I - Kansasethics.ks.gov/CFAScanned/House/2010ElecCycle/201010/H025...10/24/2010 18:04 8154448795

/14FEDEX OFFICE10/24/2010 18:04 8154448795

KANSAS GOVERNMENTAL ETHICS COMl\'f.f~~Jl9Jb

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE OCT 252010

October 25, 2010

FILE WITH SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: tiG.cbaL'4-,. 73alLt.5KG...=.:~=-· _'---- ~ _

Address; !:. 9/tJ Ovt:f2,hij/ I:.ocuI City and Zip Code: mL S~QD fULls; ";;101· County~ J""d hn S(:S~

Office Sought: geL) e e...,s t;..n.f~ti I

LX: District: ;;s-='----.

. B. Che~k only if appropriate: ----: Amended Filing _ Termination Report

C. Summary (covering the period from July 23, 2010 through October 21,201.0)

1. Cash on band at begmrung ofperiod " w :........... :$IS; 71191 . 2. Total Contributions and Other Receipts (Use Schedule A) I Cf,s"I5: 00,

3'. Cash available this period (Add Lines I and 2) ~ 3S:2 &?..3 to qi 4. Total Ex.penditures and Other Disbursetnents (Use Schodule C) ".............. t. .. '"0:3_SO

5. Cash on hand at close ofperiod (Subtract Line 4from 3) " " i a. 'i) '" O .. l.ff 6. In~Kind Contributions (Use Schedule B) ,$:l~3.5' 9 7. Other Transactions (Use Schedule D) j .:1-3. $' Cf

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."

10 -:J tt-~OIO Date Signature of Candidate or Treasurer

GEe Fbrm Rev, 2001

10/24/2010 18:04 8154448795 FEDEX OFFICE PAGE 03/14

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS.

&..rbQ..rcy 23oMe&: (Name of Candidate)

Amount of Nllme and Address

Occupation & Industry of Cheek Ca/ih, Cheek,

Dllte lndlvldual Giving More Appropriate Box

Loan orOther Rc£clpt

of Contributor' Than $150

/0 0_

v

v

I;.zs-O.OO

$/00.00

v

v

v

.V (!.erf;h<d MIle.. A~f)""

Pinti..()cio..l ~ (ulu$frlj

....}o-t; +- 13e-+s!:J 8a~+~ ~o/.2010 ':lRII W. 1:,"7 TerroA.e

/"11 ""/0' b~ C'

Page Lof3


(Name of Candidate)

/7')/ :s::;,/o/)

loj?/;;l.O/o v

Amount of Name Bnd Addre!!s

CheckOccupation &: Industry of Cash, Check,

LonD or' Appropriate BoxIndlvldyal GIving More

Than $lS0of ContributorDate Cub 'Ch..k Lci~1l Olbtf Other Receipt

. G0::::lr'je....".. Co-roI~n Ho/de.n 0/29/:;2010 friO! I1ls:;ion /(d'

PrrUric. V,'ihge: ~~;).,()J'

oh", '<Y Mo..rlj Hun/< ele. r %7/:u:JIi) S3,;2~ N;S:sfO,., Wc-ocis !Cd..

!'11;'''Sfcn Wc>od's.: ~. c.",:u:.smo..u.r-e.en '<f-Mike. Hu.ffer

/06.00q/27/~,'Q .,2300 w. 70 57. mlss;on H; {{s J<.5 {;,(:.:kOJ'

/{ellin -+ )J'oJlC-j ::ro~es v ,iIct'. 0016'1/.1.0 10 ~-V.s-tUeno.I'JryeL- TeI2J(.Ac.e.

Sk~f)(".,,<_mj~·$;or., /<5 C:,("';,J.(~l!

v

. /.lu I""e'd"- A~Ac:.te Laf)~l ~;/orl-h 9P.7/.;wiO ,,3,;)., "]I 11=;/). .'

fJrc.l../r/e )'/"llo:.·'e /(5 ~ (,. ;J_();

L e.:5li e. l'1a.rk '0/;2.0/.:;2.010 1.::!-3.2.? R-::.mhrr:.,k.~~ ;""-..L/J~_

Lea..LLJoo,e, flS G£,.:2.0 '1

tf,.c.!) y- be v mf'_l<.i"ff,./p.l<. V;;9,,60Io 2P/o YJ. to '7 Sf. v $ /00.00

.;D100,00

!oo. CJO

/00.00

page 2' or--.!l.


