RECEIPTS AND EXPENDITURES REPORT FILED OF …ethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H119BW_201210.pdfRECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE October

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

October 29,2012

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

FILED

OCT 29 2012

KRIS W KOBACH SECRETARY O~ STATE

A. Name of Candidate: _B_r_ia_n_W_e_b_e_r _

Address: 11154 Kliesen St Ste 1

City and Zip Code: Dodge City, Ks. 67801 County: _F_o_r_d _

Office Sought: State House of Rep District: 119 -----

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

C. Summary (covering the period from July 27, 2012 through October 25, 2012)

1. Cash on hand at beginning of period . 12782.19

2. Total Contributions and Other Receipts (Use Schedule A) .. 26785.00

3. Cash available this period (Add Lines 1 and 2) .. 39567.19

4. Total Expenditures and Other Disbursements (Use Schedule C) . 11782.39

5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . 27784.80

6. In-Kind Contributions (Use Schedule B) 0.00

7. Other Transactions (Use Schedule D) 0.00

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. 1understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."

/0 -;1-6 -/:J.... Date

GEe Form Rev, 2001

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Briian A. Weber

(Name ofCandidate)

Date

10/11/12

10/11/12

10/19/12

10/06/12

10/22112

10/25/12

10/23/12

10/23/12

10/16/12

10/18/12

10/17/12

Name and Address of Contributor

Ryan Ausmus 2800 Colleen Dodge City, Ks. 67801

Jeff Renner 512 Edgemore St Dodge City, Ks. 67801

Walgreens 104 Wilmont Rd MS #1444 Deerfield, IL. 60015

Free State PAC C00455717 PO Box 2712 Dodge City, KS. 67801

Seward County Republican Central Committee PO Box 761 Liberal, KS. 67905

Justin &Charla Swift 2408 W. Wyatt Earp Dodge City, KS. 67801

Tamara Davis 2008 Windsong Way Dodge City, KS. 678001

Travel Industry Assoc of KS PAC 825 S. Kansas Ave Ste 502 Topeka, Ks. 66612

Sunflower Electric Power Corp 310 W. 13th St Hays, KS. 67601

Wal-Mart Stores, Inc. PAC 702 SW8th St Bentonville, AR. 72716

VISA U.S.A., Inc PO Box 8999 San Francisco, CA 94128

'. C'·. ....: ........ .':

SubtotJIll'hisPage

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other ReceiptCash Cheek Loan E fuad.

Other

.f $40.00

.f $50.00

Chain Drug Store

.f $250.00

PAC .f $500.00

.; $50.00

HotelOnwer ,f $250.00

.f $100.00

PAC

.f $100.00

Energy .f $250.00

PAC .; $200.00

Credit Card Co .f $250.00

" .. "

$2,040.00

Page -Lof--tL


Brian A. Weber

(Name ofCandidate)

Name and Address Date ofContributor


Than $150


Casb Cbeck Loao E mod. ""()the;"


Loan or Other Receipt

Double H. Cattle Co 10104/12 10424 114th Rd

Dodge City, KS. 67801

Cattle Co .f $500.00

Marvin Hampton 10103/12 .f $50.00

10101/12 Duane or Phyllis Ross 909 Clubview Dr Dodge City, Ks. 67801

Tim Comitius 10102112 10737115 rd


Ks Livestock Assoc PAC 09/27/12 6031 SW 37th St

Topeka, Ks. 66614

Ks Manufactured Housing PAC 10101/12 3521 SW 5th St

Topeka, Ks. 66606

Milam Jones 10/04/12 1912 Barham


Craig Mock 10/05/12 Box 513


Jeff Lopp-Lopp Motors 09/28/12 305 S. 2nd Ave


Exxon Mobil Corp 09/20/12 P.O. Box 2519

Houston, Tx. 77252

Sunflower Dairy PAC 09/30/12 1037 Hwy 39

Ft. Scott, Ks. . " ..-

.. .. ..

.. ..

S~btotalThisPage ..

Newsprint Publisher

Physician

PAC

PAC

Telecommunication Manager

Auto Dealer

Petroleum Producer

PAC

,

.f

.f

.f

.f

.f

.f

.f

.f

.f . ...

