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KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE October 31, 2016 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: _M_ik_e_P_e_t_ers_e_n ____________________ _ Address: 2608 Southeast Drive City and Zip Code: Wichita 67216 Office Sought: _s_e_n_a_te_ . County: Sedgwick District: 28 ------ B. Check only if appropriate: Filing Teimination Report C. Summary (covering the period from July 22, 2016 through Octobe:r 27, 2016) 1. 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 of period (Subtract Line 4 from 3) ··························· ·· ··· ······· -- ·· 6. In-Kind Contributions (Use Schedule B) ... ... ... 49.61 7. Other Transactions (Use Schedule D) .............. 51851.58 52535.00 104386.58 89828.75 14557.83 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. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." Signature of Candidate or Treasurer GEC Form Rev, 2016
Transcript

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

October 31, 2016

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: _M_ik_e_P_e_t_ers_e_n ____________________ _

Address: 2608 Southeast Drive

City and Zip Code: Wichita 67216

Office Sought: _s_e_n_a_te_. --------------~

County: Sedgwick

District: 28 ------

B. Check only if appropriate: ~-Amended Filing ~- Teimination Report

C. Summary (covering the period from July 22, 2016 through Octobe:r 27, 2016)

1. 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 of period (Subtract Line 4 from 3) ········· ···· ············· ··· ·········· -- ··

6. In-Kind Contributions (Use Schedule B) ... ... ... 49.61

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

51851.58

52535.00

104386.58

89828.75

14557.83

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

Signature of Candidate or Treasurer

GEC Form Rev, 2016

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Name ofCarididate)

Date Name aod Address

of Contributor

Builders Ass. of KS PAC 07/25/16 212 SW 8th Ave Suite 201

Topeka, KS 66603

KS Insurance Agents PAC 07/25/16 81 SSW Topeka Blvd

Topeka, KS 66612

Michael E Montgomery 07/25/16 4925 Greenville Ave Suite 915

Dallas, TX 75206

07/25/16 Kansas Physical Therapy Assoc. PAC 5845 SW 29th Street Topeka, KS 66614-2462

HCA KS Good Govt. Fund 07/25/16 5845 SW 29th Street

Topeka, KS 66614

Boyd Gaming Corporation 07/27/16 6465 South Rainbow Blvd

Las Vegas, NV 89118

Midwest Energy, INC 07/27/16 1330 Canterbury Drive

Hays.KS 67601

KS WSW PAC 07/28/16 212 SW Bth Ave Suite 202

Topeka,KS 66603

Atmos Energy Corp PAC 07/28/16 5430 LBJ Freeway Suite 160

Dallas ,TX 75240-2630

Sprint 07/28/16 P.O. Box 63670

Phoenix, AZ 85082-3670

Builders Assoc. BAPAC 07/29/16 KC Chapter AGC 720 Oak Street

Kansas City, MO 64106

Occup11tion of Individual Givin~ More

Than $150

Oil and Gas Developer

Ch~k Appropriate Bo:x

Ch..:k Lo..., t fuad1 Oibcr

/

I

J

A.mou11t of Cash1 Check, Loan ur- Other

Receipt

$500.00

$250.00

$250.00

$250.00

$250.00

$1,000.00

$250.00

$250.00

$250.00

$250.00

$350.00

$3,850.00

Pag"J_ofJl

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Namo of Candidate)

Occupation of Check Name and Address Individual Civine More Appropriate Box

Date of Contributor Than $15() Cll5h Chee: II Lou

KS Beer Wholesalers Assoc Pac

J 07/29/16 100 SE 9th Street Suite 100 Topeka, KS 66612-1213

RAI Services Corp. v 07/30/16 P_O_ Box464 Winston Salem.NC 27102

07/30/16 Centene Management Comp.LLC Centene Corp v St. Louis , MO 63105

Thomas Kessler 11 Business Owner J 08/01/16 4560 S. Washington Wichita, KS 67216

KS Cooperative Council J 08/02/16 P.O. Box 1747 Hutchinson, KS 67504

Anheuser Bush Companies ./ 08116/16 One Busch Place 202..S

St Louis.Mo 63118

UP Railroad Company

./ 08/16/16 1400 Douglas St. Omaha.NE 68719

08/18/16 CHS McPherson Refinery / 2000 S. Main McPherson.KS 67460

Jenkins AD Astra PAC

/ 08/19/16 4824 Normandy Park St. Lawrence,KS 66049-1840

Sedg. County Rep. Central Comm.

