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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. 7/30/2018 Topeka, KS 66612 Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov Check only if appropriate LJ Amended Filing [J Termination Report Campaign Finance Candidate Name:Brian Clausen Filing Report Address: 6720 W. 140th St. Apt. 3904 Address2: City: Overland Park Zip: 66223 County: Johnson Home Phone: Business Phone: Office Sought: State Representative District: 28 -- - _._- -. - - 'SUMMARY (covering the period from 1/1/2018 through 7/26/2018) 1 CASH ON HAND AT BEGINNING OF PERIOD 0 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $2,421.18 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $2,421.18 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $939.53 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $1,481.65 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $445.00 '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: 7/31/201810:26:59 AM Signature of Candidate or Treasurer: Charles Lovell Print this form or Go Back 7/3112018 http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

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Page 1: Campaign Finance Receipts Governmental Ethics Commission ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/201807/H028BC_2… · Printing Campaign Lit : $454.62 : OS/23/18 : VistaPrint

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. 7/30/2018 Topeka, KS 66612

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

Check only if appropriate LJ Amended Filing [J Termination Report

Campaign Finance Candidate Name:Brian Clausen Filing Report Address: 6720 W. 140th St. Apt. 3904

Address2:

City: Overland Park Zip: 66223 County: Johnson

Home Phone: Business Phone:

Office Sought: State Representative District: 28 -­ - _._­ -. - -

'SUMMARY (covering the period from 1/1/2018 through 7/26/2018)

1 CASH ON HAND AT BEGINNING OF PERIOD 0

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $2,421.18

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $2,421.18

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $939.53

5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $1,481.65

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $445.00

'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: 7/31/201810:26:59 AM Signature of Candidate or Treasurer: Charles Lovell

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7/3112018http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

Page 2: Campaign Finance Receipts Governmental Ethics Commission ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/201807/H028BC_2… · Printing Campaign Lit : $454.62 : OS/23/18 : VistaPrint

Campaign Finance Schedule A Report Page 1 of2

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Brian Clausen

Date Name and Address of Contributor

Type of Payment

Cash, Check, Loan, E-funds, Other

Occupation of Individual Giving More Than $150

Amount

07/26/18 Sameer Shalma 14030 Chesterwood Dr. Brookfield WI 53005

E Funds $20.00

07/26/J8 Theresa Hyde 1470 J Beverly St Overland Park KS 66223

E Funds $100.00

07/06/18 Vineeth Hemavathi Not Available Not Available NA

E Funds $100.00

07/05/18 Agua Viva International rNC PO Box 8481 Kansas City MO 641 14

E Funds $100.00

07/01/18 Sweet Ideas LLC 4400 Route 9 South, Suite 1000 Manalapan NJ 7728

E Funds $25.00

06/16/18 Marshall Stirling 8800 Penrose Ln Apt 437 Lenexa KS 66219

E Funds $100.00

06/14/18 Jacquelyn Kelley 6908 Reeds Rd. Prairie Village KS 66208

Check $50.00

06/01/18 Alex Clausen 4333 Bowser Ave. Unit 2 Dallas TX 75219

E Funds Marketer $300.00

OS/25/18 Celia Arnold 1302 I Granada Rd Leawood KS 66209

Check $100.00

05/07/18 Larry McManus J525 E. Franklin St. Chapel HilJ NC 27514

Check Owner, investment firm $250.00

05/04/18 Lauren Martin 84 I I Somerset Dr Prairie Village KS 66207

E Funds $25.00

05/04/18 Brandon Woodard 9051 Renner Blvd Apt 3002 Lenexa KS 66219

E Funds $20.18

05/04/18 Traci Graves 4806 Perry Ave Merriam KS 66203

E Funds $25.00

04/30/18 Brian Frankian 9607 W 85th St Apt B Overland Park KS 66212

E Funds Sales $500.00

04/29/18 Sameer Shatma 14030 Chesterwood Dr. Brookfield WI 53005

E Funds $50.00

04/29/18 Check $40.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 7/3112018

