jan. 8.2019 3:11pm agler gaedder! no. 0117 p, 2ethics.ks.gov/cfascanned/senate/2020eleccycle/... ·...

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Jan. 8.2019 3:11PM Agler & Gaedder! No. 0117 P, 2 KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND REPORT OR A CANDIDATE FOR STATE OFFICE January 10.2019 FILEWITH SECRETARY OF. STATE AND CANDIDATE'S COUNTY ELECTION OFFICER .• SEE REVERSE SIDE FOR INSTRUCTIONS' A. Name or C!lndldate: Jeff Longblne Addess: 2801 Lakeridge Rd City and Zip Code: Emporia KS 66801 .County: Lyon Office Sought Senate District: 17 B. Check only If appropriate: __ Amended Filing __Termination Report C. Summary (covering the periodfrom October 28, 2016 through December 31, 2018) 1. Cash on hand at beginning of period 165,645.76 2. Total Contributions and Other Receipts (Use Schedule A) 24,860.59 3. CBsh Available this period (Add Lines 1 and 2) 190706.35 4. Total Expenditures and Other Disbursements (Use Schedule C) 24.694.61 5. Cash on hand at close of period (SUbtract Line 4 from 3) 165,811.74 6. In-Kind ContributIons (Use Schedule B) 7. Other Transactions (Use Schuedule D) __0 _ 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 al)d complete. I understand that the intentional failure to file this document or intentionally tiling a false document is a class A misdemeanor."

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Page 1: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan. 8.2019 3:11PM Agler & Gaedder! No. 0117 P, 2

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND ~XPENDITURES REPORT OR A CANDIDATE FOR STATE OFFICE

January 10.2019

FILEWITH SECRETARY OF. STATE AND CANDIDATE'S COUNTY ELECTION OFFICER .• SEE REVERSE SIDE FOR INSTRUCTIONS'

A. Name or C!lndldate: Jeff Longblne Addess: 2801 Lakeridge Rd City and Zip Code: Emporia KS 66801 .County: Lyon Office Sought Senate District: 17

B. Check only If appropriate: __ Amended Filing __Termination Report

C. Summary (covering the periodfrom October 28, 2016 through December 31, 2018) 1. Cash on hand at beginning of period 165,645.76 2. Total Contributions and Other Receipts (Use Schedule A) 24,860.59 3. CBsh Available this period (Add Lines 1 and 2) 190706.35 4. Total Expenditures and Other Disbursements (Use Schedule C) 24.694.61 5. Cash on hand at close of period (SUbtract Line 4 from 3) 165,811.74 6. In-Kind ContributIons (Use Schedule B) ~O_

7. Other Transactions (Use Schuedule D) __0 _

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 al)d complete. I understand that the intentional failure to file this document or intentionally tiling a false document is a class A misdemeanor."

Page 2: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan, 8,2019 3:11PM Ag!e'r & Gaedded SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

No,0117 P,3

Jeff Longbine Occupation & Check AppropriRteB.ox Amount or

.. ,.Industry of Cash1 Check,Name and Address of ]ndiVidulllGiving Loan or OtherContributor C..h Check' Loiln ECund. '

More Than $150 Other ReceiptDate 5/9/2018 Astrazeneca 'Pnaraceutical 250.00X

1800 Concord Pike PO Box 15437 Wilmington, DE 19850-5437

6/23/2018 Jeff Longbine Transfer of state 4,860.59X 3012 W Highway50 reimbursement of Emporia, KS'66801 liewsleUerexpense to

Senate account

6/30/2018 HCA Kansas Good PAC 250.00X Government Fund 5845 SW 29th 5t. Topeka, KS 66614

7/10/2018 Kansas Electric Power Utilities 100,00X Cooperative, Inc. P.O.l3ox4877 Topeka, KS 66604

7/10/2018 Eli Lilly And Company pAc 500.00X Political Action Committee Indianapolis, IN 46285

7/10/2018 Sempra Energy Natural gas 500.00X 4888th Ave. San Diego, CA 92101-7123

Kansas Ethanol PAC PAC7/10/2018 750.00X 816 SW Tyler St., Ste 100 Topeka, KS 66612

7/10/2018 Kansas Agri Business Council Agribusiness 750.00X 816 SW Tyler St, Ste 100 Topeka,'KS 66612

-

National Association of Chatn Pharmacy 250,007/19/2018 X Drug stores ­1776 Wilson Blvd; Ste 200 Arlington, VA 22209

