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p.1 3166311276 Jan 131701:01p MACIAS KANSAS GOVERNMENTAL ETHICS COMMISSION "1" C 1I: RECEIPTS At\TD EXPENDITURES REPORT ". OF A CANDIDATE FOR STATE OFFICErs J4i\! J" Go u )0' It(4 rr , ' II January 10,2017 f;.:O;:c, ,', . '-CO,,;- . FILE vVITH SECRETARY OF STATE 4,,'" ''' 10 1 SEE REVERSE SIDE FOR INSTRUCTIONS A. N arne of Candidate: _G_e_ra_l_d_W_e_b_e_r __-'="-'--''-=--'--_ Address: 2331 N Winstead City and Zip Code: Wich ita 67226 County: Sedgwick Office Sought: Representative District 85th ------- -.::.-----'-=- B. Check only if appropriate: L Amended Filing __ Termination Report C. Summary (covering the period from October 28, 2016 through December 31,2016) L Cash on hand at beginning of period .., . 12,961.88 2. Total Contributions and Other Receipts (Use Schedule A) . 3,250.00 3. Cash available this period (Add Lines 1 and 2) . 16,211.88 4. Total Expenditures and Other Disbursements (Use Schedule C) .. 1,747.42 S. Cash on hand at close of period (Subtract Line 4 from 3) . 14,464.46 6. In-Kind Contributions (Use Schedule B) _ .. 7. Other Transactions (Use Schedule D) . D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best 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." Jan 13, 2017 Date Signature of Candidate or Treasurer GEe Form Rev, 2016

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Page 1: KANSAS GOVERNMENTAL ETHICS COMMISSION 1 C …ethics.ks.gov/CFAScanned/House/2016ElecCycle/... · KANSAS GOVERNMENTAL ETHICS COMMISSION "1" C . 1I: ... Oce: Video Production Shawnee,

p.13166311276Jan 131701:01p MACIAS

KANSAS GOVERNMENTAL ETHICS COMMISSION "1" C

1I:RECEIPTS At\TD EXPENDITURES REPORT ".

OF A CANDIDATE FOR STATE OFFICErs J4i\! J" Go u )0'

It(4rr, ' II (."t'~J •January 10,2017

'.'~i f;.:O;:c, ,',

. '-CO,,;- .FILE vVITH SECRETARY OF STATE 4,,'" ''' 10 1SEE REVERSE SIDE FOR INSTRUCTIONS

A. Narne of Candidate: _G_e_ra_l_d_W_e_b_e_r __-'="-'--''-=--'--_

Address: 2331 N Winstead

City and Zip Code: Wich ita 67226 County: Sedgwick

Office Sought: Representative District 85th ------ ­

-.::.-----'-=-

B. Check only if appropriate: L Amended Filing __ Termination Report

C. Summary (covering the period from October 28, 2016 through December 31,2016)

L Cash on hand at beginning of period .. , . 12,961.88

2. Total Contributions and Other Receipts (Use Schedule A) . 3,250.00

3. Cash available this period (Add Lines 1 and 2) . 16,211.88

4. Total Expenditures and Other Disbursements (Use Schedule C) .. 1,747.42

S. Cash on hand at close of period (Subtract Line 4 from 3) . 14,464.46

6. In-Kind Contributions (Use Schedule B) _ ..

7. Other Transactions (Use Schedule D) .

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

Jan 13, 2017 ~t~:..-Date Signature of Candidate or Treasurer

GEe Form Rev, 2016

Page 2: KANSAS GOVERNMENTAL ETHICS COMMISSION 1 C …ethics.ks.gov/CFAScanned/House/2016ElecCycle/... · KANSAS GOVERNMENTAL ETHICS COMMISSION "1" C . 1I: ... Oce: Video Production Shawnee,

p.23166311276Jan131701:01p MACIAS

SCHEDULE A CONTRIBUTIONS Al\'"D OTHER RECEIPTS

Gerald Weber (Name ofCaodidate)

