~i/f}~ - kansasethics.ks.gov/cfascanned/house/2012eleccycle/... · b/7 kansas ins. agents pac...

13
10/28/2012 13:20 #887 P. 002/014 From:318 284 8544 KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE October 29,2012 .,.::;.., '. - . , FILE WITH SECRETARY OF STATE c; SEE REVERSE SIDE FOR INSTRUCTIONS Mark Kahrs A, Name of Candidate: P.O. Box 597 Address: City and Zip Code: Wichita, KS 67201 County: Kansas State Representative Office Sought: District: B. Check only if appropriate: _'_ Amended Filing __ Termination Report C. Summary (covering the period from July 27, 2012 through October 25, 2012) L Cash on hand at beginning of period ................................................................. ' ........ 2. Total Contributions and Other Receipts (Use Schedule A) ........................................ 3. Cash available this 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) ............. :............................. 902.15 6. In-Kind Contributions (Use Schedule B) ......... 2,918.63 7. 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." 10/29/12 Date Signature of Candidate or Treasurer c \.1 L L ::' ; ilj I , . ; .-.. Sedgwick 87 21,514.86 36,570.00 58,084.86 6,368.84 51,696.02 GEe Form Rev, 2001 Page 1 of13

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Page 1: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

10/28/2012 13:20 #887 P. 002/014From:318 284 8544

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

October 29,2012 .,.::;..,

'. - . ,

FILE WITH SECRETARY OF STATE c; SEE REVERSE SIDE FOR INSTRUCTIONS

Mark KahrsA, Name of Candidate:

P.O. Box 597Address:

City and Zip Code: Wichita, KS 67201 County:

Kansas State RepresentativeOffice Sought: District:

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

C. Summary (covering the period from July 27, 2012 through October 25, 2012)

L Cash on hand at beginning of period ................................................................. ' ........

2. Total Contributions and Other Receipts (Use Schedule A) ........................................

3. Cash available this 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) ............. :.............................

902.156. In-Kind Contributions (Use Schedule B) .........

2,918.637. 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."

10/29/12 ~i/f}~ Date Signature of Candidate or Treasurer

r·~ ;.~ c ~:"; \.1 f~ L

L ::' ;ilj I , .

; .-..

Sedgwick

87

21,514.86

36,570.00

58,084.86

6,368.84

51,696.02

GEe Form Rev, 2001

Page 1 of13

Page 2: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

" ""I o 3

Mark Kahrs Kansas State Representative Kahrs for Kansas W

District 1187 ....&

OJSchedule A

I\)Contributions and en

-l:aOther Receipts co OJ

Method of receipt

2012 E-fds Address

Date Name Receipt cash check loan Other Occupation Industry Street Address City, State & Zip

7/30 Andrew Powell 50.00 Y PrIest PrIest 2717 Hyde Park Dr. Grand Prairie, TX 75050

B/2 Christine or Donald C. Astle 100.00 Y Attorney Attorney 5323 E. 49th St. N. Bel Aire, KS 67220 --

8/2 RAI Services Company 200.00 Y P.O. Box 464 Winston-Salem, NC 27102

B/2 QuikTrip Corporation 200.00 y 4705 S. 129th Ave. Tulsa, OK 74101

8/2 Mark V. Heitz Rev. Trust 500.00 y Retired Retired 4505 Southwinds Dr. Miramar Beach, Fl 32550

8/2 JFM Limited Partnership I 250.00 Y 3333 SE 21st ST. Topeka, KS 66607

8/2 Stanley R. & Shirley A. Moler 25.00 Y 2139 Capri Ln. ~ichita, KS 67207

8/3 MichaelT. Egan 250.00 Y L+A, Inc. Sales 21705 W. 58th St. Shawnee, KS 66218

8/3 Donna H. Egan 250.00 Y Homemaker Homemaker 21705 W. 58th St. Shawnee,KS 66218

__~/L __ Ronald Davis 2S0.00 Y Retired Retired P.O. Box 781690 ._.- -"_._- ..__. __._-- .'Wichita~!<?_~??7~ ____,_.____ _._-_._-,~- ..... _._- .._-----.----_._-_ ...._-_ ..

