RECEIPTS AND EXPENDITURES REPORT REC ED OF A...

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KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT REC ED OF A CANDIDATE FOR STATE OFFICE JUL 272020 July 27,2020 FILE WITH SECRETARY OF STATE KS Governmental Ethics Commission SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: Terry Frederick (Terry Frederick for Kansas) Address: 14617 Grandview Street City and Zip Code: Overland Park, 66221 County: Johnson Office Sought: State Representative District: 48th ------- B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from January 1,2020 through July 23, 2020) I. Cash on hand at beginning of period . $0.00 2. Total Contributions and Other Receipts (Usc Schedule A) .. $10,020.80 3. Cash available this period (Add Lines I and 2) . $10,020.80 4. Total Expenditures and Other Disbursements (Use Schedule C) . $3,773.48 5. Cash on hand at close of period (Subtract Line 4 from 3) . $6,247.32 6. In-Kind Contributions (Use Schedule B) ......... $96.00 7. Other Transactions (Use Schedule D) . $1,000.00 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 beliefis true, correct and complete. T understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." 7i?-dza Date ignature of Candidate or Treasurer GEe Form Rev, 2020

Transcript of RECEIPTS AND EXPENDITURES REPORT REC ED OF A...

Page 1: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT REC ED OF A CANDIDATE FOR STATE OFFICE

JUL 272020July 27,2020

FILE WITH SECRETARY OF STATE KS Governmental Ethics Commission SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: Terry Frederick (Terry Frederick for Kansas)

Address: 14617 Grandview Street

City and Zip Code: Overland Park, 66221 County: Johnson

Office Sought: State Representative District: 48th ------ ­

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

C. Summary (covering the period from January 1,2020 through July 23, 2020)

I. Cash on hand at beginning of period . $0.00

2. Total Contributions and Other Receipts (Usc Schedule A) .. $10,020.80

3. Cash available this period (Add Lines I and 2) . $10,020.80

4. Total Expenditures and Other Disbursements (Use Schedule C) . $3,773.48

5. Cash on hand at close of period (Subtract Line 4 from 3) . $6,247.32

6. In-Kind Contributions (Use Schedule B) ......... $96.00

7. Other Transactions (Use Schedule D) . $1,000.00

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 beliefis true, correct and complete. T understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."

7i?-dza Date ignature of Candidate or Treasurer

GEe Form Rev, 2020

Page 2: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

TerryFrederick (Terry Frederick for Kansas)

(Name of CandidaIe)

Date

04/21/20

. 04/23/20

05/16/20

05/16/20

05/16/20

05/19/20

05/17/20

05/19/20

05/20/20

05/20/20

05/21/20

Name and Address of Contributor

Terry Frederick 14617 Grandview Street Overland Park, KS 66221 D

Mark Parkins 4504 W. 126th Street Leawood, KS 66209-2210

Hal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224

Dave VanderVeen 9303 Rosner Drive Lenexa, KS 66219 D

Douglas White 12835 Perry Street Overland Park, KS 66213

Chelli and Andy Purcell 7339 Crooked Arrow Lane Fort Collins, CO 80525

Rick and Beth Lane 13909 Mastin St. Overland Park, KS 66221

Lewis and Laura Gregory 3905 W. 125th Terrace Leawood, KS 66209

Michael Boehm 8522 Caenen Lake Court Lenexa, KS 66215

David Moorman 10739 W. 109th St. Overland Park, KS 66210

Gerald and Therese Malnar 9806 W. 125th Terrace Overland Park, KS 66221

Subtotal This Page

Occupation of Individual Giving More

Than $150

ChecJ, Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Cush Ch••k LOrin ~ Other

CPA

I $1,000.00

I $100.00

Both Retired .( $250.00

Banker I $250.00

Retired I $500.00

I $100.00

Owner in Healthcare Industry .( $300.00

I $100.00

I $100.00

I $50.00

.( $100.00

$2,850.00

Page _,_ 01''-£

Page 3: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Terry Frederick (Terry Frederick for Kansas)

(Name of Candidate)

Date Name and Address

of Contributor

Occupation of Individual Giving More

Than $150

Checl. Appropriate Box

Amount of Cash, Checl., Loan or Other

ReceiptCn,h Chock Lonn t<: fllntls

Dtht!"

