P.l~-3'-2"'B 05'4"" FROM'DON HINEMAN 620-397-7552 TO: 17852913051

KANSAS GOVERNMENTAL] I THICS COMMI;.:S:.:::S:.=.:IO:::.:N~ ~

RECEIPTS AND EXPEND· ....... RES REPORT OF A CANDIDATE FOR

October 29,

FILE WITH SECRETA~

TATE OFFICE

)18

T OF STATE SEE REVERSE SIDE FOR NSTRUCTIONS

A. Name of Candidate: _D_o_n_H_'n_e_m_a_n -f1f--­

Address: 116 S. Longhorn Road

FILED

OCT S0 2018

KRIS W. KOBACH SECRETARY OF STATE

_

City and Zip COdc:_D_19_h_to_n_6_7_8_3_9 --t+ _ County: _L_a_n_e_~ __

Office Sought: State Representative District: 118 _

B. Check only if appropriate: __ Amended FilinlJ __ Tennination Report

C. Summary (covering the period from July 27, 2018 th

1. Cash on hand ut beginning ofperiod ,

2. Total Contributions and Other Receipts (Use Schedu

3. Casb available this period (Add Lines 1 and 2) .........

4. Total Expenditures and Other Disbursements (Use S

5. Cash on hand at close of period (Subtract Line 4 fror

6. In-Kind Contributions (Use Schedule B)

7. Other Transactions (Use Schedule D)

D. "I declare that this report, including any accompanying s and to the best of my knowledge: nnd beliefis !rue, can failure to file this document or intentionally filing a fal

10/25/2018 r ~h/

ugh October 2S, 2018)

. 70,752.32

A) . 29,525.00

100,277.32

edule C) . 9,108.17

3) .. 91,169.15

2,154.98

8,538.35

edules and statements, has been examined by me ~t and complete. I understand that the intentional docurftmt is a class A misdemeanor."

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Date Signature of Candidate or~ ~urer

GEC .Form Rev, 2018

ReceivedT ime aet. 30, 20 18 8:01AM No, 0153

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I -< ru Cl> lSJ 0... Schedule A • Contributions & Other Receipts ......

(l) ---t Don Hineman for Representative 10/2512018 3 ~ Cl>

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Date Name (or OrganiZation) 712712018 Farmers Employ. & Agents PAC

Address 7340 W Memorial Road

city Oklahoma City

State Zip Occupation Industry OK 72142-1402

Method Contribution Chedt 250.00

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81412018 Anheuser Busch 811512018 KS WSVII PAC 812212018 Kent Winter

212 SW 8th Avenue, Suite 202 7359 N 215th Street W

St Louis Topeka Mount Hope

MO KS KS

66603 6710B Farmer Agriculture

Check. Check Check

250.00 500.00 100.00

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c:> 91312018 CoreCivic 10 Burton Hills Boulevard Nashville TN 37215 Check 500.00 8 co 9/312018 Hy-Vee Inc. Employees PAC 5820 Westown Parkway West Des Moinesl IA 50266-822.3 Check 500.00 z

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co 911012018 Cox Communications Inc.

91712018 KS Health Care Assoc. PAC 1012812018 Black Hills Corp. PAC

91712018 KS Bankers Assoc. PAC 91712018 KS Realtors PAC

901 S. GeOfBe Washington Blvd Wichita 1100 SW Gage Blvd. Topeka PO Box 1400 Rapid City PO Bo)(4407 Topeka 3644 S'/lIBurlingame Rd. Topeka

KS KS SD KS KS

67211 66604-1761

57709 ~07

66611

Check Check. Check. Ched< Check.

500.00 250.00 500.00 500.00 500.00

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= C> 911712018 John Deere PAC One John Deere Place Moline IL 61625 ChecI< 500.00

c:> 911712018 Johnson & Johnson PAC 1350 I Street MN, Suite 1210 Washington DC 20005 Check 500.00

U""l 911312018 KS Slate Farm Insurance PAC 825 S. Kansas Ave. Topeka KS 66612 Check 250.00

UJ 911312018 American Insurance Association 55512th Street NW, Suite 550 Washington DC 20004 Check. 250.00 912512018 American Chemistry Council

9151201a Allstate Insurance Company 911912016 KS Automobile Dealers EAC

700 Second Street NE 2775 Sanders Road 731 S. Kansas Ave.

Washington Northbrook Topeka

DC IL KS

20002 60062-6127 66603--3607

Check Check Checlt

250.00 500.00 200.00

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85 W

813112018 KS Medical Society PAC 623 SW 10th Ave. Topeka KS 66612-1627 Check 500.00 ~ 812312018 Comcast 1701 JFK Blvd. Philadelphia PA 19103-2838 Check. 250.00 ~