$500.00

$250.00

$500.00

$100.00

$100.00

$250.00

$250.00

$300.00

$200.00

$3,000.00

Page~of-lL


Brian A. Weber

(Name ofCandidate)

Date

09/14/12

09/14/12

09/25/12

09/24/12

09/21/12

09/24/12

09121/12

09/06/12

09/18/12

09/13/12

09/20/12

Name and Address of Contributor

KCRE P.O Box 4267 Topeka, Ks. 66604

Ks Optometric Assoc PAC 1266 SW Topeka Blvd Topeka, Ks. 66612

Polsjnelli & Shughart 555 S. Ks. Ave Ste 101 Topeka, Ks. 66603

William Sneed 555 S. Ks. Ave Ste 301 Topeka, Ks. 66603

Ks. Cooperative Council PAC P.O. Box 1747 Hutchinson, Ks. 67504

Hollywood Casino 777 Hollywood Casino Bvd K.C., Ks. 66111

Tug Hill Operating LLC 550 Bailey Ave Ste 510 Ft. Worth, Tx. 76107 0

MERCK 7826 SE Ratner Rd Berryton, Ks. 66409

OCP Midstream 155 N. Market Wichita, Ks. 67202

Ks. Physical Therapy Assoc PAC 2900 SW Plass Ct Ste 202 Topeka, KS. 66611

Ks. Contractors Assoc PAC 316 SW 33rd St Topkea, Ks. 66605


Than $150




Cash Chec:.k LoaD E funds Other

Energy

.f $250.00

PAC

.f $250.00

.f $150.00

.f $100.00

,f $100.00

.f $150.00

Oil & Gas Exploration .f $500.00

Research & Oevelopmen ofVaceines & Pharmaceuticals

.f $200.00

Natural Gas gathering & processing .f $300.00,,'

PAC ,f $500.00

PAC

.f $200.00

.'.

$2,700.00.'.. ·.... ·S~bt()iaITbis Page

Page ~of-1/


Brian A. Weber

(Name ofCandidate)

Date

08/29/12

08/28/12

08/23/12

08/31/12

09/01/12

08/28/12

08/28/12

08/28/12

08/01/12

08/28/12

08/28/12

....

Name and Address ofContributor

Ks Farm Bureau 2627 KFB Plaza Manhattan, Ks. 66503

Security Benefit Life Ins PAC One Security Benefit Place Topeka, KS. 66636

EDP Renewables North America 15050 Antioch Rd Ste 103 Overland Park, Ks. 66221 a Ks. Bankers Assoc PAC 610 SW Corp View Topeka Ks. 66604

COX Communications 931 SW Henderson RD topeka, Ks. 66615

Anheuser-Busch One Busch Place S1. Louis, Mo. 63118

Little Government Relations LLC 800 SW Jackson St Ste 914 Topeka, Ks. 66612

Cerner Corp PAC 2800 Rockcreek Parkway K.C., Mo. 64117

HCA Ks Good Government Fund 550 N. Hillside ~chna,Ks. 67214

UP Railroad Co 1400 Douglas St Omaha, NE. 68179 a RAI Services Co PO Box 464 ~nston-Salem, NC 27102

. . . ... .

SUbtotitlThis Page


Than $150 Cash


Check LoaII E fund. Other



Insurance

~ $500.00

PAC

~ $200.00

Energy

~ $200.00

PAC ~ $500.00

Cable & Communication

t/ $500.00

Beverage Producer .f $200.00

.f $100.00

PAC

~ $250.00

PAC .{ $250.00

Railroad Co

t/ $250.00

Medical Staffing .f $150.00

..... .

. ". :.:..: .... :

$3,100.00

page~oflL-


Brian A. Weber

(Name of Candidate)

Date Name and Address

of Contributor

Ulices Perez & Aixell Mercedes 2023 Cactus Rd Dodge City, KS.


Than $150




Cub Cbeck LoIID E fund. Other

10/08/12 Physicians

.f $250.00

09/12112 Cemer Corp PAC 2800 Rockcreek Pkwy K.C., Mo. 64117

PAC

.f $250.00

10/08112 Ed Stewart Jr Box 938 Dodge City, KS.