~ 08/21/16 Sedg. county rep. party 3411 Edgemont Wichita,KS 67208

KS Rural Jnd. Telecom Pac

./ 08/25/16 P.O. Box 4799 Topeka, KS 66604

Amou.nt of Cash, Check.

Loan or Other F.f\111<14

Receipt Other

$1,000.00

$250.00

$500.00

$500.00

$100.00

$250.00

$500.00

$500.00

$500.00

$1,000.00

$250.00

;;,;; : .. ---:-.. ~i~~·iJi~~:"?~~~f f.tii~:f.~.:::}},;f~if.;~f f ;t}~l:f~;-::~r-i-.f'i?,;,:1::;3;;~~:;.:':;:::,;~-.~ .'.-:~~::;;)~;tt'.·:W-1;}.I:1::-. .. ,.\:i-i : .. :.:. ·:

.. ,;·

. .. ~'·.< .. ,.. .. . $5,350.00 ·-'.':;,.-: .. ... ... _:·'._ ... ,· ......

Page~ofjj_

Mike Petersen

(Name of Candidate)

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Occup11tic1n of Individual Giviog More

Than $150

Check Amount of Name aod Address

of Contributor Appropriat.e Box Cash, Check.

Date Loan or Other C.W. Checl< 4illll ~

Olh.t:r Receipt

3M General Offices 09/02/16 3m Center Build 0216-02-N-07

St.Paul. MN 55144-1000

Wflliams Comp. Inc. 09/06/16 P.O. Box 21218

Tulsa, OK 74121-1218

Kansas Dental PAC 09/06/16 5200 SW Huntoon Street

Topeka, KS 66604

KS Agri Buss. Council 09/06/16 816 SW Tyler St. Suite 100

lopeka,KS 66603

KS WSW PAC 09/06/16 212 SW 8th Ave Suite 202

Topeka,KS 66603

Westar Energy Emp. State PAC 09/06/16 P.O. Box 889

Topeka, KS 66601

KS Optometric PAC 09/06/16 1266SW Topeka Blvd

Topeka. KS 66612

Kansas Realtors PAC 09/06/16 3644 sw Burlingame Road

Topeka, KS 66611

KS Bankers Assoc. State PAC 09/06/16 P.O. Box 4407

Topeka, KS 66604-0407

Brian Davis Retail Liquor 09/08/16 3331 E. 47th st. South

Wichita, KS 67216

J

J

v \./

J J

Kim Davis Liquor Outlet / 09/09/16 3180 S. Meridian v

Wichita, KS 67217

$500.00

$200.00

$250.00

v $500.00

, $250.00

$500.00

$500.00

$1,000.00

$1,000.00

$250.00

$250.00

$5,200.00

Page '3 ofll

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Name of Candidate)

Date Name and Address

of Contributor

KS Medical Society PAC St.ate 09/14/16 623SW10th Ave

Topeka, KS 6661:2-2383

AT&T Kansas PAC 09/15/16 220 E. 6th Room 500

Topeka, KS 66603

BNSF Railway Comp 09/15/16 2500 Lou Menk Olive AOB-3

Fort Worth, TX 76131

KS Auto Dealers Elect Act PAC 09/19/16 731 South KS Avenue

Topeka, KS 66603

Ks Beverage Association PAC 09/19/16 5845 SW 29th St

Topeka.KS 66614

KS Society of CPAS PAC 09/19/16 100 SE 9th St. Suite 502

Topeka, KS 66612-1213

LRJCO Services, LLC 09/22/16 2416 E. 37th St. North

Wichita, KS 67219

09/22116

09/24/16

09/24/16

One Gas Inc. PAC/Multi Candidate 15 East 5th Street Tulsa, OK 74103

HCA KS Good Govt Fund PAC 5845 SW 29th St Topeka,KS 66614

KS Livestock Assoc. PAC 6031 SW 37th Street Topeka, KS 66614-5129

KS Chamber of Commerce PAC 09/28/16 835 SW Topeka Blvd

Topeka, KS 66612

Occupation of lndividual Giving More

Than $150

Cb~ck Approprhtte Box

J

J I/

J J

J

Amount of Cash, Check,

Lonn or Otber Reeeipt

$500.00

$1,000.00

$500.00

$250.00

$500.00

$250.00

$200.00

$750.00

$500.00

$1,000.00

$1,000,00

$6,450.00

Page !1_ of JL

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Name ofCandidattl)

Date Name and Address

of Contributor

Century Link Century Tel, Inc. 09/28/16 P.O.Box 4065

09/29/16

Monroe, LA 71211

Microsoft Corp. PAC 16011 NE 36th Way Redmond, WA 98073-9717

KS Health Care Assoc. PAC 09/29/16 1100 SW Gaga Blvd.

Topeka, KS 66604

T-Mobile USA,lnc. 09/29/16 12920 SE 38th Street

Bellevue, WA 98006

KS Cable PAC 09129/16 900 South KS Ave Suite 300

Topeka, KS 66612

Comcast Corp One Comcast Ctr 09/29/16 1701 JFK Blvd

Philadelphia, PA 19103-2838

Donald McGinity 10/01116 222 N. Hydraulic St.

Wichita, KS 67214

MDL Wine and Spirits 10/01/16 8850 W. 15th St.

Overland Park, Ks 66212

KS WSW PAC 10/03/16 212 SW 8th Ave Suite 202

Topeka, KS 66603

KS Restaurant &Hosp. Assoc Pac 10/04/16 3500 N. Rock Road

Wichita, KS 67226

Spirit 10/05/16 P.O. Box 78008

Wichita,KS 67278-0008

Occupation of Individual Giving More

Than $lSO

McGinity Machine Comp. Inc. Owner

Check Amount of Appropriate Bex Casht Check,

Loitn or Other Cub Cb~ Lou E fllnru

~ Receipt

J $1,000.00

$250.00

$250.00

$250.00

$500.00

$500.00

$1,000.00

J $200.00

J $500.00

$1,000.00

$1,000.00

$6,450.00

Page5_ofll

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Name of Candidate)

Occupation of Check Name and Address Individual Giving More Approp["iate Box

Date of Contributor Thatn $150 cw. Cll"" Lou

PMCAGas PAC 1.-

10/06/16 P.O. 8ox678 .J Topeka.KS 66603-3901

Ash Grove Cement Comp. J 10/06/16 P.O. Box 25900 Overland Park, KS 66225

Credit Union PAC of KS J 10/06/16 901 SW Topeka Blvd Topeka, KS 66612

10/07/16 Sprint P.O. Box 63670 J Phoenix, AZ 85082-3670

10/07/16 Sedg PAC Medical Society of Sedg County 1102 S. Hillside J Wichita.KS 67211

Sunflower Electric Power Corp

./ 10/07/16 P.O. Box 1020 301West13 st Hays, KS 67601

Oneok Employees PAC ../ 10/07/16 P.O. Box 871

Tulsa, OK 74102

Wichita Thunder

~ 10/07/16 505West Maple Suite 100 Wichita, KS 67213

BF Wichita, LLC J 10/07/16 150 N. Market Wichita, KS 67202

Bruce Chrsitenson investor' J 10/08/16 3120 Rodgerdale Suite 150 Houston, TX 77042

Jacob Liquor Exchange II ,LLC ./ 10111/16 10221West21st St.

Wichita, KS 67205

Amount of Cash, Check,

Loan or Other E fuodx

Receipt 0111~

$250.00

$1,000.00

$1,000.00

$500.00

$500.00

$500.00

$400.00

$1,000.00

$1,000.00

$1,000.00

$250.00

~;;.-· ··• " .· .. : .... ~. . ... .~

;~~:~l:.~~~~·;:i·::~;ai}:S:I:iJj;;·s\::t!;~{\'.'.~'.:;~;.0\nY~.it~·'.&iff f :~~/:•;;··:· .. !;~;0:\J::;·:;Hti:'·\t!·'.'· ... ·· ... :~:········. ·· ·· <:~·· i:: .. -}" ; : . ·• ;.·:· ··: $7,400.00 . '·'./.;. ···. .: : ~· ·~· :.

