kansas governmental ethics...

10/29/2012 15:21 3165229464 TOMS WINE & SPIRITS PAGE 111/21

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIVEDRECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

OCT 29 201Z October 29, 2012

KS Governmental Ethics Comm nFILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name ofCaT.ldidate: Phil Hermanson --~------------------------

Address: 5338 S Mosley

SedgwickCity and Zip COde:_W_i_ch_i_ta_6_72_1_6 _ COUDty: _

Offi.ce Sought: State Representative District; _9_8~ _

B. Check. only if appropriate: __ Amelldcd Filing __ Termioation Report

C. Summary (covering the I;Jcriod frod) Jvly 27, 2012 through October 25, 2012)

14023.421. Cash on hand at beginning of period .

2. Total Contributjol'l~ and Other Receipts (Use Schedule A) . 20325.00

34348.42

19819.32

3. Cash available this period (A.dd Lines 1 and 2) _ .

4. Total Expenditures and Other Disbursements (Usc Schedule C) .

14529.105. Ca~h on hand at clo.c;e ofpcriod (Subtract Line 4 from 3) .

6. In-Kind Contributions (Usc Schedule B) 170.26

7. Otllel" Tra.J:l.snction.s (Use Schedule D) .

D. "r declare that this report., i.ncluding any accompanying ~chedules and statem.ents, has been examined by me and to the best of my knowledge and belief is true. correct completc. I undcrstand that the intentional

cument is a class A misdcmean.or."

29 OCT 2012 Date

GECForm Rev, 2001

failure to file this document or intc . lling a false

__}.EI/29!2012 15: 21 3155229454 TOMS WINE &SPIRITS PAGE 02/21

SCHEDULE A CONTRIBUTIONS AND OTHE:R REC£JPTS

Phil Hermanson

(Name of Candidate)

Date Nall'le and AddreSII

of Contributor

Ocmpatlon & Industry Dr Individual GiviJlI': Mon

Than $150

Cheek Appropriate Box

AJl'Iount of C:\Sb, Che~k,

Loao or Otbcr Receiptc.~" CIlttk ' !J'und.

Ottoer

7/28/12

UP Railroad Company 6455 E. Commerce Ave Kansas City, MD 67120

Railroad Company

t/ 250

7/28112 Builders Assoc. of Kansas PAC 212 SW 8th Ave" Ste. 201 Topeka, KS 66603

PAC

t/ 250

8/8/12 Blue Cross Blue Shield 1133 SW Topeka BI"d. Topeka, KS 66629-0001

healt" insurance V" 250

818/12 Farmers Alliance Insurance Co. 1122 N. Main McPherson, KS 67460

insurance company t/ 250

8/8/12 Black Hills En@rgy Corp. PAC PO Box 1400 Rapid City, SO 57709

PAC

t/ 300

8/8/12 A. Scott Rilctlie III 8100 E. 22nd St. N. #700 Wichita. KS 87226·2328

individual

tI' 100

8/21112

Kansas Speedway 400 Speedway Blvd. Kansas City, KS 66111

racetrack

t/ 250

6/21/12 Allstate Insurance Co. PAC 2775 Sanders Rd. Ste. A2W Northbrook, ILL 60062

insurance company t/ 300

9/6/12

Little Government Relations LLC aoo SW Jackson St. Ste. 914 Topeka. KS 66612-2214

V" 100

9/6/12 Spirit Aerosystems PO 80)( 780006 WichIta, KS 67278

aircraft

t/ 300

9/6112

Kansas Independent Business PAC 200 E. 1st St. N Ste. 101 UI J'O_L:.... .,,, ~~"""'"..

PAC ., 500

Subtotlll' This Pa~ 2850.00

Page i_ of__.


