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TRANSCRIPT
QfJ1Mlthtl 7-/!P-IR KANSAS GOVERNMENTAL ETHICS COMM-.....-..ON
C. VEORECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE JUL 1 8 2018
January 10,2018 KS Governmental Ethics Commission
FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
COUnlY:~ Districl: ~~~~~ ____
B. Check only if appropriate: ~ Amended Filing __ Termination Report
C. Summary (covering the period from January 1,2017 through December 31, 2017)
1. Cash on hand at beginning of period G~ S-B ' j~~ 2~' Total Contributions and Other Receipts (Use Schedule A) } d ~S f.o, 12-j 3. Cash available this period (Add Lines I and 2) I q ~ /Lf . I ()
4. Total Expenditures and Other Disbursements (Use Schedule C) 5 B~ 3, ft> 4 5. Cash on hand at close ofperiod (Subtract Line 4 from 3) I 3 '-i (j () , 410 6. In-Kind Contributions (Use Schedule B) / /5;< . ?:J<'J
7. Other Transactions (Use Schedule D) 8~;< , 'S~
D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I Wlderstand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."
GEe Form Rev, 2017
~~ 7-/0-1(; SCHEDULE D
OTHER TRANSACTIONS
/-/O~ /'6
Balance at Date Name and Address Nature of Account or Loan Payable Close of
or Loan Receivable Period
(}~rd rc;( () lte"P' -{;tJn1 -:sCb1L/ 0 ,)0/7 ()£ ;</
Lo&.- -+0 (rJ'l'- JU'~ ~~5~ d)1.&v/ (tvJ i h .if )50 h)e5>s>805>1>&50 SeLf) J"l,v; 510(>..( Lv,. 7).c,. '-I~
/)/AA1)14 Hc........ ,}.:s 'vL(J'50) LOAn ""TO C' 011?) fJ <-11 ?:l (
/) '5 f'S F ct) ~(9II IS-d. 28
~~)/~Subtotal This Page
Complete if last page of Schedule D
TOT A LOTH ER TRA NSA CTI 0 NS (to line 7 of Summary)
Page of__
RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE
January 10,2018 AmvdtJ. ~? I
5~~~~ f!Lv-- r,-Vi FILE WITH SECRETARY OF STATE .
Ii ).Jt,I4S';;0 'l
SEE REVERSE SIDE FOR INSTRUCTIONS
A.
Address:
Office Sought:
__-I-~~L--.J;~~~~PU'L.J.~~1~~~~ .- _
County: g.il~ District: ----'U---.....L,"'-- _
City and Zip Code:~~=.£.~2=~~=---ll....-:.=----'~1,,!:L....3t....!:z....::::...-.._
:5"t-t&te
Name of Candidate: --""'='~~--'----'=::....>........::r-----'''---'''~~-,---_------''1----''l....l.l-l'''--''--'-==-=---------
B. Check only if appropriate: --0nended Filing __ Termination Report
C. Summary (covering the period from January 1,2017 through December 31, 2017)
1. Cash on hand at beginning of period /P~5 .5"&, 2. Total Contributions and Other Receipts (Use Schedule A) } ~ ~5la, () 3. Cash available this period (Add Lines 1 and 2) l~· ) J ~. ) 0
4. Total Expenditures and Other Disbursements (Use Schedule C) 5;3 -3 --;) ~ ()t J t..f I
5. Cash on hand at close of period (Subtract Line 4 from 3) >
U I /..t?
6. In-Kind Contributions (Use Schedule B) " 5''2 /!J¥ 7. Other Transactions (Use Schedule D) ~{) I/!R
I D. "I declare that this report, including any accompanying schedules and statements, has been examined by me
and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."
/
~ GEC Form Rev, 2017
KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE
January 10,2018 AmtA1ltJ. ~ ~I, ;/)) ~ FILE WITH SECRETARY OF STATE b~
SEE REVERSE SIDE FOR INSTRUCTIO~~C;;CEIItED--
JUN04Z0 !is Gover
'~'--Prr-;o;--:----o (JfrJrni3Sion
County: ~ leY. District: 'U-([
~ ..