.-.,-~_.- ---- ._.- ---., ._--- __•• _,___0 ______-- _.. ---~--~- ---- --_._._~_ __ ._._----_.~.

B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612

8/7 Derrel< Schartz 250.00 y Investor Real Estate B509 Kendall Dr. Plano, TX 75025

8/7 Jeannine Schartz 250.00 Y Homemaker Homemaker 8509 Kendall Or. Plano, TX 75025

8/7 Richard E. Ruppe 100.00 Y 7203 Eo Rockhill St. Wichita, KS 67206

8/7 _lVIargaret L Ruppe 100.00 y 7203 Eo Rockhill St. Wichita, K5 67206 ._-~

8/7 HCA Kansas Good Gvmt. Fund 250.00 y 5845 SW 29th Street Topeka, KS 66614

B/7 Farmers Alliance Mutual/ns. Co. 250.00 Y 1122 N. Main McPherson, KS 67460

8/7 QC Holdings, Inc. 375.00 y 9401 Indian Creek Pkwy, ~lS00 Overland Parl<, KS 66210

8/7 Matthew A. Schlapp 250.00 Y Consultant Political 3812 Washington Wood Dr. Alexandria, VA 22309

8/7 Mercedes V. Schlapp 250.00 Y Homemaker. Homemaker 3812 Washington Wood Dr. Alexandria, VA 22309

8/11 John M LeWis, DDS 250.00 Y Dentist Medical 715 Glendevon Way Andover, KS 67002

8/21 Bill Goodlatte 500.00 Y Sr. Vice-Pres. LDF Companies 13SS North White Tail CT, Wichita, KS 67206

8/24 Anheuser Busch 200.00 y One Busch Place St. LOUis, MO 63118 ... - - .-- _. -- - -- ._.-_ .._ -------_.- --_. -_._----"--_...... -.~--_. ----- .--_._--_.- -----_..- -.----_.- --~_._.- ._-_._- ---------- _..__. -_...._.. _.__...~--_._._--- ---- ~- - -- - - - -- _._--- -- -' --- ---- --'-- .__.._.- .. _---_.- -. --. _. .. -_ ..-.--- -_. - _.-.

8/24 D. D. Anderson 250.00 y Retired Retired 731 N. Mission Wichita, K5 67206

~/24 David & Kristine Heinemann 100.00 Y Gov. Relations Gov. Relations 3826 SW Cambridge Ct. Topeka, KS 66610

9/2 Bryan Riley 50.00 y Policy Analyst Gov. Relations 305 CST NE, Apt 410 Washington, DC 20002

9/4 Free State PAC C00455717 500.00 Y P.O. Box 2712 Topeka, KS 66601

9/4 Marc &Stacey Palazzo 100.00 y 8609 Mendocino Dr. Austin, TX 7873S

9/4 Lisa C. Ritchie . 125.00 y Homemaker Homemaker 7 N Hampton Rd. £astborough, K5 67206

9/4 Scott Ritchie III 12S.00 y Oil industry Oil 7 N Hampton Rd. Eastborough, KS 67206

9/4 Hawker Beechcraft, Inc. PAC 500.00 y P.O. Box 85 Wichita, KS 67201

9/4 John or Alta Oser 100.00 y 8957 E. Churchill Circle Wichita, KS 67206

9/4 Tim McGivern 100.00 Y 1335 R. Street, NW Unit 1/2 Washington, DC 20009

9/4 Ronald K. Badger 250.00 Y Attorney Attorney 7234 E. Rockh ill St. Wichita, KS 67206

9/4 Janet L. Badger 2S0.00 Y Homemaker HDmemaker. 7234 E. Rockhill 51. WichIta, KS 67206

9/6 Andrew Amend 100.00 Y Consultant Self 11841 O'Neil St. Wichita, KS 67212

Page 2 of 13

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Page 3: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

..,., ""'I o a

Mark Kahrs Kansas State Representative Kahrs for Kansas CIJ District HB7

....... en

Schedule A N Contributions and en

-1:>0 Other Receipts co

~ -1:>0

Method of receipt

2012 E-fds Address

Date I Name Receipt I cash 1 check 1 loan I Other I Occupation I Industry I Street Address ICity, State & Zip F I~Kansas farm Bureau Vote fBf Fund ..._~KFB Plaza Manhattan, KS 66502 I -9/12 .rCerner PAC Account - I . ­ . '[2800 Rockcreek. Parkway Kansas City, MO 64117