SCFlEDULEA CONTRIBUTIONS AND OTH.ER RECEIPTS

Phil Hermanson

(Name ofCandidllte)

Datc Name and Addr15s

of Contributor

Octllpation & Industry of Individual Giving More

Thall $150

Ctlcck Appropriate Bo~

Amount of CBSh., Check, Loan or Other

Rctcipt(:...It Ch...... Lmln t,..... Otllrr

9/6/12

Kansas Farm Bureau Vote FBF Fund State Account 2627 KFB Plaza III " __ Io._a__ 1'(" '::-,...~"""

insurance

t/ $500.00

9f7f12 Ronald Davis PO BOK 781690 Wichita, KS 67278

oil industry

t/ $500.00

9(9/12 KattJy Dawson, Cox Comm. 901 S. George Washington Blvd. Wichita. KS 67211·3901

cable industry

tI' $250.00

9/18/12 Tom's Wine & Spirits 4720 S. Broadway Wichita. KS 67216

liquor store ., $200.00

9/18112 NFIB-Kansas Safe Trust 1201 F. Street NW Ste. 200 Washington. DC 20004

banking

~ $200.00

9/18(12 Kansas Cable PAC 900 S. Kansas Ave. Ste. 300 Topeka, KS 66612

PAC

II' $250.00

9/19/12 Roadmap PAC Inc. 2436 SW Camelot PL Topeka, KS 66614

PAC

II' $500.00

9/19/12 Krystal L. Rohr 510 Homestead CDlwich, KS 67030

individual

tI' $250.00

9/19/12 Dr. Wesley E. GortDn 14626 Sharon Ln. Wichita. KS 67230

t/ $100.00

9/19/12 Builders Assoc. of Ka,..sas PAC 212 SW 8th Ave, Ste. 201 Topeka, KS 66603

PAC

t/ $300.00

9/19/12 Kansas Ban~ers Assoc. PAC pO Box 4407 Topeka, KS 66604-0407

PAC

t/ $500.00

Subtotal This hge $3550.00

Page ..4-of _

1B/29/2B12 15:21 3165229464 TOMS WINE & SPIRITS PAGE 04/21

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Phil Hermanson

(Name of Candidate)

Date Name and Address

of Cnntrlbtltnr

Occupatio1l " Industry of Indiyldual GMnJ: More

Than S150

Cheek Appropriate Box

Am01Jnt or Cllsh, Check,

Loan 0'" Other RtcaptCP'" OClli Lo«" traM.

Otllrr

09/24/12

Kansas Cooperative Council POBox 1747 Hutchinson, KS 67504

lObbyist

II' $100.00

09124/12 Kansas Chamber of Commerce PAC 835 SW Topeka Blvd. T,.,.,..,.a,.., II'C: ~1':1':1?

PAC

t/ $500.00

09/:.27/12 Kansas Optometric PAC Committee 1266SW Topeka Blvd. Topeka, KS 66612

PAC

V' $250.00

09/27112 K~nsas Realtors PAC 3644 SW Burlingame Rd. Topeks, KS 66611

PAC

V' $500.00

09/27112 Wichita Realtors PAC 170 West Dewey St. Wichita, KS 67202

PAC

'" $500.00

09/27112 Polsinelli Shughart 700 W. 47th 51. Ste. 1000 Kansas City. MO 64112

lawyer

~ $150.00

09/27/12 Kansas Contractors Assoc. PO Box 5061 Topeka; KS 66605

contractors

tI' $250.00

10/02/12 Dan Hawkins 9406 Harvest l.ane Wichita, K:S 67Z12

t/ $25.00

10/02/12 SedgWick County Republican Party Central Committee PO Box 47626 \1I11,,";I~ It'~ R7?O.

Republican Party

V' $250.00

10/02/12 Wichita Area Business PAC 350 W. Douglas Ave. Wichita, KS 67202.

PAC

~ $500.00

10/02/12 MictJael J. Grbic 1445 N. Rock Rd Ste. 125 Wichita. KS 67205

realtor

II' $500.00

Subtotal Thi, 'age $3,525.00

Pagcp_of__

10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE OS/21


Phil Hermanson

(Name of Candidlite:)

Date Name and Addre!itl

of Contributor

Occupation & Ind"$try of Individual Giving More

Than $150

Check ApproJlrlate BOll:

ArnDt.lIt nf CII$h~ Clteck, T~flan 0,. Other

ReceiptClUb CIftd: Ln•• 'k lInod. ()Iher

10/02/12

RAI Services Company PO Box 464 Winston-Salem, NC 27102

energy

t/ $250.00

10/05/12 SedgpaG~MedicalSociety of Sedgwick County PAC 1102 S. Hillside \A';"k;+~ It'~ /:17')11

PAC

tI' 5250.00

10/05/12 Kansas Med. Society PAC State Fund 623 SW 10th Ave. IT"~",,,.. ve;, ",,,,,,,1" 1k""'1

PAC

t/ $500.00

10/05/12 Stand Up for Kansas PAC 7234 E. Rockhill St. Wichita. KS 67206-1015

PAC

t/ $100.00

10/05/12 Kansas livestock Assoc. PAC 6031 SW 37th 8t. Topell;a. KS 66614-5129

PAC

tI' $500.00

1011 0/12 Kansas Dental PAC 5200 SW Huntoon S1. Topeka, KS 66604

PAC

II $500.00

10/10/12 Kalls~s Society od CPA's PAC 100 SE 9th 5t. 5te. 502 Topeka, KS 66612-1213

PAC

II $250.00

10/10/12 BNSF Railway Co. 2500 Lou Menk Dr. AOB-3 Fort Worth, TX 76131

railroad company

t/ $250.00

10/10/12 Whitney B. Damron PA 919 S. Kansas Ave. Topeka, KS 66612-1210

lobbyist

f/ $150.00

10/10/12

AT&T Kansas 154 N. Broadway Room 1308 Wichita. KS 67202

communication

tI' 5500.00

10/10(12 KOCH Industries 4111 E. 37th St. N. Wichita. KS 67220

engineering

tI' $500.00

SubtotRl This Page $3,750.00

Page.1- of__

10/29/201~ 15:21 _ 3155229454 TOMS WINE & SPIRITS PAGE OS/21

SCHEDULE A CONTRIBUTIONS AND OTNER RECEIPTS

Phil Hermanson

(Name of Candidate)

Date Name ."d Address

of Cpotribotor

Occupation & In(lH5try of Iodtvido9\ Gi"jng More

Ttlall $150

Check Appropriate Box

AmollJltof Cash, Cbeek,

Loan or Other Reedptc.... Chock ....." EI\uI....

Oillfr

10/11/12

Kansas State Farm Insurance Agents &Employees PAC 825 S. Kansas Ave. Ste. 500 T"""el," W"~ ~~~.. "

PAC

t/ $300.00

10/11/12 NAIFA Kansas PAC 825 S. Kansas Ave. Ste. 500 Topeka. KS 66612

PAC

t/ $200.00

10/11/12 Sprint Nedel PO Box 63670 Pheonix. AZ 85082-3670

communications

t/ $200.00

10/11/12 Heartland Community Bankers Assoc. PAC 700 S. Kansas Ave. Ste. 512 T_....... J...~ V~ I!tc~n?

PAC t/ $200.00

10/11/12 KS Assoc. of Health Plans PAC 825 S. Kansas Ave. 5t8. 502 Topeka, KS 66612

PAC

V $250.00

10/11/12 Centene Management Co. llC 7700 Forsyth Blvd. st. Louis. MO 63105

healthcare

V $500.00

10/11/12 Swedish Match North American Inc 1021 E. Cary St. Ste. 1600 Richmond, VA 23219-4000

cigar company

II' $250.00

10/11/12 loren T. &Katherine D. Elston 763 Browntnrt./sh Wichita, KS 67212

individual

t/ $500.00

10/13/12 KS Restaurant & HOl>pltality PAC 3500 N. Rock Rd. Bldg. 1300 Wichita. KS 67226

PAC

V $250.00

10/13/12 Sedgwick County Rep. Party Central Committee PO Box 47626 \AI:",,","",,, V~ C'7"ln ... ..,.r:roa,;;:

Republican party

t/ $500.00

10f13/12

Exxon Mobil Corporation PO Box 2519 HOllston. TX 77252-2519

oil Industry

t/ $300.00

SUbtotal This PllIge ... 53,450.DD

Page.6.- of__

10/29/2012 15:21 3155229454 TOMS WINE &SPIRITS PAGE 07121


Phil Hermanson

(N~me of Candidate)

Date NamE Bod Address

(If Contributor

Occupation & Tnddstl1' of Individual Givinjt More

Than $150

Check Appropriate DOJ

Amount nf Casb, Cheek,

Loan or Other ReceiptCn'" Chr.k I.""" & I'lmd<

l')chr.

10/17/12

Next Era Energy Resources LLC 700 Universe Blvd. Juno Beach, FL 33408

energy

II' $250.00

10/19/12 Kansas Land Title Assoc. PAC 434 N. Main Wichita, K$ 67202

PAC

t/ $200.00

10/19/12 Anderson Financial Services LLC Loan Max LM 168 600 S. Broadway ~.,H"., ....~ ~7",n'1

financial

~ $250.00

10/19/12 Property Casualty Insurers Assoc. of America PAC 2600 S. River Rd. n .....,.. or... :_ ......... II I a't\r\J4 0 ,>"OQ

PAC

II' $250.00

10/19/12 Ash Grove cement Company PO 80x25900 Overland Park, KS 66225

cemenl industry

t/ $200.00

10/19/12 Jeff Dewey - Anomey at Law 727 N. Waco Ste. 565 Wichita. KS 67201

attorney

t/ $200.00

10/19/12 Blue Cross Blue Shield or Kansas 1133 SWTopeka Blvd Topeka. KS 666:29-0001

health insurance

II' $250.00

10/21/12 Kansas Auto Dealers Elec. PAC 731 S. Kansas Ave. Topeka, KS 66603

auto dealers

V $100.00

10/21/12 United Healthcare Servlces PO Box 1459 MNOO8-W235 Minneapolis. MN 55440-1459

health insurance

~ $250.00

10/21/12 American Insurance Assoc. PAC 2101 L Street NW Ste. 400 Washington, DC 20037

health insurance

V $150.00

10/21/12 American Family Insurance PAC 1300 SW Arrowhead Rd. Topeka, KS 66604-4019

insurance

V $150.00

Subtotal This Page $2,250.DO

Page JJL. of__


SCHEDULE A CONTRIBUTlONS AND OTHER RJ.:CEIPTS

Phil Hermanson

(Na~e of Candidate)

Date Name and Add.-e,l$

of Contributor

Occupation &. Indulltry of [ndividual Giving Mor~

Titan $150

Check Appropriate Bo:lt

Aml)unt of Cash. Cheek,

Loan or Otber ReceiptC••b Cllftk I ..,..n tl\allll'

Olh.r

10125/12

VISA USA Inc-PO Box 8999 S;:tn Francisco, CA 94128

credit oard company

t/ 5250.00

10/25/12 NRA. Folitlcal Victory Fund 11250 Waples Mill Rd. Fairfax. VA 22030-7400

PAC

v' $250.00

10/25/12 Dondlinger & Sons Construction PO Box 398 Wichita, KS 67201-0398

construction company

III $100.00

10/25/12 Community Bankel'l1 Assoc. PAC 3003 SW Van Buren Ste. A Topeka, KS 66611-2224

PAC

t/ $100.00

10/25(12 UP Railroad Co. 600 Broadway Ste. 500 Kansas City, MO 64105

railroad

V $250.00

Subtotal ')1Ib Pige

," $950.00

pagcl-Qf__

!10/29/2012 15: 21 3165229464 TOMS WINE & SPIRITS PAGE 09/21

SCHE:DULEA CONTRIBUTIONS AND OmER RECEIPTS

Phil Hermanson

(Name of Candidate)

Ottupstinn & Indntry of Check Amount of .Name lind Addl"C~. Individual Gitrjllg .More Approprjll~:Box ClI.Jh. Check.

Pute I---"'T""----r--T"""---! Loan or Other eM" C1.ocIc f.1Ill1I !;j l'Irnd. R

ofCOlltributor Than $\50 ()ll.,... ece.ipt

Complete if la,t page ofSdaeduJe A

Talal Itel\'lj~.ed Receipts for Period $20,325,00

Total Unitemiz;cd ContributiO(]$ ($50 or Ics:J)

Sale of Political Materials (Unitemiztd)

Tolal Contributions \Vben Contributor Nl'l Kno\\'I1

I 110/29/2012 15: 21 3165229464 TOMS WINE &SPIRITS 10/21

PBgC_q _!If

Phil Hermanson

(NaIDe ofCundidatc)

SCHEDULER IN-KIND CONTRIBUTIONS

PAGE

.I)ate: ,Name ltnd ;\ddrc"

(If Cootribll'or

List OltuJlation & hldusrry (II1r Thll~e GIving :an ,In-Kind or ,~Dn: ThIn

$150

Desc~{ptlll1q orID~Kind

C ontrlb .dion

V:ao\nc: or In-Kind

eeln trtbvtfon

9/28/12 Security First Title 434 N. Main Wichita. KS 67202

Campaign Picnic $12D.85

10/12112 Kansas Chamber Jobs PAC 835 SW Topeka Blvd. Topeka, KS 66612

'~360 Technology $49.41

Complete if last page of Scbedule B

Total. ltem.i1.ed (over $(00) In-Kind Contributjo"~

Total Unitcmized (S InO or less) In-K,ind Conll'iblltionR

$170.26

$120.85

$49.41

$170.26

1e/29/2e12 15:21 3165229464r- .._._.- TOMS WINE & SPIRITS PAGE 11/21

SCHEDULEC EXPENDITURES AND OTH.ER DlSBURSEMENTS

Phil Hermanson

(N"me ofCRndidate)

nate !"lame Dnll Addren

7130/12 Dillof'lS 4747 S. Broadway Wichita, KS 67216

8/1/12

Diana Meyer 204 W, Kansas 8t. Liberty, MO 64068

6(2/'2 Steven Kearney 1200 SW 10th Ave. Topeka, KS 66604

8/3/12 US Logo Inc. 1085 S. Washington Wichita, KS 87211

8/6/12

Applebee's 4760 8. Broadway Wichita, KS 67216

8/6(12 Diana Meyer 204 W. Kansas St. Liberty, MO 64068

8/6/12 The Pumphouse 25 E. 2nd. Wichita. KS 67202

8/9/12

Braums 550 E. 4th St. Wichita, KS 67216

8'10/12 River City Station Post Office Wichita. KS 67216

8/10112

Larry Buds Sports Bar 6200 W. 21st St. Wichita, KS 67205

8/10/12 McAlisters Deli 7130 W. Maple 8t. Wichita. KS 67209

SUbt~tal This rll~e

PurpOie ~, ExpenditllU ~r Di~burnmtnt

volunteer food and drink

website design

ethics fine

campaign materials - magnets

volunteer food anci drink

website design


volu"teer food and drink

stamps



i\Jl'lIunt

14.85

500.00

500.00

157.62

54.50

35.00

23.54

6.75

114.10

42.60

9.49

l~.~ Page: 10__ of _

1e/29/2e12 15:21 3165229464 TOMS WINE & SPIRITS PAGE 12/21

SCHEDUJ...EC EXPENDITURES AND OTHER DISBURSEMENTS

Phil Hermanson

(Name ofC:mdidatc)

Oat~ Name nod ,\rldttn Purpose or Elpenditute

0" DisburseJllEnt Amount

8/10/12 OT 5611 S. Broadway Wichita, KS 67216

volunteer food and drink 7,49

8/13/12 US Logo Inc. 1DB5 S. Washington Wichita, KS 67211

campaign materials· banners, magnets

324.56

8/13(12

US Logo Inc. 1085 S. Washington Wichita, KS 67211

campaign materials - car magnets

266.65

8/13/12 AT&T 2201 SW Wanamaker Dr Topeka, KS 66804

campaign phone bill 134,18

8/13/12

The UPS Store 8918 W. 21st St N Ste. 200 Wichita, KS 67205

shipping materials 13.53

8/14/12 US Logo Inc. 1085 S. Washington Wichita, KS 67211

campaign materials - tshirts

272.01

8116{12 Diana Meyer 204 W. Kansas St. Liberty, MO 64068

campaign treasurer el<pense 300,00

8116(12 Avivo Brick Oven PiUOl 2441 N. Maize Rd. Wichita, KS 67205

Volunteer food and drink; 18.30

8(20/12

Marchello's 3107 S. Seneca Wichita, KS 67217

volunteer food and drink 41.53

8/22/12

Office Malt 6940 W. Kellogg Wichita, KS 61209

campaign office supplies 35.70

8123/12 Diana Meyer 204 W. Kansas St Uberty, MO 64068

campaign treasurer expense

25000

Subtotlll This ,f>a~e J,113. '5 Page _IlOf__

10/29/2012 15:21 3165229464 TOMS WINE &SPIRITS PAGE 13/21

SCHE.DULEC EXl'l:NDITURES AND OTHER DlSBURSEl\fENTS

Phil H@rmanson (NlImc: ofCllndidatt)

