kansas governmental ethics co~ived receipts and expenditures...

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10/30/2006 15:38 ~~ 620 672 5409 ::'~~~pa.,:1 UUBHAN & HARBERT I4J 002 KANSAS GOVERNMENTAL ETHICSCO~IVED RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATEFOR STATE OFFICE 0CT 3 0 2006, Govemme"'.al Ethics Com Isslo OCTOBER 30,2006 109 WEST9THSTRE'; n TOPEKA, KANSAS 66612 FILE WITH SECRETARYOF STATE AND CANDIDATE'S COUNTY ELECTIONOFFICER SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: Kent Goyen Address: . 281 HE 45th Ave. City and Zip Code: Pratt 67124 Office Sought: State Representative County: Pratt 67124 District: 114th B. Check only if appropriate: - Amended Filing - Termination Report C. Summary (covering tbe period from Jply 21,2006 through October 26, 2006) L Cashonhandat beginningofperiod """"''''''''''''''-.,'.--noU'''''''''''''''''''''''''''''''''m_... 2. Total Contributions and Other Receipts (Use Schedule A) """.',_m """"""",,,,, 3. Cash available this period (Add Lmes 1 and 2) """''''''''''''''''''''' m---'.''''''''''' 4. Total Expenditures aDdOther Disbursements (Use Schedule C) "'''''''''''-' '''m..'''' 5. Cash on hand at close of period (Subtract Lioe 4 iTom 3) ........................................--- 6. In-Kind Contributions (Use Schedule B) 65.30 7. Other Transactions (Use Schedule D) m 00.00 4059.61 22,960.00 27,019.61 14,223.92 12,79'~69 D. "I declare that this report, incJuWng any accompanying schedules and statements, has been examined by me and to the best of my koowledge and belief is true, correct and complete. .Iunderstand that the intentional failure to file this document oF-'inten~onally filin~a false document is a class A misdemeanor." /0- 50-06 Date GEC Form Re\', 2001 :':' ~~~~:~::

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10/30/2006 15:38 ~~ 620 672 5409

::'~~~pa.,:1

UUBHAN & HARBERT I4J 002

KANSASGOVERNMENTALETHICSCO~IVEDRECEIPTS AND EXPENDITURESREPORT

OF A CANDIDATEFOR STATE OFFICE 0 CT 3 0 2006,

Govemme"'.al Ethics Com IssloOCTOBER 30,2006 109 WEST9THSTRE'; n

TOPEKA, KANSAS 66612

FILE WITH SECRETARYOF STATEAND CANDIDATE'S COUNTYELECTIONOFFICERSEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: Kent Goyen

Address:. 281 HE 45th Ave.

City and Zip Code: Pratt 67124

Office Sought: State Representative

County: Pratt 67124

District: 114th

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

C. Summary (covering tbe period from Jply 21,2006 through October 26, 2006)

L Cashonhandat beginningof period""""''''''''''''''-.,'.--noU'''''''''''''''''''''''''''''''''m_...

2. Total Contributions and Other Receipts (Use Schedule A) """.',_m """"""",,,,,

3. Cash available this period (Add Lmes 1and 2) """''''''''''''''''''''' m---'.'''''''''''

4. Total Expenditures aDdOther Disbursements (Use Schedule C) "'''''''''''-' '''m..''''

5. Cash on hand at close of period (Subtract Lioe 4 iTom 3) ........................................---

6. In-Kind Contributions (Use Schedule B) 65.30

7. Other Transactions (Use Schedule D) m 00.00

4059.61

22,960.00

27,019.61

14,223.92

12,79'~69

D. "I declare that this report, incJuWng any accompanying schedules and statements, has been examined by meand to the best of my koowledge and belief is true, correct and complete. .Iunderstand that the intentionalfailure to file this document oF-'inten~onally filin~a false document is a class A misdemeanor."

