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, t:\LEO KA'rSAS GOVERNMENTAL ETHICS COMMISSION\ ~ \

\ ? 4: lfJfJ't; \ RECEIPTS AND EXPENDITURES REPORT

\ jUl ~ ~t~?'\J~G~,..\ OF A CANDIDATE FOR STATE OFFICE:<.\-\\-\°'" - - ~-;.f:.\ t:. \

8.0\~...:; ,p.'I Or ~ \. . JULY 24 2006\' ...,..,0.,-. p.. ,\s\::.v,.,~FILE WITH SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER

SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: Patrick K George

Address: 3007 Westview Ave

City and Zip Code: Dodge City, KS 67801

Office Sought: State Representative

County: Ford

District: 119

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

C. Summary (covering the period from January 1, 2006 through July 20, 2006)

1. Cash on hand at beginning of period ,.....................................................

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

7985.08

2613.00

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 of period (Subtract Line 4 from 3) "..........................

2686.66

7911.42

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

7. Other Transactions (Use Schedule D) .............. 6000.00

7 /;)-d/2eoc'Date

D. "I declare that this report, including any accompanying schedules and statements, has been examined by meand to the best of my knowledge and belief is true, correct and complete. I understand that the intentionalfailure to file this document or intentionally filing a false document is a class A misdemeanor."

~~GEC Form Rev, 2001

--SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Patrick K George

(Name of Candidate, Party Committee or Political Committee)

Date Name and Addressof Contributor

Occupation of IndividualGivingMore Than $150

7/8/06

Michael K Pimer9121 Renner Blvd #214Lenexa, KS 66219

7/13/06Kansas Hospital Assn PACPO Box 2308Topeka, KS 66601

7/13/06

Kansas State Bankers Assn PACPO Box 4407Topeka, KS 66604-0407

Check

Appropriate Box

Cash Check Loan Other

DI[z]IDID

DI[z]IDID

DI[z]/D/D

DI[z]IDID

DI[z]IDID

DI[z]IDID

DI[z]IDID

DI[z]IDID

DI[Z1IDID

DI[ZJIDID

Page...L of...A.-

Amount ofCash, Check,

Loan or

Other Receipt

$100.00

$100.00

$100.00

$250.00

$50.00

$100.00

$400.00

$15.00

$250.00

$250.00

$1,615.00

_1if';m_---'~i'~::$"'mq,~"'.' ."'- ,-'k'--."~b.,lik=,- "='..--

Doris Zimmerman4/3/06 I 1809 Burr Parkway

Dodge City, KS 67801

David Kensinger & Assoc

6/5/06 I 555 S Kansas Ave, Suite 302Topeka, KS 66603

Kansas Gas Service

6/21/06 I Employee PACPO Box 25957Overland Park, KS 66625

Kansas Optometric PAC6/26/06 ,1266 SW Topeka Blvd

Topeka, KS 66612

James Maag7/6/06 ,1924 SW Indian Woods Ln

Topeka, KS 66611

Farmers Alliance Mutual

7/8/06 ,Insurance Company1122 N Main PO Box 1401McPherson, KS 67460

Kansas Contractors Ass PAC

7/8/06 I PO Box 5061Topeka, KS 66605

--SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Patrick K George

(Name of Candidate, Party Committee or Political Committee)

Date Name and Addressof Contributor

Occupation of IndividualGiving More Than $150

Check

Appropriate Box

Check Loan OtherCash

PMCA Gas PAC7/13/061115 SE 7th St

Topeka, KS 66603-3901 DI[z]IDIDVoided check #1043

5/30/06 I (DC Area Chamber of Commerce) DIDIDlrzJKansas Medical Society Political

7/13/061 Action Committee623 SW 10th AveTopeka, KS 66612

Kansas Society of CPA's Political7/13/06 I Action Committee

1080 SW Wanamaker, Suite 200Topeka, KS 66604-3807

DI[z]IDID

DI[z]IDIDKansas Chamber of Commerce &

7/7/06 I Industry PAC835 SW Topeka BlvdTopeka, KS 66612-1671

DI[z]IDID

DIDIDID

DIDIDID

DIDIDID

Complete if last page of Schedule A

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

Amount of

Cash, Check,Loan or

Other Receipt

$250.00

$48.00

$250.00

$200.00

$250.00

$998.00

$2,613.00

$2,613.00""°'"

Page -2- of 2-

1Bi-~l?f~",,,,~JJ~,,,,%,

--SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Patrick K George

(Name of Candidate, Party Committee or Political Committee)