Dlite Name and Addre~5

rurpll~e of Expenditute ot Disbursemtnt Amount

8129/12 Office Max 6940 W. Kellogg Wichita, KS 67209

campaign office supplies 10.92

8/30/12

YEK 4111 E. 37th St N. Sle D101 Wichita, KS 67220

donation 225.00

8/31/12 The UPS Store 6916 W. 21st st. Wichita. KS 67205

mailing expenses 14.65

9/4/12

Di\lons 4747 S. Broadway Wichita. KS 67216


917/12

Wichita Paceydrm 100 N. Broadway Wichita. KS 67201

donation

20.00

917112 UPrinting 8000 Haskell Ave. Van Nuys, CA 91406

car magnets 321.70

9/7/12 Crawford Liquor 4255 S. Seneca Wichita, KS


9/10/12

US Logo Inc. 1085 S. Washington Wichita. KS 67211

campaign shirts

212.45

9/10/12 FedEx 240 S. West St. Wichita, KS 67213

campaign banners 167.39

9/10/12

OT 5611 S. Bro:ldway WichIta, KS 67216

stamps 153.00

9/10112

City of Wichita Park Admin 455 N. Main Wichita. KS 67202

campaign picnic - pavillion rental

65.00

hbt~tal This P.~t J. ~ <i3.' ~

10/29/2012 15:21 3155229454--_. "---" TOMS WINE &SPIRITS PAGE 14/21/'

SCHEDULEC EXPENDITURES AN» OTHER. DISBURSEMENTS

Phil Hermanson

(Name of Candidate)

DatI! Name and AddrC!l5

P'urpClllC of .t.penditure lJr Disbursement "mount

Pizza Hut 9/10/12 333 E. 47th Sl S

Wichita. KS 67216


Applebee's

9/11112 4760 S. BroadWay Wichita, KS 67216


UPrinting

9/13112 8000 Haskell Ave. Van Nuys, CA 91406

fridge magnets

78.54

Pizza Hut

9/13/12 333 E. 47th St. s Wichita, KS 67216


Dillons

9/14/12 200 W. Greenway Derby, KS 67030

candy for parade . 44.63

Wichita Paceydrm

9/17112 100 N. Broadway Wichita, KS 87201

Paceydrm club entrance fee

20.00

Mikes Steakhouse

9/17/12 2131 S. Broadway Sf. Wichita, KS 67211


93.67

Diana Meyer

9/16/12 204 W. Kansas St. Liberty. MO 64068

treasurer cost

400.00

Pizza Hut 9120/12 333 E. 47th St. S

Wichita, KS 67216


18,56

FedEli;

9121112 240 S. West St. Wichita, KS 67213

printing costs 181.32

AT&T

9/21/12 12201 SW Wanamaker Dr Topeka, KS 66604

campaign phone bill

134.18

Subtotal Tb1s I'llge 1/087.; )


SCHEDULEC EXPENllITURES AND OTHER DISBURSEMENTS

Phil Hermanson

[1'1 al\'le of Candidlltt:)

natt Name n"d Addre~"

