~ASethics.ks.gov/CFAScanned/House/2010ElecCycle/201007/H019JD_201007.pdf · D. "I declare that this...

10
f\\.. J\JL f.\ p.,'?-'< GOVERNMENTAL ETHICS COMMISSION io"n.n\ . \ RECEIPTS AND EXPENDITURES REPORT . 1 1\\\\\ OF A CANDIDATE FOR STATE OFFICE ... of S\ p.,\f. July 26, 2010 SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: 1Ifv\ A. __--'----...:....:..:---"£....:::;..:..'-'-'--'-'-"--'4'-- _ Address: :...!..I/..:-I f=---1-=-------:..A.:-tJ-ri--:,I_o----'C H-'-ll--,--0_1I1Yf._l:._Z---'-.1_o_. . City and Zip Code ... --=0--=h_2._10 Office Sought: %_1 _ _ County: District: __ fll-- _ _ B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from January 1, 2010 through July 22, 2010) 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) . . '1 t tl b(.oo 4. Total Expenditures and Other Disbursements (Use Schedule C) 5. Cash on hand at close of period (Subtract Line 4 from 3) . .. t3,bl.l.t?O t 40 6. In-Kind Contributions (Use Schedule B) ......... .0 I b1. q3 7. Other Transactions (Use Schedule D) . D. "I declare that this report, including anyaccompanying 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 documentor intentionally filing a false document is a class A misdemeanor." . ../.' . Date SignatU; of Candi'date or Treasurer GEC Form Rev, 2001

Transcript of ~ASethics.ks.gov/CFAScanned/House/2010ElecCycle/201007/H019JD_201007.pdf · D. "I declare that this...

Page 1: ~ASethics.ks.gov/CFAScanned/House/2010ElecCycle/201007/H019JD_201007.pdf · D. "I declare that this report, including anyaccompanying schedules and statements, has been examined by

f\\.. J\JL ~

f.\ p.,'?-'<

~AS GOVERNMENTAL ETHICS COMMISSIONio"n.n\ . \ RECEIPTS AND EXPENDITURES REPORT .

1 1\\\\\ OF A CANDIDATE FOR STATE OFFICE ...

of S\ p.,\f. July 26, 2010

SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: 1Ifv\ A. ~rNNIN~__--'----...:....:..:---"£....:::;..:..'-'-'--'-'-"--'4'-­ _

Address: :...!..I/..:-If=---1-=-------:..A.:-tJ-ri--:,I_o----'CH-'-ll--,--0_1I1Yf._l:._Z---'-.1_o_.

. City and Zip Code :_----=[)=---V_£....:..rt-'-L~AN..:..;{)=___f1___'A-___'~_K+_... _~.:.:..~-'--. --=0--=h_2._10

Office Sought: %_11fr----=£'-------'-~_fl___'_P__'___r(=__f"_.s_=__£=__N1I___'A___'_i..:....:I'J=t _

_

County: ~HrJfutJ

District: __fll-­ _

_

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

C. Summary (covering the period from January 1, 2010 through July 22, 2010)

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;1"~oo

'1ttl b(.oo

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

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

.

..

t3,bl.l.t?O

~o t ~.1. 40 6. In-Kind Contributions (Use Schedule B) ......... .0 Ib1. q3

7. Other Transactions (Use Schedule D) .

D. "I declare that this report, including anyaccompanying 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 documentor intentionally filing a false document is a class A misdemeanor."

. ~J ../.'. ~U-.. lA..ttl~

Date SignatU; of Candi'date or Treasurer

GEC Form Rev, 2001

Page 2: ~ASethics.ks.gov/CFAScanned/House/2010ElecCycle/201007/H019JD_201007.pdf · D. "I declare that this report, including anyaccompanying schedules and statements, has been examined by

Schedule A

I Contrlbutlone and Other Recelple

Jim Denning. Kanese Stete Representative

Date 03/15110

03/28/10

03/29/10

03/29/10

03/31/10

04101110

Amount Method· $5,000.00 Loan

$100.00 Online $500.00 Online $500.00 Onllna $250.00 Online

Emplover +$150 Discover Vision Centers

Kanses Cltv Cancer Center Discover Vision Centers Ludwlkoski & Associates Zeiss Optical