~plritAerosystems H50.00 P.O. Box 780008 Wichita,ICS672780008 I 9/12 I Kansas Indep. Bus. PAC, Inc. 250.00 200 E.lst ST. N, Suite 101 Wichita, KS 672022106

9/12 1w. W. Hanna 250.00 I 1 Y I retired retired I 2 N West Park.way 1Wichita, KS 67206

9/12 Patti H. or O. Lee Elrick, Jr. J_ ~ I -.L '(_ ~ _ ~~e~Broker Insurance 1440 N. Gatewood 1151 ~ichita, KS 67206 I

9/12 Ronald Davis ~~y~ ~ --retired retired P.O. Box 781690 Wichita, KS 67207

9/12 1Charlie & Marla Chandler 250.00 I I y 1 I i Banker I Banker I 8200 Killarney Ct. I Wichita, KS 67206

9/12 1. D. & S_usan Swanson 100.00 Y 115 Lynwood Wichita, KS 67207 I

-'-~i~- :~~H~~~~~&!,_~s_()t:.!-~~~. __...__. ­ -~~~~ --- ._-~-. ------ ---._­ 'Attorn~y--+---Attor~~y--"~'I-~~~l~;i~ikc;"--... "-'---J~Z~:~~~}~~~ -,------- .. ­9/12 1Stephanie Hodge 500.00 I 1 y 1 1 I Homemaker Homemaker I 7507 NorfolkCir. I Wichita, KS 67206 9/12 Pete & Debble O~ Business Owner Capital 111 4412 E. 77th St. N. Valley Center, Ks 67147

9/12 Todd & Julie Sipe 127 N. Parkwood Wichita, KS 67208

9/20 I Ronald & Cindy Baldwin 1 250.00 I I y I I Banker 1 CrossFint Holdings I P.O. Box 25387 IOverland Park, KS 66225

~l~rue Properties, LLC P.O. Box 783258 Wichita, KS 67278 9/20 I Adam Beren Berexco, LLC Berexco, LLC 2020 N. Bramblewood St. Wichita, KS 67206

9/20 'William W. Park 100.00 I I y 1 1 I Self-employed 1 Realtor 115304 Windham Ct. I Wichita, KS 67230

9/20 I Diane Z. Part I 100.00 I I y 1 1 I Self-employed I Dentist 115304 Windham Ct. I Wichita, KS 67130

9/20 I Peter & C. Nina Fitzgerald I 250.00 I I y I I I Board member I Banking I 1445-A Laughlin Ave.

~20 John Deere PAC ~--+-+- I IOneJohnOeerePlace 9/20 Always Pay Day Cash Advance 8< Pawn, llC 1- y I 1503 E. Pawnee

... ·~j-i~-I-~~i~ij~i~~:~C~~:;so~-~- ---+- '--i~::I---'I-+- j j. I-_.~:'sin ...~.".slJll"-n_1_!.__Koch_Lnd.,-~n~··---lii~Ir~~~~~~~VSt~-···

I McLean, VA 22101

h~Oline.IL61265 I Wichita, K5 67211

.. ·····--I··~:~~*~ ~ ~H6i··_·---- -·---1

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9/20 I Cox Communications I 500.00 I 1 y I 1 I 1931 SW Henderson Rd. I Topeka, KS 66615 N

9/20 I Kansas Cable PAC I 250.00 I y I 1 I I I 900 S. Kansas Ave., #300 1Topeka, KS 66612 CIJ

9/20 I Kansas Health Card Assoc. - PAC I 250.00 I I y I I I , I 117 SW 6th Ave., #200 1Topeka, KS 66603 N

9/20

9/20

I Road Map PAC,lnc. IBuilders Assot:. of Kansas - PAC

I 500.00 I I Y I I I I I 2436 SW Camelot PI.

212 SW 8th Ave., #201

ITopeka, KS 66614

Topeka, KS 66603

.......