/0- 50-06Date

GEC Form Re\', 2001

:':'~~~~:~::

10/30/2006 15:38 FAX 620 672 5409

;;::~.~gif".:LAUBHAN & HARBERT

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

Kent Goyen

(Name ofCandida1e, party Committee or PoHticaJ Committee)

Date Name aDd Addmisof Contributor

OccupatioD of lodividualGiving More ThaD 5150

Check

Appropriate Box

(:nil L08" OdlerCIM>ck

Farmer

DHZJIDIO

141 003

Amount ofCash, Cbeck,

Loao orOther Receipt

$100.00

$250.00

$350.00

$100.00

$200.00

','..':,::.";:;~S~~~~:;~~. :;:.~:t:.:..,.:::...»~.,;;".::;.::~\;:.f~:/~.;{?~;;{:y~~;;.:t}{i::!'.}f..:~::..~3:.;;:::};;:»,;:,::./J;,:f;r- '.

PageLof~

$1.950.00

':~":-.~ri(~~::'::':

Caner Barker Equipment7/21/06 1118 SE 25th'

Pratt, KS 67124

PhilRuffin

7/21106 I POBox 17087Wichita,KS67217

UnitedTransportation Union7/25106 114600 DetroitAve

Cleveland, OH44107

Bette &Gary Skaggs7/27106 1542 Terrace Drive

Pratt, KS 67124

Was &Janice Norman

7/27/06 1410 South NewPratt, KS67124

Dr. Pat Barker

7/28106 160176 NE 15thPratt, KS67124

Lany CarrBf7I06 I 615 Moms

Lamed. KS 67550

GrainConditioning8f7106 11305 BlackHawk

Eaton CO 80615

Uz:&Thad Henry8m06 1141 SW 19th

Pratt. KS 67124

Doug Ack9lySm06 12311Gndview Terrace

Manhattan. KS66102

Surgeon

IDI[{]'$250.00

Auctioneer

ID 1° ID'$100.00

Agriculture

DI[z]IDIDI $100_00

Banker

D[lJD 01 $400.00

Controller

D [l] 0 01 $100.00

10/30/2006 15:39 FAX 620 672 5409

':;::~~t{P;ji~;,'LAl~HAN & HARBERT

SCHEDULE ACONTRIBUTIONS ANDOTHER RECEIPTS

Kent Goyen

(Name of Candidate, party Committee or Political Committee)

Date Name and Addn:ssof Contri~utor

Occupation or IndividualGiving More Than $'150

CheckAppropriate Box

(:heck LoaDc.!Ih

..Su~~ta{T~;~~.".",':',,'.' :/:\>';:;t./:::<"}.~,:::}, .:';'<";>.<'..;

Other

i41004

Amount ofCa$h, Check,

Loan orOther' R«eipt

$250.00

$200.00

$250.00

$100.00

$250.00

$200.00

$250.00

$100.00

$300.00

$200.00

$2,100.00

Page lLof~._-~ "

J¥..;~,.:.:,

Bill&CindyKeller CEO Stanion Wholesale

IDI[l]IDID8/10106 1317 South NewElectric

Pratt, KS67124

Cheryl& GaryHamson Retired

IO\[lIIDID8/15106 I 5604CreeksideCourtManhattan,KS66102

Fred & Nancy Kerr Grain Producer

IDI[{]IDID8/18/06 1133 SW 19thPratt, KS 67124

BethBarker Retired

8/21/06 I410 SouthParka IDI[l]IDIDPratt,KS

Kent&SuzanneMoore Farmer

8/21106 1100498SW90th IDI[l]IDIDluka.KS67066

Ed&DeannaLackner Farmer/Rancher8121/06 11200 NWElmMillsRoad IDI[lJIDIDCoats, KS 67028

JerTY&Ka/'3leenLarrison FuneralDirector

8/21/06 11101SonnyLane IDI[l]IDIDPratt, KS67124

Steve &Sally laPrad Accountant

8/21/06 I 207Cambridge IDI[z]IDIDPratt, KS 67124

Heidi&Gerald Goodman Farmer

8/22106 ,143 SW 30th IDI[l]IDIDPratt, KS 67124

Bob &Janis Moore Farmer8/22/06 I 100232 NW40th IDI[lJIDIDluka. KS 67066

10/30/2006 15:39 FAX 620 672 5409

:;~R~bt~~:~:LAlffiHAN & HARBERT

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

Kent Goyen

(Name of Candidate, Party Committee or Political Committee)

Date

8/23/06

8/25/06

8/25/06

8125/06

8/25/06

8/25/06

Sf25106

B/25/06

8/25106

8125/06

,..

