KANSAS GOVERNlVIENTAL ETHICS COMMISStO~~VEt

RECEIPTS AND EXPENDITURES REPORT JAN 0 2014middot OF A POLITICAL OR PARTY COMMI1ltsr~~rnmentI Eth C

v a ICS ommlSSlon

January 102014

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A Name of Committee 6aom L) LtZD(Q Aj1s lbli+luJ Adc ~Dl1mif+ee

Address 3~ SLIJ T~ Suj

City and Zip Code lOYU t S Ulalo teshy-=t= l

This is a (check one) __ Party Committee 1 Political Committee

B Check only if appropriate __ Amended Filing __ Tennination Report

C Summary (covering the period from January 12013 through December 312013)

1 Cash on hand at beginning of period iC (J) c5 I

2 Total Contributions and Other Receipts (Use Schedule A) ~-- 1 L J cCshy

3 Cash available this period (Add Lines I and 2) 1 Lf-I= (~ bull

4 Total Expenditures and Other Disbursements (Use Schedule C) SC)~) -11shy5 Cash on hand at close of period (Subtract Line 4 from 3) C-) ( c6

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 byrne 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

lIllOanti ~~ALJ Date rignature of reasurer

GEe Form Rev 2001

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Check Amount of Name and Address

Occupation amp Industry of Appropriate Box Cash Check

Date Individual Giving More

Loan or Otherof Contributor Than $150 E funds Other

Cash Check Loan Receipt

-~)- ( -T -C (- - --

middotmiddotmiddotmiddotL $000imiddotmiddotJlsJJ~~~~~~i~~r~~lf~J~~~~JJIEF bull i i

i

bull T f(J~fLF middotf LI

Complete iflast page of Schedule A

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known ( bull bull 1 bull

$000TOTALRECEIPTS THIS PERIOD (to line 2 of Summary)

Page __ of__

fIWJilirig$tafe jrMailingZiplill PaymentJAetlisectd 1~fAmount~d~i ___ l~Q_~3J~()Y_~9_11l-r~1ce Grou~JLC -Ji~~Q_Sql~b~_~~20Q___ Mis~o_~ -KS 166202- Check SI875 122013iDouble CAgency PO Box 305 --TMoline -middot----rKs---------r67353-0305Tche~k------middot -middotmiddot--1-------18middot7-5

~middot~jI2L~secti~r~~middot~6j~~s_~~t~-~i-ns-co~p~~ir~()~~~96==middot=-~~==~==~- middot--_=JEII~~~o~ __ ===1~I==- bull -==middotmiddot==-T~i~--Q~2~-JQi~E~--middot __===J=====~1 5~oo _IL22013~ir~tri~url~_~_~__~~~~camp_n~ JP()_~()~ZQ_ __ _ _riblJ~~___ jKS 67879-0070 jCheck S1875

middotmiddot--i~~gt~~t~j~~~iE~~~~~~~~r~==~~c=JE~1~~=~~~--_-~- middot_middotmiddot=-==~i~~middot = _~bullbull -I~=~_-~=-~-middot-=i~J~~i~~~=l~~~t-middot_ middotmiddot~~==E~ __ ===middot--~~j~i 1220131The SandersAgency 1302 N Broadway Protection jKS 67127~0566 check i $3700

_~iZ47201~~Dspoundh~li~A~~~CY~~~~=- r~-~i9~~Qsect-=~_=====middot=~_~~j_=~T~~=_middot_=_ bullmiddot]~sectQj~~23Qsect=middot~~~~ckmiddot bullbull=-- I~middot $18 ~i5 142013iJCT Insurance iPO Box37 Severy lKS 67137-0037 Check f SI875

yen __ Y~ _~ _ ~ bullbull _- W_--t~middotmiddotmiddotmiddot __0 - -_middot~-_ _-_middot~~_middotmiddot~middot_--lt----t-_middot_~--~_middot_~-~_middot~~middotmiddot- ----- ~--_- - _--- ~~_ ~-lt-- ~middot _middot w bullbull _ bullbullmiddotmiddot_middot ey~_middot~ _y~_ ---- ---~middot__t---middot_~_middot - __ ~ ___~_ ~~~ _~ _ _ y_ ___ _ __ ~A~ ~ _ 142013ILewlslnsuranceAgencYlnc 41HJ4thSt Burlington KS 66839-1906iCheck i S7500

middotmiddotii6i2013rLXtit~ Mut~~lns-~7~-~emiddotCo-- iiiBo6middotiN--149th5treetmiddotmiddotmiddotmiddotmiddotmiddotmiddot Olathe- - middotmiddot middotmiddot1lt5middot_middotmiddot _- _ 66062 --TChe-ck middotmiddotmiddotmiddot-1-middot _-- middotmiddotmiddotS7500

172013Agency Services Corp of KS 815 SW Topeka Blvd Topeka KS 66612- iCheck i S7500 i ~hl~g~~IB~middotr-tE0~i~~poundi~~~~L=~_~middotlj~~~L~i~6~A~e-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot - middotmiddotmiddot-Hillsmiddot~~~_=_middot middot~_jgi-- bull middot_~~~]f7-9~E=_~~ ~h~cF__-_ __ __I==_=_Ji8~i 172013iBeasley Insurance Inc J2336 Ridge Court Lawrence KS i66046-3983 iCheck I S1875i i7j2oi3Ch~~lesVimiddotS~hmiddotl~tte-r-lnc-----middotipoBox-256-13-middot -- OverlandParkKSmiddotmiddotmiddotmiddot _ -i6~225~---middot Check - - -- middot-S7500

1112013iKansas Building Industry WC 2101 SW 36th Topeka KS i66611- jCheck S7500 - ---bull -- -------- - ----- -- --- ---- middot---middot middot --middot-middotmiddot-middotmiddot_middot-middotmiddotmiddot-middot-1middotmiddotmiddot-~middot-middot-_middotmiddotmiddotmiddotmiddotmiddotmiddot_-- --- ---_- - 1142013IADM Crop Risk Services 61261736 Rd iSterling iNE 168443- Check i S7500 ~~-_ ltmiddot_~middotmiddotv ~ __ w ____~_ __ _y_~~ __ bull__ ~ middoti---_~--_middot-_middot_-_ -______ __ ___ ~~__ _ ___~ _ ~yw __ bullbull_~ _ ~_ ~_~Ao _ _y __ ~ YA _ middot__Y middot_v __ __ ~I ~~ ____ - _ Y

1142013iC Dean Riney Insurance Inc IPO Box 277 Liberal iKS 167905-0277 ICheck S1875_- - -- ---____ _--_ _----__--1--_ - ___ _ _ - _ _ j ___ __ __ _ bull_ _ _ __ _bull_ _ bull bull _ _ _

1142013lnsurica JPO Box 25928 jOklahoma City iOK i7312S-jCheck L S7500) jEi201Tfy amp-~i~t~I~c~~=====fP0-B~-~~==~=-__middot=_middot__ YV~Ke~~iY_==---nlt~_= - -middotI~~j~Q~= I~Fe~~middotmiddot - -_ ~=-=_-3i~~~

1152013C D Williams amp Co3400 College BlvdSte200 Leawood KS i66211-ICheck i S1875

1152013Edie Insurance Group 3109 W 6th Street Ste B Lawrence KS 66049- Check S18751 Ihsh6i3McPhailmiddotins~r~~-~e-Se~~icemiddot~-middot1 POB 196- middotmiddot -- Cim-arro-n--- middot-middotmiddot-imiddotKS- _ _ -167835-0196-Ct~eck middotTmiddot--middot-si875 i1jho13iMO-KAN CharTlberSe-rvj~e~ Incr12694Sha~nemiddote-riis-sionPkwy-middot-Shawnee-middot----middoti KS - - ---662161860 Check - - - Smiddotl875 11772613 Risk PlacerTlent-S-e~~iceIc~- 13200-MetcalfmiddotAveSte1Z0middot-middotmiddot middotmiddot0verlamiddotndPark middotTIltS---- - --1 66213-middot-middotmiddot-c-heck middot middot--middot$7500

~~ _-- - _ - --- ----- -_-- -- ------~ _ -- -----~-- --~ ---~~i---- -~ ~--- _lt_ - ___ e bullmiddot_~ _ bullbull~-_gt_-~ - ~ _-_ ----- middotmiddotnmiddot ~~ ~-j _ -___ _ _ _ gt _-- ~~--~ ~_- bullbull~ - _- --gt~ t ~--- --_ shy

1172013iWestrope amp Associates 11100 Walnut StSte 3200 iKansasCity MO 64106-223Check i S7500 1192013 jHundleymiddotlnmiddotsuramiddotncemiddotser~ces-lLCIi40iM-a-i~Street ----- -- -middot-middotAtchis~rmiddotmiddotmiddot iKS--- ---middotmiddotIi-6002-2605-iCheck middoti---middotmiddot $1875

-1i92013 Hurldle-yi~s-ur~nce middotS-e~~icesiLc1401-M-airi-Street---_middot-middot------middot middotAtchlscln----- -jKSmiddot -- _ 66002~26o5ich~k --- -middotmiddot-si8751 ~~ i vmiddot_ ----- _-- bull- _- -- bull ~-~----_--t~-~--_r~- --_- _- ~~ ~ - ~- -~ -~-Y- bull ------~--gt - _w_middot ~ --_ _~ _----- ~ -_Y~ ~~_-~-- - middotwn t-middotmiddot------middot - - - ~~ - 1

1192013iHundley Insurance Services LLCj1401 Main Street KS 166002-2605 ICheck S1875i 1222oi3jB-erkshire-Hmiddot~th-a~--aY-Homestltei3333middotFir~m-St~-Ste3middotOOmiddot-- Omaha NE---- bull i68i3i~---Check -_-- middotT- -- middot- Si500

_-~L~2013tf3en~emiddot~~I~s~middot~~~~~~i~i~~=Jpg-B~~Iimiddot _-_-_-- Bendena - middot_middot_~I~~9_()8Qi=]ch~~kmiddot-_middotmiddotmiddot_~_ middotSi87

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Check Amount of Name and Address

Occupation amp Industry of Appropriate Box Cash Check

Date Individual Giving More

Loan or Otherof Contributor Than $150 E funds Other

Cash Check Loan Receipt

-~)- ( -T -C (- - --

middotmiddotmiddotmiddotL $000imiddotmiddotJlsJJ~~~~~~i~~r~~lf~J~~~~JJIEF bull i i

i

bull T f(J~fLF middotf LI

Complete iflast page of Schedule A

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known ( bull bull 1 bull

$000TOTALRECEIPTS THIS PERIOD (to line 2 of Summary)

Page __ of__

fIWJilirig$tafe jrMailingZiplill PaymentJAetlisectd 1~fAmount~d~i ___ l~Q_~3J~()Y_~9_11l-r~1ce Grou~JLC -Ji~~Q_Sql~b~_~~20Q___ Mis~o_~ -KS 166202- Check SI875 122013iDouble CAgency PO Box 305 --TMoline -middot----rKs---------r67353-0305Tche~k------middot -middotmiddot--1-------18middot7-5

~middot~jI2L~secti~r~~middot~6j~~s_~~t~-~i-ns-co~p~~ir~()~~~96==middot=-~~==~==~- middot--_=JEII~~~o~ __ ===1~I==- bull -==middotmiddot==-T~i~--Q~2~-JQi~E~--middot __===J=====~1 5~oo _IL22013~ir~tri~url~_~_~__~~~~camp_n~ JP()_~()~ZQ_ __ _ _riblJ~~___ jKS 67879-0070 jCheck S1875

middotmiddot--i~~gt~~t~j~~~iE~~~~~~~~r~==~~c=JE~1~~=~~~--_-~- middot_middotmiddot=-==~i~~middot = _~bullbull -I~=~_-~=-~-middot-=i~J~~i~~~=l~~~t-middot_ middotmiddot~~==E~ __ ===middot--~~j~i 1220131The SandersAgency 1302 N Broadway Protection jKS 67127~0566 check i $3700

_~iZ47201~~Dspoundh~li~A~~~CY~~~~=- r~-~i9~~Qsect-=~_=====middot=~_~~j_=~T~~=_middot_=_ bullmiddot]~sectQj~~23Qsect=middot~~~~ckmiddot bullbull=-- I~middot $18 ~i5 142013iJCT Insurance iPO Box37 Severy lKS 67137-0037 Check f SI875

yen __ Y~ _~ _ ~ bullbull _- W_--t~middotmiddotmiddotmiddot __0 - -_middot~-_ _-_middot~~_middotmiddot~middot_--lt----t-_middot_~--~_middot_~-~_middot~~middotmiddot- ----- ~--_- - _--- ~~_ ~-lt-- ~middot _middot w bullbull _ bullbullmiddotmiddot_middot ey~_middot~ _y~_ ---- ---~middot__t---middot_~_middot - __ ~ ___~_ ~~~ _~ _ _ y_ ___ _ __ ~A~ ~ _ 142013ILewlslnsuranceAgencYlnc 41HJ4thSt Burlington KS 66839-1906iCheck i S7500

middotmiddotii6i2013rLXtit~ Mut~~lns-~7~-~emiddotCo-- iiiBo6middotiN--149th5treetmiddotmiddotmiddotmiddotmiddotmiddotmiddot Olathe- - middotmiddot middotmiddot1lt5middot_middotmiddot _- _ 66062 --TChe-ck middotmiddotmiddotmiddot-1-middot _-- middotmiddotmiddotS7500

172013Agency Services Corp of KS 815 SW Topeka Blvd Topeka KS 66612- iCheck i S7500 i ~hl~g~~IB~middotr-tE0~i~~poundi~~~~L=~_~middotlj~~~L~i~6~A~e-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot - middotmiddotmiddot-Hillsmiddot~~~_=_middot middot~_jgi-- bull middot_~~~]f7-9~E=_~~ ~h~cF__-_ __ __I==_=_Ji8~i 172013iBeasley Insurance Inc J2336 Ridge Court Lawrence KS i66046-3983 iCheck I S1875i i7j2oi3Ch~~lesVimiddotS~hmiddotl~tte-r-lnc-----middotipoBox-256-13-middot -- OverlandParkKSmiddotmiddotmiddotmiddot _ -i6~225~---middot Check - - -- middot-S7500

1112013iKansas Building Industry WC 2101 SW 36th Topeka KS i66611- jCheck S7500 - ---bull -- -------- - ----- -- --- ---- middot---middot middot --middot-middotmiddot-middotmiddot_middot-middotmiddotmiddot-middot-1middotmiddotmiddot-~middot-middot-_middotmiddotmiddotmiddotmiddotmiddotmiddot_-- --- ---_- - 1142013IADM Crop Risk Services 61261736 Rd iSterling iNE 168443- Check i S7500 ~~-_ ltmiddot_~middotmiddotv ~ __ w ____~_ __ _y_~~ __ bull__ ~ middoti---_~--_middot-_middot_-_ -______ __ ___ ~~__ _ ___~ _ ~yw __ bullbull_~ _ ~_ ~_~Ao _ _y __ ~ YA _ middot__Y middot_v __ __ ~I ~~ ____ - _ Y

1142013iC Dean Riney Insurance Inc IPO Box 277 Liberal iKS 167905-0277 ICheck S1875_- - -- ---____ _--_ _----__--1--_ - ___ _ _ - _ _ j ___ __ __ _ bull_ _ _ __ _bull_ _ bull bull _ _ _

1142013lnsurica JPO Box 25928 jOklahoma City iOK i7312S-jCheck L S7500) jEi201Tfy amp-~i~t~I~c~~=====fP0-B~-~~==~=-__middot=_middot__ YV~Ke~~iY_==---nlt~_= - -middotI~~j~Q~= I~Fe~~middotmiddot - -_ ~=-=_-3i~~~

1152013C D Williams amp Co3400 College BlvdSte200 Leawood KS i66211-ICheck i S1875

1152013Edie Insurance Group 3109 W 6th Street Ste B Lawrence KS 66049- Check S18751 Ihsh6i3McPhailmiddotins~r~~-~e-Se~~icemiddot~-middot1 POB 196- middotmiddot -- Cim-arro-n--- middot-middotmiddot-imiddotKS- _ _ -167835-0196-Ct~eck middotTmiddot--middot-si875 i1jho13iMO-KAN CharTlberSe-rvj~e~ Incr12694Sha~nemiddote-riis-sionPkwy-middot-Shawnee-middot----middoti KS - - ---662161860 Check - - - Smiddotl875 11772613 Risk PlacerTlent-S-e~~iceIc~- 13200-MetcalfmiddotAveSte1Z0middot-middotmiddot middotmiddot0verlamiddotndPark middotTIltS---- - --1 66213-middot-middotmiddot-c-heck middot middot--middot$7500

~~ _-- - _ - --- ----- -_-- -- ------~ _ -- -----~-- --~ ---~~i---- -~ ~--- _lt_ - ___ e bullmiddot_~ _ bullbull~-_gt_-~ - ~ _-_ ----- middotmiddotnmiddot ~~ ~-j _ -___ _ _ _ gt _-- ~~--~ ~_- bullbull~ - _- --gt~ t ~--- --_ shy

1172013iWestrope amp Associates 11100 Walnut StSte 3200 iKansasCity MO 64106-223Check i S7500 1192013 jHundleymiddotlnmiddotsuramiddotncemiddotser~ces-lLCIi40iM-a-i~Street ----- -- -middot-middotAtchis~rmiddotmiddotmiddot iKS--- ---middotmiddotIi-6002-2605-iCheck middoti---middotmiddot $1875

-1i92013 Hurldle-yi~s-ur~nce middotS-e~~icesiLc1401-M-airi-Street---_middot-middot------middot middotAtchlscln----- -jKSmiddot -- _ 66002~26o5ich~k --- -middotmiddot-si8751 ~~ i vmiddot_ ----- _-- bull- _- -- bull ~-~----_--t~-~--_r~- --_- _- ~~ ~ - ~- -~ -~-Y- bull ------~--gt - _w_middot ~ --_ _~ _----- ~ -_Y~ ~~_-~-- - middotwn t-middotmiddot------middot - - - ~~ - 1

1192013iHundley Insurance Services LLCj1401 Main Street KS 166002-2605 ICheck S1875i 1222oi3jB-erkshire-Hmiddot~th-a~--aY-Homestltei3333middotFir~m-St~-Ste3middotOOmiddot-- Omaha NE---- bull i68i3i~---Check -_-- middotT- -- middot- Si500

_-~L~2013tf3en~emiddot~~I~s~middot~~~~~~i~i~~=Jpg-B~~Iimiddot _-_-_-- Bendena - middot_middot_~I~~9_()8Qi=]ch~~kmiddot-_middotmiddotmiddot_~_ middotSi87

fIWJilirig$tafe jrMailingZiplill PaymentJAetlisectd 1~fAmount~d~i ___ l~Q_~3J~()Y_~9_11l-r~1ce Grou~JLC -Ji~~Q_Sql~b~_~~20Q___ Mis~o_~ -KS 166202- Check SI875 122013iDouble CAgency PO Box 305 --TMoline -middot----rKs---------r67353-0305Tche~k------middot -middotmiddot--1-------18middot7-5

~middot~jI2L~secti~r~~middot~6j~~s_~~t~-~i-ns-co~p~~ir~()~~~96==middot=-~~==~==~- middot--_=JEII~~~o~ __ ===1~I==- bull -==middotmiddot==-T~i~--Q~2~-JQi~E~--middot __===J=====~1 5~oo _IL22013~ir~tri~url~_~_~__~~~~camp_n~ JP()_~()~ZQ_ __ _ _riblJ~~___ jKS 67879-0070 jCheck S1875

middotmiddot--i~~gt~~t~j~~~iE~~~~~~~~r~==~~c=JE~1~~=~~~--_-~- middot_middotmiddot=-==~i~~middot = _~bullbull -I~=~_-~=-~-middot-=i~J~~i~~~=l~~~t-middot_ middotmiddot~~==E~ __ ===middot--~~j~i 1220131The SandersAgency 1302 N Broadway Protection jKS 67127~0566 check i $3700

_~iZ47201~~Dspoundh~li~A~~~CY~~~~=- r~-~i9~~Qsect-=~_=====middot=~_~~j_=~T~~=_middot_=_ bullmiddot]~sectQj~~23Qsect=middot~~~~ckmiddot bullbull=-- I~middot $18 ~i5 142013iJCT Insurance iPO Box37 Severy lKS 67137-0037 Check f SI875

yen __ Y~ _~ _ ~ bullbull _- W_--t~middotmiddotmiddotmiddot __0 - -_middot~-_ _-_middot~~_middotmiddot~middot_--lt----t-_middot_~--~_middot_~-~_middot~~middotmiddot- ----- ~--_- - _--- ~~_ ~-lt-- ~middot _middot w bullbull _ bullbullmiddotmiddot_middot ey~_middot~ _y~_ ---- ---~middot__t---middot_~_middot - __ ~ ___~_ ~~~ _~ _ _ y_ ___ _ __ ~A~ ~ _ 142013ILewlslnsuranceAgencYlnc 41HJ4thSt Burlington KS 66839-1906iCheck i S7500

middotmiddotii6i2013rLXtit~ Mut~~lns-~7~-~emiddotCo-- iiiBo6middotiN--149th5treetmiddotmiddotmiddotmiddotmiddotmiddotmiddot Olathe- - middotmiddot middotmiddot1lt5middot_middotmiddot _- _ 66062 --TChe-ck middotmiddotmiddotmiddot-1-middot _-- middotmiddotmiddotS7500

172013Agency Services Corp of KS 815 SW Topeka Blvd Topeka KS 66612- iCheck i S7500 i ~hl~g~~IB~middotr-tE0~i~~poundi~~~~L=~_~middotlj~~~L~i~6~A~e-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot - middotmiddotmiddot-Hillsmiddot~~~_=_middot middot~_jgi-- bull middot_~~~]f7-9~E=_~~ ~h~cF__-_ __ __I==_=_Ji8~i 172013iBeasley Insurance Inc J2336 Ridge Court Lawrence KS i66046-3983 iCheck I S1875i i7j2oi3Ch~~lesVimiddotS~hmiddotl~tte-r-lnc-----middotipoBox-256-13-middot -- OverlandParkKSmiddotmiddotmiddotmiddot _ -i6~225~---middot Check - - -- middot-S7500

1112013iKansas Building Industry WC 2101 SW 36th Topeka KS i66611- jCheck S7500 - ---bull -- -------- - ----- -- --- ---- middot---middot middot --middot-middotmiddot-middotmiddot_middot-middotmiddotmiddot-middot-1middotmiddotmiddot-~middot-middot-_middotmiddotmiddotmiddotmiddotmiddotmiddot_-- --- ---_- - 1142013IADM Crop Risk Services 61261736 Rd iSterling iNE 168443- Check i S7500 ~~-_ ltmiddot_~middotmiddotv ~ __ w ____~_ __ _y_~~ __ bull__ ~ middoti---_~--_middot-_middot_-_ -______ __ ___ ~~__ _ ___~ _ ~yw __ bullbull_~ _ ~_ ~_~Ao _ _y __ ~ YA _ middot__Y middot_v __ __ ~I ~~ ____ - _ Y

1142013iC Dean Riney Insurance Inc IPO Box 277 Liberal iKS 167905-0277 ICheck S1875_- - -- ---____ _--_ _----__--1--_ - ___ _ _ - _ _ j ___ __ __ _ bull_ _ _ __ _bull_ _ bull bull _ _ _

1142013lnsurica JPO Box 25928 jOklahoma City iOK i7312S-jCheck L S7500) jEi201Tfy amp-~i~t~I~c~~=====fP0-B~-~~==~=-__middot=_middot__ YV~Ke~~iY_==---nlt~_= - -middotI~~j~Q~= I~Fe~~middotmiddot - -_ ~=-=_-3i~~~

1152013C D Williams amp Co3400 College BlvdSte200 Leawood KS i66211-ICheck i S1875

1152013Edie Insurance Group 3109 W 6th Street Ste B Lawrence KS 66049- Check S18751 Ihsh6i3McPhailmiddotins~r~~-~e-Se~~icemiddot~-middot1 POB 196- middotmiddot -- Cim-arro-n--- middot-middotmiddot-imiddotKS- _ _ -167835-0196-Ct~eck middotTmiddot--middot-si875 i1jho13iMO-KAN CharTlberSe-rvj~e~ Incr12694Sha~nemiddote-riis-sionPkwy-middot-Shawnee-middot----middoti KS - - ---662161860 Check - - - Smiddotl875 11772613 Risk PlacerTlent-S-e~~iceIc~- 13200-MetcalfmiddotAveSte1Z0middot-middotmiddot middotmiddot0verlamiddotndPark middotTIltS---- - --1 66213-middot-middotmiddot-c-heck middot middot--middot$7500

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382013iWartick Insurance Agency 16262 SW Spring Road iEI Dorado KS 67042-9036 ICheck $1875 1 - -- -- - - - --------- ----- - ------ --- -----T------- middot-middot --middot--- - ----- -- -- --- ----- - ------ ---------- ---- - -- ------- ----- - - - ---- 31191~ql3H_undleyInsuranceervices LL~1401 Main Street iAtchison KS 66002-2605 jCheck I $18751r ---- ~ -- ----------------l-- ------- ---- ----- ------- --- ---- ----- -- ----------- -- ---- --------- - ---------- - -- - shy31O2013SSampG and Associates IpO BOX 2628 jShawnee MissionKSi66201- iCheck l $7500 - ---------------------- ---- --middot middotmiddott---------middot---middot-middot--------------- --- ----- ---- --~-- ------ ------ --- -- --middot-1-----middot ---------- -- - ---- -- 3112013C D Schulte Agency Inc IPO Box 306 iGarnett iKS 166032-0306 ICheck i $18751

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324201ISmalley InsuranceAgency Inc 11640 SRock Rd Wichita KS 167207- ICheck 1 $1875 325-20_~~r-~I~T~su~~-n~~~~~~ -~middot~-_=~== ~Q~~~~~=--= = -==~middot===---E~i--- _~-middot--=~ ____=ri~-=_=- __ =-=___-t~~-~9~Q~~-J1~~~~= --- bull -----_-middot~~50j 412013Hasketl County Agency LLC iPO Box 1100 Sublette iKS 167877-1100 ICheck I $18751

