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.u..ciiI...... SAS GOVERNMENTAL ETHICS COMMISSION
ECEIV RECEIPTS AND EXPENDITURES REPORT
OF A CANDIDATE FOR STATE OFFICE OCT 2.1018
October 29, 2018 Governmental Etl1ics Commission
FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name of Candidate: Pam Curtis for State Representative
Address: 322 North 16th Street
City and Zip Code: Kansas City, KS 66102
Of'fi S ght State Representative Ice ou : _
County: Wyandotte
District: 32-----
B. Check only if appropriate: __ Amended Filing __ Termination Report
D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best ofmy knowledge and belief is true, correct and complete. I understand that the intentional
10128/18
Date
GEe Form Rev, 2018
failure to file this document or intentional filing a false document is a class A misdemeanor."
C. Summary (covering tbe period from July 27, 2018 through October 25, 2018)
I. Cash on hand at beginning of period .
2. Total Contributions and Other Receipts (Use Schedule A) ..
3. Cash available this period (Add Lines 1 and 2) .
4. Total Expenditures and Other Disbursements (Use Schedule C) ..
5. Cash on hand at close ofperiod (Subtract Line 4 from 3) ..
6. In-Kind Contributions (Use Schedule B) . o
7. Other Transactions (Use Schedule D) . o
14086.08
6400.00
20486.08
1374.21
19111.87
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pam Curtis
(Name of Candidate)
Date Name and Address
of Contributor
Occupation of lndividual Giving More
Than $150
Check Appropriate Box
Amouotof Cash, Check,
Loan or Other Receipt
Casb Cbc'<k Loan E funds Otber
08/04/18
Bro. Locomotive Eng & Trainmen 7061 Pleasant Valley Rd Independence, MO 44131 v' $300.00
08/31/18
KS WSW PAC (Wine/Spirits) 212 SW 8th Ave Ste. 202 Topeka, KS 66603 v' $200.00
09/12/18 KS Bankers Assoc PAC 610 SW Corporate View Topeka, KS 66604
v' $250.00
09/12/18
KS Contractors Association 800 SW Jackson Topeka, KS 66612
v' $250.00
09/17/18 KS Health Care Assn PAC 1100 SW Gage Blvd Topeka, KS 66604
V $250.00
09/17/18
General Motors PAC 25 Massachusetts Ave NW S. 400 Washington, DC 20001
II' $250.00
09/17/18
Microsoft PAC 901 K Street NW, 11 th FI Washington, DC 20001
II' $250.00
09/17/18 Cox Communications 901 S. George Washington Blvd Wichita, KS 67211
v' $250.00
09/21/18
CHIPP St.Louis/KC Carpenters 1401 Hampton Ave, 3rd FI St. Louis, MO 63139
v' $500.00
09/26/18
KS Automobile Dealers 731 S. Kansas Ave Topeka, KS 66603
V $200.00
10/05/18
Sheet Metal Workers Local No 2 2902 Blue Ridge Boulevard Kansas City, MO 64129
II' ,
$300.00
Subtotal This Page $3,000.00
Page __ of__
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pam Curtis
(Name of Candidate)
Date Name and Address
of Contributor
KS Rurallndep.Telecoms PAC PO Box 4799 Topeka, KS 66604
Occupation of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cash Check LOlln E fUDds Other
10/05/18 V $250.00
10/05/18
KS Society of CPA's 114 SE 8th Ave Topeka, KS 66603 V $100.00
10/12/18 Bra Locomotive Eng & Trainmen 7061 E. Pleasant Valley Rd Independence, MO 44131
V $200.00
10/12/18 KS Mfg Housing Industry PAC 3521 SW 5th St Topeka, KS 66606
V $50.00
10/12/18 Altria 1005 Congress Ave, S. 850 Austin, TX 78701
II' $500.00
10/12/18