Name aad Addressof Contributor

O<:cupation OfIDdivid..1Giving More TbaD $150

Cbeck

Appropri3te Box

c.~" Check LD8n ()tIJ...

Martha McFall

803 Lawrence

Pratt, KS 67124

Retired

DlllJlDIDRick&Linda Lees506 FlameBaldwin City, KS 66606

Farmer

DI[l]IDIDMfM Don Stelzer50401 SW 100thPratt, KS 67124

Farmer

DI[l]IDIDLeland & Renee Wilson325 SE 40thPratt, KS 67124

Farmer

DI[l]IDIDLany and Carol Kneller720 RidgewayPratt, KS 67124

Pharmacist

DI[l]IDIDThe Bluestem FundP a Box342Topeka, KS66604

Association

DI[lJIDIDHarlan Shinkle610 East SecondPratt, SK 67124

Dentist

DI[l]IDIDM/MCorlis Goyen10019 SE 100thPratt, KS 67124

Farmer

DI[l]IDIDA C Boland505 IowaPratt, KS 67124

Retired

DI[l]IDIDTom & Judy Brungardt409 Saratoga Ct.Pratt. KS67124

Retired

DI[l]IDID

.SU~*()~~:T~;'i>sg~:?:. .-;. ~'...~.. .'::<' ..

page..!L of f4

I4J005

Amount ofCash, Chet:k,

Loal! orOtber Receipt

$100.00

$100.00

$100.00

$100.00

$100.00

$250.00

$100.00

$150_00

$200.00

$100.00

$1.300.00

"'---'--. .-.....:f_.~:>

10/30/2006 15:39 FAX 620 672 5409

~-~~~.~,. . o. u'.: 0 .. .~,..

LAUBHAN & HARBERT ~OO6

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

Kent Goyen

(Name of Candidate, Party Committee or Political Committee)

Date Name aDd Addressof Contribu1or

OCC8patioOvfIndividualGivillg More Tbao S150

CheckAppropriate Box

1.088

Amouot ufCash, Check,

Loan orOther Receipt

Cash ChcI:t OlbC1'

Farmer/Stockman

DlllJlDID $100.00

Retired

DI[{]IDID $100.00

Farmer

DI[z]IDID $250.00

.~~;~;.;; :;.""",h\;~;(;;;.::~;t'j!\:;'>i;r~>j;.'!6'~i.~:L,...-.-, , ~.. :..':'): PIII~.~.,,~...... ... ... -.-

Leon & Janice Dunn

8/29/06 ,863 NW 10thSt. John. KS 67576

Charles & Mary Bergner8/29/06 ,307 N Nlnnescah

Pratt, KS 6124

Shrack Farms

8/29/06 ,102226 NW 10thluka, K$ 67066

Adair & Susan Brown

9/5106 I 1735 19th St #5ADenver, COb 80202

Dick & Dona Cramer

9/5/06 I 203 Lake RdPratt. KS 67124

Blake & Chris Himmelwrlght

9151061 POBox Pratt. KS 67124D.J.Johnston DDS

9/5106 I 219 South NinnescahPratt. KS 67124

Jim & Li!>aBergner

9/5106 I 573 SunrisePratt. KS 67124

Dr. and Mrs. Dan Suiter

9/5106 I 207 Lake RoadPratt. KS 67124

J. A. Knight & Sons9/7/06 ,111 Stout

Pratt. KS 67124

Developer

'0 Il] 0 01 $300.00

Teacher/CPA

"0 [lJIDIDI $100.00

Land Management

'0 [lJIDIDI $100.00

Dentist

'0 [l] DID, $100.00

Fanner

10 10101$100.00

Physician

'0 [l] D 01 $500.00

Building Contractor

. 0 I [l] I 0 I I $100.00...!......... $1,750.00

10/30/200615:39 FAX 620 672 5409

i'': Rei"Qt'~g~"7:::

LAUBHAN & HARBERT

SCHEDULE ACONTRIBUTIONS AND OTHER RECEJPTS

Kent Goyel'!

