Campaign Finance Receipts and Expenditures Report Page 1 of 1

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Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 1/10/2019 Topeka, KS 66612

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

Check only if appropriate 0 Amended Filing 0 Termination Report

Campaign Finance Candidate Name:Daniel R Hawkins Filing Report Address: 9406 Harvest LN

Address2:

City: Wichita Zip: 67212-4218 County: Sedgwick

Home Phone: (316) 722-7307 Business Phone: (316) 722-7307

Office Sought: State Representative District: 100 ...-

88801.99

(Schedule A) view/print $17,600.00

(Add Lines 1 and 2) $106,401.99

(Schedule C) view/print $2,918.12

.. ..

SUMMARY (covering the period from 10/26/2018 through 12/31/2018)

, 1 CASH ON HAND AT BEGINNING OF PERIOD

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS

3 CASH AVAILABLE THIS PERIOD

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS

5 CASH ON HAND AT CLOSE OF PERIOD

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS

7 OTHER TRANSACTIONS

false document is a class A misdemeanor."

Electronically filed on: 1/10/201912:18:02 PM Signature of Candidate or Treasurer: Diane Hawkins

Subtract Line 4 from 3) $103,483.87

(Schedule B) view/print $0.00

(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

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1110/2019http://www.kssos.org/elections/cfr_viewerlreports/exp_report_main.aspx

Campaign Finance Schedule A Report Page 1 of 4

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Daniel R Hawkins

Date Name and Address of Contributor

Type of Payment Occupation of

Cash, Check, Loan, E-funds, Individual Giving Other More Than $150

Amount

12/31/ 18

Kansas Industrial Consumers Group Inc. 7400 W. II0th Street, Ste 750 Overland Park KS 66210

Check $500.00

12/27/18

Rose Hill General & Cosmetic Dentistry, PA 106 E. Yeager St. Rose Hill KS 67133

Check $500.00

12/27/18

Kansas Bail Agents Association PAC 158 N, 8th Street Salina KS 6740 I

Check $350.00

12/26/18 Evergy Employee PowerPac-State P.O. Box 889 Topeka KS 6660 I

Check $250.00

12/24/18 Caremark RX Inc. P.O. Box 287 Lincoln RI 2895-0287

Check $500.00

12/24/18 QC Holdings Inc. 8208 Melrose Drive Lenexa KS 66214

Check $500.00

12/21/18

Kansas Independent Pharmacy Service Corp. KPSC PAC

Check3512 SW Fairlawn Road, Suite 300 Topeka KS 66614

$250.00

12/21/18 Suman Gorantla 15413 E. Sundance St. Wichita KS 67230

Check Dentist $300.00

12/20/18

Cox Communications 901 S. George Washington Blvd. ccr Kansas Wichita KS 6721] -390]

Check $250.00

12/20/18

Builders Association of Kansas-PAC 212 SW 8th Avenue, Ste. 201 Topeka KS 66603

Check $250.00

12/19/18

Cosmetic Dental Arts of Wichita Michael Christian Reno DDSPA 2135 North Ridge Rd Ste 700 Wichita KS 672]2

Check $500.00

12/19/18

Associated General Contractors of Kansas PAC 200 W. 33rd Street Topeka KS 66611

Check $500.00

12/19/18

Michael D. BUriakoff, D.D.S. 124 E. Emma P.O. Box 226 Derby KS 67037

Check $200.00

1/10/2019http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx

Campaign Finance Schedule A Report Page 2 of 4 12119/18 John Federico, Federico

Consulting, Inc. 900 S. Kansas Ave. Suite 300 Topeka KS 66612

Check $500.00

1211 911 8 Genesis Health Clubs 6100 E. Central, Bldg. #3 Wichita KS 67208

Check $500.00

12119118 John Cannichael Not Available Not Available NA

Cash $50.00

12119/18 Rodney Steven II 6100 E. Central Ave Ste 3 Wichita KS 67208

Check Business Owner $500.00

12/1911 8 Gary Plummer 2517 N. Chelmsford CT Wichita KS 67228

Check $100.00

12/19118 Dr. Antoine Wakim 33 W. Rolling Hills Ct Wichita KS 67212

Check $100.00

12119/18 Gregory George 13319 SW 160th St. Rose Hill KS 67133

Check Doctor $500.00

12/19118

Watkins & Schneider Consulting LLC 100 SE 9th St., Suite 100 Topeka KS 66612

Check $500.00

12/17118 Kansans for Qual ity MHS 7353 Falmouth Prairie Village KS 66208

Check $250.00

1211 711 8 Mariah Frazier Not Available Not Available NA

E Funds Dentist $150.00

1211311 8 Scott Consulting LLC 4517 Nicklaus DR Lawrence KS 66047

Check $500.00

12113/18 Kansas Marketing Services 214 SW 6th Suite 300 Topeka KS 66603

Check $500.00

12/01/18

Johnson & Johnson Corporate Politcal Fund 1350 I Street, NW Suite 1210 Washington DC 20005