9/20 Credit World Services, Inc. 6000 Martway Showne. MI..lon, KS 66202

9/20

9/20

Kansas Bankers Assoc. PAC

James or Constance Snodgrass

250.00

500.00

Y

Y Retired retired

P.O. Box 4407

8830 E. Windwood CiL

ITopeka, KS 66604

IWichita, KS 67226

I =to OJ en

9/20 Tiger financial Management 500.00 Y 3527 N. Ridge Road IWichita, KS 6nOS ~

"'C 9/24 10/2

Br~ce, George & Pam William R. !'lath

250.00 500.00 Y

Y Attorney President

Attorney HOC Industries

131 S. Pershing P.O. Box 9958

Wichita, KS 67Z18 Spring, TX 77393-3095 I

C C -1:>0

10/2 Jennifer W. Nath SOO.OO Y Homemaker HO'memaker P.O. Box 9958 Spring, TX 77393-3095 ..... C .......

Page 3 of 13 -1:>0

Page 4: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

---

----

'"T'l.., o :3

Mark Kahrs Kansas State Representative Ka hrs for Kansas W

District 1187 ...&

Schedule A en

Contributions and I\J en

Other Recelpt5 ,J:a

co tJ1 ,J:a ,J:a

Method of receipt

2012 E-fds Address

Date Name Receipt cash Indust!)'check loan Other Occupation Street Address City, State & Zip ySteven & Marjorie Penner10/2 200.00 Medical 54 S. Mission Wichita, KS 67207Physician

1----'-­y10/2 Johnny Stevens 500.00 Developer Real Estate 8120 Killarney Ct. Wichita, KS 67:206 yMarjorie Stevens 10/2 500.00 Homemaker Homemaker 8120 Killarney Ct. Wichita, KS 67:206

Sandra Stevens 100.00 Y Real Estate Bookkeeper 1555 N. Lakefront Ct. WiChita, KS 67206~2 Kansas Optometric PAC10/2 200.00 Y 1266 SW Topeka Blvd. Topeka, KS 66612

y10/2 Kansas Contractors Assoc. PAC 200.00 316 SW 33rd SI. Topeka, KS 66605 10/2 Oakland Avenue Properties 500.00 Y P.O. Box 781714 Wichita, KS 67278

yDr. David & Fay Netherton10/2 250.00 Physician Medical 7103 Chelsea St. Wich ita, KS 67206 Martha Buford10/2 300.00 Y retired retired 9176 E. 13th St Wichita, KS 67206

yThe Kansas Realtors PAC 500.00__.}2!,2__ ! op_':.~aLI:.~_~!'.~l}__ ___ . ______. ~_.-. -- _. --- _.- _._._---_.__... --_..._-_._-_._-_.- .---- ._._-­ ~~~~~~_B~r~~~~~_~d.:..-.. _.---_.._._. ---" ---" .__._--._._--~--_. -_."­---".. .. _------­

Wichita Realtors PAC10/2 500.00 Y 170 West Dewey St. Wichita, KS 67202 10/2 Polsinelli / Shughart 150.00 Y 555 S. Kansas Ave., 11101 Topeka, KS 66603

Frank Galbraith 10/2 500.00 Podiatrist Medical 758 S. HillsideY Wichita, KS 67211 yKaren Galbraith 10/2 500.00 HomemakerHomemaker 758 S. Hillside Wichita, KS 67211

yDana Manweller Milby, PA10/3 500.00 300 W. Douglas, #600 Wichita, KS 67202 Mary Wilkinson 10/3 100.00 Y 145 S. Pershing Wichita, KS 67218 Kansas Funeral Oir. Assoc. PAC10/3 150.00 Y 1200 S. Kansas Ave. Topeka, KS 66612

Kansas Comm. ror Rural Elec.10/3 250.00 Y P.O. B.ox4267 Topeka, KS 66604 yKansas Chamber of Comm. PAC10/3 500.00 835 SW Topeka Blvd. Topeka, KS 66612

10/3 Cerner PAC Account 250.00 Y 2800 Rockcreek Parkway Kansas City, MO 64117

10/3 Todd Tlahrt Y100.00 Politician 1329 Amity St. Politician Goddard, KS 67052 yMarcia & Donald Ryel 50.0010/3 7502 E. Padgent Wichita, KS 67206 yDwight Wehner10/3 100.00 2328 Greenleaf