(Name of Candidate, Party Committee or Political Committee)

Date

6/28/06

8/29/06

6/29/06

8/29/06

9/5/06

9/5/06

9/5/06

9/5/06

9/5/06

9/5/06

Name BDd AddressofCDntributor

Occupation of "tdivid.al

Giving Mol'e Than $150

CheckAppropriate Box

a.ah Che<:1< ou..,r

Dr. Pat Ba~er60276 NE 15thPratt, KS67124

Surgeon

Lo...

DI[l]IDID

DI[l]IDID

DI[lJIDID

DI[l]IDID

DI[l]IDID

DI[l]IDID

DI[{]IDID

DI[l]IDID

DI[l]IDfD

DI[l]IDID

. ". . s~~~~:::f~b~;~~;;::~;::;':."" ".; ,.:'>:'~::",' :::)~~':~"~>:':':::;\~:",r:'/~'::'.:':~5:{,}::'!,r:;:".,:;;(::i.:':":"':;;:7:'~':":~:;':

Leon & Janice Duon668 NW 10thSt John. KS 67576

FarmerFStockman

Charles & Mary Bergner207 N NinnescahPratt, KS 6712<t

Retired

Shrack Farms10226 NW10thPratt, KS67124

Farmer

Adair & Susan Brown1735 19th SL #6ADenver CO 80202

Developer

Dick & Dona Cramer203 lake RoadPratt, KS67124

Teacher/Accountant

Blake&Chris HimmelwrightPOBox 851Pratt, KS67124

Land Management

D. J. Johnston DDS219 South NinnescahPratt,KS67124

Dentist

Jim &Lisa Bergner573 SunrisePratt. KS67124

Farmer

Dr. and Mrs. Dan Suiter207 LBkeRoadPratt. SK67124

Physician

page.:2- ofA

~O07

Amount ofCash, Check.,

Loan orOther Reteipt

$250.00

$100.00

$100.00

$250.00

$300.00

$100.00

$100.00

$100.00

$100.00

$500.00

$1,900.00

"~:'~~~ttt:fi.:;;'::

10/30/2006 15:39 FAX 620 672 5409

::~',~~~.ijj'.E~LAUBHAN & HARBERT 141008

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

Kent Goyen

(Name of Candidate, party Committee or Political Committee)

Page JL ofLL':~~I~~~':::j

Cbeck AmoQllt of

Date Nrne .nd Address Oa:llpatioQ OflDdividual Appropriate Box Caslt, Check,

of CUDtributor GiviD2Mo Than $150 Loan 0.-Ca$Ii Check Loin OIher

Othcr Receipt

Darrell & Irene Shumway Contractor

[Z]9/8/06 450SE ParkHillsDr D D 0 $100.00Pratt,KS67124

Mike & Nita Jof1nson Attorney/Nurse9/8/06 10109lake Road D [l] 0 DPratt, K$ 6167124

