Campaign Finance Receipts Expenditures Report...
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Campaign Finance Receipts and Expenditures Report Page 1of1 Print this form or Go Back Campaign Finance Receipts & Expenditures Report 10/31/2016 Governmental Ethics Commission 109 W. 9th, Suite 504 Topeka , KS 66612 Check on ly if appropriate D Amended Filing Campaign Finance Candidate Name:TOM L BURROUGHS Filing Report Address: 3131 S 73 TER Address2: Phone (785) 296-4219 Fax (785) 296-2548 www.kansas.gov/ethics D Termination Report City: KANSAS CITY Zip: 66106 County: Wyandotte Home Phone: (913) 375-1956 Business Phone: (785) 296-7688 Office Sought: State Representative District: 33 SUMMARY (covering the period from 7/22/2016 through 10/27/2016) 1 CASH ON HAND AT BEGINNING OF PERIOD 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/grint 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/grint 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/grint 7 OTHER TRANSACTIONS (Schedule D) view/grint 47717.93 $35,169.47 $82,887.40 $8,512.00 $74,375.40 $286.60 $0.00 "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." Electronically filed on: 10/31/2016 2:31:28 PM Signature of Candidate or Treasurer: Donald T. Taylor Print th is form or Go Back http: //www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx 10/ 31 /2016
Transcript of Campaign Finance Receipts Expenditures Report...
Campaign Finance Receipts and Expenditures Report Page 1of1
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Campaign Finance Receipts & Expenditures Report 10/31/2016
Governmental Ethics Commission 109 W. 9th, Suite 504
Topeka, KS 66612
Check only if appropriate D Amended Filing
Campaign Finance Candidate Name:TOM L BURROUGHS Filing Report Address: 3131 S 73 TER
Address2:
Phone (785) 296-4219 Fax (785) 296-2548
www.kansas.gov/ethics
D Termination Report
City: KANSAS CITY Zip: 66106 County: Wyandotte
Home Phone: (913) 375-1956 Business Phone: (785) 296-7688
Office Sought: State Representative District: 33
SUMMARY (covering the period from 7/22/2016 through 10/27/2016)
1 CASH ON HAND AT BEGINNING OF PERIOD
2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/grint
3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2)
4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/grint
5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3)
6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/grint
7 OTHER TRANSACTIONS (Schedule D) view/grint
47717.93
$35,169.47
$82,887.40
$8,512.00
$74,375.40
$286.60
$0.00
"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."
Electronically filed on: 10/31/2016 2:31:28 PM Signature of Candidate or Treasurer: Donald T. Taylor
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Campaign Finance Schedule A Report Page 1of8
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SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Candidate: TOM L BURROUGHS
