Campaign Finance Receipts & Expenditures Report 109 W. 9th, Suite 504 January

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1 Campaign Finance Receipts and Expenditures Report Page 1 of 1 Campaign Finance Receipts & Expenditures Report 109 W. 9th, Suite 504 January Topeka, KS Governmental Ethics Commission Phone (785) Fax (785) Campaign Finance Candidate Name:Kelly R Meigs Filing Report Address: 7842 Rosehill Road Address2: Check only if appropriate Amended Filing Termination Report City: Lenexa Zip: County: Johnson Home Phone: (913) Business Phone: Office Sought: State Representative District: 23 SUMMARY (covering the period from October through December ) 1 CASH ON HAND AT BEGINNING OF PERIOD $14, TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $3, CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $17, TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $6, CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $10, IN-KIND CONTRIBUTIONS (Schedule B) view/print $ OTHERTRANSACnONS (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: 1/10/20136:47:41 PM Signature of Candidate or Treasurer: Laura Mitchell

2 Campaign Finance Schedule A Report Page 1 of2 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Date Candidate: Kelly R Meigs Name and Address of Contributor Kansas Physical Therapy Association - PAC 2900 SW Plass Ct Ste 202 Topeka KS Brad Smoot 800 SW Jackson Suite 808 Topeka KS Omni Dalls Parkwest 1590 LBJ Freeway Dallas TX Omni Dallas Parkwest 1590 LBJ Freeway Dallas TX Prairie Band Potawatomi Nation Q Road Mayetta KS Pfizer, Inc 6730 Lenox Cetner CT Memphis TN Barbara Sonsting 9241 Goddard Overland Park KS Kansas Realtors PAC 3644 SW Burlingame RD. Topeka KS Sprint Nextel PO Box Phoenix AZ Asurion PO Box Nashville TN AGC-PAC 200 W. 33rd St Topeka KS Type of Payment Cash, Check, Loan, Other Occupation And Industry of Individual Giving More Than $150 Amount Check $ Check Lawyer Legal $ E Funds $5.40 E Funds $44.60 Check $ Check $ Check $80.00 Check $ Check $ Check $ Check $

3 Campaign Finance Schedule A Report Page2of / /12 KIA PAC 815 SW Topeka Blvd Topeka KS Ash Grove Cement Company PO Box Overland Park KS 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 Check $ Check $ $ $0.00 $0.00 $0.00 $

4 Campaign Finance Schedule C Report Page 1 of3 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Date Candidate: Kelly R Meigs Name and Address Wendy's 8699 Bluejacket Purpose of Expenditure or Disbursement Fundraising Expenses Meal for workers Amount $14.54 Home Depot 8000 W 135th St Overland Park KS Yard signs Yard Signs Materials $76.61 United States Postal Service 8820 Monrovia Shawnee Mission KS Postage/Shipping Psotage $ /26/12 Fed Ex W 87th St. Parkway Yard signs Signs $ /02/12 Sams Club Stores W. 95th St Supplies Food for Volunteers $ /31/12 United States Postal Service 8820 Monrovia Shawnee Mission KS Postage/Shipping Postage $ /05/12 Sams Club Stores W. 95th St. Supplies Supplies $ /03/12 Quivera Quivera Mileage Gas $ /08/12 Sams Club Stores W. 95th St Supplies Supplies $

5 Campaign Finance Schedule C Report Page 2 of3 11/08/12 Doubletree College Blvd Overland Park KS Meeting/Travel Hotel Room Election night $ /09/12 Quick Trip 6637 W 67th Shawnee KS Meeting/Travel Gas $20.00 SurveyMonkey.com 285 Hamilton Avenue, Suite 500 Palo Alto CA Electronics/Computers polling $24.00 KMart rd St Shawnee Mission KS Supplies storage supplies $ /06/12 Taylor Made Catering W 91st St Fundraising Expenses Food for election night $ /15/12 Past & Presents W 87th St. Parkway Lenexa KS 662 I5 Supplies Thank you cards $ /14/12 Micro Center 9294 Metcalf Ave Overland Park KS 662 I2 Supplies supplies $ /15/12 Pump n Peters o Hwy Oologah OK Meeting/Travel gas $3 I.35 11/18/12 Conoco 1731 N Green Ave Purcell OK Meeting/Travel gas $ /18/12 Omni Dallas Parkwest 1590 LBJ Freeway Dallas TX Meeting/Travel WaIIbuilders Conf $ Enterprise Rent-A-Car I 1942 W 95th St Lenexa KS Meeting/Travel Wallbuilders Conf $

6 Campaign Finance Schedule C Report Page 3 of3 12/03/12 Priceline 7824 E 32nd St Wichita KS Meeting/Travel state fair $ /14/12 Singularis PO Box 9265 Shawnee Mission KS Yard signs signs $ /28/12 Kansas Republican Party PO Box 4157 Topeka KS Printing mailings $2, /31/12 Michael Pimer Millstone Dr. Apt 3102 Leenxa KS Electronics/Computers Wesite management $ /31/12 Kelly Mei 7842 Rosehill Rd Lenexa KS Reimbursement Reimburse Postage $36.00 Total Itemized Expenditures This Period $ Total Unitemized Expenditures of $50 or less $0.00 TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $

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