$75.00

EarlHaySeRevocable Trust Retired9{8I06 1483 US 50 Hwy D [l] 0 0 $250.00

Stafford,K$

DougReh AutomobileDealer

9/11106 1501East First 0 [l] D 0Pratt.KS67124 $100.00

lea &DarleneHarnm Retired9{111O6 117 West Blaine D IZ] D DPratt.KS67124 $100.00

Dr.JimVanBlaricum Retired9/11{06 10481LakeRoad D [Z] 0 DPratt,KS67124

$100.00

Ken and AnnetteVan Blaricum

a&M9/11/06 415 BelmontRd 0 [l] D 0Pratt,KS67124 $100.00

(h. {Ihn{)rf /a,ed9/13{06

4i\od, h$D [l] 0 D

fI '/=51 &'$400.00

BettyWright Retired9{14/06 420 N Howard D [l] D DPratt, KS 67124

$100.00

Marion&Jean Fiegel Barber9/14/06 519Parke D [l] D DPratt,KS67124 $100.00

:".,' ::}_:':"':';:':i;,:'i,::; -}: :'':;:i:::,-,: ',''::,:(:g[,;,:s ;l.Y; jrr::;;{:S'7.';::{;!.;!,';:,:i:f,-i(f.Y:.il3:1?7;'ji:;:"\':_::;;;:'W/j:[$1,4.25.00

10/30/2006 15:39 FAX 620 672 5409

:;'3~.~~,~ai~!LAUBHAN & HARBERT

SCHEDULE ACONTIUBUTIONSANDOTHER RECEIPTS

Kent Goyen

(Name of Candidate, party Committee or Political Commiuee)

Date Name BDd AddressofCOJI,trib.tor

Oa:CDpatioD or Individa.1Giving Mo~ Thart $t50

Optometrist

Union~

Retired

Sctry/KDOT

KS Health Institute

Association

K rlbrA- I'e{P

Association

Association

R6tired

Checlt

Appropriate Box

(Ala Cbed lA>"" Otber

DI[l)IDID

DI[l]IDID

DI[l]IDID

DHZJIDID

DI(l]IDID

DI[l]IDID

DI[l]IDID,

DIIlJIDID

DI[l]IDID

DI[l]/DID

; :,',:':'",:,' ,;':::~~t..W,4~::fage: ' ;';';'::,~~'::~;:,;~ri,:':;;j(~:;::;<.:/,,i,/i,jit:'!i ''.:;';'.:.:,:!~':{'~:r~F:i;f?!{!/;'\';~,::~:)\W:\L':r: '

Pagelof~

@O09

Amount ofCash, Check,

LoaD DrOther Receipt

$100_00

$250.00

$250.00

$100.00

$100.00

$500.00

$100.00

$300.00

$500.00

$100.00

$2.300.00

;,~.;-~~ir1t:~~~~~~~:

Dr. and Mrs. Phil Fann6r

9/14/06 110154 W 5thPratt. KS67124

KS AFUCIO

9/14106 1110W6thTopeka, KS 66605

Harold Nye

9/14106 13503 B ChaumontHays. KS 67601

Deb Miller

9/14106 13520 SW Avalon LnTopeka, KS 66604

James Mclean

9114106 13520 SW Avalon InTopeka. KS 66605

KNEA

9/14/06 I 715 SW 10thTopeka. KS 66603

Vickie Nitsch

9/14/06 I POBox 537Dodge City,KS

KS Contractors Assoc.

9/14/06 1 POBox 5061Topeka. KS 67583

Operators Engineers9/14106 16601 Winchester. Suite 280

Kansas City.Mo. 64133

MIMDale Withers

9122106 ,10026 Country Club RoadPratt, KS 67124

10/30/2006 15:40 F.tl 620 672 5409

'~')~i~i~~::)LAUBHAN & HARBERT 141010

SCHEDULE ACONTRIBUTIONS ANDOTHER RECEIPTS

Kent Goysn

(Name ofC.andidate, Party Committee or Political Committee)

pageLOf~

l:,::~'.R~~~~~:~::;

I ICheck Amount of

Date Name and Addnss Ocnpatio. of I.Bdivid..al Appropriate Bo:r; Cast., Check,or ContributOr GiviDI:Mol"':Ttlaa SlSO Loaaaor

