KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS...

A.

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMMITTEE REEcerv120

KS~- ocr 3 i 2016 -~~

October 31 2016 '

FILE WITH SECRETARY OF STATE Ethi;:;s Com; SEE REVERSE SIDE FOR INSTRUCTIONS

Westar Energy Employees Political Action Committee NameofCommittee: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

P.O. Box 889

Topeka, 66601

Citv and ZiP Code:')'___ Party Comrm"ttee Thfs is a ( c.neck one : __ . )( Political Committee

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

C. Summazy(covering the period from July 22, 2016 through October 27, 2016)

1. Cash on hand at beginning of period .. ...... ... .... ... ... .... ........ .. .... .. .. .... .. ....... .... ...... ..... .. . 74,395.57

2. Total Contributions and Other Receipts (Use Schedule A) .... .... ... ... .. ........ .. .. .. .. ... .. .. . 9,517.49

3. Cash available this period (Add Lines 1 and 2) ....... ..... .... ... ....... .. ..... .......... ... .. .. ... ... . . 83,913.06

4. Total Expenditures and Other Disbursements (Use Schedule C) .... ..... .. ... ... ........ ... .. . 20,250.00

5. Cash on hand at close of period (Subtract Line 4 from 3) .... .. .... .... .... ........ ...... .... ..... . . 63,663.06

0.00 6. In-Kind Contributions (Use Schedule B) ...... .. .

7. Other Transactions (Use Schedule D) ..... ... .. ... . 0.00

D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my know led e and belief is true, correct and co erstand that the intentional failure to file this docu or intent10 1 filing a false d ment is a clas '!\. misdemeanor."

10/7'1 / J tp Date 1

16 GEC Form Rev, 20

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Westar Energy Employees Political Action Committee (State)

(Name of Party Committee or Political Committee)

Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check,

Date of Contributor Than $150 Loan or Cash Check Loan !Ll!!.ru!!. Other Receipt Other

Boog Highberger for State Rep State House District 46 250.00

918 Massachusetts, Suite B v 6/21/16 Lawrence, KS 66044 Void -Boog Highberger for State Rep

Bruce AAkin VP, Power Delivery 225.00 . 4 700 NW Levering Dr v Topeka, KS 66618-1280

Mo Awad Director, Regulatory Compliance 52.50 . 1468 Marilee Dr. v Lawrence, KS 66049-5815

Jeri L Banning VP, Human Resources 225.00 . 7934 Darnell Lane v Lenexa, KS 66215-61 20

Jeffrey L Beasley VP Customer Care 54.00 . 3912 SW King Arthurs v Topeka, KS 66610-1539

Casey Bough Exec Director, Gas Power Plants 112.50 . 9917 W Westlakes Ct v Wichita, KS 67205-5254

Jeanette M Bouzianis Dir, Income Tax 112.50 . 3334 SE 39th Terr v Topeka, KS 66609-9404

Steve Boyce Exec Dir Human Resources 112.50 . 1626 Rd 310 v Admire, KS 66830-9112

John T Bridson VP Generation 72.00 . 4850 SW 53rd St v Topeka, KS 66610-9428

Zachary Broughton Mgr Financial Accounting 52.50 . 8540 NW Rochester Rd. v Topeka, KS 66617-1939

~had Alan Carsten Supv Electric Meters 52.50 . 13334 SW 28th St V' *payroll lfopeka, KS 6661 4-4200

deduction

1,321 .00

Subtotal This Page

Page _:-of_8- -





Date of Contributor Than $150 Loan or Cash Check Loan .E....f!!.!!!h. Other Receipt Other

David Claussen Exec Dir Transmission 90.00 . 2013 Carmel Dr. Lawrence, KS 66047-1867 v Michael Coburn Director, Fleet & Facility Services 52.50 . 3341 NW Hickory Ridge Lane Topeka, KS 66618-2724 v Michel' Cole VP Corp Comm and Public Affairs 374.97 . 5043 SW Cedar Crest Rd v Topeka, KS 66606-2219

Angela Cool Mgr, HR Operations 112.50 . 3624 SW Red Hawk Court v Topeka, KS 66614-3930