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8182013 Castleberry Insurance LLC 17920 W Kellogg Ste 400 Wichita KS 167212- iCheck I $1875 8hfi93Jsectr~i~--middotBeit-Imiddot~i li~~~~~oliei6y=-]po~~~== _~=_ _=~== Ti9Y= _~-_ middotJ-~~=======--=-llsectsectmiddotg~-- _ j~6_i~E _~____J __ _~=$~olJ 8182013GrinnelilnsuranceAgency LLC IPO Box 365 Grinnell KS 67738-0365 iCheck $7500

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8272013Alllnsurance Access LLC 13706 S Topeka Blvd Suite 411 Topeka KS 166609-1239 ICheck $75001 ~_ _ ____middot~ __ _middot~ __w middot_~middot~A_ ----l--~-- middot- ~middot_~~ __ _A bull__ ~~lt_~ __middotmiddot~~_~ __ ~__ __ bull _~__ ~ _ __~-- ___-bull _~___-I---bullbullbullbull--- -~--_ middot_middot~~middot vmiddot_ __ bull _~_~ c _ _~-- gt

i 8272013jAtkins Insurance A~ency 13 EastWal1 St iFort Scott 1KS 166701~1476 ICheck i $7500

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8272013Peabody State Bankdba Avery Ipa Box 131 Peabody KS i~6866-0131 Check $75 00 8i~OI~ p~~T~r~~p~~~i~~~~~_i~~~=j~Q-~~~sect~ ==-- -middot~ ==== __=r(~itCl~~ ---~i~~middot-==__=--]sect6067~0635-1check- -- -J_ ~goi 8272013jThe Clements Agency IPO Box 129 Atchison iKS 166002-0129 iCheck $187St 8272oi3iwiilo~ B~o~kl~~umiddotanc~ CiCmiddotT675E253rd-St~eet middot--middotmiddotmiddot--iiy~don iKS --- --i664Si-9449middotiCheck- $75001

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8282013 Corns ampBallardAgency 240 S Main Greensburg KS 67054~1726 Check $7500 82S2Ql CciE~i~t~-1 n~_~_~~~~~sect~cgtu-P~J~~~~]~-o~~i9~-~==-~= -==-~middotJQ~erl~~~~~_=~~~~~=== J6_628_~~Q~sect]~h~~f=_~~ =-1 _ =$7509 imiddot-8i2872013j~CMelljckAgencyLP pO Box7 Atwood iKS i67730~0007 Check i $7500i

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382013 Edie Insurance Group 3109 W 6th Street Ste B ILawrence iKS 166049- Check i $18751 A --gt- --_ - i ~--~_-----_~---------_- --- ---~- ---middot--t--_middot---middot_~---- ----~~_ -------~--_--~ --~-~- --------r-~~----~ ------l~~middot-middot ~-- _A_ - -- ___ bullbull ---_bullbullbull ~ --_---q- -_-~ ~ --_ -__-~ _~ _-

382013iWartick Insurance Agency 16262 SW Spring Road iEI Dorado KS 67042-9036 ICheck $1875 1 - -- -- - - - --------- ----- - ------ --- -----T------- middot-middot --middot--- - ----- -- -- --- ----- - ------ ---------- ---- - -- ------- ----- - - - ---- 31191~ql3H_undleyInsuranceervices LL~1401 Main Street iAtchison KS 66002-2605 jCheck I $18751r ---- ~ -- ----------------l-- ------- ---- ----- ------- --- ---- ----- -- ----------- -- ---- --------- - ---------- - -- - shy31O2013SSampG and Associates IpO BOX 2628 jShawnee MissionKSi66201- iCheck l $7500 - ---------------------- ---- --middot middotmiddott---------middot---middot-middot--------------- --- ----- ---- --~-- ------ ------ --- -- --middot-1-----middot ---------- -- - ---- -- 3112013C D Schulte Agency Inc IPO Box 306 iGarnett iKS 166032-0306 ICheck i $18751

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324201ISmalley InsuranceAgency Inc 11640 SRock Rd Wichita KS 167207- ICheck 1 $1875 325-20_~~r-~I~T~su~~-n~~~~~~ -~middot~-_=~== ~Q~~~~~=--= = -==~middot===---E~i--- _~-middot--=~ ____=ri~-=_=- __ =-=___-t~~-~9~Q~~-J1~~~~= --- bull -----_-middot~~50j 412013Hasketl County Agency LLC iPO Box 1100 Sublette iKS 167877-1100 ICheck I $18751

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8182013 Castleberry Insurance LLC 17920 W Kellogg Ste 400 Wichita KS 167212- iCheck I $1875 8hfi93Jsectr~i~--middotBeit-Imiddot~i li~~~~~oliei6y=-]po~~~== _~=_ _=~== Ti9Y= _~-_ middotJ-~~=======--=-llsectsectmiddotg~-- _ j~6_i~E _~____J __ _~=$~olJ 8182013GrinnelilnsuranceAgency LLC IPO Box 365 Grinnell KS 67738-0365 iCheck $7500

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81820131 OMalley Group LLC dba OMG 1226 S Kansas Ave Suite 102 iOlathe KS 166061- ICheck i $18 75 8h820i3TScribrie~ln5~-r~ceAgecy- iic- TpO-B~XI------- middot-middot-- --middot -C~tt~~vvoodTKSmiddot -- -- -- -(66845-0256 iCheck ~ - - $7500

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9232013iThe Sanders Agency 302 N Broadway i Protection KS 67127-0566 iCheck $1875i

~~fu~l~mt~~~~~~~b~Alim~~~~~~~S~iff~~[t~~ _middotmiddot_-~]f~i~U~~~l~i-=~~j~i~-~-mti 9252013Jepsonamp ASSOCiates PO Box 40 Valley Falls KS 66088-0040 Check $3750 925h013rK~lnsasCent~amiddotiSer~middot~esi~c- PO-Bo~66------------- - -- Ly~ris-- --- KS --- ---67554- -----Check -- $75_00 9252013middot K~stl~PoeiIAgencyIn-~------PO-B~~196----------_middotmiddot-------WashTrigt~~-- -KS bull -i66968~Qi96 iCheck-S750Q 9i5j20i3iMarq~ette-l~samp-RmiddotEmiddotmiddotAgencymiddot(PO - -- - --- Marq~ette- iKS -T6i4-64~02i8-Check $7500Bo-15S--shy

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9126iOl3 Elli-ott--lris~ra~ce Agencyin-c-middotTpo Box 326 McPher~~~------ KS -- --- -- middot-r674middot60=-0326--rChe-ck---middot------7--------- $7500

9262013i1nsurance BackOfficelnc pO Box 1813 Lawrence IKS 166044- ICheck $75001 -926iO-13Jean A Joyce-Age~cy- S67-0iamonciSpringsRoad Denton KS-- ---166-017- Check-- - -- $7500

-92-62013IL~~niemiddots~uk~pAge~cy-LLC-middot----PO- Bo~-io5 --~-------- -- Ellsworth -- KS ---- -- -i6i439~ ICheckmiddotmiddot - --- i ------middot-~5--QcJ

9i620i3r~1orates-ln-sura~ceAgen-cY-- 1239 Central Ave -- -Kansas City ---- KS-- middotmiddotmiddot ---6610i-=s-439Cieck ----i-middot-middotmiddot $1875 9h620i3rRiegellris~rancemiddotlnc--middotmiddotmiddotmiddot- iro Box 7-_-- -middot middot --middot-----F-rd--middot---middot middot---KS-- -----------l67842-00middot0i--Check-- middot----middot-$7500 9262013- Rush-C~u-nty-ins ser~icesin~~(poB-o~-l59--- ------------ia Crosse------ KS-middot----- -- i67548-0459 Check--- - $7ioQ

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8

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9162013j1nte~rity Insurance Agency Inc 12047 SW Topeka Blvd Ste A Topeka KS 166612-1462 jCheck 1 $1875 ~jisectj2~i_Ig=~~_U~m~==--=middot _~~_ --=~~middot-==~l~9=~9~-i==~--~=~~-~-=-~~-~ ~~=~~~~~y~i~-=~=-middot~=-~- ~_--~-~=--=-]~--i~7=Ciq~~Y _ Ch~k =~-_==- i==_~---- ~ __ $~~sl

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9172013iRusseU Insurance Agency 1000 N Main St 3 )Lansing KS 166043- Check $7500 ~i7Z2Q~ifo-ii~-rE~ikW~~BiJ __~fi-Jo~e_~=-~ i~()__~~~~i8 7 ==~~~-~=_=lg~~~fi6--~~iE~ [~~=--- ===Jsect-6~Q~ __ __~b~~~==~-~~-middot=~[ =~-_-$ii~J

__ 9182013iBartellnsurance Agency 1113 WGrand Ave iHiUsboro iKS i67063- Check i $18751 ---___--__- ---------------------__------_--_ ------ -- -------------__-----------__-- ---_--------------- ----pound----------_------------------- _-- - - ---------_ ------_----__-- ------- - ---- --- --- -_ 19182013iCentrallnsurance ipO Box 99 iCoffeyviUe IKS 167337-0099 Check I $75001 9j~Lo~3Lvq_Ei 0s-u-rai~~~Tnc-__=- __-=_~~]sect6()~~~_~~~I~~I~BI_~g~iQ~=_ _==LYii~E~i===~middotmiddot i~~_~-~===--Jsectj~i2=- =-_Jche~~--= bull~-_ ~_~__ i-~~ _ --$~~J~_ 9192013AI Shank Insurance Inc ipo Box 2559 Liberal jKS 167905-2407 Check i $18751

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~~7~~~~i~f~~~~~~~~3~J~~~~~~ ~~=~~=~~~~W~~=~=~= ~=]~~~=~~~t~~==rmiddot_~~j~~ i 9202013Kramer Agency Inc iPO Box320zawkieKS 66070-0032 Check $7500i-- ---- ----- ------ - -- ---------------- --- ------- -- -- ------------------------------- - --- ------------------ -- - ------------- -------------- - - - - - -- -I

923(20131st Choice InsuranceAgencYi POBox 560 iNorton KS 67654-Check $7500

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7

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9232013iHanst~~-I~s~ra~ceAge~cy-I~-~-ipoB~~189-~------------- Hanston--middot----KS ----- middot167849~0i89-Tche~k --r ---~-- $7500 i -9h3j2oi3J~hn MethenYamp-Ass~ciates-- T10iOlCon-neIIDr---middot- __ Overland Pa-r-k-- iKS-middot---- --- -662i2=s318 iCheck - - - ---- [------- -- $7500 --- - ---- cmiddot middot---------~--~-middot-----middot-middot---middot--middot-middotT------------------- - ------------------ -j -~--------- bullbull-- -- ----- -- - 1 - -- ---- --- - -- - -----~- - -- 92320131 Linton Insurance Agency pO Box 422 Beloit KS 167420- Check $7500

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9(2391 R~leigh Ins_urance Age~cy Inc iPO Box 337 Little River KS 167457-0337 jCheck $7500 imiddot 9j3Lo-~-i Sand~s_~~ei1~i~i~~~-~~==_- middot-]IQ~~~~l~~=middot__=---=_=_~=-_middot_-middot _=Jp~~ti~=_middot=_--~S middotmiddot- -~_-=]~Ifsect_~~8_JCh~ck--_- __ =L=---S7500I 9232013Strutt Ins Services Inc iPO Box 649 Colby IKS - 167701- ICheck l middotmiddot-----$7500- f----~---- ~~- ~ fmiddotmiddot--middot - ~_-- ___~~~-_-_ ------ - -------j---------- _ _~h~_middot_T ~~ ---- _ ___bullbullbull ~~_~ o -~ --------_~---bull_ - __ bullbull_ bull--__bull ~-_ ~ v~ lt bullbull__ bullbull~_ __bull __ _ w_____middot --~-- _~--_ -- ---_ __ - bullbull __ _

9232013iSunflower Insurance Services pO Box 100 iClifton KS i66937-0100 ICheck I $7500 r middotmiddotmiddot-_middotmiddotmiddotmiddotw--_ ----r _~--_ w ------~------------I----------------- --- _--l---__~ ___--__-__-_ ---- - -~ -~--lt--Oi ----- -~--_-_--_- -~-~ ---~ -- lt -~ -_-~ ~ O

9232013iThe Sanders Agency 302 N Broadway i Protection KS 67127-0566 iCheck $1875i

~~fu~l~mt~~~~~~~b~Alim~~~~~~~S~iff~~[t~~ _middotmiddot_-~]f~i~U~~~l~i-=~~j~i~-~-mti 9252013Jepsonamp ASSOCiates PO Box 40 Valley Falls KS 66088-0040 Check $3750 925h013rK~lnsasCent~amiddotiSer~middot~esi~c- PO-Bo~66------------- - -- Ly~ris-- --- KS --- ---67554- -----Check -- $75_00 9252013middot K~stl~PoeiIAgencyIn-~------PO-B~~196----------_middotmiddot-------WashTrigt~~-- -KS bull -i66968~Qi96 iCheck-S750Q 9i5j20i3iMarq~ette-l~samp-RmiddotEmiddotmiddotAgencymiddot(PO - -- - --- Marq~ette- iKS -T6i4-64~02i8-Check $7500Bo-15S--shy

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9126iOl3 Elli-ott--lris~ra~ce Agencyin-c-middotTpo Box 326 McPher~~~------ KS -- --- -- middot-r674middot60=-0326--rChe-ck---middot------7--------- $7500