C",1t Cbeck LOIIII OilierOther ,aeeipt

M/M Gordon Stull Attorney

9/22/06 40353 NE 10th D fZ] D D $500.00Pr3tt, KS67124

Fred & NancyKerr GrainProducer9/28106 144SW19th D [l] 0 DPratt. KS 67124

$100.00

Gary & Lynette Curtis Farmer9128/06 110885 NW110th D [l] D D $100.00

Byers. KS 67021

MarvinoSEunice Proctor Retired9/28/06 1326EastThird 0 [l] D 0Pratt.KS67124 $100.00

Ma & Rufus Stinnett Retired9/28/06 512 Curtis 0 [i] D DPratt.KS67124 $100.00

Dr.and Mrs.Wakon Fowler Pt1ysician9/28/06 323 N Main 0 [l] D DPratt. KS 67124

$100.00

Sue and BruceGivens Education Admin

9/28/06 10111CountryClubRd SpecialEdAdmin D [l] 0 DPratt,KS67124 $75.00

Rod & KiilYLesh Retired9/28/06 1118Holly 0 [l] D 0Pratt,KS67124 $100.00

Barb &I<ellyMason Benker9/28(06 1104 Sunny Lane 0 fl] D DPratt.KS67124 $100.00

ISEWloc:a1166 Union10/10/06 427 NorthMain D [l] 0 DHutchinson, KS 67501

$200.00

..

...'::, ;- :"" ('SI{i::: ::::'.;,:.::: ,. ::''::';':::':''.:';,;;,: .:;:":'/::.t::,:.',:,::,':;:'(:;:,::)?:.rt::/, ':'f::1,/f,>;Jy;:.:\,::.'t:;:;:,;,!,:; ,'t:?$1.475.00

10/30/200615:40 FAX 620 672 5409

'.:Ri_~TLAlmHAN & HARBERT 1@011

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

Kent Goyen

(Name of Candidate, party Committee or Political Committee)

page!L of.l!L

;~"~:)~ri~t'~~::;~::

C"cck Amount of

)ate Name 8Jld Address Occupation of Individual Appl'&priafe Box Castl, Check.of Coutrib.tor Giving More ThaD S150 Olb"r

Loan orea.h Ch<:<:k ........

Other Receipt

Heavy Contractors Assn. Association

10/16/06 3101 Broadway, Stye, 780 D III D D $500.00KS City,MO64111

GreaterKansasCityChamber PAC10/16/06 PoliticalAction D [l] D D911Main,Ste. 2600 $500.00

KansasCity.MO64105

ArkValleyEducvation EmplOyees Association

10/16/06 100 MilitaryPlaza 0 [Z] D D $100.00Dodge City,KS 67801

MidContinent Racing &Gaming Association10/18/06 101 Jules St. 0 [l] D 051.Joseph, MO64501 $250.00

James &CybilRonan Retired10119106 116 Ceotennial D [ZJ 0 DS1.John, KS67576 $250.00

Dr. and Mrs. Ron Ingram Dentist10/19/06 620 Terrace Dr D [l] D DPratt,KS67124 $100.00

PhilRuffin Developer10/16/06 POBox 170087 D [lJ 0 DWichita.KS 67217 $200.00

MichaelMaloney Steelworkers Union.. .10/6/06

;(1gI : l"f.:£i'k!.VoJ kt)

f D [Z] D DW,'eJ'l I eftS. &7;;):;}0

$200.00

GreatKansasCityChamberof PAC10/25/06 Commerce PoliticalAction D [Z] D D911 Main,Ste. 2600 $200.00

Kansas City,MO64105

Kansan For LifeSaving Cures Association10/25106 P 0 Bo 1141 D [l] D DLawrence, K5 6604 $500.00

:'; :::;,<;;;::>!:/.,::::../":,;:. "'':;,.;>!,',.:;j".">';.:;,;,;"":: "::;:':<:!';;'; ,j,:-. :.":-::' --::- . .'/:."..: . ./. SubtobilThis'f3ge< ': "::'.:: \: '.:, '.:';>:'::":.:;';":::-<:' ''''''':;, '.:,:,,:',:'i'::;: .;' <:,:;,:,

$2.800.00. " . ",."", , ," .. :., :. " .',' . "", '.' . "..

