9
01/04/2007 14:45 FAY 785 263 7105 FIRST BANK KS ABILENE @loo1 KANSAS GOVERNMENTAL. ETHICS COMMISSIOY v'r OF A CANDIDATE FOR STATE OFF1 JANUARY 10,2007 JA! %k ' !& FILE WITH SECRETARY OF STATE AND CANDIDATE'S COWTY *L T OFFICER SEE REVERSE SIDE FOR INSTRUCTI~~%~~~ TOPEW bN £3. Check only if appropriate: Amended Filing Termhation Report C. Summary (covering the period from October 27,2006 through December 31,2006) .................... ................................................ 1. Cash on hand at beginning of period .. $9 11. 60 2. Total Contributions and Other Receipts (Use Schedule A) ................... .... ......... 57f5.bb 3. Cash available this period (Add Lines 1 and 2) ....................................................... 453 6 .ko 4. Total Expenditures and Other Disbursements (Use Schedule C) ............................ / .,$. 1 a 9,. 57 5. Cash on hand at close of period (Subiract Line 4 Born 3) ..................................... ... (732; 9 & .- / 6. In-Kind Contributions (Use Schedule B) ......... J 5 L) , P 7. Other Transactions (Use Schedule D) ..~bfi.. !(OD, /B .____-- -- 7 / 9 o . c____- ,7670 6 D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my howledge 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," # Signature of Treasurer GEC Foxm Rev, 2001

JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

01/04/2007 14:45 FAY 785 263 7105 FIRST BANK KS ABILENE @loo1

KANSAS GOVERNMENTAL. ETHICS COMMISSIOY v ' r

OF A CANDIDATE FOR STATE OFF1

JANUARY 10,2007

JA! %k '!& FILE WITH SECRETARY OF STATE AND CANDIDATE'S COWTY *L T OFFICER SEE REVERSE SIDE FOR I N S T R U C T I ~ ~ % ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

TOPEW bN

£3. Check only if appropriate: Amended Filing Termhation Report

C. Summary (covering the period from October 27,2006 through December 31,2006)

.................... ................................................ 1. Cash on hand at beginning of period .. $9 1 1 . 6 0 2. Total Contributions and Other Receipts (Use Schedule A) ................... .... ......... 5 7 f 5 . b b 3. Cash available this period (Add Lines 1 and 2) ....................................................... 453 6 . k o 4. Total Expenditures and Other Disbursements (Use Schedule C ) ............................ / .,$. 1 a 9,. 57 5. Cash on hand at close of period (Subiract Line 4 Born 3) ..................................... ... ( 7 3 2 ; 9 &

.- /

6. In-Kind Contributions (Use Schedule B) ......... J 5 L) , P

7. Other Transactions (Use Schedule D) . . ~ b f i . . !(OD, / B .____-- -- 7 / 9 o . c____-

,7670 6

D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my howledge 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,"

#

Signature of Treasurer

GEC Foxm Rev, 2001

Page 2: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

01/04/2007 14:46 FAX 785 263 7105 FIRST BANK KS ABILENE

SCHlEDULE A CONTRIBUTIONS AND OTHlER RECEIPTS

%m .- (Name of Candidate, Party ~om$nRee or Political Committee)

ii- L

Date

&. d'v

11 -2 -4 h a .-

+ -6 I I

- . -

Name and Addreas of Contributor

Occupntion of Individual Giving More Than SlSO

flb~chm- jCpnc . i (/( q-m. &%5c -ah- /

Amount of Cash, Check,

b a n or Other Rcceiyt

Check Appropdatc Box

Cuh b u n Cbark

---- Ofher

Page 3: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

~. ~--~. <it' - -- --

~.. '14': 46 PAX 785 263 7105

FIRST BANK KS ABILENE 141004

SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

?:m /fl" X I£~(Name of Candidate, Party Commi ee or Political Committee)

Date Name and Addressof Contributor

Occupation of IndividualGiving More Than SlSO

CheckI

Amount of

Appropriate Box Cash, Check,:lQaD0r

c..." I Cneek I LD..n I Otber I Oth R. "

t.. er ecetp

ttl aYJ.::o~I5i,. /155 h.. .

t/ c:? SO ,;'IJr7

/J~7v"

ry'~51'D ~>

r/ ~ .d.-,.;;Clv'

cl5tJ L--

c)1'/ Pr~ dfA.?~r- ~- ~

.s ~O

PageLof~

IJ -13 I h;':: \"otti- rot ;,:.;q , lyW I.il

flfI I I I I y

I jv/I J PHrile '

: "I I I } s-{) P--I 1--- 7 -,

r //1 C-K5 }/I/jal 15,h

1/H at./-rQ6 rJ II?

