Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs ›...

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Campaign Finance Receipts and Expenditures Report Page 1 of 1 Print this form or Go Back Campaign Finance Filing Report Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 109 W. 9th, Suite 504 Topeka, KS 66612 July 26 2010 Phone (785) 296-4219 Fax (785)296-2548 VNJW.kansas.gov/ethics Check only if appropriate Amended Filing Termination Report Organization Name: Kansas American Family Insurance Political Action Committee Address: 1300 SW Arrowhead RD Address2: City: Topeka Zip: 66604 Home Phone: Business Phone: : : Party Committee v PAC SUMMARY (covering the period from January 01 2010 through July 22 2010) 1 CASH ON HAND AT BEGINNING OF PERIOD $77,253.76 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/I:!rint $5,293.00 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $82,546.76 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/l:!rint $17,490.00 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $65,056.76 6 IN-KIND CONTRIBUTIONS (Schedule B) view/l:!rint $0.00 7 OTHER TRANSACTIONS (Schedule D) viewll:!rint $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: 7/26/20109:32:49 AM Signature of Treasurer: Ryan Woods Print this form or Go Back http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx 7/26/2010

Transcript of Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs ›...

Page 1: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Receipts and Expenditures Report Page 1 of 1

Print this form or Go Back

Campaign Finance Filing Report

Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 109 W. 9th, Suite 504

Topeka, KS 66612July 26 2010 Phone (785) 296-4219

Fax (785)296-2548 VNJW.kansas.gov/ethics

Check only if appropriate Amended Filing Termination Report

Organization Name: Kansas American Family Insurance Political Action Committee

Address: 1300 SW Arrowhead RD

Address2:

City: Topeka Zip: 66604

Home Phone: Business Phone:

: : Party Committee v PAC

SUMMARY (covering the period from January 01 2010 through July 22 2010)

1 CASH ON HAND AT BEGINNING OF PERIOD $77,253.76

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/I:!rint $5,293.00

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $82,546.76

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/l:!rint $17,490.00

5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $65,056.76

6 IN-KIND CONTRIBUTIONS (Schedule B) view/l:!rint $0.00

7 OTHER TRANSACTIONS (Schedule D) viewll:!rint $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: 7/26/20109:32:49 AM Signature of Treasurer: Ryan Woods

Print this form or Go Back

http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx 7/26/2010

Page 2: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page I of 16

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Committee: Kansas American Family Insurance Political Action Committee