10/30/2006 15:40 FAX 620 672 5409

~,';~ti(Page:~:LAlmHAN & HARBERT I4J 012

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

Kent Gayen

(Name of Candidate, party Committee or Political Committee)

c..h Cheelt "

Amount ofCa5h, Check,

LDan 0.-Otber Receipt

Date NaJl'lc and Addressor Contributor

OCCUp1ItiOD of Individual

Givipg More Tbu Sl~O

Check

Appropriate Box

Other

10/6/06

United Transportation Union PAC14600 Detroit AveCleveland. OH 44107

$250.00

$100.00

$300.00

<' ",'.';:s~~~(;riu:"F~g;< :.' :i:." ; '~': ::::;>;;;};i:, "",:,:,:'i;;,::"5:5"'> '; :(}:;%;~';':,:'~:\',F{'Y; ';;,: '/;" "',;~",.:-$1.800.00

PageJ!.ofL

'-;:,~'P~~P~D~:.,~:

Johnston &Eisenhauer10/5/06 I POBox 825

Pratt. KS67124

LizWade

10/5/06 I 330 N 17thKansas City,KS 66102

KincheJoes

10/6J06 110517 N US Highway281Pratt, KS67124

Borho/PfieferFarm LlC

10/6/06 110517 N US Highway281Pratt, Ks 67124

Dr.Jennifer Jackson

10/6/06 1420 CountryClub RdPratt, KS67124

Pratt DemocraticCommittee10/6/06 I Pratt. KS67124

Kansas Medical Society PAC

10/10/06 I 623 SW 10thTopeka. KS 66612

Ran & Anne Burgess

10/25/06 I POBox 146Stafford, KS 67578

KQHRA

10/25/05 I P 0 Bo;x;288Eureka, KS 67045

PAC -

OI[l]IDID-

':{.Ctr mU" D [ZJ D 0Association

0 [l]DO

10/30/2006 15:40 FAX 620 672 5409:;:o..~ry::.:::!:"'.~.:o::!';'~ :.

LAUBHAN & HARBERT 141013

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

Kant Goyen

(Name of Candidate, Party Committee or Political Committee)

Complete if last page of Schedule A

f::"-pji~~g.. ;.~.;)

Check Amount of

Date Nsme and Address o«upaUoD oflodivid..81 Appropriate Box Cull, Check,

of Contributor Givin More ThaD $150 Loan orCMb Oed< I.o8D Olber

Other Reuipt

JA Knight & Sons Building Contractor10125/06 111 Stout D [Z] D 0Pratt,KS67124

$100.00

BoilermakerslBlacksmithing PAC

10/17/06 753 State. Ste. 565 D [l] 0 DKansas City,MO66101 $500.00

Ross&Jeanne Hoener Farmer1Of16/0B70424NE10thAvenue D lZJ 0 Dluka,KS67066 $100.00

TheBluestemFund Association10/25/06 POBox 4302 D [l] 0 DTopeka.KS66604 $250.00

D D D 0

D D 0 D

D D 0 D

D 0 D D

$950.00

Total Itemized Receipts for Period $19,750.00Total Unrtemized Contributions ($50 or less) $3.210.00

Sale ofPoliticaJ Materials (Unjtemized) $0.00

Total Contributions When Contributor Not Known $0.00

:.t.6.TAL.-im:::rt(I:S-'lUQ]t(tO;:Jin'.0tary.f/. }:A:"':,,::'.";;F.:;::/?/'} ;:.:.{.:;::',: $22,960.00

10/30/2006 15:40 F~\ 620 672 5409

::~8t!f.T-~LAUBHAN & HARBERT 141 014

SCHEDULE BIN-KIND CONTRIBUTIONS

Kent Goyen

(Name of Candidate, Party Committee or Political Committee)

