Md/.v'£ I
# gP4IA/O- '*/ 1ft? K:>--?Ir 2- d4& /tlZO
1);4t- 131;trTJ.Pt7.D ':&,,;.fK-f T 157BA)Jk MO"AJ7hL.7 56");U)4 706ChA3-e
/) LJ9;J;1£;k - - "
% C!/lLVN/V/ <=-1< 70 c Lc>'£"c7,,1e- /J e't?oa-/I 2:3at7f3 0 L/ W,4( k...€Jt. -
)(- e - k'-> -?/PjO}
Tota! Jteurized Expenditures This Period BhZ.OhTmal Unitemized Expenditures of $50 or less '6 -z, 1/10TOTAL EXPENDITURES & OTIlER DISBURSEMENTS
?/P 2, {)(pTHIS PERIOD (to Jine4 of Summary)
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SCHEDULE DOTHER TRANSACTIONS
(Name of Candidate, Party Committee or Political Committee)
Date Name and Address Nature of Account or LoanPayable or Loan Receivable
I TOTAL OTHER TRANSACTIONS (to line 7 of Summary)
p.17
Balance atCloseof Period
Q
~IPage-2afL