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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. 10/29/2018 Topeka, KS 66612 Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov Check only if appropriate L Amended Filing D Termination Report Campaign Finance Candidate Name:Jesse A Burris Filing Report Address: 1545 E. 119th Street South Address2: City: Mulvane Zip: 67110 County: Sumner Home Phone: Business Phone: Office Sought: State Representative District: 82 SUMMARY (covering the period from 7/27/2018 through 10/25/2018) 1 CASH ON HAND AT BEGINNING OF PERIOD 9023.81 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $11,165.00 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $20,188.81 .4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $14,579.90 :5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $5,608.91 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $224.00 ·7 OTHER TRANSACTIONS (Schedule D) view/print 0.00 "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: 10/29/201810:04:13 AM Signature of Candidate or Treasurer: Peter J. DeGraaf Print this form or Go Back 10/29/2018 http://www.kssos.org/electionslcfr_viewer/reports/exp_report_main.aspx

Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

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Page 1: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

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. 10/29/2018 Topeka, KS 66612

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

Check only if appropriate L Amended Filing D Termination Report

Campaign Finance Candidate Name:Jesse A Burris Filing Report Address: 1545 E. 119th Street South

Address2:

City: Mulvane Zip: 67110 County: Sumner

Home Phone: Business Phone:

Office Sought: State Representative District: 82

SUMMARY (covering the period from 7/27/2018 through 10/25/2018)

1 CASH ON HAND AT BEGINNING OF PERIOD 9023.81

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $11,165.00

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $20,188.81

.4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $14,579.90

:5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $5,608.91

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $224.00

·7 OTHER TRANSACTIONS (Schedule D) view/print 0.00

"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: 10/29/201810:04:13 AM Signature of Candidate or Treasurer: Peter J. DeGraaf

Print this form or Go Back

10/29/2018http://www.kssos.org/electionslcfr_viewer/reports/exp_report_main.aspx

Page 2: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

Campaign Finance Schedule A Report Page 1 of 3

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Jesse A Burris

Date Name and Address of Contributor

Type of Payment

Cash, Check, Loan, E-funds, Other

Occupation of Individual Giving More Than $150

Amount

10/25/18

Kansas Committee for Rural Electrification PO Box 4267 Topeka KS 66604

Check $100.00

10/24/18 Wichita Regional Chamber PAC 350 West Douglas Avenue Wichita KS 67202

Check $500.00

10/18/18

LoanMax 3440 Preston Ridge Road, Suite 500 Alpharetta GA 30005

Check $250.00

10/18/18 Prairie Band Potawatomi Nation 16281 Q Road Mayetta KS 66509

Check $250.00

10/1 7/l 8

Farmers Employee & Agent PAC of Kansas

Check7340 West Memorial Oklahoma OK 73142

$500.00

10/15/18 Kansas Society of CPA's PAC 114 SE 8th Avenue Topeka KS 66603

Check $200.00

10/15/18

National Federation of Independent Business Kansas PAC 120 I F Street, NW, Suite 200 Washington DC 20004

Check $250.00

10/12/18 Cary Humphries 8 N. Sagebrush Street Wichita KS 67230

Check do not know yet $250.00

10/09/18

Medical Society of Sedgwick County - SedgPAC 1102 S. Hillside Wichita KS 67211

Check $500.00

10/08/18 All Metal Recycling 800 E. 21 st Street North Wichita KS 67214

Check $200.00

10/08/18

Phoenix Healthcare Holdings, Inc 3033 S. Kansas Expressway Springfield MO 65807

Check $500.00

10/0 1/18 Suburban Tractor Service 6965 SW 18th Street EI Dorado KS 67042

Check $250.00

09/28/18 John Haskins 10720 E 87th St. South Derby KS 67037

Check Contractor $200.00

09/27/18 Kanasa Chamber of Commerce ­PAC

Check $500.00

10/29/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx

Page 3: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

Campaign Finance Schedule A Report Page 2 of3 835 SW Topeka Boulevard Topeka KS 66612-6321