__ •. .._ ...•.._ ...... ____""_.,,,._._, __0______ __ .•_ .. •.._ ~ _~ ~"_.h l;Vi:~~~~!..~~.~~2~... ____.._._._-_.- --_._-_...__ _...~._--------_ .. --_ .. _-­ -_.-.--- -_.-..."--"---- -- . - ..._--_._-- ..._---- ------...._.-.. ---- -.-" -"--­10/3 Mary Wehner 100.00 2328 Greenleaf Y Wichita, KS 67226

Mitchell & Lisa Herren Attorney10/3 250.00 968 White Tail Ct.Y Attorney Wich ita, KS 67206 Susan Schlapp 100.00 9335 Bent Tree 10/3 Y Wichita, KS 67226

ySchneider Public Strategies, LLC 150.0010/3 9414 Sterling Court Wichita, KS 67205 yA-O KEnterprises, LLC 250.0010/3 1223 N. Rock Rd. Wichita, KS 67206 y250.00Gary F. Gensch Consulting 10/3 224 S. Crestway Wichita, KS 67218

500.00The Media Source, Inc. 221 S. Broadway, fl20510/3 Y Wichita, KS 67202 y~O/3 Alan Schmidt 100.00 10102 E. 19th St. N. Wichita, KS 67206

100.00 Y10/3 Elisabeth Schmidt 10102 E. 19th St. N. Wichita, KS 67206

100.00Walter Lewis Real Estate 903 N. Linden Ct.10/3 Y Wichita, KS 67206Real Estate y50.00 401 S. 162nd West Goddard, KS 6705210/10 ~nda & Mike Kinire

t---.- ­200.00 Y 3972 Sweet Bay10/10 Mark Huenergardt, DOS Medical Wichita, KS 67226Dentist 200.00 Y 3972 Sweet BayKelly Huenergardt Homemaker Wichita, KS 6722610/10 Homemaker

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Page 4 of 13 ,J:a

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Page 5: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

-n ""I o :3

Mark Kahrs Kansas Slate Representative Kahrs for Kansas W .....Dlstricl 1187 (J)

Schedllie A IV

Contriblltions and (J) ,I::lo

Other Receipts co CJl ,I::lo -1=>0

Method of receipt

2012 E-fds I I I Address

Date Name Receipt cash I check I loan I Other I Occupation I Industry I Street Address I City, State & Zip

10/10 I Clark R. Nelson I 200.00 I I Y I I I Attorney I Attorrley I P.O. BOl{ 780525 I Wichlta,l<S 57278

10/~nsas Society of CPA's PAC 100 SE 9th Street, #502 l..!-0peka, KS 66612

10/10 I Medical Soc. of Sedg. Cty. PAC 1102 South Hillside IWichita,l<S 67211

10/10 Kansas Medical Soc. PAC HOO'OO 623 SW 10th Ave. Topeka, KS 66512

10/10 BNSF Railway Co. 200.00 2500 lou Menk Dr., AOB-:! Ft. Worth, TX 76131

10/10 I Kansas Dental PAC I 250.00 I I Y I I I I I 5200 SW Huntoon St. I Topeka, KS 66604

10/10 I Kansas livestock Assoc. PAC I 250.00 I I y I I I I 6031 SW 37th St I Topeka, KS 66614

10/10 I Centene Mgt. Co., LLC I 500.00 I I Y I I I I I Centene Corp. 1St. louis, MO 53105