(N3Ule of Candidate)


13Q!//ec

Date

~£>~~/'-I

to/-¥/;J.OIO

101i{!~o je)

9/~/20/0

o/Is/;)O/o

Name and Address of Contributor

Occ:upatiotl & Industry of Individual Giving More

l'han $150 .

f(c:: t,·rf:d

-::Ln~(,.L.ra-J') c~_

::J:.i?,Ja.sfr.J

f< e.ft r.~..cj

Edt...If'.t:.Lf,or; :£ndV&frj

/leaJ1h eare.. :::Erda..5i I'lj

flropi fa../I'f~

-::r;rx:Ju..stI''YJ

r·

Check Amount of Appropriate Box Cllsh, Che~k,

Loan or CAsb Cl\llCk Lo~ll Otb~r Other Receipt

$/()cJ.OO

"1 V !JOO.OO

V 1-/00,00

$a,OOr 00V

:$'/00. () 0

V '/00,00

Ii "5-0,(.. ,00

V {)/00.00

V $...sVO~Oo

$ d.::'-O.OO

v .$.2,s-0 . C)(:::)

;;3/;;,0/0

?/;oj:;;"O/O



130~ f3ol//C/0 (Name of Candidate)

PrCl,.:rtc-;. fnrd Po+~wn:tom; Nat,; ') ,va.-filrf!;.. Amc;";c"o...nfi/P!'U:J /() 1(, ',)..i/ Q I<nn-cJ JVa:;f;or')

Mo... t:.i +0.. Cn,~s-09

I~.... .. ~SOIOO

~ ~.~_k I i;fo er.\S h0; KC~,Q,5/l.r: Y.:23!;:..% Po 130x.s':S~O

C/r;ve!aJ)c TN 373t..~~ - ossa . ...:.>I-~.r."-...+er ks Li,)om~.n ,:; 'R,i,·-f,Cc"'I.-! ~3/20IO ea,t.-l-f?a.l8.J!-Po &.( ;J.'1lePf

Aam a.s eric.; (, '1:::.;:.2.

F;IXU)'~/,,-I

-::UJdLl5+R.J

1-"6//-f!c.a-! ::Cnclu$f,.:;

5c.o1f~ G"';,,~ 8~/ I'o/'f/:u:J1o ~'Y'Y #19). Dr~w:.,

/n,:.s;D'l )/,'/15, lis {'/'';)'6r v ~oo.oo

Irene.. Bett"lnrer · ~o/s"/~'O ~~/7 w. 70 st.

M;s4/on ~·11s xs ~"2 tJ!

Eisbe!/' IJr,>I,,'t:.r . ~df.1.O'O <t.2../7 !3r-oo}<.,-i"'G Drive.

ra.,-"weJ.. KS t,&:JaS ';1:'<. .,..,...;-,.~;,.,.-",-=~=

Name and Address of ContributorDate

Oc:cupation & Industry of Indlvidual Giving More

Than 5150

Bo.nk.irr, I nJ1",1...,';;+If'Lj

T rO..f)'5 ~ri-O-+I~_)n ::r::;,.,d(..<.Sf r lj

v::>n-:-,-r tt.J.C-+/,) n ::Lr:d/...tS +Ir

eha..rnJ,er 0.; (J;,mm

te6h,!,ii., Znd(..l..5-f"'!1

Check Amount of Appropriate Box Cash, Check,

Loan or Cub Ch.tlI: Lnon Olh.r Other Receipt

:,e. ;.rI

iI 100.00....

~OO.(jO



/3a.r ba..ra.. Eol!J;;'r (Name of Candidate)

Date Nnme and Address

of Contributor

Occ:upation & Indul:try of Individual Giving More

Than $ISO

Check Appropriate Box

C..b Ch.c:J, !..<Jan Olb~r

Amoontof Ca!lh. Check.