Jimmy Mark Cosby Business Development Mgr 52.50 . 15829 Rosewood Dr. v Overland Park, KS 66224-3868

Timothy W Cowan Dir Business Systems 52.50 . 5909 Woodstock St v Shawnee, KS 66218-8423

Jana Dawson Dir Corp Communications 112.50 . 1104 Douglas Dr. v Lawrence, KS 66049-2752

Robert J Day Mgr Origination Generation Mktg 52.50 . 801 Fox Chase Ct. v Lawrence, KS 66049-4728

Jeffrey DeBruin Dir Law & Asst Corporate Sec 52.50 . 5712 Warren Ct v Lawrence, KS 66049-4894

Andy Devin Exec Dir Tax & Compliance 75.60 . 1204 Parkside Rd v Lawrence, KS 66049-3457

irheresa Dodson Dir HR Operations 112.50 . 1?604 SW Windermere Ct v •payroll rropeka, KS 66614-4960

deduction

1,140.57

Subtotal This Page

Page _3--of_8--




Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan ~

Other

Mildred Edwards Mgr, Learning and Talent

501 SE Jefferson #586 Development, HR

v' . Topeka, KS 66607-1 175

Elsie M Eisenbarth VP Operations Support . 7620 SW Oxfordshire Rd v' Topeka, KS 66614-4661

Eric Ervin Dir Corporate Security . 2183 15th Rd SE v' Westphalia, KS 66093-7275

Caroline Feldhausen Mgr, Change Mgmt Capability, HR . 1013 Diamond head Dr . v' Lawrence, KS 66049-5019

Jeremy Fischer Mgr SEC Reporting . 2200 Breckenridge v' Lawrence, KS 66047-2317

John E Fitzgerald Customer Solutions Integration Di1 . 4125 SW Woodbury Ct v' Topeka, KS 66606

Don Ford Renewable Business Solutions Di1 . 8026 NW Wilson Rd v' Topeka, KS 66618-2112

Joseph M Fritton Dir, Gen Support Services . 4511 SE 25th Terr v' Topeka, KS 66605-1968

Jeff Grabbe Mgr Division Operations . 20 Wheatland Dr v' Ottawa, KS 66067-850.1

Larry Richard Graves Dir Labor Relations HR Admin . 3713 SE 22nd Terr v' Topeka, KS 66605-1986

t3reg A Greenwood Sr VP Strategy . 14630 NW Levering Dr II *payroll tfopeka, KS 66618-1200

deduction

Subtotal This Page

Amount of Cash, Check,

Loan or Other Receipt

52.50

144.00

52.50

52.50

52.50

112.50

52.50

54.00

52.50

112.50

112.50

850.50

Page _!-of_8--





Date of Contributor Than $150 Loan or Cash Check Loan E.!!!!!fil. Other Receipt Other

Debra A Grunst Exec Director, IT 112.50

7701 W 144 Place t/ . Overland Park, KS 66223-2293

Mitchell Hill Mgr, Documents, Transmission & 52.50

11717 N. Ridge Rd . Substation

t/ . Sedgwick, KS 67135-9737

Jason 0 Humphrey Dir Performance Excellence 112.50 . 354 S Limuel Ct t/ Wichita, KS 67235-2000

Larry D Irick VP General Counsel & Corp Sec 225.00 . 515 Ohio t/ Lawrence, KS 66044-2245

Lloyd Jackson Exec Dir, Bulk Power Marketing 112.50 . 18906 Sandpiper Lane t/ Tomball , TX 77377-3542

Hal L Jensen Exec Dir Customer Programs & 54.00 . 7320 NW Nickell Rd Svcs t/ Topeka, KS 66618-1925

Martin Neal Jones Dir, Construction Management 72.00 . 2449 NE State Rd K-4 v Topeka, KS 66617-3402

Kevin L Kongs VP Controller 225.00 . 4201 SW Eagle Point Rd t/ Topeka, KS 66610-1544

Tiffany Lake Mgr NERC Reliability 52.50 . 3120 SW 32nd Terr t/ Topeka, KS 66614-2702