09/27/18 David Stallard 1318 Carolyn Derby KS 67037

Check $JOO.OO

09/25/18 Renee Erickson 7821 E. Dutch Avenue Walton KS 67151

Check $100.00

09/22/18 George Fooshee 7373 E. 29th Street North, V202 Wichita KS 67226

Check Retired $500.00

09/20/18

Kansas Restaurant and Hospitality Assoc 3500 N. Rock Road, Bldg 1300 Wichita KS 67226

Check $250.00

09/19/18

Kansas Automobile Dealers Election Action Committee 731 South Kansas Ave. Topeka KS 66603

Check $200.00

09/19/J 8 Visa PO Box 203730 Austin KS 78720

Check $250.00

09/18/18

Kansas Independent Business PAC 200 E. 1st Street North, Suite 101 Wichita KS 67202

Check $250.00

09/17/18

Heartland Credit Union PAC of Kansas 901 SW Topeka Blvd Topeka KS 66612

Check $250.00

09/17/18 Kansas Optometric PAC 1266 SW Topeka Blvd Topeka KS 66612

Check $500.00

09/16/18 John Sherwood 346 N. Kokomo Derby KS 67037

Check $100.00

09/13/18

KS State Farm Ins. Agents and Employees PAC 825 S. Kansas Avenue, Suite 500 Topeka KS 66612-1253

Check $250.00

09/11/18 Kansas Insurance Agents PAC 815 SW Topeka Blvd Topeka KS 66612

Check $250.00

09/11/18 Ron PAC 9634 E. Clubhouse Ct Wichita KS 67226

Check $500.00

09/07/18 AT&T 220 SE 6th Avenue Topeka KS 66603

Check $100.00

09/07/18

Kansas Bankers Association PAC State POBox 4407 Topeka KS 66604

Check $250.00

09/07/18 Kansas Realtors PAC 3644 SW Burlingame Road Topeka KS 66611

Check $500.00

09/05/18 Check Rancher $500.00

10/29/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx

Page 4: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

Campaign Finance Schedule A Report Page 3 of 3 Tim Nordell POBox 337 Sedan KS 67361

09/03/18 Virgil Loewen 9161 S. Greenwich Rd Derby KS 67037

Check

09/02118 Kent Ott 11621 S. Hillside Mulvane KS 67110

Check Farmer

08/31/18 Brad Hock III S. College Avenue Mulvane KS 67110

Check

08/29/18 Lester Sims 214 Emery Street Mulvane KS 67110

Check Farmer

08/28118 Mary Wilkinson 145 S. Pershing Wichita KS 67218

Check Homemaker, Spouse ­Physician

08/27/18 Patsy Hickman 1500 Krista Lane Derby KS 67037

Check

08/01/18

Farmers Employee & Agent PAC of Kansas 7340 West Memorial Oklahoma OK 73142

Check

07/28/18 John Matthew 2222 Lindberg St. Wichita KS 67226

Check Engineer

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

TOTAL RECEIPTS THIS PERIOD

$100.00

$250.00

$100.00

$200.00

$250.00

$100.00

$500.00

$250.00

$11050.00

$115.00

$0

$0

$11165.00

Print this form or Go Back

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 10/29/2018

Page 5: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

Campaign Finance Schedule B Report Page I of I

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SCHEDULE B

IN-KIND (NON-MONETARY) CONTRIBUTIONS

Candidate: Jesse A Burris

Name and Address Occupation of Individual GivingDate

of Contributor More Than $150

Description of In-Kind Contribution

Value of In-Kind Contribution

Total Itemized (over $100) In-Kind Contributions $0

$224.00

$224.00

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

TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD

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10/29/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_bJepOlt.aspx

Page 6: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

Campaign Finance Schedule C Report Page 1 of2

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SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Candidate: Jesse A Burris

