campaign finance receipts expenditures report january...
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Campaign Finance Receipts and Expenditures Report
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Campaign Finance Receipts & Expenditures Report January 102013
Check only if appropriate Amended Filing
Campaign Finance Candidate Name:Sam Brownback Filing Report Address: 4826 Urish RD
Address2:
City: Topeka Zip: County: Shawnee
Home Phone: (785) 478-9240 Business Phone:
Office Sought: Governor District:
Page 1 of 1
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
SUMMARY (covering the period from January 01 2012 through December 31 2012)
1 CASH ON HAND AT BEGINNING OF PERIOD $439,137.58
2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $148,622.91
3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $587,760.49
4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $69,410.97
5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $518,349.52
6 IN-KIND CONTRIBUTIONS (Schedule B) view/print $3,266.81
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: 1/10/20132:36:10 PM Signature of Candidate or Treasurer: T L Anderson
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http://www.kssos.org/elections/cfr_viewer/reports/expJeport_main.aspx 1/10/2013
Campaign Finance Schedule A Report Page 1 of 18
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SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Candidate: Sam Brownback
Date Name and Address Type of Payment Occupation And Industry of
Individual Giving More Than $150
Amountof Contributor Cash, Check, Loan, Other
12/17/12 Gerald Aaron 8915 E Douglas Ave Wichita KS 67207-0207
Check NONE NONE $100.00
12/10/12 Eustaquio Abay 8915 E Woodcrest Cir Wichita KS 67206-0038
Check Physician Health Care $2,000.00
12/05/12
Terry Humphrey Public Affairs Group Inc 244 box Topeka KS 6660 1
Check NONE NONE $150.00
12/05/12 The Koger Agency Inc.
PO Box 4587 Topeka KS 66604-0587
Check NONE NONE $1,000.00
12/05/12
KS State Farm lnsura Agents and Employees P 825 S Kansas Ave STE 500 Topeka KS 66612
Check NONE NONE $1,000.00
11/28/12 Keith Ahn 8409 W 129th Ter Overland Park KS 66213
Check Owner Food Industry $2,000.00
11/28/12 Sung Ahn 8409 W 129th Ter Overland Park KS 66213
Check Homemaker Spouse Owner
Food Industry $2,000.00
07/24/12 Dennis Allin 8522 widmer Shawnee Mission KS 66215
Credit Card Physician Health Care $250.00
11/27/12 Dennis Allin 8522 widmer Shawnee Mission KS 66215
Credit Card Physician Health Care $500.00
06/28/12 Dana Anderson 10509 Vestone Way Los Angeles CA 90077
Check Vice Chairman Commercial
Real Estate Ind. $500.00
11/26/12 Dana Anderson 10509 Vestone Way Los Angeles CA 90077
Check Vice Chairman Commercial
Real Estate Ind. $1,000.00
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Campaign Finance Schedule A Report Page 2 of 18
07/05/12
Christie Development Associates LLC 9400 Reeds Rd STE 100 Overland Park KS 66207-0525
Check NONE NONE $250.00
12/05/12
Kansas Bankers Association PAC PO Box 4407 Topeka KS 66604-0407
Check NONE NONE $1,000.00
12/05/12
Kansas Contractors Association PAC PO Box 5061 Topeka KS 66605-0061
Check NONE NONE $500.00
11/01/12
Kansas Land Title Association PAC 7321 NW Rochester Rd Topeka KS 66617
Check NONE NONE $500.00
11/30/12 Selahattin Aydin 4626 Bell St Kansas City MO 64112-0109
Check Director Education Industry $500.00
01/31/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $15.20
02/29/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $14.22
03/31/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $15.20
04/30/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $14.73
05/31/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $15.21
06/30/12 Capital City Bank 170 I SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $12.84
07/31/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $13.05
08/31/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $13.05
09/30/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $11.65
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Campaign Finance Schedule A Report Page 3 of 18
10/31/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $10.88
12/08/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $10.54
12/31/12 Capital City Bank 1701 SW Gage Blvd Topeka KS 66604-0333
E Funds NONE NONE $9.35
01116/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $33.08
02/15/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $31.02
03/15/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $29.99
04/15/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $32.08
05/15/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $31.04
06/17/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $34.16
07/15/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $28.99
08115112 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $30.37
09/16/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $17.27
10115/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $10.01
11/15/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $10.71
12/15/12 The Citizens Bank of Weir 109 E Main St Weir KS 66781-0344
E Funds NONE NONE $10.70
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Campaign Finance Schedule A Report Page 4 of 18