Date Name and Address of Contributor

Type of Payment Occupation And Industry of Individual Giving More Than $150

Amount Cash, Check, Loan, Other

01/3111 0 Peter Bellucci 1819 Southwest 33rd Street Topeka KS 66611-2505

Other $10.00

02/28/10 Peter Bellucci 1819 Southwest 33rd Street Topeka KS 66611-2505

Other $10.00

03/31/10 Peter Bellucci 1819 Southwest 33rd Street Topeka KS 66611-2505

Other $10.00

04/30/1 0 Peter Bellucci 1819 Southwest 33rd Street Topeka KS 66611-2505

Other $10.00

05/3111 0 Peter Bellucci 1819 Southwest 33rd Street Topeka KS 66611-2505

Other $10.00

06/30/10 Peter Bellucci 1819 Southwest 33rd Street Topeka KS 66611-2505

Other $10.00

01/31 II 0

Douglas Cafer 3605 Southwest Cambridge Avenue Topeka KS 66614-3579

Other $11.00

02/28/1 0 Douglas Cafer 5400 SW Moundview Dr Topeka KS 66610-2345

Other $11.00

03/31/10

Douglas Cafer 3605 Southwest Cambridge Avenue Topeka KS 66614-3579

Other $11.00

04/30/10

Douglas Cafer 3605 Southwest Cambridge Avenue Topeka KS 66614-3579

Other $11.00

05/31/10

Douglas Cafer 3605 Southwest Cambridge Avenue Topeka KS 66614-3579

Other $11.00

Douglas Cafer 3605 Southwest Cambridge

http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx 7/26/2010

Page 3: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 2 of 16

06/30/1 0 Avenue Topeka KS 66614-3579

Other $11.00

01/31/1 0 Glenn Carlton 200 Countryside Drive Hutchinson KS 67502-4430

Other $25.00

02/28/1 0 . Glenn Carlton 200 Countryside Drive Hutchinson KS 67502-4430

Other $25.00

03/31/10 Glenn Carlton 200 Countryside Drive Hutchinson KS 67502-4430

. Other $25.00

04/30/10 Glenn Carlton 200 Countryside Drive· Hutchinson KS 67502-4430

Other $25.00

05/31/10 Glenn Carlton 200 Countryside Drive Hutchinson KS 67502-4430

Other $25.00

06/30/10 Glenn Carlton 200 Countryside Drive Hutchinson KS 67502-4430

Other $25.00

01/31/10 Kevin Clouse 14513 W 61st Street Shawnee KS 66216-1500

Other $15.00

02/28/1 0 Kevin Clouse 14513 W 61st Street Shawnee KS 66216-1500

Other $15.00

03/31/1 0 Kevin Clouse 14513 W 61st Street Shawnee KS 66216-1500

Other $15.00

04/30/10 Kevin Clouse 14513 W 61st Street Shawnee KS 66216-1500

Other $15.00

05/31/1 0 Kevin Clouse 14513 W 61st Street Shawnee KS 66216-1500

Other $15.00

06/30/1 0 Kevin Clouse 14513 W 61 st Street Shawnee KS 66216-1-500

Other $15.00

01/31/1 0 James Coffey 800 N Woodlawn Boulevard Derby KS 67037-1905

Other $25.00

02/28/1 0 James Coffey 800 N Woodlawn Boulevard Derby KS 67037-1905

Other $25.00

03/31/10 James Coffey 800 N Woodlawn Boulevard Derby KS 67037-1905

Other $25.00

James Coffey

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a:...report.aspx 7/26/2010

Page 4: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 3 of 16

04/30/10 800 N Woodlawn Boulevard Derby KS 67037-1905

Other $25.00

05/31/10 James Coffey 800 N Woodlawn Boulevard Derby KS 67037-1905

Other $25.00

06/30/10 James Coffey 800 N Woodlawn Boulevard Derby KS 67037-1905

Other $25.00

01/31/10 Garvin Daniel, Jr. 2601 Arkansas Street Lawrence KS 66046-4535

Other $26.00

02/28/1 0 Garvin Daniel, Jr. 2601 Arkansas Street Lawrence KS 66046-4535

Other $26.00

03/31/10 Garvin Daniel, Jr. 2601 Arkansas Street Lawrence KS 66046-4535

Other $26.00

04/30/10 Garvin Daniel, Jr. 2601 Arkansas Street Lawrence KS 66046-4535

Other $10.00

05/31/10 Garvin Daniel, Jr. 2601 Arkansas Street Lawrence KS 66046-4535

Other $10.00

06/30/1 0 Garvin Daniel, Jr. 2601 Arkansas Street Lawrence KS 66046-4535

Other $10.00

01/31/10 Robert Davis 13534 E Buckskin Street Wichita KS 67230-7539

Other $11.00

02/28/10 Robert Davis 13534 E Buckskin Street Wichita KS 67230-7539

Other $11.00

03/31/10 Robert Davis 13534 E Buckskin Street Wichita KS 67230-7539

Other $11.00

04/30/1 0 Robert Davis 13534 E Buckskin Street Wichita KS 67230-7539

Other $11.00

05/31/10 Robert Davis 13534 E Buckskin Street Wichita KS 67230-7539

Other $11.00

06/30/10 Robert Davis 13534 E Buckskin Street Wichita KS 67230-7539

Other

.

$11.00

01/31/10 Tim Denk 1643 N Wood Drive Wichita KS 67212-1376

Other $10.00

Tim Denk

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

Page 5: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 4 of 16

02/28/10 1643 N Wood Drive Wichita KS 67212-1376

Other $10.00

03/31/1 0 Tim Denk 1643 N Wood Drive Wichita KS 67212-1376

Other $10.00

04/30/1 0 Tim Denk 1643 N Wood Drive Wichita KS 67212-1376

Other $10.00

05/31/1 0 Tim Denk 1643 N Wood Drive Wichita KS 67212-1376

Other $10.00

06/30/1 0 Tim Denk 1643 N Wood Drive Wichita KS 67212-1376

Other $10.00

01/31/1 0 John Deutsch 2245 Southwest Arvonia Place Topeka KS 66614-4251

Other $11.00

02/28/10 John Deutsch 2245 Southwest Arvonia Place Topeka KS 66614-4251

Other $11.00

03/31/10 John Deutsch 2245 Southwest Arvonia Place Topeka KS 66614-4251

Other $11.00

04/30/1 0 John Deutsch 2245 Southwest Arvonia Place Topeka KS 66614-4251

Other $11.00

05/31/10 John Deutsch 2245 Southwest Arvonia Place Topeka KS 66614-4251

Other $11.00

06/30/10 John Deutsch . 2245 Southwest Arvonia Place Topeka KS 66614-4251

Other $11.00

01/31/10 Kirk Farber 2137 S Sierra Hills Court Wichita KS 67230-7559

Other $11.00

02/28/1 0 Kirk Farber 2137 S Sierra Hills Court Wichita KS 67230-7559

Other $11.00

03/31/1 0 Kirk Farber 213 7 S Sierra Hills Court Wichita KS 67230-7559

Other $11.00

04/30/1 0 Kirk Farber 2137 S Sierra Hills Court Wichita KS 67230-7559

Other $11.00

05/31/10 Kirk Farber 2137 S Sierra Hills Court Wichita KS 67230-7559

Other $11.00

Kirk Farber'

http://www.kssos.org/e1ections/cfr_viewer/reports/schedule_a_report. aspx 7/26/2010

