01/04/2007 14:45 FAY 785 263 7105 FIRST BANK KS ABILENE @loo1
KANSAS GOVERNMENTAL. ETHICS COMMISSIOY v ' r
OF A CANDIDATE FOR STATE OFF1
JANUARY 10,2007
JA! %k '!& FILE WITH SECRETARY OF STATE AND CANDIDATE'S COWTY *L T OFFICER SEE REVERSE SIDE FOR I N S T R U C T I ~ ~ % ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
TOPEW bN
£3. Check only if appropriate: Amended Filing Termhation Report
C. Summary (covering the period from October 27,2006 through December 31,2006)
.................... ................................................ 1. Cash on hand at beginning of period .. $9 1 1 . 6 0 2. Total Contributions and Other Receipts (Use Schedule A) ................... .... ......... 5 7 f 5 . b b 3. Cash available this period (Add Lines 1 and 2) ....................................................... 453 6 . k o 4. Total Expenditures and Other Disbursements (Use Schedule C ) ............................ / .,$. 1 a 9,. 57 5. Cash on hand at close of period (Subiract Line 4 Born 3) ..................................... ... ( 7 3 2 ; 9 &
.- /
6. In-Kind Contributions (Use Schedule B) ......... J 5 L) , P
7. Other Transactions (Use Schedule D) . . ~ b f i . . !(OD, / B .____-- -- 7 / 9 o . c____-
,7670 6
D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my howledge 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,"
#
Signature of Treasurer
GEC Foxm Rev, 2001
01/04/2007 14:46 FAX 785 263 7105 FIRST BANK KS ABILENE
SCHlEDULE A CONTRIBUTIONS AND OTHlER RECEIPTS
%m .- (Name of Candidate, Party ~om$nRee or Political Committee)
ii- L
Date
&. d'v
11 -2 -4 h a .-
+ -6 I I
- . -
Name and Addreas of Contributor
Occupntion of Individual Giving More Than SlSO
flb~chm- jCpnc . i (/( q-m. &%5c -ah- /
Amount of Cash, Check,
b a n or Other Rcceiyt
Check Appropdatc Box
Cuh b u n Cbark
---- Ofher
~. ~--~. <it' - -- --
~.. '14': 46 PAX 785 263 7105
FIRST BANK KS ABILENE 141004
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
?:m /fl" X I£~(Name of Candidate, Party Commi ee or Political Committee)
Date Name and Addressof Contributor
Occupation of IndividualGiving More Than SlSO
CheckI
Amount of
Appropriate Box Cash, Check,:lQaD0r
c..." I Cneek I LD..n I Otber I Oth R. "
t.. er ecetp
ttl aYJ.::o~I5i,. /155 h.. .
t/ c:? SO ,;'IJr7
/J~7v"
ry'~51'D ~>
r/ ~ .d.-,.;;Clv'
cl5tJ L--
c)1'/ Pr~ dfA.?~r- ~- ~
.s ~O
PageLof~
IJ -13 I h;':: \"otti- rot ;,:.;q , lyW I.il
flfI I I I I y
I jv/I J PHrile '
: "I I I } s-{) P--I 1--- 7 -,
r //1 C-K5 }/I/jal 15,h
1/H at./-rQ6 rJ II?
I
)J r :...- / J / f , .
J) -fJ-( I d'J;/ f: jfffC-
I IVI-
I /' <(l/ I 'R-') ,- i- i (1th.J I fJ/I c- I
I c/ ),!
~J~ 14:46 FAX 785 263 7105
FIRST BANK KS ABILENE
. SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate, Party Committee or Political Committee)
Date Name and Addressor Contributor
OCCQpation of IndividualGiving More Than $150
CbeckAppropriate Box
Cb""k Loan OlhttrCa.h
fdr[WI t.- 'Y-'
/;1 -:J,rDft,
;?T~ r C c¥-r'if L.-dJ:il,-: J k t::cY') Cf::JO- 30:--'ve-eh ,.1:'5 (y 711. 7
B .. [ \ 111v's 115'5~o=t I(ftA I O..L-- h
; JiJ 5 f/J g-L 5~dtJl--- .~ Iy ~ '" /" / -
Co,V1---\.&t ' I\.~ (,9f/ If;!):>-.3 rr.3 t./
~, ,
P}~)"'-',l-, T,'?'''''xl"'"
/'
pileu.7 }],"
f ti '(I -t!JI
Complete if last page of Schedule A
@005
Amount of
Cash, Check,Loan or
Other Receipt
;:.5"0 £-.
JS-o ~
TouuItemized Receipts for Period
ToW UDitt:mizedContributions ($50 or less)
Sale of Political Materials (Unitemized)
Total Contributions Wbe;nConufDutor Not :Known
;E,;;::::"::~~-i!§~:,:.,.,,,,:,::,J~~w.iw;~Wi;~I"""" ~1F~~1Page.-£.. of~
01/04/2007 14:47 FAX 785 263 7105 FIRST BANK KS ABILENE
SCHEDULE B IN-KIND CONTRIBUTIONS
(Name of Candidzite, Party Committee or Political Committee)
I - - - - -- - -
Nnme, Address and OccupatSon of Contributor
Liet uccupmtion tar those ghlng an in-khd more than 8150
Descrlptioe of Ill-EUnd
Contribution
Vdue of Io-Kind
Clnntrihutinn
Compkets if last page of Schedde B
01/04/2007 14:40 FAX 785 263 7105 FIRST BANK KS ABILENE
/ SCHEDULE C
EXPENDITURES AND OTHER DISBURSEMENTS
/ ~ O U I C ~ - (Name of Candidate, Party ~o&ttee or Political Committee)
01/04/2007 14:47 FAX 785 263 7105 FIRST BANK KS ABILENE
SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS
(Name of Candidate, Party Committee or Political Committee)
Purpoae of Expetlditurc Amount o r Disbumemcnt
Name and Afidceae
/007 14:45 FAX 785 263 7105 FIRST BANK KS ABILENE 141002
SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS
(Name of Candidate,Party Committeeor PoliticalCommittee)
Date Name and Addres8 Purpose of Expenditureor niBbursement
Amount
/o.j J
, Po €Pc.r- IIvi C; lu, ~C-/1/,.;; ,1'1 ,,","', "
~ .m,i'if',pP'":,,, .~,."',
UI' w v ',: $.,,, 'If I ~" "',.._"
f? U/1 ~/llntLir.. /) '~~;J
tJt:-"!~& id~ '7I'Vvlt; ?/Jr¥ 310
, f' l-"'"/1--1c1y.. - 1::"")
~ ~.
;;. Jg~/ I ~, (j ?
Jj~{)/r
t'~1 f 7, tft~
Complete jf last page of.Schedule C
Page cl- of (7
Total Itemized Expenditures This Period s: ," J-7/. ..1.ad-. ,
ToW UDitem.izodExpendituresof $50 or less )rJ i3QTOTALEXPENDITUREs&OnILR nrsBURsEMENTS
[?- (.;;..'9" 5?1TIllSPERIOD(to line 4 of Summary)
, 01/04/2007 l4:47 FAX 785 263 5105
. .
SCWEDULE D OTHER TRANSACTIONS
(Name of Candidate, Party Committee or Political Committee) -
Name and Addresa Nature ofAcrount or ]Loan Balmcc at Payable or Loan Rcceivrlble Close of Pcrlod