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Campaign Finance Receipts and Expenditures Report Print this form or Go Back Campaign Finance Receipts & Expenditures Report 7/27/2020 Check only if appropriate [l Amended Filing Campaign Finance Candidate Name:Kathy L Valentine Filing Report Address: 321 E. 12th #108 Address2: City: Newton Zip: 67114 County: Harvey Home Phone: Business Phone: Office Sought: State Representative District: 72 SUMMARY (covering the period from 1/1/2020 through 7/23/2020) I CASH ON HAND AT BEGrNNfNG OF PERlOD $0.00 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $5,875.00 3 CASH AVAILABLE THIS PERIOD (Add Lines I and 2) $5,875.00 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $4,428.47 5 CASH ON HAND AT CLOSE OF PERlOD Subtract Line 4 from 3) $1,446.53 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $0.00 7 OTHER TRANSACTIONS (Schedule D) view/print $0.00 "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." Electronically filed on: 7/24/20207:24:55 AM Signature of Candidate or Treasurer: Keith Skidmore Print this form or Go Back Page 1 of 1 Goverrunental Ethics Commission 901 S. Kansas Ave. Topeka, KS 66612 Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov DTermination Report https://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx 7/24/2020

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Page 1: C)ethics.ks.gov/CFAScanned/House/2020ElecCycle/202007/H072KV_2… · Keith Skidmore 2219 S. Duncan Newton KS 67114 : Check : Project Manager -Excel Industries Inc. $150.00 : 06/10/20

Campaign Finance Receipts and Expenditures Report

Print this form or Go Back

Campaign Finance Receipts & Expenditures Report 7/27/2020

Check only if appropriate [l Amended Filing

Campaign Finance Candidate Name:Kathy L Valentine

Filing Report Address: 321 E. 12th #108

Address2:

City: Newton Zip: 67114 County: Harvey

Home Phone: Business Phone:

Office Sought: State Representative District: 72

SUMMARY (covering the period from 1/1/2020 through 7/23/2020)

I CASH ON HAND AT BEGrNNfNG OF PERlOD $0.00

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $5,875.00

3 CASH AVAILABLE THIS PERIOD (Add Lines I and 2) $5,875.00

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $4,428.47

5 CASH ON HAND AT CLOSE OF PERlOD Subtract Line 4 from 3) $1,446.53

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $0.00

7 OTHER TRANSACTIONS (Schedule D) view/print $0.00

"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."

Electronically filed on: 7/24/20207:24:55 AM Signature of Candidate or Treasurer: Keith Skidmore

Print this form or Go Back

Page 1 of 1

Goverrunental Ethics Commission 901 S. Kansas Ave. Topeka, KS 66612

Office (785) 296-4219 Fax (785) 296-2548

ethics.kansas.gov

DTermination Report

https://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx 7/24/2020

Page 2: C)ethics.ks.gov/CFAScanned/House/2020ElecCycle/202007/H072KV_2… · Keith Skidmore 2219 S. Duncan Newton KS 67114 : Check : Project Manager -Excel Industries Inc. $150.00 : 06/10/20