Occuoatlon IS150+ CEO

CEO Ophthelmologist Sales Ammunition Sales Manager

last Name Denning

Hennessy Jackson Egan Jochims

Firat Name Jim

John Randy Michael David

MI

T

Street Address 8416 West 115th St

14614 Grant Lane 12123 Craig Lane 21705 West 58th St 6522 3501h St

~ Ove~and Park

.,

Ove~and Park Ove~and Park Shawnee Hartlev

ST KS

KS KS KS IA

Zip 66210

66221 66213 66218 51346

04/01/10 $500.00 Online Discover Vision Centers Ophthelmologist EuDalv Lou PO Box 39 LaCvgne KS 66040

04/03/10 $500.00 Online Self-Employed Broedband Consultant VonFeldt Stan 7850 Towhee Road Parker CO 80134

04/12110

04125/10

04126/10

04/27/10

04/27/10 04/27/10

04/27/10

04/27/10

04127/10

$25.00 Online $500.00 Online $500,00 Online $100.00 Online $500.00 Online $500.00 Online $500.00 Online $250.00 Onllna

Self-Employed Medical Plaza Internal Medicine Johnson County, Kansas Moves Eve Center Not Applicable Bukaly Insurance Hodgdon Powder Company Johnson Company

Artist Administrator Sheriff Ophthalmologist Housewife President Chalmnan Real Estata Brokar

Denning Vance Denning Moves Bukatv Bukaty Hodgdon Lelko

Marea~

Kathryn Frank Andrew Maureen Mlchaal John Randl

S 8418 West 115th St 11555 Hardy 19575 County Line Road 5844 NW Barrv Road. Suite 200 11221 Roe 11221 Roa 6231 Robinson St 4963 West 88th St

Ove~and Park Ove~and Park Edgerton Kansas City Leawood Leawood Ove~and Park Prairie Village

KS KS KS MO Ks KS KS KS

66210 66210 68021 64154 66211 66211 66202 66207

04122110

04125/10

04/27/10

04/29/10

$500.00 Check $50.00 Check

$100.00 Check

House & Renner Lathrop & Gage Commerce Bank

VP Construction Business Development VP Health Care Lending

Beugh Blnch Swvden Green

Thomas Mary Julia BetsY

14716 S. Bynum Road 10509 Goddard, No. 273 4321 West 132nd St

Lone Jack Ove~and Park Leawood

MO KS KS

64070 66214 66209

04/28/10

04128/10

$100.00 Online Consultants In Gastroenterology CEO Thompson Jean 3521 NE Lacewood Circle Lee's Summit MO 84064

05/01110

05/05/10

05/05/10

$100.00 Online $400.00 Online

Discover Vision Centers Discover Vision Centars,

Ophthalmologist Ophthalmologist

Canon Simone

Patrick Joseph

13243 Bluelackat St 8901 West 74th St., Suite 285

Ove~and Park Shawnee Mission

KS KS

86213 66204

04127110

04129/10

05/03/10

05/03/10

05/12110

$200.00 Chack $500.00 Check $300.00 Chack $250.00 Check

Ocular Theraoautlx Discover Vision Centars Not Appllcabla Precision Lens

Medical Sales Chief Financial Officer Ratlred Medical Sales

Sanchez IWy~ck

Canon Johnson

Gregory

Michael Josaph Ch~s

14802 Rosewood 3920 SW Granite Lane 102 Tiouewood 8707 William Street

' Leawood Lee's Summit Abllane Omaha

KS MO TX NE

88234 84082 79605 68124

05/06/10

05/10/10

$200.00 Onlina University of Kansas Medical Ctr Ophthalmologist Yu Dvlan 12749 Benson Street Ove~and Park KS 66213

05/15/10

05/18110

05/19/10

$50.00 Online $250.00 Online Dume Vision Centers Ophthalmologist

Kwaolszaskl Dume

Frances Daniel

14825 Bond 5415 Mission D~ve

Ova~and Park Mission Hills

KS KS

66221 68208

05/23/10 $50.00 Onlina Self-Employed A~lst Denning Maraa~ 8416 West 115th Street Ove~and Park KS 66210

