KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE I1~C~/~O

OCr IJ October 2 6,2020 /(S GOvern, ~ (/ 2020

FILE WITH SECRETARY OF STATE '!!Jell/a/tin' SEE REVERSE SIDE FOR INSTRUCTIONS 1Cs CofiJfiJ: Issiq9

A N~OfC~~~: ~~~~~~r_,~/_~~~~~~~~~~= _ Address: I~t, £.. 16&~ City and Zip Code: ~~ '~7'lO'counti?fM(~ Office Sought: ik4s ~-f ~~M;;eSDistrict 77Lr;­

B. Check only if appropriate: __ Amended Filing _~ Tennination Report

C. Summary (covering the period from July 24, 2020 through October 22, 2020) gt 1. Cash on hand at beginning of period 7'(tt ;;;..-­

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2. Total Contributions and Other Receipts (Use Schedule A) ! 2. J 7719 ­

3. Cash available this period (Add Lines 1 and 2) 2~ {r'c, N 4. Tot.1 Expenditures and Other Disbursements (Use Schedllle C) ~•.1.'t~.~f'l'ig~ 5. Cash on band st close ofpenod (Subtract Line 4 from 3) /~( ..~.'[:~ ..:tQ-,S! 6. In-Kind Contributions (Use Schedule B) .

()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 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."

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Date Signature of Candidate or T~ t.-> 1.'" -2-'2..."1- ..... ~~ 2. C2e.i!

GEe Form Rev, 2020

SCHEDULE A CD CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Date Name and Address

of Contributor

I

Occupation of Individual Giving More

Than S150

Check Approprinte Box

Cash Chock Loon

Amount of C~sh. Check,

Loan or Other Receipt

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page_'_of 3

SCHEDULE AGJ CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Date

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Name and Address of Contributor

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Occupation of Check Amount of Individual Giving More Appropriate Box Cash, Check,

Th~n $150 Loan or Other CnJh Cltfclc 1,QAn !.!l!!!!!! ReceiptOther

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Complete if last page of Schedule A

Total Itemized Receipts for Period

Total Unitemized Contributions (S50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

TbTAL R:EC'E niTSnns PERIOD ,<toH~~,2of s~lTJmilljr>::-,'.

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Page ;l.. ofl

SCHEDULEAW CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation of Check Name lind Address Individual Giving More Appl"opriate Box

Date of Contributor Than $150 C..,h Checl< loon II: /'unrl.

~

Amount of C~sh, Check, Lo~n or Other

Receipt

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Complete iflast page of Schedule A Q2..,77D

Total Itemized Receipts for Period 'IlIJ tz '7?D

Total Unitemized Contributions ($50 or less)

Sale ofPolitical Materials (Unitemized)

Total Contributions When Contributor Not Known

Page __ of__

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Amount

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Purpose of Exptnditurc or Disburscment

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Complete jf last page 0 f Schedule c

Name and AddreuDatt

'1-l(

( Narne 0 f Candidatc)

~

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S-'Cf~ Total Itemized Expenditure~ This Period

Page of

SCHEDULE I!J C. OTHER TRANSACTIONS

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Date

IIJ-1

Name nnd Addre~s Nntun of i\ceount or LoaD Payable or Lain ReceIvable

Balance at elo'c of Period

Complete iflast page of Schedule D

Pagc __ of_

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

C-h--;;.I ~~ V'­(Name of Candidate)

Date Name and Address PurJlO~t: of Ex,pendlture

or Disbursement Amount

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