Joseph K Layton Director, Supply Chain 52.50 . 24200 146th St. t/ Leavenworth, KS 66048-8226

Bradford S Loveless Exec Dir Environmental Svcs 112.50 . ?4100 Adams t/ *payroll yndon, KS 66451

deduction

1,183.50 Subtotal This Page

Page ~-of_8--





Date of Contributor Than $150 Loan or Cash Check Loan ~ Other Receipt Other

Laura Maag Lutz Government Affairs Mgr 51.62

7430 SE Ratner Rd ti' . Berryton, KS 66409-9691

Julie Lux HR Compliance Mgr 52.50 . 6327 NE Indian Creek Rd. ti' Topeka, KS 66617-2116

Sherry Ann Macke Dir Procurement Svcs 52.50 . 4611 SE Stubbs Rd ti' Tecumseh, KS 66542-9734

Jeffrey L Martin Exec Director, Regulatory Affairs 225.00 . 10111 Village Green Rd ti' Meriden, KS 66512-8886

Misty Martin Mgr, Work Systems, WAM 52.50 . 15726 W Rd. ti' Hoyt, KS 66440-9067

Jim Medford Mgr, App Systems, IT Architecture 52.50

* 3720 SW 34th St. ti' Topeka, KS 66614-3554

Jared Morrison Mgr Water & Waste Programs 52.50

* 2208 SW Knollwood Dr v' Topeka, KS 66611-1624

Josh Newman Mgr Maintenance 52.50

* 6250 Crescent Rim Dr ti' Ozawkie, KS 66070-4110

Bryan F Nowlin Mgr Emergency Operations 52.50

* 4716 SW Gage Blvd ti' Topeka, KS 66610-1220

John P Olsen Exec Dir, Bulk Power Marketing 72.00 * 808 Andrew John Dr ti'

Lawrence, KS 66049-5022

Christopher O'Neill Dir, Power Accounting 54.00

* 802 SE Oakridge Lane v *payroll Topeka, KS 66609-1643

deduction

770.12 Subtotal This Page

Page !-of_8--





Date of Contributor Than $150 Cash Check Loan E funds

Other

Don Reinert Mgr Vegetation 1974 N Red Brush t/ . Wichita, KS 67206-4413

Bruce A Reves Supv, Substation Mgmt

. 2905 E. 8th St. t/ Pittsburg , KS 66762-8462

Tammie Elaine Rhea Consumer Services Account Mgr . 2279 SW Adams Rd t/ Towanda, KS 67144-9020

Andrew Rietcheck Director, T&S Field Construction . 601 Kross Circle t/ Rossville, KS 66533-9772

Michael D Rinehart Dir Customer Acct Services . 7 412 SW Kings Forest Ct t/ Topeka, KS 66610-3019

Mark A Ruelle President & CEO . 2737 SE Ratner Rd t/ Tecumseh , KS 66542-9308

Brandon Sack Mgr, Trading, Power Mktg . 5201 Fox Chase Dr. t/ Lawrence, KS 66049-4730

Kimberly K Savage CIS Project Director . 4456 NW Halfday Lane t/ Topeka, KS 66618-1643

Mark A Schreiber Exec Dir Government Affairs . 1722 Yucca Lane t/ Emporia, KS 66801 -5640

Donald R Sherman VP Comm Reltns & Strat . 13415 East Mount Vernon Partnerships t/ Wichita, KS 67230-7592

Karen M Smith Business Manager . 8041 S Berniece t/ *payroll Haysville, KS 67060-8111

deduction

Subtotal This Page



52.50

52.50

90.00

75.60

54.00

374.97

52.50

112.50

144.00

90.00

54.00

1,152.57

Page _!--{)f_8--





Date of Contributor Than $150 Cash Check Loan Jlli.!!J!i.