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Schedule A

Contribution. and Other RecelplB

Jim Denning· Kansa. State Representative

Date 03/15/10

Amount Method $5,000,00 Loan

Emnlovar +S150 Discover Vision Centers

Occuoatlon 15150+1 CEO

Last Name Denning

First Name Jim

MI Street Address 8416 West 115th St

Cltv Overlend Perk

ST KS

Zip 66210

05/23/10

05/23/10

05/23/10

05/23/10

05/25/10

05/25/10

$500,00 Online $500,00 Online $500,00 Online $500,00 Online $100,00 Online

Texen Eve Not Applicable Beusch & Lomb - USA Not Applicable Heart of Amerlce Eye Cara

Oohthalmolooist Housewife President Housewife Oohthalmoloalst

Dell Dell Corley Corley Simone

Steven Jordan Andy Mary Joseph

1750 Far Gallant 1750 Far Gallant 27112 Hidden Trail 27112 Hidden Trail 8901 West 74th St, Sulta 285

Austin Austin Laguna Hills Laguna Hills

' Shawnee Mission

TX TX CA CA KS

78746 78746 92853 92653 66204

05/10/10

05/10/10

05/10/10

05/19/10

05/26/10

$500,00 Check $500,00 Check $500,00 Check $100,00 Check

Dlscoyer Vision Centers Dlscoyer Vision Centers RayPec Schools Dlscoyer Vision Centers

Oohthalmoloalst Oohthalmoloaist Teacher Optical Manager

Cable Cundiff Cundiff Powers

Melissa H, Clay Dona Patricia

3908 West 128th Street 1790 SW Summit Valley Drlya 1790 SW Summit Valley Drive 1625 SW White Ridge Dr

Leawood Lee's Summit Lea's Summit Lae's Summit

KS MO MO MO

66209 64081 64081 64081

05121110

05/26/10

$100,00 Check Not Appllceble Student Lindstrom Halee 13209 Woodson Street OYeriand Park KS 66209

05/20/10

05/23/10

05124/10

05124/10

05/24/10

05/26/10

$500,00 Check $500,00 Check $100,00 Check $500,00 Check $500,00 Chack

Discover Vision Centers Discover Vision Centers Kansas Discover Vision Centers

Ophthalmologist Ophthalmologist State RepresentatlvelAttomey Chief Operating Officer Ratired

Hagan Stout Colloton Pickett Pickett

John, III Carl, Jr. Petrlcie Karen Donald

409 NW Briarcliff Parkway 616 NE Lake Pointe Drive 2513 West 118th Straet 28106 East Rogers Road 28106 East Rogers Road

Kansas City Lae's Summit Leawood Buckner Buckner

MO MO KS MO MO

64116 64064 66211 64016 64016

05128110

05/26/10

05/27/10

05/26/10

05128110

05/25/10 05/26/10

05/26/10

05/28/10

05124/10

06/01/10

05124/10

06/07110

$35,00 Check $350,00 Check $500,00 Check $200,00 Check $500,00 Check $100,00 Check $100,00 Check $25,00 Check $25,00 Check $50,00 Chack

$200,00 Chack $100,00 Check

Not Applicable CPI Precision Lans Firestone Optics, Inc, VonFeldt, LLC Leonard Microscopes Discover Vision Centers Dlscovar Vision Centers Discover Vision Centers

Flrestona Optics, Inc, Chlcego Cornea Consultants

Retired CMO Business Owner Contect Lens Seles Cable TV Consultants Business Owner Operations Manager Optician Ophthalmic Technician

Ophthalmologist

Hendricks Prescott Ehlen Hopper VonFeldt, LLC Leonerd Lappat Henry Smith Moran Firestone Optics, Inc, Epstein

Frank Jon Paul Larry

Larry

Gall Tonia Vernette Robba

Randy

C E

A

1837 Hollylake Circle 250 NE 30th Road 6993 Kenmare Drlva 6117 N Mattox Rd 7850 Towhae Road 8401 Junloer Lane 3520 South Maybrook Ave, 9401 N Oek Trfwv, Ste, 200 410 S Wlnterbrook Drive 2758 Thunderbird Drive 3901 E NE 33rd Terrace 806 Central Avenue

