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10/29/2012 15:21 3165229464 TOMS WINE & SPIRITS PAGE 111/21
KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIVEDRECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE
OCT 29 201Z October 29, 2012
KS Governmental Ethics Comm nFILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name ofCaT.ldidate: Phil Hermanson --~------------------------
Address: 5338 S Mosley
SedgwickCity and Zip COde:_W_i_ch_i_ta_6_72_1_6 _ COUDty: _
Offi.ce Sought: State Representative District; _9_8~ _
B. Check. only if appropriate: __ Amelldcd Filing __ Termioation Report
C. Summary (covering the I;Jcriod frod) Jvly 27, 2012 through October 25, 2012)
14023.421. Cash on hand at beginning of period .
2. Total Contributjol'l~ and Other Receipts (Use Schedule A) . 20325.00
34348.42
19819.32
3. Cash available this period (A.dd Lines 1 and 2) _ .
4. Total Expenditures and Other Disbursements (Usc Schedule C) .
14529.105. Ca~h on hand at clo.c;e ofpcriod (Subtract Line 4 from 3) .
6. In-Kind Contributions (Usc Schedule B) 170.26
7. Otllel" Tra.J:l.snction.s (Use Schedule D) .
D. "r declare that this report., i.ncluding any accompanying ~chedules and statem.ents, has been examined by me and to the best of my knowledge and belief is true. correct completc. I undcrstand that the intentional
cument is a class A misdcmean.or."
29 OCT 2012 Date
GECForm Rev, 2001
failure to file this document or intc . lling a false
__}.EI/29!2012 15: 21 3155229454 TOMS WINE &SPIRITS PAGE 02/21
SCHEDULE A CONTRIBUTIONS AND OTHE:R REC£JPTS
Phil Hermanson
(Name of Candidate)
Date Nall'le and AddreSII
of Contributor
Ocmpatlon & Industry Dr Individual GiviJlI': Mon
Than $150
Cheek Appropriate Box
AJl'Iount of C:\Sb, Che~k,
Loao or Otbcr Receiptc.~" CIlttk ' !J'und.
Ottoer
7/28/12
UP Railroad Company 6455 E. Commerce Ave Kansas City, MD 67120
Railroad Company
t/ 250
7/28112 Builders Assoc. of Kansas PAC 212 SW 8th Ave" Ste. 201 Topeka, KS 66603
PAC
t/ 250
8/8/12 Blue Cross Blue Shield 1133 SW Topeka BI"d. Topeka, KS 66629-0001
healt" insurance V" 250
818/12 Farmers Alliance Insurance Co. 1122 N. Main McPherson, KS 67460
insurance company t/ 250
8/8/12 Black Hills En@rgy Corp. PAC PO Box 1400 Rapid City, SO 57709
PAC
t/ 300
8/8/12 A. Scott Rilctlie III 8100 E. 22nd St. N. #700 Wichita. KS 87226·2328
individual
tI' 100
8/21112
Kansas Speedway 400 Speedway Blvd. Kansas City, KS 66111
racetrack
t/ 250
6/21/12 Allstate Insurance Co. PAC 2775 Sanders Rd. Ste. A2W Northbrook, ILL 60062
insurance company t/ 300
9/6/12
Little Government Relations LLC aoo SW Jackson St. Ste. 914 Topeka. KS 66612-2214
V" 100
9/6/12 Spirit Aerosystems PO 80)( 780006 WichIta, KS 67278
aircraft
t/ 300
9/6112
Kansas Independent Business PAC 200 E. 1st St. N Ste. 101 UI J'O_L:.... .,,, ~~"""'"..
PAC ., 500
Subtotlll' This Pa~ 2850.00
Page i_ of__.