Other

Roger H Snell Mgr, Income Tax 3546 SW Windslow Ct v . Topeka, KS 66614

Tony Somma Sr VP, CFO, Treasurer . 6333 SW South Pointe Dr. v Auburn, KS 66402-9003

Carolyn Starkey Asst Treasurer, Cash Mgmt . PO Box 56 v Valley Falls, KS 66088-0056

Thomas R Sydow Region Director . 2346 Melrose Lane v Salina, KS 67401-3547

Jacqueline B Vaughn Electric Distribution Supv . 18905 State Rt 45 N v Weston, MO 64098-9106

. Steve Vetsch Dir Regional Operations 8339 Mike-o-Vince Rd v *payroll Ozawkie, KS 66070

deduction

Subtotal This Page



52.50

150.00

52.50

112.50

54.00

112.50

534.00

Page _!-of_8--





Date of Contributor Than $150 Cash Check Loan E funds

Other

Paul J Wallen Exec Dir T&S Construction . 1016 Stoneridge Dr t/ Lawrence, KS 66049-4771

Marc P Welsh Dir Safety & Training . 10347 Red Maple Dr. t/ Meriden, KS 66512-8822

Thomas A Welsh Mgr Property Accounting . 7593 162nd St. t/ Valley Falls, KS 66088-5174

Cynthia S Wilson Dir Retail Rates . 7903 SW 28th St t/ Topeka, KS 66614-4891

Helen M Wimsatt Dir, Distribution System Ops . 4627 Roberts St t/ Shawnee, KS 66226-2471

Charles Patrick Woods Dir Talent Mgmt & Diversity . 723 SW Cambridge Ave t/ Topeka, KS 66606-2013

Karen Zimmerschied Mgr Design & Planning . 901 Branchwood Dr t/ Lawrence, KS 66049-4768

Sandra Zordel Director, Support Svcs, Power . 201 Sage Rd . Delivery

t/ Silver Lake, KS 66539-9232

Subtotal This Page

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

TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary)



52.50

112.50

52.50

72.00

115.20

112.50

52.50

75.03

644.73

7,596.99

1,920.50

0.00

0.00

9,517.49

Page ~--of_a __

SCHEDULEC EXPENDITURES AND OTHER DISBURSE:MENTS


Name of Party Committee or Pohtica!Cornttee)

Puq~ose of E!J:!enditure Name and Address Amount

Date To Whom Expenditure is Made If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address

John Doll for Kansas Senate John Doll for Kansas SENATE. KS 2927 Cliff Place

8/20/2016 Garden City, KS 67846 500.00

Alford for State Representative Steve Alford, STATE HOUSE 124th KS 209 East Sixth Street

8/20/2016 Hugoton, KS 67951 250.00

Francis Awerkamp for State Representative Francis Awerkamp, STATE SENATE KS 807 W. Linn St

250.00 8/20/2016 St Marys, KS 66536

Dave Baker for State Representative Dave Baker, STATE HOUSE KS

8/20/2016 278 Lake Road Council Grove, KS 66846

250.00

Friends of Tony Barton Tony Barton, STATE HOUSE 41st KS PO Box 545

250.00 8/20/2016 Leavenworth, KS 66048

Molly for Kansas Senate Molly Baumgardner, STATE SENATE 37th KS

8/20/2016 29467 Masters Ct

500.00 Louisburg, KS 66053

Berger for Kansas Ed Berger, STATE SENATE KS

8/20/2016 2603 Heather Pkwy Suite B 750.00 Hutchinson, KS 67502

Committee to Elect Elaine Bowers Elaine Bowers, STATE SENATE 36th KS 8/20/2016 212 E Sixth St. 500.00

Concordia, KS 66901

Tom Burroughs for State Representative Tom Burroughs, STATE HOUSE 33rd KS 8/20/2016 3131 S 73 TER

500.00 Kansas City, KS 66106

John Carmichael for State Representative John Carmichael, STATE HOUSE 92nd KS 8/20/2016 1475 N. Lieunett Street

Wichita, KS 67203 250.00

Subtotal This Page 4,000.00

Page_ 1_ of_€_

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Westar :::n.,: gy Employees Political Action Committee (State)

Name of Party Comrruttee or Poht1cal Connruttee)

Name and Address Date To Whom EJ.i>enditure is Made

Lonnie Clark for State Representative 824 B South Madison St.

8/20/2016 Junction City, KS 66441

Clayton for Kansas 9825 Woodson Dr.

