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KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

January 10,2017

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

FILED

JAN 09 Lbll

KRIS W. KOBACH SECRETARY OF STATE

A. Name of Candidate: t?-IVI m ; c­ (lNl"-s{--O).....­

Address: 7 ho/'I. {0yC Lv)'\. ,H",'r"t S )v

City and Zip Code: Wj e-it.x.../ Co "7 :,2../ ~

Office Sought: I(C"10UY g="1?{'.es-e.ctW(';~

County: S-et~.r--W" vic. IJ

District: Ie 5---'----- ­

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

C. Summary (covering the period from October 28,2016 through December 31, 2016)

1. Cash on hand at begilming of period .. b/~1 r C;'lf

2. Total Contributions and Other Receipts (Use Schedule A) .. '7/:h,0 0

3. Cash available this period (Add Lines 1 and 2) .. bgb3/11~

4. Total Expenditures and Other Disbursements (Use Schedule C) . 4.hS:;t,qg 5. Cash on hand at close of period (Subtract Line 4 from 3) . ')6/ fJ ,<flo

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

7. Other Transactions (Use Schedule D) 0

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 hue, conect and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."

GEe Form Rev, 2016

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(} 4,1'\1\ I'YI I

,ec' 014~ S f-uJ-.-<

(Name of Candidate)

Date

)1-5"­I~

11--!5 ,.-Ib

i/-5­If.:;

11-5--Ik­

1'O-l'6 -

110

j) -5--­(b

Name and Address of Contributor

K1n n{.5 Ph'\!! 't's sf" 7~ cJ 'is iG,'y~< 1/; ~w

lvi u:v:t c­ (P 1 ;). ~ :~

f)etLl"Ylc:;.... 21'-#<..1 Ko f t-f{l7- tJ ~.!"'e ~

LJid'tL ..... &7,2.0 ""

JwL:n.. fr,' 01'­ i

I '" ~~-t S~h,r,ltlse. C:-v {.Ji tHI 7'1­ 1'71.2"3 v

Cto e. ~ IS, 6i ~ I'I:-,t.J-J+t<e '" , f­yO (~''1''~ 0 0 I

th\ ~l-u.,... IOi);} §COZ.I

' v W'nl~c'i1i e.­ ;£'1 v.: 1f/7 N ..s-h"eer....... l.ff~ He~+m ... ks 'i7vb'J,..

.2. (:; Ctdv d-<h~~s '1 :t.2 ~

Occupation of Individual Giving More

Than $150

j}ttOYl1~1

r~+AJ..

Cosh

v""

Check Appropriate Box

Check Loan E funds Other

V

v"

,/'

( v

V

Amount of Cash, Check,

Loan or Other Receipt ,

:152J

51)

5D

jS-O

5"0

5:l

Subtotal This Page 7C~

Complete if last page of Schedule A

Total Itemized Receipts for Period r;O~

Total Unitemized Contributions ($50 or less) JO Sale of Political Materials (Unitemized) 0 Total Contributions When Contributor Not Known 0

TOTAL RECEIPTS TillS PERIOD (to line 2 of Summary) '11l- I OD

Page J-- of~

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(;4-1"1 111" ~ f~/,M1. s.hn. (Name of Candidate)

Date

II-l­;10

i o,/y/) 1,~3li)

12-~\

11-J1­rip

1(J - :)/ ­

,~

j2-lS;­

lip

Name and Address

cS,""o l(tj ~Il' II s ,St-v.-J-1!.-8/e s 8'01) ,fJ ,trj"y" k.~t"" IAJ ~_f.,..,j:(- i~':'" &7'.1..i Lf , , -

,L-LI~ "'6 ~~; ~'- .C('-€J.:,;;(

'/1/ W OJ) \.tJ'/{(.50 {;:J i C~ 0 7:l u

C. ~ \<. YY'le~(1., (('0\,""1"-iM- C,.. .s-'~l ~:.)

131 t.L w gg >tv 6t"" ji: I b"'7

l-el1e)L<­ K~ l.,f.,;;.i;

n~ 1"'-0 ~"c1-er :~\, 3;\t)~ _.5$1) Q £.I. ~ Y\ ~ ;;n- fIJ IN -;f 1./ u)..

L.J [_ s1"")/1,;,. ,fh.-,I L? t 1.vC I \

/} S ?s v

LJ #'-<Y~7117 U); u~t.- k<; b7'J..<:tb

~

Purpose of Expenditure or Disbursement

CC:"f\ Ve-.s~ i' 6;'OTV

bc,,","'z.. -fees

fJ..1,L ?~~~ ,J­

'~

~"o..J-V\i> oS

Cl'\ (J~ L.--,0;"y: &-wh.~

/fJ&rII\'u· .,

-:tee.­

-s:---+-a:,~ s;.,.. cyeeit.5 0'~S

Amount

I tOO, DD )

lfj";f;O

3J 'vO I C/O,

3,1'7

/ ').9-.. w

Subtotal This Page tf-)Lf3.9f

Complete if last page of Schedule c

Total Itemized Expenditures This Period iJ-1- VJJ ~I Total Unitemized Expenditures of$50 or less q, bf TOTAL EXPENDITURES & OTHER DISBURSEMENTS TillS PERIOD (to line 2 of Summary) 4).5),,1r J

PageS ot.!.)__