receipts and expenditures reportreceivet,-.', ,of a...

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KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORTRECEIVEt,-.', ,OF A POLITICAL OR PARTY COMMITTEE '

January 10, 201~

FILE WITH SECRETARY OF STATE SEE REVERSESIDE'FOR INSTRUCTIONS

Name o'fComrnittee: KS Restaurant & ~ospitality Association Political Action CommitteeA.

"Address: 3500 N Rock Rd, Bldg 1300 r

City and Zip'Code: Wichi!a, KS 67226

This is a (check one): - ,__ Party Committee ,f Political Committee

B. Check only if appropriate: __' '_, Amended Filing - __' Termination Report(

C. SUmInary (covering the period from January 1,2011 through December 31,2011)

1. Cash on hand at beginning of period , .

2: Total Contributions and Other Receipts (Use Schedule AJ ~ . 3. Cash available t~s period (Add Lines 1 and 2) ~ : : : .

4. Total Expenditures and Other Disbursements (Use Schedule C) : .

5. Cash on hand at close of period (Subtract Line 4 from 3) ..

15,~24.006. In-Kind Contributions (Use Schedule B) ..

,7. Other Transactions (Use Schedule D) ,

'5,027.89

, , 44,780:86 '

49,808.75

45,060.29 "

4,748.46

,D. "I declare that this report, including any accompanying schedules and statements, has been examined by me , andtq the best of my knowledge and belief is true, correct and complete~ 1 understand that the intentional

failure to file this qocument or i,ntionally filing false document is a class A misdemeanor."

V'VIJ . /Ztm .~... I Date Signature of Treasurer

GEe Form Rev, 2001

SCHEDULEA' CONTRIBUTIONS AND OTHER RECEIPTS

KS Restaurant & Hospitality Association PAC

(Name of Party Committee or Political Committee)

"

Date

/'

/

/'

',' '?Y.ir~1~~~~, ,"

1<:::' <;c,';. ;:, ' .."; ;[~;~)~f~~ ~i~~~:~

Occupation & Industry of Cbeck Amount of Name and Address Individual Giving More Appropri.!lte Box ,Casb, Cbeck,

of Contributor Tban $150 Loan or C.,b ' Cbeck Loan' Olber

Otber Receipt.

See Attached Schedule - $44,780.86

)

'.

..

-

..

-

}

..

..

,

-,

~

..

(

.~.'<

;.s:Z'." ':~I;,~,~' ,.., ':'''~; ...>i· :.>

l1'li~faiie. ';;'.::;';\l. ;:i'\ ":/~j; .j" . . .. ' $44,780.86

..

Page .__ of__

KRHA Political Action COl1l1hittee

Schedule A

Contributions & Other Receipts .

Date Name & Address Amount

Various Kansas Restaurant & Hospitality Association

3500 N Rock Rd, Bldg 1300

Wichita, KS 67226

31,340.86 check

. 7/14/2011 Best Western Butterfield Inn

PO Box ~22

Hays, KS 67601

250.00 check

7/14/2011 Healy Biodiesel

205 WIst

Sedgwick, KS 67135

350.00 check

7/14/2011 Retail Data Systems

106 Greyston Ave

Wyandotte, KS 66103

350.00 check

10/10/2011 Best Western International

701 Fairway

Lamed, KS 67550'

