campaign finance receipts and expenditures report...

Campaign Finance Receipts and Expenditures Report

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r Campaign Finance Receipts & Expenditures Report 1110/2016

of 1

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

Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov

Check only if appropriate v Amended Filing Termination Report

Campaign Finance Candidate Name:Willie Dove Filing Report Address: 14715 Timber Lane

Address2:

City: Bonner Springs Zip: 66012 County: Leavenworth

Home Phone: (913) 909-5866 Business Phone:

Office Sought: State Representative District: 38

SUMMARY (covering the period from 1/1/2015 through 12/31/2015)

1 CASH ON HAND AT BEGINNING OF PERIOD 4313.80

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $21,242.37

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $25,556.17

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $8,277.95

5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $17,278.22

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $339.66

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: 2/15/201812:24:33 PM Signature of Candidate or Treasurer: David Hicks

Print this form or Go Back

2/15/2018http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

Campaign Finance Schedule A Report Page I of 5

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Willie Dove

Date

12/28/15

Name and Address of Contributor

LRICo Services LLC 2416 E. 37th St. North Wichita KS 67219

Type of Payment uccupatlon Ana Industry of Individual

Cash, Check, Loan, Other Giving

MorE' Thsm ~l"iO

Check

Amount

$250.00

12/24/15 Anderson Financial Services 600 S. Broadway Salina KS 67401

Check $250.00

12/22/15 YOPAC 5631 Aberdeen Road Fairway KS 66205

Check $250.00

12/18/15 Express Scripts, Inc. One Express Way St. Louis MO 63121

Check $100.00

12/15/15 KS Livestock Assn. 6031 SW 37th St. Topeka KS 66614

Check $150.00

12/15/15 Kansans For Quality MHS 11116 Sloan Ave. Kansas City KS 66109

Check $100.00

12/14/15

KC Regional Assn Realtors 11150 Overbrook Rd. Suite 100 Leawood KS 6621 1

Check $250.00

12/11/15 Daniel & Se Suk Hopkins 1224 S. Delaware Tonganoxie KS 66086

Check $100.00

12/09/15 One Gas, Inc. 15 E. 5th St. Tulsa OK 74]03

Check $300.00

12/09/15 Kansas Automobile Dealers 731 S. Kansas Ave. Topeka KS 66603

Check $200.00

12/07/15 KS Funeral Dir PAC 1200 S. Kansas Ave. Topeka KS 66612

Check $150.00

12/05/15

Natl Black Caucus of State Legis 444 N. Capitol St., NW Suite 622 Washington DC 20001

Check $500.00

12/04/15 Phil Ruffin P.O. Box] 7087 Wichita KS 67217

Check Business Owner Finance

$300.00

12/03/15 Check $500.00

2/15/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report. aspx

Campaign Finance Schedule A Report Page 2 of 5

Koch Industries, Inc. 4111 E. 37th St., North Wichita KS 67220

12/03/15

Blue Cross & Blue Shield of Kansas 1133 SW Topeka Blvd. Topeka KS 66629

Check $500.00

12/02/] 5 UnitedHealth Group P.O.Box ]459 Minneapolis MN 55440

Check $500.00

]2/0 1/15

Check Into Cash of Kansas, LLC 201 Keith Street, SW Suite 80 Cleveland TN 3731]