DateName, Addr~s and Occupation

of ContributorUst occupation for those giving

an in-kind moretban $150

Fred & Nancy KelT

9f15f061144 SW 19thPratt, KS 67124

Description ofID-Kind

Contribution

Labels,Cards,Envelopes,Printing

Value ofIn-IGnd

Contribution

$65.30

,'. ">"::suJfu~~:.nli~.~~'i:;: ..' ..':..'.'~~',-/:.p(:;l\. ;>:\):~':.,<.:"::~~~<~:;i'-~(>:"';.:;:'';C'";':?\~->:.::I$65.30

CompJ~te if last page of Schedule B

PageJ2{ of ~

"":'-~;~i:iB\~;};

Tobl Itemized (over $50) [n-Kind Contributions $65.30

Total UnJtemized($50 or less) In-Kind Contributions $0.00

::toAL;:C9tJiio'J,;iifS,'9J.>.(t li:')OfOt#ij;);<', .> .$65.30

10/30/2006 15:40 FAX 620 672 5409

.'.Resetpage

LAUBHAN & HARBERT IgJ015

SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS

Kent Goyen

(Name of Candidate, Party Committee or Political Committee)

Page .£L of J:L

Print Page

Date Name and Address' Pllrpose of Ependitul"e Amountor Disbursement

Postmaster Stamps

8/15/06 Post Office $195.00Pratt, KS 67124

Pratt County Fair Assoc. & 4-H Livestock Publicity Purchase

B/21f06 P 0 Drawer H $200.00Pratt. KS 67124

OPI Signs

Bf2Bf06 516 Broadway $102.34Lamed,KS 67550

Taylor Printlng,lnc. Stationary, brochures..etc.

8f21f06 POBox 922 $976.72Pratt. KS 67124

OPI Brochures

9/30f06 516 Broadway $2.489.14Lamed. KS 67550

Taylor Printing Letterheads, Cards, etc.

10/26/06 POBox 922 $204.57Pratt, KS 67124

Pratt Tribune Advertising

10/17/0B POBox 909 $327.60Pratt, KS 67124

The Great Bend Tribune Advertising

10[20/06 2012 Forest Ave $247.60Great Bend. KS 67530

Stafford Courier Advertising

10/25/06 POBox 276 $247.60Stafford, KS 67578

Postmaster Stamps

9/11/06 Post Office $78.00Pratt, KS 67124

$5,068.57Subtotal This Page

10/30/2006 15:41 FAX 620 672 5409

~~:.~~~LAlffiHAN & HARBERT ~016

SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS

Kent Goyen

(Name of Candidate, party Committee or Politica1 Committee)

Date Name a..d Address Purpose of Expenditureor Disbursement

Amount

, .

':';';'"'''' ?;""",~:, .. ::-::"u,~'/" ':~' <,. .f '. ','. :;:. '", ".:' :':V' ,;;:...'.' . '.

$8,867.48., '.'.' " '. . .. ' '" ,,,

SII~total:.Thi5:Page . " '.

Complete if last page of Scbedule C

Page LLof~.,<''j~~~i~;::2

Tiller&ToilerI Advertising

9nf061115West5thI $54.80

Lamed. KS67530

I,nfo"""'ion Din"'"Playa Azul I $95.65101210611413East First

Pratt.KS67124

I Ad..rtlsingKT'sSigns ByDesign

10/19/06110510 West Highway54 I $133.82Pratt. KS67124

I Ad..rns;ngTiller&Toiler

10/25/06 1115 West 5th I $174.96Lamed. KS 67550

OPI

10/25/06 1516 Broadway I $733.29Lamed.KS67530

KS Democratic Party Advertising

10/25/061 POBox 1914 I $7,500.00Topeka, KS 66601

I AdvertismgStafford Courier

10/20106 I POBox 276 I $174.96

Stafford, KS 67578

Total Itemized Expendit1.ir'esThis Period $13,936.05

Total Unitemized Expenditures of$50 or less $287.87

TOTAL EXPENDITURES & OTHER DISBURSEMENTS $14.223.92TIDS PERIOD (to line 4 ()f Summary)