Page 6: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 5 of 16

06/30/1 0 2137 S Sierra Hills Court Wichita KS 67230-7559

Other $11.00

01/31/1 0 James Feeney 2633 Bent Tree Road Manhattan KS 66502-8802

Other $10.00

02/28/1 0 James Feeney 2633 Bent Tree Road Manhattan KS 66502-8802

Other $10.00

03/31/10 James Feeney 2633 Bent Tree Road Manhattan KS 66502-8802

Other $10.00

04/30/10 James Feeney 2633 Bent Tree Road Manhattan KS 66502-8802

Other $10.00

05/31/10 James Feeney 2633 Bent Tree Road Manhattan KS 66502-8802

Other $10.00

06/30/10 James Feeney 2633 Bent Tree Road Manhattan KS 66502-8802

Other $10.00

01/31/10 Linda Frazier PO Box 316 Dearing KS 6734-0316

Other AGENT-Insurance

industry $26.00

02/28/10 Linda Frazier PO Box 316 Dearing KS 6734-0316

Other AGENT-Insurance

industry $26.00

03/31/10 Linda Frazier PO Box 316 Dearing KS 6734-0316

Other AGENT~Insurance

industry $26;00

04/30/10 Linda Frazier PO Box 316 Dearing KS 6734-0316

Other AGENT-Insurance industry

$26.00

05/31/10 Linda Frazier PO Box 316 Dearing KS 6734-0316

Other AGENT-Insurance industry $26.00

06/30/10 Linda Frazier PO Box 316 Dearing KS 6734-0316

Other AGENT-Insurance

industry $26.00

01/31/1 0 Dorothy Goodman 2662 X4 Road Sabetha KS 66534-9480

Other $15.00

02/28/10 Dorothy Goodman 2662 X4 Road Sabetha KS 66534-9480

Other $15.00

03/31/10 Dorothy Goodman 2662 X4 Road Sabetha KS 66534-9480

Other $15.00

Dorothy Goodman

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

Page 7: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 6 of 16

04/30/1 0 2662 X4 Road Sabetha KS 66534-9480

Other $15.00

05/31/10 Dorothy Goodman 2662 X4 Road Sabetha KS 66534-9480

Other $15.00

06/30/10 Dorothy Goodman 2662 X4 Road Sabetha KS 66534-9480

Other $15.00

01/15/10 Edgar Graham 302 E Kansas Street Assaria KS 67416-8899

Other $20.00

02/12/1 0 Edgar Graham 302 E Kansas Street Assaria KS 67416-8899

Other $20.00

03/12/10 Edgar Graham 302 E Kansas Street Assaria KS 67416-8899

Other $20.00

04/14/10 Edgar Graham 302 E Kansas Street Assaria KS 67416-8899

Other $20.00

05/14/10 Edgar Graham 302 E Kansas Street Assaria KS 67416-8899

Other $20.00

06/14/10 Edgar Graham 302 E Kansas Street Assaria KS 67416-8899

Other $20.00

07/15/10 Edgar Graham 302 E Kansas Street Assaria KS 67416-8899

Other $20.00

01/31 110 Neil Hawley 1303 E Fair Street Garden City KS 67846-3527

Other $10.00

02/28/1 0 Neil Hawley 1303 E Fair Street Garden City KS 67846-3527

Other $10.00

03/31/10 Neil Hawley 1303 E Fair Street Garden City KS 67846-3527

Other $10.00

04/30/10 Neil Hawley 1303 E Fair Street Garden City KS 67846-3527

Other $10.00

05/31/10 Neil Hawley 1303 E Fair Street Garden City KS 67846-3527

Other $10.00

06/30/10 Neil Hawley 1303 E Fair Street Garden City KS 67846-3527

Other $10.00

Jena Jacobs-Garcia

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

Page 8: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 7 of 16

01/31/10 1295 20th Road Northwest Burlington KS 66839-8957

Other $10.00

02/28/10 Jena Jacobs-Garcia 1295 20th Road Northwest Burlington KS 66839-8957

Other $10.00

03/31/10 Jena Jacobs-Garcia 1295 20th Road Northwest Burlington KS 66839-8957

Other $10.00

04/30/10 Jena Jacobs-Garcia 1295 20th Road Northwest Burlington KS 66839-8957

Other $10.00

05/31/10 Jena Jacobs-Garcia 1295 20th Road Northwest Burlington KS 66839-8957

Other $10.00

06/30/1 0 Jena Jacobs-Garcia 1295 20th Road Northwest Burlington KS 66839-8957

Other $10.00

01/31/10 Pamela Kirk 1905 N Maize Road Wichita KS 67212-5203

Other $11.00

02/28/10 Pamela Kirk 1905 N Maize Road Wichita KS 67212-5203

Other $11.00

03/31/10 Pamela Kirk 1905 N Maize Road Wichita KS 67212-5203

Other $11.00

04/30/10 Pamela Kirk 1905 N Maize Road Wichita KS 67212-5203

Other $11.00

05/31/10 Pamela Kirk 1905 N Maize Road Wichita KS 67212-5203

