0 0 0 0ethics.ks.gov/cfascanned/senate/2016eleccycle/201610/s06pp_amen… · $27,138.80 : 2. total...
TRANSCRIPT
KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT RECEIVEDOF A CANDIDATE FOR STATE OFFICE
~IOI' "nK8 .:, ,V j ,J 2017October 31,2016 Govemmentcn t:thi . .
FILE WITH SECRETARY OF STATE csCommlSSion SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name of Candidate: _P_a_t_P_e_tt_e_y _
Address: 5316 Lakewood St.
City and Zip Code: Kansas City, Kansas 66106 County: Wyandotte
Office Sought: State Senator District: 6 ------
B. Check only if appropriate: ~ Amended Filing __ Termination Report
C. Summary (covering the period from July 22, 2016 through October 27,2016)
1. Cash on hand at beginning of period . $27,138.80
2. Total Contributions and Other Receipts (Use Schedule A) . $15,135.00
3. Cash available this period (Add Lines 1 and 2) . $42,273.80
4. Total Expenditures and Other Disbursements (Use Schedule C) . $12,117.43
5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . $30,156.37
6. In-Kind Contributions (Use Schedule B) $82.95
7. Other Transactions (Use Schedule D) $0.00
D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best ofmy 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."
(~\'- i1 Q~ 00 "\l, 1a- Lb\l '\- \ ~~, .............
Date Signature ofCandidate or Treasu~~r \ Ii
GEe Form Rev, 2016
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Check Amount of Occupation & Industry of Appropriate Box Cash, Check,
Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other
Other Receipt
10/17/2016
Alex Craddock 3009 S 53rd Kansas City, KS 66106 D 0 D D $50.00
10/20/2016
Tony Villegas 1728 Haas Dr Kansas City, KS 66106-2981 0 D D D $20.00
10/20/2016
Jerald Pelofsky 5301 W 96th Ter Overland Park, KS 66207-3216 D 0 D D $100.00
10/20/2016
Andrea Watson 5144 Stearns St Shawnee Mission, KS 66203-1869
D 0 D D $50.00
10/19/2016
Gerald Gentry 521 N Mesquite St Olathe, KS 66061-5928 D 0 D D $50.00
10/19/2016
Local 124 Voluntary Political Fund 301 ESt Terr Kansas City, MO 64114
D 0 D D $500.00
09/06/2016
Wade Thomason 9507 W 129th St Overland Park, KS 66213-3244
Financial Advisor
Finance D 0 D D $200.00
$970.00 I
Page 2 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Narne of Candidate, Party Committee or Political Committee)
Check Amount of
Date Name and Address of Occupation & Industry of Individual Giving More
Appropriate Box Cash, Check, Loan or
Contributor Than $150 Cash Check Loan E funds Other Other Receipt
10/20/2016
Ann Stirling 4526 Gibbs Rd Kansas City, KS 66106-2546 0 0 0 0 $100.00
08/12/2016
UP Railroad Company 800 SW Jackson St Ste 914 Topeka, KS 66612-2214
0 ~ 0 0 $500.00
10/22/2016
David Duckers 610 N 28th St Kansas City, KS 66102-3934 0 ~ 0 0 $100.00
08/09/2016
KS Optometric PAC 1266 SW Topeka Blvd Topeka, KS 66612-1815 0 ~ 0 0 $500.00
07/27/2016
Anheuser Busch 1 Busch PI Saint Louis, MO 63118-1849 0 ~ 0 0 $250.00
10/20/2016
KS WSW PAC 212 SW 8th Ave Ste 202 Topeka, KS 66603-3939
0 ~ 0 0 $250.00
10/20/2016
Robert Anver 108 Viewcrest Dr Kansas City, KS 66101-1151 0 ~ 0 0 $100.00
$1,800.00 I
Page 3 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Check Amount of Occupation & Industry of Appropriate Box Cash, Check,
Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other
Other Receipt
09/26/2016
LRICo Services LLC 2416 E 37th St N Wichita, KS 67219-3538 D ~ D D $200.00
10/20/2016
Jim Shetlar 12727 Mohawk Cir Leawood, KS 66209-1718 D ~ D D $100.00
10/03/2016
KS Livestock Assoc. 6031 SW 37th St Topeka, KS 66614-5128 D ~ D D $250.00
10/17/2016
Jolene Pryor 3001 S 47th St Kansas City, KS 66106-3775 D ~ D D $30.00
10/17/2016
KS State Farm Insurance Agents 825 S Kansas Ave Ste 500 Topeka, KS 66612-1253
D ~ D D $500.00
09/26/2016
Allie Devine 534 S Kansas Ave Topeka, KS 66603-3406
Lobbyist
Governmental Relations
D ~ D D $250.00
10/20/2016
Imogean (Jeannie) Westfall 2108 Shearer Rd Kansas City, KS 66106-3037 D ~ D D $50.00
I "SUbfota...·~.: ..T~...·.....~..~. ~p.:..... a;~~., , ' , ' , "
:;;:;~ ,,,.~ .,,=.Y:'·.;::.. ... :;.;' ..•.. - ~ ..;" ;~j~-- ,,~~.' . -::,---.