11/16/12 James Bartels 13800 W 116th St APT 1411 Olathe KS 66062-0832
Check Retired Retired $1,000.00
11/28/12 Sukh Bassi 1502 Hillcrest Ct Atchison KS 66002
Check Executive Agricultural
Industry $500.00
12/04/12 Adam and Ellen Beren 1739 duckcross cv Wichita KS 67206-0323
Check HomemakerSpouse President Oil Industry
$4,000.00
10/30/12 Fred Berry 8917 E Douglas Ave Wichita KS 67207-0207
Check Executive Construction
Equipment Industr $500.00
08/23/12 Dennis Bieker III W 13th St Hays KS 67601-0613
Check Attorney Legal Profession $500.00
11/26/12
Larry and Linda Bingham 2847 Gaineswood Ave Baxter Springs KS 667130905
Check Owners Salt Industry $500.00
06/29/12 Maurice Bowersox 2004 E Sheridan Bridge Ln Olathe KS 66062-0322
Credit Card Engineer Consulting
Profession $200.00
11/30/12 Ken and Debbie Brock 3500 Grand Oaks Pk Pittsburg KS 66762
Check Publishers Directory Industry $1,000.00
07/11/12 Gerald and Barbara Brosius 7544 SW Blue Inn PI Topeka KS 66614
Check Realtor Real Estate
Industry Homemaker $250.00
04/23/12 Roy Brown 1174 Empire Cir Satanta KS 67870-0600
Check Manager Cattle Industry $1,000.00
12/1 0/12 Tracy Brunner 1724200 Ave Ramona KS 67475
Check Cattle Beef Owner $500.00
11/16/12 Peggy Martin Bud Cowan 12243 W 128th St Overland Park KS 66213
Check AttorneySocial
Services AttorneyLegal Profession
$1,000.00
11/28/12 C. Robert Buford 1223 N Rock Rd STE A200 Wichita KS 67206-0272
Check Owner Oil and Gas Industry $500.00
12/05/12 Kansas Agri Business Council 816SWTyierStSTE 100 Topeka KS 66612-0635
Check NONE NONE $250.00
10/26/12 Time Warner Cable
5400 S 16th St Lincoln NE 68512
Check NONE NONE $1,000.00
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Campaign Finance Schedule A Report Page 5 of 18
12/24/12
Kansas Motor Carriers Truck PAC 245 box Topeka KS 66601
Check NONE NONE $1,000.00
12/05/12
The Monarch Cement Company PO Box 1000 Humboldt KS 66748-0900
Check NONE NONE $500.00
12/10/12 Charlie Chandler 8200 Killarney Ct Wichita KS 67206
Check Executive Banking Industry $2,000.00
10/09/12
Ford Motor Company Civic Action Fund 1 American Rd Dearborn MI 48126-0701
Check NONE NONE $2,000.00
12/05/12 Koss Construction Company 5830 SW Drury Lane Topeka KS 66604-0262
Check NONE NONE $2,000.00
12/05/12
Beachner Construction Company Inc. TFW PO Box 128 Saint Paul KS 66771-0128
Check NONE NONE $150.00
12/11/12
Centene Management Company LLC 8325 Lenexa Dr Lenexa KS 66214
Check NONE NONE $2,000.00
12/19/12
General Motors Company PAC 25 Massachusetts NW Ave STE 400 Washington DC 20001-0427
Check NONE NONE $1,000.00
12/05/12
Klaver Construction Company Inc. 701 ED Ave Kingman KS 67068-0563
Check NONE NONE $300.00
10/12/12 Edward Condon 12700 Alhambra St Leawood KS 66209-0332
Check Executive Financial
Management Industry $250.00
06/29/12 HMS Holdings Corp. PAC 401 Park SAve New York NY 10016-0808
Check NONE NONE $1,000.00
12/17/12 Kroger Corporation
co dillion's Hutchinson KS 67501
Check NONE NONE $2,000.00
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Campaign Finance Schedule A Report Page 6 of 18
12/19/12 Microsoft Corporation
one microsoft WAY Redmond WA 98052-0399
Check NONE NONE $1,000,00
11/16/12 Kathy and Whitney Damron 3911 SW Clarion Park Dr Topeka KS 66612
Check Both
Lobbyists Governmental Affairs Industry
$1,000.00
11/26/12 Kenneth Daniel 5630 SW Fairlawn Rd Topeka KS 66610-0442
Check Executive WholesaleBuilding
Materials $1,000.00
10/17/12 D,T. Dankert 1631 Sherry Lee Ln EI Dorado KS 67042-0236
Check Contractor Construction
Industry $250,00
12/03/12 D.T. Dankert 1631 Sherry Lee Ln EI Dorado KS 67042-0236
Check Contractor Construction
Industry $250,00
10/19/12 Joe Davison 1200 S 119th W St Wichita KS 67235
Check Physician Health Care
Industry $250.00
10/12/12 Marearl Denning 8416 W 115th St Overland Park KS 66210-0427
Check Homemaker Spouse CEO
Health Care $250.00
11/30/12 Marearl Denning 8416 W 11 5th St Overland Park KS 66210-0427
Check NONE NONE $100,00
11/01/12 Thomas Devlin PO Box 782170 Wichita KS 67278-0170
Check Executive Financial Services
Industry $2,000.00
07/05/12 Mary Ellen Diederich 2487 2nd Rd Greenleaf KS 66943-0425
Check NONE NONE $100.00
07/11/12 Gina Dierenfeldt 2610 Heartland Dr Manhattan KS 66503-0782
Check NONE NONE $50.00
12/17/12 Gina Dierenfeldt 2610 Heartland Dr Manhattan KS 66503-0782
Check Homemaker Spouse
PhysicianHealthcare $200.00
12/1 0/12 Steve Dillard 9211 Lakepoint Dr Wichita KS 67226
Check Producer Oil and Gas
Industry $500,00
07/09/12 Catherine Doll 6645 N Doll Rd Ingalls KS 67853-0105
Credit Card NONE NONE $100.00
09/25/12
Barry Downing 1625 waterfront pkwy STE 100 Wichita KS 67206-0622
Check Executive Lodging Consulting Industry $1,000.00
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Campaign Finance Schedule A Report Page 7 of 18
07/12/12 Annette Duff 2016 Estella Dr Manhattan KS 66503-0568
Check NONE NONE $100.00
11126/12 Gregory Duick 112 S Ridgecrest St Wichita KS 67218-0826
Check Physician Healthcare $500.00
06/30/12
Mildred Dunn 2121 Meadowlark Rd APT 420 Manhattan KS 66502-0573
Credit Card NONE NONE $100.00
11130/12
Mildred Dunn 2121 Meadowlark Rd APT 420 Manhattan KS 66502-0573
Credit Card NONE NONE $100.00
