nlJJ 4. - Kansasethics.ks.gov/CFAScanned/House/2020ElecCycle/202001/H079... · 2020. 1. 9. ·...

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KANSAS GOVERNMENTAL ETHICS RE_ .. _ RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE JAN 09 2020 January 10,2020 Ks Gave mmentalE lhlcS com . FILE WITH SECRETARY OF STATE mlSSiof/ SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: {]h e Y"1 { t-ld'meK-. Address: . leu C. 130tf: City and Zip Code: nlJJ V ftJdJ 'e ( l<".s. G:.>'71 { [;> Office Sought: f.-!c,w 'I 4. p V'f!.. s.e.wM7Jtt!s District: 7 B. Check only if appropriate: __ Amended Filing _ Termination Report C. Summary (covering the period from January 1,2019 through December 31, 2019) 1. Cash on hand at beginning of period . 2. Total Contributions and Other Receipts (Use Schedule A) .. 3. Cash available this period (Add Lines 1 and 2) .. 4. Total Expenditures and Other Disbursements (Use Schedule C) .. 5. Cash on han.d at close of period (Subtract Line 4 from 3) .. _ _ .. 6. In.-Kind Contributions (Use Schedule B) _ 7. Other Transactions (Use Schedule D) __ 0 _ llotJ,31_ ?'ioo. cO 'I,'2(J (). ;' '1 .l..{o?. L.{ (J Co D, "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." Signature of Candidate or Treasur GEe Form Rev, 2019

Transcript of nlJJ 4. - Kansasethics.ks.gov/CFAScanned/House/2020ElecCycle/202001/H079... · 2020. 1. 9. ·...

  • KANSAS GOVERNMENTAL ETHICS COM~IISSION

    RE_.._RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

    JAN 09 2020 January 10,2020

    Ks GavemmentalE

    lhlcS com .FILE WITH SECRETARY OF STATE mlSSiof/SEE REVERSE SIDE FOR INSTRUCTIONS

    A. Name of Candidate: {]h e Y"1 { t-ld'meK-. Address: .leu C. 130tf: City and Zip Code: nlJJ V ftJdJ 'e ( l

  • SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

    (Nam~ ofCandi~)~ e", 7 L.J:1dU.MLUiiiewVL=~~ _

    Check Amount of Name and Address

    Occupation of Appropriate BOl Cash, Check.

    Date Individual Giving More

    Loan 01" OtherThanS150of Contributor Cash Ch~k 1..n E f\ln~

    Oth~ Receipt

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    G3~~"~ S~ ~W\

    ,j

    J

    /Z/ti

    S'2 45/000

    1001)fJ

    ) t9tO

    ~--09 ) 5V~

    ~O~

    00Z£o-

    EJD

    2..50 ---'

    l0f) e()

    5t;t) 08

    fJ?!JCJlro

    Z5!J C2.9-

    \~$-fc-':l. \3-e.v~JIt..~-e- ~Cllt.. ~ 1\l\ ~-h.u...t f\.:...~~ 6:r- -, .1t4',~

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  • SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

    (N arne of Candidate)

    Date Narne llnd Address Purpose ofE:l:penditurc

    or Dl5buraement Amount

    C1>~N"\lII.~'~1 fJ~,.:h~..J.+-~~tL

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