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Campaign Finance Receipts and Expenditures Report Page 1 of 1 Print this form or Go Back Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 10/29/2018 Topeka, KS 66612 Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov Check only if appropriate JAmended Filing [] Termination Report Campaign Finance Candidate Name:Eric L Smith Filing Report Address: 627 Kennebec St Address2: City: Burlington Zip: 66839 County: Coffey Home Phone: Business Phone: Office Sought: State Representative District: 76 .. .. SUMMARY (covering the period from 7/27/2018 through 10/25/2018) 1 CASH ON HAND AT BEGINNING OF PERIOD 7010.46 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $3,900.00 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $10,910.46 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $2,370.72 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $8,539.74 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: 10/28/20183:12:00 PM Signature of Candidate or Treasurer: Vickie D. Foster Print this form or Go Back 10/28/2018 http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

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Page 1: Campaign Finance Receipts Governmental Ethics ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H076...ASHTON PHOTOGRAPHY 08/19/18 $250.00 PLEASANTON KS 66075 Total Itemized Expenditures

Campaign Finance Receipts and Expenditures Report Page 1 of 1

Print this form or Go Back

Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 10/29/2018 Topeka, KS 66612

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

Check only if appropriate JAmended Filing [] Termination Report

Campaign Finance Candidate Name:Eric L Smith Filing Report Address: 627 Kennebec St

Address2:

City: Burlington Zip: 66839 County: Coffey

Home Phone: Business Phone:

Office Sought: State Representative District: 76 .. ..

SUMMARY (covering the period from 7/27/2018 through 10/25/2018)

1 CASH ON HAND AT BEGINNING OF PERIOD 7010.46

2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $3,900.00

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $10,910.46

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $2,370.72

5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $8,539.74

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: 10/28/20183:12:00 PM Signature of Candidate or Treasurer: Vickie D. Foster

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10/28/2018http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

Page 2: Campaign Finance Receipts Governmental Ethics ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H076...ASHTON PHOTOGRAPHY 08/19/18 $250.00 PLEASANTON KS 66075 Total Itemized Expenditures

Campaign Finance Schedule A Report Page 1 of2

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Eric L Smith

Date Name and Address of Contributor

Type of Payment Occupation of Individual

Cash, Check, Loan, E-funds, Giving Other More Than $150

Amount

10/17/18

FARMERS EMPLOYEE & AGENT 7340 W MEMORIAL RD OKLAHOMA CITY OK 73142

Check $500.00

10/07/18

EDP RENEWABLES NORTH AMERICAN 808 TRAVIS STREET STE 700 HOUSTON TN 77002

Check $250.00

10/07/18

PRAIRIE BAND POTTOWATOMIE NATION 16281 Q ROAD MAYETTA KS 66509

Check $250.00

10/07/18 KANSAS SOCIETY OF CPA'S 114 SE 8TH AVE TOPEKA KS 66603

Check $100.00

09/26/18

KANSAS CHAMBER OF COMMERCE 835 SW TOPEKA BLVD TOPEKA KS 66612

Check $500.00

09/26/18

KANSAS CONTRACTORS ASSOCIATION 800 SW JACKSON ST STE 100 TOPEKA KS 66612

Check $250.00

09/25/18

KANSAS AUTOMOBILE DEALERSEAC 731 S. KANSAS AVE TOPEKA KS 66603

Check $200.00

09/25/18

KANSASSTATEFARMINSUR AGT-EMP

Check825 KANSAS AVE TOPEKA KS 666 I2

$250.00

09/24/18 THE KANSAS REALTORS PAC 3644 SW BURLINGAME RD Check TOPEKA KS 66611

$500.00

09/24/18 Kansas Optometric PAC 1266 SWTopeka BLVD TOPEKA KS 66612

Check $300.00

08/03/18

FARMERS EMPLOYEE & AGENT 7340 W MEMORlAL RD OKLAHOMA CITY OK 73142

Check $500.00

08/03/18 EVERETT & STACIE MODDIE 1390 FAUNA RD BURLINGTON KS 66839

Check OWN VEHICLE DEALERSHIPS

$250.00

Total Itemized Receipts for Period $3850.00

Total Unitemized Contributions ($50 or less) $50.00

1012812018http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx

Page 3: Campaign Finance Receipts Governmental Ethics ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H076...ASHTON PHOTOGRAPHY 08/19/18 $250.00 PLEASANTON KS 66075 Total Itemized Expenditures

Campaign Finance Schedule A Report Page 2 of2 Sale of Political Materials (Unitemized) $0

Total Contributions When Contributor Not Known $0

TOTAL RECEIPTS THIS PERIOD $3900.00

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10/28/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx

Page 4: Campaign Finance Receipts Governmental Ethics ...ethics.ks.gov/CFAScanned/House/2018ElecCycle/201810/H076...ASHTON PHOTOGRAPHY 08/19/18 $250.00 PLEASANTON KS 66075 Total Itemized Expenditures

Campaign Finance Schedule C Report Page 1 of 1

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SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Candidate: Eric L Smith

Date Name and Address Purpose of Expenditure or Disbursement

Amount

Candidate (self) APPRECIATION DINNER SHANGRI-LA SUSHI WITH TREASURER AND SECRETARY

10/21/18 841 W 6TH AVE $114.73 EMPORIA KS 6680 I

Candidate (self) MILEAGE REIMBURSEMENTERIC SMITH

10/17118 $110.46 BURLINGTON KS 66839

Candidate (self) CAMPAIGN LUNCH WITH SHANGRI-LA SUSHI

627 KENNEBEC ST

TREASURER 10/09/18 $54.00

EMPORIA KS 66801 841 W6TH AVE

Meeting/Travel TRUTH CAUSUS/ AGG STATE HOLIDA Y INN EXPRESS FAIR WICHITA & HAYS KS

09/17/18 $180.47 MAIZE KS 67101 10750 HAMPTON LAKES

Candidate (self) MILEAGE REIMBURSEMENTERIC SMITH

09/13/18 $180.20 BURLINGTON KS 66839

Candidate (self) MILEAGE REIMBURSEMENT

627 KENNEBEC ST

ERIC SMITH 08/29/18 $89.04

BURLINGTON KS 66839

Candidate (self) MILEAGE REIMBURSEMENT

627 KENNEBEC ST

ERIC SMITH 08/24/18 $280.90

BURLINGTON KS 66839

REPUBLICAN HOUSE CAMPAIGN

627 KENNEBEC ST

Donation/Contrib GENERAL CONTRIBUTION COMMITTEE

$1,000.0008/21/18 Not Available Not Available NA

Miscellaneous CAMPAIGN PHOTOSASHTON PHOTOGRAPHY

08/19/18 $250.00 PLEASANTON KS 66075

Total Itemized Expenditures This Period

7281 S TULLY LANE

$2259.80

Total Unitemized Expenditures of $50 or less $110.92

$2370.72TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD

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10/28/2018http://www.kssos.org/elections/cfr_viewer/reports/schedule_c_report.aspx