250.00 check

7/25/2011 ,

Mid-America Orthopedics

1923 N Webb Rd

Wichita, KS 67206

500.00 check

Various Best Western Airport

6815 W Kellogg

Wichita, KS 67209

1,000.00 check

Various Hyatt Regency

400 W Waterman

Wichita, KS 67202

750.00 check

7/26/2011 . Redrock Canyon Grill

3101 W Tecumseh Rd; Ste 200

Norman, OK 73g72

250.00 check

8/1 0/2011 Sasnak

1834 N Topeka

. Topeka, KS 66608

500.00 check

8/15/20 II Super Eight Forbes'Landing

5922 SWvTopeka Blvd

Topeka, KS 66619

250.00 check

8/15/20 II Missouri Restaurant Association

4049 Pennsylvania Ave, Ste 204

Kansas City, MO 64j II

250.00 check

Various ACT

1620 S Broadmoor

Wichita, KS 67207

850.00 check

8/19/2011 Farmers Brothers Family of Coffee

. 427 S Washington

Wichita, KS 67202

500.00 check

8/19/20 II Savor - Wichita Intrust Bank Arena

500 E Waterman

Wichita, KS 67202

340.00 check

Various In the Sauce Brands

101 N Ridge Rd

Wichita, KS 67212

500.00 check

8/19/2011 Alternative Risk Company

PO BoxA

Indepenclence,MO 64051

250.00 . check

7/19/2011 Go Wichita CVB

515 S Main Ste lIS

Wichita, KS 67202

350.00 check

8/23/2011 SecureNet Alarm Systems

10501 Hampton Lakes Rd !

Maize, KS 67101

350.00 check

4/6/2011 Sunset Equities PO Box-1303

McPherson, KS 67460

1,000.00 check

Various Sysco Foods ofKC 1001 S Young

Wichita, KS 67209

1,000.00 check

4/1812011 Specialty Foods PO Box271

Webb City, MO 64870

250.00 check

5/4/2011 Darling International 685 Adams

Kansas City, KS 66105

500.00 check

5/4/2011 Avivo Brick Oven Pizzeria 101 N ~dge Rd

Wichita, KS 67212

250.00· check

5/4/201] . Treat America Food Services 8500 Shawnee Mis~ion Pkwy Ste ] 00

Merriam, KS 66202

500.00 check

5IJ 0/20] ] KC Hopps 10551 Barkley #615

Overland Park, KS 66212

600.00 check

5IJ2/201] Springfield Grocer .

PO Box 215

Kingsville, MO 64061

250.00 check

8IJ 9/20 11 Ben E. Keith 3]6 S Blad.'Welder

Oklahoma City, OK 73 ]48

1,000.00 check

5IJ 2/20 11 Continental Western 11201 Douglas Avenue

Urbandale, IA 50322

250.00 check

Total 44.780.86

, r

-SCHEDULEB IN-KIND CONTRIBUTIONS

KS Restaurant & Hospitality Association PAC _


Value ofList Occupation & Description of In-Kind . 'In-KindIndustry for Those GivingName and AddressDate

ContributionContributionan In-Kind of More Thanof Contributor $150

See Attached Schedule $15,524.00

$15,524.00

-Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions

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

$0.00

Page __ of__

KRHA Political Action Committeer Schedule B· .

In-Kind Contributions

Date Name & Address· Contribution Amount

8/22/2011 Fanner Brothers Family of Coffe Food & Beverage 427 S Washington Wichita, KS 67202

100.00

8/22/20 II Trezo Vino 11570.Ash Leawood, KS 66211

Food & Beverage 100.00

8/22/2011 Terradyne 1400 Terradyne Rd Andover, KS 67002


8/22/20 II Sheraton '6100 College Blvd Overland Park,KS 66213


8/22/20 II Sand Creek Golf Course 920 Meadowbrook Dr Newton, KS 67114

.Food & Beverage 250.00

8/22/2011 Heroes 8100 E 22nd N, Ste 2100-3 Wichita, KS 67226


8/22/2011 130nefish 10250 E 13th St N

.Wichita, KS 67206


8122/2011 LDF Companies 10610 E 26th Circle North' Wichita, KS 67226

Food & Beverage 1,800.00

8/22/2011 Freddy's Frozen Custard 1445N RockRd, Ste210 Wichita, KS 67206


8/22/2011 Hilton Wichita Airport 2098 Airport Rd Wichita, KS 67209

. Food & Beverage 75.00

5/9/2011 Spring Hill Suites by ¥arriott 12000 Blueyalley Pkwy Overland Park, KS 66213