Campaign Finance Schedule A Report Page 1 of2

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Kathy L Valentine

Date Name and Address of Contributor

Type of Payment

Cash, Check, Loan, E-funds, Other

Occupation of Individual Giving More Than $150

Amount

07/20/20 Gerald Busenitz Inc. 5095 S. Woodlawn Rd. Newton KS 67114

Check $100.00

07/14/20 Adam Beren 1739 N. Duckcross CV Wichita KS 67206-3323

Check President - Berexco LLC $500.00

07/12/20

Kansas Beer Wholesalers PAC 100 SE 9th ST. Suite 100 Topeka KS 66612-1213

Check $500.00

07/09/20 Timothy Conner 333 Sutton Dr. Newton KS 67114

Check Interim Pastor - Swiss Mennonite Church

$100.00

07/07/20 James Wiens 1301 Terrace Dr. Newton KS 67114

Check President - CVI Funeral Supply

$50.00

07/03/20 Matt Treaster PO Box 671 Newton KS 67114

Check US District Attorney, Wichita

$100.00

07/03/20 Rodney Steven 6300 E. Central Ave. Bldg. 3 Check Wichita KS 67208

Health & Fitness Club Owner

$500.00

07/02/20

Wichita Regional Chamber PAC 350 W. Douglas Avenue Wichita KS 67202

Check $500.00

06/25/20 William Pickert 1628 N. Rocky Creek Rd. Wichita KS 67230

Check Managing Partner ­BKD LLP Wichita

$500.00

06/25/20 Koch Industries Inc. 4111 East 37th St. North Wichita KS 67220

Check $500.00

06/23/20 Kathy Valentine 321 E. 12th St. #108 Newton KS 67114

Loan Account Representative - Anesthesia Billing Inc.

$275.00

06/18/20 Justin Hill 280 I Lakeview Rd. Lawrence KS 66049

Check President - Lawrence Paper Co.

$500.00

06/18/20

Kansas Chamber of Commerce 835 S.W. Topeka Blvd. Topeka KS 66612

Check $500.00

06/17/20 Loan $100.00

https://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx 7/24/2020

Page 3: C)ethics.ks.gov/CFAScanned/House/2020ElecCycle/202007/H072KV_2… · Keith Skidmore 2219 S. Duncan Newton KS 67114 : Check : Project Manager -Excel Industries Inc. $150.00 : 06/10/20

Campaign Finance Schedule A Report Page2of2

Kathy Valentine 321 E. 12th St. #108 Newton KS 67114

Account Representative - Anesthesia Billing Inc.

06/17/20 Keith Skidmore 2219 S. Duncan Newton KS 67114

Check Project Manager - Excel Industries Inc.

$150.00

06/10/20

Blue Cross & Blue Shield Kansas City PAC 230 I Main St. Kansas City MO 64108

Check $500.00

OS/27/20 Kathy Valentine 321 E. 12th St. #108 Newton KS 67114

Loan Account Representative - Anesthesia Billing Inc.

$500.00

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

$5875.00

$0

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

$0

$0

TOTAL RECEIPTS THIS PERIOD $5875.00

Print this form or Go Back

https://www.kssos.org/elections/cfr_viewer/reports/schedule_a_repmi.aspx 7/24/2020

Page 4: C)ethics.ks.gov/CFAScanned/House/2020ElecCycle/202007/H072KV_2… · Keith Skidmore 2219 S. Duncan Newton KS 67114 : Check : Project Manager -Excel Industries Inc. $150.00 : 06/10/20

Campaign Finance Schedule C Report Page 1 of 1

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SCHEDULEC

EXPENDITURES AND OTHER DISBURSEMENTS

Candidate: Kathy L Valentine

Date Name and Address Purpose of Expenditure or Disbursement

Amount

07/20/20 M. Print & Sign 1029 Washington Rd. Newton KS 67114

Printing Post Card Mailing

$2,219.34

07/08/20 M. Print & Sign 1029 Washington Rd Newton KS 67114

Printing Postcard- Size Handout

$169.26

07/02/20 Newton Kansan Newspaper 121 W. 6th St. Newton KS 67114

Newspaper Ads Ad in Newspaper

$462.50

06/30/20 Community National Bank & Trust 127 N. Main Newton KS 671 14

Miscellaneous Monthly Service Charge

$4.00

06/28/20 Those Blasted Signs 302 N. Main St. Newton KS 67114

Yard signs Yard Signs

$300.00

06/23/20 Kansas Publishing Ventures, LLC 116 S. Main HIllsboro KS 67063

Newspaper Ads Ad in Newton Now Paper

$340.00

06/17/20 Those Blasted Signs 302 N. Main Newton KS 67114

Yard signs Purchase Yard Signs

$705.25

06/17/20 M. Print & Sign 1029 Washington Rd. Newton KS 67114

Printing Paper Printing 8.5 x 11

$51.54

06/12/20 M. Print & Sign 1029 Washington Rd. Newton KS 67114-4437

Printing Handout Cards

$176.58

Total Itemized Expenditures This Period

Total Unitemized Expenditures of$50 or less

$4428.47

$0

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $4428.47

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https://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx 7/24/2020