I

)J r :...- / J / f , .

J) -fJ-( I d'J;/ f: jfffC-

I IVI-

I /' <(l/ I 'R-') ,- i- i (1th.J I fJ/I c- I

I c/ ),!

Page 4: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

~J~ 14:46 FAX 785 263 7105

FIRST BANK KS ABILENE

. SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate, Party Committee or Political Committee)

Date Name and Addressor Contributor

OCCQpation of IndividualGiving More Than $150

CbeckAppropriate Box

Cb""k Loan OlhttrCa.h

fdr[WI t.- 'Y-'

/;1 -:J,rDft,

;?T~ r C c¥-r'if L.-dJ:il,-: J k t::cY') Cf::JO- 30:--'ve-eh ,.1:'5 (y 711. 7

B .. [ \ 111v's 115'5~o=t I(ftA I O..L-- h

; JiJ 5 f/J g-L 5~dtJl--- .~ Iy ~ '" /" / -

Co,V1---\.&t ' I\.~ (,9f/ If;!):>-.3 rr.3 t./

~, ,

P}~)"'-',l-, T,'?'''''xl"'"

/'

pileu.7 }],"

f ti '(I -t!JI

Complete if last page of Schedule A

@005

Amount of

Cash, Check,Loan or

Other Receipt

;:.5"0 £-.

JS-o ~

TouuItemized Receipts for Period

ToW UDitt:mizedContributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions Wbe;nConufDutor Not :Known

;E,;;::::"::~~-i!§~:,:.,.,,,,:,::,J~~w.iw;~Wi;~I"""" ~1F~~1Page.-£.. of~

Page 5: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

01/04/2007 14:47 FAX 785 263 7105 FIRST BANK KS ABILENE

SCHEDULE B IN-KIND CONTRIBUTIONS

(Name of Candidzite, Party Committee or Political Committee)

I - - - - -- - -

Nnme, Address and OccupatSon of Contributor

Liet uccupmtion tar those ghlng an in-khd more than 8150

Descrlptioe of Ill-EUnd

Contribution

Vdue of Io-Kind

Clnntrihutinn

Compkets if last page of Schedde B

Page 6: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

01/04/2007 14:40 FAX 785 263 7105 FIRST BANK KS ABILENE

/ SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

/ ~ O U I C ~ - (Name of Candidate, Party ~o&ttee or Political Committee)

Page 7: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

01/04/2007 14:47 FAX 785 263 7105 FIRST BANK KS ABILENE

SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

(Name of Candidate, Party Committee or Political Committee)

Purpoae of Expetlditurc Amount o r Disbumemcnt

Name and Afidceae

Page 8: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

/007 14:45 FAX 785 263 7105 FIRST BANK KS ABILENE 141002

SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS

(Name of Candidate,Party Committeeor PoliticalCommittee)

Date Name and Addres8 Purpose of Expenditureor niBbursement

Amount

/o.j J

, Po €Pc.r- IIvi C; lu, ~C-/1/,.;; ,1'1 ,,","', "

~ .m,i'if',pP'":,,, .~,."',

UI' w v ',: $.,,, 'If I ~" "',.._"

f? U/1 ~/llntLir.. /) '~~;J

tJt:-"!~& id~ '7I'Vvlt; ?/Jr¥ 310

, f' l-"'"/1--1c1y.. - 1::"")

~ ~.

;;. Jg~/ I ~, (j ?

Jj~{)/r

t'~1 f 7, tft~

Complete jf last page of.Schedule C

Page cl- of (7

Total Itemized Expenditures This Period s: ," J-7/. ..1.ad-. ,

ToW UDitem.izodExpendituresof $50 or less )rJ i3QTOTALEXPENDITUREs&OnILR nrsBURsEMENTS

[?- (.;;..'9" 5?1TIllSPERIOD(to line 4 of Summary)

Page 9: JA! - Kansasethics.ks.gov/CFAScanned/House/2006ElecCycle/200701/H068TM_200701.pdf01/04/2007 14:45 fay 785 263 7105 first bank ks abilene @loo1 kansas governmental. ethics commissioy

, 01/04/2007 l4:47 FAX 785 263 5105

. .

SCWEDULE D OTHER TRANSACTIONS

(Name of Candidate, Party Committee or Political Committee) -

Name and Addresa Nature ofAcrount or ]Loan Balmcc at Payable or Loan Rcceivrlble Close of Pcrlod