Tvler Greet Bend Bloomington Kenses City Parker Prairie Vlllaae Indepandence Kansas City Olathe Hays Kansas City Highland Park

TX KS MN MO CO KS MO MO KS KS MO IL

75703 67530 55438 64151 80134 66207 64055 64155 66062 67801 64117 60035

05/26/10

05/26/10

05/27/10

06/07/10

$100,00 Chack $250,00 Check $35,00 Check

Kansas City Cancer Center Discover Vision Centers

CEO Ootometrlst Ex-Mayor

Hennessy Dyer

Wendal

John Sharon Joan

E 14614 Grant Lane 4453 S Davidson Drive 3700 W 53rd St

Overland Park Indapendence Shawnee Mission

KS MO KS

88221 64055 68205

06102110 05128/10

05/28110 , 06/07/10

$50,00 Online $250,00 Onlina $100.00 Onlina

Se~ Employed Lock1on Agancy Discover Vision Centers

Author Insurance Broker Oohthalmologlst

McGee Hogan Canon

Ron Danlal Patrick

8502 W 115th St 1237 Huntington Road 13243 Bluajacket St

Ovarland Park Kansas City Overland Park

KS MO KS

66210 64113 66213

05/31/10

06/01110 $100.00 Check $250,00 Chack

Salf Employed Se~ Employed

PhYsician Physician

Spaldlne. Jr., MD. Lalbsohn M,D.

W. Joal

B M

6900 Overhlll Road 6440 Verona Read

Mission Hills Mission Hills

KS KS

66208 66208

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Schedule A

I I Contributions and Other Recelpll '

I Jim Denning ~ Kansas State Reoresentatlve

Date Amount Method Emolover l+l150\ Occunatlon Il150+ Last Name First Name MI Street Address City ST ZlI! 03/15/10 $5,000,00 Loan Discover Vision Centers CEO Denning Jim 8416 West 115th St Overiand Par!< KS 68210

06/01110 $100,00 Check BKD, LLP Accountant Wilkerson Mark 3300 Wast 132nd St Overiand Park KS 66209 06/03/10 $100,00 Check Discover Vision Centers Optometrist Dawson . Brett 2400 SW Current Lane Laets Summit MO 64082 06/03/10 $50,00 Check Bernat Peter 8700 SW 88th Place Ocaia FL 34481 06/04/10 $500,00 Check House & Rennar Construction Business Owner House & Ranner Construction 2300 Crenshaw Road Independence MO 64057 06/04/10 $500,00 Check House & Rannar Construction General Contractor Renner AI 2300 Crenshaw Road Independence MO 64057 06/04/10 $50,00 Check Lathrop & Gage Government Relations Coordlnete Birch Mary 10509 Goddard, No, 273 Overiand Par!< KS 66214 06/04/10 $250,00 Check Hom, Aylwerd & Bandy, LLC Attomey Jordison Diane 6011 North Merslngton Gledstone MO 64119 06/11/10

06/07/10 $25,00 Online Lovelady Travis 8127 Renner Blvd, No, 8 Lenexa KS 66219 06/11/10

05/31/10 $100,00 Check Discover Vision Centers Optometrist Crawford William 9616 Glenwood Drive Overland Par!< KS 88212 05/31/10 $100,00 Check James R. Mobley, DDS Dental Hygienist Ellert Jan 8617 West 88th Terrace Overiand Park KS 66212 05/31/10 $200,00 Check AT&T Ratlred Glywa Robert 9308 West 150th Terrace Overiand Park KS 66221 05/31110 $50.00 Check Retired O-Nell James F 13303 West 83rd Terrace Lenexa KS 66215 05/31110 $300,00 Check Re~schneider Eve Center Physician Reifschneider John 20016 West 93rd Street Lenexa KS 66220 05/31110 $25,00 Check Alburly David 31712 Southfork Drive Drexel MO 64742 05/31/10 $25,00 Check Discover Vision Centers Optometrist . Pranulis Carol 31712 South/ark Drive Drexel MO .64742 05/31110 $100,00 Check BKD Certified Public Accountant Cole Abe 4105 NE Suwannee Drive Lee's Summit MO 84064 06/01/10 $100.00 Check Discover Vision Centers Optometrist Johnson Cherie 7323 West 157th Terrace Overiand Park KS 66223 06/01/10 $100.00 Check United States Air Force Pilot Moenster Todd 7323 West 157th Terrace Overiand Park KS 66223 06/04/10 $500.00 Check Tennessee Administrators Tennessee Administrators 321 Biillnoslev Court, Suite 8 Franklin TN 37067 06/05/10 $100.00 Check Parakaleo . Professional L~e Coach Metsker Ronnie 5223 Fosler Overiend Park KS 66202 06/05/10 $100.00 Check Centerpoint Medical Center CEO Caldwell Carolyn' W 2321 NE Lake Breeze Lane Lee's Summit MO 64086 06106/10 $50.00 Check Mann Eye Canter VP Marketino Wehlman Joan M 12303 Lanny Lane Houston TX 77077 06/14/10