Other $11.00

06/30/10 Pamela Kirk 1905 N Maize Road Wichita KS 67212-5203

Other $11.00

01/31/10 Rhonda Knudson 2210 Cleveland Street Great Bend KS 67530-7431

Other $10.00

02/28/1 0 Rhonda Knudson 2210 Cleveland Street Great Bend KS 67530-7431

Other $10.00

03/31/10 Rhonda Knudson 2210 Cleveland Street Great Bend KS 67530-7431

Other $10.00

04/30/10 Rhonda Knudson 2210 Cleveland Street Great Bend KS 67530-7431

Other $10.00

Rhonda Knudson

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

Page 9: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 8 of 16

05/31/10 2210 Cleveland Street Great Bend KS 67530-7431

Other $10.00

06/30/10 Rhonda Knudson 2210 Cleveland Street Great Bend KS 67530-7431

Other $10.00

01/08/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

01/22/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

02/05/1 0 Sylvan Kutz 17345 Northwest 130th Terrace

. Platte City MO 64079-7926 Other $5.00

02/19/1 0 Sylvan Kutz 17345 Northwest 130th TelTace Platte City MO 64079-7926

Other

~

$5.00

03/05/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

03/19/10 . Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

04/02/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

04/16/1 0 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

05/14/1 0 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

OS/28/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

06/11/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

06/25/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

07/09/10 Sylvan Kutz 17345 Northwest 130th Terrace Platte City MO 64079-7926

Other $5.00

01/31/10 Tammy Lenear 1303 Westhaven Drive Liberal KS 67901-2305

Other $10.00

Tammy Lenear

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

Page 10: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 9 of 16

02/28/10

03/31/1 0

04/30/1 0

05/31/10

06/30/1 0

01/31/1 0

02/28/1 0

03/31/10

04/30/1 0

05/31/10

06/30/10

01/31/10

02/28/ I0

03/31/1 0

04/30/1 0

05/31/10

1303 Westhaven Drive Liberal KS 67901-2305

Tammy Lenear 1303 Westhaven Drive Liberal KS 67901-2305

Tammy Lenear 1303 Westhaven Drive Liberal KS 67901-2305

Tammy Lenear 1303 Westhaven Drive Liberal KS 67901-2305

Tammy Lenear 1303 Westhaven Drive Liberal KS 67901-2305

Jeffrey Long 2511 Arrowhead Lane Liberal KS 67901-5512

Jeffrey Long ,.2511 Arrowhead Lane Liberal KS 67901-5512

Jeffrey Long 2511 Arrowhead Lane Liberal KS 67901-5512

Jeffrey Long 2511 Arrowhead Lane Liberal KS 67901-5512

Jeffrey Long 2511 Arrowhead Lane Liberal KS 67901-5512

Jeffrey Long 2511 Arrowhead Lane Liberal KS 67901-5512

Chris Maynard 806 S Westgate Road Garnett KS 66032-2455

Chris Maynard 806 S Westgate Road Garnett KS 66032-2455

Chris Maynard 806 S Westgate Road Garnett KS 66032-2455

Chris Maynard 806 S Westgate Road Garnett KS 66032-2455

Chris. Maynard 806 S Westgate Road Garnett KS 66032-2455

Chris Maynard

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

Other $10.00

7/26/2010

Page 11: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 10 of 16

06/3011 0 806 S Westgate Road Garnett KS 66032-2455

Other $10.00

01115/10 Christopher Mc Donald 16995 Elm Slough Road Wamego KS 66547-9632

Other $10.00

02/12/10 Christopher Mc Donald 16995 Elm Slough Road Wamego KS 66547-9632

Other $10.00

03112/10 Christopher Mc Donald 16995 Elm Slough Road Wamego KS 66547-9632

Other $10.00

0411411 0 Christopher Mc Donald 16995 Elm Slough Road Wamego KS 66547-9632

Other $10.00

05/14/10 Christopher Mc Donald 16995 Elm Slough Road Wamego KS 66547-9632

Other $10.00

0611411 0 Christopher Mc Donald 16995 Elm Slough Road Wamego KS 66547-9632

Other $10.00

0711511 0 Christopher Mc Donald 16995 Elm Slough Road Wamego KS 66547-9632

Other $10.00

01/3111 0 Tom Moody· 505 S Dittman Street Frontenac KS 66763-2325

Other $10;00

02/28/1 0 Tom Moody 505 S Dittman Street Frontenac KS 66763-2325

Other $10.00

03/31/10 Tom Moody 505 S Dittman Street Frontenac KS 66763-2325

Other $10.00

04/3011 0 Tom Moody 505 S Dittman Street Frontenac KS 66763-2325

Other $10.00

05/31/1 0 Tom Moody 505 S Dittman Street Frontenac KS 66763-2325

Other $10.00

06/30/10 Tom Moody 505 S Dittman Street Frontenac KS 66763-2325

Other $10.00

01/31/10 Brad Noller 6533 Southwest 28th Street Topeka KS 66614-4315

Other $15.00

02/28/10 Brad Noller 6533 Southwest 28th Street Topeka KS 66614-4315

Other $15.00

Brad Noller

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

Page 12: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page II of 16

03/3111 0 6533 Southwest 28th Street Topeka KS 66614-4315

Other ~ $15.00

04/3011 0 Brad Noller 6533 Southwest 28th Street Topeka KS 66614-4315

Other $15.00

$15.00

$15.00

$10.00

$10.00

$10.00

$10.00

'$10.00

$10.00

$10.00

$10.00

$10.00

$10.00

$10.00

$10.00

05/31110 Brad Noller 6533 Southwest 28th Street Topeka KS 66614-4315

Other

06/30/10 Brad Noller 6533 Southwest 28th Street Topeka KS 66614-4315

Other

01/3111 0 Dave Nuzum 2845 Winterbrook Drive Lawrence KS 66047-3249

Other

02/28110 Dave Nuzum 2845 Winterbrook Drive Lawrence KS 66047-3249

Other

03/31/10 Dave Nuzum 2845 Winterbrook Drive Lawrence KS 66047-3249

Other

04/30/10 Dave Nuzum 2845 Winterbrook Drive Lawrence KS 66047-3249

Other

05/31/10 Dave Nuzum 2845 Winterbrook Drive Lawrence KS 66047-3249

Other

06/30110 Dave Nuzum 2845 Winterbrook Drive Lawrence KS 66047-3249

Other .'

01/3111 0 Sammy Oduniyi 2200 S Rock Road Apt 612 Wichita KS 67207-5320

Other

02/28/10 Sammy Oduniyi 2+00 S Rock Road Apt 612 Wichita KS 67207-5320

Other'

03/31/10 Sammy Oduniyi 2200 S Rock Road Apt 612 Wichita KS 67207-5320

Other

04/30/10 Sammy Oduniyi 2200 S Rock Road Apt 612 Wichita KS 67207-5320

Other

05/31/10 Sammy Oduniyi 2200 S Rock Road Apt 612 Wichita KS 67207-5320

Other

06/30/10 Sammy Oduniyi 2200 S Rock Road Apt 612 Wichita KS 67207-5320

Other

Brett Olivier {

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

Page 13: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov › CFAScanned › PACs › 2010ElecCycle › 201007 › PAC086_201007.pdf06/30/10 ; Peter Bellucci 1819 Southwest 33rd

Campaign Finance Schedule A Report Page 12 of 16

01/31/1 0 5912 E 53rd St N Kechi KS 67067-9043

Other $11.00

Brett Olivier 02/28/10 5912 E 53rd St N

Kechi KS 67067-9043 Other $11.00

Brett Olivier 03/31/10 5912 E 53rd St N

Kechi KS 67067-9043 Other $11.00

Brett Olivier 04/30/10 5912 E 53rd St N

Kechi KS 67067-9043 Other

,

$11.00

Brett Olivier 05/31/10 5912 E 53rd St N

Kechi KS 67067-9043 Other $11.00

Brett Olivier 06/30/10 5912 E 53rd St N

Kechi KS 67067-9043 Other

-

$11.00

Greg Raleigh 01/31/1 0 8515 W Cottonwood Lane

Hesston KS 67062-9630 Other $10.00

Greg Raleigh 02/28/1 0 8515 W Cottonwood Lane

Hesston KS 67062-9630 Other $10.00

Greg Raleigh 03/31/1 0 8515 W Cottonwood Lane

Hesston KS 67062 Other $10.00

Greg Raleigh 04/30/10 8515 W Cottonwood Lane

. Hesston KS 67062 Other $10.00

05/31/10 Greg Raleigh 8515 W Cottonwood Lane Hesston KS 67062

Other $10.00

06/30/10 Greg Raleigh 8515 W Cottonwood Lane Hesston KS 67062

Other $10.00

01/31/1 0 P. Sengvilay 2222 Regency Lakes Court Wichita KS 67226-4502

Other $10.00

02/28/1 0 P. Sengvilay 2222 Regency Lakes Court Wichita KS 67226-4502

Other $10.00

03/31/10 P. Sengvilay 2222 Regency Lakes Court Wichita KS 67226-4502

Other $10.00

04/30/1 0 P. Sengvi1ay 2222 Regency Lakes Court Wichita KS 67226-4502

Other $10.00

P. Sengvilay

http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx 7/26/2010

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Campaign Finance Schedule A Report Page 13 of 16

05/31/10 2222 Regency Lakes Court Wichita KS 67226-4502

Other $10.00

06/30/1 0 P. Sengvilay 2222 Regency Lakes Court Wichita KS 67226-4502

Other $10.00

01/31/10 Larry Shipman 3030 Southeast Paulen Road Topeka KS 66605-9103

Other

-

$10.00

02/28/1 0 Larry Shipman 3030 Southeast Paulen Road Topeka KS 66605-9103

Other $10.00

03/31/10 Larry Shipman 3030 Southeast Paulen Road Topeka KS 66605-9103

Other $10.00

04/30/10 Larry Shipman 3030 Southeast Paulen Road Topeka KS 66605-9103

Other $10.00

05/31/10 Larry Shipman 3030 Southeast Paulen Road Topeka KS 66605-9103

Other $10.00

06/30/10 Larry Shipman 3030 Southeast Paulen Road Topeka KS 66605-9103

Other $10.00

01/31/10 Michael Sloan 4263 Highway K 33 Wellsville KS 66092-8535

Other $10.00

02/28/10 Michael Sloan 4263 Highway K 33 . Wellsville KS 66092-8535

Other $10.00

03/31/10 Michael Sloan 4263 Highway K 33 Wellsville KS 66092-8535

Other $10.00

04/30/1 0 Michael Sloan 4263 Highway K 33 Wellsville KS 66092-8535

Other $10.00

05/31/10 Michael Sloan 4263 Highway K 33 Wellsville KS 66092-8535

Other $10.00

06/30/10 Michael Sloan 4263 Highway K 33 Wellsville KS 66092-8535

Other $10.00

01/15/10

Rick Slocum 4512 Southwest Lincolnshire Road Topeka KS 66610-1457

Other $15.00

02/12/10

Rick Slocum 4512 Southwest Lincolnshire Road Topeka KS 66610-1457

Other $15.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

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Campaign Finance Schedule A Report Page 14 of 16

03/12/10

Rick Slocum 4512 Southwest Lincolnshire Road Topeka KS 66610-1457

Other $15.00

04/14/10

Rick Slocum 4512 Southwest Lincolnshire Road Topeka KS 66610-1457

Other $15.00

05/14/10

Rick Slocum 4512 Southwest Lincolnshire Road Topeka KS 66610-1457

Other $15.00

06/14/10

Rick Slocum 4512 Southwest Lincolnshire Road Topeka KS 66610-1457

Other $15.00

07/15/1 0

Rick Slocum 4512 Southwest Lincolnshire Road Topeka KS 66610-1457

Other $15.00

01/31/1 0 Jeremy Snowden 3506 Southwest Oakley Avenue Topeka KS 66614-3323

Other $10.00

02/28/1 0 Jeremy Snowden 3506 Southwest Oakley Avenue Topeka KS 66614-3323

Other $10.00

03/31/1 0 Jeremy Snowden . 3506 Southwest Oakley Avenue Topeka KS 66614-3323

Other $10.00

04/30/1 0 Jeremy Snowden 3506 Southwest Oakley Avenue Topeka KS 66614-3323

Other $10.00

05/31/10 Jeremy Snowden 3506 Southwest Oakley Avenue Topeka KS 66614-3323

Other $10.00

06/30/1 0 Jeremy Snowden 3506 Southwest Oakley Avenue Topeka KS 66614-3323

Other $10.00

01/15/1 0 Tony Stark PO Box 78 Andover KS. 670-0278

Other $20.00

02/12/1 0 Tony Stark PO Box 78 Andover KS 670-0278

Other $20.00

03/12/1 0 Tony Stark PO Box 78 Andover KS 670-0278

Other $20.00

04/14/10 Tony Stark PO Box 78

Other $20.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/26/2010

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Campaign Finance Schedule A Report Page 15 of 16 .

