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KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT !i1ECEBY[ED OF A CANDIDATE FOR STATE OFFICE
JAN () 8 2016January 10,2016
KSGovernmeMt . FILE WITH SECRETARY OF STATE ., B/ Etnics commisSion
SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name of Candidate: _J_a_r_ro_d_O_u_s_le_y _
Address: 6800 Farley
City and Zip Code: Merriam, Ks 66203 County: Johnson
Office Sought: State Representative District: 24 _
B. Check only if appropriate: __Amended Filing _ Termination Report
C. Summary (covering the period from Janua.ry 1, 2015 through December 31,2015)
1. Cash on hand at beginning of period . 2116.16
2. Total Contributions and Other Receipts (Use Schedule A) . 18110.00
3. Cash available this period (Add Lines 1 and 2) . 20226.16
4. Total Ex.penditures and Other Disbursements (Use Schedule C) .. 2796.96
5. Cash Oll hand at close ofperiod (Subtract Line 4 from 3) . 17429.20
6. In-Kind Contributions (Use Schedule B) 690.59
7. Other Transactions (Use Schedule D) 2555.75
D. "1 declare that this report, including any accompanying schedules and statements, has been examin.ed by me and to the best of my knowledge and belicfis true, correct and complete. I understand that the intentional
f-f-fCo Date andid te or Treasurer
GEe Form Rev, 2015
failure to file this document or intention l~1Ulg a fals~. document is a class A misdemeanor."
{/
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SCHEDUL.EA CONTRmUTIONS AND OTHER RECEIPTS
Jarrod Ousley
(Name of Candidate)
Occupation & Industry of Check Amount of Name and Addresli Individual Giving More Appropriate Box Cash, Check,
Date of Contributor Than $150 Loan or Other enl\ Olcck !All. E 1undK
""""iJIiie;:'" Receipt
Jarrod Ousley Candidate 6800 Farley 07/06/15 $300.00 Meniam, KS 66203
Virginia Cannady 08/18/15 7335 Mackey St. $25.00
Overland Park, KS 66204
AT&T PAC 08/20/15 $150.00
Syracuse, NY
Mary Ralstin OB/21/15 $50.00
Lenexa, KS 66215
Mary Taylor
6515 Westgate Dr.
08/21/15 $20.00 Roeland Park, KS 66205
James Siener 08/21/15
5036 Parish Dr.
11920 W 99th Terr. $100.00 Lenexa, KS 66215
Retired/RetiredRoberta Eveslage 08/21115 8513 Bridle Dale St. $400.00
Lenexa, KS 66220
RetfredlRetiredSuzanne Allen 08/21/15 $500.006511 Seneca Rd.
Mission Hll1s, KS 66208
Leonore Rowe 08/21/15 $100.00
Overland Park, KS 66202
James Shetlar
9200 Craig St
Attorney/Law 08/21/15 $100.00
Leawood, KS 66209
Brian Koon
12727 Mohawk Circle
$100.00 Ovel'land Park, KS 66202
08/21/15 1315 W 55th PI
$1,845.00
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JarTOd Ousley
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name ofCandidate)
Date Name and Address
of COlltrlbutor
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Che(:k,
Loan or Other Receiptens" Clletll L\I~n E ran40
~
08/21/15 Nancy Leiker 8801 W 71st St Merriam, KS 66204
Business Analyst/Blo Science $50.00
08/21/15 Andy Rowe 8232 Walmer Overland Park, KS 66212
$25.00
08/21/15 Kansas Optometric PAC 1255 SW Topkea Blvd Topeka, KS 66612
PAC $250.00
08/21/15 Operating Engineers Locat101 6601 Winchester, Suite 280 KC. MO 64133
PAC $500.00
09/14/15 Laborers Local #1290 2600 Merriam Ave KC, KS 66106
PAC $500.00
09/30/15 John Smolen 314 Long Point Rd. Crownsbille, MD 21032
Attomey/Law $50.00
10/01/15 Bill Roush 8214 W 75th St Overland Park, KS 66204
$25.00
10/01/15 Mike Bainum 240 Hillcrest W Lake Quivira, KS 66217
Retire/Retired $250.00
10/01/15 GKC Bldg Canst & Trades Council 400 S Main Independence. MO 64050
PAC $250.00
10/07/15 Mary Sinclair 5801 Lockton Ln Fairway, KS 66205
$50.00
10/10/15 Christine Cindric 7464 Nail AVe. Overland Park, KS 66208
$25.00
$1,975.00
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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Jarrod Ousley
(Name ofCand.idate)
Occupation & Industry of Check Amount of Name and Addre~5 Individual Givin~ More Appropriate Box Casb. Check,
Date of Contributor Than $150 Loan or OtherCa.h Ch~k ''''~D E fund.