08/08/10 $50.00 Check Methodist Healthcara Insurance Billino Hinas James 3211 Roval Knloht Cava, NO.3 Memphis TN 38118 06/07/10 $25.00 Check Ratirad Schreiber Glenn E 10708 Wast 128th Place Overiand Park KS 66213 06107/10 $100.00 Check Cincinnati Eye Instltuta VP Marketing Holmes Donald B 1724 Cottontail Drive Milford OH 45150 06/07/10 $500.00 Chack Madicel-Surglcal Eye Care PA Medical-Surgical Eya Cara PA 8919 Parallel, Suite 226 Kansas City KS 66112 06/08/10 $100.00 Check Discover Vision Canters Optometrist Vagal William 1400 Country Club Drive Plaasant Hill MO 64080 06110/10 $100.00 Check Discover Vision Centers Ophthalmologist Brundiga Tyler F 8328 Roe Avenue Prairia Viliaga KS 66207 08/10/10 $50,00 Check KC Eya Clinic Ophthelmologlst O'Connell Sare 7504 Antioch Road Ovariand Per!< KS 66204 06/11/10 $250.00 Check United HealthCare Pharmacist Burditt Pamela D 20950 Qulvira Bucyrus KS 68013 06/14/10

06103/10 $250,00 Check Discover Vision Centers Ophthalmologist Price Pet 6930 Bellnder Shawnee Mission KS 66208 06/10/10 $100.00 Check Lombard Instruments Medical Sales Doctor Lvnn 805 NE Locust Drive Btue Springs MO' 64014 06/09/10 $500,00 Check Updegraff Vision Ophthalmology Updegraff Vision 1601 38th Avenue North SI. Petersburg FL 33713 06/14/10 $100,00 Check GUY Gronberg ArChitects, PC Architect GUY Gronbero Architects PC 113 SE 3rd Street Lee's Summit MO 64063 06/14/10 $250.00 Check Discover Vision Centers Optometrist Phillips David 21308 E 37th Terr Ct South Independence MO 84057 06/14/10 $500.00 Check Discover Vision Centers Ophthalmologist Dehning Doug 4741 S Cochise Dr Independence MO 64055 06/14/10 $500.00 Check Discover Vision Centers Ophthalmologist Dehnlng Cello 4741 S Cochisa Dr Independance MO 64055 06/08/10 $250.00 Check Commerce Bancshares, Inc. PAC Commerce Bancshares, Inc. PAC P. O. Box 419248 Kansas CitY MO 64141 06104/10 $500.00 Check Barnet Dulaney Perkins Eye Ctr Ophthalmologist Perkins Scott 2643 E Spring Rd Phoenix AZ. 85032 06/10/10 $500.00 Check Bamet DulaneY Perkins Eye Ctr CEO Rosenberg Mark 14075 N. 99th Way Scottsdale AZ. 85260 06/08/10 $500.00 Check Barnet Dulanev Perkins Eve Ctr Oohthalmoloolst Rivera Robert P 6611 E Paradise Drive Scottsdale AZ. 85254

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Schedule A

Contributions and other Receipts

Jim Denning. Kansas stata Represantatlva

Date Emolover /+$150)Method City sTAmount Occunatlon 1$150+ Last Nsme Firat Name Street AddressMI ~ 03/15/10 Loan Discover Vision Centers Dennino 8416 West 115th St Overlend Park KS 66210$5,000.00 JimCEO