Loan or· Other Receipt

~oco.. oo

~tJ().. 00

~oo. Of)

lO/~/u:::JIO V 100.0"

lo/iJ.j::...% if/00.00

:$ V '/00.0 C

4: /CJO.OO

9/:;_0/'-"10 Tdeco mm/.lfl ;ca:ho ~OO .. OO:::c. ,..,du.s 'tr-~ V

-rc:.ke..t:l~Ml.U\ic..e:J~~~ ::J2S-0.00

:r:."dt.4.s-tI"!j ~c.

lJ.h'l/~/O C.005-t rlAC.-t 10 n' 1/" .

=endY.$+r

;oj~,,2.010

IqlS'/~JO


(Name of Candidate)

Occupatfol1 & Industry of Check Amount of Name RDd Addrcs.~ Individual Gi-vihg More Appt'opdnte Box C05h. Check,

Date of Contributor Than siSo Losn or C~~b Ched' [.(IAn Other Other Receipt

Hea..~ C"/')$+'-"c:tor~ fl.!.Sf\ fA S 9/.27/;;'0/0 .3/tJI roa.dw~) .5u.ifc 7/,() Coo:s tru..d to n V 3"00.00

kt:l.ns~ e/I. mo Iotlill :::t:."ck.:s+r-~

?jJJ..7/XJJO 5pr,n+

I~l~""rnu..I"l~(.a..:.l<OI'\S ~;2SO.00G'YSO Spr;~f- fo.rl:.wtUj Obr:rIt:U)d fJa.rk.,J<S (.&,2S-' ::cn c:h.l~+r1:S

10/~/;U)IO H~I/f'nt:).rl:. C'o.~. -;z:ne .

Reto..~ I SG\-.\c:.s ItS-OO.. OO1'_0, 1301£ ~/95,rO v

I{OJ) S ~ (!.L·.f mO ~Y/o// ;I..nci~+r~

10/1 0/.:2,010

l<~fLS Op-fome+ric:. PI1e.. HeaJthcca..,.e. ::r:.nd.e.ufr ~-oo. OQI;;..~tb sw 7Opek.~ I3ll/d.

70 f!:.ka. ks t.t:.1D/2

la)!/;t.01O W Q.:s:so~a:fes

Jr/OO,OOP. o. Boy. ~!J-S-. t,t.:uJj

AT+7 !<tUJSt'S rJe. "Tde.~~,."u.nic..o.:l"'(·o n.s ~s-o. 0010/',/,2,010 .2.2.0 Se ~tt!I<oom saO

70 s t.. "fp 1.2 ::z:. t'1dcJ.s'f"r ':1

}(a.ns~ F(ea.Jfor$ fl1c ·R~ £"st~c:. "5SV.OOloj:,j.:J.OID .3" ~'Y l3u r/l.i'>JC2,.me. I!d.

:III'\d.l.CSir':j v·

% I<ti.. I< '~6 /1 anGS"/heSfO- Cl.:ssocJa:J-e..s of SoSafflJ~

!O/I'/.:l-O/O 10301 II/dc~ mil/s l>1G • tl eo.J:thc:o...... .:... $5'00,00 l)(U)SrLS e' rno "11,37 ::t.t'\d~,...

1)a..f)$d:S l'1ed;Gt:Jo.-I ~(jieJ:r fll Hc.oJ+~c.a...~

10/3/:>.-010 C-2..3 Slc) Joif.al>C. v :500.00 fa eJ<a. 1<5 C,"'/:L ;r."du..'&.+,..~

loj:'~oIO h'y Vee

fOod. "'"'Bev~c. . ~oo.oo~-.P;;.o Wes1-ow", ft,.rk. UJ~ . V

LU t::.:J, -!-OW" ::;:A 50..J.~ " -:Xnd.os+,..~

C!;fXI< intI.) C!os), ,,+k~ C .$5""0 O. aDPo /Jo," 55'"0 ' Ftno.nc it1l :IJ"ldost ';l

(!}e~l(J.J)1::/) IN. 37.3t..~

page-LofL

10/24/2010 18:04 81544487'35 FEDEX OFFICE

(Name of Candidate)


Than $150 Clilt

RetJ1 C~+~te.. ~ndu..str~

R~ C:-5~

:z:.(')d~+r

Ccn'S-+ ...u.c..t~ oro :::I:ndU:S+r1j

'£dlJ-c.o.;h'on ::::r.nd~+'"

.