OS/22/20 Rob's Painting 15944 S Clairborne Olathe, KS 66062

.; $100.00

OS/22/20 Jay and Sandi Burgess 13012 Knox SI. Overland Park, KS 66213-3231

.; $100.00

OS/24/20 Brian and Carol McFall 2819 Gill Avenue Lawrence, KS 66047

.; $100.00

OS/25/20 Bill Fredrickson 14051 Mastin SI. Overland Park, KS 66221

.; $100.00

05/06/20 Tom Gray 10913 W. 120th Overland Park, KS 66213

.; $50.00

OS/26/20 Keith and Janice Wisdom 5507 W. 147th Ter Overland Park, KS 66223-1219

.f $100.00

OS/26/20 Kelly Dubbert 13753 Flint Street Overland Park, KS 66221-2857

Bank Management .f $250.00

OS/28/20 David Whitaker 14824 Hayes Street Overland Park, KS 66221

.; $150.00

OS/28/20 Mary Kilkenny & Scott Bowser 15407 Beverly CT Overland Park, KS 66223

Retired; Spouse ­Pharmacist .; $200.00

OS/29/20 Jameia Haines 11 007 W. 99th Street Overland Park, KS 66214

.; $50.00

05/30/20 Robert Shea 9802 W. 129th Street Overland Park, KS 66213

.; $20.00

Subtotal This Page $1,220.00

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Page 4: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Terry Frederick (Terry Frederick for Kansas)

(Name of Candidate)

Amount of Name and Address

Occupation of Check Cash, Check,

Date Individual Giving More Appropriate Box

of Contdbutor Than $150 Loan or Other F. funds Olh,r

Cit5h Chetk LnHn Receipt

;Bob Kline

06/02/20 14760 Benson Street .; $50.00 .Overland Park, KS 66221

Brian While Information Technology 06/02/20 $500.00

Overland Park, KS 66223

Mike and Lyn Heaton

5607 157lh Street .;

05/31/20 $150.00 Overland Park, KS 66213

Brenda Cherpitel

13104 W. 126th St. .;

06/05/20 .; $50.00 Overland Park KS 66210 11508 Conser Street

D

John Rode

t/ $25.8006/03/20 12312 Flint St. Overland Park, KS 66213

,Ken Wescott 06/08/20 $100.00:.2642 North 157lh Drive .; .,

Goodyear, AZ 85395

Mark and Marcie Stenberg President-Inventory .;06/08/20 $500.00 Overland Park, KS 66213 12721 Woodward St. Services Company

Greg and Karen Frederick 06/11/20 $50.00

Longview, TX 75605

Dean Carlson

.;260 Sugar Creek Lane

06/11/20 $100,00 Overland Park, KS 66209-3654

Mike and Donna Egan

13006 Beverly St. .; Sales

06/13/20 $500.004655 Osage Beach Pkwy, Suite A t/Osage Beach. MO 65065 D

Randy Ross $50.00

Overland Park, KS 66213 06/17/20 .;12915 Connell Drive

$2,075.80Subtotal This Page

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Page 5: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Terry Frederick (Terry Frederick for Kansas)

(Name of Candidate)

Date Name and Address

of Contributor

Blue Cross & Blue Shield of KC 2301 Main St. Kansas City, Missouri 64108 C

B2B Resources Group, LLC 3015 Eagle Lake Dr Pearland, TX 77581

Occupation of Individual Giving Morc

Than $150

Check Appropriate Box

Amount of Cash, Check, Loan or Othcr

RecciptCnsh Checl' Lmln E funds

01her

06/18/20 .; $500.00

06/18/20 .; $100.00

06/25/20 Kansas for Lower Electric Rates 7400 W. 11 Oth Street, Ste. 750 Overland Park, KS 66210 C

Kansas Chamber of Commerce 835 Sw. Topeka Blvd. Topeka, KS 66612 C

Dave Timpe 9310 W 150th Street Overland Park, KS 66221-2509

Scott Loewen 8201 West 144th Place Overland Park, KS 66223

KS State Farm Insurance 825 S Kansas Ave, Ste. 500 Topeka, KS 66612

Koch Industries, Inc. 4111 East 37th St. North Wichita, KS 67220

Brent Prauser 8017 W. 114th Ter Overland Park, KS 66210-1818

Kansas Farm Bureau/State Accnt 2627 KFB Plaza Manhattan, KS 66502

Greg Musil 11005 West 1415t Street Overland Park KS 66221

.f $250.00

06/18/20 .; $500.00

06/26/20 Retired; Spouse-Retired .; $200.00

07/04/20 .; $50.00

06/25/20 .; $500.00

06/25/20 .; $500.00

07/08/20 .; $100.00

07101120 .; $500.00

07/20/20 .; $50.00

Subtotal This Page $3,250.00

Page 6: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Terry Frederick (Terry Frederick for Kansas)