Purpose "r Experldlture or Di~bllrsement !\mou"t

9/21/12 Applebee's 4760 S. Broadway Wichita, KS 67216


9124/12 US Logo Inc. 1085 S, Washington Wichita, KS 67211

campaign shirts 144.88

9/24/12

KFC 611 E. 47st St. S. Wichita, KS 67216

volunte@r food and drink 37.54

9/24112 Pizza Hut 333 E. 47th St. S Wichita, K;S 67216


9126'12

Diana Meyer 204 W, Kansas St. Liberty, MO 64068

website costs 30.00

9/26/12 McDonalds 4810 S. Broadway Wichita, KS 67216


9/26/12 McAlisters Deli 7130 W. Maple St. Wichita, KS 67209


9/2.7112 City PrInt 235 S. Ellis Wichita, KS 67211

palm cards 643.80

9127/12 Hog Wild SSQ 662 E. 47th Street Wichita, KS 67216


9/27/12

Dollar General 3660 E. 47th St Wichita, KS 67210

picnic supplies - kid activities 14.97

9/28/12

Sarns Club 6200 W. Kellogg Wichita, KS 67209

picnic supplies 73.91

SUbtotal Thl5 Yage t ID7,1tBt

page_H-of__

1B/29/2B12 15:21 3165229464 TOMS WINE & SPIRITS PAGE 16/21

SCHEDULEC EXPENDITURES AND OTHER DJSBURSEMENTS

Phil Hermanson

(,Name of Candidate)

Date Name :lind Addr~!<~

P"rpose of Expenditure or DI,bursement Amount

9126/12 TJ's Burger House 1003 W. Douglas Wichita, KS 67213


9/26/12

Sams Club 6200 W. Kellogg Wichita, KS 67209

campaign supplies 21.31

9/28112

McDonalds 4810 S. Broadway Wichita, KS 67216


10(1/12 Pilza Hut 333 E. 47th St. S Wichita. KS 67216

volunte@r food and drink

27.90

1011/12 BJ's Restaurant 7960 E. Kellogg Wichita, KS 67207


10/1/12 Club Liquor 3415 N Rock Rd Wichita, KS 67226


206.22

10(1(12 Pizza Hut 333 E. 47th St. S Wichita, KS 67216


29.75

10/1/12 Ashley Goodrich 5333 S. Mosley Sf. Wichita, KS 67216

campaign manager payment 75.00

1011(12 Ashley Goodrich 5333 S, Mosley St. Wichita, KS 67216


10/1/12

Ashley Goodrich 5333 S. Mosley St. Wichita. l<:S 67216


10/1112

Kansas Health Care PAC 825 S. Kansas Ave, Ste. 502, Topeka, KS 66612

campaign overpElyment

250.00

Subt(lt.1 This Pllge " 'J2Q,5 !!


SCHEDULEC EXPENDITURES AND OTHER 01SBVRS,EMENTS

Phil Hennanson

(Nilme nfCandidMe)

DRte Name nnd Addrcu PUfpltJC ofE,;pedditure

l'tr Dl5bur~tmellt Amount

10/1/12

10/1/12

1011/12

10f2f12

1012/12

Ashley Goodrich 5333 R Mosley St. Wichita, KS 67216

East Y Men's Club 9333 E, Douglas Ave. Wichita, KS 67207

Ashley Gooclrich 5333 S. Mosley St. Wichita, KS 67216

McDonalds 4810 S. Broadway Wichita, KS 67216

RHCC 14206 Eby Overland Park. KS 66221

campaign manager payment

~- ~;PdlnOn ~It- dL€

campaign manager payment


donation,

262,50

125.00

532.60

17.64

500.00

10/4/12

10/4/12

1015/12

10/9/12

10/9/12

Taco Bell 422 E. 47th Street Wichita, KS 67216

Diana Meyer 204 W. Kansas 5t. Liberty, MQ 64068

Taco Bell 422 E. 47th Street Wichita, KS 67216


Dillons 4747 S, Broadway Wichita. KS 67216

volunleer food and drink

website design


campaign materials - shirts


20.56

74.50

23.85

212.45

50.57

10110/12

Dillons 4747 S. Broadway Vllichita, KS 67216

volunteer foOd and dril'lk 77,78

Subrorltl Tlli5 P2ge , , 1,9/17' 3S

Page J19._ of__

10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE 18/2:

SCJ:lEDULE C EXPENDITURES AND OTJ.lER DlSBURSEM.ENTS

Phil Hermanson

(N arne of C~T1didBte)