... ,',:.;;? ,,': -
$1,380.00 I
Page 4 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Narne of Candidate, Party Committee or Political Committee)
Check Amount of Occupation & Industry of Appropriate Box Cash, Check,
Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other
Other Receipt
10/25/2016
ATT KS PAC 220 SE 6th Ave R500 Topeka, KS 66603-3507
D 0 D D $500.00
10/18/2016
KS Medical Society PAC 623 SW 10th Ave Topeka, KS 66612-1615 D 0 D D $500.00
10/20/2016
Tom Roberts 12803 Sloan Ave Kansas City, KS 66109-4344 D 0 D D $40.00
10/17/2016
Mary Ellen Conlee 232 N Parkwood Ln Wichita, KS 67208-4143 D 0 D D $100.00
10/20/2016
Liz Wade 330 N 17th St Kansas City, KS 66102-4915 D 0 D D $100.00
10/20/2016
Vicki Lascala 108 Algonquin Dr Lake Winnebago, MO 64034-9301
D 0 D D $40.00
10/03/2016
Amerigroup Corporation 9225 Indian Creek Pkwy Bldg 32 Overland Park, KS 66210-2009
D 0 D D $200.00
$1.480.00 I
Page 5 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Narne of Candidate, Party Committee or Political Committee)
Check Amount of Occupation & Industry of Appropriate Box Cash, Check,
Date Narne and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other
Other Receipt
10/05/2016
Linda Lewis 7204 W 84th Ter Overland Park, KS 66212-1944 D 0 D D $30.00
10/20/2016
James Kendall 3620 Gibbs Rd Kansas City, KS 66106-3840 D 0 D D $50.00
10/06/2016
KS Hospital Assoc PAC 215 SE 8th Ave Topeka, KS 66603-3906 D 0 D D $1,000.00
09/26/2016
KS Society of CPA's 100 SE 9th St Ste 502 Topeka, KS 66612-1213
D 0 D D $250.00
10/25/2016
KTLA Consumer/Civil Justice 719 SW Van Buren St Topeka, KS 66603-3740 D 0 D D $250.00
08/30/2016
3M Traffic Safety and Security Systems Division 3M Center Bldg 223-4N-014 Saint Paul, MN 55144-1000
D 0 D D $500.00
10/20/2016
Michael Calwell 5610 W 61st Ter Mission, KS 66202-3509 D 0 D D $100.00
$2,180.00
Page 6 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Check Amount of Occupation & Industry of Appropriate Box Cash, Check,
Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other
Other Receipt
10/20/2016
Mary Gonzales 3721 Thompson Cir Kansas City, KS 66103-3173 D 0 D D $100.00
10/05/2016
Comcast Corp. 1701 John F Kennedy Blvd Philadelphia, PA 19103-2855 D 0 D D $250.00
10/20/2016
Jerilyn Huggins PO Box 6147 Kansas City, KS 66106-0147 D 0 D D $100.00
10/17/2016
Barbara Kill 5548 Pawnee Dr Kansas City, KS 66106-1540 D 0 D D $50.00
09/26/2016
Sprint Nextel PO Box 63670 Phoenix, AZ. 85082-3670 D 0 D D $200.00
10/20/2016
Security Benefit Life Insurance PAC 1 Security Benefit PI Topeka, KS 66636-1000
D 0 D D $500.00
10/06/2016
HCA 1100 Walnut St Ste 2950 Kansas City, MO 64106-2187
D 0 D D $500.00
$1.700.00 I,:;'-!. "-S--'·~ ,; "~j; - ~~.; .,;. :':0 .~<:>.:
"-t~:,~_;.i~:--';:·:'::· ;.(/ '~,.->' ;7"~;;,i:'-:;~'~'
. " .. ',,.,,, "-:.," ...', ~.,-,,> '" >
Page 7 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Check Amount of
Date Name and Address of Occupation & Industry of Individual Giving More
Appropriate Box Cash, Check, Loan or
Contributor Than $150 Cash Check Loan E funds Other Other Receipt
10/19/2016
Rogers Liquor 1717 N 38th St Kansas City, KS 66102-2121 0 !ZI 0 0 $100.00
10/20/2016
Kathryn Peters 3617 N 59th St Kansas City, KS 66104-1104 0 !ZI 0 0 $50.00
10/22/2016
Planned Parenthood 4401 W 109th St Ste 200 Overland Park, KS 66211-1303
0 !ZI 0 0 $500.00
10/17/2016
CWA-Cope PCC 501 3rd St NW Washington, DC 20001-2760 0 !ZI 0 0 $100.00