10/04/12 Terrence Dunn j .e. dunn construction group i Kansas City MO 64106
Check President Construction
Industry $2,000.00
06/27/12
William Dunn 53 Coventry Ct Shawnee Mission KS 662080228
Check Contractor Construction
Industry $250.00
11127/12
KS Automobile Dealers Election Action Co 73 1 S Kansas Ave Topeka KS 66603-0807
Check NONE NONE $1,000.00
09/27/12 Empire District Electric Co. 127 box HWY Joplin MO 64802
Check NONE NONE $500.00
11130/12
Westar Energy Employees PAC TFW PO Box 889 Topeka KS 66601-0889
Check NONE NONE $1,000.00
11119/12 Midwest Energy Inc. 1330 Canterbury Dr Hays KS 67601-0708
Check NONE NONE $500.00
08/06/12 J. Eric Engstrom 901 N Wiley St Wichita KS 67203-0345
Check NONE NONE $100.00
06/28/12
V. Francis Weigel Family Partnership LLC TFW PO Box 219 Gorham KS 67640-0219
Check NONE NONE $100.00
12/11112 Allam Revocable Family Trust
Check NONE NONE $1,000,00
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Campaign Finance Schedule A Report Page 8 of 18
200 W douglas STE 520 Wichita KS 67202
07/13/12 S. Jim Farha 1313 N Webb Rd STE 240 Wichita KS 67206-0077
Credit Card NONE NONE $100.00
07/16/12
Norman Gaar 11126 Brookwood Ave Shawnee Mission KS 662110092
Check NONE NONE $100.00
12/11/12
Northern Natural Gas Company 1111 S 103rd St Omaha NE 68124-0072
Check NONE NONE $2,000.00
11/26/12 Mark Gilman 2602 W 70th Ter Prairie Village KS 66208
Check Executive Printing Industry $500.00
12/05/12 Bruce Graham 5806 SW Clarion Lakes Way Topeka KS 66610
Check NONE NONE $150.00
11/29/12 Ed Grasso 11209 Brookwood Ave Leawood KS 66211-0097
Credit Card NONE NONE $100.00
11/13/12 Comfort Dental Group Inc
2540 Kipling St Lakewood CO 80215
Check NONE NONE $2,000.00
12/10/12 Clare Gustin 969 Emmeram Rd Hays KS 67601-0746
Check NONE NONE $100.00
12/11/12 Tim Hand 131 Circle Dr Wichita KS 67218-0252
Check Executive Hospital
Equipment Industry $500.00
07/02/12 Paul Hawkins 325 E 16th Ave Hutchinson KS 67501-0536
Check NONE NONE $100.00
06/27/12 Allen W. Hawkins Trust
PO Box 7 Osawatomie KS 66064-0007
Check NONE NONE $500.00
11/27/12 Allen W. Hawkins Trust PO Box 7 Osawatomie KS 66064-0007
Check NONE NONE $500.00
12/05/12
Gerald Heim TFW PO Box 664 Hoxie KS 67740-0664
Check Owner Farm Equipment
Industry $500.00
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Campaign Finance Schedule A Report Page 9 of 18
07/18/12 Paul Hoferer 4244 SW Clarion Lakes Dr Topeka KS 66610-0619
Check Attorney Railroad Industry $250.00
11/26/12
John Hollingsworth 9400 wilson estates pkwy APT 902 Wichita KS 67206-0455
Check NONE NONE $100.00
07/09/12 Robert Honse 1533 Fountain Dr Lawrence KS 66047-0306
Check NONE NONE $100.00
07/20/12 Douglas Hunt 14013 granada Shawnee Mission KS 66224
Check CPA Accounting Profession $250.00
08/01/12 Michael Hursey 16315 W 287th St Paola KS 66071-0476
Check NONE NONE $100.00
12/05/12 APAC Kansas Inc. 160 box Hutchinson KS 67504
Check NONE NONE $500.00
06/12/12 American Inc.
9101 W IlOth St STE 200 Shawnee Mission KS 66210
Check NONE NONE $200.00
12/29/12 Express Scripts Inc.
4750450 south Whitestown IN 46075
Check NONE NONE $500.00
11/19/12 Farmers Group Inc.
7045 College Blvd Leawood KS 66211-0523
Check NONE NONE $2,000.00
10/31/12 KTwelve Management Inc. south point II Herndon VA 20171
Check None None $500.00
12/11/12 Parsons Brinckerhoff Inc.
225 market STE 350 Wichita KS 67202
Check NONE NONE $500.00
10/12/12 Petroleum Inc.
300 W douglas STE 1050 Wichita KS 67202
Credit Card NONE NONE $2,000.00
11/28/12 S.S. Markerting Inc. 10336 Metcalf Ave Overland Park KS 66212
Check NONE NONE $1,000.00
06/08/12 VISA U.S.A. Inc.
PO Box 8999 San Francisco CA 94128-0999
Check NONE NONE $1,000.00
12/07/12 VISA U.S.A. Inc.
PO Box 8999 San Francisco CA 94128-0999
Check NONE NONE $1,000.00
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Campaign Finance Schedule A Report Page 10 of 18
11/01/12 Enterprise Holdings Inc. PAC 600 Corporate Park Dr Saint Louis MO 63 105-0204
Check NONE NONE $1,000.00
07/12/12 Mark Jamison 5004 NW 75th Ln Gainesville FL 32653-0131
Check NONE NONE $100.00
12/1 0/12 Joseph Johnson PO Box 781585 Wichita KS 67278-0585
Check Architect Architecture
Industry $2,000.00
12/03/12 Leadingage Kansas
217 SE 8th Ave Topeka KS 66603
Check NONE NONE $1,000.00
06/28/12 Timothy Keck 640 SW Crest Dr Topeka KS 66606-0304
Check Attorney Legal Profession $250.00
11/26/12 Timothy Keck 640 SW Crest Dr Topeka KS 66606-0304
Check Attorney Legal Profession $500.00
01/03/12 Orris Kelly 2415 Timberlane Dr Manhattan KS 66502-0924
Check NONE NONE $100.00
04/13/12 Thomas Kennedy 3317 Medford Ct Topeka KS 66611-0854
Check Retired Retired Military $500.00
09/20/12 Thomas 1. Kennedy 3317 SW Medford Ct Topeka KS 66611
Check Retired Military Retired $500.00
12/05/12 Richard Kistner 920 N 14th St Marysville KS 66508-0255
Check Owner Construction Industry $500.00
07/02/12
Robert Kobler 17819 157th Ter Bonner Springs KS 660120379
Check NONE NONE $100.00
11/30/12 Allied Staffing LLC 10901 W 84th Ter STE 100 Lenexa KS 66214
Check NONE NONE $1,000.00
10/19/12 Bear Petroleum LLC
438 box HWY Haysville KS 67060
Check NONE NONE $250.00
12/05/12 Cretcher Heartland LLC 4551 W 107th St Overland Park KS 66207
Check None None $500.00
12/05/12 Devine and Donley LLC
534 S Kansas Ave STE 1420 Topeka KS 66603