Downay06/10/10 $100.00 Check Downay Construction, Inc 5441 Phelps Road Kansas City MO 64136KaranOwner 06/13/10 $250.00 Stiles Eye Stilas Michaal 11114 Alhambra LeawoodCheck Ophthalmologist KS 66211C 06/22/10

06/14/10 29255 W 119th St $200.00 Check Allenbrand Ramona Olatha 66061Retired KS Chambars 3045 Woodhollow Drive 06/14/10 $100.00 Check Kay-Whitman Eye Center Health Administrator Daniel Highland Vlllaoe 750770 TX

1008 Uooer Guloh Rd, Sta 200 Wayna PA.06/15/10 $500.00 Check Bryn Mewr Communications LLC Communications Bryn Mawr Communications LLC 19087 06/15/10 Ratlred Newbanks Donald W 13507 S Locust Olathe 66062$50.00 Check KS

Construction Straub Construction Co., inc 7775 Meadow View Dr 6622706/16/10 $500.00 Check Straub Construction· Co. , inc Shewnee KS 06/18/10 12421 Santa Fe Trail Dr Lenexa 66215$100.00 Chack Harmes Company Hermes Company KS 06/18/10 Public Relations Consultant Paulsan Elizabath R 9300 Cherokae Placa 66206$100.00 Check Paulsen Communications, Inc Leawood KS 06/22110

06/14/10 Ophthalmologist Doana John 3900 W 57th St Fairway KS 66205$500.00 Online Discovar Vision Centers Sally06/14/10 Housawifa Doana 3900 W 57th St 66205$500.00 Online FairwaY KS Bill 3900 W 57th St 06/14/10 $500.00 Online Student Doane Fairway KS 66205

06/14/10 $500.00 Student Doane Sara 3900 W 57th St Fairway KS 66205Online 06/16/10 $125.00 Anesthesia Associates 0/ KC Meisel Mark 15016 Buene Viste LeawoodOnline CEO KS 66224 06/16/10

06/15/10 $250.00 Lathrop & Gaoe LLP Legel Servicas Lathrop & Gage LLP 2345 Grand Boulevard Kansas City MOCheck 64108 06/19/10 $25.00 Cheriyne 7746 Aberdeen DrCheck Retired Rothman Shawnee Mission KS 662080 06120/10 $25.00 Retlned Rump Gloria 6633 Dearborn Drive MissionCheck J KS 66202

Attorney06/21/10 Retired$500.00 Check Post CarolYn L 48 East Norfolk Wichita KS 67206 06122110 $35.00 Check Jones Rita 238 E Westhoff Court GardnerM KS 66030

The Groves Assisted Living Gary Independenca06122110 $50.00 Check CEO White M 3368 5 Cochise Ave MO 64057 06/22110 Housewife Waldenmeyer Mary Ann $50.00 Check 2105 W 144th SI Leawood KS 66224

Mary06/23/10 Lathrop & Gaoe Birch$50.00 Check Gov't Relations Coordlnetor 10509 Goddard, No. 273 Overiand Park 66214KS 06/30/10

06/08/10 Self-emploved$200.00 Check Wolf Steven 8339 Roe Avenue Prairie Village P KS 66207 06/24/10 $50.00 Check OlssonRetired MaryEllen 5111 W. 120th Terraca Overiand Park KS 66209 06124/10 $500.00 835 SW Tppaka Blvd Check Kansas Chamber of Commerce Business Coalition Kansas Chamber of Commerce Topeka KS 66612

. $50.00 06125/10 Check MAWD Patholoov Bvrd Denise 9115 Indiana Avanua Kansas City Medical Secretarv MO 64132 06/26/10 $100.00 Check Retired Bonham Dyce 875 Stonacrest Road Olathe KS 66061

$500.0007/03/10 Check The Kansas City Neurosuroery Gno Relntles Stephen 2400 W 59th Street Mission Hills PhYsician L KS 66208 07106/10 $25.00 Check Barackman Judy 12703 Pembroke Lane Housewife Leawood KS 66209 07/13110

07/13/10 $200.00 OohthalmologistOnline Discover Vision Centers Canon Patrick 13243 BiueJackat Street Overland Park 66213KS