Address: __-I-~~L~.,lJ~PJt'1!~~I:..&q:.~~JZ:.::!~~~~=---,_nm~.e~m~a/Jj'fJlt"
A. Name of Candidate: -""""""'':.-J.eI....IoO<.J.---==---+-.------'''''--!!:::.=....=--__--.-=--------2-':'...1.U----
__ Termination Report B. Check only if appropriate:
C. Summary (covering the period from January 1,2017 through December 31, 2017)
1. Cash on hand at beginning of period qt..e5 ~ .S-'" 2. Total Contributions and Other Receipts (Use Schedule A) J ~ ~Sf.o. D? 3. Cash available this period (Add Lines 1 and 2) ;)..) ~ i,) 0
4. Total Expenditures and Other Disbursements (Use Schedule C) 5 S ~ "') #lJ1f 5. Cash on hand at close ofperiod (Subtract Line 4 from 3) .! to ,-/p 01 ~ /,p
6. In-Kind Contributions (Use Schedule B) "5'). ~3q
7. Other Transactions (Use Schedule D) 2/68 I / (;
D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."
In ~~_& _ GEe Form Rev, 2017
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Sttl r. e'j Ca-r-) j Y1 (Name of Candidate)
Occupation of Check AmoUDtof Name and Address Individual Giving More Appropriate Box Cash, Check,
Date of Contributor Than$lSO Cash Cbed Loan E ClIDds
Other
Loan or Other R.eceipt
Ir~
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y ~~~
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Subtotal This Page
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~
Page_1_of~
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Occupation of Cbeck Amount of Name and Address Individual Giving More Appropriate Box Cash, Cbeck,
Date of Contributor Than$lSO Loan or Other Cash Check Loan ~ ReceiptOther
7~ , 114-e~; ~yrb-e ¥'T, V #iooXl/;7 '130\4 L.u S~ radl PI.
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Subtotal This Page (7 JI. $0*)
PageL of)
~L~lJULEA
CONTRIBUTIONS AND OTHER RECEIPTS /'0 I
( (i/L( /1 ) (Name of Candidate) i
I
Date Name and Address
of Contributor
Occupation of Individual Giving More
Tban$lSO Cam
Check Appropriate Box
0Ieck Lou ~ Other
Amount of Cash, Check,
Loan or Other Receipt
4A~/1
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SCHEDULE A CONTRIBUfIONS AND OTHER RECEIPTS
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Date Name aDd Address
ofCoatributor
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"" -- "--.. -- --.-.........
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate)
Occupation & Industry of Amount ofCheck Cash, Check, Individual Giving MoreName and Address Appropriate Box
Than $150 Loan orDate of Contributor Cash Check Loan Other
Other Receipt
v
Complete if last page of Schedule A
Total Itemized Receipts for Period
Total Unitemized Contributions ($50 or less) d-,1'5 ,>1 ()ucfs //15' /~ {It S~
Sale of Political Materials (Unitemized)
Page 5 of_·__
IN-KIND CONTRIBUTIONS
List Occupation & Value of Date Name and Address Industry for Those Giving Description of In-Kind In-I(jnd
of Contributor an In-Kind of More Than Contribution Contribution $150
(1).i:.1,.,.'. ~J>'U'" ..,..,lf~7 NA '. ;)1 Lj~
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Total Itemized (over SlOO) In-Kind Contributions
Page L ofL
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
(ar/ill
Date Name and Address Purpose of Expenditure
or Disbursement Amount r .
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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
02/-,1;'>/ (Name ofCandi<hlte)
Date Name and Address
$4#':d;;~r; //(~t:!"M~/!;;&7~.t'hJl'?1
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Purpose of Expenditure or Disbursement Amount
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$' 7~/3~
Complete if last page of Schedule c
Total Itemized Expenditures This Period
Total Unitemized Expenditures of $50 or less
TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary)
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SCHEDULED OTHER TRANSACTIONS
(Name of Candidate)
Date Name and Address Nature of Account or Loan Payable or Loan Receivable
Balance at Close of Period
(~$tIf~ $../0/ ?-o/7 7)7'1,70
~Dl 50J~{'~ IIP50 t.(,,~v"I/;It;)F' ~(e..; 7(S &:J.tSD) /o/J,r., Ir. {~""~
('O$7s;;4 ~0 .J-. I ~$$ 1)1, ~1t:J
Subtotal This Page <j/!)J ~Jh
Complete if last page of Schedule D
TOTAL OTHER TRANSACTIONS (to line 7 of Summary)
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