.f $60.00

10/08/12 Blackjacks Liquor, LLC 307 S. 2nd Dodge City, KS

Liquor co .f $250.00

10/04/12 BNSF 2500 Lou Menk Dr, AOB-3 Ft. Woth, Tx. 76131

Railroad co

.f $200.00'

09/26/12 CenturyLink P.O. Box 4065 Monroe, LA. 71211

Telecommunications

.f $500.00

07/05112 Ks. Cable PAC 900 S. Ks. Ave Topeka, Ks. 6661

PAC

.f $250.00

10/04/12 AT&TKsPAC 220 E. 6th Rm 500 Topeka, Ks. 66603

Ks. Medical Sotiety PAC 623 SW 10th Ave Topeka,Ks.66612

PAC

.f $250.00

10/01/12 PAC

.f $500.00

09/26/12 Ks. Credit Union Legislative Action committee 610 SW 10th St Ste 201 Topeka, Ks. 66612

Credit UnionAction Committee .f $250.00

09/14/12 NFIB-Ks. Safe Trust 1201 F St NW Ste 200 Washington, DC 20004

AlJ VOCI715' .f $200.00

. ........... ". .

'.

. Subt~tal This Page

'.'

Y, >. ..:,: $2,960.00

Page ~ ofJ..L


Brian A. Weber

(Name of Candidate)


ofContributor


Than $150 Casb


Cbeek Lou E fuads ~



10/01/12 Altria Client Svc Inc 1005 Congress Ave Ste 850 Austin, Tx. 78701

Medical

.f $250.00

10/08/12 HyVee, Inc 5820 Westown Pkwy West Des Moines, IA. 50266

Grocery Stores

.f $250.00

10/04/12

10/05/12

Acciona Wind Energy USA LLC 333 W. Wacker Dr. te 1500 Chicago, II. 60606

Centene Management Co, LLC 900 S. Kansas Ave Ste 403 Topeka, Ks. 66612

Energy

Health Plans

.f

.f

$200.00

$500.00

09/28/12 ITC Great Plains LLC 27175 Energy WAy Novi, MI. 48377

Energy

.f $150.00

10/04/12 Ks Restaurant & Hospitality PAC 3500 N. Rock Rd Bldg 1300 Wichita, Ks. 67226

PAC

.f $250.00

09/13/12

09/17/12

Michael Weber 11154 K1iesen Dodge City, KS.

Marian Blakely

n

HVAC Store Owner .f

.f

$500.00

$25.00

09/18/12

09/14/12

10/05/12

Ks Chamber of commerce PAC 835 SW Topeka Blvd Topeka, Ks. 66612

Pinegar, Smith & Assoc 513 SW Van Buren St Topeka, Ks. 66603

Ks Assoc of Realtors 3644 SW Burlingame Rd Topeka, Ks. 66611 ..

Subtotal This Page

PAC

Lobyist

Gov Affairs for KAR

.f

.f

.f

. ..

...

$500.00

$250.00

$500.00

$3,375.00

'

page~ofL


Brian A. Weber

(Name of Candidate)


of Contributor


Than $150 Cash


Check Loan E funds Oth....



09/20/12 United Health Care Svc PO Box 1459 Minneapolis, MN. 55440

Health Insurance

.f $150.00

09/19/12 Ks. Independent Pharmacy PAC 4125 SW Gage Center Dr Ste 203 Topeka, Ks. 66604

PAC

.f $200.00

10104/12

10103/12

PMCAGasPAC P.O. Box 678 Topeka, Ks. 66603

Whiitney B. Damron, PA 919 S. Ks. Ave Topeka, Ks. 66612

PAC

GtJ VJJ"'RtJm~#1 t?,r"It r/(J,J.s

.f

.f

$250.00

$150.00

10/15/12

09/21/12

KS WSW PAC 212 SW 8th Ave Ste 202 Topeka, Ks. 66603

QuickTrip Corp 4705 S. 129th EAve Tulsa, Ks. 74101

PAC

Grocery &Conv Stores

.f

.f

$200.00

$200.00

09/06/12 Ks. Healthcare Assoc PAC 117 SW 6th Ave Ste 200 Toeka, Ks. 66603

PAC

.f $250.00

10/04/12

10105/12

John &Traci Wentling 2004 Circle Lake Dr Dodge City, KS 67801

Western Beverage P.O. Box 124 Dodge City, KS. 67801

D

Auto Dealer

Beverage Distributor

.f

.f

$250.00

$500.00

10105/12 Bucklin Tractor & Implement P.O. Box 127 Bucklin, Ks. 67834

Farm Implement Dealer

.f $250.00

10103/12 Mrs. Gary Chaffin 510 Clover Dodge City, KS. 67801

...• ':".