Optometrist06/30/10 $300.00 Check Discover Vision Centers Smith Jeff 15710 W 135th St Olathe KS 66062 Check Banking Association07/08/10 $250.00 Kansas Bankers Associatlon Kansas Bankers Association P.O. Box 4407 Topeke 66604KS

07/08/10 $10.00 Check Gardner-Smith Chelley 2890 Mirage Drive Colorado Sprinos 80920CO . $25.00 07/15/10 Check Kren Lorena 9161 West102nd TerraceJ Overiand Park KS 66212

07/19/10 $500.00 Check Eya Surgery Canter-Northland ASC Eya Surgery Canter-Northland 9401 N. Oak TrfwY, Suita124 Kansas City MO 64155 07/19/10 $500.00 Check Discover Vision Surgery & Lasar ASC Discovar Vision Surcery & Laser 11705 Roa Avanua Laawood KS 66211 07119110 $500.00 Check Eye Suraery Center-The Cliffs ASC Eye Suroery Center-The Cliffs 4801 Cliff Avenue Suite 200 Indeoendence MO 64055

Page 6: ~ASethics.ks.gov/CFAScanned/House/2010ElecCycle/201007/H019JD_201007.pdf · D. "I declare that this report, including anyaccompanying schedules and statements, has been examined by

Schedule A

Contributions and Other Receipts

Jim Denning. Kansas State Representative

Date ZipSTEmolover +S1501 First Name MI Street AddressAmount Method Occuoatlon /S150+ Last Name C1!'l 8416 West 115th St KS 66210

07/19/10

03/15/10 $5,000.00 Overiand Park Loan Discover Vision Centers JimCEO Dennino

4801 Cliff Avenue, Suite 200 Independence MO 64055$500.00 Check . Discover Vision Centers Discover Vision Centers Medical Practice 07/19/10 MO 64055$500.00 Check 4801 Cliff Avenue, Suite 200 IndependenceDVC Buildlno Two LLC RE Comoan';' DVC Bulldino Two LLC

4801 Cliff Avenue, Suite 200 Independence MO 6405507/19/10 $500.00 Check DVC Building Four LLC RE Company DVC Building Four LLC 07/19/10 RE Company DVC Building Olathe LLC 4801 Cliff Avenue, Suite 200 Independence MO 84055$500.00 Check DVC Building Olathe LLC 07120/10

Builders' Association PAC Builders' Association PAC 632 West 39th Street Kansas City 6411107/12/10 $250.00 Check MO 07/15/10 Physicians Hospitai of Ks PAC· Physicians Hospital of Ks PAC 4901 College Boulevard Leawood KS 66211$500.00 Check

Kansas Farm Bureau Vote FBF Fund 07/19/10 Kansas Farm Bureeu Vote FBF Fund 2627 KFB Plaza Manhattan KS 66502$500.00 Check Topeka$150.00 Gaches, Braden, Bartlee & Assoc Public Affairs & Assoc Momt Gechas, Braden, Bartlee & Assoc 825 S Kansas Ave., Suite 500 KS 6661207/19/10 Check Independence07/19/10 $50.00 Biua Ridoe Bank & Trust Banker Esrv William 1710 Lake Drive MO 64055Check

07121110 $250.00 Check UBS Financial Consultant Jafferias Michael 14009 Nicklaus Drive Ovariand Park KS 66223

811 West 57th Terrace Kansas City MO 6411307121/10 $100.00 Online NovaMad Surgary Centars Vlce·President Blanck John P 07/22110 $500.00 Online Slade & Baker Vision Center Siada & Baker Vision Center 3900 Essex Suite 101 Houston TX 77027

07/14/10 Ks Assn of Ins/Financial Advisors Topeka$100.00 Chack Ks Assn of Ins/Financial Advisors 825 S Kansas Ave, Suite 500 KS 66612

Tolal Itemized Receipts for the period $44,165.00 Total Unitemized Receipts for tha period 0 Total Receipts to Line 2·01 Summary $44165.00

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-- --

(Narne of Candidate)

SCHEDULEB IN~KIND CONTRIBUTIONS

List Occupation & Value of Name and Address Industry for Those Giving In-KindDescription of In-Kind Date