He.A ~a..S c;.6od GovCl"n 1'r.l JO!I5>j/J-OJO ru-nd/6S00 (¥tl jl/'CJ€LL R.cJ.

O~erlo...h&. fb,.r~) KS ,I.,,;;..,/S

f1("L'h> rT"lO b ~ Ie. ::r: nd. LJ..$T':S

v

Page ~

Name and Address Date of ContrJbutor

~ll,t\so.s,Sdt)~tfj~~f cp ~~ -PA c.. lo}t.I/:w I D )0&>0 5 vJ \i.do.n~Y.erRd/S1t... ':..00

To e.Kc>- ks (,. r" (, 0 '1~ 3/107 .,

Kc~ 13ts~ne. Prope.rli~ 'o/f:/~o,o ./ OS"4 0 mo.rt':b~1c • .:2.00

oYcdO-h& Pa..rK ~S r",,:J.,.(;2...

. ~:SQ.S Cit':! ~qiO/)CLI Q.:sst'). of 'o/~l~oJO R'C.OJ.fo/"s ({PAC) 111s-o O~tloo/(,

Sw-n:.10Q Leo-w0 od..., ,l{s C.r.:.:J..1I

)o:.1;l. rf)'*-~r::rnen""I-nc.

IO/:,-/;J.o/O .;J.3oo Corpo,,--+c:.. Po-<~ Driu-e.. Hd..f'l'ldoo. Va.. U)17/

Farmers EmploCje.cs+-/1<!je¥rfs

PAGE 0'3/14

Amount ofCheckOctuplltion & Industry of Cash, Check,Appropriate BoxIndividual Giving More

,f'a/l'w./J3Terr. d-(erlaAd P~rJiJ ::t.h:su.r~~

t<S ,t.;uo -/ii3 :r:..nd.ustr~

wan or· Chl:Ck LoAn OlIo/;( Other Receipt

$jOCJ.OO

v

v

v

~. v :200.00

:f .;200.00

v

~so.oo

of-.1..

/1410/24/2010 18:04 8154448795 FEDEX OFFICE


BQ.,~bC1..-N;L- 1>0L(I e-.e.. (Name of Candidate)

Amount of Cll~h, Check,

CheckOccupation & Industry of Appropriate Box

Loan or Individual Giving MoreName and .Addre~s

Than $150 other ReceIpt

of ContributorDAte

1I/a.-I-f.L~ G a...:s D/:.rr; 6u..forJ

ONE ox. cmplotjces fA(!.i /o!II../':UJlO p.o. 5oy.f7/ v

£,.,ery!j 5ec..+orTl..dso..) Ok 7 10::1

~~ Bl.J-Llde.r-s' Ass,.." IO/I'/~/O '-3.4 W. 39 3f: .

a..t'\ o..s eif m 4. I.

rva.:tiona./ fbsoc:.. 0+ 5ocJ'<J-{ loj.?-I/J-Olo ~d:ef"Z PAC1 700sw-:racl~ (;/00,00

sh:.. ?o~ 7Ope,ka.. oks '''&'03 X5 Hosp/ftL/ A:s:sx, PAC.

5J~J~oJ:J.D'(J ;2../s St;-'p 4> ~Il'e- ;;J.S(). 00 70 ka-)<S ~~ ~o3

WaJc;j ree.n Gornp(:lo..ll').Lj Re ta.\ ( 5o...ksIO/:2.o/~ro IOC1 Wilmot f2.d"MS/4f9f; ~sv,oo:rndu.sof- ~!:fDeer .~ d l.- ~o I

Ks ehirop,..a.c:fie.. ~bsoc.. PA :$ . lO/lsj:J..O/O :Sto:te.., 133<1 :sw-rOf'~Bll1d. /00.00

To'S'" " BLu.e. c.ross Bl t.Le. Sbielc1.. ~ *:.·H eCl-I+~c.c,-,· e.iO/:<.o);u;)O KCLI'1:>Cl.S e' I Po 8o't l.J,q /1." )..sV, 0 0v::cndu.s.+"::iI<o.r.so.s e' rna t. e.tI " I R,'c.h.a.rd H. ~ f3r"td¢ W~f. I1ffornclj

IO/.;.o/UJIO ~.30(. " ..1. ~3--sJ'e.r~ L~jcJ 7:ndus';-rtt fr-o,j,ri'C.. V1LlCUfG) K5 (,,, :J.of

R/r..f..~.j-KO-1'h~ H", LLa.,.,d r/;/0/';):..0/U>/o (;, '-( 2> 0 lVor./.-IJ ,;,od. /00.00

5f-.o...w"ec.. mJ:'~1 onJ KS "~:;l.Q:.

L y')r') 0;.. A ,!c..I~a... fl1i+cJ..eJson /D/UJ/:LDltJ S~S41 mJ:!>$tO/l t0ooclr. Rd. ~()O. 00

mJ;~t'o" Wood.:!l, t<S~b;t.o.s

Page l.. of.3........

10/24/2010 18:04 8154448795 FEDE>< OFFI CE PAGE 11/14

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

!jar6aco.r J3ojl/~R-J (Name of Candidate)

Date Name and Addre~s

of Contributor

Occupation & Industry of Individual GIving More

Than $150

Chock Appropriate Dol'

Cuh Ch.ck Lnn" Othol'

Amount of Cash, Check,

LoRn or Othe:.. Recclpt

Complete if last page of Schedule A

Total Itemized Receipts for Period

Total Unitomized Contributions ($50 or less)·

Sale of Political Materials (Unit:crnized)

I

-0-0

Page~of3-

10/24/2010 18:04 8154448795 FEDE>< OFFICE PAGE 12/14

SCHEDULEB IN~KIND CONTRIBUTIONS

gOL6~ BoJ!Jc,e... (Name of Candidate)

Value of

Date List Occupation &

In-KindDescription of In-K1ndIndustry for Those GivingName and Address . ContrIbution

$150 Contributionan In-Kind of More Thanof Contributor

Bo Uie.R. +vLndro..L::,u..(;, hO:5+s

fu.r~ ,&U;e.iG. fr, 9/0 o Iter hill ed.

. J~.sion ~i it; ~$ f,;,1e,;J...DR

Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions

Total Unitem.i:l:ed ($] 00 or Jess) In-Kind Contributions

Page __(_ of-L


SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

.&ch..ra; 13a!JL~? ( Name of Candidate)

Date Name Rnd Address Purpose of Expenditure

. or Disbut'Sement Amount

f]/':LO/ 10

Complete if last page of Schedu.le c

Total Itemized Expenditures This .Period

Total Unitemizcd Expenditures of $50 or less ~.?:l

Page _/_ of_'_

10/24/2010 18:04 8154448795 FEDEX OFFICE PA(3E 14/14

SCHEDULED OTHER TRANSACTIONS

(Name of Candidate)

:Balance at Close ofNature of Account or Loan Payablepale N~me and Address l'eriodor Loan Receivable

BO-~lo~ '"Bollie~ LOQJlS +0 Co.r'npa.:ICjn +or- ~et')5es ~ ~ 9/0 Overh;/f I2d. 'Sc:c "S<::1-w:.duJ c:.. B.mi3s;on ?fills Ks r..&.;).o~

Complete if last page of Schedule D

I - Kansasethics.ks.gov/CFAScanned/House/2010ElecCycle/201010/H025...10/24/2010 18:04 8154448795

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Transcript of I - Kansasethics.ks.gov/CFAScanned/House/2010ElecCycle/201010/H025...10/24/2010 18:04 8154448795