08/18/2016
Kansas Contractors Assoc. 800 SW Jackson St Ste 100 Topeka, KS 66612-1216
0 !ZI 0 0 $500.00
10/18/2016
Physicians Hospitals Kansas 1200 SW 10th Ave Topeka, KS 66604-1204 0 !ZI 0 0 $500.00
10/20/2016
Mary Roddy 4175 Cambridge St Kansas City, KS 66103-3318 0 0 0 0 $50.00
$1,800.00
Page 8 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Check Amount of Occupation & Industry of Appropriate Box Cash, Check,
Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other
Other Receipt
09/19/2016
KS Auto Dealers PAC 731 S Kansas Ave Topeka, KS 66603-3807 D ~ D D $250.00
10/19/2016
Nick Tomasic 608 Splitlog Ave Kansas City, KS 66101-3332 D ~ D D $100.00
10/20/2016
Farmers Employee &Agent PAC ofKS 2345 SW Current Ct Lees Summit, MO 64082-4086
D ~ D D $500.00
10/20/2016
Inti Assoc of Fire Fighters 7540 Leavenworth Rd Kansas City, KS 66109-1215 D ~ D D $250.00
10/20/2016
Ramey and Kathryn Carey 5338 Douglas Ave Kansas City, KS 66106-2258 D ~ D D $25.00
10/20/2016
Nancy Shirley 3850 N 113th St Kansas City, KS 66109-3489 ~ D D D $50.00
10/20/2016
James and Betty Millhouse 2114 S 48th Ter Kansas City, KS 66106-2441 D ~ D D $50.00
$1,225.00
Page 9 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Check Amount of
Date Name and Address of Occupation & Industry of Individual Giving More
Appropriate Box Cash, Check, Loan or
Contributor Than $150 Cash Check Loan E funds Other Other Receipt
07/23/2016
Greater Kansas City Women's Political Caucus PAC PO Box 10095 Kansas City, MO 64171-0095
D 0 D D $100.00
10/20/2016
Marilyn Miller 6840 Mastin St Merriam, KS 66203-3913 D 0 D D $50.00
09/26/2016
KS Bankers Assoc PAC PO Box 4407 Topeka, KS 66604-0407 D 0 D D $250.00
10/06/2016
Altria Client Services Inc 1005 Congress Ave Ste 850 Austin, TX 78701-2465
D ~ D D $450.00
10/20/2016
Norman Scott 501 N 86th St Kansas City, KS 66112-1606 D 0 0 D $50.00
10/05/2016
KS Healthcare Assoc 1100 SW Gage Blvd Topeka, KS 66604-1761 0 ~ 0 0 $250.00
10/20/2016
Ollie Carroll 8509 Spring Ave Kansas City, KS 66109-1037 D 0 D D $100.00
$1,250.00 I
Page 10 of 15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Check Amount of Occupation & Industry of Appropriate Box Cash, Check,
Date Narne and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other
Other Receipt
10/18/2016
KS New Energy Economy PAC 610 Brazos St Ste 210 Austin, TX 78701-3287
D ~ D D $1,000.00
10/17/2016
Matthew Watkins 11130 Whispering Ln Kansas City, KS 66109-4265 D ~ D D $50.00
10/20/2016
Frank and George Ann Burris 8521 Darnell Lenexa, KS 66215-2451 D ~ D D $100.00
10/17/2016
Hallmark Cards, Inc. PO Box 419580 Kansas City, MO 64141-6580 D ~ D D $200.00
Complete if this is the last page of Schedule A
Total Itemized Receipts for Period $15,135.00
Total Unitemized Contributions $0.00
Sale ofPolitical Materials (Unitemized) $0.00
Total Contributions When Contributor Not Known $0.00
$15,135.00
$1,350.00
Page 11 of 15
SCHEDULEB IN-KIND CONTRIBUTIONS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Date Narne and Address of Contributor
List Occupation & Industry for Those
Giving an In-Kind of More Than $150
Description of In-Kind Contribution
Value of In-Kind
Contribution
09/21/2016
KS Bankers Assoc PAC PO Box 4407 Topeka, KS 66604-0407 food/beverages
$82.95
Complete if last page of Schedule B
Total Itemized (over $100) In-Kind Contributions $82.95 Total Unitemized ($100 or less) In-Kind Contributions