Contributionan In-Kind of More Thanof Contributor Contribution $150

0'; O~ /0

Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions

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

Page I of i

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Schedule C

Expenses and Other Disbursements

Jim Denning - State Representative

Invoice No. Check Date Number Amount Number Vendor Description

4/1/10 N/A 1001 Voided 3/15/10 N/A $ (0.19) PayPal Test

4/1/10 N/A $ 40.35 Electronic PayPal Service Fees

4/1/10 N/A $ 14.80 Electronic PayPal Service Fees 4/3/10 N/A $ 14.80 Electronic PayPal Service Fees 4/4/10 N/A $ 8.92 Electronic· Commerce Bank Deposit Slips 4/5/10 N/A $ 112.50 Commerce Bank Bank Fee

4/27/10 N/A $ 85.78 Electronic PayPal Service F.ees

5/1/10 N/A $ 3.20 Electronic PayPal Service Fees 5/5/10 N/A $ 15.10 Electronic PayPal Service Fees

5/10/10 N/A $ 6.10 Electronic PayPal Service Fees 5/12/10 042710-07, 08, 11 $ 2,725.41 1002 Singularis Group, LLC Campaign Literature Printing 5/17/10 $ 45.00 Commerce Bank Bank Fee 5/19/10 N/A $ 9.30 Electronic PayPal Service Fees 5/25/10 N/A $ 63.55 Electronic PayPal Service Fees

6/5110 052710-02 $ 269.44 1003 Singularis Group, LLC Campaign Literature Printing 6/7/10 N/A $ 12.50 Electronic PayPal Service Fees

6/11/10 N/A $ 1.03 Electronic PayPal Service Fees 6/13/10 62102 $ 264.00 1004 Jim Denning Reimbursement UPS Store PO Box 6/13/10 052710-01,052710-11,060910-02 $ 3,324.60 1005 Singularis Group, LLC Campaign Literature Printing 6/16/10 N/A $ 62.23 Electronic PayPal Service Fees 6/22/10 061410-06 $ 590.73 1006 Singularis Group, LLC Campaign Signs 6/30/10 DENNING3 $ 141.64 1007 Custom Casuals Campaign Hats 6/30/10 N/A $ 415.33 1008 Jim Denning Reimbursement Expenses

Lunch for Volunteers $48.23 Printing $40.37 Shirts $326.73

6/30/10 N/A $ 5.00 Commerce Bank Deposited Check Fees

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Schedule C

Expenses and Other Disbursements

Jim Denning - State Representative

Invoice No. Check Date Number Amount Number Vendor Description

4/1/10 N/A 1001 Voided

7/10/10 N/A $ 258.00 1009 Jose Pepper's Grill Lunch for Volunteers 7/12/10 061910-01 $ 80.83 1010 Singularis Group, LLC GOP Walk List 7/12/10 Inv 2 $ 750.00 1011 Tuesday Associates Campaign Consulting Services 7/12110 Inv 3 $ 492.75 1012 Tuesday Associates Campaign Positive Push Poll 7/13/10 N/A $ 6.10 Electronic PayPal Service Fees

. 7/19/10 $ 500.00 1013 Bill Doane Refund Contribution 7/19/10 $ 500.00 1014 Sara Doane Refund Contribution 7/19/10 DENNING4 $ 175.45 1015 Custom Casuals Campaign Shirts/Hats 7/19/10 10-00455 $ 68.45 1016 BallyHoo Campaign Banner _ 7/19/10 N/A $ 2,531.90 1017 Jim Denning Reimbursement Expenses

Tuesday Assoc $1,500.00 Kelsey Smith golf Tournament $1,000 T-Post for signs $31.90

7122/10 N/A $ 18.00 Electronic PayPal Service Fees

$ 13,612.60 0

$ 13,612.60

Total; Itemized Total Unitemized Total Expenditures to line 4

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SCHEDULED OTHER TRANSACTIONS

(Name of Candidate)

Date Name and Address Nature of Account or Loan Payable or Loan Receivable

Balance at Close of Period

f/~.OOO ,00

f5."000,00

Complete if last page of Schedule D

.. ,...­':),000,00

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