--4AWUS GOVERNMENTAL ETHICS COM FILED
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1 r. I i 4AWUS GOVERNMENTAL ETHICS COM FILED OCT 3 26 OF A CANDIDATE FOR STATE OFFICE OCTOBER 3,26 RON THORNBURGH SECRETARY OF STATE FILE WITH SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: Amber Address: I I449 Cody St cihl and Zip code: Overland Park, KS 6621 County: Johnson Office Sought: State Representative District: 29 B. Check only if appropriate: Amended Filing Termination Report C. Summary (covering the period from July 21,26 through October 26,26) 1. Cash on hand at beginning of period Total Contributions and Other Receipts (Use Schedule A) Cash available this period (Add Lines 1 and 2) Total Expenditures and Other Disbursements (Use Schedule C) Cash on hand at close of period (Subtract Line 4 fiom 3) InKind Contributions (Use Schedule B)... $ Other Transactions (Use Schedule D)... $ D. "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." Signature of Treasurer GEC Form Rev, 21 J..Tr r Print Page t
2 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Occupation of Individual Giving More Than $15 Check Appropriate Box Amount of Cash, Check, Loan or Other Receipt David Hean 1221 Glen Mill Road Potomac, MD 2854 software sales Frederick Hean 2482 Proffit Rd. Charlottesville, VA Karen Maxton 6851 Todd St. Ft. Hood, TX Greater Kansas City Women's Political Caucus PAC PO Box 195 Kansas City, MO David K Bachelor Box 142 Bucklin, KS radio broadcaster George Ranallo 127 Slater Overland Park, KS Kansas Third Congressional District Democratic Caucus 51 Rock Creek Lane Mission, KS 6625 Karen Mitchell 1343 W 84th St Lenexa, KS respiratory therapist Hugh Mitchell 1343 W 84th St Lenexa, KS manager, welding supply company Julie Bachelor 8525 Richards Rd. Lenexa, KS teacher Subtotal This Paee
3 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS lo6 Julie Bachelor 8525 Richards Rd. Lenexa, KS David K Bachelor Box 142 Bucklin, KS Robert Siemens 6655 Oakridge Dr. Shawnee, KS Kansas Democratic Party PO Box 1914 Topeka, KS Plumbers & Pipefitters, Local #441 Political Action Committee 133 E 1st St, Ste. 115 Wichita, KS International Association of Firefighters Local #64 PAC 754 Leavenworth Rd., PO Box 6243 Kansas City, KS 6616 National Association of Social Workers, Kansas Affiliate 7 SW Jackson, Ste 81 Topeka. KS Occupation of Individual Giving More Than $15 teacher radio braodcaster partial refund for voter file PAC.E\edcicd WocWfS Unioa PAC Sea\ (N6f bk5 P&SS ian~( Stsscci&v Check Loan Other Amount of Cash, Check, Loan or Other Receipt Robert Bowling 1238 Flint Overland Park, KS property owner Pipefitters Local Union #533 PAC 86 Hillcrest Rd. Kansas City, MO PAC?ip.?f&f/s Uu\tdu\ Teamsters Local #541 Political Action Fund 451 Van Brunt Blvd. Kansas City, MO Page 3 of q rrt >IC..L(, Print Page
4 ~ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Occupation of Individual Giving More Than $15 Check Appropriate Box Amount of Cash, Check, Loan or Other Receipt Roofers Local #2 PAC 6321 Blue Ridge Blvd, Ste 22 Raytown, MO Operating Engineers Local #I1 PAC 661 Winchester, Ste 28 Kansas City, MO Plumbers and Gasfitters Local Union #8 PAC 86 Hillcrest Rd. Kansas City, MO Sprinkler Fitters Local Union #314 PAC 851 Hillcrest Rd. Kansas City, MO I3 Johnson County Firefighters Local #I371 PAC 625 Metcalf Ln. Overland Park, KS 6622 lnternational Brotherhood of Electrical Workers Local #I24 PAC 31 E 13rd Terr. Kansas City, MO Connie Owen 1227 Gillette Overland Park, KS International Brotherhood of Electrical Workers Local #53 PAC 1 1 Admiral Blvd.. Kansas City, MO 6416 John N. Birmingham 943 W 1 16th Terr. Overland Park, KS 6621 ~~ ~ Johnson County Democratic Central Committee 2617 W. 96th St. Lenexa. KS 66229
5 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIF,TS Occupation of Individual Giving More Than S15 Check Appropriate Box Amount of Cash, Check, Loan or Other Receipt Sheet Metal Workers Local #2 1/2/6 Legislative Action Committee 292 Blue Ridge Blvd. I Kansas Citv, MO I Cody St. Overland Park, KS 6621 candidate; health care consultant 1 Greater Kansas City Building and I Construction ~rades council PAC 4 S. Main St. I Independence, MO 645 I Heather Glenn W 121 st Terr. Overland Park, KS United Union of Roofers, Waterproofers, & Allied Workers PAC 166 L St., N.W., Ste. 8 Washington, D.C Complete if last page of Schedule A I Total Itemized Receipts for Period $8,65. 1 Total Unitemized Contributions ($5 or less) Sale of Political Materials (Unitemized) Total Contributions When Contributor Not Known 1 TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) I $9,325.4 Page 5 of* a7 $675.4 $. $. hint Page
6 e" SCHEDULE B INKIND CONTRIBUTIONS Name, Address and Occupation List occupation for those giving an inkind more than $15 Fran Siemens W 49th Terr. Shawnee, KS 6623 Description of InKind Contribution I candles and gift baskets for candidate 1 fair Value of InKind ( Contribution Complete if last page of Schedule B Total Itemized (over $5) InKind Contributions Total Unitemized ($5 or less) InKind Contributions $6. $5. $1 1.."....., Print Page
7 SCEEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Purpose of Expenditure or Disbursement Amount Overland Park, KS Overland Park, KS EconPrint P.O. Box 441 Topeka, KS 6664 walking cards and postcards Overland Park. KS Kansas Democratic Party 7 SW Jackson Street, Suite 76 Topeka. KS 6663 voter file Sue Storm 8145 Mackey Overland Park, KS 6624 dinner for Greater Kansas City Women's Political Caucus Overland Park. KS Overland Park, KS Overland Park. KS EconPrint P.O. Box 441 Topeka, KS 6664
8 SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Purpose of Expenditure or Disbursement Amount Persuasive Strategies 228 Robert S. Kerr, Ste 615 Oklahoma City, OK direct mailing NeoDems 729 Eby Ave., #32 Merriam, KS 6624 yard signs WalMart Metcalf Overland Park. KS 6621 office and printing supplies Overland Park, KS NeoDems 729 Eby Ave., #32 Merriam. KS 6624 voter files Persuasive Strategies 228 Robert S. Kerr, Ste 615 Oklahoma City, OK direct mailing Complete if last page of Schedule C I Total Itemized Expenditures This Period I $9, I Total Unitemized Expenditures of $5 or less TOTAL EXPENDITURES & OTHER DISBURSEMENTS I THIS PEFUOD (to line 4 of Summary) Page 3 of%..< Print page
9 SCHEDULE D OTHER TRANSACTIONS Nature of Account cr Loan Payable or Loan Receivable Balance at Close of Period Cody St. Overland Park, KS loan printing supplies Office Depot Cody St. Overland Park, KS loan printing supplies Office Max Cody St. Overland Park, KS loan printing supplies Office Max Cody St. Overland Park, KS loan Subtotal this Page Complete if last page of Schedule D TOTAL OTHER TRANSACTIONS (to line 7 of Summary)...= Print Page
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