Check $300.00

12/0 ]/15

QC Holdings 940 I Indian Creek Parkway Suite ]500 Overland Park KS 66210

Check $300.00

1]/27/15 HCA Kansas 550 N. Hillside Wichita KS 672] 4

Check $250.00

1]/23/]5

Prairie Band Potawatomi Nation 16281 Q Road Mayetta KS 66509

Check $500.00

] ]/23/15 J. E. Dunn 1001 Locust Kansas City MO 64106

Check $250.00

1]/20/15 Terry & Everett Rogers 1206 Joshua Ct. Lasning KS 66043

Check $50.00

1]/] 8/15 Kansas Health Care Assn. 1100 SW Gage Blvd. Topeka KS 66604

Check $250.00

]]/] 8/15 Advance America 135 N. Church St. Spartanburg SC 29306

Check $500.00

I 1/16/] 5 Blue Cross & Blue Shield 2301 Main St. Kansas City MO 64108

Check $250.00

1]/12/15 LeadingAge Kansas 217 SE 8th Ave. Topeka KS 66603

Check $250.00

11/12/] 5

NACDS 1776 Wilson Blvd. Suite 200 Arlington VA 22209

Check $250.00

1]/12/15 Matthew Hickam 862] SW Huntoon St. Topeka KS 66615

Check Public Affairs Executive Government

$500.00

1l/12/IS Stacey Hickam 8621 SW Huntoon St. Topeka KS 66615

Check Homemaker Individual

$500.00

2/15/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx

Campaign Finance Schedule A Report Page 3 of5

11/12/15 Hickam Public Affairs 900 S. Kansas Ave. Suite 403 Topeka KS 66612

Check $500.00

11/12/15 BNSF Railway 4515 Kansas Ave. Kansas City KS 66106

Check $250.00

11/10/15 Security Benefit Life Ins. One Security Benefit Place Topeka KS 66636

Check $250.00

11/10/15

KS State Farm Ins Agents/Employees 825 S. Kansas Ave Suite 500 Topeka KS 66612

Check $250.00

11/03/15 American Family Insurance 6000 American Parkway Madison WI 53783

Check $500.00

10/29/15 Kansas Insurance Agents 815 SW Topeka Blvd. Topeka KS 66612

Check $250.00

10/29/15

KS Assn For Responsible Liquor Laws 919 S. Kansas Ave. Topeka KS 66612

Check $200.00

10/27/15 Robert Hodgdon 21405 W. 73rd Terr. Shawnee KS 66218

Check Self-Employed Business

$500.00

10/26/15 Donald Vasos 6650 Dearborn Mission KS 66202

Check $100.00

10/26/15

James Devaughn 12219 E. Central Suite 250 Wichita KS 66202

Check $100.00

10/23/15 Kansas Realtors PAC 3644 SW Burlingame Rd. Topeka KS 66611

Check $500.00

10/23/15 Kansas Dental 5200 SW Huntoon St. Topeka KS 66604

Check $250.00

10/23/15 Eliehue Brunson 8850 SW 10th Ave. Topeka KS 66615

Check $100.00

10/22/15 DelIo Eco Industrial, LLC P.O. Box 171067 Kansas City KS 66117

Check $100.00

10/21/15 American Insurance Assn 2101 LSt.,NW Washington DC 20037

Check $250.00

10/20/15 KS Bankers Assn. P. O. Box 4407 Topeka KS 66604

Check $500.00

10/16/15 Check $250.00



Polsinelli 900 W.48th Place Suite 900 Kansas City MO 64112

10/07/15

KS Chamber of Commerce PAC 835 SW Topeka Blvd Topeka KS 66612

Check $500.00

09/29/15

Kansas Cable TV 900 S. Kansas Ave. Suite 300 Topeka KS 66612

Check $200.00

09/2I115 Sprint P.O. Box 63670 Phoenix AZ 85082

Check $200.00

09/] 6/15 CenturyTel, Inc P.O. Box 4065 Monroe LA 71211

Check $500.00

09/16/] 5 Caremark P.O. Box 287 Lincoln Rl 2865

Check $250.00

09/14/15 RAJ Services Co. P.O. Box 464 Winston-Salem NC 27102

Check $250.00

09/12/15 Brian E. Davis Retail Liquor 3331 E. 47th St. South Wichita KS 67216

Check $100.00

09/10/15 Centene Mgmt. Co. Centene Corporation St. Louis MO 63 105

Check $500.00

09/08/15

KS Committee for Rural Electrification P. O. Box 790 Meade KS 67864

Check $250.00

09/02/15 Platt Liquor 725 W. 29th St. North Wichita KS 67204