Andover KS 670-0278

05/14/10 Tony Stark PO Box 78 Andover KS 670-0278

Other $20.00

06/14/10 Tony Stark PO Box 78 Andover KS 670-0278

Other $20.00

07/15/1 0 Tony Stark PO Box 78 Andover KS 670-0278

Other $20.00

01/15/10 Stephen Taylor 26331 W Cedar Niles Circle Olathe KS 66061-7478

Other $10.00

02/12/10 Stephen Taylor 26331 W Cedar Niles Circle Olathe KS 66061-7478

Other $10.00

03/12/10 Stephen Taylor 26331 W Cedar Niles Circle Olathe KS 66061-7478

Other $10.00

04/14/1 0 Stephen Taylor 26331 W Cedar Niles Circle Olathe KS 66061-7478

Other $10.00

05/14/10 Stephen Taylor 26331 W Cedar Niles Circle Olathe KS 66061-7478

Other $10.00

06/14/10 Stephen Taylor 26331 W Cedar Niles Circle Olathe KS 66061-7478

Other $10.00

07/15/10 Stephen Taylor 26331 W Cedar Niles Circle Olathe KS 66061-7478

Other $10.00

01/31/10 Mary Woodward 16725 S Shawnee Heights Road Overbrook KS 66524-9559

Other $10.00

02/28/1 0 Mary Woodward 16725 S Shawnee Heights Road Overbrook KS 66524-9559

Other $10.00

03/31/10 Mary Woodward 16725 S Shawnee Heights Road Overbrook KS 66524-9559

Other $10.00

04/30/1 0 Mary Woodward 16725 S Shawnee Heights Road Overbrook KS 66524-9559

Other $10.00

05/31/1 0 Mary Woodward 16725 S Shawnee Heights Road Overbrook KS 66524-9559

Other $10.00

06/30/1 0 Mary Woodward 16725 S Shawnee Heights Road

Other $10.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx 7/26/2010

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Campaign Finance Schedule A Report Page 16 of 16

Overbrook KS 66524-9559

01/31/1 0 Brett Youse 7325 Southwest 23rd Terrace Topeka KS 66614-6045

Other $15.00

02/28/10 Brett Youse 7325 Southwest 23rd Terrace Topeka KS 66614-6045

Other $15.00

03/31/10 Brett Youse 7325 Southwest 23rd Terrace Topeka KS 66614-6045

Other $15.00

04/30/1 0 Brett Youse 7325 Southwest 23rd Terrace Topeka KS 66614-6045

Other $15.00

05/31/1 0 Brett Youse 7325 Southwest 23rd Terrace Topeka KS 66614-6045

Other

- .

$15.00

06/30/1 0 Brett Youse 7325 Southwest 23rd Terrace Topeka KS 66614-6045

Other $15,00

01/31/1 0 Deanna Zerr 17402 Northeast 136th Street Kearney MO 64060-8915

Other $15.00

02/28/10 Deanna Zerr 17402 Northeast 136th Street Kearney Ma 64060-8915

Other $15.00

03/31/10 Deanna Zerr, . 17402 Northeast 136th Street Kearney MO 64060~8915

Other $15.00

04/30/1 0 Deanna Zerr 17402 Northeast 136th Street Kearney MO 64060-8915

Other $15.00

05/31/10 Deanna Zerr 17402 Northeast 136th Street Kearney MO 64060-8915

i'

Other $15.00

Deanna Zerr 06/30/1 0 17402 Northeast 136th Street

Kearney Ma 64060-8915 Other $15.00

07/22/10 UnItemized Receipts 1300 SW Arrowhead Rd Topeka KS 66604-4019

Other $2,213.00

Total Itemized Receipts for Period $0.00 Total Unitemized Contributions ($50 or less) $0.00 Sale of Political Materials (Unitemized) $0.00 Total Contributions When Contributor Not Known $0.00

TOTAL RECEIPTS THIS PERIOD $5,293.00

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Campaign Finance Schedule C Report Page 1 of 4

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SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Committee: Kansas American Family Insurance Political Action Committee

Date Narne and Address

Purpose of Expenditure or Disbursement Candidate Name & address if independent or in-kind expenditure in excess of $300

Amount

07/11/10 Arpke for Representative

512 West Iron Ave Salina KS 67401

Donation/Contrib 2010 Primary

$100.00

07/11/10 Brown for State Representative 1229 Acorn Eudora KS 66025

Donation/Contrib 2010 Primary

$250.00

07/11/10 Brownback for Governor

2605 sW 21st St Topeka KS 66612

DonationiContrib 2010 Primary

$2,000,00

07/11/10 Brunk for Representative

4430 Janesville Bel Aire KS 67220

Donation/Contrib 2010 Primary

$250,00

07/11/10 Burgess for Representative

6009 S W 23rd St Topeka KS 66614

DonationiContrib 2010 Primary

$250,00

07/11110 Calloway for Representative

301 Winwood Pittsburg KS 66762

DonationiContrib 2010 Primary

$100.00

07/11/10 Clark Shultz for Representative

707 Washington Cir Lindsborg KS 67456

Donation/Contrib 2010 Primary

$500,00

07/11/10 Colloton for Representative

2513 W 118th Street Leawood KS 66211

Donation/Contrib 2010 Primary

$250.00

07/11/10 DiHmore for Representative 1102 Jefferson Wichita KS 67203

ponation/Contrib 20.1 0 Primary

, $250,00

07/11/10 Feeney for Representative P.O. Box 101

Donation/Contrib 2010 Primary $100.00

http://www,kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx 7/26/2010

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Campaign Finance Schedule C Report Page 2 of 4

Topeka KS 66601

07/19/10 Goodman for Representative

2662 X4 Rd Sabetha KS 66534

Donation/Contrib 2010 Primary

$250.00

07111110 Grange for Representative 1115 Rim Rock Road E1 Dorado KS 67042

DonationiContrib 2010 Primary

$250.00

0711111 0 Grant for Representative

407 W Magnolia Cherokee KS 66724

Donation/Contrib 2010 Primary

$250.00

07111110 Hayz1ett (or Representative P.O. Box 66 Lakin KS 67860

Donation/Contrib 2010 Primary~-''\,

I

$500.00

07111/10 Henry for Representative

3515 Neosho Road Cummings KS 66016

Donation/Contrib 2010 Primary

$250.00

0711111 0 Hermanson for Representative '

5338 S Mosley Wichita KS 67216

Donation/Contrib 2010 Primary

$250.00

07111/10 Holland for Governor

PO Box 1626 Topeka KS 66601

DonationiContrib 2010 Primary

$500.00

07/1111 0 Horst for Representative

920 S 9th Street Salina KS 67401

Donation/Contrib 2010 Primary

$100,00

07/11/10 Jack for Representative 1330 N Robin Court Andover KS 67002

Donation/Contrib 2010 Primary

. $250.00

01/14/1 0

Kansas Governmental Ethics Commission 109 SW 9th Street Suite 504 Topeka KS 66612

Miscellaneous 2010 Registration Fee

$240.00

07111/10 Kelley for Representative

P.O. Box 1111 Arkansas City KS 67005

Donation/Contrib 2010 Primary

$250.00

07111/10 King for Representative 1212 N 2nd Street

DonationiContrib 2010 Primary $250.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx 7/26/2010

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Campaign Finance Schedule C Report Page 3 of 4

Independence KS 67301

07/11/10 Kinzer for Representative 12549 S Brougham Olathe KS 66062

Donation/Contrib 2010 Primary

$500.00

07/11/10 Kleeb for Representative 14206 Eby Overland Park KS 66221

Donation/Contrib 2010 Primary

,

$250.00

07/11/1 0 Mah for Representative

3351 SE Meadowview Drive Topeka KS 66605

DonationiContrib 2010 Primary

$100.00

07/11/10 Merrick for Representative

6874 W 164th Terrace Stilwell KS 66085

DonationiContrib 2010 Primary

$500.00

07/11/10 Neufeld for Representative 7405 15 Road ,

Ingalls KS 67853

Donation/Contrib 2010 Primary

$500.00

07/11110 O'Neal for Representative 8 Windemere Ct Hutchinson KS 67502

Donation/Contrib 2010 Primary

$500.00

07/11/10 Olson for Representative 19050 W 161 st Street Olathe KS 66062

Donation/Contrib 2010 Primary

$250.00

07/11/10 Patton for Representative

3546 SW Summerwood Ct topeka KS 66614

Donation/Contrib 2010 Primary

$250.00

07/11/1 0 Pauls for Representative 1634 N Baker Hutchinson KS 67501

Donation/Contrib 2010 Primary

$250.00

07/11/1 0 Peck for Representative

P.O. Box 277 Tryro KS 67364

Donation/Contrib 2010 Primary

$500.00

07/11110 Praeger for KID Commissioner

P.O. Box 1001 Topeka KS 66601

Donation/Contrib 20 I 0 Primary

$1,000.00

07/11/10 Roth for Representative

3 Crestview Drive Salina KS 67401

Donation/Contrib 2010 Primary

$250.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_cJeport.aspx 7/26/2010

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Campaign Finance Schedule C Report Page 4 of 4

07111110 Ruiz for Representative

2914 W 46th Ave Kansas City KS 66103

Donation/Contrib 20 10 Primary

$250.00

07111/10 Schmidt for Attorney General

P.O. Box 804 Independence KS 67301

DonationiContrib 20 I 0 Primary

$2,000.00

07/11/10 Schwab for Representative 14953 W 140th Terrace Olathe KS 66062

DonationiContrib 2010 Primary

$250.00

07/11/10 Schwartz for Representative

2051 20th Road Washington.KS 66968

Donation/Contrib 2010 Primary

$250.00

0711911 0 Seiwert for Representative 1111 E Boundary Road Pretty Prairie KS 67570

DonationiContrib 20 I 0 Primary

$250.00

0711111 0 Siegfreid for Representative 1403 W Prairie Terrace Olathe KS 66061

Donation/Contrib 2010 Primary

$500.00

07111110 Steineger for Secretary of State

51 South 64th Street Kansas City KS 66111

Donation/Contrib 2010 Primary

$500.00 .

07/11/10 Swenson for Representative

3351 S McComas Wichita KS 67217

DonationiContrib 2010 Primary

$250.00

07111/10 Vickrey for Representative

502 S Countryside Drive Louisburg KS 66053

DonationiContrib 2010 Primary

$250.00

07111/10 Ward for Representative

3100 E Clark Wichita KS 67211

DonationiContrib 20 I 0 Primary

$250.00

07111/10

Willard for State Board of Education 24 Dakota Drive Hutchinson KS 67504

Donation/Contrib 2010 Primary

$500.00

Total Itemized Expenditures This Period $0.00 Total Unitemized Expenditures of $50 or less $0.00

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $17,490.00

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http://www.kssos.org/elections/cfr_viewer/reports/schedule_cJeport.aspx 7/26/2010