Date

10/29/16

10/29/16

10/29/16

11/04/16

11/02/16

11/03/16

11/07/16

11/07/16

"

Occupation of Check Name and Address Individual Giving More Appropriate Box

of Contributor ThaD $150 Cosn Check Loon

Kansans for Quality MHS 7353 Falmouth ./Prairie Village, KS 66208

Loan Max 1605 E Santa Fe St Olathe, KS 66061

KS State Farm Ins Agents PAC 825 S Kansas Ave Topeka, KS 66612

Wichita Realtors PAC 170 West Dewey Street Wichita, KS 67202

Prairie Band Potawatomi Nation 16281 Q Road Mayetta, KS 66509

Marylee A MacDougaH Retired 5676 Hammock Isles Drive Naples, FL 34119

Mark and Teresa Honer Ind: Communications 6711 Halsey St Oce: Video Production Shawnee, KS 66216

DHTV Digital 5831 Barton Drive Shawnee, KS

'., •• • •••1 ,', ".: .. .. . .",.: ,- -.

..(

..(

.f

¥'

./

./

.f <,; , . " '

'." ..', .. , .. ' ., ,

i . ' ,":', I.", . :~. " , " ,.: .. ", ...-: ...." .., " . ,.:,' '" " , . "

" '" , . " ,SubtotalTiii~page. ".

Complete if last page of Schedule A

Amount of Cash, Check,

Loan or Other ~ O'her Receipt

$250.00

$250.00

$250.00

$250.00

a;250.00

$500,00

$1,000,00

$500.00

" .. " $3,250.00

Tvtal Itemized Receipts for Period $3,250.00

Total Unitcmized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known ." , ' .",. . '. ~ t ' . '. .~. , .. '. '.' .'~'. , •. . .

jP:rA,LR.EC~Q;'.:rS'rgISPE.Rt6D (1olirie 2Q{SllIIimary);' • ~"",' ,

$3,250,00

'........__ of~Page _~ I

Page 3: KANSAS GOVERNMENTAL ETHICS COMMISSION 1 C …ethics.ks.gov/CFAScanned/House/2016ElecCycle/... · KANSAS GOVERNMENTAL ETHICS COMMISSION "1" C . 1I: ... Oce: Video Production Shawnee,

3166311276 p,3Jan 131701:01p MACIAS

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Gerald Weber

( Name, of Candidate)

Purpose of Expenditure Name and Address or DisbursementDale Amount

KLEAR Annual membership 5300,0012/30/16 POBox: 1366

Topeka. KS 66601

Chuck Weber Reimburse for Hawver News Service $150,0012/30/16 2.331 N Winstead expense

Wichita, KS 67226

Chuck Weber Relmbuse for online campaign ad, lodging 12/30/16 $466.732331 N Winstead for leadership meeting and stamps

Wichita, KS 67226

Chuck Weber Reimburse for meals during meetings $143.7412/30/16 2331 N Winstead

Wichita, KS 67226

Chuck Weber Reimburse for stationary and office supplies $88.0712/30/16 2331 N Winstead

Wichita, KS 67226

Chuck Weber Reimburse for mileage during November $578.8812i30/16 2331 N Winstead and December

Wichila, KS 67226

"Ii .~ .. . .:: ~., .'."." "',' . , .) .' ",'

,,; •• I~ ' •.•. : . ";: ~: . " ." $1,727.42.": .'"

, , . . ­

Complete if last page of Schedule c

Total Itemized Expendimres This Period S1,727.42

Total Cnitemized Expendirures of$50 or less $20.00 . .. 'b, " ... ", I '. ", . " . "' . . .

,.TOTAL EXPEN~ITURESIk- OTHER PISBURSEl\1:J1.NTS 1:;ijr~PE,RIOD':(io:iio:e.4~,prsuninillfy)' :.~ ",' "';' .... , ". ,:"

$1,747.42

Page _3__ of~_