10/29/2012 15:21 3165229464 TOMS WINE & SPIRITS PAGE 03/21
SCFlEDULEA CONTRIBUTIONS AND OTH.ER RECEIPTS
Phil Hermanson
(Name ofCandidllte)
Datc Name and Addr15s
of Contributor
Octllpation & Industry of Individual Giving More
Thall $150
Ctlcck Appropriate Bo~
Amount of CBSh., Check, Loan or Other
Rctcipt(:...It Ch...... Lmln t,..... Otllrr
9/6/12
Kansas Farm Bureau Vote FBF Fund State Account 2627 KFB Plaza III " __ Io._a__ 1'(" '::-,...~"""
insurance
t/ $500.00
9f7f12 Ronald Davis PO BOK 781690 Wichita, KS 67278
oil industry
t/ $500.00
9(9/12 KattJy Dawson, Cox Comm. 901 S. George Washington Blvd. Wichita. KS 67211·3901
cable industry
tI' $250.00
9/18/12 Tom's Wine & Spirits 4720 S. Broadway Wichita. KS 67216
liquor store ., $200.00
9/18112 NFIB-Kansas Safe Trust 1201 F. Street NW Ste. 200 Washington. DC 20004
banking
~ $200.00
9/18(12 Kansas Cable PAC 900 S. Kansas Ave. Ste. 300 Topeka, KS 66612
PAC
II' $250.00
9/19/12 Roadmap PAC Inc. 2436 SW Camelot PL Topeka, KS 66614
PAC
II' $500.00
9/19/12 Krystal L. Rohr 510 Homestead CDlwich, KS 67030
individual
tI' $250.00
9/19/12 Dr. Wesley E. GortDn 14626 Sharon Ln. Wichita. KS 67230
t/ $100.00
9/19/12 Builders Assoc. of Ka,..sas PAC 212 SW 8th Ave, Ste. 201 Topeka, KS 66603
PAC
t/ $300.00
9/19/12 Kansas Ban~ers Assoc. PAC pO Box 4407 Topeka, KS 66604-0407
PAC
t/ $500.00
Subtotal This hge $3550.00
Page ..4-of _
1B/29/2B12 15:21 3165229464 TOMS WINE & SPIRITS PAGE 04/21
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Phil Hermanson
(Name of Candidate)
Date Name and Address
of Cnntrlbtltnr
Occupatio1l " Industry of Indiyldual GMnJ: More
Than S150
Cheek Appropriate Box
Am01Jnt or Cllsh, Check,
Loan 0'" Other RtcaptCP'" OClli Lo«" traM.
Otllrr
09/24/12
Kansas Cooperative Council POBox 1747 Hutchinson, KS 67504
lObbyist
II' $100.00
09124/12 Kansas Chamber of Commerce PAC 835 SW Topeka Blvd. T,.,.,..,.a,.., II'C: ~1':1':1?
PAC
t/ $500.00
09/:.27/12 Kansas Optometric PAC Committee 1266SW Topeka Blvd. Topeka, KS 66612
PAC
V' $250.00
09/27112 K~nsas Realtors PAC 3644 SW Burlingame Rd. Topeks, KS 66611
PAC
V' $500.00
09/27112 Wichita Realtors PAC 170 West Dewey St. Wichita, KS 67202
PAC
'" $500.00
09/27112 Polsinelli Shughart 700 W. 47th 51. Ste. 1000 Kansas City. MO 64112
lawyer
~ $150.00
09/27/12 Kansas Contractors Assoc. PO Box 5061 Topeka; KS 66605
contractors
tI' $250.00
10/02/12 Dan Hawkins 9406 Harvest l.ane Wichita, K:S 67Z12
t/ $25.00
10/02/12 SedgWick County Republican Party Central Committee PO Box 47626 \1I11,,";I~ It'~ R7?O.
Republican Party
V' $250.00
10/02/12 Wichita Area Business PAC 350 W. Douglas Ave. Wichita, KS 67202.