Pagel_ofJl

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Name of Candidate)

Date N11me and Address

of Contributor

Jacob Liquor Exchange,LLC 10/11/16 3049 N. Rock Road

Wichita, KS 67226

OxyChem Occidental Chem. Corp 10/11/16 P.O. Box 2547

Houston, TX 77252M2547

KlAPAC 10/11/16 815 SW Topeka Blvd

Topeka, KS 66612

NFIB KS Safe Trust 10/11/16 1201 F Street NW Suite 200

Washington, DC 2004

KS Beer Wholesalers Assoc. PAC 10/11 /16 100 SE 9th St. Suite 100

Topeka, KS 66612w1213

Lewis Legal News, Inc. 10/11/16 P.O. Box273

Olath6, KS 66051~0273

Cerner Corp PAC Acct. 10/11/16 2800 N. Rockcreek Parkway

Kansas City, MO 64117

10/10/16

10/10/16

10/10J16

10/10/16

Brunk Reality, Inc. 8119 E. Champions ct. Wichita, KS 67226

Steven &Debbie Luper 12799 SW 92nd Terrace Ando\/er,KS 67002

Col Donald Gaylor 76 Via Verde Wichita, KS 67230

I onya Bukingham 11815 West Pine Wichita, KS 67212

Occupation of lndividuftl Giving More

Than $150

Chee le Appropriate Box

J J

J

II v

Amo1rntof Cash, Check,

Loan or Other Receipt

$250.00

$1,000.00

$500.00

$500.00

$1,000.00

$1,000.00

$500.00

$200.00

$100.00

$100.00

$50.00

$5,200.00

Page _j__ ofL

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Name of Candidate)

Date Name and Address

of Contribut.or

Patrick &Robyn Johnson 10/10/16 1371 N. Hickory Creek Ct.

Wichita,KS 67235 ·

David Gittrlch 10/10/16 6220 E. 8th St. North

Wichita, Ks 67208-3608

Keith Dater 10/10/16 420 N. Pershing

Wichita, KS 67208

Ty &Marlo Masterson 10/10/16 1539 Phyllis Lane

Andover, KS 67002

Gil &Joyce Sanborn 10/10/16 11521E. Osie

Wichita, KS 67207

Brownbag Liquor.LLC 10/11/16 195 N. Parker

Olathe, KS 66061

Deb Lucia

Occupation of Individual Giving More

Than $150

Homemaker & Mechanical Systems Inc.

Assistant Director of DCF

10111116 1730:;_ "'1: >&rl""c:.+,Svi.ieu C.f- . w ~(L,~~' Y'S (,/7 .... .J ~ 6

10111116

10111/16

10/11/16

10/11/16

. Midwest Distributors Comp.,lnc. 6501 Kansas Avenue Kansas City.KS 66111

David Mixdorf 10241 Millstone Dr #6308 Lenexa, KS 66220

Storm Management, LLC DBA on the Rocks Discount Liq.24465 W. 135th St Olathe,KS 66061

TSF Holdings,LLC DBA Tipsy's Liquor 6840 Johnson Drive Mission,KS 6620.2

Check Amount of ApproprU.te Bo:l Cash, Check.

Lo11.n or Other Caidi Check Lew1 E fund•

oo- Receipt

$500.00

'V $100.00

$200.00

$75.00

$75.00

$100.00

$50.00

$100.00

$50.00

$100.00

$100.00

$1,450.00

Page.1_or1l_

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Nam~ of Candidate)

Date Name and Address

of Contributor

Three J'S, LLC DBA Moonlight 10/11/16 Liquor P.O. Box860341

Shawnee. KS 66286

Ranchmart Wines & Spirits,LLC 10/11/16 3748West95thSt

Leawood, KS 66206

David Murfin 10/12116 250 N. Water St. Suite 300

Wichita, KS 67202-1216

10/13/16 Dondlinger & Sons Const. Co, Inc P.O. Box398 Wichita, KS 67201-0398

S. Jim Farha Living Trust 10/13/16 1313 N. Webb Road

Wichita. Ks 67206

American Family Ins. KS PAC 10/13/16 6000 America Parkway

Madison, WI 53783~0001

10/13/16

10/13/16

10/13/16

10/13/16

Jeri Hinkle 8621 21st St. North Suite 120 Wichita, KS 67206

KS for Jobs & Opportunity 150 N. Market St. Wichita, KS 67202

Robert Lauer 1206 Heights Ave Marysville, KS 66508

John Deere PAC One John Deere Place Moline, Illinois 61265

CAVPAC 10/13116 P.O. Box 2485

Springfield, VA 22152

Occupation of lndividual Givin2 More

Than $150

President of Oii & Gas

President of Hans Brottiers. Inc

Check Amount of Appropria.t.e Bo:£ Cash, Check,

Loan or Other Cub Cb.lclc. Loan t: ruoll..