. . Subtotal This Page

:'. :.... : , .'

.f

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

,:

$100.00

$2,500.00

Page LoflL


Brian A. Weber

(Name ofCandidate)

Check Name and Address

Occupation & Industry of Appropriate Box

Date Individual Giving More

Than $150of Contributor Cub Cbeck Loan E funds

Other

Kevin Salzman $30.0010/11/12

Dr & Mrs. Scott Fisher 10/11/12 $30.00

Kent A Stehlik 10/11/12 $50.00

Mark Fisher Ag 10/11/12 2102 E. Crescent $500.00

Dodge City, Ks.

Kirk or Terri Larson 10/07/12 $50.00

Diana Weber HVAC Store owner 10/11/12 1200 W Plains St $500.00

Dodge City, Ks.

Shawn or Kelly Tasset Trucking 10/11/12 12736 Marshall Rd $250.00

Spearville, Ks. 67876

Ks. Dental PAC PAC 10/03/12 5200 SW Huntoon St $250.00

Topeka. Ks. 66604

Dane Barclay Business Owner 10/09/12 545 Beaver Ln $150.00

Scansia, Ks. 66966

Koch Industries Energy 09/21/12 4111 E. 37th St N $500.00

Wichita, Ks. 67220

BrianlDarci Winter 10/09/12 1414 E. Trail $100.00

Dodge City, Ks. ,'.. ....

$2,410.00, Subtotal TIusPage .•.....

Page ---K-of~


Brian A. Weber

(Name of Candidate)


ofContributor

Ks Auto Dealers PAC 731 S. Ks. Ave. Topeka, Ks. 66603


Than $150




Casb Check Loan E funds Other

10/15/12 PAC

.f $200.00

10/19/12 Southwestem Assoc PAC 638 W. 39th St K.C., Mo. 64111

PAC

.f $150.00

10/09/12 American Family Ins PAC 1300 SW Arrowhead Rd Topeka, Ks. 66604

PAC .f $150.00

10/12112 Ash Grove Cement Co PO Box 25900 Overland Park, Ks. 66225

Concrete Co .f $250.00

09128/12 Blue Cross Blue Shield 1133 SW Topeka Blvd Topeka, Ks. 66629

Insurance

.f $150.00

10103/12 Builder's Assoc PAC 720 Oak St K.C., Mo. 64106

PAC

.f $250.00

10/08/12 Phillips 66 Co 201 N.W. 63rd St, Ste 300 Okla. city, Ok. 73116

Petroleum Co

.f $250.00

08/31/01 Ks. Hospital Assoc PAC 215 S E 8th ave Topeka. Ks. 66603

PAC .f $250.00

09/18/12 Black Hills Corp PAC PO Box 1400 Rapid City, SO. 57709

Energy .f $250.00

10/12112 Betty Viers 101 Juneau dodge city, Ks.

.f $50.00

10/11/12 Shane & Kirstin Bangerter PO Box 1147 Dodge City, KS.

attomeylTeacher .f $250.00

. . . .

' .. . .

S~btobtl;ThiS Page

". ,.....

$2,200.00

Page -1-ofJL


Brian A. Weber

(Name ofCandidate)


ofContributor


Than 5150 Casb


Cbeck Lou E fuDd. Olher

Amount of Cash, Check, Loan or Other

Receipt

09/28/12 Wal-Mart Stores 702 SW 8th St Bentonville, Ar 72716 a

Retail Store

.f $300.00

09/14/12 Ks State Farm Ins Agents PAC 825 S. Ks. Ave, Ste 500 Topeka, Ks. 66612

PAC

.f $100.00

10/09/12 Coffeyville Resources 10 E. Cambridge Circle Dr #250 Kansas City, Ks. 66103