10/12 I Matthew Wheeler I 250.00 I I I Executive I Berlin-Wheeler, Inc. \ 3400 SW MacVicar Ave. ITopeka, KS 66611

~~~~- -~!;:~~~::!~:~~!~~~si·~;:~AC-----H-'-~E::t·--~--~ 1--' t--y

-~_._---------- .- ..-----------. -:~!:t:x:~:~~~~~~~-·-· --!~:~t~z~:~::- ..---· ------1

, 10/19.. anonymous 20.00 Y

10/19 Rachael Brown . 50.00 Y 6225 N. 143rd St. E. Wichita,I<S 67228

10/19 Kansas Rest. & Hasp. Assoc. PAC 200.00 Y 3500 N. Rock Rd., Bldg. BOO Wichita, KS 67226 10/19 Britt & Brenda Fulmer 100.00 Y Mens Retailer Retail 9010 Boxthorn Wichita, KS 67226 10/19 Heartland COOlOl. Bankers ASSDC PAC 200.00 Y 7005 Kansas, 1/512 Topeka, KS 66503

:f<i/19 Altria Client ?ervices, Inc. 250.00 Y 1005 Congress Ave., IIB50 Austin, TX 78701

10/19 The Builders' Assoc. PAC 250.00 Y 720 Oak. Street Kansas City, MO 64106 .....10/19 I Kansas Cr. Union Legs. Act. Comm. I 250.00 I I Y I I \ I I 510 SW 10th St., 11201 I Topeka, KS 66512 o

10/19 Kansas Wine & Spirits Whlsr PAC 200.00 Y 212 SW 8th Ave., #202 Topeka, KS 66603 I ...... IV

__10/19 AT&T Kansas PAC 250.00 Y 220 E. 6th, Room 500 Topeka, KS 66603 co ...... ~~!.~~ _~!cl1.i~<J..~~.l:.r_o_~h.aT11I>.':r..~~~._._.___ ..... ~~.:~~ ____.y____ .. __ .. __ . .._.___ ~~~I,/o,/.:~':'!:'_g~~~_ .. ___ ._._.~ich ita!_K~ __~7.~?3 _. .... __. __ \ IV

o10/19 Kans., ASSDC for Resp Liquor Law" Inc. 200.00 Y 919 S. Topeka Ave. Topeka, KS 65512 .... IV1-_10/19 Whitney B. Oamron, P.A. 100.00 Y 919 S. Topeka Ave. Topeka, KS 66612 .....

10/19 ABC Oiscount Wine & UCfuor 250.00 Y 6425 E. Central Ave. Wichita, KS 67206 W 10/19 Blllecross BlueShield of Kansas 150.00 Y 1133 SW Topeka Blvd. Topeka, KS 65629

1 IV IV10/19 Anderson Financial SerVices, LIC 150.00 Y 600 S. Broadway Salina, KS 67401----'--- .

10/25 Walgreens.. 250.00 Y 104 Wilmot Road #1444 Deerfield, IL 60015

10/25 KS Auto Dealers EAC 100.00 Y 731 S. Kansas Ave Topeka, KS 66603

10/25 Heiland Enterprises, Inc' 300.00 Y 3835 N. Hillcrest Suite 1 Wichita, KS 67220 == ---f---"­ OJ (J)10/25 Edward and Carol Nazar 100.00 Y 419 E. Cedar Ridge Ct. Andover, KS 67002 -.4t'J9/25 -,;:m~rican Family Insurance K5 PAC 150.00 Y 7325 W~ Taft St. Wichita, KS 67209 -C

10/25 Cary Humphries 100.00 Y 5785 Regal View Rd. Colorado Springs, CO 80919 o10/25 Susan Humphries _ 100.00 Y 5785 Regal View Rd. Colorado Springs, CO 80919 o (J)

10/25 Barbara Shaw 50.00 Y 9202 E. Killarney PI. Wichita, KS 67206 ...... o..... -1=>0Page 5 of 13

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01

"'T1 ""'I I:) =:

Mark Kahrs Kansas State Representative Kahrs for Kansas w

District 1187 ..... enSchedule A NContributions and en

Other Receipts .c­eo .1:0 .c­

..

Method of receipt

2012 AddressE·fds

OccupationDate Name Receipt cash check Industryloan other Street Address CltV, State & Zip

yA-OK Enterprises, LLC10/25 250.00 1223 N. Rock Road Wichita, KS 67206 -yBruce Harris 500.00 Owner Wichita, KS 6723010/25 Retail Sales 1522 Rocky Creed Rd yFitness 2000, Inc. 500.0010/25 1046 S. Oliver Wichita, ~S 67218

--

36,570.00

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Page 6 of 13 .c­

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From:316 264 9544 10/29/2012 13:22 1867 P. 008/014

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mark Kahrs (Name of Candidate)

Amount ofOccupation & Industry of Checl< Name and Address Individual Giving More Cash, Check, Appropriate Box

