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KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE July 30, 2018 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS RECEIVED OCT 222018 KRIS W. K08ACH SECfiETARY OF STATE A. Address: J77 'tJu;J- {57' City and Zip Code: /S' County: J'O Af/ So 17 District: Office Sought: yJ B. Check only if appropriate: Amended Filing __ Termination Report 1 C. Summary (covering the period from January 1,2018 through July 26, 2018) 1. Cash on hand at beginning of period . 2. Total Contributions and Other Receipts (Use Schedule A) .. 3. Cash available this period (Add Lines 1 and 2) . 4. Total Expenditures and Other Disbursements (Use Schedule C) . 5. Cash on hand at close of period (Subtract Line 4 from 3) .. I, ) ., q r;-Q 6. In-Kind Contributions (Use Schedule B) ......... . _ U I 7. Other Transactions (Use Schedule D) . 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 ;le this docum3onauy fi{?!Se document is a class A misdemeanor." Date Signature of Candidate or Treasurer GEe Form Rev, 2018

NameofC~did~e: J77 ~V /S' J'O A ~~~Uo-u/..-H,.L--L-L ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/... · and to the best of my knowledge and belief is true, correct and complete

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Page 1: NameofC~did~e: J77 ~V /S' J'O A ~~~Uo-u/..-H,.L--L-L ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/... · and to the best of my knowledge and belief is true, correct and complete

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

July 30, 2018

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

RECEIVED

OCT 222018

KRIS W. K08ACH SECfiETARY OF STATE

A. NameofC~did~e: ~~~~A_m~.~/~·~~~~~~~~~~~~~~~~~~~~~~~ Address: J77 ~V 'tJu;J- {57' City and Zip Code: fd~e/k" /S' ~(p62( County: J'O Af/ So 17

District:Office Sought: ~~~Uo-u/..-H,.L--L-L-.-~..,.I,.---l-C£J~=-~~~~~~~~- yJ

B. Check only if appropriate: Amended Filing __ Termination Report1

C. Summary (covering the period from January 1,2018 through July 26, 2018)

1. Cash on hand at beginning of period . -~~~~-

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

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

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

5. Cash on hand at close of period (Subtract Line 4 from 3) ..

I, )., q r;-Q6. In-Kind Contributions (Use Schedule B) ......... . _ U

I 7. Other Transactions (Use Schedule D) .

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

);;;~;le this docum3onauy fi{?!Se document is a class A misdemeanor."

Date Signature of Candidate or Treasurer

GEe Form Rev, 2018

Page 2: NameofC~did~e: J77 ~V /S' J'O A ~~~Uo-u/..-H,.L--L-L ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/... · and to the best of my knowledge and belief is true, correct and complete

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(ll~&'(Name of Candidate)

Occupation of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check,

Date of Contributor Than $150 Loan or Other Cash Check LORIn E funos

Receipt01her

Parv1 0 IV} tllru1 iR)

'/;1 ·300

L?\ yr:fr:~of!~ lfI/vfJ'1 K cioO , u w '

r'l,t<-­ ~)D~r - cP

f suO<!.oA

jZN6/Y Or!fi1 i-z.dtol1 'II

~cP&'

'Snv , IV' ~ J~. f (

j~-Dr)

pit/riCe ~re,,? j<" ;zr'"Jp~/'J

jo CoO t e-o'l -I-n I (6""",1-.& K c;2J"C e'"

j ~(rJ /!J,(j Pko Iy '-­3'O~

4f1~~ I fit;l~/oh

~ LjCO tD

Of/l'l1 & f/Oiff i (/ /.,)"f"I-k'l

, Q ~' . o"h'J Subtotal This Page.

0. I \' ,.

Page_/_of~

Page 3: NameofC~did~e: J77 ~V /S' J'O A ~~~Uo-u/..-H,.L--L-L ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/... · and to the best of my knowledge and belief is true, correct and complete

-- --

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

~~"" ~Ln10 (Name of Candidate)

Occupation of Name and Address Individual Giving More

Date of Contributor Than $150

- , ~{ ,

,~ l. -

Subtotal This Page . ',."

