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Campaign Finance Receipts and Expenditures Report Page 1 of 1 Print this form or Go Back Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 109 W. 9th, Suite 504 111012017 Topeka, KS 66612 Phone (785) 296-4219 Fax (785) 296-2548 'WWW.kansas.gov/ethics Check only if appropriate Amended Filing Termination Report Campaign Finance Candidate Name:Larry A Miller Filing Report Address: 6300 W 156th Street Address2: City: Overland Park Zip: 66223 County: Johnson Home Phone: (913) 685-4755 Business Phone: Office Sought: State Representative District: 27 SUMMARY (covering the period from 10/28/2016 through 12/31/2016) 1 CASH ON HAND AT BEGINNING OF PERIOD 89.09 '2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $50.00 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $139.09 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $139.09 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $0.00 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $0.00 7 OTHER TRANSACTIONS (Schedule D) view/print $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: 1/5/20172:08:12 PM Signature of Candidate or Treasurer: Daniel Forgy Print this form or Go Back 115/2017 http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx
Transcript of exp report main - Kansasethics.ks.gov/CFAScanned/House/2016ElecCycle/201701/H027LM_201… ·...
Campaign Finance Receipts and Expenditures Report Page 1 of 1
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Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 109 W. 9th, Suite 504 111012017 Topeka, KS 66612
Phone (785) 296-4219 Fax (785) 296-2548
'WWW.kansas.gov/ethics
Check only if appropriate Amended Filing Termination Report
Campaign Finance Candidate Name:Larry A Miller
Filing Report Address: 6300 W 156th Street
Address2:
City: Overland Park Zip: 66223 County: Johnson
Home Phone: (913) 685-4755 Business Phone:
Office Sought: State Representative District: 27
SUMMARY (covering the period from 10/28/2016 through 12/31/2016)
1 CASH ON HAND AT BEGINNING OF PERIOD 89.09
'2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $50.00
3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $139.09
4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $139.09
5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $0.00
6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $0.00
7 OTHER TRANSACTIONS (Schedule D) view/print $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: 1/5/20172:08:12 PM Signature of Candidate or Treasurer: Daniel Forgy
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115/2017http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx
Campaign Finance Schedule A Report Page I of I
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SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Candidate: Larry A Miller
Date Name and Address of Contributor
Type of Payment
Cash, Check, Loan, Other
Occupation And Industry of Individual Giving More Than $150
Amount
11/03/J6 Larry Miller 6300 W 156th Street Overland Park KS 66223
Check retired $50.00
Total Itemized Receipts for Period $50.00
Total Unitemized Contributions ($50 or less) $0
Sale of Political Materials (Unitemized) $0
Total Contributions When Contributor Not Known $0
TOTAL RECEIPTS THIS PERIOD $50.00
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1/5/2017http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx
Campaign Finance Schedule C Report Page 1 of 1
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SCHEDULE C
EXPENDITURES AND OTHER DISBURSEMENTS
Candidate: Larry A Miller
Date Name and Address Purpose of Expenditure or Disbursement
Amount
01/09/17 Facebook Not Available Not Available NA
Electronic/Website Advertising Facebook fees
$15.09
01/07/17 Facebook Not Available Not Available NA
Electronic/Website Advertising Facebook fees
$50.00
11/01/16 Bank of America Not Available Not Available NA
Miscellaneous Bank charge
$14.00
10/28/16 Sir Speedy Not Available Not Available NA
Printing Campaign Sign
$60.00
Total Itemized Expenditures This Period
Total Unitemized Expenditures of $50 or less
TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD
$139.09
$0
$139.09
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http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx 1/5/2017
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