RECEIPTS AND EXPENDITURES REPORT OFr...

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-- Jan 061701 :03p p.2 KANSAS G IVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OFr CANDIDATE FOR STATE OFFICE January 10, 2017 06 2017 -'''co com",,,.,o,, _ _ , /,.4' County: A:j;al?,fct d ,";- District: 5/" A. Name of Candidate: Address: __ B. Check only if appropriate: -X Amended Filing Tennination Report C. Summary (covering the peri d from October 28, 2016 through December 31, 2016) 1. Cash 011 hand at beginnin of peri oct " " " .. 'Or';, ? . L7 2. Total Contributions and 0 her Receipts (Use Schedule A) .. 4 f.rO ,c;O 3. Cash available this period (Add Lines 1 and 2) .. IZoY{,il 4. Total Expenditures and 0 ler Disbursements (Use Schedule C) . 9.53. tJ9 5. Cash on hand at close ofp riod (Subtract Line 4 from 3) " .. Ii; tJ?3. 1t" 6. In-Kind Contributions (U e Schedule B) ". 7. Other Transactions (Use cheduie D) -,.'A?<...L...r/A- ...... :.<--.._-- D. "I declare that this report, incl ding any accompanying schedules and statements, has been examined by me and to the best of my know! dge and belief is true, correct and complete. r understand that the intentional failure to file this document r intentionally filing a false document is a class A misdemeanor." GEe Form Rev, 2016

Transcript of RECEIPTS AND EXPENDITURES REPORT OFr...

Page 1: RECEIPTS AND EXPENDITURES REPORT OFr …ethics.ks.gov/CFAScanned/House/2016ElecCycle/201701/H031LR_201701.pdfRECEIPTS AND EXPENDITURES REPORT OFr CANDIDATE FOR STATE OFFICE :ifrEV~D

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KANSAS G IVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OFr CANDIDATE FOR STATE OFFICE :ifrEV~D

January 10, 2017 JA~I ,~ 06 2017

SE;~~~~ ~~2~1'f~gR~ci1ai'r$ome"'d -'''co com",,,.,o,,

_

_ , /,.4'County: A:j;al?,fct d ,";­

District: ~5/"

A. Name of Candidate: -£:.~~-'--=-~LL.><>~

Address: _~'-"-"----"__~"------,,L.-k."--'-__________________

B. Check only if appropriate: -X Amended Filing Tennination Report

C. Summary (covering the peri d from October 28, 2016 through December 31, 2016)

1. Cash 011 hand at beginnin of perioct " " " .. /~ 'Or';,? .

L7 2. Total Contributions and 0 her Receipts (Use Schedule A) .. 4 f.rO ,c;O

3. Cash available this period (Add Lines 1 and 2) .. IZoY{,il 4. Total Expenditures and 0 ler Disbursements (Use Schedule C) . ~I 9.53. tJ9 5. Cash on hand at close ofp riod (Subtract Line 4 from 3) " .. Ii; tJ?3. 1t" 6. In-Kind Contributions (U e Schedule B) ". --'-~..L.:r4-/"'A,-----_

7. Other Transactions (Use cheduie D) -,.'A?<...L...r/A­......:.<--.._-­

D. "I declare that this report, incl ding any accompanying schedules and statements, has been examined by me and to the best of my know! dge and belief is true, correct and complete. r understand that the intentional failure to file this document r intentionally filing a false document is a class A misdemeanor."

GEe Form Rev, 2016

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Nameof Candidate)

Occupation of Check Amount of Name and Add"ess Individual Giving More Appl'opriate Box C~sh, Check,

Date of Contributor Than S150 Loan or Othcr' Cnsh eh.ell Loml 'E F\~nd" Receipt

~

,/~/ / jJN''r;'(' &~//l;4tfV4~,.l, / /W~'Jr<' d~(',T/c;~n ~ . /::l~ b N~,1·?:r1 ~/"P-.h 'V"0'

r'/ /~.-ll'/ a~ ilt 2:f?:/·00'/11 Av,,;76' A/r, ,/~scJ '1

(// / Ca;t'rd/#1#> (;. j?i?- /' /IC/~ .I*~ ".~y;;"t. lYfI ,.' y::W \,//:$'/( JS ft/ds"d;7fl':h /~yr0< ,"­ e2JO.cJOr , I

tVa-, /), C. jloO(J1

/0J6' /?'s~S' //JJ.r ?A-C P;{w7

//dl'Jtfn, .> ~c., -"/7 lff//7"~~ /O-thd-luw'ku/( '/ l'tJt5.00 /on Wt'O/ 5.>, ,6s.//1

/\ ./

/(j/./ 0/1fJ,;' 11,.- aW/~1/ /Yl.t' 1#1/1. /Yle''''!'';/~tr/;/h V'7/.5"3 /d ..4o,,;I~' ?rQ'Vi'~fr ./(' 0 X ,.2,)G5. O()

;!?",(,,'1'I'r t/;/I..~t' /{"-s. I:t -<~ <;­ f

/1/0 {')p.-k" (;1Pf.'1r!/"'C~/~II' frc. ;;;~ (';",p,p",,·c<?4.h J$? l& /.//)/£ / A f'tf5' ~J,l1'"r('C2Jtt,.,.;-cy. ~d. \/ .--~ .t:JU ;;/. h#/'{ /Y7o. ,0s/3 I'

~/ (J',1f( ~ J' z". 7/J-( ?I/I~/yzal l#. /1;/6 /5"::: 5/~f/./ .' ,,/. 3'O6.{){)

'f'/tf5 /'.