ReeeiptOlh.,..
Gaylon Umbarger 10/14/15 5917 Walnut $100.00
KC MO 64113
Eugene Rardin 10/14/15 10900 W 104th 51. $25.00
Overland Park, KS 66214
Robert Choromanski Attorney/Law10/15/14 14413 W80th Terr $500.00
Lenexa, KS 66215
Nancy Leiker Business AnalystlBio Sci 10/15/14 8801 W 71 st S1. $200.00
Merriam, KS 66204
Robert Hoffman 10/16/18 12900 Barkley St. #206 $15.00
Overland Park, KS 66209
Michael Ousley 10/16/15 3250 Rock Quany Rd $50.00
Columbia, MO 65201
Tucker Poling Attorney/Law 10/16/15 3321 W 74th St $100.00
Prairie Village, KS 66208
10/16/15 Cynthia and John Sandin
$25.006612 Wedd 8t Merriam, KS 66203
Marilyn Miller 10/16/15 6840 Mastin Dr. $50.00
Merriam, KS 66203
Dean Ousley $150.0010/16/15 2508 S 15th St
51. Joseph, MO 64503
David Neal
.f10/16/15 6127 AntiOCh Rd. $100.00 Merriam, KS 66202
$1,315.00
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SCHEDULE A CONTRIBUTIONS .AND OTHER RECEIPTS
Jan-ad Ousley
(Name of Candidate)
Occupation & Industry of Cheek Amount of Name and Address Individual Giving More Appropriate BO;l" Cash, Check,
Date of Coutributor Than $150 Loan or OtherCosh Check Loan J; fundi
ReceiptOther
Marci Francisco 10/16/15 1101 Ohio $50.00
Lawrence. KS 66044
Andy Sandler
.f10/16/15 6339 Beverly Dr $100.00 Mission, KS 66202
Mary O'Halioran 10/16/15 5401 W 80th St $100.00
Prairie Village, KS 66208
Dennis Moore 10/16/15 8319 Mullen Rd $50.00
Lenexa, KS 66215
Vicki Hiatt $50.0010/16/15 21522 W 72nd St
Shawnee,KS 66218
Frank Neff 10/16/15 14035 W 91st Terr $100.00
Lenexa, KS 66215
Maureen Scully $20.0010/16/15 5308 Foster
Overland Park, KS 66202
Judith LaClaire $50.0010/16/15 5453 W 61st PI
Mission, KS 66205
Laura Robeson 10/16/15 8005 Lamar AVe. $40.00
Prairie Village. KS 66208
Marvin Rainey
.f $25.0010/16/15 10145 Craig Dr. Overland Park, KS 66212
Norman Scott Retired/Retired 10/16/15 501 N B6th St $250.00
KC, KS 66112
$835.00
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THE UPS STORE PAGE 05/1701/08/2015 12:27 913'3527789
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Jarrod Ousley
(NamE: ofCandid.ate)
Occupation & Indostry of Check Amount of Name and Addre8s Indi~dual Giving More Appropria.te .Box Cash, Check,
Date of Contributor Than $150 .Loan or OtherCn,lI Cheek Loan E funda
ReceiptOilier
Marvin Rainey 10/16/15 10145 Craig Dr $50.00
Overland Park. KS 66212
Tipsy Liquor Liquor Store 10/16/15 6840 Johnson Dr $150.00
Mission, KS 66202
Caleb Hall 10/16/15 8542 Caenen Lake Ct. $20.00
Lenexa,KS 66215
John Smith 10/16/15 23321 W 45th Terr $50,00
Shawnee, KS 66226
Jeff Perry Deputy Tech 10/16/15 4516 Wimbeldon Dr OfficerlEducation $300.00
Lawrence. KS 66047
Lesa Patterson-Kinsey 10/16/15 5607 W 69th Terr $25.00