9262013i1nsurance BackOfficelnc pO Box 1813 Lawrence IKS 166044- ICheck $75001 -926iO-13Jean A Joyce-Age~cy- S67-0iamonciSpringsRoad Denton KS-- ---166-017- Check-- - -- $7500

-92-62013IL~~niemiddots~uk~pAge~cy-LLC-middot----PO- Bo~-io5 --~-------- -- Ellsworth -- KS ---- -- -i6i439~ ICheckmiddotmiddot - --- i ------middot-~5--QcJ

9i620i3r~1orates-ln-sura~ceAgen-cY-- 1239 Central Ave -- -Kansas City ---- KS-- middotmiddotmiddot ---6610i-=s-439Cieck ----i-middot-middotmiddot $1875 9h620i3rRiegellris~rancemiddotlnc--middotmiddotmiddotmiddot- iro Box 7-_-- -middot middot --middot-----F-rd--middot---middot middot---KS-- -----------l67842-00middot0i--Check-- middot----middot-$7500 9262013- Rush-C~u-nty-ins ser~icesin~~(poB-o~-l59--- ------------ia Crosse------ KS-middot----- -- i67548-0459 Check--- - $7ioQ

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9(272g13IMiller amprv1idy_~Heal~s_t~e J1945 23rd St _~~~~~~~ jKS_ __ _ J6__6946S_~_fheck $75o9~ ~L27013_~LHln~lJ_r~1lpound~~~9_~_illC1~_~i~~ _i_~~s_J_~oolll~gb __ __ __ __--_~~r9_n~r __l~S__ _ 6_~g3g1943_j~b~~k __ _ $1~_5 i

8

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9232013iHanst~~-I~s~ra~ceAge~cy-I~-~-ipoB~~189-~------------- Hanston--middot----KS ----- middot167849~0i89-Tche~k --r ---~-- $7500 i -9h3j2oi3J~hn MethenYamp-Ass~ciates-- T10iOlCon-neIIDr---middot- __ Overland Pa-r-k-- iKS-middot---- --- -662i2=s318 iCheck - - - ---- [------- -- $7500 --- - ---- cmiddot middot---------~--~-middot-----middot-middot---middot--middot-middotT------------------- - ------------------ -j -~--------- bullbull-- -- ----- -- - 1 - -- ---- --- - -- - -----~- - -- 92320131 Linton Insurance Agency pO Box 422 Beloit KS 167420- Check $7500

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9(2391 R~leigh Ins_urance Age~cy Inc iPO Box 337 Little River KS 167457-0337 jCheck $7500 imiddot 9j3Lo-~-i Sand~s_~~ei1~i~i~~~-~~==_- middot-]IQ~~~~l~~=middot__=---=_=_~=-_middot_-middot _=Jp~~ti~=_middot=_--~S middotmiddot- -~_-=]~Ifsect_~~8_JCh~ck--_- __ =L=---S7500I 9232013Strutt Ins Services Inc iPO Box 649 Colby IKS - 167701- ICheck l middotmiddot-----$7500- f----~---- ~~- ~ fmiddotmiddot--middot - ~_-- ___~~~-_-_ ------ - -------j---------- _ _~h~_middot_T ~~ ---- _ ___bullbullbull ~~_~ o -~ --------_~---bull_ - __ bullbull_ bull--__bull ~-_ ~ v~ lt bullbull__ bullbull~_ __bull __ _ w_____middot --~-- _~--_ -- ---_ __ - bullbull __ _

9232013iSunflower Insurance Services pO Box 100 iClifton KS i66937-0100 ICheck I $7500 r middotmiddotmiddot-_middotmiddotmiddotmiddotw--_ ----r _~--_ w ------~------------I----------------- --- _--l---__~ ___--__-__-_ ---- - -~ -~--lt--Oi ----- -~--_-_--_- -~-~ ---~ -- lt -~ -_-~ ~ O

9232013iThe Sanders Agency 302 N Broadway i Protection KS 67127-0566 iCheck $1875i

~~fu~l~mt~~~~~~~b~Alim~~~~~~~S~iff~~[t~~ _middotmiddot_-~]f~i~U~~~l~i-=~~j~i~-~-mti 9252013Jepsonamp ASSOCiates PO Box 40 Valley Falls KS 66088-0040 Check $3750 925h013rK~lnsasCent~amiddotiSer~middot~esi~c- PO-Bo~66------------- - -- Ly~ris-- --- KS --- ---67554- -----Check -- $75_00 9252013middot K~stl~PoeiIAgencyIn-~------PO-B~~196----------_middotmiddot-------WashTrigt~~-- -KS bull -i66968~Qi96 iCheck-S750Q 9i5j20i3iMarq~ette-l~samp-RmiddotEmiddotmiddotAgencymiddot(PO - -- - --- Marq~ette- iKS -T6i4-64~02i8-Check $7500Bo-15S--shy

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9126iOl3 Elli-ott--lris~ra~ce Agencyin-c-middotTpo Box 326 McPher~~~------ KS -- --- -- middot-r674middot60=-0326--rChe-ck---middot------7--------- $7500

9262013i1nsurance BackOfficelnc pO Box 1813 Lawrence IKS 166044- ICheck $75001 -926iO-13Jean A Joyce-Age~cy- S67-0iamonciSpringsRoad Denton KS-- ---166-017- Check-- - -- $7500

-92-62013IL~~niemiddots~uk~pAge~cy-LLC-middot----PO- Bo~-io5 --~-------- -- Ellsworth -- KS ---- -- -i6i439~ ICheckmiddotmiddot - --- i ------middot-~5--QcJ

9i620i3r~1orates-ln-sura~ceAgen-cY-- 1239 Central Ave -- -Kansas City ---- KS-- middotmiddotmiddot ---6610i-=s-439Cieck ----i-middot-middotmiddot $1875 9h620i3rRiegellris~rancemiddotlnc--middotmiddotmiddotmiddot- iro Box 7-_-- -middot middot --middot-----F-rd--middot---middot middot---KS-- -----------l67842-00middot0i--Check-- middot----middot-$7500 9262013- Rush-C~u-nty-ins ser~icesin~~(poB-o~-l59--- ------------ia Crosse------ KS-middot----- -- i67548-0459 Check--- - $7ioQ

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9(272g13IMiller amprv1idy_~Heal~s_t~e J1945 23rd St _~~~~~~~ jKS_ __ _ J6__6946S_~_fheck $75o9~ ~L27013_~LHln~lJ_r~1lpound~~~9_~_illC1~_~i~~ _i_~~s_J_~oolll~gb __ __ __ __--_~~r9_n~r __l~S__ _ 6_~g3g1943_j~b~~k __ _ $1~_5 i

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9302013Heritage Ins Group IncLoganPO Box 218 Logan KS 167646-0371 ICheck i $7500 9~(jt_~0)~Iln_sur~h=~ePI~~ 6il1~gi~~ir~irc] PO~B~~589- ------- ----~- middotmiddot--~~~~ki_=-middot--middot~middot=[~~=~~=- middotmiddot_middotmiddot~middotI~Q~5-~ i3iJ~=middot[~hi~b-middot~-middot=_~middot_ - -~ ~_~XSl 9302013lnsurance Planning Center Inc ipO Box 589 Eureka iKS 67045-1304 ICheck $18751 middot middot middotmiddotmiddot-middotmiddot-i - - -bull--- ----~~---l- _ -- -------~ --- -- -~I~--~ bullbull - - -1

middot 93020131 Insurance Planning Center Inc PO Box 589 Eureka KS67045-1304 lCheck $1875 --- ------- -___-- _~_ -__------- ~-_ __-- ~_ -- -- ---------- _ ~_-_ --_ - _ _ __~-- __--- ~ _ __ -_-_- - - --- -- shy

9302013llnsurancePlanningCenter Inc Ipo Box 589 Eureka IKS i67045-1304 ICheckJ $1875

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9302013l Labette Insurance Agency IPO Box 497 Altamont IKS i67330-0497 ICheck i $7500) 9i3020i3lM-ampM~~~a~c~------ --IP--O--BO~-2639-middot---middot--middot~middotmiddotmiddotmiddot----~wich--itamiddot-middotmiddot--middotmiddot iKS - -- 67ioi~2639Ch~ck - - - --- - $7-5~OOl

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9

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10720131C Dean Riney Insurance Inc ~P~O Box 277 Liberal KS 67905-0277 Check $1875 - - j---- - -__- _--- _- -- ------- -- -- --_- _---_- ~----- ---_~ _-_------- - --- -- -- ------- - - -- _

1072013 i HW Sewing amp Co Inc PO Box 171488 Kansas City KS 66117-0488 ICheck $3250-- --- _-- - -------_ --__ -- - --- - ----___---- -- _---- -- - -_ -- -_ --- --_ - ---_----- - -- - shy02013Haskell Coun_v_~g_enc1 LLc PO Box 1100 Sublette KS 67877-1100 Check $1875

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10162013Professionallnsurance PO Box 1717 Dodge City KS 67801-1717 iCheck $7500 -- - - --- -_- -- 1-- _- middotmiddotmiddot_middot - - - _ ----- -- - - --- - - - -- 1O162013iTeellnsurance Agency Inc 132 E Maple Columbus iKS 66725-0311 middotCheck $625

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1O222013iBeasley Insurance Inc 12336 Ridge Court Lawrence KS 166046-3983 iCheck _$8S -- - - --- - --- --- - --_ c - -- --- ----middotmiddot--middotmiddot1 middot bull middotTmiddot middot middotmiddot middot-

10222013 Highland Insurance Services iPO Box 38 iHighland iKS 166035middot0038 Check $75001 _ __ __ ___ _ __ + __ _ __ _ - -- - --0 - _ - bullbull_ bull

10222013Johnston Fiss Insurance 15225 West 75th St Ste 200 lShawnee MissionlKS 66208-4403 Check _ $75001 _ bull __bullbull __ bull lt ___ yen__ _ __A_~ ____ V__~__ yen bull 1 ___~~ ____ __~ ~__~~ _~ __ ______ __ ~ ~~ -__ J __ ~ ~ A__~ __ __ A __~ __lt ~~ ~ ----- bull__ A __ _~_V ~_middotlt__middot

10

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i 102420131 First Insurance of Leoti i PO Box J Leoti KS 167861-9988 Check I $3750 - -- -- - _ _-- -_ r ----- --- - -- - - ---- - -- --- - - 1-- - - - - - - -- - 0242013iParker Haskins Insurance Inc WO Box 176 Dodge City KS 67801-0176 Check $1875i

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i 10242013Tozier Parkway Housh Jones iPO Box 7787 Overland Park KS 166207- Check i $1875i iciZ~5Z~Q~ijr~~~De~~~i~~it~~ ~r~~c_~I~c~~=l~Q~sect~~~~~~~~~~~middot_middot~~--~i~i~ii~=== ~middotmiddot-r~~~~ ~==~~~~middot=middotI~~~9~middotQ~L1 cent6~~k-~~====~] --~ _$1875i i 10252013Jensen Associates Inc IPO Box 118 Ellinwood KS 167526-0118 Check $37501 middotgtmiddot_~_middot~middotmiddot __ ~_~AWmiddotmiddotmiddotmiddot_~middotmiddotmiddot bullbull __ middot~middotmiddot~middotmiddotmiddotmiddotmiddot~middot__~_vmiddot ~_ _~ ~ ~O~middotAmiddot_~_middotmiddotmiddot_middotmiddott-_~middotH__ ~-_bull- _-~__~~- - -----~ middot~ __c - - middot middot--middot~r---~middot_~-_ _ ~-__ __~ __w__~ _ ~ ___-- ~-_~-~~-t ~--~_ ~_~ _ - ~middotmiddotA i~middotmiddot _~ __ 0 ) _ 0middot _ lt-

10252013iMcCune-Robinsonlncdba PO Box 688 Chanute KS J66720-0688 iCheck $1875 -- __-__--_~~- raquo-~~-~~~ _ ____ bull___~__~bullbull ~ ~~_ ___-l _~ ___~___ -~~_ _ ~-~_ __ __ -yen_ __~ ~_ _~ _ __V__~__yen ~ ~~~ _ __ _ -i-~--~ ~ 4_____-__ _~_~_ __ __ __

10272013iAccurate Insurance Agency Inc 16428 Vista Dr lShawnee KS (662189239 Check i $187Sl ~)OZi7Z~Q~ir~~~ri~~~ IID~~L~~~~G iuPmiddot~J~_~_~~~cent~ltji[~~Qg middot~~~ ~~=~~icbit~--=middot - K middot~~--]sect~6~middot Che~k-=__==[_~_ $i8~ i bull10272013iCretcher Heartland LLC 4551 West 107th St 3rd Floor Overland Park KS i66207- Check $1875

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i10282013 Mi~~r Broth~~~ Co~p~-ny jPO-Eiox-190-middot- middotmiddot- - _ Nes~ (ity- KS 16756o-0190Check - T middotmiddotmiddot $7500 - - - -- __ -_ ~- _ -- -_ - - _ --- __ - -_middot_- --r middot--middot _ - - -_ -- middot 10282013MJH Insurance and Financial 1345 N Moonlight Gardner KS 66030-1943 Check i $1875 _ _ _-- ~_ __ _ -__ __+ __ _ _ - - 10282013Rodgers and Associates Ins Inc PO Box 249 Phillipsburg iKS 67661- iCheck i $187S