Date of Contributor Than $150 Loan or Other C••h Cbeck L... E funds ReceiptOtber

Please see previous pages (pag es 2 - 6 of 13)

Complete if last page of Schedule A

Total Itemized Receipts for Period 36,570.00

Total Unilemized Contributions ($50 or less) .00

Sale of Political 'Materials (Unitemizcd) .00

Total Contributions When Contributor Not Known (Included in itemized list above) 20.00

·'fQmAi:~.cE1P:fsUrmSkp1t~bfi,;~19';;'irii~i'~fcS~JriiitirY):"::':~:;>·'·j;;'~,!:Jt':.. .:.'i·'i;':L ·}:,,·":\:,;;~i:.;; 36,570.00

Page _7_ of_~

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.,.,., Mark Kahrs Kansas State Representative

District 1187

Schedule B

In-Kind Contributions

Kahrs for Kansas o a w ..... en N en ,J:a

to c::n t

I 2012 In-kind \ Address

Date Name description Contri. Occupation Industry Street Address City, Stale & Zip

9/26 Kahrs law Offices, P.A. Postage paid 34.01

9/27 Bill Cozine Food for reception lZ6.05 i Business Owner Mortician 719 N. Linden Wichita, KS 67206

9/27 SusyCOl~ne Food for reception 126.05 I Homemaker Homemaker 719 N. linden Wichita, KS 67205

10/6 Mark Kahrs . Volunteer Day 473.49 I 10/12 Kansas Chamber Jobs PAC Advertising 49.41

. - - . 835 Svv Topeka Blvd. Topeka,.KS 66612

'loi19 Mark Kahrs Volunteer Day 93.14

-902.15

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Page 8 of 13

Page 9: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

From:318 284 9544 1012912012 13:23 #887 P.010/014

SCHEDULEB IN-KIND CONTRIBUTIONS

Mark Kahrs

(Name of Candidate)

Value ofList Occupation & Name and Address Industry for Those Giving Description of In-Kind In-KindDate

of Contributor an In-Kind of More Than ContributionContribution $150

Please see previous page (page 8 of 13)

Complete if last page ofScheduJe B

Total Itemized (over $100) In-Kind Contributions , 902.15

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

902.15

Page_9_of~

Page 10: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

..,.,.., o ~

Mark Kahrs Kansas State Representative Kahrs for Kansas Co)-District #81 m

Schedule C N

Ellpenditures and m .Jlo

Other Disbursements CD CJ1

;

I I

2012 Dflke Cr. Card i Address

Date Name description EXp. Advrtsng ! Fees i Misc. Street Address City, State & Zip

7/30 Piryx Weo contribution fee 2.25 : 144 Second Street San Francisco, CA 94105

8/2 8/2

Mlchael Plmer

City Print

Website Printing & supplies 1,349.83

i , i

300.00 10229 Millstone Dr., #3102 235 S. Ellis Street

Lenexa, KS 66220 Wichita, KS 67211

8/3 Piryx-

Web conlribution fee 11.25 : 144 Second Street - San Francisco, CA 94105

8/3 Piryx Web conlri bution fee 11.25 ! 144 Second Street San Francisco, CA 94105

&/11 Piryx Web contribution fee 11.25 : 144 Second Street San Francisco, CA 94105

&/21 Plryx Web conlrl bution fee 22.50 ! 144 Second Street San Francisco, CA 94105

8/21 Postmaster Stamps 225.00 Corp. Hills Station Wichita, KS 67201

8/24 City Print Campaign stickers 167.39 235 S. Ellis Street Wichita, KS 67211

8/24

9/2 ~~Y_[)_e.~ifo\~._ ... _____ ~ ___ Piryx

. __ Invitation layout -,._--_.. --_.' -, .. - ---,._---' ­ --­Web contribution fee

0 ___ - .'0"">>' ___ 75.00 .. ' - .•....

2.25

1228 Briarwood Rd. ----,.... , .._­ . ".-­ --­ "---_ .. ---­ -------._- ­

144 Second Street !l.e~~y, .K~.6?~~L_._ San Francisco, CA 94105

.... _

9/4 City Blue Print, Inc. -­ Campaign cards 134.13 1400 E. Waterman Wichita, KS 67211

9/6 Piryx Web contribution fee 4.50 ! 144 Second Street San Francisco, CA 94105

9/24 Piryx Web contribution fee 11.25 i 144 Second Street San Francisco, CA 94105

10/2 Piryx Web contribution fee 45.00 i 144 Second Street San Francisco, CA 94105

10/~ Piryx Web contribution fee 4.50 i 144 Second Street San Francisco, CA 94105

10/4 Handy Mailing campaign mailings 2,283.87 ! i 3839 Dora Wichtia, KS 67213

10/5 CityPrint ~~or hanger-­ 810.12 : ! 235 S. Ellis Street Wichita, K5 67211

10/5 Gavin Peters photo shoot 681.25 i I ! 1446 N. Willow Lane Wichita, KS 67208

,-.10/& Postmaster Stamps 225.00 ! I Corp. Hills Station Wichita, KS 67207

10/12 Piryx Web contribution ree ! 11.25 ; 144 Second Street San Francisco, CA 94105 . . i, . -

1,799.&3 4,151.76 : 137.25 : 300.00

1--. Total Expenditures 7/27/12 through 10/lS/12 i ;

i 6,388.84

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Page 10 of 13 .Jlo

Page 11: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

From:318 284 9544 1012912012 13:23 #887 P.012/014

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Mark Kahrs

(Name of CandidaLe)

Date Name and Address Purpose of Expenditure

or Disbursement Amount

Please see previous page (page 10 of 13)

0.00

Complete if last page of Schedule c

Total Itemized Expenditures This Period 6,388.84

Total Un itemized Expenditures of$50 or less

6,388.84

Page~of~

Page 12: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

"Tl ""I o '3

Mark Kahrs Kansas State Representative Kahrs for Kansas Co)

District 1187 ..... en

Schedule D NOther Transactions en ,I::lo(Loan payable to Mark Kahrs) to U1 ,I::lo ,I::lo

Loan -.

2012 From Office Cr. Card Address

Date Name description Kahrs Exp. Advrtsng Fees Misc. Street Address City, State &Zip

10/6 Mark Kahrs Volunteer Day 473.49 473.49 P.O. Box 780487 Wichita, Ks 67278 10/19

r----'-­

._..._-_.. _­

Mark Kahr.; Volunteer Day 93.14 93.14 P.O. Box 780487 Wichita, Ks 67278

--_._...•.•----_._------ -_._---_." --"-----­ _.. _--_.. ---_.,­ -­ -~-- --­ ... _._-~- .'­ .--'--'--"-­566.63

--_•• ~_._-_._----------_._,.__ ."¥ _ •••_._--"­ .--'-'.. ---_._---..•.._-'._ .. -_.- _._- -,...-_.

566.63 ... -.-­ '-"

Total loan payable to Mark Kahrs as of 10/25/12 =$926.63. This includes $360.00 incurred in the prior period for annual P.O. Box rental.

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-­..... ,I::loPage 12 of 13 c

Page 13: ~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real

From:318 284 8544 10/28/2012 13:23 1t887 P.014/014

SCHEDULED OTHER TRANSACTIONS

Mark Kahrs

(Name of Candidate)

Date

Please see previous page

10/19/12

10/11/12

10/17/12

Name and Address

Mark Kahrs P.O. Box 78047 Wichita, KS 67278

Handy Mailing Service 3839 Dora St. Wichita, KS 67213

City Print 235 S. Ellis Wichita, KS 67211

City Print 235 S. Ellis Wichita, KS 67211

Nature of Account or Loan Payable . or Loan Receivable

Please see previous page (page 12 of 13) These are loans

Advanced ballot mailings Open accounts payable

Legacy of service self mailer Open accounts payable

#10 Envelopes Open accounts payable

Balance at Close of Period

926.63

556.32

1,197.47

238.21

2.918.63

Complete iflast page of Schedule D

2,918.63

Page ---.1L. of~