7/26/2018 KPSC PAC PAC 250.00X 3512 SW Fairlawn Rd, Ste 300 Topeka, KS 66614

Page 3: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan. 8,2019 3:11PM Agler & Gaedded No.0117 P. 4 SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS Jeff Longbine

Check~ppropt"iate B(lxOccupation & Amount of Industry of C...b Chotk Loa'" E fund. Cash, Check,

DIllerName and Addres.9 of IndividualGivhlg Loan or Other Contributor More Than $150 Receipt

Date PAC7/26/2018 Security Benefit Life Insurance 250.00X

PAC One Security Benefit Place' .',

.... ," .',Topeka, KS 66636

250,00Security Benefit Life Insurance PAC7/26/2018 X PAC One Security Benefit Place Topeka, KS 66636

Kansas Society of CPA's 250.00P~C7/26/2018 X 114 SE 8th Ave. Topeka, KS 66603

PAC7/26/2018 Credit Union Political Action 500.00X Committee of Kansas 901 SW Topeka Blvd Topeka, KS 66612

Kansas Insurance Political 250.00PAC7126/2018 X Action Committee (INSPAC) PO Box 55 Topeka, KS6p601

7/26/2018 Utilities 250.00Sunflower Electric PoWer Corp X P,O. Box 1020 301 W 13th St Hays, KS 67601

Brewing 250.00Anheuser Busch Companies 8/17/2018 X One Busch Place Sl. Louis, MO 63118

..

Pharmacy 250.00Walgreens9/20/2018 X 104 Wilmot Road MS #1415 Deerfield, IL 60015

Real Estate 500.00135 Land Development, Inc. 9/21/2018 X 13617 W. 109th St. Lenexa, KS 66215

PAC 750.009/24/2018 John Deere Political Actition X Committee One John Deere Place Moline, IL 61265

;\ " .,'S~~.~,t:~~~lt~~~;~~i~';:,' ,': ',•. ''''~[!;~;!~;.:i/':;,::;:/;:::::-t,:~)~)·;:!:;:;~@:~,:,~~t!!::Hl;~!~~:i~:;:r;;',· '·~::H~;·",;.· .' '·:"':}:~::},i;:[::;.;r:~'f;i;{},ti::;?,' 1$3250.00 I,"

~::~~;;r;:;i~:~@fii~' . , .?i~;f~~lilJI::r .~~~t!"!if.; '. ;<"".. _._.., ... ,', ._..:~..•:w~.U ...! •.. : • • : _·..._ ... 4 .• "'ltii. . _ . . .......t.~:(~I~ I . i

Page 4: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan, 8,2019 3:11PM Agler & Gaedded SCHEDULE A

CONTRIBUTIONS AND OTlIER RECEIPTS

No,Ol17 P,5

Jeff Longbine

Oceullailon & Check Appropriate :Box Amountor Industry of Cash, Check,Name and Address of

Individual Givmg Loan or OtherContributo}' C:uh . Checlt Loa'n E lund! More Thlln$150 Otller Receipt

DQle

CommunicationsCharter Communications9/26/2018 400.00X 12405 Powerscourt Dr. Sl. Louis, M063131·3674

American Insurance Assoc.9/26/2018 Ins.urance 250.00X ..555 12thSt. NW STE 550 . .

Washington, DC 20004

Kansas Aulomobile Dealers PAC9/26/2018 250.00X Election Action Commitlee 731 S. Kansas Ave. -Topeka, KS 66603-3807

PAC9/2612018 Blue Cross 8. Blue Shield of 250.00X Kansas City 2301 MaIn St. Kansas City, MO 64108

9/26/2018 Kansas Health Care Assn. ­ PAC 500.00X PAC 1100 SW Gage Blvd. Topeka, KS 66604-1761

Communications9/26/2018 Lisa M. Allen 500.00X Cox Communications, Inc. CCI Kansas 901 S. George Washington Blvd Wichita, KS 67211

9/26/2018 PACKansas Cable PAC 500.00X 900 S. Kansas Ave" Ste 300 -Topeka, KS 66612

9/26/2018 Swedish Match North America Tobacco Products 500,00X LLC 1021 E Cary St. Ste 1600 Richmond, VA 23219

9/26/2018 PACMicrosoft Corporation 500.00X 16011 NE 36th Way Redmond, WA 98073-9717

9/26/2018 General Motors Company PAC 500,00X 25 Massachusetts Ave., NW Ste400 Washing lon, DC 20001 '.

9/26/2018 Comeast Financial Agency Cable 8. Pay 500,00X Corp. Television Services 1701 JFK Blvd, Philadelphia, PA 19103-2838

; ..••....... "",<'c;"'j,:,,:\'.':;,., .' .....,::/,':,; ..::~::: ;::;':,; 4,650.00~ubt4f1d ~h1sP.~ge-:'.. ..' .•• ,., <:;: '.......'•. i,t:~f}:::;:;:X<{4;:,,,::,;,:,: .;,. ....,:',:: ..,:: .. ' ": . .' .': 'I ~ . .... . . .

.. ; ; ";';"';"i\;' ':'::;" .'. ,'IPa'gdof7 .!.<.,' ::,::[<;?:!t!::«: .. ", ';':<':/<"<',::-,'1.'> .;. :~:'::C::/;I} . '.. .,~:,,;" '" ::,:-::;.,"j' .. , . ,'. -- .:.:: ...

Page 5: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan. 8.2019 3:12PM Agler & Gaeddert No.0117 P.6 . SCHEJ)ULE A ...

CONTRlBUTlONS AND'OTHERRECEIPTS

Jeff Longbine

Occupatio~ & Check Appropriate Box Amount of

Name and Address of Industry of Cash, Check,

Contributor Individuill Giving I-,:.C-ssh,....----r.",CI-I«..,..k---r"""Lo-'n-...,.."..Er""UI\""'t1-1......j Loan or Other

Date . MoreThan $150 Olb.. Receipt

9/26/2018 Walmart .Retail chains.tores .. 1,000.00 702 S.W. 8th St. Bentonville, AR 72716

10/2/2018 Kansas Beverage Association PAC 250.00X 5845 SW 29th St Topeka, KS 66614

10/3/2018 CHS McPherson Refinery Inc. Agribusiness 250.00 2000 S. Main McPherson, KS 67460

10/26/2018 Prairie Band Potawatomi Native American 250.00X Tribe

16281 Q Road Mayetta, KS 66509

Nation

Insurance10/26/2018 Allstate Insurance Company 500.00X 2775 Sanders Road .. Northbrook: IL 60062-6127

10/26/2018 Kansas Hospital Association PAC 250.00X Political Action Committee 215 SE 8th Ave Topeka, KS 66603

10/26/2018 Visa Credit Cards 250.00X PO Box 203730 Austin, TX 78720

10/26/201 B American Family Insurance PAC 250.00X Kansas PAC 6000 American Parkway Madison, WI 53783-0001

Alcoholic Beverages 10/26/2018 Distilled Spirits Council US 250.00X 1250 Eye St., t'JW,ste 400 Washington, DC2000S-3998

10/26/2018 Advantage Metals Recycling Recycling 250.00X PO Box 1078 Cincinnati, Ohio 45201-1078

Page 6: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan. 8.2019 3: 12PM Agler & Gaedded ,.' " 'SCHEDULEA ,"

CONTRIBUTIONS AND OTHER RECEIPTS

No.0117 P. 7

Jeff Longbine

Occu~atlon & Check Appropriate Box Amount of

Name and Address of Industry of Cash, Check,

Contributor Individua I Giving enS" ' Clletk LOln I....rwlllL Loan or Other

Date More'rban $150 Other Receipt

10/26/2018 Kansas Land Title Association 'PAC X 250.00 Political Action Committee 7321 NW Rochester Rd. Topeka, KS 66617"':1B44

10/26/2018 Merck Sharp & Dohme Corp. Pharmaceuticals X 500.00 One Merck Drive Whitehouse Slateion, NJ 08889-3400

10/261201B Kansas Pharmacists PAG X 500.ao Association PAC 1020 SW Fairlawn Road Topeka, KS 66604-6055

11/1/2018 Kansas Committee for Rural Utilities X 250.00 Electrification P.O. Box 790 Meade, KS 67864-0790

11/112018 Enterprise Holdings; Inc. PAC PAC X 250.00 600 Corporate Park Dr St. Louis, MO 63105

11/1/2018 Blue Cross & Blue Shield of Insurance X 500.00 Kansas 1133 SW Topeka Blvd. Topeka, KS 66629

11/7/2018 Aetna, Inc. Insurance X 500.00 151 Farmington Ave. ". Hartford,CT 06156-91-32