PAC
~ $500.00
10/02/12 MictJael J. Grbic 1445 N. Rock Rd Ste. 125 Wichita. KS 67205
realtor
II' $500.00
Subtotal Thi, 'age $3,525.00
Pagcp_of__
10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE OS/21
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Phil Hermanson
(Name of Candidlite:)
Date Name and Addre!itl
of Contributor
Occupation & Ind"$try of Individual Giving More
Than $150
Check ApproJlrlate BOll:
ArnDt.lIt nf CII$h~ Clteck, T~flan 0,. Other
ReceiptClUb CIftd: Ln•• 'k lInod. ()Iher
10/02/12
RAI Services Company PO Box 464 Winston-Salem, NC 27102
energy
t/ $250.00
10/05/12 SedgpaG~MedicalSociety of Sedgwick County PAC 1102 S. Hillside \A';"k;+~ It'~ /:17')11
PAC
tI' 5250.00
10/05/12 Kansas Med. Society PAC State Fund 623 SW 10th Ave. IT"~",,,.. ve;, ",,,,,,,1" 1k""'1
PAC
t/ $500.00
10/05/12 Stand Up for Kansas PAC 7234 E. Rockhill St. Wichita. KS 67206-1015
PAC
t/ $100.00
10/05/12 Kansas livestock Assoc. PAC 6031 SW 37th 8t. Topell;a. KS 66614-5129
PAC
tI' $500.00
1011 0/12 Kansas Dental PAC 5200 SW Huntoon S1. Topeka, KS 66604
PAC
II $500.00
10/10/12 Kalls~s Society od CPA's PAC 100 SE 9th 5t. 5te. 502 Topeka, KS 66612-1213
PAC
II $250.00
10/10/12 BNSF Railway Co. 2500 Lou Menk Dr. AOB-3 Fort Worth, TX 76131
railroad company
t/ $250.00
10/10/12 Whitney B. Damron PA 919 S. Kansas Ave. Topeka, KS 66612-1210
lobbyist
f/ $150.00
10/10/12
AT&T Kansas 154 N. Broadway Room 1308 Wichita. KS 67202
communication
tI' 5500.00
10/10(12 KOCH Industries 4111 E. 37th St. N. Wichita. KS 67220
engineering
tI' $500.00
SubtotRl This Page $3,750.00
Page.1- of__
10/29/201~ 15:21 _ 3155229454 TOMS WINE & SPIRITS PAGE OS/21
SCHEDULE A CONTRIBUTIONS AND OTNER RECEIPTS
Phil Hermanson
(Name of Candidate)
Date Name ."d Address
of Cpotribotor
Occupation & In(lH5try of Iodtvido9\ Gi"jng More
Ttlall $150
Check Appropriate Box
AmollJltof Cash, Cbeek,
Loan or Other Reedptc.... Chock ....." EI\uI....
Oillfr
10/11/12
Kansas State Farm Insurance Agents &Employees PAC 825 S. Kansas Ave. Ste. 500 T"""el," W"~ ~~~.. "
PAC
t/ $300.00
10/11/12 NAIFA Kansas PAC 825 S. Kansas Ave. Ste. 500 Topeka. KS 66612
PAC
t/ $200.00
10/11/12 Sprint Nedel PO Box 63670 Pheonix. AZ 85082-3670
communications
t/ $200.00
10/11/12 Heartland Community Bankers Assoc. PAC 700 S. Kansas Ave. Ste. 512 T_....... J...~ V~ I!tc~n?
PAC t/ $200.00
10/11/12 KS Assoc. of Health Plans PAC 825 S. Kansas Ave. 5t8. 502 Topeka, KS 66612
PAC
V $250.00
10/11/12 Centene Management Co. llC 7700 Forsyth Blvd. st. Louis. MO 63105
healthcare
V $500.00
10/11/12 Swedish Match North American Inc 1021 E. Cary St. Ste. 1600 Richmond, VA 23219-4000
cigar company
II' $250.00
10/11/12 loren T. &Katherine D. Elston 763 Browntnrt./sh Wichita, KS 67212
individual
t/ $500.00
10/13/12 KS Restaurant & HOl>pltality PAC 3500 N. Rock Rd. Bldg. 1300 Wichita. KS 67226
PAC
V $250.00
10/13/12 Sedgwick County Rep. Party Central Committee PO Box 47626 \AI:",,","",,, V~ C'7"ln ... ..,.r:roa,;;:
Republican party
t/ $500.00
10f13/12
Exxon Mobil Corporation PO Box 2519 HOllston. TX 77252-2519
oil Industry
t/ $300.00
SUbtotal This PllIge ... 53,450.DD
Page.6.- of__
10/29/2012 15:21 3155229454 TOMS WINE &SPIRITS PAGE 07121
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Phil Hermanson
(N~me of Candidate)
Date NamE Bod Address
(If Contributor
Occupation & Tnddstl1' of Individual Givinjt More
Than $150
Check Appropriate DOJ
Amount nf Casb, Cheek,
Loan or Other ReceiptCn'" Chr.k I.""" & I'lmd<
l')chr.
