WCC.J1,n ~litiCalethics.ks.gov/CFAScanned/PACs/2018ElecCycle/201901/PAC081_201901.pdfjan.02.2019...
Transcript of WCC.J1,n ~litiCalethics.ks.gov/CFAScanned/PACs/2018ElecCycle/201901/PAC081_201901.pdfjan.02.2019...
1 Jan.02.2019 05:44 PM The Mail Room Wichita .,316+838+2249 P
I ' ANSASGOVERNMENTAL THICS COMMISSION
RECEIPTS AND EXPEN ITURES REPORT" OFA POLITICAL ORPA TY COMMITTEE
January 10, 019 JA,' 02 2019
. FILE WITH SECRETA Y OF STATE KS Government.! Ethics Commi' 510n .SEE REVERSE SIDE FO I INSTRUCTIONS
A. ommittee: J(4'1:.r'tl1...i Ff7w" Lt-h:" olih' c:..Q..1 A- c+/o,< to.-, "1. ; H-ee.
Address: t--__,---:A_o_,_O-'--o_x_Lf-_7_Lf_9_----l_--_--------City and WCC.J1,"n I(S
__ party Committe ~litiCal Committee
B. Check onl if appropriate: __ Amended Filing __ Te:rmination Report
C. Summary covering the period from October 26, 201 through December 31, 2018)
3 ~/l'f:J.. # 3.11. Cash 0 hand atbeginning of period ~ .
2. Total ntributions and Other Receipts (Use Sched e A) .. 1"7,~b'.'l.1 v
3. Cash a ailable this period (Add Lines 1 and 2) . 47,bOe"i1.1o. 43,S37. ~D4. Total E penditures and Other Disbursements (Use S hedule C) .
6 07~, ()~ v5. Cash 0 hand at close of period (Subtract line 4 fro 3) . 1
6. In-Kin Contributions (Use Schedule B) 0 ~
7. Other ransactions (Use Schedule D) .
D. "I declare t this report, including any accompanying scjhedules' and statements, has been examined by me and to the best ofmy knowledge and beliefis true, corrtct and complete. I understand that the intentional failureto Ie this document or inten .' nally filing a fal~ "cume t is a class A misdemeanor."
I :J--3/,. / Date
GEe Form Rev, 2017
Jan.02.2019 05:44 PM The Mail Room Wichita 316+838+2249 P 2
SCHEDULE A CONTRIBUTIONS AND 01 HER RECEIPTS
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Amount of Cash, Check,
Occupation of . Check Appropriate Box
Loan or Individual Givi.J]~)Name and Address
of ContributorDate (Than SIS Ca.h .. Clleek Loan U2!!lIl Other Receipt
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Jan.02.2019 05:45 PM The Mail Room Wichita 316+838+2249 P 3
. SCHEDULE A . CONTRIBUTIONS AND 01 HER RECEIPTS
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Amount of
Name and Address OCCUP8tlOIlE9 Check
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Individual Givil More Appropriate Box (Than $15~of ContributorDate
c::asb Check Loan E Funds . Other Receipt Otber
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SCHEDULI A-CONTRIBUTIONS AND 0 trBER RECEIPTS
nY' Lf~C. e I(~.f-; C-q f Ach~() Ct')m~ ;r<fel! Lf~ P4-C)'1KC( ~ )'tt.r-tf ~~ame of Party Com lnittee or PolItical Committee)
, I
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Cash, Check, Loan or
Individual Givi Appropriate Box of ContributorDate C!.ban $1 ~ Cash Check Loan Other Receipt
Other UlII!.dl
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Jan.02.2019 05:45 PM The Mail Room Wichita 316+838+2249- P 5 ,
SCHEDULE A CONTRIBUTIONS AND 0 rHER R£CEIPTS
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Date
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Jan.02.2019 05:46 PM The "Mai.l Room Wichit"a 316+838+2249 P 6
SCHEDULE1 CONTRIBUTIONS AND OT
J(~""5ItllL Fu--- L~ fe. Po t'fi c&,.}4di'Ovf 'ttee orPolitical Committee) (Name of Party Co
OCClJpation 0 Check Amount of Narne and Address Individual Giving Appropriate Box Cash, Check,
Date of Contributor Than $150 Loan or Other Cash Ched< Loan E funds
Other Receipt
... __ "".:-_:_~". __ oj ._. .__ ..~~ ._....:.""------ --.- '.- ._-.-_
Itemized Receipts for Period
Unitemized Contributions ($50 or less)
of Political Materials (Unitemized)
1 Contributions When Contributor Not Known . .' .
t/of<
$0,00
Complete if last page of Schedule A
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- SCHEDULEC EXPENDITURES AND OTHEI DISBURSEMENTS
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Amo~nt
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FurDose ofExDenditure
If.independent or in-kind expenditure in excess of $300 is made for a can idafe, list candidate name & address
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Jan.02.2019 05:47 PM The Mail Room Wichita 316+838+2249 P 8
SCHEDULEC EXPENDITURES AND OTHEI DISBURSEMENTS
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Purpose of Expenditure Name"and Address
lfindEpendent or in-kind expenditure in excess ofS300To Whom Expenditure is MadeDate Amountis ma£ e for a candidate, list candidate name & address
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Jan.02.2019 05:47 PM The Mail Room Wichita 316+838+2249 P 9
SCHEDULEt EXPENDITURES AND OTHEF DISBURSEMENTS
1<Cl.>'1~'l.tt.~ Fe>"" L:f~ (0 li4r'CA.1 A..cfJ'c>~ to Ht~ " r+ee. (S"<f?cf~ t'A-<:-) ""lame of Party Caron ittee or Pohbcal Conmuttee)
Purpose of Expenditure Name and Address
If independent or in-kind expenditure in excess of $300To Whom Expenditnreis MadeDate Amountis mad~ for a candidate, list candidate Dame & address
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Jan.02.2019 05:48 PM The Mail Room Wichita 316+838+2249 P 10
SCHEDULEC EXPENDITURES AND OTHER I ISBURSEMENTS
.~ J<a¥L ~o..vu Fo-r L~.r:e.. to 1,'.f-~C&f..1 A-ch'Ol-l 0PJA~~t:'J--f-ee. (S"1-Af~ (/4e) Name ofPartyConu: ittee or Political Committee)
Purpose of Expenditure Name and Address
If iIldcpc dent or in-Iond expenditure in excess of $300 To Whom Expenditure is MadeDate Amountis made r a candidate, list candidate name & address
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Jan.02.2019 05:48 PM The Mail Room Wichita 316+"838+2249 P 11
SCHEDULE I
EXPENDITURES AND .OTHER ISBURSEMENTS
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Name and Address ose of Expenditure Date Whom £~enditure is Made Amount
If independent or '-kind expenditure in excess of $360 is made for a candi ate, list candidate name & address
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$0.00
Complete if last page.of Schedule C
To Itemized Expenditures This Period
To 1Unitemized Expenditures of$50 or less