11/7/2018 Kansas CRNA PAC PAC X 250.00 10437 W 125th Terr Overland Park, KS 66213-2172

12/6/2018 Property Casualty Insurers Insurance X 250.00 Association of America 8700 W. Bryn Mawr Ave. Ste. 1200S ChIcago, IL 60631-3512

12/6/2018 Express Scripts Pharmaceuticals X 250.00 1 Express Way St. Louis, MO 63121

12/6/2018 Centurytel, Inc. Telecommunications X 250.00 P.O. Box 4065 Monroe, LA 71211 -

3,750.00

.:f~~~;:(,':'j;;;"";~nft:;'~1~;iili;':'li;11~l~~~~;~~;},'ill~~,~!:,,~~~~~f~~~\~,~j~i;',!l[:~:

Page 7: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

,Jail, 8.209 3:12PM Agler & Gaedded SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

No.0117 P. 8

Jeff Longbine Occupatiori & Check Appropriate DOll: Amount of

Name and Address of " Industry -Of Cash, CheCk, LOlln or OtherindiVidual Giving Olth" Check LOAn !U!!lli!!.

More ThanS150 Contributor

Othel' ReceiptDate 12/6/2018 LM759 LoanMax Lending X 250.00

3440 Preston ridge Rd. Alpharetta, GA30005

12/18/2019 ITC Great Plains, LLC Energy 250.00x 27175 Energy Way Novi,MI 48377

12/19/2018 Kansas Society of Profesional PAC 200.00x Engineers 825 S. Kansas Ave., Ste 500 Topeka, KS 66612

12/26/2018 ONEOK Employees PAC PAC 300.00x P.O. Box 871 Tulsa, OK 74102

12/26/2018 Caremark RX Inc Pharmacy' 250.00x P.O. Box 287 Lincoln, RI 02895-0287

Page 8: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan. 8.2019 3:12PM Agler & Gaedded No.0117 P. 9 SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Com lete iflastae of ScheduleA Total Itemized Receipts for Period 24,860.59

Total Unitemized Contributions ($50 or less) 0.00

Sale of Political Materials (Unitemized) 0.00 Total Contributions When Contributor Not Known 0.00

24,860.59

Page 9: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan, 8,2019 3: 12PM Agler & Gaedder! No, 0117 P, 10

SCHEDULEC EX:PENDITURESAND OTHER DISBURSEMj:NTS

JANUARY 2018 Jeff Longbine for Senate NAME OF CANDIOATE, PARTY COMMITTEE OR POLITICAL COMMITTEE

.. PURPOSE OF EXPENDITUREDATE NAME & ADDRESS AMOUNT . OR DISBURSEMENT ...

1/2/2016 Harland Clarke Deposit slip~ $9.55

Billirigfee· .1/12/2018 ACH Payment $4.95

Donation212/2018 Lyon County Republican Party $500.00 c/o Brandon Rains, Treasurer 114 Road 147 Emporia, KS 66601

2/14/2018 ACH Payment Billing fee $4.95

2/19/2018 Junction City Area Chamber of Commerce 201 aMembership $75.00 222 W. 6th St.,PO Box 26 Junction City, KS 66441

2/26/2018 Agler & Gaeddert Chartered Accounting fees $825.00 1225 W. 6th Ave., PO Box 704 Emporia, KS 66601

3/112018 Laine Raitinger Travel expenses $169.06 550 Stone Ridge Dr., Apt. C311 Lawrence, KS 66049

3/6/2016 Harrison Hems 2018 KSGOP State Convention. $324.38 Leadership Reception Room

Leawood, KS 66209 12408 Catalina St.

P.O, Box rantal $214.00 625 Merchant St. Emporia, KS 66801

3/6/2018 United States Postal Service .

3/B/2018 Aboud's Catering Event catering $100.00 2127 SW Westport Dr. Topeka KS 66614

3/14/2018 ACH Payment Billing fee $4.95

4/8/2018 United States Postal Service PO Box rental $214.00 625 Merchant 51. Emporia, KS 66801

4/8/2018 ESB Financial Stop payment fee $25.00 801 Merchant 51. Emporia, KS 66801

4/6/201 B United States Postal Service Check lost -$214.00 625 Merchant St. Emporla,KS 66801

4/1212018 ACH Payment Billing fee $4.95

5/412018 Laine Raitinger Staff bonus $2,500.00 550 Stone Ridge Dr., Apt. C311 Lawrence Ks 66049

Subtotal This Parle ...•... ...;::::-: •.•. ;.'-;' . '$4,761':79" "',',',, .

