lE - ethics.ks.govethics.ks.gov/CFAScanned/House/2006ElecCycle/200607/H120JF_200607.pdf · B. Check...
Transcript of lE - ethics.ks.govethics.ks.gov/CFAScanned/House/2006ElecCycle/200607/H120JF_200607.pdf · B. Check...
KANSAS GOVERNMENTAL ETHICS COMMISSION
Rorr[ftIfDill~mruWn%Tii;!1! CE/\lE lJ~ UL 2 ~2006
JULY24,2006 . 1~~fIta' ~thi~"roPEk.\ Sj Sljl-( S~ftlfT1ISaIo
FILEWITHSECRETARYOFSTATEAND CANDIDATE'SCOUNTY~N'bFFICERSEE REVERSESIDEFOR INSTRUCTIONS
Address:
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A. Nameof Candidate:
City and Zip Code: B €..III .{',Te R
Office Sought:-Rr (' ~ S;e I"' ToT 1'.1/ ~
~3;J.. County: ~"' fl)l, I'.'i
District: L.J.{\
B. Checkonly if appropriate: - AmendedFiling - TerminationReport
C. Summary(coveringthe period fromJanuary 1,2006through July 20,2006)
l. Cashon hand at beginning of period ..........................................................................
2. Total Contributions and Other Receipts (Use Schedule A) ........................................
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3. Cash availablethis period (Add Lines 1and 2) ..........................................................
4. Total Expenditures and Other Disbursements (Use Schedule C) ...............................
S. Cash on hand at close of period (Subtract Line 4 from 3) ...........................................
6. In-Kind Contributions (Use ScheduleB) - 0-
7. OtherTransactions(UseScheduleD) o.
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D. "I declare that this report, including any accompanying schedules and statements, hasbeenexaminedby meandto the bestof my knowledgeand belief is true, correct andcomplcte. J understand that the intentionalfailure to file this document or intentionallyfilinga false document is a class A misdemeanor."
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?l1dlfJ~~ ( IH,jL3M-/'Signature0 reasurer
GEC Form Rev,2001
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SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS. '7~1, n',''''
D ,-' ._'. ~ 1 ,.) 7 t ,'-,
~ ,"' 'Fr. \)..". -. Kt pr l" ~ -t' '" ~ ~"l -r I Ii e. , I,).,~(Na.1T\.eof Candidate, pa.rty Committee or pohtlcal Committee)
Date Name and Addrenof Contributor
Occupation of IndividualGiving More Than $150
Cbeck
dAmountof
Appropriate BOl Clillh,Cbeck,Loallor
ClUh I Check I Lou I Other Other Receipt
?SD ('I..'u
Complete if last page of Schedule A
TotalItemizedReceiptsforPeriod
TotalUnitemizedContributions($50orJess)
Sale of PoliticalMaterials (Unitemized)
Total ContributionsWhenContributorNotKnown
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JUL-24-06 12:13 PM CARSON 9137342703 P.02
SCHEDULE BIN-KIND CONTRIBUTIONS
{ L I,r\ ~(t bl:'r" 14..r)",e ~ e) 1T~ TI ~e.,- /;;'07.6 O,~5r-r/C"I(Nameof Candidate,PartyCommitteeor PoliticalCommittee)
Name, Addre.. and Oa:upatloDof Contributor
List oa:upatloD for those Slvin8an m-klnd more than $l!O
Description ofIn-Kind
Contribution
ValueofIn.Klbd
Contribution
Date
Complete If lalt paae of Schedule B
TotalItemized(over$50)In-KindContributions
~OU!.\Unitaui:roo (Ssn or less) In-Kind Contributions
Page..J of-L
SCHEDULE C
I';XPENDITVRES AND OTHER DISBURSEMENTS
. -.b ~ . '/1, j) , 1 'c T-391"\<"\ -,bl'Y'" ~WiS'i""T(J..tl,}"'J - I;;.c,- IS 1'/(Name of Candidate, Party omrnittee or Political Committee)
Date
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Name and Address Purpose ofE1penditureor Disbursement
Amount
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IYlel'l\berS/H'p .. if; rep(t1..';~ ('h~I.'~JIJJ"
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or lQ51-~)r.TI,Q,'\. -'/1;SL,VI.-:r#~)\'''~dDJ"I;)../)0'::(-epOf'i. 1IIIJ/)'!
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Completeif last pageof Schedule C
Page-L of1-£Sl.Zt-:!iU.£ t6 NOS~I;;!:J WI;;! 9~:tt 90-toZ-,nr
TotalItemizedE)cpenditures This PeriOd r" '"IIt. ":"
Total UnitcmizedExpendituresof $50 or Jess
TOTALEXPENDITURES& OTHERDISBURSIMINTSTIllS PERIOD (to IIDe4 ofSllmmary) 1.1,;'J,( ' "fI
SCHEDULEDOTHER TRANSACTIONS
J~I\t\ M,.ir" &pr't'5olJ171t7"l"ve.. - /;;J,o76 1J,'..Sit"icr-
(NameofCandidate,party Committeeor PoliticBlCommittee)
Date Name and Addrell Nature of A~ount or LoanPayable or Loan Receivable
BalaDceatClolc of Period
~1)DI)t,
I TOTAL OTHER TRANSACTIONS (to liDe7 of Summary)
Page-L of L..-
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