~ R.eceipt

$75.00

$50.00

$1,000.00

$100.00

J $50.00

$150.00

$500.00

J $1.000.00

$500.00

$1,000.00

$500.00

Pa.ge _j_ of_[j_

Mike Petersen

(Name of Candidate)

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

OccupatioQ of Check Amount of N•me ttnd Address lndividual Giving More Appropriate Box. Casht Check,

Date of Contributor Than $150 Loan or Other cw. ci....:i. LWl..ll ~ Receipt OU.or

K12 Management Inc.South pt II ,.-

10/17/16 2300 Corporate park Or J $1 ,000.00 Herndon, VA 20171

ITC Great Plains,LLC

J 10/19/16 27175 Energy Way $500.00 Novi, Ml 48377

Mary Wilkinson Homemaker J 10/19/16 145 S. Pershing $250.00 Wichita, KS 67218

Gordon Schultz j 10/19/16 LJ 06'\ N. ~c\u.~ l....:-~"'<0 $50.00

'VJ t~~ vs (b'l .:1{)L\. Blake Carpenter v 10/19/16 2425 N. Newberry Apt. 3202 $10.00 Derby, KS 67037

Kansas Motor Carriers Truck PAC

./ 10/21/16 P.O. Box 2458 $250.00 Topeka. KS 66601-2458

KCP&L PAC Kansas

./ 10/21/16 P.O. Box 418679 $400.00 Kansas City, MO 64141

10/22116 Farmers Employee PAC of KS / $1,000.00 2345 SW Current Ct. Lee Summit, MO 64082-4086

RAI Services Company v 10/24/16 P.O. Box464 $500.00 Winston Salem, NC 27102

Walter & Polly Berry President of Industrial J 10/25/16 3550 N. 127th St. East Equipment Industry & $1.000.00 Wichita, KS 6722~328 Homemaker

Cente Management Comp, LLC ./ 10/26/16 Cente Corparation $1 .000.00

St. Louis, MO 63105

!':·_'/ ·.-: . ' , . : · , '',: . ~: ·,, I' , :,i~'.:·~::·;~,;._-'-: t:..·1-=~,:;.'.~il {;~}; ,;~~ <_:,~ ~:,:·);J :::f•~,:~'/t:; _:::;:··::>~~ .:, ~; - - , . '· ·'.i:(.,;:}, ::~·:,:·,., . :'.·><>· r:w.:r;: $5,960.00 ~:;;:~: ~, ' ,,.$J,t~p!l_'J;~,f-~~.1:" · " ~ "';.:~'c'" •. ~.-~';,''.•'<, ,·,._, :·: ~···· " >'• : -.,. -,' '· , :_;\:;/:;;;;:_: .. '.,'..<-·.· ... : ·' · "

,: ; .. , ..

Page Raf Ji

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Mike Petersen

(Name of Candidate)

Occupation of Check Name and AddrC1ls lndividual Giving More Appropriate Bo:ic

Date of Contributor Than $150 Cub Cbec!k UJllD

Roy & Linda Baker Technical Writer Lear Jet J 10/27/16 2503 N Fox Run & Self-Employed Wichita, KS 67226

Complete if last page of Schedule A

Total itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (lJniremized)

Total Contributions When Contributor Not Known

Amount of Cash, Check,

Loan or Other I!: fandJ

Receipt 011=

$300.00

$300.00

$52,535.00

$0.00

$0.00

$0.00

PageilofJl

SCHEDULEB IN-KIND (Non-Monetary) CONTRIBUTIONS

Mlke Petersen

(Name of Call di date)

Dllte Namu isnd Addreti~ of Coutrlbutor

Llit Occupation fur Thoi1e Glvhag un

hi-Kind u( Mor.i Tbau S150

Complete if last page of Schedule B

Tora! ltc:mizc::d (ovcir $100) In-Kind Contributions

Total Unitemized ($100 or less) In-Kind Contributions

D1.1111:rlptlon ofln-Klnd Contrlb u.tlon

Value of In-Kind

Contribution

$0.00

$0.00

$49.61

$49.61

Pagej_ofj_

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Mike Petersen

(Name ofCandide.te)

