A CANDIDATE FOR STATE OFFICEethics.ks.gov/CFAScanned/House/2006ElecCycle/... · B. A. M. Custom...

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- r' \ \ __~_~~AS GOVERNMENTAL ETHICS COMMISSION f\\-~v \ l\ l\)IJ~RE<S;EIPTS AND EXPENDITURES REPORT j\j\.. '1 .-,,_QF\ACANDIDATEFOR STATE OFFICE !,.I:a\j\"'\~" -,.- \ ;,).OK\'< ~.--;-",\'C-,-, " \... . ",'- - -, ' BO ~ \'\...':'p..9:'i u' y' ~,...,'C- \, ' c.,C-U'0 , \.- SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER SEE REVERSE SIDE FOR INSTRUCTIONS JULY 24,2006 A. Name of Candidate: Shelia Lampe Address: 108 N. Scott City and Zip Code: Piqua, 66761 Office Sought: State Representative County: Woodson District: 9th B. Check only if appropriate: - Amended Filing - TerminationReport C. Summary (covering the period from January 1,2006 through July 20, 2006) 1. Cash on hand at beginning of period " 2. Total Contributions and Other Receipts (Use Schedule A) ""'''''''''''''''''''''''''''''''''''' 3. Cash available this period (Add Lines 1 and 2) .......................................................... 50.00 2349.00 2399.00 1705.62 693.38 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) 88.27 7. Other Transactions (Use Schedule D) 1382.58 D. "1 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," 7/J. olN 0 fb fa fA )hdt1 {fs Date I Si tureofTreasurer GEC Form Rev,2001

Transcript of A CANDIDATE FOR STATE OFFICEethics.ks.gov/CFAScanned/House/2006ElecCycle/... · B. A. M. Custom...

Page 1: A CANDIDATE FOR STATE OFFICEethics.ks.gov/CFAScanned/House/2006ElecCycle/... · B. A. M. Custom Auto Graphics Magnetic car signs 6/101061 Route 4, Box 1910 I $86.65 Stillwell, OK

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__~_~~AS GOVERNMENTAL ETHICS COMMISSIONf\\-~v \

l\ l\)IJ~RE<S;EIPTSAND EXPENDITURES REPORTj\j\.. '1 .-,,_QF\ACANDIDATE FOR STATE OFFICE

!,.I:a\j\"'\~" -,.- \;,).OK\'< ~.--;-",\'C-,-," \... . ",'- - -, '

BO~\'\...':'p..9:'i u' y'~,...,'C- \, '

c.,C-U'0, \.- SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER

SEE REVERSE SIDE FOR INSTRUCTIONS

JULY 24,2006

A. Name of Candidate: Shelia Lampe

Address: 108 N. Scott

City and Zip Code: Piqua, 66761

Office Sought: State Representative

County: Woodson

District: 9th

B. Check only if appropriate: - Amended Filing - TerminationReport

C. Summary (covering the period from January 1,2006 through July 20, 2006)

1. Cash on hand at beginning of period "

2. Total Contributions and Other Receipts (Use Schedule A) ""''''''''''''''''''''''''''''''''''''

3. Cash available this period (Add Lines 1 and 2) ..........................................................

50.00

2349.00

2399.00

1705.62

693.38

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) 88.27

7. Other Transactions (Use Schedule D) 1382.58

D. "1 declare that this report, including any accompanying schedules and statements, has been examined by meand to the best of my 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,"

7/J.olN0 fbfa fA )hdt1{fsDate I Si tureofTreasurer

GEC Form Rev,2001

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SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

--- Shelia Lampe(

(Name of Candidate,PartyCommittee or Political Committee)

ICheck Amount of

Date I Name and Address I Occupation of Individual I Appropriate Box

Cash, Check,

of Contributor GivingMore Than $150 I Loan or

Cash Check Loan Other Other Receipt

Ellery D. Robertson Retired7/1/06 ,P.O.. Box 163

0 IlJ 0 01

$450.00

Humboldt, KS 66748Gwendolyn & Peter Martin Nuclear Engineer

10lIlJI01014/8/06 11107 N. Main $150.00

Yates Center, KS 66783

Jay &Hazel Leedy Independent Oil Producer I 0 11-1 I 10 I0 1

7112106 I 402 W. 7th Street $500.00NeoshoFalls,KS 66758

L.D.Kee

6/17/06 1104 E. Washington Street I 10lIlJI0101 $75.00Yates Center, KS 66783

Stanley Dreher Jr..

6/17/06 ,14962200 Street I ~ 10 10101

$100.00lola, KS 66749

Donald Copley I 10lIlJ 101016/17/06 I P. O. Box 157$100.00

Humboldt, KS 66748

Robert& Barbara Geffert

6/17/06 ,952 1200th Street I 10 Ill] 10101

$100.00lola, KS 66749

-LayWest

6/17/06 1107 N. Washington I 10 Ill] 10101

$100.00Piqua,KS 66761

Walter Regehr I 10 I[l] 101016/25/06 I 622 S. Cottonwood $100.00

lola, KS 66749

Ed & Jan Eckroat6/17106 1210 E.5th I Ill]10 10101 $100.00

Piqua,KS 66761

$1,775.00

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SCHEDULE ACONTRmUTIONS AND OTHER RECEIPTS

( Shelia Lampe

(Name of Candidate, Party Committee or Political Committee)

Loan

Amount ofCash, Check,

Loan orOther Receipt

Date Name and Addressof Contributor

Occupation oflndividuaIGiving More Than $150

Check

Appropriate Box

Cash Check Other

Kansas Bankers Association Pac

7/17/061 P. O. Box 4407Topeka,KS 66604 DI[i]IDID $100.00

DIDIDID

DIDIDID

DIDIDID

DIDIDID

DIDIDID

DIDIDID

DIDIDID$100.00

Complete if last page of Schedule A

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)Total Contributions When Contributor Not Known

$1,875.00

$334.00

$140.00

$2,349.00

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-SCHEDULEB

IN-KIND CONTRIBUTIONS

Shelia Lampe

( . '(Name of Candidate, Party Committee or Political Committee)

Name, Address and Occupationof Contributor

List occupation for those givingan in-kind more than $150

Jan Eckroat6/17/06 I 210 E. 5th

Piqua,KS 66761

Date Description ofIn-Kind

Contribution

Meat for fundraiser

Complete if last page of Schedule B

Total Itemized (over $50) In-Kind Contributions

Total Unitemized ($50 or less) In-Kind Contributions

Value ofIn-Kind

Contribution

$60.00

$60.00

$60.00

$28.27

$88.27

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l[:~~l~~ttt0SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

,c- Shelia Lampe

( (Name of Candidate, Party Committee or Political Committee)

Date Name and Address Purpose of Expenditureor Disbursement

Amount

$1,583.85

Complete iflast page of Schedule C

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1IIIIIIII

Go Daddy.Com Webpage5/4/06 I $87.69

B. A. M. Custom Auto Graphics Magnetic car signs6/101061 Route 4, Box 1910 I $86.65

Stillwell,OK 74960

The lola Register Ad for fund-raiser

6/15/06 1P. O. Box 767 I $74.70lola, KS 66749

John HamlinI Entertainmentforfund-raiser6/17/06 I 516 S. Park Blvd. I $200.00

Independence, KS 67301

Norman Printing

I Campaignbrochures6/30/06 I P. O. Box407 I $922.78lola, KS 66749

Signs on The Prairie

I CampaignShirts7/10/06 1 104 W. Rutledge I $129.66Yates Center, KS 66783

Allen County ClerkI Mailingdiskof registeredvoters07/14/06 I Courthouse I $82.37

lola, KS 66749

Total Itemized Expenditures This Period $1,583.85

Total Unitemized Expenditures of $50 or less $121.77

TOTAL EXPENDITURES & OTHER DISBURSEMENTS$1,70.62TillS PERIOD (to line 4 of Summary)

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" --SCHEDULE D

OTHER TRANSACTIONS

(- Shelia Lampe

(Name of Candidate, Party Committee or Political Committee)

Date Name and Address Nature of Account or LoanPayable or Loan Receivable

Shelia Lampe

12/2/061108 N. ScottPiqua,KS 66761

Start checking account

Precision Signz

6/26106 I Bettendorf, IA

Campaign yard signs

Complete if last page of Schedule D

TOTAL OTHERTRANSACTIONS(to line 7 of Summary)

BalanceatCloseofPeriod

$50.00

$1,332.58

$1,382.58

$1,382.58

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