8/20/2016 Overland Park, KS 66207

Concannon for Kansas 921 N. Mill

8/20/2016 Beloit, KS 97 420

Bruce Givens for Senate 121 N Main St

8/20/2016 El Dorado, KS 67042

Anthony Hensley for Senate

8/20/2016 2226 SE Virginia Ave. Topeka, KS 66605

Laura Kelly for Senate

8/20/2016 234 SW Greenwood Ave. Topeka, KS 66606

Dan Kerschen for Senate

8/20/2016 645 S 263rd St W Garden Plain, KS 67050

Jeff Longbine for Senate 8/20/2016 2801 Lakeridge Rd

Emporia, KS 66801

Rob Olson for Kansas Senate Campaign 8/20/2016 15944 S. Clairborne Street

Olathe, KS 66062

Mike Petersen for Kansas Senate 8/20/2016 2608 Southeast Drive

Wichita, KS 67216

Subtotal This Page

Puq:!ose of E!J:!enditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address

Lonnie Clark, STATE HOUSE 65th KS

250.00

Stephanie Clayton, STATE HOUSE 19th KS

250.00

Susan Concannon, STATE HOUSE 107th KS

250.00

Bruce Givens, STATE SENATE KS

500.00

Anthony Hensley, STATE SENATE 19th KS

500.00

Laura Kelly, STATE SENATE 18th KS

750.00

Dan Kerschen, STATE SENATE 26th KS

500.00

Jeff Longbine, STATE SENATE 17th KS

500.00

Rob Olson, STATE SENATE 23rd KS

500.00

Mike Petersen, STATE SENATE 28th KS

500.00

4,500.00

Page_ 2_ of_€_



Name of Party Comffilttee or Poht1ca!Cornttee)

PurEose of E,.]!enditure Name and Address Amount


Lynn Rogers for Kansas Senate Lynn Rogers, STATE SENATE KS 912 Spaulding Ave.

500.00 8/20/2016 Wichita, KS 67203

Vicki Schmidt for Senate Vicki Schmidt, STATE SENATE 20th KS 5906 SW 43rd Ct

8/20/2016 Topeka, KS 66610 750.00

John Skubal for Kansas Senate John Skubal, STATE SENATE KS 6503 W 134th Terr.

500.00 8/20/2016 Overland Park, KS 66209

Gene Suellentrop for State Senate Gene Suellentrop, STATE SENATE 27th KS

8/20/2016 6813 W. Northwind Circle Wichita, KS 67205

500.00

Sykes for Senate Dinah Sykes, STATE SENATE KS 10227 Theden Circle

500.00 8/20/2016 Lenexa, KS 66220

Taylor for Senate Mary Jo Taylor, STATE SENATE KS

8/20/2016 PO Box 322

500.00 Stafford, KS 67578

Wagle for Senate Susan Wagle, STATE SENATE 30th KS

8/20/2016 4 N. Sagebrush 1,000.00 Wichita, KS 67230

Wilborn for Senate Rick Wilborn, STATE SENATE 35th KS 8/20/2016 1504 Heritage Place 250.00

McPherson, KS 67460

Corbet4Kansas Ken Corbet, STATE HOUSE 54th KS 8/23/2016 10351 SW 61 st Street

250.00 Topeka, KS 66610

Tom Cox for Kansas Tom Cox, STATE HOUSE KS 8/23/2016 14814 W. ?1st Terr.

Shawnee, KS 66216 250.00


Page_ 3_ of_E_



Name of Party Comrruttee or Pohtlcal Comrruttee)

Purl!ose of E:i..J!enditure Name and Address Amount


Finch for Kansas Blaine Finch, STATE HOUSE 59th KS 5 SW Fairview Dr

8/23/2016 Ottawa, KS 66067 250.00

Stan Frownfelter for State Representative Stan Frownfelter, STATE HOUSE 37th KS 5225 Crest DR

8/23/2016 Kansas City, KS 66106 250.00

Gallagher for Kansas Linda Gallagher, STATE HOUSE 23rd KS 7804 Monrovia St.