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Campaign Finance Schedule A Report Shari Rich 653 I W 94th Ter Overland Park KS 66212

Page 2 of2

04/28/18 Emily Berman 4750 Noyes St. Apt. 112 San Diego CA 92109

E Funds $25.00

04/19/18 Deborah Godowns 4401 W. 150th St. Leawood KS 66224

Check $25.00

04/08/18 Twila Kunde 701 Alvarado Dr. Albuquerque NM 87108

Cash $50.00

03/26/18 Jake Smith 3030 Hester Ave. Apt. 552 Dallas TX 75205

E Funds $50.00

03/22/18 Jared and Anne Hippe 6315 Lake Ariana Ave San Diego CA 921 19

E Funds Sales & Dietician $300.00

03/22/18 Diamante Cintron 412 University Ave. Apt. 2 San Diego CA 92102

E Funds $40.00

03/21/18 David Sherwood 14 E 67th St. Kansas City MO 64113

E Funds $100.00

03/17/18 Brian Clausen 6720 W. \40th St. Apt. 3904 Overland Park KS 66223

Cash $26.00

Total Itemized Receipts for Period $2421.18

Total Unitemized Contributions ($50 or less) $0

Sale of Political Materials (Unitemized) $0

Total Contributions When Contributor Not Known $0

TOTAL RECEIPTS THIS PERIOD $242118

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Campaign Finance Schedule B Report Page 1 of 1

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SCHEDULE B

IN-KIND (NON-MONETARY) CONTRIBUTIONS

Candidate: Brian Clausen

Date Name and Address of Contributor

Occupation of Individual Giving More Than $150

Description of In-Kind Contribution

Value of In-Kind Contribution

OS/28/18 Johnson County Democrats 8971 West 75th Street Overland Park KS 66204

Filing Fee $70.00

05/15/18 Thor Tallmon Not Available Not Available NA

Website $125.00

04/25/18 Charles Lovell 7710 Chadwick St. Prairie Village KS 66208

Photos $100.00

04/21/18 Rhan Pem berton Not Available Not Available NA

Logo Designs $150.00

Total Itemized (over $100) In-Kind Contributions $445.00

Total Unitemized ($100 or less) In-Kind Contributions $0

TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD $445.00

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Campaign Finance Schedule C Report Page 1 of 1

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SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Candidate: Brian Clausen

Date Name and Address Purpose of Expenditure or Disbursement

Amount

07/16/18 Tanner's 14337 Metcalf Ave Overland Park KS 66223

Meeting/Travel Volunteer lunch

$39.83

06/15/18 Record News 14690 Parallel Road Basehor KS 66007

Printing Campaign Lit

$454.62

OS/23/18 VistaPrint Not Available Not Available NA

Printing Business cards and postcards

$ J86.54

OS/21/18 Staples 7131 W 135th St Overland Park KS 66223

Supplies Canvas materials

$20.70

OS/20/18 Office Depot 10551 Metcalf Ave Suite B Overland Park KS 66212

Printing Business cards

$43.60

05/09/18 Mi Ranchito 7148 W 80th St Overland Park KS 66204

Meeting/Travel Volunteer dinner

$73.69

05/07/18 Office Depot 10551 Metcalf Ave Suite B Overland Park KS 66212

Printing Business cards

$21.80

04/29/\8 PayPal Not Available Not Available NA

Filing Fee Donation fee

$1.75

04/09/18 WordPress Not Available Not Available NA

Electronic/Website Advertising Domain

$96.00

03/17/18 Community America 6280 W J35th St Overland Park KS 66223

Miscellaneous Opening Account

$1.00

Total Itemized Expenditures This Period $939.53

Total Unitemized Expenditures of $50 or less $0

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $939.53

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7/31/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx