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KANSAS GOVERNMENTAL ETHICS COMMISSION

~~~IJ1:J1gfi:~~~I:~A~: RECelveog:Jr~~T January 10,2018 JAN 102018

-Govern FILE WITH SECRETARY OF STATE merr~I';;UllCSCommisslon

SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name ofCandidate: Kallie Warren

Address: 4630 W. 137th Street, Ste. 100

City and Zip Code: Leawood 66224 County: Johnson

RepresentativeomIce SDUght : _ District: 28

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

C. Sununary (covering the period from January 1,2017 through December 31~ 2017)

$01. Cash on hand at beginning of period , ..

$25,650.802. Total Contributions and Other Receipts (Use Schedule A) ..

$25,650.803. Cash available this period (Add Lines 1 and 2) ..

$2,624.644. Total Expenditures and Other Disbursements (Use Schedule C) ..

$23,026.165. Cash on hand at close ofperiod (Subtract Line 4 from 3) : ..

$872.656. In-Kind Contributions (Use Schedule B) .

$07. 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 failure to file this document or intentionally filing a false document is a class A misdemeanor."

Jan. 10,2018 Date Sign'ature of Candidate or Treasurer

GEe Form Rev, 2017

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kellie Wmen (Name of Candidate)

Amount Occupation

Name and Address of Contributor

Date

of Cash, Check, Loan or Other Receipt

of Individual Giving More Than $150

Cash

Check Appropriate Box

Check Loan E Funds

Other

Ellen R. , Retired Suddreth 2127 court W. 11681. 9/23/2017 $500 reporting * Leawood, KS business 66211 ' owner I

Richard Kalbiw, Physician M.D. and and Connie Kalbac homemaker 6506N. 9/28/2017 $1,000 wife * Strathbury Ave. Kansas City, MO 64151 Kimberly and Telecomm Bruce Lerner Sales Exec. 3621 May St. 10/6/2017 $1,000 and self­ * Los Angeles, employed CA 90066 husband Property Law FinnLLC I

4630 W. 137th

Street, Ste. 100 10/2/2017 $500 *

Leawood, KS 66224 Jean F. Bloch Retired 3999 Erie Ave. homemaker Cincinnati, OH 10/17/2017 $500 * 45208

Subtotal This Page $3,500

Page 1 of 10

SCHEDULE A CONTRIBUTIONS AND RECEIPTS

Kellie Warren (Name of Candidate)

Michelle Breashears 8524 Juniper LN Prairie Village, KS 66207 Patrick Warren 14505 Falmouth Leawood, KS 66224 Stuart Shinkle 10610 S. Glenview Ln. Olathe, KS 66061

Gail Suddreth 1944 Lindenwood Cir. Olathe, KS 66062 Jay E. Suddreth 2127 W. 11681. Leawood, KS 66211

Jeffrey Boerger 4556 W. 141 Ter. Leawood, KS 66224 Alan Lowden 14712 Farley St.

I Overland Park, KS 66221 Kellie Warren 4630 W. 137 St. Ste. 100 Leawood, KS 66224 .

10/1212017

10/5/2017

10/12/20] 7

10/11/2017

9/23/2017

!Oil 6/2017

10/30/2017

9/15/2017

$40

$500

$250

$60

$500

$500

$500

$980 (See,

Sch. C)

Sports executive

Retired IRS

Retired court reporting business owner Property development executive

lnfonnation technology executive

Attorney

*

*

*

*

*

*

*

*

Subtotal This Page $3,330

Page 2 of 10

SCHEDULE A CONTRIBUTIONS AND RECEIPTS

Kellie Warren (Name of Candidate)

Christopher Banking Waldschmidt executive 13165

9/15/2017 $300Grandview 8t. * Overland Park, KS 66213

Martha Warren Attorney 10223 Howe Lane 9/19/2017 $500 * Leawood, K8 66206 Joseph and Lisa Accounting Roos executive 7080NW and

10/2712017 $1000 *Scenic Drive homemaker Kansas City, wife MO 64152 James and Judy Infonnation Cannon technology 15601 Switzer sales exec.