Check NONE NONE $500.00
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Campaign Finance Schedule A Report Page 11 of 18
10/02/12 Virgil and Mary Alice Lair 250 N Country Club Rd Chanute KS 66720-0916
Check Banker Banking
Industry SpouseHomemaker $250.00
07/05/12 Reed Larson 3013 Downing St Williamsburg VA 23185-0865
Check NONE NONE $100.00
06/27/12 George Lavid 11415 W Taft St Wichita KS 67209-0032
Check NONE NONE $100.00
06/30/12 Glenn Lefkovitz 910 Skokie Blvd STE 225 Northbrook IL 60062-0000
Credit Card NONE NONE $100.00
12/19/12
Kansas Credit Union Legislative Action C 610 SW 10th St STE 201 Topeka KS 66612
Check NONE NONE $1,000.00
11/03/12 Dana Lewis 20605 W 96th St Lenexa KS 66220
Check HomemakerSpouse Executive
Advertising Industry $2,000.00
12/03/12 Clarence Lieber 3634 S 215th W St Goddard KS 67052-0963
Check Owner Service Industry $250.00
11/28/12 Harvey Jabara Living Trust
227 box Rancho Mirage CA 92270
Check NONE NONE $500.00
11/13/12 Lucas Living Trust
3199 Harrison Way Corydon IN 47112
Check NONE NONE $2,000.00
11/28/12 Missy Jabara Living Trust
227 box Rancho Mirage CA 92270
Check NONE NONE $500.00
07/26/12 S. Jim Farha Living Trust 1313 N Webb Rd Wichita KS 67206
Check NONE NONE $300.00
12/03/12 S. Jim Farha Living Trust 1313 N Webb Rd Wichita KS 67206
Check NONE NONE $100.00
11/16/12 Carol Logan 8610 Mohawk Rd Leawood KS 66206-0451
Check Homemaker Spouse Attorney
Legal Profes $2,000.00
10/12/12 Virginia Macha 2805 N Funston St lola KS 66749-0010
Check HomemakerSpouse Executive
Infrastructure Ind. $250.00
12/1 0/12 Michael Maloney 819 N Linden Ct Wichita KS 67206-0005
Check CEO Manufacturing Industry $1,000.00
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Campaign Finance Schedule A Report Page 12 of 18
07/09/12 Jennifer Marek 403 W Redbud Rd Westmoreland KS 66549-0690
Check NONE NONE $100.00
12/04/12 Norbert Marek 403 W Redbud Rd Westmoreland KS 66549-0690
Check NONE NONE $100.00
12/13/12 Douglas Mays 7501 SW Arthurs Rd Topeka KS 66610
Check Lobbyist Governmental
Affairs Industry $1,000.00
06/28/12 Mark McGivern 5828 SW Turnberry Ct Topeka KS 66614
Check NONE NONE $100.00
10/12/12 Joe Medina 8911 W 127th Ter Overland Park KS 66213
Check Executive Utility Industry $250.00
11/16/12
John Menghini 12715 Melrose St Shawnee Mission KS 662130587
Check Executive Financial Services
Industry $500.00
05/10/12 Matthew Miller 5049 W 127th terr Leawood KS 66209
Credit Card Attorney Federal Government $250.00
07/05/12 Jon Mollhagen Trust
2445 10th Rd Lorraine KS 67459-0338
Check NONE NONE $500.00
12/04/12 Jon Mollhagen Trust
2445 10th Rd Lorraine KS 67459-0338
Check NONE NONE $145.00
11/30/12 John Moore 120 S Lynwood St Wichita KS 67218-0804
Check Attorney Legal Profession $1,000.00
05/08/12 Terry Nelson 1304 W fox TFW Long Island KS 67647
Check rancher Agriculture Industry $500.00
06/29/12 Terry Nelson 1304 W fox TFW Long Island KS 67647
Check rancher Agriculture Industry $500.00
07/02/12 Judith Nightingale 6706 SW Sherwood Ct Topeka KS 66614-0646
Check NONE NONE $100.00
07/12/12 ForgetMe Not Farms 22502 R Road Cimarron KS 67835
Check None None $500.00
11/26/12 Randall O'Donnell 11305 Brookwood Ave Shawnee Mission KS 66211
Credit Card CEO Health Care $2,000.00
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Campaign Finance Schedule A Report Page 13 of 18
12/05/12 Michael O'Neal 8 Windemere Ct Hutchinson KS 67502-0020
Check NONE NONE $150.00
11/28/12 Patrick O'Shaughnessy 5 N Saint James PI Eastborough KS 67206-0026
Check Executive Oil Industry $1,000.00
12/05/12 Centurylink PAC OfKS 5454 W 110th St Overland Park KS 66211
Check NONE NONE $2,000.00
07/19/12 Tug Hill Operating LLC
550 Bailey Ave STE 510 Fort Worth TX 76107
Check NONE NONE $2,000.00
09/14/12 John Deere PAC 1 John Deere PI Moline IL 61265-0010
Check NONE NONE $1,000.00
12/19/12 Kansas Cable PAC 900 S Kansas Ave STE 300 Topeka KS 66612
Check NONE NONE $1,000.00
12/05/12 Kansas Dental PAC
5200 SW Huntoon St Topeka KS 66604-0365
Check NONE NONE $1,000.00
12/05/12 ONEOK Employees PAC 501 gage Topeka KS 66606
Check NONE NONE $1,000.00
12/05/12 PMCA Gas PAC 115 SE 7th St Topeka KS 66603-0901
Check NONE NONE $2,000.00
11/28/12
Edward Page PO Box 26725 Shawnee Mission KS 662250725
Check Consultant Finance Industry $500.00
03/09/12 Sheraton Overland Park Hotel
6100 College Blvd Leawood KS 66211-0403
Other NONE NONE $1,036.41
11/29/12
Union Pacific Railroad Company 600 broadway STE 500 Kansas City MO 64105
Check NONE NONE $250.00
11/28/12 Sandlian Realty
435 broadway STE 201 Wichita KS 67202-0378
Check NONE NONE $2,000.00
07/02/12
Farm and Ranch Realty Inc. TFW PO Box 947 Colby KS 67701
Check NONE NONE $250.00
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Campaign Finance Schedule A Report Page 14 of 18
12/05/12 Mary Lou Reece 2441 N Plumthicket Ct Wichita KS 67226-0525
Check Owner Construction Industry $250.00
12/03/12
Halstead Hospital and Rehabilitation Cente 32 Pine Tree Dr Poughkeepsie NY 12603
Check None None $2,000.00
11/29/12
Little Government Relations LLC 800 SW Jackson St STE 914 Topeka KS 66612-0214
Check NONE NONE $500.00
10/16/12
Richard 0 Smith Revocable Trust 125 N Market St STE 1120 Wichita KS 67202
Check See Refund None $250.00