5/9/2011 Residence Inn by Marriot 1620 SW Westport Dr Topeka, KS 66604


5/9/2011 Secura 2050 Packer Court Lawrence, KS 66044


5/9/2011 Free State Brewing Company Food & Beverage 900.00

636 Massachusetts Lawrence, KS 66044

\

5/9/2011 Boulevard Brewing Company 2501 Southwest Blvd Kansas City, MO 64108

Various - Tallgrass Brewing Company 8845 Quail Lane Manhattan, KS 66502

Various Dr. Pepper Snapple Group 244 Bent Tree Ct. Andover, KS 67002

5/9/2011 Jimmy Johns 922 Mass-achusetts St Lclwrence, KS 66044

5/2/2011 23rd St Brewery 3512 Clinton Pk.'W)' Lawrence, KS 66047

5/9/2011 - RJ Reynolds PO Box 1629 Parker, CO 80134

8/22/2011 Ben E Keith 2333 S West St Wichita, KS 67213

Various Best Western Airport 6815 W Kellogg

. Wichita, KS 67209

8/22/2011 In the Sauce Brands 101 N Ridge Rd Wichita, KS 67212

Various Perkins. 1720 SW Wanamaker Rd

" Topeka, KS 66604

! 5/9/2011 Crown Plaza Hotel ,12601 West 95th Street Lenexa, KS 66215

5/9/20n Holiday Inn 200 McDonald Dr LmNrence, KS 66044

5/9/2011 KC Hopps .J0551 Barkley #615 Overland Park, KS

Various Yacht Club Bar & Grill 530 Wisconsin St Lawrence, KS 66044

5/9/2011 Ramada 700 ~W Jackson St Ste 200 Topeka, KS 66603




Food & Beverage" 936.00'





.Food & Beverage 60.00

. Food & Beverage 220.00


Food & Beverage 200.00·

<:


"



5/9/2011 Hospitality Insurance Services, Il Food & Beverage 2,228.00 3500 N Rock Rd, Bldg 1300 Wichita, KS 67226

Various Sysco Foodservice ofK.C. 1001 S Young Wichita, KS 67205

Food & Beverage' 550.00

Various Outback Steakhouse 2020 N Rock Rd Wichita, KS 67206

Food & Beverage 3,400.00

Total 15.524.00

. \

SCHEDULEC .EXPENDITURES AND OTHER DISBURSEMENTS

KS Restaurant & Hospitality Association PAC


Purpose of Expenditure Name and Address Amount

Date To Whom Expenditure is Made If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address

See Attached Schedule $45,060.29

" ,

$45,060.29'

. Paae of .'='-- -

250.00

KRHA Political Action Committee Schedule C

Expenditures & Other Disbursements

10/18/2011

10118/2011

10/18/2011

10/18/2011

1011812011

10118/2011

10/18/2011

10118/2011

10118/2011

,,"10118/2011

10/18/2011

10118/2011

10/18/2011

10/18/2011

10/18/2011

Name & Address

Terry Calloway for State Representative 3402 Airport Circle' Pittsburg, KS 66762

Caryn Tyson for State Representative 19984 Co. Road 1077 Box 191 Parker, KS 66072

. Terri Lois Gregory for State Representative 324 Dearborn Baldwin City, KS 66006

Pat Apple for StateSenate Box 626 Louisburg, KS 66053

Steve Abrams for State Senate 4579 242nd Rd. Arkansas City, ~S 67005

-Jim Kelly for State Representative 309 S ~th

Independence, KS 67301

ArlenSiegfreid for State Representative 1403 W Prairie Terrace Olathe, KS 66061-6807

Lance Kinzer for State Representative 12549 S ~rougha~ Olathe, KS 66062

ForrestKnox for State Representative 17120 Udap Road Altoona, KS 66710-8560

.Amanda Grosserode for State Senate 12601 W. 99th Street Lenexa,KS 66215

Kelly Meigs for State Representative 7842 Rosehill Road Lenexa, KS 66216

. Dan Kerschen for State Representative 645 S. 263 W Garden Plain, KS 67050 .

Marvin Kleeb for State Representative 14206 Eby Overland Park, KS 66221

John Rubin for State Representative 13803 W 53rd St Shawnee, KS 66216

Jim Denning for State Representative 84 I6 W. 115th Street

. Overland Park, KS 66210

12/31/2011

Purpose of Expenditure

2011 General Election Contribution

20u General Election Contribution


, 2011 General Election Contribution

20 11 Genera~ Election Contribution

('



20 11 General Election Contribution




20 I 1 General Election Contribution

201 I General Election Contribution


20 I 1 General Election Contribution

Amount

250.00

250.00

250.00

250.00

250.00 .

350.00

250.00

250:00

250.00

250.00 .

250.00

250.00

250.00

250.00

250.00

250.00

250.00

]0/1S/2011 Rob B~uchman for State Representative 50] 6 W. 1OSth Terrace #522 Overland Park, KS 662] ]

]0/1 S/20] ] Brett Hildabrand for State Representative 2420 Acorn Rd Sabetha, KS 66534

1O/1S/2011 Julia Lynn for State Senate lSS37 W 115th Terrace Olathe, KS 6606] -9379

10/1S/201 ] · Barbara Bollier for State Representative 43] S Westfield Wichita, KS 67209

]0/1S/2011 Robert Montgomery for State Representative 1300 E. Sleepy liollow Dr. Olathe, KS 66062 .

]0/1S/2011 Ty Masterson for State Senate 1539 Phylli~ Lane Box 424 Andover, KS 67002

10/1S/201] Owen Donohoe for. State Representative 6265 Arapahoe Shawnee; KS 66226

]0/1S/2011 Jana Goodman for State Senate 410 S. Broadway Leavenworth, KS6604S

-10/1S/2011 Ramon Gonzalez for State Representative

Box 12 Ozawkie, KS 66073_

1O/1S/20] ] Trent LeDoux for State Representative 32421 255 Street Easton, KS 66020

10/1S/20] ] ~ichael R. O'Neal for State Representative S Windrnere Court Hutchinson, KS 67502

]0/1S/20"] ] Randy Garber for State Representativ~ 2424 Timberl,ane Terrace Sabetha, KS 66534

1O/1S/2011 James Fawcett for State Representative 7n Crestview Drive

· Junction City, KS 6644]

]0/1S/2011 Susan Mosier for State Representative 35] 7 Amy Lane Manhattan, KS 66503

1O/1S/201 ] \

C1arl5 Shultz for State Reyresentatiye 707 Washington Cir; Lindsborg, KS 67456

10/1S/2011 · Sandy Praeger for Insurance Commissioner 360 I Quail Creek Court Lawrence, KS 66047

.10/1S/201 ] · Mast for State Representative 765 Road 1]0 Emporia, KS 66S0]

2011 Genera] E]ection Contribution

-2011 Genera] Election Contribution


201] General Election Contribution 200.00

2011 General Election Contribution 250.00

l 2011 General Election Contribution 250.00

2011 General Election Contribution 250.00 ,

20] 1 General Election Contribution 250.00

20]] General Election Contribution 250.00

, \


. 20] ] General Election Contribution 350.00

2011 General Election Contribution 250;00

201) General Election Contribution 250.00



20] ] General Election Contribution

2011 General Election Contribution.

250.00

250 ..00

250.00

250.00 10118/2011 Virgil Peck, Jr. for State Representative Box 277 Tyro, KS 67364

10/18/2011 Jim Howell for 5;tate Representative 125 E. Buckthorn Road DerbY,KS 67037

10/18/2011 Joseph Scapa for State Representative 2209 S. White Cliff Wichita, KS 67207

10/18/2011 William Prescott for State Represen,ative 5928 SW 216th Terrace Osage City; KS 66523

10/18/2011 Mike Petersen for State Senate 2608 Southeast Dr Wichita, KS 67216

10/18/20 II Mary Pilcher Cook for State Senate 13910 W.58th Place

. Shawnee, KS 6621 q

10/18/2011 Benny Boman for State Representative 1914 EuClid Wichita, KS 67213

10/18/2011 Leslie Osterman for State Representative 1401 W. Dallas' Wichita, KS 67217

10/18/201l Marc Rhoades for State Representative 1006 Lazy Creek Drive Newton, KS,671 i4

10/18/2011 Dennis Hedke for State RepresentatiVe 1669 N, Sagebrush Wichita, KS 67230

10/18/2011 Stev~,n J.9hn!ions for State Representative 10197 S, Hopkins Road Assaria, KS 67416

10/18/2011 Chris Steineger for State Senate 51 S. 64th S1. Kansas City, KS 66111

10/18/2011 Derek Schmidt for Attorney General . Box 804 Independence, KS 6730 I

10/18/20 II . Dan Collins for State Representative -1720 Y Road

Plainville, KS 67663

10/18/2011 .-'

Mitch Holmes for State Representative 211 SE 20th Avenue S1. John, KS 67576

10/18/20 II - Ron Ryckman forState Representative Box 192 Meade, KS 67864

10118/2011 Kyle Hoffman for State Representative 13'18 Avenue T Coldwater, KS 67029

20 II General Election Contribution

20 II General Election Contribution 250.00

2011 General Election Contribution .250.00




2011 General Election Contribution 250.00'


2,0 II General Election Contribution 350.00

-. 20 II General.Election Contribution 250.00






20 II General Election Contribution


250.00

250.00

10118/20 II Brian Weber for State Representative Box 804 Dodge City, KS 6780 I

20 II General Election Contribution ~50.00

10/18/2011 Ward Cassidy for State Representative 420 E. 2nd Box 303 St. Francis, KS 67756


10118/2011 Rick Billinger for State Representative 310 Acacia Drive Goodland, KS 67735


10118/2011 Reynaldo Mesa for State Representative 1719Crestway

.Garden City, KS 67846

2011 General Ele~tion Contribution 250.00

10118/20 II J. Stephen Alford for State Representative 4179 E. Road 19 . Ulysses, KS 67880


10/18/20 II Jay 5icott Emler for State Senate 1457 Shawnee Road Lindsborg, KS 67456


10/18/2011 Mark Taddiken for State Senate . 2614 Hackberry Road

Clifton, KS 66937


10118/20 II Gene Suel/enttop for State Representative 6318 W. Northwirid Circle' Wichita, KS 67212


10118/2011 Ray Merrick for State Senate 6874 W 164th'Terrace Stilwell, KS 66085


10/18/2011 Garrett Love for State Senate 2450613 Road - Box 1 Montezuma, KS 67867

. 2011 General Election Contribution 250.00

10/18/2011 Ralph Ostmeyer for State Senate 602 S Jefferson Box 97 Griimell, KS 67738


10/18/20 II Ste~eBrunkfor State Representative 4430 lanesville Bel Aire, KS '67220


10/18/2011 JeffLongbine for.State Senat~ 2801 Lake~idge Road Emporia, KS 66801

2011 General Election Contribution 250.00 .

10/18/2011 Terry Bruce for State Senate 40 I E. Shennan Hutchinson, KS67501


10/18/2011 Sam Brownback for Govenor P:O. BoX. 3739 Topeka, KS 66604

20 II General Election Contribution 1,000.00

10/18/20 II Jene Vickrey for State Representative 502 S Countryside Drive . Louisburg, KS 66053

~

20 II General Election Contribution . 250.00

10118/2011 Anthony Brown for State Representative 1229 Acorn Eudora, KS 66025

2011 General Election Contribution 250.00.

10/18/2011 Susan Wagle for State Senate 4 Sagebrush Wichita, KS 67230

10/18/2011 Richard Carlson for State Representative 26810 Jeffrey Road St. Marys,XS 66536

10/18/2011 Laura Kelly for State Senate 234 SW Greenwood Ave Topeka, KS 66606

10/18/2011 David Crum for State Representative 2903 Lakeshore Drive . Augusta, KS 670 I0

.10/18/2011 Doug Gatewood for State R~presentative

411 S Florida, Box 306 Columbus, KS 66725

10/18/2011 Vicki Schmidt for State Senate 5906 SW 43rd Court Topeka, KS 66610

10/18/2011 Robert Olson for State Senate 19050 W 161st Olathe, KS 66062

10/18/20 II Phil Hermanson for State Representative 5338 S. Mosley

.Wichita, KS 67216

10/18/20 II Robert Grant for State Representative 407 W Magnolia Cherokee, KS 66724

9/16/2011 Sand Creek Station Golf Course 920 Meadowbrook Dr Newton, KS 67114

6/10/2011 Alva"mar Country Club 1809 Crossgate Drive Lawrence,KS 66047

Various Kansas Restaurant & Hospitality Association 3500 N'Rock Rd, Bldg 1300

. , Wichita, KS 67226




2011 General Election Contribution· 250.00




2011 General El~ction Contribution 250.00 r


Fund Raisillg Expense

Fund Raising Expense

./'.

4,670.00

6,966.40

Fund Raising Expense 13,723.89

. Report Total 45,060.29

receipts and expenditures reportreceivet,-.', ,of a...

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