91181201B Credit Union PAC ofKS 901 SWTopeIta Blvd. Topeka KS 66612 Che<:k 250.00 ~

91'U)(I i 6 (SAlida. 1010101$ , SO 1$ iOISSSSUiUS?([$ Ate Ie" 00 ';&$""9(0,; Be loee I (gIlbOA [OO.Bs nJ

912812018 Microsoft Corp. PAC 16011 NE 36th Way Redmond WA 98073-9717 Check 250.00 8/2112018 Charter Communications 12405 Powerscourt Drive St Louis MO 63131-3674 Check 500.00 911312018 KS Cable PAC 900 S. Kansas Ave. Topeka KS 66612 Check. 250.00 911912018 T-Mobile 12920 SE 38th Street Bellevue WA 98006 Check. 250.00 911112018 Community Bankers Assoc. PAC 5897 SW29th street Topeka KS 66614 Chad 500.00 911812018·KS Optometric PAC 1266 SWTopeka Blvd. Topeka KS 66612 Check 500.00 -l

o 812112018 KS Agri Business Council 816 SW Tyler, Suite 100 Topeka KS 66612 Check 500.00 ...... 812212018 KS Ethanol PAC 816 SW Tyler, Suite 100 912012018 HCA KS Good Govt.. Fund 911912018 KS Farm Bureau Vote FBF Fund 2627 KFB Plaza

Topeka Topeka Manhattan

KS KS KS

66612

66502

Check Ctleck Check

500.00 500.00 500.00

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101112018 Tyson PO Box 2020 Springdale AR 72765-2020 Check 500.00 ...... W

101112018 Security Benefit Life Insur. PAC One Security Benefit Place Topeka KS 66636 Check 250.00 ~ 912012018 AItria Cfient Services Ll.C PO Box 85088 Richmond VA 23285 Check sao.OO ......

9/2612018 KRlTC PAC PO Box 4799 Topeka KS 66604 Check 250.00 91412018 Exxon Mobil Corp. PO Box 7659 Springdale TX 77387-7659 Check 500.00

912012018 KHA PAC 2155 E 8th Ave. Topeka KS 66603 Check 500.00 911112018 Kansas Dental PAC 5200 SW Huntoon Topeka KS 66604 Check 500.00 101112018 LRICo services LLC 2416E37th Sl N Wichita KS 67219 Check 500.00 "U

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0­ 912812018 KS Beverage AsSOCiation PAC 5845 SW 29th Topeka KS 65614 Check 500.00 OJ --I 811712018 KSCooperativeCouncil PO Box 1747 Hutchinson KS 67504 Check 250.00

~ 3 101212018 KS Mfg Housing PAC 3521 SW 5th Topeka KS 66606-1904 Check 75.00 .. 912812018 CHS McPherson Refinery Inc. 200 S. Main McPherson KS 67460 Check 500.00 .A,..,.

o 91612018 One Gas Inc. PAC 15 E. Fifth Street Tulsa OK 74103 Check 2SO.00<> D 101512018 KS Society of CPAs PAC 114 SE Bth Ave. Topeka KS 66603 Check 250.00 .,.,

1...0 912412018 Am. Family Insurance KS PAC 6000 American Parkway Madison WI 53783-0001 Check 250.00 :;0 oc:> 3:911812018 VISA PO Box 203730 Austin TX 78720 Check 250.00

"-" 101112018 BuildersAssoc.PAC 720 Oak street Kansas City MO 64106 Check 250.00 ooc:> 9127120160NEOKEmployeesPAC PO Box 871 Tulsa OK 74102 Check 300.00 Z

co 912712018 Evergy Employee PawerPAC PO Box 889 Topeka KS 66601 Check SOO.OO I H

912112018 UP Railroad Company Check 500.00co m101312016 Prairie Band Pcrtawatomi Nation 16281 Q Road Mayetla KS 66509 Check 500.00 3:c:> 912012018 EDP Renewables N. Am. PAC 808 Travis Street, Suite 700 Houston lX n002 Check 500.00 ~ ::x>

~ 1011012018 Builders Association of KS PAC 212 &oN 8th Ave., Suite 201 Topeka KS 66603 Check 200.00 912712018 Property Casualty Insurers PAC 8700 W. Bryn Mawr Ave., Suite Chicago IL 60631-3512 Check 250.00= o 9f1112018 KIA PAC 815 &oN Topeka Blvd. Topeka KS 66612 Check 250.00

c:> 10/812018 KS Motor Carriers Truclt PAC PO Box 2458 Topeka KS 66601-2458 Check 250.00 \J'l 1011212018 Farmers Employ. & Agents PAC 7340 w Memorial Road Oklahoma City OK 73142-1402 Check 500.001...0