10/17/12
Next Era Energy Resources LLC 700 Universe Blvd. Juno Beach, FL 33408
energy
II' $250.00
10/19/12 Kansas Land Title Assoc. PAC 434 N. Main Wichita, K$ 67202
PAC
t/ $200.00
10/19/12 Anderson Financial Services LLC Loan Max LM 168 600 S. Broadway ~.,H"., ....~ ~7",n'1
financial
~ $250.00
10/19/12 Property Casualty Insurers Assoc. of America PAC 2600 S. River Rd. n .....,.. or... :_ ......... II I a't\r\J4 0 ,>"OQ
PAC
II' $250.00
10/19/12 Ash Grove cement Company PO 80x25900 Overland Park, KS 66225
cemenl industry
t/ $200.00
10/19/12 Jeff Dewey - Anomey at Law 727 N. Waco Ste. 565 Wichita. KS 67201
attorney
t/ $200.00
10/19/12 Blue Cross Blue Shield or Kansas 1133 SWTopeka Blvd Topeka. KS 666:29-0001
health insurance
II' $250.00
10/21/12 Kansas Auto Dealers Elec. PAC 731 S. Kansas Ave. Topeka, KS 66603
auto dealers
V $100.00
10/21/12 United Healthcare Servlces PO Box 1459 MNOO8-W235 Minneapolis. MN 55440-1459
health insurance
~ $250.00
10/21/12 American Insurance Assoc. PAC 2101 L Street NW Ste. 400 Washington, DC 20037
health insurance
V $150.00
10/21/12 American Family Insurance PAC 1300 SW Arrowhead Rd. Topeka, KS 66604-4019
insurance
V $150.00
Subtotal This Page $2,250.DO
Page JJL. of__
10/29/2012 15:21 3165229464 TOMS WINE & SPIRITS PAGE 08/21
SCHEDULE A CONTRIBUTlONS AND OTHER RJ.:CEIPTS
Phil Hermanson
(Na~e of Candidate)
Date Name and Add.-e,l$
of Contributor
Occupation &. Indulltry of [ndividual Giving Mor~
Titan $150
Check Appropriate Bo:lt
Aml)unt of Cash. Cheek,
Loan or Otber ReceiptC••b Cllftk I ..,..n tl\allll'
Olh.r
10125/12
VISA USA Inc-PO Box 8999 S;:tn Francisco, CA 94128
credit oard company
t/ 5250.00
10/25/12 NRA. Folitlcal Victory Fund 11250 Waples Mill Rd. Fairfax. VA 22030-7400
PAC
v' $250.00
10/25/12 Dondlinger & Sons Construction PO Box 398 Wichita, KS 67201-0398
construction company
III $100.00
10/25/12 Community Bankel'l1 Assoc. PAC 3003 SW Van Buren Ste. A Topeka, KS 66611-2224
PAC
t/ $100.00
10/25(12 UP Railroad Co. 600 Broadway Ste. 500 Kansas City, MO 64105
railroad
V $250.00
Subtotal ')1Ib Pige
," $950.00
pagcl-Qf__
!10/29/2012 15: 21 3165229464 TOMS WINE & SPIRITS PAGE 09/21
SCHE:DULEA CONTRIBUTIONS AND OmER RECEIPTS
Phil Hermanson
(Name of Candidate)
Ottupstinn & Indntry of Check Amount of .Name lind Addl"C~. Individual Gitrjllg .More Approprjll~:Box ClI.Jh. Check.
Pute I---"'T""----r--T"""---! Loan or Other eM" C1.ocIc f.1Ill1I !;j l'Irnd. R
ofCOlltributor Than $\50 ()ll.,... ece.ipt
Complete if la,t page ofSdaeduJe A
Talal Itel\'lj~.ed Receipts for Period $20,325,00
Total Unitemiz;cd ContributiO(]$ ($50 or Ics:J)
Sale of Political Materials (Unitemiztd)
Tolal Contributions \Vben Contributor Nl'l Kno\\'I1
I 110/29/2012 15: 21 3165229464 TOMS WINE &SPIRITS 10/21
PBgC_q _!If
Phil Hermanson
(NaIDe ofCundidatc)
SCHEDULER IN-KIND CONTRIBUTIONS
PAGE
.I)ate: ,Name ltnd ;\ddrc"
(If Cootribll'or
List OltuJlation & hldusrry (II1r Thll~e GIving :an ,In-Kind or ,~Dn: ThIn
$150
Desc~{ptlll1q orID~Kind
C ontrlb .dion
V:ao\nc: or In-Kind
eeln trtbvtfon
9/28/12 Security First Title 434 N. Main Wichita. KS 67202
Campaign Picnic $12D.85
10/12112 Kansas Chamber Jobs PAC 835 SW Topeka Blvd. Topeka, KS 66612