7'ul"r,..,. a/(~JV____ q l

/,2/.; E~',.!,.ly .I(f. j't,.Jf,a'J'¢, .t';' jJ)1J 7""'4 Crt>//Ct7/.;z;,J ~ / I ~ . /~flt

.2.2(J ~.I1- ,.1dah7t' ..>/' !\ JcJO. uO f'~~/'".. 1".,,.//1 f/. r:: l7(J/

r

(.?/ ; ~C'/P//~17 5~n r %1.,// fhc!vd.J;./ ~ I l#/-(;1:./ / / // /tJ /7" ' I/i 'If C ..s;.;£, X 3(}tJ.O{)//~

'~hc'/lnaA'/ ()/-! 775,<~)...I

Subtotal This Page :' orooo/.J 7 J I ,

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SCHEDULE A CO!' TRlBUTIONS AND OTHER RECEIPTS

~/,//'.f' E (Name of Candidate)

!?u,.:z.­

Date Name lmd Address

of Contributor

Occupation of Individual Giving More

Than $150 Cn5h

Check Appropriate Box

Chcch Loa" E fUIlfI. 01her

Amount of Cash, Check,

Loan 0"

Other Receipt

Subtotal This Page

Complete iflast page of Schedule A

rjad

Total Unitemized Contributio~s ($50 or less)

Sale of Political MElterials (U

Total Itemized Receipts far P

itemized)

Total Conh-ibulians When Co :Jtributor Not I<nown

TOTAL RECErPTS THIS ERIOD (to line 2 of Summary)

WI. 17..07 /Y)." --­-­-­

'(T/, ?StJ,ct1

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SCHEDULE C EXPEN ~ITURES AND OTHER DISBURSEMENTS'

L/H"/S £: A?n'2-­(Name of Candidate)

Purpose of Expenditure Date Name and A ~dress Amountor Disbursement

Na/". .rfr.-dK-, ~r. ~/t:>-, Avvt7y/r ~~h~Jj~v 6:m llf'" r $//~ f /,,2~ 0-0O",-rr/~"r/ j)Q,.~ x.~.

f:'i,~ft7~ f)~q/prrP/'<

Joj, SrrVl'o" /?cj;hn'~ ~/??'7/0~/6 /u/1'4 I /4h'p~ s-m,oCJ

./6u,·f ~/~ /y/rnrrJ tf't»l"/d ,-dYV"7 /c105/;t # l'ifJh /I/v.4JH(' .1'00. CPO(ppcur C,t"., ~r;r/Ht"'"

A4 •

,4""'p,.,.-}- p'r J<"I-, .r CP r .);.".,""'0'1'" flc:A· ,64~/( t:fi/~ Vrr~;!Cy/%(~ 7' 30t). C)CJ~~h ({ ~~ ,r,-r('n£-</6 p.CJ· 81£ ? ?(7d~~

F/, ..I"u.·r />1... ({~ /

Cds/co 4/)r. #J )1·.w~/cJ, ~TJ/ .f/~J( ,J((. ,hf_. ./.19. .21

//(I//~,,/ .AI'me j'yC c;r .J:.rv .. 'rr"" ;;., 1P< ~/~.-r//!;/I;( f/~/f R/h7~ ,..c-/ ~(~.U'e/ o-r.4~- L:",('~, r~,.,.,...r ?~5"~A / 47" 17/7"/7'&-('

5: JI''#frr'l f"( 4,.. ~ yr S,.... II'N'~ f7~;;~/;, ,1-11j?,N 4, fY'£ fbrc 4;1~V .. 1 t"'t7r;;,..(',.t'"t' /5(}.C/O.LolI.,.,·Jv"-i.l ,k'r

!?x ~/?/.s; //,,:f p. (, J"'. p. (J. 0-/1 /).!,. l" ~7.~;2-~rlt (prt' / .f/rrq- / .f~ . 6'o/Y7

JI/-y//~f ;::~): ?o· ffx- 7'/9//~% {;// /:IdQ"f''/1 r;'tJ6btJ/y7fPr~/ f/,.-y~,..,... /fJ.

Mrj'l",;? / #:fI?a-~d c1eJr'u ('"il/Uf ~ R... ,'z.­1.2&/ ff/6 o f .f'/~h ";"J J'r~r'6""f" A.JII?"4! 300.00 ~: 1 H"""h"f" .ry~~,.r.... ~

{';}r7~U>1'?"Y ~-a..r'-f( (:, {;. (" f'/,-J (/;" 'pn I?(" ....... b" .,..r~ n'J/'-?r ~ ....../~~ W'd~A ("~ /'9n./lV .,/,I ..¥#'c.f.L- .4A,fI,''''/'/6 .:f~ ftctJ{/" ;.<'r. IU~/;: .;- /'1,.,- /M..rl 4~"..1'1" l'

.... ' ft A/ Yf't'· ?S"Subtotal 'This Pllge ...

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SCHEDULEC EXPEN~)lTURES AND OTHER DISBURSEMENTS

'?~9[' 9-5 ./'1,5"(.21

,2, 155. 0 '/

L or £: %u,2.. (Name of Candidate)

Purpose of ExpenditUl"e Date Name and A~dress 0)' DisbUl'sement Amount

Subtotal This PlIge

Complete if last page of Schedule c

Totalltemized Expenditures his Period

Total Unitemized Expenditur S of$50 or less

TOTAL EXPENDITURES ~ OTHER DISBURSEMENTS TillS PERIOD (to line 2 of ~ummar'Y)

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