10/412018 LoanMax 3440 Preston Ridge Road Alpharetta GA 30005 Check 500.00 en 1011212018 DCP Operating Company LP 370 17th Street, Suite 2500 Denver CO 80202 Check 500.00 ~ 1011512018 Merck Sharp & Dohme Corp. One Merdl. Drive Whitehouse Statior NJ 08689-3400 Check SOO.OO w 813112018 Sprint PO Box 63670 Phoenix AZ 85082-3670 Check 250.00 ~ 9/1112018 KS Contractors Assoc. PAC 800 &oN Jackson, Suite 100 Topeka KS 66612 Check 500.00 ~

1011812018 KS New Energy Economy PAC 610 Brazos St. Suite 210 Austin lX 78701-3287 Check 500.00 ~

?2!Z::! ~PI~_ ~ em~I::~2q :~ :s., !!~QQO ::~.••~'. lUi Ojli!i9 9080 81 :celt S"IUO ru Ivnf.wIO l..ewlS L.ega11'few5 ru coxu.) u:ame KS 66051-0273 Check 500.00

1012312018 KS Pharmacists PAC 1020 SW Fairlawn Topeka KS 66604-8-55 Check 250.00 10J2512018 KSPE PAC 825 S. Kansas Ave., Suite SOD Topeka KS 66612 Check 200.00 1012512018 ACEC of KS PAC 825 S. Kansas Ave., Suite 500 Topeka KS 66612 ChecI< SOD.OO 912412018 Entetlrise Holdings PAC 60D Corporate Pari< Drive St Louis MO 63105 Check 200.00

10f25f2018 KS Society of Anesthesiol PAC 11709 Roe Ave., Suite 1030 Leawood KS 66211 Check 500.00 --i0..101512018 KS for Quarrty MHS 7353 Falmouth Prairie Village KS 66208 Check 2SO.OO ,..,.

101212018 KCRE PO Box 790 Meade KS 07864-0790 Check 500.00 --J OJ

1DJ2312018 KS Insurance PAC PO Box 55 Topeka KS 66601 Check 250.00 (Jl

1011212018 KS Blue Cross Blue Shiel 1133 SW Topeka Blvd. Topeka KS 66629 Check SOD.OO ill,..,.1011912018 APAC -Kansas Inc. PO Box 1605 Hutchinson KS 6704-1605 Check 500.00 w

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29,525.00

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OJ -j -- IS) :3 Date Name Address City State Zip Nature of transaction Amount U1 '" .J:>, 0 Don Hineman 116 S. Longhorn Rd. Dighton KS 67839 Mileage expense 2,154.98 C""> ~ - "TJ u::> ;0 = o

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Totalln~nd Contributions 2,154.98 (J\ ru IS) I

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CL Schedule C - Expenditures and Other Disbursements

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Candidate: Don Hineman 10125/2018 ~ Cb

a..., Date Name Address City State Zip Purpose Amount J:> ru IJ

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7/3012018 Scott County Record 8/412018 Phillip Tomlinson 8/412018 Abraham Pfannenstiel 8/812018 KS Republican Party

Scott City Roeland Pan< WaKeeney Topeka

KS KS KS KS

67871 SUbscription Lodging Lodging Contribution

40.88 342.60 80.28

1000.00

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8/1312018 Postmaster 811612018 RepUblican House Campaign Committee 913012018 Michael Steiner 10/8/2018 Don Hineman

Dighton

Overland ParK Dighton

KS KS KS KS

Postage Contribution lodging lodging & meals

100.00 5000.00

329.54 704_71

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= 10/812018 Don Hineman Dighton KS Postage & printer cartridges 251.85 ? 10/1612018 Kring Associates 5819 Riggs Street Mission KS IT services 251.34 <::>- 10/1912018 Gave County Advocate Quinter KS Subscription 39.06 U"l l.J..) 1012512016 Abraham Pfannenstiel WaKeeney KS Campaign work for R candidates 372.68

101252016 Faith Tuttle 1012512018 Ph~lip Tomlinson

Gave Roeland Park

KS KS

campaign work for R candidates campaign work for R candidates

399.13 196_10

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Total Itemized Expenditures this Period Total Unitemized Expenditures of $50 or less Total Expenditures and Disbursements this Period

9108.17 0.00

9108.17

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<: Schedule 0 - Other transactions ru I

n> (S) 0­ ~Candidate: Don Hineman 10/25/2018 m --l

Nature of account or Loan Payable3 ~ n> Date Name Add~ Ctty State Zip Or Loan Receivable Amount ..

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Don Hineman 116 S. Longhorn Rd. Dighton KS 67839 Loan carried forward (previous mileage) 16,383.37 ~ Don Hineman 116 S. Longhorn Rd. Dighton KS 67839 Loan - Current mileage 2,154.98 'TJ

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Total Other Transactions 18,538.35 W I

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