11/2412017 $500 *Rd. and educator Overland Park, wife KS 66221 Kansas Speedway Dev. Co. 400 Speedway $50010/3112017 * Blvd. Kansas City, KS66111 Craig Williams Court 6601 Sylvan reporter Ridge Rd. $17010/2112017 * Indianapolis, IN 46220 Connor Reporting, Inc. 111 Monument Circle, Ste. $40010/2312017 * 4350

I Indianapolis, IN 46204

$3,370Subtotal This Page

Page 3 of 10

SCHEDULE A COlliTRIBUTlONS AND RECEIPTS

Kellie Warren (Name of CandidaIe)

Planet Depos, LLC 405 East Gude Dr., Ste. 209 Rockville, MD 20850

10/19/2017 $494.40 *

Guy J. Renzi & Assoc., Inc. 2277 State Hwy 33, Ste. 410 Hamilton Square, NJ 08690

10/29/2017 $164 *

First Choice Reporting Services, Inc. 121 S. Orange 10/23/2017 Ave., Ste. 800 Orlando, FL 32801 e------ ­ - ­

Worth Consulting, Inc. 1808 BallyBunion 10/19/2017 Dr. Duluth, GA 30097

$164.80

$429.60

*

*

I

Accutype Medical Services, Inc. 10300 W. 103 12/2/2017 St. Overland Park, KS 66214 Gianni Custom Homes, LLC 13923 Ash

12/6/2017Drive Overland Park, KS 66224 Jean Heirsteiner 7930 Bristol Ct. Shawnee 12/5/2017 Mission, KS 66208

Subtotal This Pa~e

$500

$500

$100

T $2,352.80

*

*

*

I

Page 4 of 10

SCHEDULE A CONTRIBUTlONS A~D RECEIPTS

Kellje Warren (Name of CandIdate)

Charles Warren 8816 W. 104 Terr. Overland Park, KS 66212 Jan Ballman 1908 Goodrich Ave. St. Paul, MN 55105 Pat Hubbell Assoc. Inc. 800SW Jackson St. Ste. 914 Topeka, KS 66612

f--

Bottenberg & Assoc. 800SW Jackson St. Topeka, KS 66612 William Sneed 100 SE 9th St., Ste.250 Topeka, KS 66612

11/24/2017

11/27/2017

12/11/2017

12/11/2017

12/11/2017

$50

$300

$250

$250

$250

Court reporting business owner

Attorney

Attorney

Attorney

*

*

*

*

*

Teresa Suddreth 15816 W. 147 8t. 11/30/2017 Olathe, KS 66062 Dick and Linda Boerger 11 709 Pawnee

11/24/2017Ln. Leawood, KS 66211

Nancy Arnett 14029 Fontana St. 12/1/2017 Leawood, KS 66224 Subtotal This Page

$100

$250

$100

Retired telecom executive and homemaker wife

1 $1,550

*

*

*

- ­

Page 5 of 10

SCHEDULE A CONTRlBUTlONS AND RECEIPTS

Kellie Warren (Name ofCandidate)

Jill Hughes 13905 Fontana 8t. 12/1/2017 $60 * Leawood, KS 66224 Diane Beatty 3844 W. 144 St.

12/1/2017 $60Leawood, KS * 66224 Kelly Clark 14113 Fontana St. 12/112017 $100 * Leawood, KS 66224 Lisa Lippelgoos 2747 W. 139 Ter. $6012/1/2017 * Leawood, KS 66224 Polly Fletes 16286 S. Burch 8t. $3012/28/2017 * Olathe, KS 66062 Event Support Corp. PO Box 2801 1211512017 $500 * Daytona Beach, FL 32120 Event Equipment Leasing

$50012/15/2017 *PO Box 2801 Daytona Beach, FL 32120 Kellie Warren Attorney 4630 W. 137, Ste.100 $30012/30/2017 * Leawood, KS 66224

$1,610Subtotal This Page

Page 6 of 10

SCHEDULE A CO~TRIBUTIONS AND REC EIPTS

~lie Warren (Name of C,andidate)

ACL Realty, LLC 14512 Horton 12/30/2017 $500 * Overland Park, KS 66223 Blake and Attorney Nicole Vande and medical Garde IT executive 4343 W. 150th 12/30/2017 $500 married * Terr. couple Leawood, KS 66224 Jacob Swisher 10500 Barkley St. #226 12/29/2017 $60 * Overland Park, KS 66224 Joie and Susan Sports Chitwood executive 1098 Henley Downs Place 12/11/2017 $1000

and homemaker *

Lake Mary, FL wife 32746

Jonathan Jacobs Physician 2701 W 119 St., Ste.419 12/6/2017 $20 * Overland Park, KS 66209 Kenneth Babb 2812 W. 14Sth

Leawood, KS 12/4/2017 $60 *

66224 Mark Strouse 14805 Sherwood Rd 12/1/2017 $100 * Leawood, KS 66224 Laura McKnight 3051 W. 144th

Terr 12/1/2017 $100 *

Leawood, KS 66224

Subtotal This Page $2,340

Page 7 of 10

SCHEDULE A CONTRlBUTIO.NS AND RECEIPTS

Kellie Warren (Name of Candidate)

Leah Hoehn 14104 Pawnee Ln., Leawood, KS 66224 Harry and Kristine Campbell 14409 Outlook OP, KS 66223 Christina Williams 13921 Granada Leawood, KS 66224 Dawn Babb 2812 W. 14Sth

Leawood, KS 66224 Rebecca Gleason 119 NE 103rd St Kansas City, MO 64155 Matt Feldman

I and Julie Baker 539 Wedge Way, Mason, OR 45040 Cory and Jill Hughes 13905 Fontana Street Leawood, KS 66224

Kellie Warren 4630 W. 137 St. Ste. 100 Leawood, KS 66224

11/29/2017

11/26/2017

11/19/2017

11/12/2017

111412017

10/31/2017

10/3112017

9/1512017

$100