Date Name and Address Purpose of Expenditureor Disbursement

Amount

Dodge City Daily Globe

1/5/06 1PO Box 820Dodge City, KS 67801

Advertising

$50.00

KS Coalition for Life

1/13/061 5575 S Mosley StWichita, KS 67216

Donation$7.00

Banquet Table$350.00

Breakfast & meeting

$15.00

Dues$25.00

Donation$25.00

Membership

$65.00

Donation$50.00

Summer Reading Program donation

$25.00

St Jude's Childrens Research Hospital

3/10/06 I C/o Kari Casterline2313 Robin RdDodqe City, KS 67801

Donation

$25.00

$637.00

Page-L of 3

KS Day Club1/19/061 PO Box 2153

Topeka, KS 66601

KS Prayer Breakfast1/20/061 3436 NWKendall Ave

Topeka, KS 66618

DC Area Arts Council

1/22/06 1PO Box 945Dodge City, KS 67801

The Continental Singers2/26/06 1C/o LisaNebbeling

1307 Ave ADodae Citv. KS 67801

BoothillAssn

2/26/061 Front StreetDodge City, KS 67801

Muscular Dystrophy Association2/26/061 C/o Faye Wells

1806 6th AveDodge City, KS 67801

DC Public Library3/10/0611001 N2ndAve

DodgeCity, KS 67801

}.~ .~l~~r-SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Patrick K George

(Name of Candidate, Party Committee or Political Committee)

Page -2- of ~

PrinfP'ag~

Date Name and Address Purpose of Expenditure Amountor Disbursement

Special Olympics Donation

3/14106 5280 Foxridge Dr $100.00Mission, KS 66202

David Heineman 10 legislative mugs

3/31/06 3826 SW Cambridge Ct $100.00

Topeka, KS 66610-1166

HO's Restaurant Campaign lunch meeting

4/6/06 2600 Central $24.81

DQdg City, KS 67801

DC Country Club Sam Brownback luncheon

4/18/06 PO Box 879 $13.25Dodge City, KS 67801

ALS Association Donation

4/25106 526 S Market $50.00

Wichita, KS 67202

Secretary of State Candidate's Declaration of4/25/06 10th & Jackson Intention Fee $105.00

Topeka, KS 66612

KS Legislative Administrative Services Highlights publication

5/4/06 Room 511-S State House $8.60Topeka, KS 66612

Hobby Lobby Certificate picture frames

5/12/06 2101 N 14th St $25.99Dodge City, KS 67801

St Marys of the Plains Donation

5/12/06 PO Box 416 $100.00Dodge City, KS 67801

G & G Inc Computer donation USD 443

5/25/06 PO Box 1599 "Certicipation" Parental Involvement $481.38Dodge City, KS 67801

.'i'> ".cy

ThiS Page

...,.$1,009.03

-SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Patrick K George

(Name of Candidate, Party Committee or Political Committe~)

Date Name and Address Purpose of Expenditureor Disbursement

Amount

DC Area Chamber of Commerce

5/30/06 I PO Box 939Dodge City, KS 67801

State of City member registration$12.00

Key Print Office Equipment5/30/06 I PO Box 966

Dodge City, KS 67801

Envelopes$80.59

HOts Restaurant

6/1/06 I 2600 CentralDodge City, KS 67801

Team captain meeting luncheon$49.04

Right to Life of Kansaslnc

6/101061 214 SW 6th Ave Suite 208Topeka, KS 66603

Donation$50.00

Pat George6/20/06 I 3007 Westview Ave

Dodge City, KS 67801

Reimb for insurance premium increasedue to public office holder $180.00

DC Chamber of Commerce

6/26/06 I PO Box 939Dodge City, KS 67801

DC days Tshirts & monthly breakfastmeeting $54.00

Fidelity State Bank &Trust07/03/06I PO Box 1120

Dodge City, KS 67801

Bank fee for wire transfer$15.00

Mike Pimer

7/3/06 I 9121 Renner Blvd#214Lenexa, KS 66219

Wire transfer website design & emailmaintenance $600.00

$1,040.63

Complete if last page of Schedule C

Page~ of 3-.,~~~ii\t'.~~

Total Itemized Expenditures This Period $2,686.66

Total Unitemized Expenditures of$50 or less

TOTAL EXPENDITURES & OTHER DISBURSEMENTS$2,686.66THIS PERIOD (to line 4 of Summary)

~~~-

SCHEDULE DOTHER TRANSACTIONS

Patrick K George

(Name of Candidate, Party Committee or Political Committee)

Date Nature of Account or LoanPayable or Loan Receivable

Name and Address

Patrick K George

8/2/04 I 3007 WestviewDodge City. KS 67801

Campaign operating funds

Complete if last page of Schedule D

TOTAL OTHER TRANSACTIONS (to line 7 of Summary)

Balance atClose ofPeriod

$6,000.00

$6,000.00

$6,000.00

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