10312013iBovard Insurance Group LLC i6950Squibb Rd 200 Mission iKS 166202- Check $1875r - Tmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot middot_-middotmiddot _ middot-middot_middot middot middot_middot_middot - - -_ - - - - - _ 1 - --- - --- bullbull- shy

10312013 Renn amp Company Inc POBox40 iWellington KS 167152-0040iCheck $1875 middotmiddotiilhoi3-AISh~~-kln~~~n(poundmiddotlnZ--- TpoBx2S59----_ middotmiddotmiddotmiddot_- lLibea-I _middotmiddot middotjKSmiddot _middotmiddot--middot-16790s-2407 Check _ T-middot-middotmiddot-$1875middot

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1112013 LinnCounty Insurance Agency iPOBoxSl0 LaCygne KS 166040-0599 Check $3750

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-iii772013Comm~nity-lnsu--anc - _middot i533-0middot-CollegemiddotBI~d-middotmiddot middot middot-iamiddot~oodmiddot_middot __middot -ilts -r662ii-=-i621Chec-k _ $7500 iij7j2oi3 LindM-eriJlampHoli~~middotI~C-----r604-s middotMat-~ay~Sljiteiii middotbullmiddotmiddotmiddotmiddot middotMiS~imiddotonmiddot ~- - KS middotmiddotmiddotmiddotmiddotmiddot 66202=3366middoticheck -- $7s00i lij8ho-13IWa~tick lmiddotn~uranc-eAgencymiddot6262SW-sp~ing-Road- middot - ~TEI Dorado --T67042=9036--check-~ $1875 middot 11122013 B Nolllnsurance middot middotmiddot-- lpOB~~i252 - _ - Hutchinson KS-- middot167504~12smiddot2-fCheck -$18~75

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11

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~ioi24ho13Ic~-pbeIIAgncy--middot-middot- lpoBo~457------ -- middot-CedarValemiddot_middot middot KS - 67024)457- Check $1875 bull_~ ~__ _~_bullbull _bullbull___ bullbull___bull_bullbull ____bull __ _middot0 bull __ __ ~_ bull __ -- _ ----~bull------bullw---- _~__ __ ~ ~ __~~ __~ ~--_ ~ __ ~_ _ ~_ _ _ _ _~ ~~ _ __ ~

i 102420131 First Insurance of Leoti i PO Box J Leoti KS 167861-9988 Check I $3750 - -- -- - _ _-- -_ r ----- --- - -- - - ---- - -- --- - - 1-- - - - - - - -- - 0242013iParker Haskins Insurance Inc WO Box 176 Dodge City KS 67801-0176 Check $1875i

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10272013iAccurate Insurance Agency Inc 16428 Vista Dr lShawnee KS (662189239 Check i $187Sl ~)OZi7Z~Q~ir~~~ri~~~ IID~~L~~~~G iuPmiddot~J~_~_~~~cent~ltji[~~Qg middot~~~ ~~=~~icbit~--=middot - K middot~~--]sect~6~middot Che~k-=__==[_~_ $i8~ i bull10272013iCretcher Heartland LLC 4551 West 107th St 3rd Floor Overland Park KS i66207- Check $1875

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10312013iBovard Insurance Group LLC i6950Squibb Rd 200 Mission iKS 166202- Check $1875r - Tmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot middot_-middotmiddot _ middot-middot_middot middot middot_middot_middot - - -_ - - - - - _ 1 - --- - --- bullbull- shy

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1l212013IOMalley Group LLC dba OMG 226 SKansas Ave Suite 102 Olathe KS 166061~ [Check $1875 ilhi20i3IS-~~li~yi~s~-ra~c~Agencyl~c~middot-ii64-6--s-Rock-Rd-middot------------ --~Wichit~- --- 11lt5middot- -- -i67-207~---middot----rel1--ec-k-- ---- -----j --middot-middot---$1875 riij2i7ioi3-iSmiddot~alley-l~s-~middot~~cAgncy~in-c-11640 SRock Rd - --middotmiddot--middotmiddotmiddot middotmiddot-middot Wichmiddotita-------jKS I67-207~--middotTcl1eck I middotmiddot middot~ $18751 ii2220131Allen I~s~~~~ce-middot-middot-----middot~ -- 12153 SE California middot_-middotmiddot-middotmiddot~-hopek middot -middot--Tilt5----middot---~-middot--middot66665~i753 -checi---- ---$37501 1iZ2~2(~~i~J~~~~-~6middotcmiddot~=pi~~~~iLIc-=~~~~=_-ipq=~~~_i~_i~-===~~~==-~= middotmiddotbullJ~~IT~~ __ _middot=~-=~~=r~~~_~middot~middot~- =16z~-o2=X~i ]C~~ck-_- - -~~~ middot~~~sX~7~ 11222013IAssurance Partners LLC IPOBox 1213 Salina IKS t67402-1213Check i $18751

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11252013Quivira Insurance Agency 1118 S Main iStafford KS j67578-1430 ICheck $37501 - -- _ -- -- - ~ -- - - ----- - --_ - - -- -- bullbullbull_ - -_bull--- _ - - - --1------ ----- _------ ---+ --~ - -~------ --- - 1222013 Calvin Eddy amp Kappelman Inc 11011 Westdale Rd iLawrence KS i66049-2638 Check $37501 bull~iLiQ1~]Ttei~~~i~~A~i~~Y~===--middot==i 30~~=~~ii~~iY--=~=~=-=-=~=~JY~_~pound~~~===_-=J~~~-=-=~~](j i27~Q5~~=rcheck-middot-middot - -==i8)~middot 12122013US Alliance Life and Securites 4123 Gage Center Dr 240 Topeka iKS 66604- jCheck $7500 _- middot0 _ _~~ _~~_~ __~_ _v_ _ V_--~-~~r __-~_- ~_~_ _ _-_--_ _~_ __----- -T~ _ -- _~ --__ __~_~ _~_~-- __- ~ _ _~ __ __~ _ Y A_ middot_~middot__~middot_o_middot~middot_middotmiddot - yen- - -_~-

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12192013iNational American Insurance CoiPO Box 9 iChandler 10K 174834- Check I $75001 G21191QI3Irhell~_~~~~ampi~~Y_middot~~~middot~middot-_=~l~Ci~~~~_2i=---middotmiddot==- ===middot=~=~~_~~_~n--_===_-=K=_-=-middot~middot bull =-J~sect-Qsecti~QIi~IcentE~~-=_=_=-=-~]==_middot=-middot bullbull$i~~ 12202013 IPFS Corporation 1301 W11th St 4th Floor iKansas City iMO 164105-2289 ICheck i $7500- -- -- ----------~~---- -- ------ -- ---middot-middotl----------middotmiddot- ------ --- ----- r--------- --- ---- - ------------- ------ -------- -1-----middot -middot--- ------- -middot----1middot---middotmiddot -- - -- ----

12202013) Midwes Insura~c~ Ag~ncy PO Box 29319 ILincoln NE 168529- lCheck $75001 12202013iNilso~-Associates Inc -- -i-68-11 Sha~nee Missi~n parkway----ISmiddoti-a~~eeMissi~nrKS--- ----- -1 662~2~-- - ---1 Ch~k--- ---1middot----$75001 12202013(The Chilp~an~-SranceAge~cyj430 waimiddotnut------- ---- -------~I--Cei~en-c-~th-----TKs - - --- -i660482i3i-fChe~k------ r----middot---- si87si

- _ __ _ f ___ __ ~ _ __ -ii232013Agriloglc Insu-rancese~~imiddotces---fPo-BO~ 724--middot------------ ----- middotMou-ndmiddot~idg~--- TK5--------middoti67107-middot------iClmiddoteck-------- bull (--middotmiddotmiddotmiddotmiddot--S75-001 12j232013TBa-rtelmiddotlnsu~a-nce-Agency~-~-i 11-3W GrandA~e- Hillsboro--- --KSmiddot-- -----middoti6io63~--middot--icheck-- ---1- $Ui-75i

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12232013IBeasley Insurance Inc 2336 RidgeCourt Lawrence KS 66046-3983 Check $1875 122320i31 Cla-~e-~el-Gile -Ag~~-~y rpO~Bc~-i3-7 --- K5- --- - middot-middotr66966-0037Tcheck--S1875 1223i013DavfdmiddotJpoweilarldmiddotAsscciates--l687ZmiddotNECoJe6eek-Road EIDo~ado-- -- -IltSmiddot-middot------middot - 167402----middotmiddot --- (Check-- $75001 1ih320i3Midrand~--Manage~en1-- -----Ipo 80--22778 I Oklahoma City---- 01lt----- - i73i23~i Tis Check - --$7500 12f232QI~tPr_~~_~~~I~~-~~=== _ _~=middot~_-I~96I~-=~=~= middotmiddot~~=-~_~===]~a-~-a_~==~middotI~s-middotmiddotmiddotmiddotmiddotmiddot -_ middot---T67~0~~O~~6=Ifhec~middot7500 12232013ServiceMaster Catastrophe 1l632Grandview Road Kansas City )MO 164137- Check $7500 i224i20i3A~e~ican-M-ii-ng -Isu-~ance-- -T3490middotlndepe~--de~-~eDr-middot B-ir~-ingh~~----iAl-- - ---135209~ middot------kheck $7500 122420i3~Bo~arcl i~u~a-ceG-roup LLC j6950-SquibbRd-2()O -middot ---middotmiddotMi~simiddoto -- KS- --- - --- ~6620i- middot __ --Check - si875 i

12242013Th-e Republic Group----- -----Ti106]-O-South-Memorial Dr Tulsa ---- --74133~-- -Check$7500 12242013Tozierpl~klitaYmiddotHoushJones---iPO-Bo~7787--- ---oe~-Iand Park KS 66207- -- iCheck -$i87s

- bullbullbullbull wmiddot bullbull bull __W __w bull ------------ bullbull --t------ - --_ ---------- - --- --- ___ ~ ---- __ __ __ _ _ _ _ - - 12282013jADM Crop Risk Services 161261736 Rd Sterling iNE 168443- Check $7500 __ bullbullbull _ __ _ _ __bullbull _ bull __ __ __ _ __bull __ _ bullbull ~-- w __ _ _ bull __ w __ _ __ bullbull

i 12282013C D Schulte Agency Inc iPO Box306 Garnett iKS 166032-0306 Check $7500

12282013iCharles W Schlatter Inc jPO Box 25613 iOverland Park KS 166225- iCheck $1875 i --i22i2013iCor~e--~i-al Risk Asso~i~tes- fi35- O~-kSt---- ---- -- ---Bon-nerSpmiddot~ings-TKS-- --- middot----middot----1660iii026ichmiddote~k --- - $75091w

12h82013Co~ra-S~--I~~J~a~ce-ser~ices--- 113095 S-Mu~~LenRd Ste 100 Olathe--- -------K5-- -- --------166062~ ------Ch-e-ck ----- --- ---- $75-001 122Sl2013C~etcher-HeaitlancjLipound- middot----T4S-siwestioith-St-3d-Floo~ Toverl~nd Paik--TKS-- middotmiddot- middot166207--- iCheck----- si87s1

~i~~~~6Hf~~~l~~~~~f-~g~~poundy ---bull~~ ~I--f~~~=-middot~middotmiddot=--middotmiddot-middot=middotmiddot~middot~middot--- jt~~t~-e~~M is~i~~-i~~middot~middot--- ~middot__middot middot__- I~~~~~~0046-middot middotmiddotmiddotmiddoti~~-~~~-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middot middotmiddotmiddotmiddotmiddot ~ ~~61 12282013iproAg _ - 16111 W 150thT-e~-~ace--- ----oiil-the-----[KS------middot--166062- TCheck-middotmiddot-S7500

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12282013Rural Community Insurance 12114 WTimbercreek Court 1Wichita iKS 167204- iCheck $7500127282013-iSafe~olnsu-ancemiddotCompany--middot -i870()lndi-~nCmiddot~eek-pa-rk~aymiddot- - o~elarlXPmiddotil~k---TKS-- -------middot--middot66210----- --Che~k- ----- ----- bull--- $7scio

__ ___ _ bull ~ _ __ ltA __ _ bull_ ~ _ ~ bullbullbull __bull __ _ bull ~~ bull~ ~r-- _-__~_ bull_- -_~__ _bull __ ---~~ bull ~1 __ __ _~ ___bull__ ~_~_~~bull - y_bull_~_~ __bullbull ~- ~___ -_ __- _ - _~ __ bull __bull ~ _ middot~_middotmiddot_middot~ cmiddotmiddotmiddot _ ~~- ~ - - ~ -~

12282013iWhitehead Insurance LLC5112 E Central WichitajKS 67208~ Check $1875 12i2~12g_yh~ii~~~~~Jn-~~ii~~e~~~===~]~Ilt~-~ti~- ~=_--~==-_-=~ j-vY~~i~~=-~=_-middot- TKS-- ----__==J6720_8~~_~_-Ich~~Emiddot==~ ~=~_= I-~_ __ $isjs

_1L2~Ql sectr~a ~1~l1s~gel1cy~ LLC_J~g_~9x_2 Bushton __ __ __167~~- ~c~_e_~~ J _$7500

14

12292013i)anosik Inc 2300 SW 29th St~eetS~ite1(l1 iTopeka----middotmiddot KSmiddotmiddotmiddot---middotmiddotmiddotmiddotmiddotmiddot 166611-1734 Check-middotmiddot r $7500 _ bullbullbullbullbullbullbull bull -- bullbullbull_ bullbullbullbull bull_bullbullbullbullbullbullbull- bullbullbullbullbull- bullbullbullbullbullbullbullbull_-bullbull bullbullbullbullbullbullbull - _- bullbullbullbull bullbull-bullbullbullbull- bull- bullbullbull_- _ j - bullbull -

12292013iNorth American SoftwarePO BOX 192 Sauk Centre IMN 56378- Check I $7500 i

~l~~~i~~~f~~~~~~~=~fo~lf~~=~~~~=j~f~=i~=~~=~~ritii~=i~~tit~~~-I~~=~-l~~~ 12302013 jDouble CAgency iPO Box30S iMoline KS 67353-0305 iCheck $1875i i-iii302013IMJHI~u~ance andFinancial-middot-T345N-Moc)nllghimiddotmiddotmiddot middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middot-TGardnermiddotmiddot-middot--middotmiddot- KS ---- --166030=1943 ~Check--middot-middotmiddotmiddot -1- S01875 i bullbull- bull_ bullbull- - i- - -----bullbullbull- bull- - -0 -----0---- --- - _- - ----1 - - - -- ----- --

112302013MJH Insurance and Financial 1345 N Moonlight Gardner iKS 66030-1943 Check I $1875i - ---1 --- - -- --- --~---- -- --- - ---bull- bull-bull - - bull- - bull - bull_ -0 bullbullbull -_ bull- bull middotmiddotmiddotmiddotmiddotr -_-0- bullbullbull-~

bull12302013iMorales Insurance Agency 1239 Central Ave (Kansas City KS (66102-5439 jCheck I $1875Imiddotmiddotmiddotbull 0 - middotmiddotmiddot0 _ ----- - - - ----- -- - - - - - -- -- - _ _ -1middot- - --0 - 123020131 Navrats Office Products 1728 Mechanic St Emporia 1KS 66801- iCheck I $7500 - _ __ ~~ bull__ _ __ __ ~~ __ ~ )__- ___ ____~_ _~ middotmiddot_~__ -bullbull lt __ - -_-_-_~ i-----~~------yen-- lt_ ~~ ~ ___~_lt __~_~ bull __ _ __ lt ~ __ lt __ ~ __ middot_M __ -~- ---- ~-~ -- ---~--~--- - - _-- - _~_ __ __Mmiddot___ shy

-12~ql~~iOI~Rep~blc_~~_r~~i~~JlP~_ 15031~~~~te~-() 1V~~~rgte~ _IA __ iq~sectsect Ch~ck __ _-1 __0__ $7500 12302013 Rodgers and Associates Ins IncjPO Box 249 Phillipsburg i KS 167661- iCheck J $1875 12j30i2oi3Tsulli~a~~s-~~ance I~C--middot-- -1123W~ce~t~aI~-Ste~-A- __- -middot-middot1uiYsse~---middot--JKSmiddot-middotmiddotmiddotmiddotmiddot-middot-middot---J67880~2middot5i9 Check- -- - i 0_- $1875

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15

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12162013Tyner Insurance Group Inc 1226 W Main St Council Grove IKS i66846-0316 iCheck I $6251i1620i3i lJni-teci- Agency-UC --- --- ----- --(fO Scx-sii -~-- ----- ----Ark-an~~s-City--middot -KS -- - ----k7005-0817- Check---- - - -- --I - - -S625 -- ~-- middotmiddot_middotmiddotmiddotmiddot__ middotymiddotmiddotmiddotmiddotmiddot~i-~~-- ~-~--~- --- -~----1--- ~--------~-- -~--- -~ --- --~- --- -- ~ -~ ----yen --~Yyenyen~--- - l_ -~ -~~--_yen --~--~--~~ - - _ __~ j12162013Walrod Insurance Services PO Box 2 Elkhart jKS 67950-0002 lCheck - $625I

-- --- -_yenV-yen -__bull_~----__------- middot----middot-middot-------~T~---~v-~-- ~middot-yenmiddotmiddot_~-middot-lt-middot7-middot--middot-----middot--~t~- ~-~-----_- ----- --yeni---~- -----i-A-------~--~__1-~-- ~-~~----~ --i-----~~-- - --- --12182013 Meadowbrook Insurance Group 11880 College Blvd SUite 500 iOverland Park KS 166210- Check i $7500----- - --- ----------- _- _ ___~-~- --- -------i~--- --~---- -~-~- -I__~~ bull- -middot---t-~-middot -______ _- -~~~ __ ~__ - __ __ middot bull __~_ middot_v__ ~_~ r--~-----~--~- ~v~ ~ __~_gt __ ~ ~ __ v_middot_~ middot_~

12192013iNational American Insurance CoiPO Box 9 iChandler 10K 174834- Check I $75001 G21191QI3Irhell~_~~~~ampi~~Y_middot~~~middot~middot-_=~l~Ci~~~~_2i=---middotmiddot==- ===middot=~=~~_~~_~n--_===_-=K=_-=-middot~middot bull =-J~sect-Qsecti~QIi~IcentE~~-=_=_=-=-~]==_middot=-middot bullbull$i~~ 12202013 IPFS Corporation 1301 W11th St 4th Floor iKansas City iMO 164105-2289 ICheck i $7500- -- -- ----------~~---- -- ------ -- ---middot-middotl----------middotmiddot- ------ --- ----- r--------- --- ---- - ------------- ------ -------- -1-----middot -middot--- ------- -middot----1middot---middotmiddot -- - -- ----

12202013) Midwes Insura~c~ Ag~ncy PO Box 29319 ILincoln NE 168529- lCheck $75001 12202013iNilso~-Associates Inc -- -i-68-11 Sha~nee Missi~n parkway----ISmiddoti-a~~eeMissi~nrKS--- ----- -1 662~2~-- - ---1 Ch~k--- ---1middot----$75001 12202013(The Chilp~an~-SranceAge~cyj430 waimiddotnut------- ---- -------~I--Cei~en-c-~th-----TKs - - --- -i660482i3i-fChe~k------ r----middot---- si87si

- _ __ _ f ___ __ ~ _ __ -ii232013Agriloglc Insu-rancese~~imiddotces---fPo-BO~ 724--middot------------ ----- middotMou-ndmiddot~idg~--- TK5--------middoti67107-middot------iClmiddoteck-------- bull (--middotmiddotmiddotmiddotmiddot--S75-001 12j232013TBa-rtelmiddotlnsu~a-nce-Agency~-~-i 11-3W GrandA~e- Hillsboro--- --KSmiddot-- -----middoti6io63~--middot--icheck-- ---1- $Ui-75i

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12232013IBeasley Insurance Inc 2336 RidgeCourt Lawrence KS 66046-3983 Check $1875 122320i31 Cla-~e-~el-Gile -Ag~~-~y rpO~Bc~-i3-7 --- K5- --- - middot-middotr66966-0037Tcheck--S1875 1223i013DavfdmiddotJpoweilarldmiddotAsscciates--l687ZmiddotNECoJe6eek-Road EIDo~ado-- -- -IltSmiddot-middot------middot - 167402----middotmiddot --- (Check-- $75001 1ih320i3Midrand~--Manage~en1-- -----Ipo 80--22778 I Oklahoma City---- 01lt----- - i73i23~i Tis Check - --$7500 12f232QI~tPr_~~_~~~I~~-~~=== _ _~=middot~_-I~96I~-=~=~= middotmiddot~~=-~_~===]~a-~-a_~==~middotI~s-middotmiddotmiddotmiddotmiddotmiddot -_ middot---T67~0~~O~~6=Ifhec~middot7500 12232013ServiceMaster Catastrophe 1l632Grandview Road Kansas City )MO 164137- Check $7500 i224i20i3A~e~ican-M-ii-ng -Isu-~ance-- -T3490middotlndepe~--de~-~eDr-middot B-ir~-ingh~~----iAl-- - ---135209~ middot------kheck $7500 122420i3~Bo~arcl i~u~a-ceG-roup LLC j6950-SquibbRd-2()O -middot ---middotmiddotMi~simiddoto -- KS- --- - --- ~6620i- middot __ --Check - si875 i

12242013Th-e Republic Group----- -----Ti106]-O-South-Memorial Dr Tulsa ---- --74133~-- -Check$7500 12242013Tozierpl~klitaYmiddotHoushJones---iPO-Bo~7787--- ---oe~-Iand Park KS 66207- -- iCheck -$i87s

- bullbullbullbull wmiddot bullbull bull __W __w bull ------------ bullbull --t------ - --_ ---------- - --- --- ___ ~ ---- __ __ __ _ _ _ _ - - 12282013jADM Crop Risk Services 161261736 Rd Sterling iNE 168443- Check $7500 __ bullbullbull _ __ _ _ __bullbull _ bull __ __ __ _ __bull __ _ bullbull ~-- w __ _ _ bull __ w __ _ __ bullbull

i 12282013C D Schulte Agency Inc iPO Box306 Garnett iKS 166032-0306 Check $7500

12282013iCharles W Schlatter Inc jPO Box 25613 iOverland Park KS 166225- iCheck $1875 i --i22i2013iCor~e--~i-al Risk Asso~i~tes- fi35- O~-kSt---- ---- -- ---Bon-nerSpmiddot~ings-TKS-- --- middot----middot----1660iii026ichmiddote~k --- - $75091w

12h82013Co~ra-S~--I~~J~a~ce-ser~ices--- 113095 S-Mu~~LenRd Ste 100 Olathe--- -------K5-- -- --------166062~ ------Ch-e-ck ----- --- ---- $75-001 122Sl2013C~etcher-HeaitlancjLipound- middot----T4S-siwestioith-St-3d-Floo~ Toverl~nd Paik--TKS-- middotmiddot- middot166207--- iCheck----- si87s1

~i~~~~6Hf~~~l~~~~~f-~g~~poundy ---bull~~ ~I--f~~~=-middot~middotmiddot=--middotmiddot-middot=middotmiddot~middot~middot--- jt~~t~-e~~M is~i~~-i~~middot~middot--- ~middot__middot middot__- I~~~~~~0046-middot middotmiddotmiddotmiddoti~~-~~~-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middot middotmiddotmiddotmiddotmiddot ~ ~~61 12282013iproAg _ - 16111 W 150thT-e~-~ace--- ----oiil-the-----[KS------middot--166062- TCheck-middotmiddot-S7500

_ __ _ _ _ - bullbull bullbullbull_~ ___vmiddot ___ ~ _ ~~ __ __ __~~__ _ _ _ _ bull _ ~VO -__ _bullbull -gt__ _ ~ _____bull - bullbulll ~~ _ --middot ---middoti ___w _middot_ middot_ _ _ -_ __ ~ _ _ ~ _wbullbullbull

12282013Rural Community Insurance 12114 WTimbercreek Court 1Wichita iKS 167204- iCheck $7500127282013-iSafe~olnsu-ancemiddotCompany--middot -i870()lndi-~nCmiddot~eek-pa-rk~aymiddot- - o~elarlXPmiddotil~k---TKS-- -------middot--middot66210----- --Che~k- ----- ----- bull--- $7scio

__ ___ _ bull ~ _ __ ltA __ _ bull_ ~ _ ~ bullbullbull __bull __ _ bull ~~ bull~ ~r-- _-__~_ bull_- -_~__ _bull __ ---~~ bull ~1 __ __ _~ ___bull__ ~_~_~~bull - y_bull_~_~ __bullbull ~- ~___ -_ __- _ - _~ __ bull __bull ~ _ middot~_middotmiddot_middot~ cmiddotmiddotmiddot _ ~~- ~ - - ~ -~

12282013iWhitehead Insurance LLC5112 E Central WichitajKS 67208~ Check $1875 12i2~12g_yh~ii~~~~~Jn-~~ii~~e~~~===~]~Ilt~-~ti~- ~=_--~==-_-=~ j-vY~~i~~=-~=_-middot- TKS-- ----__==J6720_8~~_~_-Ich~~Emiddot==~ ~=~_= I-~_ __ $isjs

_1L2~Ql sectr~a ~1~l1s~gel1cy~ LLC_J~g_~9x_2 Bushton __ __ __167~~- ~c~_e_~~ J _$7500

14

12292013i)anosik Inc 2300 SW 29th St~eetS~ite1(l1 iTopeka----middotmiddot KSmiddotmiddotmiddot---middotmiddotmiddotmiddotmiddotmiddot 166611-1734 Check-middotmiddot r $7500 _ bullbullbullbullbullbullbull bull -- bullbullbull_ bullbullbullbull bull_bullbullbullbullbullbullbull- bullbullbullbullbull- bullbullbullbullbullbullbullbull_-bullbull bullbullbullbullbullbullbull - _- bullbullbullbull bullbull-bullbullbullbull- bull- bullbullbull_- _ j - bullbull -

12292013iNorth American SoftwarePO BOX 192 Sauk Centre IMN 56378- Check I $7500 i

~l~~~i~~~f~~~~~~~=~fo~lf~~=~~~~=j~f~=i~=~~=~~ritii~=i~~tit~~~-I~~=~-l~~~ 12302013 jDouble CAgency iPO Box30S iMoline KS 67353-0305 iCheck $1875i i-iii302013IMJHI~u~ance andFinancial-middot-T345N-Moc)nllghimiddotmiddotmiddot middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middot-TGardnermiddotmiddot-middot--middotmiddot- KS ---- --166030=1943 ~Check--middot-middotmiddotmiddot -1- S01875 i bullbull- bull_ bullbull- - i- - -----bullbullbull- bull- - -0 -----0---- --- - _- - ----1 - - - -- ----- --

112302013MJH Insurance and Financial 1345 N Moonlight Gardner iKS 66030-1943 Check I $1875i - ---1 --- - -- --- --~---- -- --- - ---bull- bull-bull - - bull- - bull - bull_ -0 bullbullbull -_ bull- bull middotmiddotmiddotmiddotmiddotr -_-0- bullbullbull-~

bull12302013iMorales Insurance Agency 1239 Central Ave (Kansas City KS (66102-5439 jCheck I $1875Imiddotmiddotmiddotbull 0 - middotmiddotmiddot0 _ ----- - - - ----- -- - - - - - -- -- - _ _ -1middot- - --0 - 123020131 Navrats Office Products 1728 Mechanic St Emporia 1KS 66801- iCheck I $7500 - _ __ ~~ bull__ _ __ __ ~~ __ ~ )__- ___ ____~_ _~ middotmiddot_~__ -bullbull lt __ - -_-_-_~ i-----~~------yen-- lt_ ~~ ~ ___~_lt __~_~ bull __ _ __ lt ~ __ lt __ ~ __ middot_M __ -~- ---- ~-~ -- ---~--~--- - - _-- - _~_ __ __Mmiddot___ shy

-12~ql~~iOI~Rep~blc_~~_r~~i~~JlP~_ 15031~~~~te~-() 1V~~~rgte~ _IA __ iq~sectsect Ch~ck __ _-1 __0__ $7500 12302013 Rodgers and Associates Ins IncjPO Box 249 Phillipsburg i KS 167661- iCheck J $1875 12j30i2oi3Tsulli~a~~s-~~ance I~C--middot-- -1123W~ce~t~aI~-Ste~-A- __- -middot-middot1uiYsse~---middot--JKSmiddot-middotmiddotmiddotmiddotmiddot-middot-middot---J67880~2middot5i9 Check- -- - i 0_- $1875

middotgj~~~~~~I~fr~~~~~1~~~~~~~~~~-_~1~~0~~7c~~i~~~~~~~imiddot bull_~middotmiddot_middot~ft~t~~=middot=~ bull ~f~=middot-middot~~J~~~~~ bull_~~~~ -__ ~ bullbullbullbull ~I~~j~i Total $2443000

15

12292013i)anosik Inc 2300 SW 29th St~eetS~ite1(l1 iTopeka----middotmiddot KSmiddotmiddotmiddot---middotmiddotmiddotmiddotmiddotmiddot 166611-1734 Check-middotmiddot r $7500 _ bullbullbullbullbullbullbull bull -- bullbullbull_ bullbullbullbull bull_bullbullbullbullbullbullbull- bullbullbullbullbull- bullbullbullbullbullbullbullbull_-bullbull bullbullbullbullbullbullbull - _- bullbullbullbull bullbull-bullbullbullbull- bull- bullbullbull_- _ j - bullbull -

12292013iNorth American SoftwarePO BOX 192 Sauk Centre IMN 56378- Check I $7500 i

~l~~~i~~~f~~~~~~~=~fo~lf~~=~~~~=j~f~=i~=~~=~~ritii~=i~~tit~~~-I~~=~-l~~~ 12302013 jDouble CAgency iPO Box30S iMoline KS 67353-0305 iCheck $1875i i-iii302013IMJHI~u~ance andFinancial-middot-T345N-Moc)nllghimiddotmiddotmiddot middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middot-TGardnermiddotmiddot-middot--middotmiddot- KS ---- --166030=1943 ~Check--middot-middotmiddotmiddot -1- S01875 i bullbull- bull_ bullbull- - i- - -----bullbullbull- bull- - -0 -----0---- --- - _- - ----1 - - - -- ----- --

112302013MJH Insurance and Financial 1345 N Moonlight Gardner iKS 66030-1943 Check I $1875i - ---1 --- - -- --- --~---- -- --- - ---bull- bull-bull - - bull- - bull - bull_ -0 bullbullbull -_ bull- bull middotmiddotmiddotmiddotmiddotr -_-0- bullbullbull-~

bull12302013iMorales Insurance Agency 1239 Central Ave (Kansas City KS (66102-5439 jCheck I $1875Imiddotmiddotmiddotbull 0 - middotmiddotmiddot0 _ ----- - - - ----- -- - - - - - -- -- - _ _ -1middot- - --0 - 123020131 Navrats Office Products 1728 Mechanic St Emporia 1KS 66801- iCheck I $7500 - _ __ ~~ bull__ _ __ __ ~~ __ ~ )__- ___ ____~_ _~ middotmiddot_~__ -bullbull lt __ - -_-_-_~ i-----~~------yen-- lt_ ~~ ~ ___~_lt __~_~ bull __ _ __ lt ~ __ lt __ ~ __ middot_M __ -~- ---- ~-~ -- ---~--~--- - - _-- - _~_ __ __Mmiddot___ shy

-12~ql~~iOI~Rep~blc_~~_r~~i~~JlP~_ 15031~~~~te~-() 1V~~~rgte~ _IA __ iq~sectsect Ch~ck __ _-1 __0__ $7500 12302013 Rodgers and Associates Ins IncjPO Box 249 Phillipsburg i KS 167661- iCheck J $1875 12j30i2oi3Tsulli~a~~s-~~ance I~C--middot-- -1123W~ce~t~aI~-Ste~-A- __- -middot-middot1uiYsse~---middot--JKSmiddot-middotmiddotmiddotmiddotmiddot-middot-middot---J67880~2middot5i9 Check- -- - i 0_- $1875

middotgj~~~~~~I~fr~~~~~1~~~~~~~~~~-_~1~~0~~7c~~i~~~~~~~imiddot bull_~middotmiddot_middot~ft~t~~=middot=~ bull ~f~=middot-middot~~J~~~~~ bull_~~~~ -__ ~ bullbullbullbull ~I~~j~i Total $2443000

15

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

031213 DEMOCRATIC HOUSE CAMPAIGN COMMITTEE

DONATION $50000

072413 SCHMIDT FOR ATTORNEY PO BOX 804 INDEPENDENCE KS 67301-0604

DONATION $25000

101013 ROB OLSON FOR SENATE 15944 S CLAIRBORNE STREET OLATHE KS 66062

DONATION $50000

101013 IEFF LONGBINE FOR SENATE 2801 LAKERIDGE RD EMPORIA KS 66801

DONATION $50000

101013 SUSAN WAGLE 4 N SAGEBRUSH ST WICHITA KS 67230

DONATION $50000

101013 JEFF KING 1212 N SECOND ST INDEPENDENCE KS 67301

DONATION $50000

101013 RAY MERRICK FOR HOUSE 6874 W 164TH TERR STILWELL KS 66085

DONATION $50000

101013 ANTHONY HENSLEY 2226 SE VIRGINA AVENUE TOPEKA KS 66605

DONATION $50000

101013 PHIL HERMANSON 5338 S MOSLEY WICHITA KS 67216

DONATION $25000

FRIENDS OF JENE VICKREY 101013 502 S COUNTRYSIDE AVE

LOUISBERG KS 66053

lc -

Subtotal This Page

DONATION

$25000

$425000

~

Page __of5

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

101013 PEGGY MAST FOR HOUSE 765 ROAD 110 EMPORIA KS 66801

DONATION $25000

101013

101013

MARVIN KLEEB FOR STATE REP 14206 EBY STREET OVERLAND PARK KS 66221

GENE M SUELLENTROP FOR 6813 W NORTHWIND CIR WICHITA KS 67205

DONATION

DONATION

$25000

$25000

101013

101013

101013

101013

STEVE BRUNK FOR HOUSE 8119 CHAMPIONS CT WICHITA KS 67226

J STEPHEN ALFORD FOR 4179 E ROAD 19 ULYSSES KS 67880

MARY PILCHER-COOK 13910 W 58TH PL SHAWNEE KS 66216

ELAINE S BOWERS 1326 N 150TH RD CONCORDIA KS 66901

DONATION

DONATION

DONATION

DONATION

$25000

$25000

$25000

$25000

101013

101013

JULIA LYNN 18837 W 115TH TERR OLATHE KS 66061

DON HILL FOR HOUSE 1720 LUTHER ST EMPORIA KS 66801

DONATION

DONATION

$25000

$25000

101013 BLAINE FINCH FOR HOUSE 5 SW FAIRVIEW DR OTTAWA KS 66067

DONATION $25000

101013 KYLE HOFFMAN FOR HOUSE 1318 AVENUE T COLDWATER KS 67029

co lt

Subtot This Page

DONATION

$25000

$275000

page20f ~

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

J DAVID CRUM FOR HOUSE 2903 LAKE SHORE DR AUGUSTA KS 67010

Purpose of Expenditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

101013 DONATION

$25000

101013 MARK HUnON FOR HOUSE 7118 W CLEARMEADOW COURT WICHITA KS 67205

DONATION $25000

101013 VICKI L SCHMIDT 5906 SW 43RD CT TOPEKA KS 66610

DONATION $25000

101013 BARBARA BOLLIER FOR HOUSE 6910 OVERHILL RD MISSION HILLS KS 66208-2769

DONATION $25000

101013 JAY EMLER FOR SENATE 1457 SHAWNEE RD LINDSBORG KS 67456

DONATION $25000

101013 GAIL FINNEY FOR HOUSE 1754 N MADISON AVENUE WICHITA KS 67214

DONATION $25000

101013 STAN FROWNFELTER 4527 GIBBS ROAD KANSAS CITY KS 66106

DONATION $25000

101013 TOM HOLLDAND FOR SENATE 961 E 1600 ROAD BALDWIN CITY KS 66006

DONATION $25000

101013 KS REPUBLICAN HOUSE 14512 HORTON OVERLAND PARK KS 66223

DONATION $50000

101013 LAURA KELLY FOR KANSAS 234 SW GREENWOOD AVE TOPEKA KS 66606

DONATION $25000

101013 TOM HAWK FOR KANSAS 2600 WOODHAVHJ COURT MANHATTAN KS 66502

DONATION $50000

Subtotal This Page $325000

page20f ~

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

KANSANS FOR A DEMOCRATIC HOUSE

KANSANS FOR A DEMOCRATIC HOUSE

DAN KERSCHEN 645 S 263 W GARDEN PLAIN KS 67050

Purpose of Expenditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

110713 DONATION

$50000

110713 DONATION

$25000

110713 DONATION

$25000

110713 JACOB LATURNER 204 E EUCLID ST PITTSBURG KS 66762

DONATION $25000

110713 KANSAS REPUBLICAN SENATORIAL COMMITIEE

DONATION $100000

120213 THE SENATE DEMOCRATS PO BOX 1811 TOPEKA KS 66601

DONATION $100000

120213 GARRETI LOVE FOR SENATE PO BOX 1 MONTEZUMA KS 67867

DONATION $25000

120213 Gossage for Insurance 4920 LEGENDS DR SUITE 3 LAWRENCE KS 66049

DONATION $50000

120213 Shultz for Insurance Commissioner PO BOX 731 MCPHERSON KS 67460

DONATION $50000

120413 Powell for Insurance PO BOX 47445 WICHITA KS 67201

DONATION $50000

120413 SELZER FOR INSURANCE 7113 W 135TH STREET 353 OVERLAND PARK KS 66223

DONATION $50000

c gt f

SUbt~talThisPage

$550000

1 (~ Page _v_ of2

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

122413 Dennis Anderson for Insurance PO Box 26482 Overland Park KS 66225

061813 KAlA 815 SW Topeka Blvd Topeka KS 66612

111913 INTUIT - QUICKBOOKS

061813 GOVERNMENTAL ETHICS 109 W 9TH ST SUITE 504 TOPEKA KS 66612

061413 DOUTHETI amp CO CPA PA 1100 SW WANAMAKER RD 102 TOPEKA KS 66604

083113 TOPEKA BLUE PRINT 608 JACKSON TOPEKA KS 66603

083113 CHECK 0 MATIC

lt)~gtil)) n ij I i~is~~g~i

Complete if last page of Schedule c

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

DONATION $50000

Reimbursement for SEH mobile expense $74895

OFFICE SUPPLIES - CHECK ORDER $25130

ANNUAL REGISTRATIOIJ $24000

ACCOUNTING FEES $85000

PRINTING $2833

PRINTING SUPPLIES $15716

lt lt $277574

Total Itemized Expenditures This Period $1852574

Total Unitemized Expenditures of$50 or less bullbull bull i middoti H

rOT~~EXPENDI1lJRESamp OnlER DISBURSEMENTS THIS PERIOD (to line 4 ofSummary)

$1852574

page~ of5

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

101013 PEGGY MAST FOR HOUSE 765 ROAD 110 EMPORIA KS 66801

DONATION $25000

101013

101013

MARVIN KLEEB FOR STATE REP 14206 EBY STREET OVERLAND PARK KS 66221

GENE M SUELLENTROP FOR 6813 W NORTHWIND CIR WICHITA KS 67205

DONATION

DONATION

$25000

$25000

101013

101013

101013

101013

STEVE BRUNK FOR HOUSE 8119 CHAMPIONS CT WICHITA KS 67226

J STEPHEN ALFORD FOR 4179 E ROAD 19 ULYSSES KS 67880

MARY PILCHER-COOK 13910 W 58TH PL SHAWNEE KS 66216

ELAINE S BOWERS 1326 N 150TH RD CONCORDIA KS 66901

DONATION

DONATION

DONATION

DONATION

$25000

$25000

$25000

$25000

101013

101013

JULIA LYNN 18837 W 115TH TERR OLATHE KS 66061

DON HILL FOR HOUSE 1720 LUTHER ST EMPORIA KS 66801

DONATION

DONATION

$25000

$25000

101013 BLAINE FINCH FOR HOUSE 5 SW FAIRVIEW DR OTTAWA KS 66067

DONATION $25000

101013 KYLE HOFFMAN FOR HOUSE 1318 AVENUE T COLDWATER KS 67029

co lt

Subtot This Page

DONATION

$25000

$275000

page20f ~

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

J DAVID CRUM FOR HOUSE 2903 LAKE SHORE DR AUGUSTA KS 67010

Purpose of Expenditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

101013 DONATION

$25000

101013 MARK HUnON FOR HOUSE 7118 W CLEARMEADOW COURT WICHITA KS 67205

DONATION $25000

101013 VICKI L SCHMIDT 5906 SW 43RD CT TOPEKA KS 66610

DONATION $25000

101013 BARBARA BOLLIER FOR HOUSE 6910 OVERHILL RD MISSION HILLS KS 66208-2769

DONATION $25000

101013 JAY EMLER FOR SENATE 1457 SHAWNEE RD LINDSBORG KS 67456

DONATION $25000

101013 GAIL FINNEY FOR HOUSE 1754 N MADISON AVENUE WICHITA KS 67214

DONATION $25000

101013 STAN FROWNFELTER 4527 GIBBS ROAD KANSAS CITY KS 66106

DONATION $25000

101013 TOM HOLLDAND FOR SENATE 961 E 1600 ROAD BALDWIN CITY KS 66006

DONATION $25000

101013 KS REPUBLICAN HOUSE 14512 HORTON OVERLAND PARK KS 66223

DONATION $50000

101013 LAURA KELLY FOR KANSAS 234 SW GREENWOOD AVE TOPEKA KS 66606

DONATION $25000

101013 TOM HAWK FOR KANSAS 2600 WOODHAVHJ COURT MANHATTAN KS 66502

DONATION $50000

Subtotal This Page $325000

page20f ~

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

KANSANS FOR A DEMOCRATIC HOUSE

KANSANS FOR A DEMOCRATIC HOUSE

DAN KERSCHEN 645 S 263 W GARDEN PLAIN KS 67050

Purpose of Expenditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

110713 DONATION

$50000

110713 DONATION

$25000

110713 DONATION

$25000

110713 JACOB LATURNER 204 E EUCLID ST PITTSBURG KS 66762

DONATION $25000

110713 KANSAS REPUBLICAN SENATORIAL COMMITIEE

DONATION $100000

120213 THE SENATE DEMOCRATS PO BOX 1811 TOPEKA KS 66601

DONATION $100000

120213 GARRETI LOVE FOR SENATE PO BOX 1 MONTEZUMA KS 67867

DONATION $25000

120213 Gossage for Insurance 4920 LEGENDS DR SUITE 3 LAWRENCE KS 66049

DONATION $50000

120213 Shultz for Insurance Commissioner PO BOX 731 MCPHERSON KS 67460

DONATION $50000

120413 Powell for Insurance PO BOX 47445 WICHITA KS 67201

DONATION $50000

120413 SELZER FOR INSURANCE 7113 W 135TH STREET 353 OVERLAND PARK KS 66223

DONATION $50000

c gt f

SUbt~talThisPage

$550000

1 (~ Page _v_ of2

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

122413 Dennis Anderson for Insurance PO Box 26482 Overland Park KS 66225

061813 KAlA 815 SW Topeka Blvd Topeka KS 66612

111913 INTUIT - QUICKBOOKS

061813 GOVERNMENTAL ETHICS 109 W 9TH ST SUITE 504 TOPEKA KS 66612

061413 DOUTHETI amp CO CPA PA 1100 SW WANAMAKER RD 102 TOPEKA KS 66604

083113 TOPEKA BLUE PRINT 608 JACKSON TOPEKA KS 66603

083113 CHECK 0 MATIC

lt)~gtil)) n ij I i~is~~g~i

Complete if last page of Schedule c

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

DONATION $50000

Reimbursement for SEH mobile expense $74895

OFFICE SUPPLIES - CHECK ORDER $25130

ANNUAL REGISTRATIOIJ $24000

ACCOUNTING FEES $85000

PRINTING $2833

PRINTING SUPPLIES $15716

lt lt $277574

Total Itemized Expenditures This Period $1852574

Total Unitemized Expenditures of$50 or less bullbull bull i middoti H

rOT~~EXPENDI1lJRESamp OnlER DISBURSEMENTS THIS PERIOD (to line 4 ofSummary)

$1852574

page~ of5

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

J DAVID CRUM FOR HOUSE 2903 LAKE SHORE DR AUGUSTA KS 67010

Purpose of Expenditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

101013 DONATION

$25000

101013 MARK HUnON FOR HOUSE 7118 W CLEARMEADOW COURT WICHITA KS 67205

DONATION $25000

101013 VICKI L SCHMIDT 5906 SW 43RD CT TOPEKA KS 66610

DONATION $25000

101013 BARBARA BOLLIER FOR HOUSE 6910 OVERHILL RD MISSION HILLS KS 66208-2769

DONATION $25000

101013 JAY EMLER FOR SENATE 1457 SHAWNEE RD LINDSBORG KS 67456

DONATION $25000

101013 GAIL FINNEY FOR HOUSE 1754 N MADISON AVENUE WICHITA KS 67214

DONATION $25000

101013 STAN FROWNFELTER 4527 GIBBS ROAD KANSAS CITY KS 66106

DONATION $25000

101013 TOM HOLLDAND FOR SENATE 961 E 1600 ROAD BALDWIN CITY KS 66006

DONATION $25000

101013 KS REPUBLICAN HOUSE 14512 HORTON OVERLAND PARK KS 66223

DONATION $50000

101013 LAURA KELLY FOR KANSAS 234 SW GREENWOOD AVE TOPEKA KS 66606

DONATION $25000

101013 TOM HAWK FOR KANSAS 2600 WOODHAVHJ COURT MANHATTAN KS 66502

DONATION $50000

Subtotal This Page $325000

page20f ~

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

KANSANS FOR A DEMOCRATIC HOUSE

KANSANS FOR A DEMOCRATIC HOUSE

DAN KERSCHEN 645 S 263 W GARDEN PLAIN KS 67050

Purpose of Expenditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

110713 DONATION

$50000

110713 DONATION

$25000

110713 DONATION

$25000

110713 JACOB LATURNER 204 E EUCLID ST PITTSBURG KS 66762

DONATION $25000

110713 KANSAS REPUBLICAN SENATORIAL COMMITIEE

DONATION $100000

120213 THE SENATE DEMOCRATS PO BOX 1811 TOPEKA KS 66601

DONATION $100000

120213 GARRETI LOVE FOR SENATE PO BOX 1 MONTEZUMA KS 67867

DONATION $25000

120213 Gossage for Insurance 4920 LEGENDS DR SUITE 3 LAWRENCE KS 66049

DONATION $50000

120213 Shultz for Insurance Commissioner PO BOX 731 MCPHERSON KS 67460

DONATION $50000

120413 Powell for Insurance PO BOX 47445 WICHITA KS 67201

DONATION $50000

120413 SELZER FOR INSURANCE 7113 W 135TH STREET 353 OVERLAND PARK KS 66223

DONATION $50000

c gt f

SUbt~talThisPage

$550000

1 (~ Page _v_ of2

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

122413 Dennis Anderson for Insurance PO Box 26482 Overland Park KS 66225

061813 KAlA 815 SW Topeka Blvd Topeka KS 66612

111913 INTUIT - QUICKBOOKS

061813 GOVERNMENTAL ETHICS 109 W 9TH ST SUITE 504 TOPEKA KS 66612

061413 DOUTHETI amp CO CPA PA 1100 SW WANAMAKER RD 102 TOPEKA KS 66604

083113 TOPEKA BLUE PRINT 608 JACKSON TOPEKA KS 66603

083113 CHECK 0 MATIC

lt)~gtil)) n ij I i~is~~g~i

Complete if last page of Schedule c

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

DONATION $50000

Reimbursement for SEH mobile expense $74895

OFFICE SUPPLIES - CHECK ORDER $25130

ANNUAL REGISTRATIOIJ $24000

ACCOUNTING FEES $85000

PRINTING $2833

PRINTING SUPPLIES $15716

lt lt $277574

Total Itemized Expenditures This Period $1852574

Total Unitemized Expenditures of$50 or less bullbull bull i middoti H

rOT~~EXPENDI1lJRESamp OnlER DISBURSEMENTS THIS PERIOD (to line 4 ofSummary)

$1852574

page~ of5

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

KANSANS FOR A DEMOCRATIC HOUSE

KANSANS FOR A DEMOCRATIC HOUSE

DAN KERSCHEN 645 S 263 W GARDEN PLAIN KS 67050

Purpose of Expenditure Amount

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

110713 DONATION

$50000

110713 DONATION

$25000

110713 DONATION

$25000

110713 JACOB LATURNER 204 E EUCLID ST PITTSBURG KS 66762

DONATION $25000

110713 KANSAS REPUBLICAN SENATORIAL COMMITIEE

DONATION $100000

120213 THE SENATE DEMOCRATS PO BOX 1811 TOPEKA KS 66601

DONATION $100000

120213 GARRETI LOVE FOR SENATE PO BOX 1 MONTEZUMA KS 67867

DONATION $25000

120213 Gossage for Insurance 4920 LEGENDS DR SUITE 3 LAWRENCE KS 66049

DONATION $50000

120213 Shultz for Insurance Commissioner PO BOX 731 MCPHERSON KS 67460

DONATION $50000

120413 Powell for Insurance PO BOX 47445 WICHITA KS 67201

DONATION $50000

120413 SELZER FOR INSURANCE 7113 W 135TH STREET 353 OVERLAND PARK KS 66223

DONATION $50000

c gt f

SUbt~talThisPage

$550000

1 (~ Page _v_ of2

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

122413 Dennis Anderson for Insurance PO Box 26482 Overland Park KS 66225

061813 KAlA 815 SW Topeka Blvd Topeka KS 66612

111913 INTUIT - QUICKBOOKS

061813 GOVERNMENTAL ETHICS 109 W 9TH ST SUITE 504 TOPEKA KS 66612

061413 DOUTHETI amp CO CPA PA 1100 SW WANAMAKER RD 102 TOPEKA KS 66604

083113 TOPEKA BLUE PRINT 608 JACKSON TOPEKA KS 66603

083113 CHECK 0 MATIC

lt)~gtil)) n ij I i~is~~g~i

Complete if last page of Schedule c

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

DONATION $50000

Reimbursement for SEH mobile expense $74895

OFFICE SUPPLIES - CHECK ORDER $25130

ANNUAL REGISTRATIOIJ $24000

ACCOUNTING FEES $85000

PRINTING $2833

PRINTING SUPPLIES $15716

lt lt $277574

Total Itemized Expenditures This Period $1852574

Total Unitemized Expenditures of$50 or less bullbull bull i middoti H

rOT~~EXPENDI1lJRESamp OnlER DISBURSEMENTS THIS PERIOD (to line 4 ofSummary)

$1852574

page~ of5

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(Name of Party Committee or Political Committee)

Date Name and Address

To Whom Expenditure is Made

122413 Dennis Anderson for Insurance PO Box 26482 Overland Park KS 66225

061813 KAlA 815 SW Topeka Blvd Topeka KS 66612

111913 INTUIT - QUICKBOOKS

061813 GOVERNMENTAL ETHICS 109 W 9TH ST SUITE 504 TOPEKA KS 66612

061413 DOUTHETI amp CO CPA PA 1100 SW WANAMAKER RD 102 TOPEKA KS 66604

083113 TOPEKA BLUE PRINT 608 JACKSON TOPEKA KS 66603

083113 CHECK 0 MATIC

lt)~gtil)) n ij I i~is~~g~i

Complete if last page of Schedule c

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

DONATION $50000

Reimbursement for SEH mobile expense $74895

OFFICE SUPPLIES - CHECK ORDER $25130

ANNUAL REGISTRATIOIJ $24000

ACCOUNTING FEES $85000

PRINTING $2833

PRINTING SUPPLIES $15716

lt lt $277574

Total Itemized Expenditures This Period $1852574

Total Unitemized Expenditures of$50 or less bullbull bull i middoti H

rOT~~EXPENDI1lJRESamp OnlER DISBURSEMENTS THIS PERIOD (to line 4 ofSummary)

$1852574

page~ of5