10
------ 01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES REPORT l$f, A OF A CANDIDATE FOR STATE OFFICE J4.,y () 9 l10061 ?01.9 .January 10,2019 %1 6 . FILE WITH SECRETARY OF STATE C'00, SEE REVERSE SIDEFOR INSTRUCTIONS "\)10" A. Name of Candidate: Sydney Carlin ""'"----------'-------'--------------- Address: 1650 Sunnyslope Lane City and Zip Code: Manhatta.n KS 66502 County; ._R_i_le_ y __------,__ Office Sought: _ District: 66 B. Check only if appropriate: _.__ Amended Filing __ Termination Repo·rt C. Summary (covering the period from October 26,2018 through December 31,2018) 1. Cash on hand at begjnning ofperiod _. .. ._ .. _ _. _ .. __ _ .. : .. 2. Total Contributions and Other Receipts (Use Schedule A) . 3. Cash available this period (Add Lines I and 2) . ". . ,. 4. Total E){pcnditurcs at1dOthcr Dls1;lurscmcnts (Usc Schedule C) -- - . . 5. Cash on hand at close of period (Subtract Line 4 from 3) .. 6. In-Kind. Contributions (Usc SchcdulcB) -- .. 7. Other Transactions (Usc Schedule D) - . 9,344.48 3233.21 12577.69 4283.89 8,293.80 D. "I declare that this report. including any accompanying schedules and statements, has been examin.ed by me and to the best of my knowledge and betidis true, correct and complete_ J understand that the intentional failure to file this document Of intentionally filing a false document is a class A m.isdcmeanOf." 1ffim19 Date Signature of CanaateOireasurer GEe Form Rev, 2018

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Page 1: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

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01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10

KANSAS GOVERNMENTAL ETHICS COMMISSI

RECEIPTS AND EXPENDITURES REPORT ~cl$f, A

OF A CANDIDATE FOR STATE OFFICE ~ J4.,y V~6'0~ ()9 ~~

l10061 ?01.9.January 10,2019 %16 . ~/b.r

FILE WITH SECRETARY OF STATE C'00, ~c.ft.SEE REVERSE SIDEFOR INSTRUCTIONS "\)10"

A. Name of Candidate: Sydney Carlin""'"----------'-------'-------------- ­

Address: 1650 Sunnyslope Lane

City and Zip Code: Manhatta.n KS 66502 County; ._R_i_le_y__------,__

Office Sought: _ District: 66

B. Check only if appropriate: _.__ Amended Filing __ Termination Repo·rt

C. Summary (covering the period from October 26,2018 through December 31,2018)

1. Cash on hand at begjnning ofperiod _. .. ._ .. _ _. _.. __ _.. : ..

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

3. Cash available this period (Add Lines I and 2) . ". . ,.

4. Total E){pcnditurcs at1dOthcr Dls1;lurscmcnts (Usc Schedule C) -­ -

.

.

5. Cash on hand at close ofperiod (Subtract Line 4 from 3) ..

6. In-Kind. Contributions (Usc SchcdulcB) -­ ..

7. Other Transactions (Usc Schedule D) - .

9,344.48

3233.21

12577.69

4283.89

8,293.80

D. "I declare that this report. including any accompanying schedules and statements, has been examin.ed by me and to the best ofmy knowledge and betidis true, correct and complete_ Junderstand that the intentional failure to file this document Of intentionally filing a false document is a class A m.isdcmeanOf."

1ffim19 ?Z~~ Date Signature of CanaateOireasurer

GEe Form Rev, 2018

Page 2: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 02/10

C~~~

...SCIIEDULE A . CONTRIBUTIONS AND OTHER RECEIPTS

Sydney Carlin page 1131fl b ,~ 5'" (N!\mc of Cand idate)

Occupationnf Check Amount of Name And AddrM.... Individual Giving Mnre A pproprlatcBox Cash, Check,

D:tte of Contributor .Tbl1n $150 .F. t\1·.d!