TOTAL IN-KIND CONTRIBUTIONS THIS PERIO]) (to line 6 ofSuDnnary), -, ,
$0.00
$82.95
Snbtotal This Page $82.95
Page.-lLof~
1
SCHEDULEC EXPENDITURES AND OTHER DISBURSEl\1ENTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Date Name and Address Purpose of Expenditure or Disbursement Amount
07/2212016 Sunflower Chapter - KNEA 715 SW 10th Ave Topeka, KS 66612-1617
dues - Miscellaneous $10.00
09/06/2016 Mainstream Education Foundation 5690 Dearborn #213 Mission, KS 66202-1961
contribution - Donation/Contrib $125.00
09/29/2016 Sam's Club 10510 Parallel Pkwy Kansas City, KS 66109-3643
supplies, food - Supplies $155.20
08/2212016 Lee's Printing 804 Central Ave Kansas City I KS 66101-3504
notecards - Printing $49.11
09/06/2016 League of Women Voters 1730 M St NW Ste 1000 Washington, DC 20036-4570
membership dues - Miscellaneous $25.00
08/2212016 Armourdale Renewal Association 730 Osage Ave Kansas City I KS 66105-2026
dues - Miscellaneous $20.00
10/20/2016 Amigos Grill and Cantina 2737 S 47th St Kansas City I KS 66106-3629
food - Fundraising Expenses $485.36
10/16/2016 Morris Neighborhood Group 7120 Gibbs Rd Kansas City, KS 66106-5146
contribution - Donation/Contrib $50.00
Subtotal This Page $919.67\
Page.Jl of -li
SCHEDULE C EXPENDITURES AND OTHER DISBURSEl\1ENTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Date Name and Address Purpose of Expenditure or Disbursement Amount
07/25/2016 Kansas Contractors Assoc. 800 SW Jackson St Ste 100 Topeka, KS 66612-1216
donation - Donation/Contrib $100.00
10/07/2016 Lee's Printing 804 Central Ave Kansas City. KS 66101-3504
invitations - Printing $52.38
09/08/2016 NGPVan 11 01 15th St NW Ste 500 Washington, DC 20005-5006
Fundraising Software Electronics/Computers
$450.00
08/19/2016 Lee's Printing 804 Central Ave Kansas City, KS 66101-3504
notecards - Printing $49.11
10/17/2016 KS Democratic Party 501 SE Jefferson St Ste 30 Topeka, KS 66607-1173
contribution - Donation/Contrib $1,000.00
10/11/2016 Post Office 3400 Strong Ave Kansas City, KS 66106-7400
stamps - Postage/Shipping $34.00
09/19/2016 NGPVan 1101 15th St NW Ste 500 Washington, DC 20005-5006
Fundraising Software Electronics/Computers
$450.00
09/09/2016 Yoder Office Supply Acct 7325 W 79th St Overland Park, KS 66204-2908
flag - Miscellaneous $22.95
09/27/2016 Argentine Betterment Corporation PO Box 6613 Kansas City, KS 66106-0613
silver city parade - Donation/Contrib $50.00
Subtotal This Page $2,208.44
Page.l!... of ~
1
SCHEDULEC EXPENDITURES AND OTHER DISBURSEl\lENTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Date Name and Address Purpose of Expenditure or Disbursement Amount
10/05/2016 BNV Printing 800 N Market St Wichita, KS 67214-3520
mailers - Printing $2,800.00
10/21/2016 Lee's Printing 804 Central Ave Kansas City, KS 66101-3504
thank you cards - Printing $60.02
09/19/2016 Our Lady of Unity 2646 S 34th St Kansas City, KS 66106-4260
donation - Donation/Contrib $75.00
10/07/2016 KS Democratic Party 501 SE Jefferson St Ste 30 Topeka, KS 66607-1173
Services - Miscellaneous $6,000.00
09/06/2016 Post Office 3400 Strong Ave Kansas City, KS 66106-7400
stamps, shipping - Postage/Shipping $49.30
Complete if last pa2e of Schedule C Total Itemized Exoenditures This Period $12,112.43
Total Unitemized Exnenditures $50 or less $5.00
TOTAL EXPENDITURES & OTHER DISBURSE1\fENTS THIS PERIOD (to line 4 of Summary)
$12,117.43
Subtotal This Page $8,984.32 1
Page.l.i.- of .l.i.
KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE
October 31, 2016
FILE WITH SECREfARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
FILED
JAN l 0 dolt KRIS W KOBACH
SECRETARY OF STATE
A. Name of Candidate Pat Pettey Address -5-31-6~La_k_e_w_o_o_d~S-t~~~~~~~~~~~~~~~~~~~~~~~~~~
City and Zip Code Kansas City, KS 66106 Office Sought State Senate
County Wyandotte District No. 6
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
B. Check only if appropriate: 0 Amended Filing D Termination Report
C. Summary (covering the period from 07/22/2016 through 10/27/2016
1. Cash on hand at beginning of period $27,938.80
2. Total Contributions and Other Receipts (Use Schedule A) $15, 135.00 ~~~~~~~~~~~~~~~~~~~
3. Cash available this period (Add Lines 1 and 2) $43,073.80
4. Total Expenditures and Other Disbursements (Use Schedule C) $12,217.43
5. Cash on hand at close of period (Subtract Line 4 from 3) $30,856.37
6. In-Kind Contributions (Use Schedule B) $82.95
7. Other Transactions (Use Schedule D) $0.00
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."
l--lo-iv17 Date Signature of Candidate or Treasurer
GEC Form Rev 2016
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than$150 Cash Check Loan
Alex Craddock 3009 S 53rd
10/17/2016 Kansas City, KS 66106 D 0 D
Tony Villegas 1728 Haas Dr
10/20/2016 Kansas City, KS 66106-2981 0 D D
Jerald Pelofsky 5301W96th Ter
10/20/2016 Overland Park, KS 66207-3216 D 0 D
Andrea Watson 5144 Stearns St
10/20/2016 Shawnee Mission, KS D 0 D 66203-1869
Gerald Gentry 521 N Mesquite St
10/19/2016 Olathe, KS 66061-5928 D 0 D
Local 124 Voluntary Political Fund
10/19/2016 301 E St Terr D 0 D Kansas City, MO 64114
Wade Thomason 9507 W 129th St Financial Advisor
09/06/2016 Overland Park, KS 66213-3244 D 0 D Finance
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $50.00
D $20.00
D $100.00
D $50.00
D $50.00
D $500.00
D $200.00
$970.00
Page 2 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than$150 Cash Check Loan
Ann Stirling 4526 Gibbs Rd
10/20/2016 Kansas City, KS 66106-2546 D 0 D
UP Railroad Company 800 SW Jackson St
08/12/2016 Ste 914 D 0 D Topeka, KS 66612-2214
David Duckers 610 N 28th St
10/22/2016 Kansas City, KS 66102-3934 D 0 D
Y • •
KS Optometric PAC 1266 SW Topeka Blvd
08/09/2016 Topeka, KS 66612-1815 D 0 D
Anheuser Busch 1 Busch Pl
07/27/2016 Saint Louis, MO 63118-1849 D 0 D
KS WSW PAC 212 SW 8th Ave
10/20/2016 Ste 202 D 0 D Topeka, KS 66603-3939
Robert Anver 108 Viewcrest Dr
10/20/2016 Kansas City, KS 66101-1151 D 0 D
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $100.00
D $500.00
D $100.00
D $500.00
D $250.00
D $250.00
D $100.00
$1,800.00
Page 3 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than $150 Cash Check Loan
LRICo Services LLC 241'6 E 37th St N
09/26/2016 Wichita, KS 67219-3538 D 0 D
Jim Shetlar 12727 Mohawk Cir
10/20/2016 Leawood, KS 66209-1718 D 0 D
KS Livestock Assoc. 6031 SW37th St
10/03/2016 Topeka, KS 66614-5128 D 0 D
Jolene Pryor 3001 S 47th St
10/17/2016 Kansas City, KS 66106-3775 D 0 D
KS State Farm Insurance Agents
10/17/2016 825 S Kansas Ave D 0 D Ste 500 Topeka, KS 66612-1253
Allie Devine 534 S Kansas Ave Lobbyist
09/26/2016 Topeka, KS 66603-3406 D 0 D Governmental Relations
lmogean (Jeannie) Westfall 2108 Shearer Rd
10/20/2016 Kansas City, KS 66106-3037 D 0 D
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $200.00
D $100.00
D $250.00
D $30.00
D $500.00
D $250.00
D $50.00
$1,380.00
Page 4 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than$150 Cash Check Loan
ATT KS PAC 220 SE 6th Ave
10/25/2016 R500 D 0 D Topeka, KS 66603-3507
KS Medical Society PAC 623 SW 10th Ave
10/18/2016 Topeka, KS 66612-1615 D 0 D
Tom Roberts 12803 Sloan Ave
10/20/2016 Kansas City, KS 66109-4344 D 0 D
Mary Ellen Conlee 232 N Parkwood Ln
10/17/2016 Wichita, KS 67208-4143 D 0 D
Liz Wade 330 N 17th St
10/20/2016 Kansas City, KS 66102-4915 D 0 D
Vicki Lascala 108 Algonquin Dr
10/20/2016 Lake Winnebago, MO D 0 D 64034-9301
Amerigroup Corporation 9225 Indian Creek Pkwy
10/03/2016 Bldg 32 D 0 D Overland Park, KS 66210-2009
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $500.0.0
D $500.00
D $40.00
D $100.00
D $100.00
D $40.00
D $200.00
$1,480.00
Page 5 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check . Occupation & Industry of Appropriate Box Date Name and Address of Individual Giving More
Contributor Than $150 Cash Check Loan
Linda Lewis 7204 W 84th Ter
10/05/2016 Over1and Park, KS 66212-1944 D 0 D
James Kendall 3620 Gibbs Rd
10/20/2016 Kansas City, KS 66106-3840 D 0 D
KS Hospital Assoc PAC 215 SE 8th Ave
10/06/2016 Topeka, KS 66603-3906 D 0 D
KS Society of CPA's 100 SE 9th St
09/26/2016 Ste 502 D 0 D Topeka, KS 66612-1213
KTLA Consumer/Civil Justice 719 SW Van Buren St
10/25/2016 Topeka, KS 66603-3740 D 0 D
3M Traffic Safety and Security Systems Division
08/30/2016 3M Center D 0 D Bldg 223-4N-014 Saint Paul, MN 55144-1000
Michael Calwell 5610 W61stTer
10/20/2016 Mission, KS 66202-3509 D 0 D
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $30.00
D $50.00
D $1 ,000.00
D $250.00
D $250.00
D $500.00
D $100.00
$2,180.00
Page 6 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than $150 Cash Check Loan
Mary Gonzales 3721 Thompson Cir
10/20/2016 Kansas City, KS 66103-3173 D 0 D
Comcast Corp. 1701 John F Kennedy Blvd
10/05/2016 Philadelphia, PA 19103-2855 D 0 D
Jerilyn Huggins PO Box 6147
10/20/2016 Kansas City, KS 66106-0147 D 0 D
Barbara Kill 5548 Pawnee Dr
10/17/2016 Kansas City, KS 66106-1540 D 0 D
Sprint Nextel PO Box63670
09/26/2016 Phoenix, AZ 85082-3670 D 0 D
Security Benefit Life Insurance PAC
10/20/2016 1 Security Benefit Pl D 0 D Topeka, KS 66636-1000
HCA 1100 Walnut St
10/06/2016 Ste 2950 D 0 D Kansas City, MO 64106-2187
Amount of Cash, Check,
Loan or E funds Other Other Receipt
D $100.00
D $250.00
D $100.00
D $50.00
D $200.00
D $500.00
D $500.00
;
$1,700.00
Page 7 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More
Contributor Than $150 Cash Check Loan
Rogers Liquor 1717 N 38th St
10/19/2016 Kansas City, KS 66102-2121 D 0 D
Kathryn Peters 3617 N 59th St
10/20/2016 Kansas City, KS 66104-1104 D 0 D
Planned Parenthood 4401 W 109th St
10/22/2016 Ste 200 D 0 D Over1and Park, KS 66211-1303
CWA-Cope PCC 501 3rd St NW
10/17/2016 Washington, DC 20001-2760 D 0 D
Kansas Contractors Assoc. 800 SW Jackson St
08/18/2016 Ste 100 D 0 D Topeka, KS 66612-1216
Physicians Hospitals Kansas 1200SW10th Ave
10/18/2016 Topeka, KS 66604-1204 D 0 D
Mary Roddy 4175 Cambridge St
10/20/2016 Kansas City, KS 66103-3318 D 0 D
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $100.00
D $50.00
D $500.00
D $100.00
D $500.00
D $500.00
D $50.00
$1,800.00
Page 8 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than $150 Cash Check Loan
KS Auto Dealers PAC 731 S Kansas Ave
09/19/2016 Topeka, KS 66603-3807 D 0 D
Nick Tomasic 608 Splitlog Ave
10/19/2016 Kansas City, KS 66101 -3332 D 0 D
Fanners Employee & Agent PAC of KS
10/20/2016 2345 SW Current Ct D 0 D Lees Summit, MO 64082-4086
Intl Assoc of Fire Fighters 7540 Leavenworth Rd
10/20/2016 Kansas City, KS 66109-1215 D 0 D
Ramey and Kathryn Carey 5338 Douglas Ave
10/20/2016 Kansas City, KS 66106-2258 D 0 D
Nancy Shirley 3850 N 113th St
10/20/2016 Kansas City, KS 66109-3489 0 D D
James and Betty Millhouse 2114 S 48th Ter
10/20/2016 Kansas City, KS 66106-2441 D 0 D
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $250.00
D $100.00
D $500.00
D $250.00
D $25.00
D $50.00
D $50.00
$1,225.00
Page 9 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than $150 Cash Check Loan
Greater Kansas City Women's Political Caucus PAC
07/23/2016 PO Box 10095 D IZI D Kansas City, MO 64171-0095
Marilyn Miller 6840 Mastin St
10/20/2016 Merriam, KS 66203-3913 D IZI D
KS Bankers Assoc PAC PO Box4407
09/26/2016 Topeka, KS 66604-0407 D IZI D
Altria Client Services Inc 1005 Congress Ave
10/06/2016 Ste 850 D IZI D Austin, TX 78701-2465
Norman Scott 501 N 86th St
10/20/2016 Kansas City, KS 66112-1606 D IZI D
KS Healthcare Assoc 1100 SW Gage Blvd
10/05/2016 Topeka, KS 66604-1761 D IZI D
Ollie Carroll 8509 Spring Ave
10/20/2016 Kansas City, KS 66109-1037 D IZI D
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $100.00
D $50.00
D $250.00
D $450.00
D $50.00
D $250.00
D $100.00
$1,250.00
Page 10 of 15
Pat Pettey
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Check Occupation & Industry of Appropriate Box
Date Name and Address of Individual Giving More Contributor Than$150 Cash Check Loan
KS New Energy Economy PAC 610 Brazos St
10/18/2016 Ste 210 D ~ D Austin, TX 78701-3287
Matthew Watkins 11130 Whispering Ln
10/17/2016 Kansas City, KS 66109-4265 D ~ D
Frank and George Ann Burris 8521 Darnell
10/20/2016 Lenexa, KS 66215-2451 D ~ D
Hallmark Cards, Inc. PO Box 419580
10/17/2016 Kansas City, MO 64141-6580 D ~ D
Complete if this is the last page of Schedule A
Total Itemized Receipts for Period
Total Unitemized Contributions
Sale of Political Materials (Unitemized)
Total Contributions When Contributor Not Known
Amount of Cash, Check,
Loan or Efunds Other Other Receipt
D $1,000.00
D $50.00
D $100.00
D $200.00
$15,135.00
$0.00
$0.00
$0.00
$15,135.00
$1,350.00
Page 11 of 15
Pat Pettey
SCHEDULEB IN-KIND CONTRIBUTIONS
(Name of Candidate, Party Committee or Political Committee)
Date Name and Address of List Occupation & Contributor Industry for Those
Giving an In-Kind of More Than $150
KS Bankers Assoc PAC
09/21/2016 PO Box4407 Topeka, KS 66604-0407
Complete if last page of Schedule B
Total Itemized (over $100) In-Kind Contributions
Total Unitemized ($100 or less) In-Kind Contributions
Description of In-Kind Value of Contribution In-Kind
Contribution
food/beverages $82.95
$82.95 $0.00
TOTAiflN-~ C.ONT.RIBUTIONS.'TffiS PERIOD (to' line 6 of Suminary) ' ,'(··:•''. ·:.·~:;;;\ :, :!,' ' ~51 ·, ,., $82.95 .,
Subtotal This Page $82.951
Page _11__ of __li_
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Date Name and Address Purpose of Expenditure or Disbursement Amount
10/19/2016 Turner High School Donation - Donation/Contrib $100.00 2211 S 55th St Kansas City, KS 66106-2246
07/22/2016 Sunflower Chapter - KNEA dues - Miscellaneous $10.00 715SW10th Ave Topeka, KS 66612-1617
09/06/2016 Mainstream Education Foundation contribution - Donation/Contrib $125.00 5690 Dearborn #213 Mission, KS 66202-1961
09/29/2016 Sam's Club supplies, food - Supplies $155.20 10510 Parallel Pkwy Kansas City, KS 66109-3643
08/22/2016 Lee's Printing notecards - Printing $49.11 804 Central Ave Kansas City, KS 66101-3504
09/06/2016 League of Women Voters membership dues - Miscellaneous $25.00 1730 M St NW Ste 1000 Washington, DC 20036-4570
08/22/2016 Armourdale Renewal Association dues - Miscellaneous $20.00 730 Osage Ave Kansas City, KS 66105-2026
10/20/2016 Amigos Grill and Cantina food - Fundraising Expenses $485.36 2737 S 47th St Kansas City, KS 66106-3629
Subtotal This Page $969.671
Page_Q_of ~
SCllEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Date Name and Address Purpose of Expenditure or Disbursement Amount
10/16/2016 Morris Neighborhood Group contribution - Donation/Contrib $50.00 7120 Gibbs Rd Kansas City, KS 66106-5146
07/25/2016 Kansas Contractors Assoc. donation - Donation/Contrib $100.00 800 SW Jackson St Ste 100 Topeka, KS 66612-1216
10/07/2016 Lee's Printing invitations - Printing $52.38 804 Central Ave Kansas City, KS 66101-3504
09/08/2016 NGPVan Fundraising Software - $450.00 110115th St NW Electronics/Computers Ste 500 Washington, DC 20005-5006
08/19/2016 Lee's Printing notecards - Printing $49.11 804 Central Ave Kansas City, KS 66101-3504
10/17/2016 Kansas Democratic Party contribution - Donation/Contrib $1 ,000.00 501 SE Jefferson St Ste 30 Topeka, KS 66607-1173
10/11/2016 Post Office stamps - Postage/Shipping $34.00 3400 Strong Ave Kansas City, KS 66106-7400
09/19/2016 NGPVan Fundraising Software - $450.00 1101 15th St NW Electronics/Computers Ste 500 Washington, DC 20005-5006
09/09/2016 Yoder Office Supply Acct flag - Miscellaneous $22.95 7325 W 79th St Overland Park, KS 66204-2908
... Subtotal This Page · 1 $2,208.441
Page _H_ of _Ji_
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Pat Pettey (Name of Candidate, Party Committee or Political Committee)
Date Name and Address Purpose of Expenditure or Disbursement Amount
09/27/2016 Argentine Betterment Corporation silver city parade - Donation/Contrib $50.00 PO Box6613 Kansas City, KS 66106-0613
10/05/2016 BNV Printing mailers - Printing $2,800.00 800 N Market St Wichita, KS 67214-3520
10/21/2016 Lee's Printing thank you cards - Printing $60.02 804 Central Ave Kansas City, KS 66101-3504
09/19/2016 Our Lady of Unity donation - Donation/Contrib $75.00 2646 S 34th St Kansas City, KS 66106-4260
10/07/2016 Kansas Democratic Party Services - Miscellaneous $6,000.00 501 SE Jefferson St Ste 30 Topeka, KS 66607-1173
09/06/2016 Post Office stamps, shipping - Postage/Shipping $49.30 3400 Strong Ave Kansas City, KS 66106-7400
Complete if last pae:e of Schedule C Total Itemized Exnenditures This Period $12,212.43
Total Unitemized Exnenditures $50 or less $5.00
TOT AL EXPENDITURES & OTHER DISBURSEMENTS $12,217.43
TIDS PERIOD (to line 4 of Summary)
Subtotal This Page . I $9.034.32 I Page~of~