Campaign Finance Receipts and Expenditures Report Page 1 of 1

Print this form or Go Back

Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 1/10/2020 Topeka, KS 66612

Office (785) 296-4219 Fax (785) 296-2548 ethics. kansas.gov

Check only if appropriate ~ Amended Filing Termination Report

Campaign Finance Candidate Name:Richard Kloos Filing Report Address 4728 SE BERRYTON RD

Address2:

City: Berryton Zip: 66409 County: Shawnee

Home Phone (785) 215-7650 Business Phone:

Office Sought: State Senator District: 19

SUMMARY (covering the period from 1/1/2019 through 12/31/2019)

1 CASH ON HAND AT BEGINNING OF PERIOD $0.00

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $2,210.00

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $2,210.00

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $0.00

5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $2,210.00

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $3,104.88

7 OTHER TRANSACTIONS (Schedule D) view/print $3,284.88

"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."

Electronically filed on: 7/7/20209:31 :28 PM Signature of Candidate or Treasurer: Zach Haney

Print this form or Go Back

7/8/2020http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

Campaign Finance Schedule A Report Page 1 of 1

Print this form or Go Back

SCHEDULE A

CONTRIBUTIONS AND OTHER RECE1PTS

Candidate: Richard Kloos

Date Name and Address of Contributor

Type of Payment

Cash, Check, Loan, E-funds, Other

Occupation of Individual Giving More Than $150

Amount

Richard Kloos 08/20/20 4728 SE BERRYTON RD Check Pastor $500.00

Ben-yton KS 66409

Joe Weir 10/17/19 641 NW Walnut Ln Credit Card $100.00

Topeka KS 66617

Krystal Grady 10/17/19 11377 46th St. Credit Card $50.00

Perry KS 66073

Jane and Paul Fortin 10/17/19 3310 SW 17th St Credit Card $100.00

Topeka KS

Concerned Family Alliance 10/17/19 Not Available Credit Card $100.00

Not Available NA

Eric Rucker 1O/17/J9 7061 SW Queens Ct. Credit Card State Senator $250.00

Topeka KS 66614

Kathy Sachs 10/17/19 Not 5860 SW 27th Ten-. Credit Card $100.00

Topeka KS 66614

Michael MaIiin 10/17/19 3846 SE Howard Dr. Credit Card $100.00

Topeka KS 66605

Michael Swickard 10/17/\9 3700 SW Ashworth CT Credit Card $50.00

Topeka KS 666JO

Richard G Kloos Jr 10/17/!9 4720 SE Berryton Rd Check Operations Manager $240.00

Topeka KS 666J4

Lavalley Chiropractic 10/17/19 4525SW21stST Credit Card $300.00

Topeka KS 66604

Linda and Stephen McGinnis 10/17/19 613 SW Medford Ave Check $100.00

Topeka KS 66606

Miriam C. Nestler 10/17/19 6701 SW Scathelock Rd Check $50.00

Topeka KS 66614

Total Itemized Receipts for Period $2040.00

Total Unitemized Contributions ($50 or less) $ J70.00

Sale of Political Materials (Unitemized) $0

Total Contributions When Contributor Not Known $0

TOTAL RECEIPTS THIS PERIOD $2210.00

Print this form or Go Back

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/8/2020

Campaign Finance Receipts and Expenditures Report Page 1 of I

Print this form or Go Back

Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S Kansas Ave. 1/10/2020 Topeka, KS 66612

Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov

Check only if appropriate ..t Amended Filing Termination Report Campaign Finance Candidate Name:Richard Kloos

Filing Report Address: 4728 SE BERRYTON RD

Address2:

City: Berryton Zip: 66409 County: Shawnee

Home Phone: (785) 215-7650 Business Phone:

Office Sought: State Senator District: 19

o SUMMARY (covering the period from 1/1/2019 through 12/31/2019)

1 CASH ON HAND AT BEGINNING OF PERIOD $500.00

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $1,710.00

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $2,210.00

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $0.00

5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $2,210.00

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $3,104.88

7 OTHER TRANSACTIONS (Schedule D) view/print $3,284.88

"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."