Prairie Village, KS 66208
Andy Rowe 10/16/15 8232 Walmer $36.00
Overland Park, KS 66212
John Duff 10/16/15 7206 Robinson $100.00
Overland Park, KS 66204
Chris Cindric 10/16/15 7464 Nail $20.00
Overland Park.. KS 66208
Sheryl Sieger $50.0010/16/15 8232 Marty
Overland Park, KS 66204
Helen Stoll 10/16/15 7601 Constance Sf. $50.00
Lenexa, KS 66216
$851.00
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Jarrod Ousley
(Nam~ of Candidate)
SCHEDULE A CONTRIBUTIONS AND OTH.ER RECEIPTS
OCClJpation & l ..dustry of Cbeck Amount of Name and Address Individual Giving More Appropriate Box Cash, Check~
Date of Contributor Than S150 Loan or Other Ch"dt Loon
Receipt
Kyle Russell 10/16/15 3509 W 48th Terr $100.00
Roeland Park, KS 66205
Brenda Fishman 9323 Outlook Dr 10/16/15 $100.00 Overland Park, KS 66207
Devin Wilson 10/16/15 7805 Darnell St. $25.00
Lenexa, KS 66216
Gerald Lee Cross. Jr Attorney/Law $300.0010/19/15 8430 Tomahawk Rd
Overland Park. KS 66207
Local #124 Voluntary Political Fund PAC $300.0010/20/15 301 E 103rd Terr
KC MO 64114
Kathleen Cool< $100.0010/22/15 5530 Noland Rd
Shawnee, KS 66216
Roger Beach 10/22./15 911 Delaware $50.00
Tonganoxie, KS 66086
James Shetlar Law Offices PA $75.0010/24/15 8000 Foster
Overland Park, KS 66204
Nancie Dalke 10/26/15 8711 Riley $25.00
Overland Park, KS 66216
Christine Evan-Hands $25.0010/26/15 102016 Edelweiss Cir
Merriam, KS 66203
Neal Millert $100.0010/26/15 1440 W 50th Terr
KC, MO 64112
$1,200.00
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JaITod Ousley
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate)
Occupation & Industry of Check Amount of Name ll,nd Address Individulil Giving More Apprnpriate Box Cash, Check,
Date of Contribumr TbnS150 Loan OJ' Other Cosh Ch~k LOllD E r"",ds ReceiptOther
AI Frisby 10/27/15 10121 W 59th Terr $50.00
Merriam. KS 66203
William Brady 10/28/15 1235 Stome Creek Dr. $100,00
Lawrence, KS 66049
10/27/15 Elizabeth Uppman-Marqllez 7722 Marty St. $25.00 Overland Park, KS 66204
Laurie Bowman 10/29/15 25020 W 86th Terr $50.00
Lenexa,KS 66227
Kansas Families for Education PAC 11/05/15 PO Box 860892 $500.00
Shawnee, KS 66286
Kansas Assoc for Responsible PAC 10/30/15 Liquor Laws Inc $200.00
919 S Kansas Ave. Topeka 66612
Kansas Contractos Assoc. PAC 11101/15 800 SW Jackson #100 $500.00
Topeka, KS 66612
Bruce Carter $25.0011/14/15 7621 W 78th St
Overland Park. KS 66204
Kansas Beverage Assoc. PAC 11117/15 5845 SW 29th St. $250.00
Topeka, KS 66614
Sarah Douglas Requested 11/20/15 5618 W 62nd St. $150.00
Mission, KS 66202
James Thompson
.f $25.0011/20/15 17270 W 86th Ter. Apt. 12104 Lenexa, KS 66219
$1,875.00
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Jarrod Ousley
SCHEDULE A CONTRIBUTIONS AND OTHER. RECEIPTS
(Name of Candidatc)
Date Name and Address
of Contributor
Occupation & Industry of Individual GiVing .More
ThaD $]50
Check Appropria.te Box
Amoontof Cash, Check,
Loan or Other Receipt
Cn~h Chetk L(I~n E funds Otller
11/29/15 SFF Mdl#3 LLC 6882 W 135th St Overland Park, KS 66223
Liquor Retailer $250.00
11/29/15 Janis McMillen 10104 Hemlock Overland Park, KS 66212
Retired $150.00
11/29/15 Sally Levitt 21007 W 60th Ten-Shawnee. KS 66218
$50.00
12103/15 KS State Farm Insurance Agents & Employees PAC 825 S. Kansas AVe., Ste 500 9
PAC $250.00
12/04/15 Robert Hoffman 12900 Barkley St #206 Overland Park, KS 66209
$50.00
12/05/15 Arise Martiny PO Box 343 Shawnee Missfon, KS 66201
$50.00
12/05/15 Rogers Wholesale Liquor 1717 N. 38th St. K.C., KS 66612
$50.00
12105/15 Brownbag Liquor 195 N Parker Olathe, KS 66061
Liquor Retailer $150.00
12/07/15 NextEra Energy Resources, LLC 700 Universe Blvd Juno Beach, FI. 33048
Energy Company $250.00
12/09/15 Cathy Matfack 7225 Brockway Shawnee, KS 66227
$100.00
12/10/15 KADEAC 731 South Kansas Ave. Topeka, KS 66604
PAC $200.00
$1,550.00
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Jarred Ousley
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Namo of Candidate)
Occupation & Industry of Check Amount or Name and Address Individual Giving More Appropriate Bo~ Cash, Check,
Date of Contributor Than $150 LoaD or Othcr C~gh Ch~lc Loan E fonds
Receipt~
Kansas Bankers Assoc. PAC PAC 12/10/15 PO Box 4407 $500.00
Topeka. KS 66604
Phil Ruffin Owner/Property 12/10/15 PO Box 17087 Management $300.00
Wichita, KS 67217
HCA Political Action Committee PAC 12/19/15 1" 00 Walnut $500.00
KC, MO 64106
Alex Kosmicki 12/13/15 2831 S 28th St $50.00
K.C., KS 66101
Michael Wilson Sales Exec/Energy 12/17/15 12904 W 122nd Terr $250.00
Overland Park, KS 66213
Kansas Healthcare Assn PAC PAC 12/19/15 1100 SW Gage Blvd $250.00
Topeka. KS 66604
Diane Etzel-Wise 12/27/15 7737 Darnell $25.00
Lenexa, KS 66215
Tucker Poling Attorney/Law $100.0012/21/15 3321 W 74th 5t.
Prairie Village, KS 66208
Daniel Barbour 12/28/15 6205 w. 156th St. $50.00
Overland Park. KS 66223
Missie's Discount Liquors LLC 12/28/15 11938 Shawnee Misison Pkwy $100.00
Shawnee, KS 66216
KS WSW PAC PAC 12/28/15 212 SW 8th AVe. Ste. 202 $150.00
Topeka, KS 66603
$2,275.00
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Jarrod Ousley
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidatc)
Occupation & Industry of Check Amount of Name and Address Individual Givin~ More Appropriate Bo~ Cash, Chec~
Date of Contributor Than $150 Loan or Other OI~b CllC!<!k Lo8n ,Il fund.