11/28/12
Richard 0 Smith Revocable Trust 125 N Market St STE 1120 Wichita KS 67202
Check See Refund None $2,000.00
09/17/12 A. Scott Ritchie 7 N Hampton Rd Eastborough KS 67206-0008
Check Executive Oil Industry $2,000.00
12/1 0/12 A. Scott Ritchie Trust PO Box 783188 Wichita KS 67278-0188
Check None None $1,000.00
06/30/12 Patrick Robinson 321 N Jaax St Wichita KS 67235-0356
Credit Card NONE NONE $100.00
11/26/12
Richard Rossman TFW PO Box 582 Olathe KS 66051-0582
Check Executive Beverage Industry $250.00
01/31/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $13.17
02/29/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $12.32
03/31/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $13.18
04/30/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $12.75
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Campaign Finance Schedule A Report Page 15 of 18
05/31/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $13.18
06/30/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $12.76
07/31/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $13.19
08/31/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $13.19
09/30/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $11.49
10/31/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $11.00
11/30/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $9.01
12/31/12 Capitol Federal Savings 700 S Kansas Ave Topeka KS 66603-0818
E Funds NONE NONE $9.01
06/28/12 Patricia Scalia 6135 SW 38th St Topeka KS 66610-03 10
Check Director Legal Services
Industry $250.00
07/30/12 Daniel Schippers 2778 Spring Hill Rd Victoria KS 67671-0674
Check Producer Oil and Gas
Industry $250.00
11/30/12 Daniel Schippers 2778 Spring Hill Rd Victoria KS 67671-0674
Check Producer Oil and Gas
Industry $250.00
12/10/12 Susan Schlapp 7010 E Foster St Wichita KS 67206-0439
Check Elected Offical Governmental
Industry $250.00
10/16/12 Kenneth Selzer 12504 Buena Vista St Leawood KS 66209
Check Executive Insurance Industry $250.00
12/28/12
United HealthCare Services Inc. 13655 Riverport Dr Maryland Heights MO 63043
Check NONE NONE $2,000.00
02/01/12 Ronald Shortridge 203 Bullard Dr Garden City KS 67846
Check Executive Cattle Industry $1,000.00
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Campaign Finance Schedule A Report Page 16 of 18
12/05/12 Bradley Smoot 800 SW Jackson St Topeka KS 66612-0216
Check Attorney Legal Profession $500.00
11128/12 Charles Squire 14909 E Castle Dr Wichita KS 67230-0205
Check NONE NONE $100.00
11/13/12 John Stauffer 2855 SW MacVicar Ave Topeka KS 66611-0704
Check Retired Retired $2,000.00
07/13/12 Gary Steed 2214 N Crestline Ct Wichita KS 67205
Check NONE NONE $150.00
11102/12 Rodney Steven Ii 2558 N Ridge Rd Wichita KS 67205-0036
Check Owner Genesis Health Club $2,000.00
11/28/12
Philip Stevens TFW PO Box 319 Tonganoxie KS 66086-0319
Check NONE NONE $100.00
12/1 0/12 Casey's General Stores PO Box 3001 Ankeny IA 50021
Check NONE NONE $500.00
06/28/12 Norman Thoms 5420 SE 37th St Tecumseh KS 66542-0161
Check NONE NONE $50.00
11/26/12 Norman Thoms 5420 SE 37th St Tecumseh KS 66542-0161
Check Retired Retired $500.00
08/21/12 Frank Novy Trust
3320 N Tyler Rd Wichita KS 67205-0724
Check NONE NONE $100.00
12/12/12
Kathryn Suellentrop Trust TFW PO Box 215 Colwich KS 67030
Check NONE NONE $100.00
07/05/12 Robert Ulin 1912 Edgewood Dr Leavenworth KS 66048
Check NONE NONE $100.00
06/28/12
Stewart Used Cars TFW PO Box 511 Fredonia KS 66736-0511
Check NONE NONE $100.00
11130/12 Vincent VanBecelaere 1001 rouse Pittsburg KS 66762
Check Executive Manfacturing
Industry $1,000.00
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Campaign Finance Schedule A Report Page 17 of 18
12/03/12 S.V. Varner 1515 N Linden Ct Wichita KS 67206-0312
Check Retired Retired $500.00
10/16/12 J. Thomas Wagle 4 N Sagebrush St Wichita KS 67230-0643
Check Executive Commmerical Real
Estate Indust $250.00
09/27/12 Harvey Walker 612 Lark Rd Hope KS 67451-0103
Check Executive Agriculture
Industry $1,000.00
01119/12 Gary Wall 3120 Briggs Ave Parsons KS 67357-0620
Check NONE NONE $100.00
11126/12 Thomas and Debbie Ward 2920 Verona Rd Shawnee Mission KS 66208
Check President Candy
Industry Homemaker $4,000.00
06/27/12 Ann Warren 1721 Brandon Woods Dr Lawrence KS 66047-0080
Check NONE l'J"ONE $100.00
11/30/12 Earl Watkins 20520 W 98th PI Lenexa KS 66220-0640
Credit Card Executive Utility Industry $500.00
11/13/12
Kansas Wine and Spirit Wholesalers PAC 212 SW 8th Ave STE 202 Topeka KS 66603-0939
Check NONE NONE $2,000.00
07/12/12 Brian Winter 1414 E Trail St Dodge City KS 67801-0014
Check Livestock Cattle Industry $250.00
11126/12 Robert Wise 1102 Eastmoor Dr Mcpherson KS 67460-0023
Check Attorney Legal Profession $1,000.00
07/02/12 Ronald Wood 932 Horton St Fort Scott KS 66701-0438
Check NONE NONE $100.00
12/03/12 Ronald Wood 932 Horton St Fort Scott KS 66701-0438
Check NONE NONE $100.00
11128/12 Walter Wulf 700 WulfDr Humboldt KS 66748-0989
Credit Card NONE NONE $150.00
06/28/12 Gary Yager 3521 SW Lincolnshire Rd Topeka KS 66614
Check NONE NONE $100.00
07/05/12 Dorothy Zimmerman 21195139thSt Basehor KS 66007-0107
Check NONE NONE $100.00
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Campaign Finance Schedule A Report Page 18 of 18