<.," I

Complete if last page of Schedule A

Check Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Cash Check Loan E funds Olher

-,

: r ..

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Conllibutor Not Known

TOTAL RECEIPTS TIDS PERIOD(to line:2 ofSummary)

Page ~ of \.0

Page 4: NameofC~did~e: J77 ~V /S' J'O A ~~~Uo-u/..-H,.L--L-L ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/... · and to the best of my knowledge and belief is true, correct and complete

SCHEDULEB IN-KIND CONTRIBUTIONS

~jV1 r;'rJ~ (Name of Candidate)

Date Name and Address of Contributor

l\vlvlJ ~i (\J

List Occupation for Those Giving

an In-Kind of More Than $150

Description of In-Kind Contribution

Value of In-Kind

Contribution

t+}\} (I> rI/4 I1kryf;£ /;11) . t?

De-v L J bhrHl:'h W~ dnit el" t~11 :>Jt- fl~,'~

Robif ~/J .~ l:rtfJ<r J~~rjflo/

I3h;rt:5 L/1f ~ 7J

{3r"""Vl G'If. o~ fIJ !lei /h·jIJI1 ~fJJJus1t1 5lJt'Q~

>.

Subtotal This Page - . ; ...

Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions lll1J lcw

Total Unitemized ($100 or less) In-Kind Contributions 1

0 TOTALIN-KINDCONTRIBUTIONS THIS rERlOD (to line 6 of Summary) II Ilt{"C7

Page 5: NameofC~did~e: J77 ~V /S' J'O A ~~~Uo-u/..-H,.L--L-L ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/... · and to the best of my knowledge and belief is true, correct and complete

SCHEDULE C EXPE7DITURES AND OTHER DISBURSEMENTS afl1 hn e:J

(Name of Candidate)

Purpose of Expenditure AmountDate Name and Address or Disbursement

tOOq,(Ibidf-C; /VI' 5,h Pr/nJ5'/!L~ }b:-~So/)t~ Ct- jVh~' fJ1nhn/j5'/J.91t6

&P~{blW Jl P~()(l1 7

'37'1Vbit ViJh trn f­;;]0<9<J{) C ({V0 tit6 J;:Jv'j ;;~<7 I;) f

-. .. . " ~~'.~-t . )1~~1. .

Subtotal This Page . r;, . :~/ .

Page __~__ Of__(" _

Page 6: NameofC~did~e: J77 ~V /S' J'O A ~~~Uo-u/..-H,.L--L-L ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/... · and to the best of my knowledge and belief is true, correct and complete

SCHEDULEC EXPENDITV; AND OTHER DISBURSEMENTS

£-/'1' h71 (Name of Candidate)

Purpose of Expenditure Date or Disbursement AmountName and Address

.-.­ ;J; 6b65'bl Jeft'lf'l- t. F!<t>l/l {!q rYf?>iJ" e -r;((t()Ct f/(;0('VJ t:,offJif:J1

5-QEPN'G\,0 "", \ jfa +(uY\ LVyJ- (In'l'\~CQ..V\-t(c.(1 jJ0 ~V"\ L

.....

:- ,­ ~" :f.' .. , , ..'.- ,

.' ," , '

, \";,.. Sul}to"t!li)'bis.P~ge <~';.. '.TI ,f-.:. ,<... ,', - ".' ,

Complete iflast page of Schedule C

Total Itemized Expenditures This Period '(0;1.9 ~ Total Un itemized Expenditures of $50 or less

',' - " ~"''-':>',' • ' "'..;;\ ','" ~'~~~F:: '.

f£;s:;l. CjLTOTAL EXPENDlT.U~ES'&OTIJER DISBURSEMENTS -, ' . '

" ..

,THI~PERIQD..cto)in~ 4:'o-t~uJl)maryr , '

-" '->'~'.. ':' ; , "

./

Page _2__ oc~_