Prairie Band Potawatomi Nation 16281 Q Road Mayetta, KS 66509
t/ $250.00
10/12/18
KS Optometric PAC 1266 SW Topeka Blvd Topeka, KS 66612
V $300.00
10/12/18 T-Mobile 12920 SE 38th St Bellevue, WA 98006
V $250.00
10/12/18
Flora Smallwood Living Trust PO Box 171241 Kansas City, KS 66117
Bus Owner/Locksmith
V $250.00
10/12/18
KS Hospital Assoc PAC 215 SE 8th Ave Topeka, KS 66603
II' $250.00
10/15/18
Advantage Metals Recycling 510 Walnut St., S. 300 Kansas City, MO 64106
II' $250.00
Subtotal This Page $2,650.00
Page __ of__
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Pam Curtis
(Name of Candidate)
Date Name and Address
of Contributor
Occupation of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Ca.h Check LQan E fund. Olher
10/20/18
LoanMax 3440 Preston Ridge Rd Alpharetta, GA 30005
II $250.00
10/20/18
Evergy Employee PowerPAC-State PO Box 889 Topeka, KS 66601
V $250.00
10/25/18
KS New Energy Economy PAC 610 Brazos St, S. 210 Austin, TX 787001
V $250.00
- -
Subtotal This Page $750.00
Complete if last page of Schedule A
Total Itemized Receipts for Period $6,400.00
Total Unitemized Contributions ($50 or less) $0.00
Sale of Political Materials (Unitemized) $0.00
Total Contributions When Contributor Not Known $0.00
TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $6,400.00
Page __ of__
SCHEDULE B IN-KIND (Non-Monetary) CONTRIBUTIONS
Pam Curtis
(Name of Candidate)
Date Name and Address of Contributor
List Occupation for Those Giving an
In-Kind of More Than $150
Description of In-Kind Contribution
Value of In-Kind
Contribution
Subtotal This Page $0.00
Complete if last page of Schedule B
Total Itemized (over $100) In-Kind Contributions $0.00
Total Unitemized ($100 or less) In-Kind Contributions $0.00
~TOTAL IN-KJND CONTRIBUTIONS THJS PERIOD (to line 6 of Summary) $0.00
Page __ of__
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Pam Curtis
(Name of Candidate)
Date Name and Address Purpose of Expenditure
or Disbursement Amount
8/1/18 Breit's Stein & Deli 412 N. 5th Street Kansas City, KS
Meet & Greet Event
$200.00
8/6/18 NationSuilder 520 South Grand Ave Los Angeles, CA 90071
Web Hosting
$59.00
8/31/18 USPS 550 Nebraska Kansas City, KS 66101
Postage/stamps SO cards
$100.00
9/4/18
NationBuilder 520 South Grand Ave Los Angeles, CA 90071
Web Hosting
$59.00
9/11/18
Ad Astra Group, LLC 1722 E. 2nd St. N, S. 5 Wichita, KS 67214
T-Shirts/Curtis for Rep $397.21
9/17/1 B
USPS 550 Nebraska Kansas City, KS 66101
Postage/stamps BD cards $200.00
10/4/18 NationBuilder 520 South Grand Ave Los Angeles, CA 90071
Web Hosting
$59.00
10/22/18
USPS 550 Nebraska Kansas City, KS 66101
Postage/stamps SO cards/letters
$300.00
Subtotal ThJs Page $1,374.21
Complete if last page of Schedule C
Totalltemized Expenditures This Period $1,374.21
Total Unitemized Expenditures of $50 or less $0.00
TOTAL EXPE DITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary)
$1,374.21
Page __ of__
SCHEDULED OTHER TRANSACTIONS
Pam Curtis
( Name of Candidate)
Date Name and Address Nature of Account or Loan Payable or Loan Receivable
Balance at Close of Period
I
Subtotal This Page $0.00
Complete if last page of Schedule D
TOTAL OTHER TRANSACTIONS (to line 7 of Summary) $0.00
Page __ of__
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