$100.0007/16/12 Mrs. Ben Zimmerman 1809 Burr Pky Dodge City KS 67801-0323
Check
11/28/12 Mrs. Ben Zimmerman 1809 Burr Pky Dodge City KS 67801-0323
Check
Total Itemized Receipts for Period
Total Unitemized Contributions ($50 or less)
Sale of Political Materials (Unitemized)
Total Contributions When Contributor Not Known
TOTAL RECEIPTS THIS PERIOD
NONE NONE
NONE NONE $50.00
$145481.00
$3,141.91
$0.00
$0.00
$148622.91
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Campaign Finance Schedule B Report Page 1 of I
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SCHEDULE B
IN-KIND CONTRIBUTIONS
Candidate: Sam Brownback
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
12/05/12 Capitol Connection LLC
212 SW 8th St Topeka KS 66603
NONE NONE Reception Beverage $368.13
12/04/12
Security Benefit Life Insurance PAC 1 Security Benefit PI Topeka KS 66636-1000
In Kind Food and Bervage $554.75
12/06/12 Lisa Ritchie 7 N Hampton Rd Eastborough KS 67206-2008
Homemaker Spouse Exec. Oil Industry
Food and Beverage $1,383.67
11/29/12 Charles and Vicki Sciolaro
3109 W 118th St Leawood KS 66221
NONE NONE Reception Food and
Beverage $960.26
Total Itemized (over $100) In-Kind Contributions $3266.81 Total Unitemized ($100 or less) In-Kind Contributions $0.00
TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD $3266.81
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Campaign Finance Schedule C Report Page 1 of 15
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SCHEDULE C
EXPENDITURES AND OTHER DISBURSEMENTS
Candidate: Sam Brownback
Date Name and Address Purpose of Expenditure or Disbursement
Amount
01/03112 U.S. Postmaster
424 S Kansas Ave Topeka KS 66603-3420
Rental Box Rental Fee
$220.00
01/03/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$1,512.00
01/03/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
01/03112 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Tax
$516.00
01/03/12 United States Treasury
PO Box 106078 Atlanta GA 30348-6078
Miscellaneous FUTA Tax 2010
$56.00
01/05112 American Express
PO Box 297812 Fort Lauderdale FL 33329-7812
Miscellaneous Credit Card Fee
$12.33
01110/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fees
$52.71
01111/12 T.e. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Supply and Phone Expense Reimbursemen
$155.42
01111/12 Deluxe Business Forms 116 Landmark Dr Greensboro NC 27409-9602
Miscellaneous Deposit Slips
$66.99
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01117/12 Capitol Plaza Hotel 1700 Topeka Blvd Topeka KS 66604-0001
Miscellaneous Reception Expense
$879.36
01118/12 Kansas Day Club
435 S Broadway St Wichita KS 67202-3909
Miscellaneous Banquet Expense
$200.00
01/18/12 Kansas Native Sons and Daughters
box HWY Topeka KS 66601-0546
Miscellaneous Banquet Expense
$100.00
01124/12 Kansas Native Sons and Daughters
box HWY Topeka KS 66601-0546
Miscellaneous Banquet Expense
$100.00
01125/12 Kansas Day Club
435 S Broadway St Wichita KS 67202-3909
Miscellaneous Banquet Expense
$150.00
01125/12 Kansas Native Sons and Daughters
boxHWY Topeka KS 66601-0546
Miscellaneous Banquet Expense
$50.00
01126/12 Kansas Native Sons and Daughters
box HWY Topeka KS 66601-0546
Miscellaneous Banquet Expense
$100.00
01131112 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$1,512.00
02/01112 Kansas Corporate Income Tax
915 harrison Topeka KS 66699
Miscellaneous State Income Tax
$31.00
02/01/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
02/01/12 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Tax
$516.00
02/02/12 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Income Tax $273.00
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02/03/12 Sheraton Overland Park Hotel
6100 College Blvd Leawood KS 66211-2403
Miscellaneous Reception Expense
$5,025.33
02/07/12 Kansans For Life PAC PO Box 783285 Wichita KS 67278-3285
Miscellaneous Sponsorship
$500.00
02/07/l2 Sheraton Overland Park Hotel
6100 College Blvd Leawood KS 66211-2403
Miscellaneous Reception Room
$234.12
02/07/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$44.79
02/l 3/l 2 Sheraton Overland Park Hotel
6100 College Blvd Leawood KS 66211-2403
Miscellaneous Reception Expense
$3,879.50
02/14/l2 Kansas Prayer Breakfast
box Topeka KS 66604
Miscellaneous Meeting Expense
$150.00
02/l7/l2 Taygun Ozakinci 410 E 15th St Eudora KS 66025
Miscellaneous Reception Music
$150.00
02/l7/l2 Eston Bell 837 SW Tyler St Topeka KS 66612
Miscellaneous Reception Music
$150.00
02/l 7/l 2 Taryn Doty 4611 paulen Berryton KS 66409
Miscellaneous Reception Music
$150.00
02/l7/l2 Casey Artzer 8150 NW Topeka Blvd Topeka KS 66617
Miscellaneous Reception Music
$150.00
02/l7/l2 Sawyer Treinen 109 walnut TFW Wamego KS 66547
Miscellaneous Reception Music
$150.00
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02/24/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Reimbursement Supply and Data Expense Reimbursement
$69.57
02/27/12 Kansas Republican Party
PO Box 4157 Topeka KS 66604-0157
Tickets Convention Event Tickets
$900.00
02/27/12 Kansas Republican Party
PO Box 4157 Topeka KS 66604-0157
Tickets Convention Event Tickets
$625.00
02/27/l2 Alisha Kirby 1425 SW Lane Topeka KS 66604
Reimbursement Reception Expense Reimbursement