Loan or Other t;-/ih Ch..k. L<lft~

ReceiptOlhtr

Macdonaid, Jackie & Michael Donnelly

1/11/2018 1819 Fairchild Ave 66502

40

Shilling, Mike & Diane Gaede

1111/2018 1506 Sharingbrook Dr, 66503 50

Hobrock, Bryce.& Shirley.

1111/2018 4009 Snowy Reach 66503 sO

Irvin, Evelyn

1/1112018 10

Michie, Barry

111112018 66502 25

Lorenz, Elke

111112018 15

Koelliker, Jim

1/11/2018 3500 Mintons Landing 66503 25

Ferguson, Clyde

J1/11/2018 2140 College Hgts Rd 66502 25

1/11/2018 R~ynolds, Fred 20

Reitz, Roger

1/11/2018 1332 Sharingbrook Lane 66503 J 25

Marr. Chuck

1111/2018 1509 Westwind Dr. 66503 ..I 40

325

Pagc __ of~_

Page 3: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

01/0g/201 g .. 15: 40 17855374735 THEUPSSTORE PAGE 03/10

I

j SCHllOULE A .

CONTRlBUklONS AND OTHER RECEIPTS

Sydnay Carlin ,f) rl4.e.. 2/ "fS

(Name of Candidlite)

Dat~

Name and Address of Contributor

Occupation of IndiVidual GiVing More

Than $150 Cu.,h

ChCl:k .Appropriate Box

C!lotk lAu !i.!l!..d~

Other

Amount of Cuh,Cheek._

Loan or Other Receipt

11/1/2018

Teske, Don PO Box 1064 E. Martin, McPherSon KS 67460 25

11/1/2018

Browne. Anne 1200 Houston St. Manhattan, KS 66502

25

11/1/2018

Butler, Christine and Lyle 2621 Rangeview Ln" Manhal1an, KS 66503

50

11/1/2018

Center, Rosalind &Melvin 1621 Denholm, Manhattan, KS 66503

25

11/1/2018

Dale, Melvin & Randi 2416 Rogers Blvd., Manhattan, KS 66502

25

11/1/2018

Edmunds, Joe &Robin 1450 East Lane. Manhattan, KS 66502

50

11/1/2018

Havlicek, Charles & Barbara 10386 TuttleCreek Blvd., Manhattan, KS 66502

50

11/1/2018 Fliter, John 2825 Nevada 51. Manhattan, K5 66502

25

11/1/2018

Jones, David 8t Linda 1625 Woodcrest Dr. Manhattan KS 66502

50

11/112018

Kaller, John & Kathy 1310 N 9th St. Manhattan, KS 66502

50

11/1/2018

Kennedy, William 8. Faye 550 Cliffside Dr Manhatten, KS 66503

50

.-/2.-. 6 Page __ (If__

Page 4: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 04/10

SCHEDlJJ...E A CONTRIBUj IONS AND OTHER RECEII'TS

Sydney Carlin

(Nll.mc of Candidate)

Occupation of Cilcck Amount o.f Name and Add~s' . Individual Giving More Appropriate Bo~ Cash, Check,

Date Than $150of Contributor LOlln or Other c,,~~ Cll~ck Lnnn I!: I'lInd' ReceiptOlh"

Knupp, Daniel & Linda 15560 Elm Slough Rd.