Date NlllJ1e and Address Purpose of ExpenditUTe

or Di,bunell'ent Amount

10/10/12

10'11/12

10112112

10/15/12

10/15/12

10/15/12

10/15/12

10/15/12

10/15/12

10/15/12

10(15/12

East Y Men's Club 9333 E. Douglas Ave. Wichita, KS 67207

Dillons 4747 S. Broadway Wichita, KS 67216



Marchello's 3107 S. Seneca Wichita, KS 67217

Subway 7201 S. Broadway Wichita, KS 67067


Diana Meyer 204 W. Kansas St. Liberty, MQ 64068

L&S Homebuyers 7200 W. 13th Sf- Ste. 5 Wichita, KS 67211

RHCC 14206 Eby Overland Parn, KS 66221

Singularis PO 80x 9265 Snawnee Mission, KS 613201

~t~ volunteer food and drink


campaign materials - shirts




website design

printing services

b La CJlm~~t'") .st.nItces.

yard signs

125.00

23.60

57.BO

299.37

31.90

7.78

114.77

200.00

538.50

2500.00

2350.70

S..btntal Tbh Page

... ~, ~41 ,Ltl.

Pnge _tl.- 0'__

10/29/2012 15'21 3165229464-- TOMS WINE & SPIRITS PAGE

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Phil Hermanson

(Name of Candidate)

DlIt!

10116112

10{16'12

10117/12

10/16112

10118'12

10{16/12

10/16112

10119/12

10/19112

10/19112

10119'12

N:lQl! .ad Addl"cn

TPS 1325 E. Douglas \Mchita, KS 67216

Handy Mailing 3839 Dora Wichita. KS 67213

Dillons 4747 S. Broadway Wichita. KS 6i216

McDr;malds 4810 S. Broadway Wichita. KS 67216

Tom's Wine and SpiritS 133 E. 47th Street Wichita, KS 67216

Oillans 4747 S. Broadway Wichita, KS 67216

Dil/ons 4747 S. Broadway Wichita, KS 67216

Donovans Steamin Weenie 418 W. Grand Haysville, KS 67060

Bionic Burger 243 South Seneca Street Haysville, KS 67060

Olllons 200 W. Greenway Derby, KS 67030

Dollar Tree 4866 S. Broadway Wichita, KS 67216

Subtotal Thf, P.gc ,

Pllrpp",t: O'r Expclld;tur'c pr Di,bur'BCQlent Amoullt

picnic mailer

1171.47

advanced voting mailers 1406.25






135.41


volunteer food and drink. 27.43

parade candy 43.07

parade supplies 11.80

, 3,D1~ ~

Page .£._ of____

10/29/2B12 15:21 3155229454 TOMS WINE &SPIRITS PAGE 2B/21

SCHEDULEC EXPENDITURES AND OTHER D1S:BURSEMENTS

Phil Hermanson

(Name of Candidate)

Date

10122112

10122112

10122/12

'012.2/12

10/22/12

10122112

10/24112

10/24/12

10/25112

Name IIl1d Addre5S

Tom's VVine and Spirits '33 E. 47th Street Wichita, KS 67216

Marchello's 3107 S. Seneca Wicl1ita, KS 87217

Mikes Steakhouse 2131 S. BroadwaV St-Wichita, KS 67211

Pizza H..t 333 E. 47th St. S Wichita, KS 67216

QT 5611 S. Broadway Wichita, KS 67216

Oillans 4747 S. Broadway Wichita, KS 67216

Tom's Wine and Spirits 133 E. 47tl'l Street Wichita, KS 67216

AT&T 2201 SW Wanamaker Dr Topeka, KS 66604

Pizza Hut 333 E. 47th St. S Wichita, KS 67216

SUbtotal This rllg~ ..

Purp.."e of .'.:'1pend itu re fir Di!iburseJIII!Rt





stamps



campaign phone bill


. . .

Am01, .. t

66,34

37.86

. 56.50

34.97

47.34

109.54

124.73

134,18

67.94

Page1l- of_~_

__113/29/21312 15: 21 3165229464 TOMS WINE &SPIRITS PAGE 21/21

SCHEDULEC £XPENDfTURES AND OTHER DlSBURSEMENTS

Phil Hermanson

(NBme ofCandicflltc)

Date .Name and Addre" PlIrpose of .Expcndltllre

or JJi,btlTJc:mCJlt Amount

$0.00

Complete j.f)llst page of Schedule (:

Totlilltem i7.c:d E)[!,en(ljlu1~l> This Pe1iod $19.819.32

$19,619.32

kansas governmental ethics...

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