Check $100.00

09/0 II] 5 John Davis Liquor Outlet 1406 N. Waco Ave. Wichita KS 67203

Check $100.00

08/29/] 5 Gary and Pamela Grimes 18416 206th St. Tonganoxie KS 66086

Check $100.00

08/29/15 Amy Campbell P.O. Box 4103 Topeka KS 66604

Check Government Relations Beverage

$150.00

08/28/] 5 GrandSlam Liquor 608-A Tulip Dr. Bonner Springs KS 66012

Check $300.00

08/28/15 Amerigroup Corp. P.O. Box 68086 Cincinnati OH 45206

Check $500.00

08/28/15 Check Self-Employed $200.00



Dan Sarver 11958 Farley Overland Park KS 66213

08/27/15 John or Dana Lewis 20605 W. 96th St. Lenexa KS 66220

Check Journalist Newspaper

$500.00

08/27/1 5 Lewis Legal News P. O. Box 273 Olathe KS 66051

Check $500.00

08/25/15 Barbara Paulus 13921 166th St. Bonner Springs KS 66012

Check $50.00

08/22/15 Lance & Jennifer Vogel 13216 W. 54th Terr. Shawnee KS 66216

Check $100.00

08/11/15 Kansas Optometric PAC 1266 SW Topeka Blvd. Topeka KS 666 12

Check $250.00

08/05/1 5 AT&T P.O. Box 650487 Dallas TX 75265

Check $300.00

07/31/15 ALEC 2900 Crystal Drive, 6th Floor Arlington VA 22202

Check $1,617.37

07/24/15 Anheuser-Busch One Busch Place St. Louis MO 63118

Check $250.00

05/18/15 John Barker 103 Wassinger Abilene KS 67410

Check State Representative $75.00

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

$21242.37

$0

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

$0

$0

TOTAL RECEIPTS THIS PERIOD $21242.37

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Campaign Finance Schedule B Report Page 1 of 1


SCHEDULE B

IN-KIND (NON-MONETARY) CONTRIBUTIONS


Date Name and Address of Contributor

Occupation And Industry of Individual Giving More Than $150

Description of In-Kind Contribution

Value of In-Kind Contribution

o1/04/) 6

KS Chamber of Commerce Jobs PAC SW Topeka Blvd Topeka KS 66612

Voter List $100.00

$100.00

$139.66

$339.66

$0

$339.66

09/14/1 5

American Legislative Exchange Council Not Available Not Available NA

Issue Research

06/30/15 Nationwide Discount Printing 109 E. 2nd St. Bonner Springs KS 66012

Printing

Total Itemized (over $100) In-Kind Contributions

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

TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD


2/15/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_b_report.aspx

Campaign Finance Schedule C Report Page 1 of 3


SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS


Date Name and Address Purpose of Expenditure or Disbursement

Amount

12/10/15 American Express Not Available Not Available NA

Meeting/Travel Hyatt Hotel for Nat. Black Legis Conf

$815.82


Meeting/Travel Delta Airlines flight to Nat. Black Legis Conf

$770.88

12/01/15 Singularis 6750 Antioch Overland Park KS 66204

Printing Advertising

$461.21

12/01/15 Commerce Bank Not Available Not Available NA

Miscellaneous Monthly Bank Fees

$70.95

] 1/25/15 KS Secretary of State 1200 SW 10th Ave. Topeka KS 66612

Filing Fee

$120.00

11/16/15 Clarion Inn Not Available Not Available NA

Meeting/Travel Room Expense

$]91.98

11/07/15 Leavenworth County GOP 1] 1 Delaware Leavenworth KS 66048

Donation/Contrib GOP Campaign Kick-Off

$150.00


Printing Signs

$84.]8

10/23/15 Hyatt Hotel Los Angeles Not Available Not Available NA

Meeting/Travel Hotel Expense

$278.55

10/08/15

National Black Caucus of State Legislators 444 North Capitol Street NW Sjuite 622 Washington DC 20001

Meeting/Travel Conference

$108.90

10/02/15 Meeting/Travel Industrial Hemp Conference $747.32

2/15/2018http://W\\'W.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx

Campaign Finance Schedule C Report Page 2 0[3

Hilton Lexington 369 West Vine St. Lexington KY 40507

09/17/15 Hemp Industries Assn 15795 Coleman Valley Rd Occidental CA 95465

Meeting/Travel Industrial Hemp Conference

$300.00

08/28/15 Sam's Club 10510 Parallel Parkway Kansas City KS 66112

Fundraising Expenses Food

$48.48

08/26/15 Grand Slam Liquor 608 Tulip Dr. Bonner Springs KS 66012

Miscellaneous Liquor

$53.99

08/24/15 KC T-Bones Baseball Club Not Available Not Available NA

Fundraising Expenses Suite Rental

$555.00

08/06/15 Hyatt Hotel Wichita Not Available Not Available NA

Meeting/Travel Travel

$126.72

07/29/15 KC Airport Park KCI Kansas City MO 64106

Meeting/Travel Parking Expense

$56.00

07/27/15 Grand Hyatt San Diego Not AvailabIe Not Available NA

Meeting/Travel ALEC Meeting

$627.37

07/21/15 Southwest Airlines Not Available Not Available NA


$264.00

06/25/15

KS Legislative Research 300 SW 10th Ave Ste 545N Topeka KS 66612

Miscellaneous Issue Research

$163.20

06/08/15


Miscellaneous Issues Research

$500.00



$434.00

05/04/15 KU Center for Research Not Available Not Available NA

Miscellaneous Research

$135.00

04/1 0/15 GoDaddy.com Not Available Not Available NA

Electronic/Website Advertising Campaign website fee

$216.72

2/15/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx

Campaign Finance Schedule C Report Page 3 of3

02/19/15

Kansas Legislative Education and Research P. O. Box 1366 Topeka KS 66601

Miscellaneous Legislative Research

$300.00

Total Itemized Expenditures This Period $7580.27

Total Unitemized Expenditures of $50 or less $697.68

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $8277.95



Can1paign Finance Receipts and Expenditures Report Page 1 of 1


Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 1110/2016 Topeka, KS 66612




Address2:













Electronically filed on: 1/9/201811 :23:18 PM Signature of Candidate or Treasurer: David Hicks


1/10/2018http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx



SCHEDULE A




Type of Payment

Cash, Check, Loan, Other

uccupanon Ana Industry of Individual Giving Amount

Morf' Th~n ~1 '\0 LRICo Services LLC

12/28/15 2416 E. 37th St. North Wichita KS 67219

Check $250.00

Anderson Financial Services 12/24/15 600 S. Broadway

Salina KS 67401 Check $250.00

YOPAC 12/22/15 5631 Aberdeen Road

Fairway KS 66205 Check $250.00


Check $100.00

KS Livestock Assn. 12/15/15 6031 SW 37th St.

Topeka KS 66614 Check $150.00


Check $100.00

12/14/15

KC Regional Assn Realtors 11150 Overbrook Rd. Suite 100

Check $250.00

Leawood KS 66211


Check $100.00

12/09/15 One Gas, Inc. 15 E. 5th St. Tulsa OK 74103

Check $300.00

Kansas Automobile Dealers 12/09/15 731 S. Kansas Ave.


KS Funeral Dir PAC 12/07/15 1200 S. Kansas Ave.


Nat! Black Caucus of State

12/05/15 Legis 444 N. Capitol St., NW Suite 622

Check $500.00

Washington DC 20001

12/04/15 Phil Ruffin P.O. Box 17087 Wichita KS 67217


$300.00

12/03/15 Check $500.00




12/03/15


Check $500.00

12/02/15 UnitedHealth Group P.O.Box 1459 Minneapolis MN 55440

Check $500.00

12/01/15

Check Into Cash of Kansas, LLC 201 Keith Street, SW Suite 80 Cleveland TN 37311

Check $300.00

12/01/15

QC Holdings 9401 Indian Creek Parkway Suite 1500 Overland Park KS 66210

Check $300.00

11/27/15 HCA Kansas 550 N. Hillside Wichita KS 67214

Check $250.00

11/23/15


Check $500.00

11/23/15 1. E. Dunn 1001 Locust Kansas City MO 64106

Check $250.00

11/20/15 Terry & Everett Rogers 1206 Joshua Ct. Lasning KS 66043

Check $50.00

11/18/15 Kansas Health Care Assn. 1100 SW Gage Blvd. Topeka KS 66604

Check $250.00

11/18/15 Advance America 135 N. Church St. Spartanburg SC 29306

Check $500.00

11/16/15 Blue Cross & Blue Shield 2301 Main St. Kansas City MO 64108

Check $250.00

11/12/15 LeadingAge Kansas 217 SE 8th Ave. Topeka KS 66603

Check $250.00

11/12/15


Check $250.00

11/12/15 Matthew Hickam 8621 SW Huntoon St. Topeka KS 66615


$500.00

11/12/15 Stacey Hickam 8621 SW Huntoon St. Topeka KS 66615


$500.00

1/10/2018http://wWw.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx



Check $500.00


Check $250.00


Check $250.00

11/10/15

KS State Fann Ins Agents/Employees 825 S. Kansas Ave Suite 500 Topeka KS 66612

Check $250.00


Check $500.00


Check $250.00

10/29/15


Check $200.00



$500.00

10/26/15 Donald Vasos 6650 Dearborn Mission KS 66202

Check $100.00

10/26/15


Check $100.00


Check $500.00


Check $250.00


Check $100.00

10/22/15 Dello Eco Industrial, LLC P.O. Box 171067 Kansas City KS 66117

Check $100.00

10/21/15 American Insurance Assn 2101 L St., NW Washington DC 20037

Check $250.00


Check $500.00

10/16/15 Check $250.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 1/1 0120 18



10/07/15


Check $500.00

09/29/15


Check $200.00

09/21/15 Sprint P.O. Box 63670 Phoenix AZ 85082

Check $200.00

09/16/15 CenturyTel, Inc P.O. Box 4065 Monroe LA 71211

Check $500.00

09/16/15 Caremark P.O. Box 287 Lincoln RI 2865

Check $250.00

09/14/15 RAI Services Co. P.O. Box 464 Winston-Salem NC 27102

Check $250.00


Check $100.00

09/10/15 Centene Mgmt. Co. Centene Corporation St. Louis MO 63105

Check $500.00

09/08/15


Check $250.00


Check $100.00

09/01/15 John Davis Liquor Outlet 1406 N. Waco Ave. Wichita KS 67203

Check $100.00

08/29/15 Gary and Pamela Grimes 18416 206th St. Tonganoxie KS 66086

Check $100.00



$150.00

08/28/15 GrandSlam Liquor 608-A Tulip Dr. Bonner Springs KS 66012

Check $300.00


Check $500.00


1110/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx





$500.00

08/27/15 Lewis Legal News P. O. Box 273 Olathe KS 66051

Check $500.00


Check $50.00


Check $100.00

08/11/15 Kansas Optometric PAC 1266 SW Topeka Blvd. Topeka KS 66612

Check $250.00

08/05/15 AT&T P.O. Box 650487 Dallas TX 75265

Check $300.00


Check $1,617.37


Check $250.00



Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

$21242.37

$0

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

$0

$0



1/10/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report. aspx



SCHEDULE B







01/04/) 6


Voter List $100.00

$100.00

$139.66

$339.66

$0

$339.66

09/14/)5


Issue Research

06/30/)5 Nationwide Discount Printing 109 E. 2nd St. Bonner Springs KS 66012

Printing





1/10/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_b_report.aspx



SCHEDULE C




Amount

12/1 0/15 American Express Not Available Not Available NA


$815.82

12/01l15 American Express Not Available Not Available NA

Meeting/Travel Delta Airlines 1light to Nat. Black Legis Conf

$770.88

12/0 1I15 Singularis 6750 Antioch Overland Park KS 66204


$461.21

12/0 1I15 Commerce Bank Not Available Not Available NA


$70.95

11I25/15 KS Secretary of State 1200 SW 10th Ave. Topeka KS 66612

Filing Fee

$120.00

11/16/]5 Clarion Inn Not Available Not Available NA


$191.98

11107/15 Leavenworth County GOP I 11 Delaware Leavenworth KS 66048


$] 50.00


Printing Signs

$84.18

10/23/15 Hyatt Hotel Los Angeles Not Available Not Available NA


$278.55

10/08/] 5



$108.90

10/02/] 5 Meeting/Travel Industrial Hemp Conference $747.32

http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx 1/10/2018





$300.00



$48.48



$53.99



$555.00



$126.72



$56.00

07/27/15 Grand Hyatt San Diego Not Available Not Available NA


$627.37



$264.00

06/25/15



$163.20

06/08/15



$500.00



$434.00



$135.00



$216.72



Kansas Legislative Education and Miscellaneous Legislative Research

02/19/15 Research P. O. Box 1366

$300.00

Topeka KS 66601


Total Unitemized Expenditures of $50 or less $697.68



http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx 1/1 0/2018

Campaign Finance Receipts and Expenditures Report Page 1 of 1


r Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 1110/2016 Topeka, KS 66612


Check only if appropriate-l,Amended Filing . Termination Report


Address2:













Electronically filed on: 12112/201711 :01 :44 AM Signature of Candidate or Treasurer: David Hicks


http://www.kssos.org/elections/cfr_viewer/reports/expJeport_main.aspx 12/12/2017



SCHEDULE A



Date

12/28/15


LRICo Services LLC 2416 E. 37th St. North Wichita KS 67219

Type of Payment uccupanon Ano Industry ofIndividual

Cash, Check, Loan, Other Giving Mnrp Thlln '1;1<:;0

Check

Amount

$250.00


Check $250.00

12/22/15 YOPAC 5631 Aberdeen Road Fairway KS 66205

Check $250.00


Check $100.00

12/15/15 KS Livestock Assn. 6031 SW 37th St. Topeka KS 66614

Check $150.00


Check $100.00

12/14/15

KC Regional Assn Realtors 11150 Overbrook Rd. Suite 100 Leawood KS 66211

Check $250.00


Check $100.00

12/09/15 One Gas, Inc. 15 E. 5th St. Tulsa OK 74103

Check $300.00

12/09/15 Kansas Automobile Dealers 731 S. Kansas Ave. Topeka KS 66603

Check $200.00

12/07/15 KS Funeral Dir PAC 1200 S. Kansas Ave. Topeka KS 66612

Check $150.00

12/05/15


Check $500.00



$300.00

12/03/15 Check $500.00

http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx 12/12/2017




12/03/15 Check $500.00

12/02/15. UnitedHealth Group P.O.Box 1459 Minneapolis MN 55440

Check $500.00

12/01/15


Check $300.00

12/01/15


Check $300.00


Check $250.00

11/23/15


Check $500.00

11/23/15 1. E. Dunn 1001 Locust Kansas City MO 64106

Check $250.00


Check $50.00


Check $250.00


Check $500.00


Check $250.00


Check $250.00

11/12/15


Check $250.00



$500.00



$500.00


Campaign Finance Schedule A Report Page 3 ofS


Check $500.00


Check $250.00


Check $250.00

11/10/15


Check $250.00


Check $500.00


Check $250.00

10/29/15


Check $200.00



$500.00

10/26/15 Donald Vas os 6650 Dearborn Mission KS 66202

Check $100.00

10/26/15


Check $100.00


Check $500.00


Check $250.00


Check $100.00

10/22/15 Delio Eco Industrial, LLC P.O. Box 171067 Kansas City KS 66117

Check $100.00


Check $250.00


Check $500.00

10/16/15 Check $250.00

http://www.kssos.orglelectionslefr_viewerIreportslschedule_a_report. aspx 12112/2017



10/07115


Check $500.00

09/29/15


Check $200.00


Check $200.00


Check $500.00

09/16/15 Caremark P.O. Box 287 Lincoln Rl 2865

Check $250.00


Check $250.00

09/12/15 Brian E. Davis Retail Liquor 3331 E. 47th S1. South Wichita KS 67216

Check $100.00

09/10/15 Centene Mgm1. Co. Centene Corporation S1. Louis MO 63105

Check $500.00

09/08/15


Check $250.00

09/02/15 Platt Liquor 725 W. 29th S1. North Wichita KS 67204

Check $100.00


Check $100.00

08/29/15 Gary and Pamela Grimes 18416 206th S1. Tonganoxie KS 66086

Check $100.00


Check Governrnent Relations Beverage

$150.00


Check $300.00


Check $500.00


http://www.kssos.org/e1ections/cfr_viewer/reports/schedule_aJeport.aspx 12/12/2017





$500.00


Check $500.00

08/25/15

08/22/15

Barbara Paulus 13921 166th St. Bonner Springs KS 66012

Lance & Jennifer Vogel 13216 W. 54th Terr. Shawnee KS 66216

Check

Check

$50.00

$100.00

08/11/15

08/05/15

Kansas Optometric PAC 1266 SW Topeka Blvd. Topeka KS 66612

AT&T P.O. Box 650487 Dallas TX 75265

Check

Check

$250.00

$300.00

07/31/15

07/24/15

ALEC 2900 Crystal Drive, 6th Floor Arlington VA 22202

Anheuser-Busch One Busch Place St. Louis MO 63118

Check

Check

$1,617.37

$250.00



Total Itemized Receipts for Period $21242.37

Total Unitemized Contributions ($50 or less) $0

Sale of Political Materials (Un itemized) $0

Total Contributions When Contributor Not Known $0



http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 12/12/2017



SCHEDULE B




Occupation And Industry ofIndividual Giving More Than $150



01/04/16


Voter List $100.00

$100.00

$139.66

$339.66

$0

$339.66

09/14/15

American Legislative Exchange Council Not Available NotAvailable NA

Issue Research


Printing





http://www.kssos.org/electionslcfr_viewer/reports/schedule_bJeport.aspx 12/12/2017

Campaign Finance Schedule C Report Page 10f3


SCHEDULEC




Amount

12110115 American Express Not Available Not Available NA


$815.82


Meeting/Travel Delta Airlines flight to Nat. Black Legis Conf

$770.88

12/01115 Singularis 6750 Antioch Overland Park KS 66204


$461.21

12/01115 Commerce Bank Not Available Not Available NA


$70.95

11/25115 KS Secretary of State 1200 SW lOth Ave. Topeka KS 66612

Filing Fee

$120.00

11116/15 Clarion Inn Not Available Not Available NA


$191.98

11/07/15 Leavenworth County GOP III Delaware Leavenworth KS 66048


$150.00

10/29115 Nationwide Discount Printing 109 E. 2nd St. Bonner Springs KS 66012

Printing Signs

$84.18

10/23115 Hyatt Hotel Los Angeles Not Available Not Available NA


$278.55

10/08115



$108.90

10/02115 Meeting/Travel Industrial Hemp Conference $747.32

http://www.kssos.org/elections/efr_viewer/reports/schedule_c_report. aspx 12/12/2017

Campaign Finance Schedule C Report Page 20f3




$300.00



$48.48



$53.99



$555.00



$126.72



$56.00

07/27/15 Grand Hyatt San Diego Not Available Not Available NA


$627.37



$264.00

06/25/15



$163.20

06/08/15



$500.00



$434.00



$135.00



$216.72

http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx 12/12/2017


Kansas Legislative Education and Miscellaneous Legislative Research

02/19/15 Research P. O. Box 1366

$300.00

Topeka KS 66601


Total Unitemized Expenditures of $50 or less $0



http://www.kssos.org/elections/cfr_viewer/reports/schedule_cJeport.aspx 12/12/2017



Campaign Finance Receipts Governmental Ethics Commission

& Expenditures Report 109 W. 9th, Suite 504 Topeka, KS 666121110/2016 Phone (785) 296-4219 Fax (785) 296-2548

www.kansas.gov/ethics



Address2:








4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $558.14


6 IN·KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $100.00


"/ 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: 8/24/2016 11 :58:49 AM Signature of Candidate or Treasurer: David Hicks





SCHEDULEC




Amount

11/25/15 KS Secretary of State 1200 SW 10th Ave. Topeka KS 66612

Filing Fee

$120.00

11/07/15 Leavenworth County GOP 111 Delaware Leavenworth KS 66048


$150.00


Miscellaneous Membership Dues

$100.00



$48.48


Printing Business Cards

$139.66

Total Itemized Expenditures This Period $558.14 Total Unitemized Expenditures of $50 or less $0



http://www.kssos.org/elections/cfr_viewer/reports/schedule_cJeport.aspx 8/25/2016



Campaign Finance Receipts & Expenditures Report 1110/2016

Check only if appropriate v Amended Filing


Address2:












"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. 1 understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."

Electronically filed on: 8/24/20168:33:52 AM Signature of Candidate or Treasurer: David Hicks


Governmental Ethics Commission 109 W. 9th, Suite 504

Topeka, KS 66612 Phone (785) 296-4219

Fax (785) 296-2548 www.kansas.gov/ethics

Termination Report




SCHEDULEC



Date Narne and Address Purpose of Expenditure or Disbursement

Amount

11125/15 KS Secretary of State 1200 SW 10th Ave. Topeka KS 66612

Filing Fee

$120.00


Miscellaneous Membership Dues

$100.00



$48.48


Printing Business Cards

$139.66

Total Itemized Expenditures This Period $408.14 Total Unitemized Expenditures of $50 or less $0



http://www.kssos.org/e1ections/cfr_viewer/reports/schedu1e_cJeport.aspx 8/24/2016



Campaign Finance Receipts Governmental Ethics Commission

& Expenditures Report 109 W. 9th, Suite 504 Topeka, KS 666121110/2016 Phone (785) 296-4219 Fax (785) 296-2548

www.kansas.gov/ethics

Check only if appropriate" Amended Filing Termination Report


Address2:













Electronically filed on: 8/21/201610:50:29 PM Signature of Candidate or Treasurer: David Hicks


http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx 8/22/2016



SCHEDULE A



Date

12/31/15


Norman Hazelwood 13721 E.Camden Chase Wichita KS 67228

Type of Payment Cash, Check, Loan, Other

Check

. Anu Industry of Individual Giving l\1r~_~ 'T'''~_ ll:'1l::11

Attorney Legal

Amount

$150.00

12/31/15 Norman Hazlewood 13721 E.Camden Chase Wichita KS 67228

Check Attorney $150.00

12/28/15 LRICo Services LLC 2416 E. 37th St. North Wichita KS 67219

Check $250.00


Check $250.00

12/22/15

12/18/15

YOPAC 5631 Aberdeen Road Fairway KS 66205

Express Scripts, Inc. One Express Way St. Louis MO 63121

Check

Check

$250.00

$100.00

12/15/15

12/15/15

12/14/15

KS Livestock Assn. 6031 SW 37th St. Topeka KS 66614

Kansans For Quality MHS 11116 Sloan Ave. Kansas City KS 66109

KC Regional Assn Realtors 11150 Overbrook Rd. Suite 100 Leawood KS 66211

Check

Check

Check

$150.00

$100.00

$250.00

12/11/15

12/09/15

Daniel & Se Suk Hopkins 1224 S. Delaware Tonganoxie KS 66086

One Gas, Inc. 15 E. 5th St. Tulsa OK 74103

Check

Check

$100.00

$300.00

12/09/15 Check $200.00

http://www.kssos.org/e1ections/cfr_viewer/reports/schedule_a_report.aspx 8/22/2016


Kansas Automobile Dealers 731 S. Kansas Ave. Topeka KS 66603

KS Funeral Dir PAC 1200 S. Kansas Ave. Topeka KS 66612

12/07/15 Check $150.00

12/05/15


Check $500.00



$300.00

12/03/15 Koch Industries, Inc. 4111 E. 37th St., North Wichita KS 67220

Check $500.00

12/03/15


Check $500.00

12/02/15 UnitedHealth Group P.O.Box 1459 Minneapolis MN 55440

Check $500.00

12/01/15


Check $300.00

12/01/15


Check $300.00


Check $250.00

11/23/15


Check $500.00


Check $50.00


Check $250.00

http://www.kssos.org/e1ections/cfr_viewer/reports/schedule_a_report.aspx 8/22/2016



Check $500.00


Check $250.00


Check $250.00

11/12/15


Check $250.00



$500.00



$500.00

11/12/15

Hickam Public Affairs 900 S. Kansas Ave. Suite 403 Topeka KS 66612

Check $500.00


Check $250.00


Check $250.00

11/10/15


Check $250.00


Check $500.00


Check $250.00

10/29/15


Check $200.00

10/27/15 Check $500.00

8/22/2016http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx


Robert Hodgdon 21405 W. 73rd Terr. Shawnee KS 66218

Self-Employed Business


Check $500.00


Check $250.00


Check $100.00

10/22/15 DelIo Eco Industrial, LLC P.O. Box 171067 Kansas City KS 66117

Check $100.00

10/22/15 Allstate 2775 Sanders Road Northbrook IL 60062

Check $250.00


Check $250.00


Check $500.00

10/16/15


Check $250.00

10/07/15


Check $500.00

09/29/15


Check $200.00


Check $200.00


Check $500.00

09/16/15 Caremark P.O. Box 287 Lincoln RI 2865

Check $250.00




Check $250.00


Check $100.00

09/10/15 Centene Mgmt. Co. Centene Corporation St. Louis MO 63105

Check $500.00

09/08/15


Check $250.00


Check $100.00


Check $100.00

08/29/15 Gary and Pamela Grimes 18416 206th St. Tonganoxie KS 66086

Check $100.00



$150.00


Check $300.00

08/28/15 Amerigroup Corp. P.O. Box 68086 Cincinnati OR 45206

Check $500.00



$500.00


Check $500.00


Check $50.00


Check $100.00

08/11/15 Check $250.00



Kansas Optometric PAC 1266 SW Topeka Blvd. Topeka KS 66612

08/05/15 AT&T P.O. Box 650487 Dallas TX 75265

Check $300.00

07/31/15 ALEC 2900 Crystal Drive, 6th Floor Check Arlington VA 22202

$1,617.37


Check $250.00

Tota/ltemized Receipts for Period $21067.37 Tota/ Unitemized Contributions ($50 or less) $0 Sale of Political Materials (Unitemized) $0 Total Contributions When Contributor Not Known $0



http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 8/22/2016



SCHEDULE B







01/04/16


Voter List $100.00

Total Itemized (over $100) In-Kind Contributions $100.00 Total Unitemized ($100 or less) In-Kind Contributions $0

TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD $100.00


8/22/2016http://www.kssos.org/elections/cfr viewer/reports/schedule b report.aspx

campaign finance receipts and expenditures report...

Documents