'~360 Technology $49.41
Complete if last page of Scbedule B
Total. ltem.i1.ed (over $(00) In-Kind Contributjo"~
Total Unitcmized (S InO or less) In-K,ind Conll'iblltionR
$170.26
$120.85
$49.41
$170.26
1e/29/2e12 15:21 3165229464r- .._._.- TOMS WINE & SPIRITS PAGE 11/21
SCHEDULEC EXPENDITURES AND OTH.ER DlSBURSEMENTS
Phil Hermanson
(N"me ofCRndidate)
nate !"lame Dnll Addren
7130/12 Dillof'lS 4747 S. Broadway Wichita, KS 67216
8/1/12
Diana Meyer 204 W, Kansas 8t. Liberty, MO 64068
6(2/'2 Steven Kearney 1200 SW 10th Ave. Topeka, KS 66604
8/3/12 US Logo Inc. 1085 S. Washington Wichita, KS 87211
8/6/12
Applebee's 4760 8. Broadway Wichita, KS 67216
8/6(12 Diana Meyer 204 W. Kansas St. Liberty, MO 64068
8/6/12 The Pumphouse 25 E. 2nd. Wichita. KS 67202
8/9/12
Braums 550 E. 4th St. Wichita, KS 67216
8'10/12 River City Station Post Office Wichita. KS 67216
8/10112
Larry Buds Sports Bar 6200 W. 21st St. Wichita, KS 67205
8/10/12 McAlisters Deli 7130 W. Maple 8t. Wichita. KS 67209
SUbt~tal This rll~e
PurpOie ~, ExpenditllU ~r Di~burnmtnt
volunteer food and drink
website design
ethics fine
campaign materials - magnets
volunteer food anci drink
website design
volunteer food and drink
volu"teer food and drink
stamps
volunteer food and drink
volunteer food and drink
i\Jl'lIunt
14.85
500.00
500.00
157.62
54.50
35.00
23.54
6.75
114.10
42.60
9.49
l~.~ Page: 10__ of _
1e/29/2e12 15:21 3165229464 TOMS WINE & SPIRITS PAGE 12/21
SCHEDUJ...EC EXPENDITURES AND OTHER DISBURSEMENTS
Phil Hermanson
(Name ofC:mdidatc)
Oat~ Name nod ,\rldttn Purpose or Elpenditute
0" DisburseJllEnt Amount
8/10/12 OT 5611 S. Broadway Wichita, KS 67216
volunteer food and drink 7,49
8/13/12 US Logo Inc. 1DB5 S. Washington Wichita, KS 67211
campaign materials· banners, magnets
324.56
8/13(12
US Logo Inc. 1085 S. Washington Wichita, KS 67211
campaign materials - car magnets
266.65
8/13/12 AT&T 2201 SW Wanamaker Dr Topeka, KS 66804
campaign phone bill 134,18
8/13/12
The UPS Store 8918 W. 21st St N Ste. 200 Wichita, KS 67205
shipping materials 13.53
8/14/12 US Logo Inc. 1085 S. Washington Wichita, KS 67211
campaign materials - tshirts
272.01
8116{12 Diana Meyer 204 W. Kansas St. Liberty, MO 64068
campaign treasurer el<pense 300,00
8116(12 Avivo Brick Oven PiUOl 2441 N. Maize Rd. Wichita, KS 67205
Volunteer food and drink; 18.30
8(20/12
Marchello's 3107 S. Seneca Wichita, KS 67217
volunteer food and drink 41.53
8/22/12
Office Malt 6940 W. Kellogg Wichita, KS 61209
campaign office supplies 35.70
8123/12 Diana Meyer 204 W. Kansas St Uberty, MO 64068
campaign treasurer expense
25000
Subtotlll This ,f>a~e J,113. '5 Page _IlOf__
10/29/2012 15:21 3165229464 TOMS WINE &SPIRITS PAGE 13/21
SCHE.DULEC EXl'l:NDITURES AND OTHER DlSBURSEl\fENTS
Phil H@rmanson (NlImc: ofCllndidatt)
Dlite Name and Addre~5
rurpll~e of Expenditute ot Disbursemtnt Amount
8129/12 Office Max 6940 W. Kellogg Wichita, KS 67209
campaign office supplies 10.92
8/30/12
YEK 4111 E. 37th St N. Sle D101 Wichita, KS 67220
donation 225.00
8/31/12 The UPS Store 6916 W. 21st st. Wichita. KS 67205
mailing expenses 14.65
9/4/12
Di\lons 4747 S. Broadway Wichita. KS 67216
volunteer food and drink 56.74
917/12
Wichita Paceydrm 100 N. Broadway Wichita. KS 67201