Type of Payment uccupanon Ana Name and Address Industry of Individual
Date of Contributor Cash , Check, Loan, Other Giving Amount
1\,,-~•n Th"" q:1.;::ll
KS WSW PAC 10/21/16 212 SW 8TH ST 202 Check $500.00
TOPEKA KS 66603
Farmers Employee and Agent
10/21 /16 PAC ofKansas
Check $500.00 2345 SW Current Court Lee Summit MO 64082
BCBS OF KANSAS 10/2011 6 1133 SW TOPEKA BLVD Check INSURANCE $500.00
TOPEKA KS 66629
Kansas Pharmacists Assn 10/ 19/16 1020 SW Fairlawn Road Check pharmacy PAC $500.00
TOPEKA KS 66604
Drive Committee-FEC ID#C00032979
10/1 8/1 6 25 Louisianna NW Check $500.00 WASHINGTON DC DC 20001
PHKPAC 10/18/1 6 1200 SW 10th Ave Check $500.00
Topeka KS 66604
Kansas Motor Carriers 10/1 6/16 POBOX2458 Check $250.00
Topeka KS 66601
WICHITA METRO
10/1 4/16 CHAMBER PAC
Check $500.00 350 WEST DOUGLAS A VE WI CHIT A KS 67202
Kansas Marketing Services 10/12/16 214 SW 6th Check $500.00
Topeka KS 66603
Kansas Beer Wholesalers Assn Pac
10/12/16 100 SE 9th street Check $250.00 Suite 100 TOPEKA KS 66612
Security Benefit Life Insurance 10/1 1/1 6 1 Security Benefit Place Check $250.00
Topeka KS 66636
Kansans for a Democratic
10/11116 House
Refund $1,000.00 PO Box 2083 Topeka KS 66601
10/1111 6 Check $250.00
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Campaign Finance Schedule A Report Page 2of8
Local Union 124 Voluntary Politcal Fund 301 E. 103rd Ter. KANSAS CITY MO 64114
Kansas New Energy Economy PAC
10/07/1 6 610 Brazos Street Check $500.00 Suite 210 Austin TX 78701
CENTENE MANAGEMENT COMPANY
10/07/16 LLC/SUNFLOWER HEALTH
Check $500.00 PLAN 8325 LENEXA DRIVE LENEXA KS 66214
QC Holdings 10/06/16 9401 Indian Creek PKY Check $300.00
Overland Park KS 66210
BUILDERS ASSOCIATION
10/06/1 6 PACBAPAC
Check $250.00 720 OAK STREET KANSAS CITY MO 64106
ADVANCE AMERICA
10/04/1 6 135 NORTH CHURCH
Check $300.00 STREET SPARTENBURG SC 29306
KPSCPAC 4125 SW GAGE CENTER
10/03/16 DRIVE Check $300.00 SUITE 203 TOPEKA KS 66604
John Deere PAC Equipment
0913011 6 One John Deere Place Check $500.00 Moline IL 61265
Manufacturing
Millers Coors LLC 09/30/1 6 PO Box482 Check $250.00
Milwaukee WI 53201
Amgen Inc. PAC 09/29/16 One Amgen Center Drive Check $200.00
Thousand Oaks CA 91320
ENTERPRISE HOLDINGS
09/28/16 600 CORPORATE PARK
Check $250.00 DRIVE ST. LOUIS MO 63105
Visa USA Inc. 09/28/1 6 P.O. Box 203730 Check $250.00
AUSTIN TX 78720
Kansas Livestock Assn 09/28/1 6 6031 SW 3 7th St. Check $494.47
TOPEKA KS 66614
KANSAS RESTAURANT
09/28/16 AND HOSPITALITY ASSN
Check RESTAURANTS $300.00 3500 N ROCK RD 1300 WI CHIT A KS 67226
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Campaign Finance Schedule A Report Page 3of8
09/28/16 KANSAS COOPERATIVE Check $125.00 COUNCIL PO BOX 1747 HUTCHINSON KS 67504
ALTRIA CLIENT SERVICES
09/27/16 INC
Check TOBACCO $200.00 6601 W BROAD ST RICHMOND VA 23230
Comcast 09/27/16 1701 JFK BLVD Check $250.00
Philadelphia PA 19103
Boyd Gaming Inc. 09126116 6465 South Rainbow Blvd Check $500.00
Las Vegas NV 89118