11/1/2018 50Wamego, KS 66547

McCulloh, Karen & John 1516 Leavenworth,­11/1/2018 25 Manhattan KS 66502

Morse, l-inda 23118 Spain Dr.11/1/2018 25 Manhattan t<S 66502

Oldfather, Michael & Kathleen 2620 Stone Valley Dr. 11/112018 50 Manhattan KS 66502

Olson, Ed

11/1/2018 25

Frl ~ n

Reese. Mary Beth &John 2008 Ivy Dr.11/1/2018 50 Manhattan. KS 66502

Schell, Joy & Leo 2225 Stone Post Rd 11/1/2018 50 Manhattan KS 66502

Smith J. Scott &Kathryn 2111Snowbird Dr. 5011/1/2018 Manhattan KS 66502

Sisson, Mary K 2311 Grandview Terr. 2511/112018 Manhattan KS 66502

Unekis, Joseph & Shirley 1822 Fairchild Ave 5011/1/2018 Manhattan KS 66502

Merriman L E 2912 Roma Ter 5011/1/2018 Manhattan KS 66502

Page 5: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

.. 01/09/201915:40 17855374736 THEUPSSTORE' PAGE 05/10

SCHEDULE A CONTRIBUl'IONS AND OTHER RECEIPTS

Sydney Carlin page 4 of5 " (Name ofCandid:lte)

Occupation of Amount of Nam(: and Address

Cbeck Jndivid,lal Giving More Appropriate Box Cash, Check,

Date Than $150of Contributor I.oan or Other c ..11 CIlcel< !,,,,on " fund.

Other Receipt

Ba Idemon, Mimi 1917 Humboldt 8t .5011/5/2018 Manhattan KS 66502

Johnson, Linda & Roger 3435 Treesmill Dr.11/5/2018 50Manhattan KS 66503

Bradley, Suzanne & Dale 2411 Heartland Dr, Manhattan KS 665011/5/2018 100

PAC '0437 W 125th Ter Kansas CRNA PAC

11/1/2018 200 Ovenand Park KS 66213

Bollman, Stephan & Dorothy 1613 Baltimore Terr.11/1/2018 100 Manhattan KS 66502

Hummel, Karen 2107 Londondery Dr.11/1/2018 75Manhattan K::; 66503

Niehoff, Brian 1801 Westbank Way1111/2018 100Manhattan KS 66503

675

Pagc __ of__

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01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 05/10

SClJ.EDULE A CON'fRIBUTIONS AND OTHER RECEIPTS

Sydney Carlin page 5 of 5 (Name ofCaudidate)

.... ()CCllpllltinn of .. Check Amount of NllI11e and Addr-es.i tndlv1d~lIIl Giving More· Appropriate Box (ash, Check,

Dllte . Tlliln $t50 . 1---r......,;.;,~T"""-..;.;,.--~ LOlln or OtherofContr-ibutor C::A.,h . Check I.nall [; lundl

Other Receipt

T&T Kansas PAC _ PAC 11/28/2018 220 E 6th, Room 500 Topeka, Kansas 15066603

Kansas AFL CIO Cope Fund Account PAC 10/30/2018 2131 S W 38th S1. Topeka KS 66611 100

SI- of KS, Depart. Administration rElfund fur f1ag,returned Statehouse, Topeka KS 10/30/2018 .J 54.48

KS Bail Agents Pol. Action Comm. PAC 158 N 8th S1. Salina, KS 67401 12/3112018 150

Sydney Carlin Legislator Repay excess 1650 Sllnnyslope Ln, Manhattan. KS reimbursement of loans. S~ ,618.7312/3112018 ~ 66502 '5 iL~'fr:t

Sydney Carlin Redeposit cash used to make 1650 Sunnyslope Ln, Manhattan, KS change at campaign dinner.11/2/2018 160..t66502 Net difference $40 for tip.

S"dl., C . ~ z."

123321

Complete if last page of Schedule A

Tot,11 It£ulizE:d Receipts for Period

Totall)nitcmizcd Contributions ($50 orlcss)

Sale of Political Matcria.I$ (Unitemizcd)

3108.21

125

3233.21

Pagc __ of__

Page 7: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 07/10

SCHEDULER IN-KIND (Non-Monetary) CONTRIBUTIONS

.U8t Occupntlon Va!u£ of nate Name llnd Address for Thn~~ Giving lin DescrIption of In·Klnd Tn-Kind

of Contributor Tn-Kind of M Iltc Thlln Contribution ContrIbution $150

$0.00

Complete if last page of Schedule B

TOUllltcrni7.cd (over $)00) In-Kind Contributions

$0.00

Page oC _

Page 8: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 08/10

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Sydney Cartin ! o-~ 2­(Name of Candidate)

Date Name and AdrlTe~~

PUJ:'posc or E:x:pcndiiUrc . or Di5burA~mcnl Amount

9/23/2018

10/9/2018

Nationbullder 520 S, Grand Ave, 2nd Floor, Los Angeles, CA 90071 9/23/2018 by credit card

Kansas State University Parking Garage Manhattan KS 66506 1019/2018 by credit card

Webpage (REPAY LOAN TO CAMPAIGN with Check 1686

on 1112012018)

parking fee (REPAY LOAN TO CAMPAIGN with Check 1686 on 11120/2018)

455,10

6.25

Houlihan's Restaurant 1 10/24/2018 641 Anderson, Manhattan KS 66502 10/24/201 B

Sydney Carlin 11/20/2018 1650 Sunnyslope Ln. Manhattan. KS 66502

McGraws Bar and Grill

11/20/2018 2317Tuttte Creek Blvd., M'lnhattan, KS 66502

Kansans for Democratic House

11/2/2018

Thomas Outdoor Advertising 11/4/2018 902 Fair Lane, Manhat1an, KS 66502

Sprint 11/2612018 PO Box 629023 EI Dorado Hilts CA 95762

Sprint 12/27/2018 PO Box 629023 EI Dorado Hills CA 95762

Riley Co, 4H auction at fair, Bryce Berlsman 12/2812018 110 Courthouse Plaza Manhal1an. KS 66502

Campaign dinner -(REPAY LOAN TO CAMPAIGN with Check 1686 on 11/20/2018)

Dupl1cate reimbursement of loan repaid in OCt. 2016 wfth Check 1686, See Schedule A. page 5, for repayment with Cartin's personal check.

Food for campaign dinner

Donation

Outdoor advertising

p~one

phone

Support Riley Co. 4H program

59,34

618,73

822,50

1000

361.33

79,06

78.52

100.00

Page __. of _

Page 9: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

01/09/2019 15:40 17855374736 THEUPSSTORE... PAGE 09/i0

SCHEDUl.EC EXPENDITURES AND OTHER DISBURSEMENTS

~k. A. Q-~ 2­

Pllrpose of Expenditure Date NRme And Addrcu ·lIr Dj~hunemenr. Amnunt

Posters and cards for mailing Copy Kats 11/2612018 1130 Westport Dr. Suite 7 Manhattan KS 66502 277,06

Manhattan Chamber CommerCe 501'Poyntz AV(f; . 2019 membership dues, $170 .Military relations 11/2612018 Manhattan KS 66502 lunch $15 185.00

Sydney Carlin campaign Cash for campaign dinner. $160 retuned to bank, 11/112018 1650 Sunnyslope Ln. Manhattan, KS 66502 leaving a net of $40, ~aid to ,Nick at MaGraws 200.00

-l-,..1,~,

662.06

Complete if last page of Schedule c

Total hcmi7.cd Expcndit\ITCS Thi~ Period

Total Unitcmizcd Expcndimres of 550 or less

662.06

21.00

4,283.89

Page oC _

Page 10: KANSAS ~cl$f,ethics.ks.gov/CFAScanned/House/2018ElecCycle/201901/H066...01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 01/10 KANSAS GOVERNMENTAL ETHICS COMMISSI RECEIPTS AND EXPENDITURES

01/09/2019 15:40 17855374735 THEUPSSTORE PAGE 10/10

SCHEDULED OTHER TRANSACTIONS

8alllncc ai ··Clo~c ofDale Name and Addrcsr. Nat~rc of ACC\llUltorLl.lat:i?lIyablc

01" LOlln 'hcdvllblc Period

$0.00

Complete If last page of Schedule D

Pagc of__._