donation
20.00
917112 UPrinting 8000 Haskell Ave. Van Nuys, CA 91406
car magnets 321.70
9/7/12 Crawford Liquor 4255 S. Seneca Wichita, KS
volunteer food and drink 46.67
9/10/12
US Logo Inc. 1085 S. Washington Wichita. KS 67211
campaign shirts
212.45
9/10/12 FedEx 240 S. West St. Wichita, KS 67213
campaign banners 167.39
9/10/12
OT 5611 S. Bro:ldway WichIta, KS 67216
stamps 153.00
9/10112
City of Wichita Park Admin 455 N. Main Wichita. KS 67202
campaign picnic - pavillion rental
65.00
hbt~tal This P.~t J. ~ <i3.' ~
10/29/2012 15:21 3155229454--_. "---" TOMS WINE &SPIRITS PAGE 14/21/'
SCHEDULEC EXPENDITURES AN» OTHER. DISBURSEMENTS
Phil Hermanson
(Name of Candidate)
DatI! Name and AddrC!l5
P'urpClllC of .t.penditure lJr Disbursement "mount
Pizza Hut 9/10/12 333 E. 47th Sl S
Wichita. KS 67216
volunteer food and drink 12.88
Applebee's
9/11112 4760 S. BroadWay Wichita, KS 67216
volunteer food and drink 55.56
UPrinting
9/13112 8000 Haskell Ave. Van Nuys, CA 91406
fridge magnets
78.54
Pizza Hut
9/13/12 333 E. 47th St. s Wichita, KS 67216
volunteer food and drink 47.77
Dillons
9/14/12 200 W. Greenway Derby, KS 67030
candy for parade . 44.63
Wichita Paceydrm
9/17112 100 N. Broadway Wichita, KS 87201
Paceydrm club entrance fee
20.00
Mikes Steakhouse
9/17/12 2131 S. Broadway Sf. Wichita, KS 67211
volunteer food and drink
93.67
Diana Meyer
9/16/12 204 W. Kansas St. Liberty. MO 64068
treasurer cost
400.00
Pizza Hut 9120/12 333 E. 47th St. S
Wichita, KS 67216
volunteer food and drink
18,56
FedEli;
9121112 240 S. West St. Wichita, KS 67213
printing costs 181.32
AT&T
9/21/12 12201 SW Wanamaker Dr Topeka, KS 66604
campaign phone bill
134.18
Subtotal Tb1s I'llge 1/087.; )
10/29/2012 15:21 3165229464 TOMS WINE & SPIRITS PAGE 15/21
SCHEDULEC EXPENllITURES AND OTHER DISBURSEMENTS
Phil Hermanson
[1'1 al\'le of Candidlltt:)
natt Name n"d Addre~"
Purpose "r Experldlture or Di~bllrsement !\mou"t
9/21/12 Applebee's 4760 S. Broadway Wichita, KS 67216
volunteer food and drink 59.32
9124/12 US Logo Inc. 1085 S, Washington Wichita, KS 67211
campaign shirts 144.88
9/24/12
KFC 611 E. 47st St. S. Wichita, KS 67216
volunte@r food and drink 37.54
9/24112 Pizza Hut 333 E. 47th St. S Wichita, K;S 67216
volunteer food and drink 26.31
9126'12
Diana Meyer 204 W, Kansas St. Liberty, MO 64068
website costs 30.00
9/26/12 McDonalds 4810 S. Broadway Wichita, KS 67216
volunteer food and drink 18.95
9/26/12 McAlisters Deli 7130 W. Maple St. Wichita, KS 67209
volunteer food and drink 16.19
9/2.7112 City PrInt 235 S. Ellis Wichita, KS 67211
palm cards 643.80
9127/12 Hog Wild SSQ 662 E. 47th Street Wichita, KS 67216
volunteer food and drink 41.84
9/27/12
Dollar General 3660 E. 47th St Wichita, KS 67210
picnic supplies - kid activities 14.97
9/28/12
Sarns Club 6200 W. Kellogg Wichita, KS 67209
picnic supplies 73.91
SUbtotal Thl5 Yage t ID7,1tBt
page_H-of__
1B/29/2B12 15:21 3165229464 TOMS WINE & SPIRITS PAGE 16/21
SCHEDULEC EXPENDITURES AND OTHER DJSBURSEMENTS
Phil Hermanson
(,Name of Candidate)
Date Name :lind Addr~!<~
P"rpose of Expenditure or DI,bursement Amount
9126/12 TJ's Burger House 1003 W. Douglas Wichita, KS 67213
volunteer food and drink 21.49