KANSAS MANUFACTURED
09126116 HOUSING INDUSTRY PAC
Check $100.00 3521 SW 5TH STREET TOPEKA KS 66606
Hallmark Cards 09126116 PO Box 419580 Check $250.00
Kansas City MO 64141
Kansas Rural Independent Telecoms PAC
09/22/16 3745 SW Wanamaker Rd Check $250.00 Suite B Topeka KS 66610
KANSAS STATE FARM INSURANCE AGENTS AND
09/22/16 EMPLOYEES PAC Check INSURANCE $350.00 555 S KANSAS AVE 3001 TOPEKA KS 66603
KANSAS LAND TITLE
09/21116 ASSN PAC
Check $200.00 7321 NW ROCHESTER RD TOPEKA KS 6661 7
American Family Insurance KS
09/21/16 PAC
Check $250.00 6000 American PKWY Madison WI 53783
UAW Region 5 Midwest States
09/21/16 PAC
Check $500.00 3841 North Oak Trfw KANSAS CITY MO 64116
Southern Glazer's Wine and
09/21116 Spirits
Check $500.00 PO Box 809013 Dallas TX 75380
LRICo Services LLC 09120116 2416 EAST 37TH NORTH Check $200.00
WI CHIT A KS 67219
GARY LONG 09/19/16 21521WEST51ST TERR Check MORTGAGE $150.00
SHAWNEE KS 66226
09/19/16 Check $250.00
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Campaign Finance Schedule A Report Page 4of8
COMMUNITY AMERICA CREDIT UNION PO BOX 15950 LENEXA KS 66285
Samuel Little 09/18/16 23749 West 87th Terr Check retired $100.00
Lenexa KS 66227
Kansas Society of CP As
09/1611 6 100 South 9th
Check $50.00 Suite 502 Topeka KS 66612
Metroplex insurance agency 0911 511 6 10209 Leavenworth Rd. Check $300.00
Kansas City KS 66109
Robert Adam 0911 511 6 4019 North 107th Terr Check retired $150.00
Kansas City KS 66109
HCA KS GOOD GOVERNMENT FUND
09/1 4/16 5721Wl19TH ST Check $500.00 OVERLAND PARK KS 66209
Kansas State Council PAC 0911 4/16 3830 South Meridian Check $150.00
Wichita KS 67217
RE Pedrotti Company INC
0911 411 6 5855 Beverly Ave
Check $150.00 Suite A Mission KS 66202
ROBB, TAYLOR AND O'CONNOR
09/14/16 827 ARMSTRONG A VE. Cash $250.00 SUITE 300 KANSAS CITY KS 66101
KANSAS AUTOMOBILE DEALERS ELECTION
09/14/1 6 ACTION COMMITTEE Check $200.00 731 S KANSAS A VE TOPEKA KS 66603
Platte Liquor 0911 4/16 725 West 29th Street North Check $100.00
Wichita KS 67204
UNITED TRANSPORTATION UNION
09/1 411 6 PAC Check $500.00 3741 SW. Kings Forest Rd. Topeka KS 66610
ONE GAS, INC PAC 09/13/16 100 WEST 5TH STREET Check $500.00
TULSA OK 74103
Race for Kansas PAC
0911 3/16 534 South Kansas Ave
Check $500.00 Suite 1500 TOPEKA KS 66603
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Campaign Finance Schedule A Report Page 5of8
09/12/16 Thomas Lynch Check Consultant $300.00 4212 Pebble Beach Dr. Kansas City KS 66109
COMMUNITY BANKERS ASSN
09/12/16 1414 SW Ashworth Place Check $200.00 suite 200 TOPEKA KS 66604
Credit Union PAC of Kansas 09/12/16 901 SW Topeka Blvd Check $500.00
Topeka KS 66612
TOM ENRIGHT FINANCIAL
09/10/16 803 W 48TH ST 804 Check INDUSTRY
$300.00 KANSAS CITY MO 64112
ONEOK EMPLOYEES PAC 09/09/16 PO BOX 871 Check PAC $300.00
TULSA OK 74102
CHIPP 09/09/16 1401 HAMPTON AVE Check $500.00
ST. LOUIS MO 63139
Kansas medical Society PAC
09/07/16 State Fund
Check $250.00 623 SW. 10th Ave. Topeka KS 66612