Check $250.00

11/21/18 New Friends LLC 401 E. 1st ST N Wichita KS 67202

Check $500.00

11121118 Law Office Of Abdul Q. Arif 40 I E. Ist Street Wichita KS 67202

Check $500.00

11109/18 Enterprise Holdings, Inc. PAC 600 Corporate Park Drive St. Louis MO 63105

Check $400.00

11/07/18 APAC-Kansas, Inc. P.O. Box 1605 Hutchinson KS 67504

Check $500.00

11107118

Kansas Contractors Association PAC 800 SW Jackson, Suite 100 Topeka KS 66612

Check $500.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport. aspx 1/10/2019

Campaign Finance Schedule A Report Page 3 of4 11/05/18 The GlaxoSmithKline

Five Moore Drive ResearchTrianglePark NC 27709

Check $500.00

11/05/18

Kansas Society of Anesthesiologists 11709 Roe, 103D Kansas City KS 6621 1

Check $500.00

11/02/18 AETNA Inc. 151 Fannington Avenue Hartford CT 6156-9132

Check $500.00

11/02/18 Ash Grove Cement Company P.O. Box 25900 Overland Park KS 66225

Check $500.00

11/01/18

Kansas Advanced Practice Nurses Association PAC 3429 SW Storybrook Topeka KS 66614

Check $250.00

10/31/18 Antoine E. Wakim, D.D.S., PA 710 North Woodchuck Street Wichita KS 67212

Check $200.00

10/31/18 Matthew Hickam 8621 SW Huntoon ST Topeka KS 66615-1493

Check Lobbyist $500.00

10/31/18 Greg Ferris 144 S. Bay Country Ct. Wichita KS 67235

Check $100.00

10/31/18 James Gardner 3927 SW Canterbury Town Rd Topeka KS 66610

Check Lobbyist $200.00

10/31/18 Marketplace Properties 151 N. Rock Island, Suite IA Wichita KS 67202

Check $100.00

10/29/18

Blue Cross and Blue Shield of Kansas 1133 SW Topeka Boulevard Topeka KS 66629-000 I

Check $500.00

10/29/18 Advance America 135 N. Church Street Spartanburg SC 29306

Check $500.00

10/29/18

Kansas State Firefighters PAC c/o Mike Gunther 817 W. 9th Hutchinson KS 67502

Check $300.00

10/29/18 Check into Cash of Kansas, LLC 201 Keith Street SW, Suite 80 Cleveland TN 37311

Check $300.00

10/29/18

Kansas Occupational Therapy Association PAC 825 S. Kansas Avenue, Suite 500 Topeka KS 66612

Check $250.00

10/29/18 Kansas Insurance PAC P.O. Box 55 Topeka KS 6660 I

Check $250.00

10/29/18 Property Casualty Insurers Association of America Political Account 8700 West Brum Mawr Avenue,

Check $250.00

1110/2019http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx

Campaign Finance Schedule A Report Page 4 of 4 Suite 1200S Chicago IL 6063 I-3512

10/29/18 Express Scripts, Inc. One Express Way St. Louis MO 63121

Check

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

$250.00

$17600.00

$0

$0

$0

$17600.00

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Campaign Finance Schedule C Report Page 1 of 1

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SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Candidate: Daniel R Hawkins

Date Name and Address Purpose of Expenditure or Disbursement

Amount

12/31/18 KLEAR, Inc. 900 S. Kansas Avenue, Ste. 402 Topeka KS 6660 I

Miscellaneous Membership

$300.00

12/31/18 Diane Hawkins 9406 Harvest LN Wichita KS 67212

Reimbursement Website Hosting

$431.64

12/27/18 Hawver News Company, LLC 3823 SW Wood Valley Drive Topeka KS 66610-1124

Subscription Hawver's Capitol Report

$180.00

12/27/18 Capital One P.O. Box 60599 City of Industry CA 91716

Miscellaneous Running for leadership expenses

$609.44

12/27/18 Diane Hawkins 9406 Harvest LN Wichita KS 67212

Reimbursement Christmas cards & postage

$158.56

12/17/18 PayPal P.O. Box 45950 Omaha NE 68145-0950

Miscellaneous Payment processing fee

$4.65

12/01/18 Capital One P.O. Box 60599 City of Industry CA 91716

Miscellaneous Running for leadership expenses

$233.83

12/01/18 Capitol Commission P.O. Box 63118 Charlotte NC 28263

Donation/Contrib Communities for Christ

$250.00

11/15/18 Mary Draper Chapter, NSDAR Not Available Not Available NA

Donation/Contrib Donation

$500.00

11/06/18 Sedgwick County GOP 650 N. Carriage Parkway Wichita KS 67208

Donation/Contrib Donation

$250.00

Total Itemized Expenditures This Period $2918.12

Total Unitemized Expenditures of $50 or less $0

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $2918.12

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