9/26/12
Sams Club 6200 W. Kellogg Wichita, KS 67209
campaign supplies 21.31
9/28112
McDonalds 4810 S. Broadway Wichita, KS 67216
volunteer food and drink 18.95
10(1/12 Pilza Hut 333 E. 47th St. S Wichita. KS 67216
volunte@r food and drink
27.90
1011/12 BJ's Restaurant 7960 E. Kellogg Wichita, KS 67207
volunteer food and drink 37.61
10/1/12 Club Liquor 3415 N Rock Rd Wichita, KS 67226
volunteer food and drink
206.22
10(1(12 Pizza Hut 333 E. 47th St. S Wichita, KS 67216
volunteer food and drink
29.75
10/1/12 Ashley Goodrich 5333 S. Mosley Sf. Wichita, KS 67216
campaign manager payment 75.00
1011(12 Ashley Goodrich 5333 S, Mosley St. Wichita, KS 67216
campaign manager payment 315.00
10/1/12
Ashley Goodrich 5333 S. Mosley St. Wichita. l<:S 67216
campaign manager payment 292.50
10/1112
Kansas Health Care PAC 825 S. Kansas Ave, Ste. 502, Topeka, KS 66612
campaign overpElyment
250.00
Subt(lt.1 This Pllge " 'J2Q,5 !!
10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE 17/21
SCHEDULEC EXPENDITURES AND OTHER 01SBVRS,EMENTS
Phil Hennanson
(Nilme nfCandidMe)
DRte Name nnd Addrcu PUfpltJC ofE,;pedditure
l'tr Dl5bur~tmellt Amount
10/1/12
10/1/12
1011/12
10f2f12
1012/12
Ashley Goodrich 5333 R Mosley St. Wichita, KS 67216
East Y Men's Club 9333 E, Douglas Ave. Wichita, KS 67207
Ashley Gooclrich 5333 S. Mosley St. Wichita, KS 67216
McDonalds 4810 S. Broadway Wichita, KS 67216
RHCC 14206 Eby Overland Park. KS 66221
campaign manager payment
~- ~;PdlnOn ~It- dL€
campaign manager payment
volunteer food and drink
donation,
262,50
125.00
532.60
17.64
500.00
10/4/12
10/4/12
1015/12
10/9/12
10/9/12
Taco Bell 422 E. 47th Street Wichita, KS 67216
Diana Meyer 204 W. Kansas 5t. Liberty, MQ 64068
Taco Bell 422 E. 47th Street Wichita, KS 67216
US Logo Inc. 1085 S. Washington Wichita, KS 87211
Dillons 4747 S, Broadway Wichita. KS 67216
volunleer food and drink
website design
volunteer food and drink
campaign materials - shirts
volunteer food and drink
20.56
74.50
23.85
212.45
50.57
10110/12
Dillons 4747 S. Broadway Vllichita, KS 67216
volunteer foOd and dril'lk 77,78
Subrorltl Tlli5 P2ge , , 1,9/17' 3S
Page J19._ of__
10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE 18/2:
SCJ:lEDULE C EXPENDITURES AND OTJ.lER DlSBURSEM.ENTS
Phil Hermanson
(N arne of C~T1didBte)
Date NlllJ1e and Address Purpose of ExpenditUTe
or Di,bunell'ent Amount
10/10/12
10'11/12
10112112
10/15/12
10/15/12
10/15/12
10/15/12
10/15/12
10/15/12
10/15/12
10(15/12
East Y Men's Club 9333 E. Douglas Ave. Wichita, KS 67207
Dillons 4747 S. Broadway Wichita, KS 67216
Dillons 4741 S. Broadway Wichita, KS 67216
US Logo Inc. 1085 S. Washington Wichita, KS 67211
Marchello's 3107 S. Seneca Wichita, KS 67217
Subway 7201 S. Broadway Wichita, KS 67067
Dillons 4747 S. Broadway Wichita, KS 67216
Diana Meyer 204 W. Kansas St. Liberty, MQ 64068
L&S Homebuyers 7200 W. 13th Sf- Ste. 5 Wichita, KS 67211
RHCC 14206 Eby Overland Parn, KS 66221
Singularis PO 80x 9265 Snawnee Mission, KS 613201
~t~ volunteer food and drink
volunteer food and drink
campaign materials - shirts
volunteer food and drink
volunteer food and drink
volunteer food and drink
website design
printing services
b La CJlm~~t'") .st.nItces.