Plumbers and Pipefitters Local Union 441
09106116 1330 East First Street Check $300.00 Suite 115 Wichita KS 67214
KANSAS STATE
09106116 FIREFIGHTERS PAC
Check $300.00 817 WEST 19TH HUTCHINSON KS 67502
LABORERS LOCAL UNION
09/06/16 NUMBER 1290
Check $300.00 2600 MERRIAM LN KANSAS CITY KS 66106
DON EARLY 9401 INDIAN CREEK PKWY
09/02/16 SUITE 1500 Check FINANCE $300.00 OVERLAND PARK KS 66210
JOURNEYMEN PLUMBERS
09/02/16 UNION NUMBER 8
Check $300.00 8600 HILLCREST ROAD KANSAS CITY MO 64138
MICROSOFT 08/31/16 16011 NE 36TH WAY Check $250.00
REDMOND WA 98073
Swetish Match
08/30/16 1021 East Cary Street
Check $200.00 Suite 1600 Richmond VA 23219
08/30/16 Check $250.00
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Campaign Finance Schedule A Report Page 6of8
NATIONAL ASSN OF CHAIN DRUG STORES NA CDS 1776 WILSON BL VD SUITE 200 ARLINGTON VA 22209
KANSAS COMMITTEE FOR
08/30/16 RURAL ELECTRIFICATION
Check ENERGY SECTOR $300.00 PO BOX 790 MEADE KS 67864
KANSAS DENT AL 08/30/16 5200 SW HUNTOON ST Check HEALTHCARE $500.00
TOPEKA KS 66604
AMERIGROUP
08/29/16 4425 CORPORATION LANE
Check $250.00 VIRGINIA BEACH VA 23462
KANSAS HEALTHCARE
08/29116 ASSN PAC
Check HEALTHCARE $250.00 1100 SW Gage Blvd TOPEKA KS 66604
Grand Slam Liquor 08/26116 608 A. Tulip Driver Check $300.00
Bonner Springs KS 66012
Windsor Place at Iola LLC 08/26/16 PO 1209 Check $100.00
Coffeeville KS 67337
Black Hills Corporation 08/26/16 P.O. Box 1400 Check $250.00
Rapid city SD 57709
VILLAGE WEST DISCOUNT
08/26116 LIQUORSLLC
Check $300.00 11010 PARALLEL PKWY KANSAS CITY KS 66109
Sprint Nextel 08/25/16 PO Box 63670 Check $300.00
Phoenix AR 85082
Findley And Assn Inc 08/25/16 PO 1342 Check $250.00
Topeka KS 66601
Kansas Insurance Agents KIA
08/25/16 PAC
Check $250.00 815 SW Topeka Blvd TOPEKA KS 66612
KANSAS HO SPIT AL ASSN 08/23/16 215 SE 8TH AVE Check $250.00
TOPEKA KS 66603
Volunteer political fund 08/22/16 8600 Hillcrest Rd. Check $300.00
Kansas City MO 64138
BRICKLAYERS AND
08/22/16 ALLIED CRAFT WORKERS
Check $300.00 632 WEST 39TH STREET KANSAS CITY MO 64111
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Campaign Finance Schedule A Report Page 7of8
08122116 KANSAS CABLE PAC Check $250.00 815 SW TOPEKA BL VD 2ND TOPEKA KS 66612
TRI COUNTY LABOR
08/20/16 COUNCIL
Check $300.00 7540 LEAVENWORTH RD KANSAS CITY KS 66109
Westar Energy Employees
08/20/16 State PAC
Check ENERGY $500.00 889 889 POBOX TOPEKA KS 66601
KANSAS CONTRACTORS ASSN
0811 911 6 800 SW Jackson Check PAC $500.00 Suite 100 TOPEKA KS 66605
KANSAS BANKERS ASSN
08/1 8/1 6 PAC STATE
Check PAC $200.00 PO BOX4407 TOPEKA KS 66604-0407
KCPLPAC 08/17/16 PO Box 418679 Check $250.00
Kansas City MO 64141
Kansas Optometric Association 08/1 6/16 1266 SW. Topeka Blvd. Check $500.00
Topeka KS 66612
KANSAS REAL TORS ASSN 0811 611 6 3644 SW BURLINGAME RD Check PAC $500.00
TOPEKA KS 66611
POLSINELLI
08/15/16 900 W 48TH
Check LEGAL $500.00 suite 900 KANSAS CITY MO 64112
LRICo Services LLC 08/15/1 6 2416 EAST 37TH NORTH Check $300.00
WICHITA KS 67219
VERNS RETAIL LIQUOR 08/1 511 6 3700 SW GAGE BLVD Check $300.00
TOPEKA KS 66610
KANSAS BANKERS ASSN
08/10/1 6 PAC STATE
Check PAC $300.00 PO BOX4407 TOPEKA KS 66604-0407
Greater Kansas City building
08/09/16 and construction trades Council
Check $300.00 400 S. Main St. Independence MO 64050
The Williams Company Inc. 08/09/1 6 PO Box 21218 Check $200.00
Tulsa OK 74121
NEXTERA ENERGY
08/09/1 6 RESOURCES LLC
Check $250.00 700 UNIVERSE BL VD JUNO BEACH FL 33408
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Campaign Finance Schedule A Report Page 8of8
08/03/16 AMERIGROUP Check $500.00 PO BOX 68086 Cincinatti OH 45206
BCS 07/27/16 19930 West 16lst Street Check Engineering $500.00
OLATHE KS 66062
Kansas Pharmacists Assn 07/27/16 1020 SW Fairlawn Road Check pharmacy PAC $500.00
TOPEKA KS 66604
KANSAS SOCIETY OF PROFESSIONAL
07/26/16 ENGINEERS PAC
Check $200.00 825 SOUTH KANSAS A VE SUITE 500 TOPEKA KS 66612
Anheuser Busch INC 07/25/16 1 Busch PL Check BEVERAGE $250.00
St. Louis MO 63118
DCP MIDSTREAM LP
07/25/16 370 17TH
Check $300.00 SUITE 2500 DENVER CO 80202
C H S McPherson Refinery
07/22/16 Inc.
Check $250.00 2000 South Main McPherson KS 67460
KANSAS BEVERAGE ASSN 07/18/16 5845 SW 29TH TER Check BEVERAGE $250.00
TOPEKA KS 66614
Atmos Energy PAC 07/15/16 5430 LBJ Freeway 160 Check ENERGY $150.00
Dallas TX 75240
Credit Union PAC of Kansas 07/05/16 901 SW Topeka Blvd Check $250.00
Topeka KS 66612
Sanofi US Services Inc.
07/01/16 Employees PAC
Check $250.00 55 Corporate Drive Bridgewater NJ 8807
T-MOBILE 06/15/16 12920 SE 38TH STREET Check $250.00
BELLEVIEW WA 98006
Total Itemized Receipts for Period $35169.47
Total Unitemized Contributions ($50 or less) $0
Sale of Political Materials (Unitemized) $0
Total Contributions When Contributor Not Known $0
TOTAL RECEIPTS THIS PERIOD $35169.47
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Campaign Finance Schedule B Report Page 1of1
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SCHEDULEB
IN-KIND (NON-MONETARY) CONTRIBUTIONS
Candidate: TOM L BURROUGHS
Occupation And Description of Value of
Date Name and Address Industry of Individual
In-Kind In-Kind of Contributor Giving
Contribution Contribution More Than $150
RAI Services C/O Hein Law
09/25/16 Firm
Golf toumy prizes $203 .65 5845 SW 29th Street Topeka KS 66614
KANSAS BANKERS ASSN Reception for 15
09/21 /16 610 SW Corporate View $82.95 TOPEKA KS 66615
organizations
Total Itemized (over $100) In-Kind Contributions $286.60
Total Unitemized ($100 or less) In-Kind Contributions $0
TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD $286.60
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Campaign Finance Schedule C Report Page 1 of 3
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SCHEDULEC
EXPENDITURES AND OTHER DISBURSEMENTS
Candidate: TOM L BURROUGHS
Date Name and Address Purpose of Expenditure
Amount or Disbursement
Reimbursement excess donation AMERIGROUP reimbursement
10/27/16 PO BOX 68086 $250.00 Cincinatti OH 45206
Reimbursement excess campaign donation Credit Union PAC of Kansas reimbursement
10/27/1 6 901 SW Topeka Blvd $250.00 Topeka KS 66612
Delux Checks Miscellaneous checks
10/24/16 Merriam KS $32.70 Merriam KS 66206
Candidate (self) Camdenton Missouri TOM BURROUGHS Speaking Engagment reimburs
10/22/16 3131 S 73 TER • $452.62 KANSAS CITY KS 66106
Victory Project Donation/Contrib donation
10/20/16 Sporting Park
$465.00 1511 Baltimore Ave Kansas City MO 64108
VERIZON Cell Phone CHECK
10/20/16 777 BIG TIMBER RD $262.14 ELGIN IL 60123
Crawford County Democrats . Donation/Contrib contribution
10/19/16 1004 Ambur Drive $100.00 Pittsburg KS 66762
Cathy Cook Consultant Campaign Consultation Services
10/14/16 5530 Noland Road $1,000.00 SHAWNEE KS 66216
MORRIS NEIGHBORHOOD Donation/Contrib contribution
10/13/16 WATCH
$100.00 2524 S 65TH ST KANSAS CITY KS 66106
Dubs Dread Golf Course Fundraising Expenses fundraising
10/12/16 12601 Hollingsworth Road $2,664.80 Kansas City KS 66109
1Oil0116 Radio/TV internet connection $57.64
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Campaign Finance Schedule C Report Page 2of3
ATT 7600 Johnson Drive Mission KS 66012
DEMOCRATIC HOUSE CAMPAIGN Donation/Contrib donation
10/07/16 COMMITTEE $250.00 PO BOX2083 TOPEKA KS 66601
VERIZON Cell Phone CHECK
09/23116 777 BIG TIMBER RD $137.64 ELGIN IL 60123
Donation/Contrib Cancer Fund Raising TOM BURROUGHS Donation
09/20/16 3131S73 TER $400.00 KANSAS CITY KS 66106
CITICARD Meeting/Travel DEMO FEST Exp
09/19/16 BOX 6500 $744.00 SOUIX FALLS SD 57117
ATT Radio/TV internet connection
09/13/16 7600 Johnson Drive $57.64 Mission KS 66012
Plumbers and Pipefitters Local Union Reimbursement overage
441 09/01116 1330 East First Street $200.00
Suite 115 Wichita KS 67214
VERIZON Cell Phone CHECK
08/31/16 777 BIG TIMBER RD $87.81 ELGIN IL 60123
Bonner Springs Edwardsville Donation/Contrib scholarship
08/26/16 Education Foundatioin
$250.00 2200 138th Street Bonner Springs KS 66012
SECRETARY OF STATE Gift Sister City Exchange
08/26/16 120 SW lOTH A VE $96.70 TOPEKA KS 66612
Kansas State Historical Society Gift Sister City Exchange
08/26/16 STATE CAPITAL BLDG $56.94 TOPEKA KS 66601
Due West Donation/Contrib donation
08117/16 13400 Donahoe Road $100.00 KANSAS CITY KS 66109
ATT Radio/TV internet connection
08/11/16 7600 Johnson Drive $57.64 Mission KS 66012
07/22/16 Candidate (self) AFL CIO Speaking $323.77 Engagment Reimbursement
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Campaign Finance Schedule C Report Page 3of3
TOM BURROUGHS 3131S73 TER KANSAS CITY KS 66106
VERIZON Cell Phone CHECK
07/2211 6 777 BIG TIMBER RD $114.96 ELGIN IL 60123
Total Itemized Expenditures This Period $8512.00
Total Unitemized Expenditures of $50 or less $0
TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $8512.00
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