Electronically filed on: 7/3/202011:53:16 AM Signature of Candidate or Treasurer: Zach Haney

Print this form or Go Back

7/6/2020http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

Campaign Finance Schedule A Report Page 1 of 1

Print this form or Go Back

SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Richard Kloos

Date Name and Address of Contributor

Type of Payment

Cash, Check, Loan, E-funds, Other

Occupation of Individual Giving More Than $150

Amount

10/1 7/19

10/17/19

10/17/19

10/1 7/19

Joe Weir 641 NW Walnut Ln Topeka KS 66617

Krystal Grady 11377 46th St. Perry KS 66073

Jane and Paul Fortin 3310SW 17thSt Topeka KS

Concemed Family Alliance Not Available Not Available NA

Credit Card

Credit Card

Credit Card

Credit Card

$100.00

$50.00

$100.00

$100.00

10/17/19

10/17/19

10/17/19

10/17/19

10/1 7/19

10/17/19

10/1 7/1 9

10/17/19

Eric Rucker 7061 SW Queens Ct. Topeka KS 66614

Kathy Sachs Not 5860 SW 27th Terr. Topeka KS 66614

Michael Martin 3846 SE Howard Dr. Topeka KS 66605

Michael Swickard 3700 SW Ashworth CT Topeka KS 66610

Richard G Kloos Jr 4720 SE Berryton Rd Topeka KS 66614

Lavalley Chiropractic 4525 SW 21st ST Topeka KS 66604

Linda and Stephen McGinnis 613 SW Medford Ave Topeka KS 66606

Miriam C. Nestler 670 I SW Scathelock Rd Topeka KS 666]4

Credit Card

Credit Card

Credit Card

Credit Card

Check

Credit Card

Check

Check

State Senator

Operations Manager

$250.00

$100.00

$100.00

$50.00

$240.00

$300.00

$100.00

$50.00

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

$1540.00

$170.00

$0

$0

TOTAL RECEIPTS THIS PERIOD $1710.00

Print this form or Go Back

7/6/2020http://www.kssos .org/elections/cfr_viewer/reports/schedul e_a_report.aspx

Campaign Finance Schedule B Report Page 1 of 1

Print this foan or Go Back

SCHEDULE B

IN-KIND (NON-MONETARY) CONTRIBUTIONS

Candidate: Richard Kloos

Date Name and Address of Contributor

Occupation of Individual Giving More Than $150

Description of In-Kind Contribution

Value of In-Kind Contribution

11/20/19 Richard Kloos 4720 SE Berryton Rd Topeka KS 66614

Pastor Cider Days Booth Fee $175.00

$2,784.88

$145.00

$3104.88

$0

$3104.88

1% 1/19 Richard Kloos 4720 SE Berryton Rd Topeka KS 66614

Pastor Campaign materials

08/07/19 Richard Kloos 4720 SE Berryton Rd Topeka KS 66614

Candidate Filing Fee

Total Itemized (over $100) In-Kind Contributions

Total Unitemized ($100 or less) In-Kind Contributions

TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD

Print this foan or Go Back

7/6/2020http://www.kssos.org/elections/cfr_viewer/repolis/schedule_bJepoli.aspx

Campaign Finance Schedule D Report Page 1 of 1

Print this form or Go Back

SCHEDULE D

OTHER TRANSACTIONS

Candidate: Richard Kloos

Date Name and Address Nature of Account or Loan Payable or Loan Receivable

Balance at Close of Period

I 1/18/19 Vistaprint Not Available Not Available NA

Glossy flyers 1500 $200.25

11/07/19 Open tip. com Not Available Not Available NA

Customized Squared Edged Thunder Sticks for Parade

$1,504.59

11/01/19 Vistaprint Not Available Not Available NA

Banners and cards $445.07

I I/O 1/19 Vistaprint Not Available Not Available NA

Yard signs 2 $81.79

1I/O 1/19 Vistaprint Not Available Not Available NA

Yard signs 4 $120.79

10/03/19 Cyrus Hotel 920 South Kansas Ave Topeka KS 66612

Venue Rental for fundraiser $300.00

09/12/19 Vistaprint Not Available Not Available NA

Postcards 1500 $132.39

08/28/19 Richard Kloos 4720 SE Berryton Rd Topeka KS 66614

Starting funds for campaign $500.00

TOTAL OTHER TRANSACTIONS I $3,284.88 Print this form or Go Back

7/6/2020http://www.kssos.org/elections/cfr_viewer/reports/schedule_d_report.aspx