Date Name and Address Purpose of Expenditure or Disbursement

Amount

10/25/] 8 Karen DeGraaf 1545 E. I I9th Street South Mulvane KS 67110

Reimbursement Office Supplies & Computer Services

$190.29

10/25/18 Jesse Burris 1545 E. 119th South Mulvane KS 67110

Reimbursement Various Expenses - See Attachment 2

$906.80

10/24/18 Singularis PO Box 9255 Shawnee Mission KS 66201

Newsletter

$250.00

10/15/18 Sedgwick County, Treasurer 525 N. Main, Suite 107 Wichita KS 67203

Voter file

$120.00

10/15/18 Sumner County Election Office 501 N. Washington Wellington KS 67152

Voter file

$150.00

10/12/18 Kansas Republican Party PO Box 4157 Topeka KS 66604

Printing Mailing Services

$1,500.00

10/02/18 Kansas Republican Party POBox 4157 Topeka KS 66604

Printing Printing Services

$663.28

09/20/18 Jesse Burris 1545 E. I 19th Street South Mulvane KS 67110

Reimbursement Various Expenses - See Attachment 1

$999.17

09/20/18 Anneke Burris 1545 E. 119th Street South Mulvane KS 67110

Mileage Reimbursement 7/1/2018 -9/14/20] 8

$667.63

09/20/18 Anneke Burris 1545 E. I I9th Street South Mulvane KS 67110

Mileage Reimbursement 6/20/2017 - 6/31/2018

$1,741.43

08/27/18 Anneke Burris 1545 E. ] 19th Street South Mulvane KS 67110

Reimbursement Loan Repayment Aug20 18

$3,709.66

08/27/18 Reimbursement Loan Repayment Dec20 17 $3,681.64

10/29/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx

Page 7: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

Campaign Finance Schedule C Report Page2of2 Anneke Burris 1545 E. 119th Street Mulvane KS 67110

Total Itemized Expenditures This Period $14579.90

Total Unitemized Expenditures of $50 or less $0

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $14579.90

Print this fonn or Go Back

10/29/2018http://www.kssos.org/elections/cfr_viewerlreports/schedule_cJeport.aspx

Page 8: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

--

Jesse Burris Expense Report - (Summltted 9/20/2018) - Itemized List with address Info

Constituent Services

8/24/2018 Bluehost.com Bluehost.com Hosting Website $ 287.76

Campaign Services

$ 160.54

!8/17/2018

6200 West Kellogg Drive a, Wichita, KS 67209Sam's Club Candy for Parade 8/15/2018 $ 259.20

!8/19/2018

Shirts Plus 703 N Buckner St, Derby, KS 67037 Shirts for Volenteers

$ 54.00

l8/25/2018

Signs and Stripes Signage949 Kristen Rd, Derby, KS 67037 Dillons $ 107.151624 N Rock Rd, Derby, KS 67037 Stamps for Mailers and Food for walkers

$ 130.52Campaign Services Combined Expenses of $50 or less

TOTAL EXPENSES $ 999.17

I certify this report is a true and accurate statement of Expenses in curred

by me in support of Burris Campaign. I request you review and substantiate

the Rep9ft~thenif funds are abailable, please reimburse me.

~ Date

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Page 9: Campaign Finance Receipts Governmental Ethics …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H082JB_201810.pdf1 cash on hand at beginning of period 9023.81 ; 2 total contributions

Jesse Burris Reimbursment Report· (20180ct23th) - Itemized List with address info

Memberships

10/23/2018 IFederalist Society FedSoc.org Membership $ 25.00

-Constituent Services

10/19/201~ WSPS 115 E Plaza Ln, Mulvane, KS 67110 Stamps for Mailings $ 200.00

$ 50.00 $ 631.80

Stampes for mailer I

Combined Expenses of $50 or less ,1624 N. Rock Road, Derby KS 6703710/20/2018 IOilions I

Constituent Services

TOTAL EXPENSES $ 906.80

I certify that this report is a true and accurate statement of expenses

incurred by me in support of the Burris Campaign. I request that these

items be repaid when funds are available. Please review and

sub~the report. All receipts, including items combined, are

attached fa/your review.

10/23/V}18

;f @