County: st~ lkf~Vethics.ks.gov/CFAScanned/House/2006ElecCycle/... · SCHEDULE A. CONTRIBUTIONS AND...

) KANSASGOVERNMENTALETHICSCOm~fVEDRECEIPTSANDEXPENDITURESREPORT ~

OF A CANDIDATEFORSTATEOFFICE JUL 24 lOOt!

JULY 24, 2006Govemmerna! Ethi::s CommIssIon. 109 WEST 9TH STREET

TOPEKA, KANSAS 66612

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

A. NameofCandi~te: _~~lmclFY0SJv~eckAddress: lQ'6=ttt WL \\.p~~~~City and Zip Code: ~1jj)l0ill ts s labD~5

st~ lkf~VOffice Sought:County:rL"rl...-District: ~-=t-

B. Check only if appropriate: - Amended Filing - Termination Report

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

1. Cash on hand at beginning of period """""""""""""","""""'"''''''''''''''''''''''..........

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) f)5. 00

7. OtherTransactions(UseScheduleD) --e-

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

3. Cash available this period (Add Lines I and2) ,........

D. "I 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."

!I-~'-O(pDate ~ ~t'"\ J . . .j. I ., .tu~~l. 'Ul)WL,

Signature of Treasurer ./

GEC Form Rev, 2001

SCHEDULE ACONTIUBUTIONS AND OTHER RECEIPTS

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SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

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Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When. Contributor Not Known

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SCHEDULE A .. ~a-- CONTRIBUTIONS AND OTHER RECEIPRE C E IVE U

c - uu~.A.~ ~ CD'1:- . . JUl 2 h 2006idate,Party Committee or PoliticalCommittee) .

Governmental Ethics CommIssionr.;-, -.TOPEKA,KANSAS 2Check Amount of

Occupation of Individual Appropriate Box Cash, Check,Giving More Than $150 Loan or

. Othl!rOther Receipt

Name and Addressof Contributor

Date

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Total Unitemized Contributions ($50 or less)' - -

Sale of PoliticalMaterials (Unitemized)

TotalContributionsWhen ContributorNotKnown

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SCHEDULE A .

CONTRIBUTIONS AND OTHER RECEIPTS

~Mi~-~~~ .'

(Name of Candidate, Party Committee or PoliticalCommittee)

lo/7~

Date Name and Addrestlof Contributor

Occupation of IndividualGMwg More Than $150

Check

I

Amount ofAppropriate Box Cub9 Cinec~

Lou orCub I Check I 1.0- I Other I Other Receipt

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Page tJ ofl2L

Total Itemized Receipts for Period t'obfLQ(!Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

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SCHEDULE B

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.

/ . \ IN-KIND CONTRIBUTIONS( ~~L8~~Sh_dt-~~~

(Name of Candidate, Party Committee or Political Committee)

DateName, Address and Occupation

of ContributorList occupation for those giving

an in-kind more than $150

Description ofIn-Kind

Contribution

VaIue ofIn-Kind

Contribution

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Complete if last page of Schedule B

Pageq of \~

.- D---{JTotal Itemized (over $50) In-Kind Contributions "h , .r'' ,

TotalUnitemized(50 orless)InKindContributions

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SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS

~~.!:~6h~\h.LJ~L+~(Name ofCafuJidate,Party Committee or PoliticalCommittee)

Date Ns.me and Addre§§ Purpose of Expend.itim;or Disbursement

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Tota! Itemized Expenditures This Period

Total Unitemized Expenditures 0[$50 or less

TOTAL EXPENDITITRES &.O'fHER DISBURSEMENTS'f.IDS PERla» (to line 4 of Summary)

Page [-0 ofJA

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'~SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

{(~ r ' ck-(Name of Candidate, Party Committee or PoliticalCommittee)

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SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS A(

'-~ ~ 0.committee or Political Committee)

Date Name and Address Purpose of Expenditureor Disbursement

Amount

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SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS

~~N.

Date Name and Address Purpose of Expenditureor Disbursement

Amount

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if:~-""'''Compiete if last page of Schedule C

Total Iteinized Expenditures This Period ~(P~~3~!t \Total Unitemized EXpenditures of $50 or less

TOTAL EXPENDITURES & OTHER DISBURSEMENTSTIllS PERIOD (to line 4 of Summary) d)?>~.(\

Page.1a.-of~

County: st~ lkf~Vethics.ks.gov/CFAScanned/House/2006ElecCycle/... · SCHEDULE A. CONTRIBUTIONS AND...

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