250.00 8/23/2016 Lenexa, KS 66216

Gartner for Kansas Jim Gartner, STATE HOUSE KS

8/23/2016 928 SW Woodbridge Ct. 250.00 Topeka, KS 66606

Mary Martha Good for Kansas House Mary Martha Good, STATE HOUSE KS PO Box 1285

250.00 8/23/2016 El Dorado, KS 67042

Hemsley for House Lane Hemsley, STATE HOUSE 56th KS

8/23/2016 2909 SW 33rd Circle

250 .00 Topeka, KS 66614

Hineman for Kansas Don Hineman, STATE HOUSE 118th KS

8/23/2016 116 S. Longhorn Rd. 250.00 Dighton, KS 67839

Hughes for Kansas Dorothy Hughes, STATE HOUSE KS 8/23/2016 6009 W 76th Terr. 250.00

Prairie Village, KS 66208

Susan Humphries for Kansas House Susan Humphries, STATE HOUSE KS 8/23/2016 PO Box 884

250.00 Andover, KS 67002

Russ Jennings for Southwest Kansas Russ Jennings, STATE HOUSE 122nd KS 8/23/2016 515 Pleasantview

P.O. Box295 250.00

Lakin, KS 67860-0295


Page_ 4_ of_E__



Name of Party Comrruttee or Poht1ca!Comm1ttee)

Puq~ose of ExEenditure Name and Address Amount


Steven Johnson for State Representative Steven Johnson, STATE HOUSE 108th KS 3125 E.Boston

8/23/2016 Wichita , KS 67211 250.00

Kessinger4Kansas Jan Kessinger, STATE HOUSE KS 12605 Walner St.

8/23/2016 Overland Park, KS 66209 250.00

Kleeb for Kansas Marvin Kleeb, STATE HOUSE 48th KS

8/23/2016 14206 Eby St.

250.00 Overland Park, KS 66221

Annie Kuether for State Representative Annie Kuether, STATE HOUSE 55th KS

8/23/2016 1346 SW Wayne

250.00 Topeka, KS 66604

Patty Markley for Kansas House Patty Markley, STATE HOUSE KS 12312 Nieman Rd .

250.00 8/23/2016 Overland Park, KS 66213

Les Mason for Kansas House District 73 Les Mason, STATE HOUSE 73rd KS

8/23/2016 108 Arcadian Ct.

250.00 McPherson, KS 67460


Page _5_ of_E_



Name of Party Committee or PohticalComrruttee)

Name and Address Purpose of Expenditure Date To Whom Expenditure is Made Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address

Rooker for State Rep Melissa Rooker, STATE HOUSE 25th KS 4124 Brookridge Dr.

8/23/2016 Fairway, KS 66205 250.00

Kansans for Ryckman Ronald Ryckman, STATE HOUSE 78th KS 14234 W 158th Street

8/23/2016 Olathe, KS 66062 500.00

Schreiber for Kansas House Mark Schreiber, STATE HOUSE 60th KS PO Box 2331

8/23/2016 Emporia, KS 66801 500.00

Joe Seiwert for Kansas House Joe Seiwert, STATE HOUSE 101st KS

8/23/2016 1111 E. Boundary Rd. Pretty Prairie, KS 67570 250.00

Friends of Jene Vickrey Jene Vickrey, STATE HOUSE 6th KS 502 S. Countryside Dr.

8/23/2016 Louisburg , KS 66053 500.00

Jim Ward for Kansas House Jim Ward, STATE HOUSE 86th KS 3100 East Clark

8/23/2016 Wichita, KS 67211 250.00

John Wheeler for State Representative John Wheeler, STATE HOUSE KS 902 Anderson St.

8/23/2016 Garden City, KS 67846 250.00

Whitmer for Kansas John Whitmer, STATE HOUSE 93rd KS PO Box 2862

8/23/2016 Wichita, KS 67201 250.00


Complete if last page of Schedule c

Total Itemized Expenditures This Period 20,250.00

Total Unitemized Expenditures of $50 or less 0.00

TOTAL EXPENDITURES & OTHER DISBURSEMENTS TIDS PERIOD (to line 4 of Summary)

20,250.00

Page_€_ of_:_

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