$1000

$75

$500

$100

$1000

$500

$20 (See,

Sch. C)

Healthcare executive and self-employed wife

Infonnation technology sales executive

Event planner and homemaker wife

Franchise owner and registered nurse married couple

*

*

*

*

*

*

*

*

I

Subtotal This Page $3,295

Page 8 of 10

SCHEDULE A CONTRIBUTIONS AND RECEIPTS

Kellie Warren (Name ofCandidate)

Susan Pena 12311 W. 101 Terr., Lenexa KS 66215 Joseph Fowler 16209 S. Cole St., Olathe, KS 66062 Paul Sittenfeld 1854 Keys Crescent, Cinn., OR 45206 Christy Peterson 15202 Parallel Basehor, KS 66007 Lindsay Kalbac 540 N. State 8t. #2403, Chicago, IL 60654 John Gamble 20927 W 114 PI. Olathe, KS 66061 Constance Boring 905 Randall Road Lawrence, KS 66049

Project

10/16/2017 $250 business manager

-->--------_. Marketing

10/16/2017 $300 executive

Financial

10/13/2017 $250 planner

Accountant

10/10/2017 $500

Account

10/10/2017 $200 exec media and advertising; Self-employed

12/20/2017 $500

$5012/22/2017

- ­ ~-

*

*

*

*

*

*

*

Jeannette Remington 14135 Cody Street OP. KS 66221 Alan Lowden 14712 Farley St. Overland Park, KS 66221

12/28/2017

10/19/2017

$250

$500 (See,

Sch.C)

Legal assistant

Infonnation technology executive *

*

Subtotal This Page $2,800

Page 9 of 10

SCHEDUI,EA CONTRIBUTlOJ'(S AND RECEIPTS

Kellie Warren (Namo of Candidate)

Michael Keith 3445 W 143 Terr. Leawood, KS 66224

12/29/2017 $200

Sales marketing products *

Michelle Bums 15410 W. 154 Terr. Olathe, KS 66062

12/29/2017

I

$50

Attorney

*

Kaitlyn Roos 7080NW Scenic Drive Kansas City, MO 64152

12/29/2017 $500

College student

*

Shawna Stout 14501 Falmouth Leawood, KS 66224

12/29/2017 $100 * Jill Hindes 11287W.176 Terr., OP, KS 66221

12/30/2017 $100 * Melanie Rine 12309 Catalina Dr. Leawood, KS 66209

12/30/2017 $250

Homemaker wife of banking executive

* I

Shauna Bajich 14618 Canterbury St. Leawood, KS 66224

12/3112017 $200

Accountant

*

Laura Berger 2840 W. 143 Ter. Leawood, KS 66224

12/31/2017 $100 *

Subtotal This Page I $1,500

Total Itemized Receipts for Period $25,647.80 Total Unitemized Contributions ($50 or less) $3 TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $25,650.80

Page 10 of 10

SCHEDULEB IN-KIND CONTRIBUTIONS

Kellie Warren (Name of Candidate)

Name and Address of Contributor

Date Value of In-

Kind Contribution

Occupation for Those Giving an In-Kind of More Than

$150

Description of In-Kind Contribution

Kellie Warren 4630 W. 137, Ste. 100 Leawood, KS 66224

10/19/2017 $39.20 Attorney Postage stamps

Keltie Warren 4630 W. 137, Ste. 100 Leawood, KS 66224

9/18/2017 $5.44 Attorney Thank You notes stationery for

contributions received

Kellie Warren 4630 W. 137, Ste. 100 Leawood, KS 66224

9/20/2017 $500 Attorney Payment to consultant Bold Lines

Grassroots, LLC

Kellie Warren 4630 W. 137, Ste. 100 Leawood, KS 66224

9/18/2017 $104.01 Attorney Campaign business cards

Subtotal This Page $648.65

Total Itemized (over $100) In-Kind Contributions $648.65 Total Unitemized ($100 or less) In~Kind Contributions $224.00 TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD (to line 6 of Summary)

$872.65

Page 1 of 1

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Kellie Warren (Narne of Candidate)

Narne and Address Date Amount Purpose of

Expenditure or Disbursement

Staples 7131 W 135 Street Overland Park, KS 66223

10/30/2017 $82.09

Campaign letter copies

PayPal. 2211 North First 8t. San Jose, CA 95131

Various $250.70

(aggregate, each was less than $50)

Transaction fees for electronic contributions FY2017

Kellie Warren 4630 W. 13781. Ste. J00, Leawood, KS 66224

9/29/2017 $1,000

Refund - cash contribution exceeded limit

Alan Lowden 14712 Farley St. Overland Park, KS 66221

10/27/2017 $500

First contribution check did not clear the bank

Bold Lines Grassroots, LLC 10229 Millstone Dr. #3102 Lenexa, KS 66220

11/5/2017 $750

Consulting

Total Itemized Expenditures This Period $2,582.79 Total Unitemized Expenditures of$50 or less $41.85 TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary)

$2,624.64

Page 1 of 1