Page 10: Jan. 8.2019 3:11PM Agler Gaedder! No. 0117 P, 2ethics.ks.gov/CFAScanned/Senate/2020ElecCycle/... · jan. 8.2019 3:11pm agler & gaedder! no. 0117 p, 2 . kansas governmental ethics

Jan, 8,2019 3: 12PM Agler & Gaeddert No, 0117 P, 11

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

JANUARY 201 B Jen Longbina for Senate NAME OF CANDIDATE, PARTY COMMITTEE OR POLITICAL COMMITTEE

5/4/2018 Suz:anneNelson 4800SW Cedar Crest, Rd> Topeka KS 66606-0454

5/7/2018 Recordnews 14690 Parallel 8ashor KS 66007

6/1/2018 Troy Richardson 3040 Steven Dr. Lawrence. KS 66049

5/14/2018 ACH Payment

6/12/2018 Agler & Gaeddert, Chartered 1225 W. 6th Ave. Emporia, KS 66801

7/10/2018 State of Kansas SW State and SW Van 8uren Tooeka, KS 66612

6/13/2018 ACH Payment

7/12/201 8ACH Payment

8/171201 B Kansas Republican Party 2605 SW 21st Tooeka, KS 66604

8/13/2018 ACH Payment

912712018 Jeff Longbine 3012W Hwy 50 Emporia, KS 66801

9/121201 BACH Payment

11/112018 Lyon County Republican Party c/o Brandon Rains, Treasurer 114 Road 147 EmporIa. KS 66B01

11/1/2018 Geary County Republican Party PO Box 3031 Junction City, KS 66441

11/1/2018 Wabauns89 Republic Party clo David Stuewe PO Box 297 Alma, KS 66401

~taff,bonus $750.00

Mailing $5,437.61

Website $99.93

Billing fee $4.95

Bookkeeping $88,62

ReImbursement of staff wages $8.630,21

Billing fee $4.95

Billing fee $4,95

Unity breakfast $250.00

Billing fee $4.95

Reimbursement for Campaign $316.85 Volunteer Dinner '

BIlling fee $4.95

Donation $1,000.00

Donation $1,OOQ.OO

Donation $500.00

Subtotal ThisPaae . ,:," . ,:' ': .., ,:::$18097;97 ,,'"

. . ,,' ';.' .;.. .", .'. '. ",:.' .~.~. "'.,' .

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Jan, 8,2019 3: 12PM Agler & Gaedder! No. 0117 P, 12

SCHEDUL,E C EXPENDITURES AND OTHER DISBURSEMENTS

Jeff LQngblne for Senate NAME OF CANDIDATE, PARTY COMMITIEE OR POLITICAL COMMITTEE

1111/2018 Pottawatomie Republican Party cia Norman Stutzm,m 614 Broadway Belvue KS66407

11/1/2018 Seaton Publishing Co., Inc. DBA: Junction City Daily Union, :1 stlnfantry Divisional Post, Wamego Smoke Sig.nal P.O. Box 787 Manhattan, KS 66505

11171201 B Geary County Hospital Foundation 1310 W. Ash St., PO Box 3015 Junction Cltv, KS 66441

10/12/2018 AcH Payment

11/15/2018 ACH Payment

12/19/2018 Geary Community Healtheare Foundation PO Box 3015 Junction City, KS 66441

12/31/2018 Agler & Gaeddert Chartered 1225 W, 6th Ave., PO Box 704 Emporia. KS 66801

12/13/2018 ACH Payment

-Subtot8I'fhis:PaQe ""::.:>;": .'

",. ," . . '.,' '.;

Donation

'.

Advertising

Donation

Billing fee

Billing fe8

Donation

Bookkeeping

Billing fee

.. .:'.. " :. ','

$500.00

$200.00

$220.00

$4.95

$4.95

$600.00

$500.00

$4.95

';'').':' ,

$2;0'34;85 Palla 3 Dr ~ :'. ""}

Complete If last page of Schedule C

Total Itemized Expenditures This Period $24894.61 Total Uniltemlzed Expenditures of $50 or less $0.00 TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIODCto line 2 of ~ummarv) $24,894.61

. I': I": ' .. ' .. ' ' ' , .' '

':, ' ,Pige 3 0'3