No,0987 P, 2Jan, 4, 2017 4:25PM Conlee Schmidt & Emerson

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT EC;: 'I. ~I'

OF A CANDIDATE FOR STATE OFFICE

January 10,2017 JAN 64 lOP

KS GFILE WITH SECRETARY OF STATE overnrnencal EthiCS CommiSSion

SEE REVERSE SIDE FOR INSTRUCTIONS

A. ~~~Cwilid~:_J_o_h_n_C_a_m_ic_h_a_e_I _

Address: 1475 N Lieunett 5t

City and Zip COde:_W_i_C_h_ita_6_7_20_3 _ County: Sedgwick

Office Sought: State Representative District: 92----- ­

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

C. Surmnary (coveling the pel'iod from October 28, 2016 thl'ough December 31,2016)

1. Cash on hand at beginning of period '" , '., .. 24872.52

2. Total Contributions and Other Receipts (Use Schedule A) . 2075.00

3. Cash available this period (Add Lines 1 and 2) , , 26947.52

4. Total Expenditures and Other Disbursements (Use Schedule C) . 162.78

5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . 26784.74

6. In-Kind Contributions (Use Schedule B) 0.00

7. Other Transactions (Use Schedule D) 1849.95

D. "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,"

1-4-2017 ~ ~ -(A________ Date Signature of ~,L.te-o.:::r"'=--a-l,sur-e;=------------

GEe Form Rev, 2016

No. 0987 P. 3Conlee Schmidt & EmersonJa.n. 4. 2017 4:26PM

SCHEDlJLEA CONTRIBUTIONS AND OTHER RECEIPTS

Joon Carmichael for House 92 (Name of C8(1didate, Party, Committae or Political Committee

Dale !Vamrr alldAddrrrss Q/ Contributor Occupation & Industry of Individual Giving More

Them $150

Check AVlJyopriOle Bo,~ Al1Io/lhfof Cash, Ch~ck,

Loan or Other Receipt

C.,h C~""~ Lo"" UllllJU Olher

1111712016 John Jones 450 Anatole Lane Cleveland. TN 37312

Lending X 200.00

1111012016

Kansas HSLF PAC 11460 Tomahawk Creek Parkway Su300 Leawood, KS 66211

Humane Society X 250.00

10/31/2016

Builders Association ofKansas PAC 212 SW 8th Ave. Su 201 Topeka, KS 66603

Construction X 200.00

10/28/2016 Prain·je Band Potawatomi Nation 16281 Q Road Mayetta, KS 66509 Native American Tr.ibe X 150.00

10/2812016 General Motors Company PAC 2S Massachusetts Ave, NW S\l 400 Washington, DC 20001 Motor Vehicle Manufacturing

X 250.00

10/31/2016 Leading Edge Kansas 217 SE 8th Ave Topeka, KS 66603

Elder Care X 200.00

10/31/2016 Loan Max 1605 E. Santa Fe St. Olathe, KS 66061

Lending X 150.00

1112/2016 Wichita Realtors PAC 170 W. Douglas Wichita, KS 67202

Real Estate Agents X 125.00

11/12/2016 One Gas, Inc. PAC 15 E. 5th St. Tulsa, OK 74103

Natural Gas Distribution X 250.00

12/2912016 Kroge~ Companies 2700 E. 4th St. Hutchinson, KS 67501

Retail Sales X 300.00

Subtotal This Page: 2075.00

page_I_Qf£Sched A lof1

Jan. 4. 2017 4:26PM Conlee Schmidt & Emerson No. 0987 P, 4

SCHEDULEC EXPENDITURES AND OrnER DISBURSEMENTS

John Carmichael for House 92 (Na.ne of Candidate, Party, Committee or Political Committee

Dace Name and Address Purpose ofE:fpenditure or Disbursemeltt

Amount

10/3112016 Hostgator 5005 Mitchelldale, Su 100 Houston, TX 77092

Website Hosting 15.00

10/4/2016 Hostgator 5005 Mitcbelldale, Su 100 Houston, TX 77092

Website Hostitlg 10.95

11/25/2016 Hostgator 5005 Mitchelldale, Su 100 Houston, TX 77092

Website Hosting 11.95

11/25/2016 Sugarsync 6922 Hollywood Blvd, Su 300 Hollywood, CA 90028

Cloud Storage 7.49

12/5/2016 Hostgator 5005 Mitchelldale, Su 100 Houston, TX 77092

Website Hosting 10.95

12/8/2016 FuseMaillElectric Mail International, LLP PO Box 50826 Los Angeles, CA 90074

Email Hosting 30.00

12/9/2016 Campaigner Pro 6922 Hollywood Blvd, Sli 300 Hollywood, CA 90028

Mailing List Provider 25.00

12/27/2016 Hostgator 5005 Mitchelldale, Su 100 Houston, TX 77092

Website Hosting 11.95

12/27/2016 Sugarsync 6922 Hollywood Blvd, Su 300 Hollywood, CA 90028

Cloud Storage 7.49

11/14/2016 State afKansas 300 SW 10lh 5t Topeka, KS 66612

Legislative Name Badge 7.00

Subtotal This Page: 137.78

SchedC Iqf2 Page ~ ofL

Jan, 4, 2017 4:26PM Conlee Schmidt & Emerson No, 0987 P, 5

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

John Carmichael for House 92 (Narne ofCaodidale, Party, Comrnittlle or Polilical Committee

Date Name and Address Purpose ofExpenditure; or Disbursement

AmOILI1t

1119/2016 Campaigner Pw 6922 HollywQod Blvd, Su 300 Hollywood, CA 90028

Mailing List pwvider 25.00.

Subtotal This Page: 25.00

p.ge~Of~SchcdC 10/2

,Ja.n. 4. 2017 4:26PM Conlee Schmidt & Emerson No. 0987 p, 6

SCHEDULED OTHER TRANSACTIONS

John Cannichael for House 92 (Name ofCBndidsle. Party, Committee or Politic~1 Committee

Date Name and Address Natl/re ofAccount or Loan Payable or D%nce 01 Close of Loan Receivable Period

John Carmichael 10/2712016 1475 N Lieunett St Balance forward 1849.95

Wichita, KS 67203

i j:

Subtot<l1 This Page; 1849.95

page--.!:Lof£Sch<d D 10/ I