$368.38
02/28/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$1,512.00
03/01112
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
03/0l/12 Internal Revenue Service
PO Box 1 Washington DC 20044-000 I
Miscellaneous Payroll Tax
$516.00
03/09/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$19.74
03/20/12 U.S. Postmaster
424 S Kansas Ave Topeka KS 66603-3420
Miscellaneous Business Reply Account
$795.00
03/26/12 T.e. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Software and Computer Repair Reimburs
$162.79
03/28/12 Brier Payne Meade Insurance 5835 SW 29th St STE 101 Topeka KS 66614-5501
Miscellaneous Campaign Insurance
$2,259.92
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Campaign Finance Schedule C Report Page 5 of 15
03/30/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$1,512.00
04/02/12
Kansas Employment Security Fund TFW PO Box 400 Topeka KS 66601-0400
Miscellaneous Kansas Unemployment Tax
$432.00
04/03/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
04/03/12 Internal Revenue Service
PO Box 1 Washington DC 20044-000 I
Miscellaneous Payroll Taxes
$516.00
04/03/12 All Seasons Event Rental
5050 Kansas Ave Kansas City KS 66106
Miscellaneous 20 II Reception Expense
$4,959.33
04/05/12 Transfirst Bank 371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$15.95
04/13/12 Kansas Corporate Income Tax
915 harrison Topeka KS 66699
Miscellaneous Estimated Tax Payment
$12.00
04/18/12 BLS Design and Consulting
306 Woodlawn Ave Topeka KS 66606
Miscellaneous Computer Equipment
$326.84
04/27/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Postage and Internet Expense Reimburs
$62.29
04/27/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$1,512.00
05/07/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous Credit Card Payment
$29.95
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05/08/12 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Taxes
$516.00
05/08/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$44.75
05/09/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
OS/23/12 NetStandard Inc. box TFW Kansas City MO 64141
Miscellaneous Web Hosting
$200.00
05/30/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Software and Internet Expense Reimbur
$148.02
05/30/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$1,512.00
06/08/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous Credit Card Payment
$29.95
06/09/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$17.95
06/11112 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Taxes
$516.00
06/12/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Reimbursement Postage Expense Reimbursement
$1,620.00
06/12/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
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06/15/12 Kansas City Steak Company
box TFW Kansas City MO 64187
Miscellaneous Charitable Contribution
$646.80
06/19/12 Singularis Group LLC
PO Box 9265 Mission KS 66201-1865
Miscellaneous Design Work
$75.00
06/28/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$1,512.00
06/28/12 Pro Print Inc.
2028 Gage Blvd Topeka KS 66604
Printing Direct Mail Printing
$1,900.02
06/28/12 Margie Canfield 3644 yorkway Topeka KS 66604
Reimbursement Lunch Expense Reimbursement
$139.62
07/02/12 Internal Revenue Service
PO Box 1 Washington DC 20044-000 I
Miscellaneous Payroll Taxes
$516.00
07/03/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-000 I
Miscellaneous State Withholding Tax
$125.00
07/09/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$17.95
07/10/12 Kansas Corporate Income Tax
915 harrison Topeka KS 66699
Miscellaneous Estimated Tax
$10.00
07/31/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$693.50
08/02/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
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Campaign Finance Schedule C Report Page 8 of 15
08/02/12 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Taxes
$258.00
08/07/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$83.23
08/30/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Supply and Internet Expense Reimbur
$103.07
08/31112 Trella Anderson 2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$693.50
09/04/12 Kansas Corporate Income Tax
915 harrison Topeka KS 66699
Miscellaneous Estimated Kansas Tax
$10.00
09/04/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
09/04/12 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Taxes
$258.00
09/1 0/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$17.95
09/28/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$693.50
10/02/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
10/02/12 Internal Revenue Service
PO Box 1 Washington DC 20044-000 I
Miscellaneous Payroll Taxes
$258.00
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10/05/12 Transfirst Bank
371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$77.90
10/11112
Ford Motor Company Civic Action Fund 1 American Rd Dearborn MI 48126-2701
Miscellaneous Excess contribution
$1,000.00
10/27/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Reimbursement Postage Expense Reimbursement
$720.00
10/27/12 NetStandard Inc.
box TFW Kansas City MO 64141
Miscellaneous Web Hosting
$300.00
10/27/12 Pro Print Inc.
2028 Gage Blvd Topeka KS 66604
Printing Direct Mail Printing
$104.91
10/31112 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$693.50
11/01/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
11101/12 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Taxes
$258.00
11102/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Reimbursement Postage Expense Reimbursement
$900.00
11/16/12 Transfirst Bank 371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fees
$163.34
11119/12 Margie Canfield 3644 yorkway Topeka KS 66604
Reimbursement Lunch Expense Reimbursement
$23.93
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Campaign Finance Schedule C Report Page 10 of 15
11/28/12 Singularis Group LLC
PO Box 9265 Mission KS 66201-1865
Miscellaneous Fundraiser Invitation
$2,780.82
11/28/12 Richard D Smith Revocable Trust 125 N Market St STE 1120 Wichita KS 67202
Miscellaneous Excess contribution
$250.00
11/30/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$693.50
12/01/12
Withholding Tax Kansas Dept. of Revenue 915 SW Harrison St Topeka KS 66625-0001
Miscellaneous State Withholding Tax
$125.00
12/01/12 Internal Revenue Service
PO Box 1 Washington DC 20044-0001
Miscellaneous Payroll Taxes
$258.00
12/11/12 American Express
PO Box 297812 Fort Lauderdale FL 33329-7812
Miscellaneous Credit Card Fee
$57.95
12/11/12 T.C. Anderson 2436 SW Camelot PI Topeka KS 66614-5623
Reimbursement Internet Expense Reimbursement
$32.34
12/11/12 Transfirst Bank 371 Centennial Pky Louisville CO 80027-1360
Miscellaneous Credit Card Fee
$226.17
12111/12 Alisha Kirby 1425 SW Lane Topeka KS 66604
Reimbursement Reception Expense Reimbursement
$41.60
12/11/12 Alisha Kirby 1425 SW Lane Topeka KS 66604
Reimbursement Reception Expense Reimbursement
$296.65
12/26/12 Trella Anderson
2426 SW Camelot PI Topeka KS 66614-5623
Miscellaneous Net Salary
$693.50
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Campaign Finance Schedule C Report Page 11 of 15
12/26/12 Singularis Group LLC
PO Box 9265 Mission KS 66201-1865
Printing Printing and Postage
$5,713.40
02/14/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$184.45
01/21/12 Unbounce Inc. 104375 water ST Vancouver TN 1
Miscellaneous Vendor 125.00 Software Expense
$0.00
03/09/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$419.34
02/20/12 Sheraton Overland Park Hotel
6100 College Blvd Leawood KS 66211-2403
Miscellaneous Vendor 251.89 Lodging Expense
$0.00
02/21112 Unbounce Inc. 104375 water ST Vancouver TN 1
Miscellaneous Vendor 125.00 Software Expense
$0.00
04/07/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$167.45
03/03/12 Surveymonkey .com
815 NW 13th Ave Portland OR 97209-3022
Miscellaneous Vendor 29.95 Internet Expense
$0.00
03/21/12 Unbounce Inc. 104375 water ST Vancouver TN 1
Miscellaneous Vendor 125.00 Software Expense
$0.00
07/09/12 CoreFirst Bank and Trust PO Box 5049 Topeka KS 66605-0049
Miscellaneous Credit Card Payment
$29.95
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Campaign Finance Schedule C Report Page 12 of 15
08/07/12 CoreFirst Bank and Trust PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$444.85
07/11/12 Southwest Airlines
PO Box 36611 Dallas TX 75235-1611
Miscellaneous Vendor 414.90 Airline Transportation
$0.00
09/17/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$2,004.60
08/28/12 Hilton Garden InnTampa
5312 Avion Park Dr Tampa FL 33607
Miscellaneous Vendor 1898.40 Hotel Expense
$0.00
08/30/12 McAfee Inc.
2821 Mission College Blvd Santa Clara CA 95051
Miscellaneous Vendor 76.25 Software
$0.00
10/04/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$420.70
09/07/12 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
09/13/12 Network Solutions LLC 13861 Sunrise Valley Dr Herndon VA 20171-6124
Miscellaneous Vendor 64.95 Website Charge
$0.00
09/28/12 Southwest Airlines
PO Box 36611 Dallas TX 75235-1611
Miscellaneous Vendor 220.80 Airline Transportation
$0.00
11/16/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW $580.55
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Campaign Finance Schedule C Report Page 13 of 15
09/30/12 United Airlines
20 N Wacker Dr STE 1728 Chicago IL 60606-2904
Miscellaneous Vendor 220.80 Air Travel Expense
$0.00
10/01/12 American Airlines
PO Box 619616 Dallas TX 75261-9616
Miscellaneous Vendor 224.80 Airline Travel
$0.00
10/05/12 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
12/10/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$1,158.28
11/05/12 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
11/09/12 Network Solutions LLC 13861 Sunrise Valley Dr Herndon VA 20171-6124
Miscellaneous Vendor 171.93 Website Charges
$0.00
11/13/12 Southwest Airlines
PO Box 36611 Dallas TX 75235-1611
Miscellaneous Vendor 544.80 Airline Transportation
$0.00
11/13/12 American Airlines
PO Box 619616 Dallas TX 75261-9616
Miscellaneous Vendor 306.60 Airline Travel
$0.00
02/07/12 CoreFirst Bank and Trust PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$105.00
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Campaign Finance Schedule C Report Page 14 of 15
01/05/12 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
03/09/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$105.00
02/05/12 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
04/07/12 CoreFirst Bank and Trust PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$105.00
03/05/12 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
05/07/12 CoreFirst Bank and Trust PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$105.00
04/05112 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
06/08/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW
$105.00
05/05/12 Constant Contact 1601 Trapelo Rd Waltham MA 2451-7333
Miscellaneous Vendor 105.00 Internet Expense
$0.00
07/09/12 CoreFirst Bank and Trust
PO Box 5049 Topeka KS 66605-0049
Miscellaneous CREDIT CARD SEE BELOW $105.00
1/10/2013http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx
Campaign Finance Schedule C Report
Constant Contact 07/09/12 1601 Trapelo Rd
Waltham MA 2451-7333
CoreFirst Bank and Trust 08/07/12 PO Box 5049
Topeka KS 66605-0049
Constant Contact 07/05/12 1601 Trapelo Rd
Waltham MA 2451-7333
CoreFirst Bank and Trust 09/11/12 PO Box 5049
Topeka KS 66605-0049
Constant Contact 08/05/12 1601 Trapelo Rd
Waltham MA 2451-7333
Total Itemized Expenditures This Period
Page 15 of 15
Miscellaneous Vendor 105.00 Internet Expense
$0.00
Miscellaneous CREDIT CARD SEE BELOW
$105.00
Miscellaneous Vendor 105.00 Internet Expense
$0.00
Miscellaneous CREDIT CARD SEE BELOW
$105.00
Miscellaneous Vendor 105.00 Internet Expense
$0.00
$69219.80 Total Unitemized Expenditures of $50 or less $191.17
TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $69410.97
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