Energy

.f $250.00

10/15/12 L & L Enterprises 901 S.2nd Dodge City, Ks. 67801

Auto Dealer .f $250.00

10/16/12 Ks Assoc For Responsible Liquor Laws 919 S. Ks. Ave Topeka, Ks. 66612

Represents Retail Liquor Dealers .f $200.00

10/08/12 NextEra Energy Resources LLC 700 Universe Blvd Juno Beach, FI. 33408

Energy .; $250.0tl'

10/02112 Microsoft One Lone Tree Rd Fargo, ND 58104

Computer Software .; $200.00

10/21/12 Gary Harshberger 10905 Wildfire Rd Minneola, Ks. 67865

Farmer

.f $500.00

10/10/12 Anderson Financial Svc, LLC Loan Max lM168 600 S. Broadway Salina, Ks. 67401

Financial Services .f $150.00

10/10/12 Leadingage Kansas 217 SE 8th Ave Topeka, Ks. 66603

Not for Profit Aging Services .f $150.00

10/04/12 Casey's General Store PO Box 3001 Ankeny, IA 50021

Grocery & Convenience Stores .f $150.00

.

.. .. . . .. :'. .. . . .. Subtotal This Page . , .

$2,500.00

pagelLofJL


Brian A. Weber

(Name ofCandidate)

Amount of Name and Address

CheckOccupation & Industry of Appropriate Box Cash, Check,

Date Individual Giving More

Loan or Otherof Contributor Than 5150 E fund.Casb Check LoaD Receipt()ihe;"

n/a

':.; . . ..... ....... .:'i:. .

, . '. . . '. . .'".. . $0.00

SUbtOtlllJ11is Page . "i.: . '..:.': .. ' ..... '. ,.:

Complete if last page of Schedule A

Total Itemized Receipts for Period $26,785.00

Total Unitemized Contributions ($50 or less)

Sale ofPolitical Materials (Unitemized)

Total Contributions When Contributor Not Known

TOTAI,.REC~IPTSTiriSP~~():I>(tolili~2ofSuJilmary) $26,785.00

pagelLofJL

-- --

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Brian A. Weber

(Name of Candidate)

Date Name and Address Purpose of Expenditure

or Disbursement Amount

7/27/12 Singularis Group PO Box 9265 Shawnee Mission, Ks. 66201

Campaign Mailing $1,039.09

7/27/12 Brian Weber - Reimbursement PO Box 804 Dodge City, Ks. 67801

RHCC contrbution $500; RHCC event food $590; KLEAR sponsor contribution $310; Dodge City Chamber dues/event $292;

$1,692.00

7/27/12 Brian Weber - Reimbursement PO Box 804 Dodge City, KS. 67801

Liberal Ks Chamber $105; Depot Theatre sponsor $250; United Way sponsor $100; Special Olympics sponsor $100;

$555.00


Liberty event sponsor $50; Cellphone Jan-June $750; 2012 Filing fee $105 $905.00

7/31/12 Michael Pimer 10229 Millstone Dr Apt 3102 Lenexa,Ks.66220

Website design & consulting $300.00


Dodge City Daily Globe Ad $465.30

8/24/12 Kansas Ag & Rural Leadership 101 Umberger Hall Manhattan, Ks. 66506

Donation $250.00


Signage parts, posts, fastenrs & misc installation items $445.28

9/28/12 Tim Gallagher 700 5th Dodge City, KS. 67801

Labor to install signs $137.50

10/5/12 Hawver News Co, LLC 3823 SW Wood Valley Dr Topeka, KS. 66610

Subscription $200.00

10/19/12 RHCC 14206 Eby Overland Park, Ks. 66221

Republican House Campaign Committee $3,400.00

Subtotal This Page $9,389.17

.

Page 1 of 2

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Brian A. Weber

(Name of Candidate)

Date Name and Address Purpose of Expenditure

or Disbursement Amount


Material &fuel for signs $83.48; October fundraiser postage /labels/food $1126.50; Oct Topeka meeting hotel/mileage $565.12

$1,775.10


April/Aug/Sept mileage for meetings in Topeka and SW Ks $618.12

Subtotal 'Ibis Page $2,393.22

Complete if last page of Schedule c

Total Itemized Expenditures This Period $11,782.39

Total Unitemized Expenditures of $50 or less $0.00

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary)

$11,782.39

Page_2_of~

Documents

RECEIPTS AND EXPENDITURES REPORT FILED OF …ethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H119BW_201210.pdfRECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE October