Campaign Finance Receipts Expenditures Report 109 W. 9th ...

[Pages:5]Campaign Finance Receipts and Expenditures Report

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Campaign Finance Receipts & Expenditures Report

10/31/2016

Governmental Ethics Commission 109 W. 9th, Suite 504 Topeka, KS 66612 Phone (785) 296-4219 Fax (785) 296-2548 ethics

Check only if appropriate Amended Filing Termination Report Campaign Finance Candidate Name:David Haley

Filing Report Address: PO BOX 171110

Address2:

City: Kansas City Zip: 66101 County: Wyandotte

Home Phone: (913) 321-3210 Business Phone:

Office Sought: State Senator District: 4

SUMMARY (covering the period from 7/2212016 through 10/27/2016) 1 CASH ON HAND AT BEGINNING OF PERIOD 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS 3 CASH AVAILABLE THIS PERIOD 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS 5 CASH ON HAND AT CLOSE OF PERIOD 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS

(Schedule A) view/print (Add Lines 1 and 2) (Schedule C) view/print Subtract Line 4 from 3) (Schedule B) view/print

24392.21 $10,640.00 $35,032.21

$1,610.05 $33,422.16

$82.95

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: 11/2/20169:24:51 AM Signature of Candidate or Treasurer: PJ Padgett

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. org/elections/cfr_ vi ewer/reports/expJ e p o r t_main.aspx

11/2/2016

Campaign Finance Schedule A Report

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: David Haley

Date

Name and Address of Contributor

10/27/16 10/27/16 10/27/16 10/27/16 10/27/16 10/26/16 10/26/16 10/26/16 10/20/16 10/20/16 10/18/16 09/27/16 09/26/16 09/20/16

Prairie Band Potawatami Nation 16281 Q Rd Mayetta KS 66509

KC Regional Realtors 11150 Overbrook Leawood KS 66211

One Gas 15E5thSt Tulsa OK 74103

Loan Max 1605 E Santa Fe Olathe KS 66061

Haley for Kansas PO BOX 171110 Kansas City KS 66117

Centene Not Available Not Available NA

KS New Energy Economy 610 Brazos St Austin TX 78701

AT&T 220 E 6th Topeka KS 66603

Tim Woods 1488 Marilee Lawrence KS 66049

C & L Ruthron 2741 N Wilderness Wichita KS 67226

Farmers 2345 SW Current Lees Summit MO 64082

ALTRIA PO Box 85088 Richmond VA 23285

KSWSW 212 SW 8th Topeka KS 66603

KS Optometric 1266 SW Topeka Topeka KS 66612

Type of Payment Cash, Check, Loan, Other

uccupanon Ana

Industry of Individual Giving

Amount

Un.." Th,," 1I:1.;;n

Check

$250.00

Check Check Check Check Check Check Check Check Check Check Check Check Check

self business owner

$500.00 $250.00 $250.00 $540.00 $1,000.00 $750.00 $500.00 $100.00 $100.00 $500.00 $450.00 $250.00 $500.00



11/2/2016

Campaign Finance Schedule A Report

09/20/16

LRICO Services 2416 E 37th St Wichita KS 67219

Check

09/20/16

KS Society CPA's 100 SE 9th ST Topeka KS 66612

Check

09/14/16

Amerigroup PO BOX 68086 Cincinnati OH 45206

Check

09/14/16

KS Automobile Dealers 731 S Kansas Ave Topeka KS 66603

Check

09/12/16

KS Realtors 3644 SW Burlingame Topeka KS 66611

Check

09/09/16

KS Hospital Assoc 215 S E 8th St Topeka KS 66603

Check

09/09/16

Wa1greens 780 Waulkegan Rd Deerfield IL 60015

Check

09/09/16

KS Contractors Assoc 800 SW Jackson Topeka KS 66612

Check

08/29/16

Kansas Bankers Assoc PO Box 4407 Topeka KS 66604

Check

08/29/16

SPRINT PO Box 63670 Phoenix AZ 85082

Check

08/29/16

KS Healthcare 1100 SW Gage Topeka KS 66604

Check

08/26/16

KS Chiropractic Assoc 1334 S topeka Blvd Topeka KS 66612

Check

08/22/16

KS Cable 900 S kansas Ave #300 Topeka KS 66603

Check

08/15/16

Anheuser Busch 1 Busch PI St. Louis MO 63118

Check

08/10/16

Sanofi US Services 55 Corporate Dr Bridgewater NJ 8807

Check

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

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$200.00

$150.00 $300.00 $250.00 $1,000.00 $250.00 $250.00 $500.00 $250.00 $200.00 $250.00 $250.00 $250.00 $250.00 $250.00 $10540.00 $100.00

$0 $0 $10640.00

11/2/2016

Campaign Finance Schedule B Report

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SCHEDULEB

IN-KIND (NON-MONETARY) CONTRIBUTIONS

Candidate: David Haley

Date

Narne and Address of Contributor

Occupation And Industry of Individual Giving More Than $150

Total Itemized (over $100) In-Kind Contributions Total Unitemized ($100 or less) In-Kind Contributions TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD

Description of Value of

In-Kind

In-Kind

Contribution Contribution

$0

$82.95

$82.95

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11/2/2016

Campaign Finance Schedule C Report

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SCHEDULEC

EXPENDITURES AND OTHER DISBURSEMENTS

Candidate: David Haley

Date

Name and Address

10/27/16

David Haley 936 Cleveland Kansas City KS 66103

Purpose of Expenditure or Disbursement

Candidate (self) cand attendance reimbursement

10/25/16

SPRINT 6200 Sprint Pwy Overland Park KS 66251

Candidate (self) cumulative cell serv

10/15/16

TWC Not Available Not Available NA

Candidate (self) Communications serv

Total Itemized Expenditures This Period Total Unitemized Expenditures of $50 or less TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD

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Amount

$248.03

$416.02

$300.00 $964.05 $646.00 $1610.05



11/212016

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