ReceiptOther
Cindy HOlscher
.f12/30/15 12345 Westgate $25.00 Overland Park, KS 66213
QC Holdings Financial Services 12/28/15 9401 Indian Creek Pkwy #1500 $200.00
Overland Park, KS 66210
Check into Cash of KS LLC Financial Services 12/28/15 201 Keith st. SW. Ste 80 $200.00
Cleveland, TN 37311
Kansas Rural Indep. Telecom PAC PAC 12/28/15 3745 Wanamaker Rd, Ste B $200.00
Topeka, KS 66610
Kansas Ntl Education Assoc. PAC 12/28/15 715 SW 10th Ave. $500.00
Topeka, KS 66612
CHIPP Political Account PAC 12/28/15 1401 Hampton AVe. 3rd FI $500.00
Saint Louis, MO 63139
Johnson County Dem Centra' Party Committee 12/28/15 ernte $1,000.00
PO SOX 1482 Mission, KS
Advance America Financial Services 12/28/15 135 N Church St. $300.00
Spartanburg. SC 29306
Lricco Services LLC Private Investment 12/30/15 2416 E 37th St N Holding Company $250.00
Wichita, KS 67219
Little Govemment Relations LLC 12/30/15 800 SW Jackson St. Ste 100 $100.00
Topeka, KS 66612
John Martellaro .f12/31/15 8210 Caenen Lake Rd $50.00
Lenexa, KS 66215
$3,325.00
Pagc~o(.2
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Jarrod Ousley
SCHEDULE A CONTRIBUTIONS AN.D OTHER RECEIPTS
(Name ofCandidate)
OccupatiOJl & Industry or Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check,
Date of Contributor Than $150 Loan 01" Other C~Rh (:h~~k LM" E funds
Receipt~
Mel Marsh 12/31/15 5421 Reeds .; $25.00
Mission, KS 66202
Mary Tangari 12/31/15 6910 W 69th St $50.00
Overland Park, KS 66204
AI Frisby 12/31/15 $25.00
Merriam, KS 66203
Chris Reeves Self/ConsuIting
10121 W 59th Terr.
12/31/15 $250.00 Overland Park, KS 66204
Jessica Trites-Rolle
7129 Beverly St
12/31/15 .; $100.0010988 5 Langley St. Olathe, KS 66061
Heather Ousley 12/31/15 $30.006800 Fariey
Merriam, KS 66203
Dan Breneman 12/31/15 $100.00
Mission, KS 66202
Kathleen Cook
5917 W 62nd St
$30,0012/31/15 5530 Noland Rd Shawnee, KS
Neil Sader 1V31f15 $100.00
Overland Park, KS 66214
Consumer Civil Justice PAC
11736 W 102nd St.
$300.00 Topeka, KS 66603
12/31/15 719 SW Van Buren
$1,010.00
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Jarrod Ousley
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate)
Occupation & Industry of Check Am(lu.Jlt of Name and Address Individual Giving More Appropriate BOll: Cash, Check.,
Date of Contributor Than $150 Loan or Other c~.~ Cbl!t:k Loan ;& fund9
Other Receipt
$0.00
Complete if last page of Schedule A
Total Jtemized Receipts for Period $18,056.00
Total Unitemizcd Contributions ($50 or less) $54.00
Sale ofpolitical Matenal.s (Unitcmized) $0.00
Total Contnbutions When Contributor Not Known $0.00
$18,110.00
:Page 13 of 17
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SCHEDULED IN-KIND (Non-Monetary) CONTRIBUTIONS
Jarrod Ousley
(Name of Candidate)
List Occupation & Vahle of Date Name and Address Tndustry fill" Those Givin~ Desc:dption or In~KiDd In-Kind
or ContributO:f an Tn-Kind ofM.ore Than Contributlon Contribution $150
Tipsy's Liquor Liquor Store Beverages for Fundraiser 10/14/15 6840 Johnson Dr. $271.15
Mission, KS 66202
Tipsy's Liquor Uquor Store Beverages and Ice for 10/16/15 6840 Johnson Dr. Fundraiser $19.43
Mission, KS 66202
Royal Horlick Foodservice Food Service for BBQ 10/28/15 2319 W 95th St. FLJndraiser $400.00
Leawood, KS 66206
$690.58
Complete if last page of Schedule B
Totll) Itemized (OVel: $100) In-Ki"d Contributions
Total Unjt~mized ($100 or les~) J:a-Kind Contributions
$671.15
$19.43
$690.58
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Jarrod Ousley
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
(Name of Candidate)
Purpose of Expenditure Date Name and Address or Disbursement Amount
Jarrod Ousley Reimburse Travel D.C. and Topeka 1/8/15 6800 Farley $186,57
Merriam. KS
Jarrod Ousley Reimburse Office Supplies 1/8/15 6800 Farley $8.72
Merriam. KS 66203
Jarrod Ousley Reimburse Travel. Tolls, Lodging 1f8f15 6800 Farley $501.76
Merriam, KS 66203
Jarrod Ousley Reimburse Washington Day Expenses 4/22/15 6800 Farley $103.06
Merriam, KS 66203
Don Brent Photography Photos 1/28/15 1820 NW Fredith Ln $40.00
Topeka, KS 66618
Jarrod Ousley Reimburse January Website Hosting & 2/17/15 6800 Farley Travel $80.00
Merriam. KS 66203
Hawver News Co LLC Newsletter Subscription 3/4/15 3823 SW Wood Valley Dr $150.00
Topeka, KS 66610
Jarrod Ousley Reimburse Feb. Travel and Website Hosting 3/21/15 6800 Farley $111.19
Merriam. KS 66203
Special Olympics Charitable Contribution to the Shrimp Feed 4/29/15 5820 Foxridge $100.00
Mission, KS 66202
Don Brent Photography Photos 4/2/15 1820 NW Fredith Ln $154.00
Topeka, K$ 66618
Kathy Cook Campaign Consulting 4/22/15 5530 Noland Rd $300.00
Shawnee,KS 66216
$1,735.30
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Jarrod Ousley
SCIlEDULEC EXPENDITURES AND OTHER DISBURSE:MENTS
( Namc of Candidate)
Purpotle of Expenditure Date Name gild Addrc~s or Disbursement Amount
Johnson County Democratic Central 5/25/15 Committee $60.00
PO Box 1482 MissIon, KS 66202
Kathy Cook Campaign Consulting 7/18/15 5530 Noland Rd. $300.00
Shawnee,KS 66216
Kathy Cook Domain Renewal Reimburse 7/8/15 5530 Noland Rd. $63.68
Shawnee, KS 66216
Kathy Cook Campaign Consulting 10/1/15 5530 Noland Rd. $300.00
Shawnee,KS 66216
Office Depot Office Supplies & Stamps 10/16/15 15600 Shawnee MIssion Pkwy $109.34
Shawnee, KS 66217
Democracy Engine E-Fund Online Contribution Fees 12131/15 850 Quincy St. #402 Jan-December 2015 $96.99
Washington, D.C. 2001
$930.01
Complete if last page of Schedule c
Total Itemized Expend.it.urcs Thj~ Period
Total Unitcmized Expe:Jl.diturcs of $50 Or l,.;ss
$2,665.31
$131.66
$2,796.97
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SCHEDULED OTIJER TRANSACTIONS
Jarrod Ousley
(Name: of Candidat.c)
Balance at Da.t.e Na.me lind Addren N:l\tlJre of Account Or Loan Payable Close of
or Loan Receivable Period
Jarrod Ousley Loan 7/6/15 6800 Farley $300.00
Merriam, KS 66203
Jarrod Ousley Office Supplies Purchased for Campaign 7/26/15 6800 Farley $75.89
Merriam, KS 66203
Jarrod Ousley Website Hosting March-December 12/1/15 6800 Farley $171.00
Merriam, KS 66203
Jarrod Ousley Parade Candy for OP Parade 9/22J15 6800 Farley $152.19
Merriam, KS 66203
Jarrod Ousley Copies 10/14/15 6800 Farley $29.70
Merriam, KS 66203
Jarrod Ousley Campaign Tshlrts for Parade 10/26/15 6800 Farley $182.87
Merriam, KS 66203
Jarrod Ousley Food for fundraiser 10/30/15 6800 Farley $323.06
Merriam, KS 66203
Jarrod Ousley Postage Stamps and Office Supplies 11/17/15 6800 Farley $282.99
Merriam, KS 66203
Jarred Ousley Jarrod Ousley 12/31/15 6800 Farley 6800 Farley $875.15
Merriam, KS 66203 MerriaJune-December 2015 Mileage, Tolls. and Parking
Jarrod Ousley Cell Phone 27.15 X 6 months 12/31/15 6800 Farley June-December $162_90
Merriam, KS 66203
$2,555.75
Complete if last page of Schedule J)
$2,555.75