yard signs
125.00
23.60
57.BO
299.37
31.90
7.78
114.77
200.00
538.50
2500.00
2350.70
S..btntal Tbh Page
... ~, ~41 ,Ltl.
Pnge _tl.- 0'__
10/29/2012 15'21 3165229464-- TOMS WINE & SPIRITS PAGE
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Phil Hermanson
(Name of Candidate)
DlIt!
10116112
10{16'12
10117/12
10/16112
10118'12
10{16/12
10/16112
10119/12
10/19112
10/19112
10119'12
N:lQl! .ad Addl"cn
TPS 1325 E. Douglas \Mchita, KS 67216
Handy Mailing 3839 Dora Wichita. KS 67213
Dillons 4747 S. Broadway Wichita. KS 6i216
McDr;malds 4810 S. Broadway Wichita. KS 67216
Tom's Wine and SpiritS 133 E. 47th Street Wichita, KS 67216
Oillans 4747 S. Broadway Wichita, KS 67216
Dil/ons 4747 S. Broadway Wichita, KS 67216
Donovans Steamin Weenie 418 W. Grand Haysville, KS 67060
Bionic Burger 243 South Seneca Street Haysville, KS 67060
Olllons 200 W. Greenway Derby, KS 67030
Dollar Tree 4866 S. Broadway Wichita, KS 67216
Subtotal Thf, P.gc ,
Pllrpp",t: O'r Expclld;tur'c pr Di,bur'BCQlent Amoullt
picnic mailer
1171.47
advanced voting mailers 1406.25
volunteer food and drink 56.94
volunteer food and drink 2.14
volunteer food and drink 73.62
volunteer food and drink 86.15
volunteer food and drink
135.41
volunteer food and drink 14.02
volunteer food and drink. 27.43
parade candy 43.07
parade supplies 11.80
, 3,D1~ ~
Page .£._ of____
10/29/2B12 15:21 3155229454 TOMS WINE &SPIRITS PAGE 2B/21
SCHEDULEC EXPENDITURES AND OTHER D1S:BURSEMENTS
Phil Hermanson
(Name of Candidate)
Date
10122112
10122112
10122/12
'012.2/12
10/22/12
10122112
10/24112
10/24/12
10/25112
Name IIl1d Addre5S
Tom's VVine and Spirits '33 E. 47th Street Wichita, KS 67216
Marchello's 3107 S. Seneca Wicl1ita, KS 87217
Mikes Steakhouse 2131 S. BroadwaV St-Wichita, KS 67211
Pizza H..t 333 E. 47th St. S Wichita, KS 67216
QT 5611 S. Broadway Wichita, KS 67216
Oillans 4747 S. Broadway Wichita, KS 67216
Tom's Wine and Spirits 133 E. 47tl'l Street Wichita, KS 67216
AT&T 2201 SW Wanamaker Dr Topeka, KS 66604
Pizza Hut 333 E. 47th St. S Wichita, KS 67216
SUbtotal This rllg~ ..
Purp.."e of .'.:'1pend itu re fir Di!iburseJIII!Rt
volunteer food and drink
volunteer food and drink
volunteer food and drink
volunteer food and drink
stamps
volunteer food and drink
volunteer food and drink
campaign phone bill
volunteer food and drink
. . .
Am01, .. t
66,34
37.86
. 56.50
34.97
47.34
109.54
124.73
134,18
67.94
Page1l- of_~_
__113/29/21312 15: 21 3165229464 TOMS WINE &SPIRITS PAGE 21/21
SCHEDULEC £XPENDfTURES AND OTHER DlSBURSEMENTS
Phil Hermanson
(NBme ofCandicflltc)
Date .Name and Addre" PlIrpose of .Expcndltllre
or JJi,btlTJc:mCJlt Amount
$0.00
Complete j.f)llst page of Schedule (:
Totlilltem i7.c:d E)[!,en(ljlu1~l> This Pe1iod $19.819.32
$19,619.32