(Name of Candidate)

Date Name and Address

of Contributor

Occupation of Individual Giving More

Than $150

Checl, Appropriate Box

Amount of Cash, Checl" Loan 01' Other

ReceiptC"sh ChC'fk Lmln I·: runds Other

07/20/20 Richard Gier 10727 W 128th ST Overland Park KS 66213

.f $25.00

07/21/20 Kansas Bankers Association P.O. Box 4407 Topeka, KS 66604-0407

.f $500.00

07/23/20 Karen Frederick 14617 Grandview Street Overland Park, KS 66221

.f $100.00

Subtotal This Page $625.00

Complete if last page of Schedule A

Total Itemized Receipts for Period $9,500.00

Total Unitemized Contributions ($50 or less) $520.80

Sale of Political Materials (Unitemized) $0.00

Total Contributions When Contributor Not Known $0.00

TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $10,020.80

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Page 7: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE B IN-KIND (Non-Monetary) CONTRIBUTIONS

Terry Frederick (Terry Frederick for Kansas)

(Name of Candidate)

Date Name and Address

of Contributor

List Occupation

for Those Giving an

In-Kind of More Than

$ISll

Ocscriptinn of In-Kind

Contribution

Value of In-Kind

Contribution

6/8/20 Kansas Chamber JOBS PAC 835 SW Topeka Blvd. Topeka, KS 66612

Voter Data File $96.00

Subtotal This Page $96.00

Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions $0.00

Total Unitemized ($10001" less) In-Kind Contributions $96.00

TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD (to line 6 of Summary) $96.00

Page _~__ of_1__

Page 8: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Terry Frederick (Terry Frederick for Kansas)

(Name of Candidate)

D iI te Name and Addnss PUI"pose of Expenditure

or Dishursement Amnunt

7/3/20 Constant Contact 1601 Trapelo Road Waltham, MA 02451

Contact Management $20.00

Subtotal This Page $20.00

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Page 9: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Terry Frederick (Terry Frederick for Kansas) ( Namc of Candid at c)

Datc Name and Address Purpose 01' Expenditurc

ur Disburscmcnt Amount

4/22/20 State Journal LLC 8422 Madison Avenue Kansas City, MO 64114

Subscription $160.00

5/26/20 Terry Frederick 14617 Grandview Street Overland Park, KS 66221

Reimbursement for Filing Fee, Website Domain Registration and Fundraising Materials

$561.83

6/1/20 M&R Custom T-Shirts & Promotional Material 901 S. Weaver SI. Olathe, KS 66061

Campaign Polo Shirts $62.40

7/6/20 Firepit PR P.O. Box 19602 Lenexa, KS 66285

Graphic Design and Push Cards $1,032.97

7/10/20 Firepit PR P.O. Box 19602 Lenexa, KS 66285

Yard Signs with Wire Frames $1,718.33

7/20/20 Anedot 1340 Poydras Street, Ste. 1770 New Orleans, LA 70112

Fees for Anedot Deposit Transactions $127.50

7/22/20 Terry Frederick 14617 Grandview Street Overland Park, KS 66221

Reimbursement for Elephant ClublLeadership KS events, and thank you notes

$84.95

6/30/20 Commerce Bank 12800 W. 87th Street Pkwy Lenexa, KS 66275

May and June Account Service Charges $5.50

Subtotal This Page $3,753.48

Complete if last page of Schedule c

Totalltclllizcd Expenditures This Pcriod $3,747.98

Total Unitclllizcd Expenditures of$50 or less $25.50

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

$3,773.48

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Page 10: RECEIPTS AND EXPENDITURES REPORT REC ED OF A ...ethics.ks.gov/.../2020ElecCycle/202007/H048TF_202007.pdfHal and Joni Holmquist 13904 Rosewood Drive Overland Park, KS 66224 Dave VanderVeen

SCHEDULE D OTHER TRANSACTIONS

Terry Frederick (Terry Frederick for Kansas)

( Namc of Candid atc)

nate Namc and Addrcss Nature of Account or Loun Payahlc or Loan Rcccivabic

Balance at

Closc of

Pcriod

4/21/20 Terry Frederick 14617 Grandview Street Overland Park, KS 66221

Campaign Loan $1,000.00

Subtotal This Pagc $1,000.00

Complete iflast page of Schedule 0

TOTAL OTHER TRANSACTIONS (to Iinc 7 of Summary) $1,000.00

Pagc _1_ ol__J __