USPS 7/23/16 3241 S. Hydraulic Ave

Wichita, KS 67216

TPS 7/27/16 1325 E. Douglas

Wichita, KS 67211

USPS 7/27/16 3241 S. Hydraulic Ave

Wichita, KS 67216

Pound Feinstein and Assco 7/27/16 5614 Connecticut Avenue, NW Suite 270

Washington, DC 20015

Pound Feinstein and Assoc 7/27/16 5614 Connecticut Avenue, NW Suite 270

Washington, DC 20015

Office Depot 7/28/16 S. Dugan Road

Wichita, KS 67209

Pound Feinstein and Assoc 8/2/16 5614 Connecticut Avenue, NW 270

Washington. DC 20015

Pound Feinstein and Assoc 8/13/16 ~614 Connecticut Avenue, NW 270

Washington, DC 20015

TPS 8/15/16 1325 E. Douglas

Wichita, KS 67211

My Capaign Store 8/23/16 304 Whitnining Par1cway #201

Louivllee, KY 40222

Oaklawn Festival 8/25116 2937 E. Oaklawn Drive

Wichita, KS 67216

Sponsorship Advertising $200.00

$6,141.27

Pagi: _/_ .. _ of 6

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Mike Petersen

(Name ofCIUldidatc;)

Date Name and Address

Mike Petersen 9/6/16 2608 South Southeast Drive

Wlchlta,KS 67216

TPS 9/9/16 1325 E. Douglas

Wichita, KS 67211

Harbor Freight 9/10/16 2487 S. Seneca

Wichita, KS 67217

Sams 9/11/16 6200 W. Kellogg Drive

Wichita, KS 67209

Grandview Neighboorhood Assoc 9111/16

Meade Nelghboorhood Assoc 9/11/16

Oaklawn 9/16/16 2937 E. Oaklawn Drive

Wcihtia, KS 67216

Oaklawn 9/16/16 2937 E. Oaklawn Drive

Wichita, KS 67216

Office Depot 9/16/16 $.Dugan Road

Wichita, KS 67209

Sedgwick County Election Office 9/16/16 510 N. Main St.

Wichita, KS 67203

Harbor Freight 9/16/16 2487 S. Seneca

Wichita, KS 67217

Purpose or Expenditure o.- l>isbursoinent

Sign Supplies/Reimbursement

Printing

Supplies

Supplies/Parade

Ad

Ad

Fall Festival

Fall Festival

Supplies

Voter Data

Supplies

Amount

$194.88

$961.92

$18.20

$90.04

$35,00

$35.00

$12.00

$10.00

$25.77

$120.00

$19.16

$1,521 .97

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Mike Petersen

(Na.me of Candidate)

Dnte Name and Add.re~~

Lowes 9/16/16 424 W. Patriot Avenue

Derby.KS 67037

Office Depot 9/24/16 S. Dugan Road

Wichita, KS 67209

Lowes 9/28/16 424 W. Patriot Avenue

Wichita, KS 67037

Atwoods i0/1116 333 W Red Powell Drive

Derby, KS 67037

Office Depot 10/1/16 s. Dugan Road

Wichita, KS 67209

Lowes 10/6/16 424 w. Patriot Avenue

Wichita. KS 67037

Hobby Lobby 10/6/16 1712 N. Rock Road

Derby, KS 67037

Dillons 10/6/16 4747 s. Broadway

Wichita, KS 67216

TPS 10/7/16 1325 E. Douglas

Wichita, KS 67211

Corporate Caterers 1017/16 135 N. Waco

Wlchlta, KS 6720Z

Lowes 10/9/16 424 W. Patriot Avenue

Darby, KS 67037 $44.43

$2,683.02

,,,,­

Page _j_ of tJ

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Mike Petersen

(Name ofCaudicUlte)

D11to Name aDd Address

Party City 10/10/16 3411 N. Rock Road

Wichita, KS 67226

Pound Feistien and Associates 10/12116 5614 Connecticut Ave. NW Suite 270

Washington, DC 20015

USPS 10/13/16 3241 s. Hydraulic Ave.

Wichita, KS 67216

Kansas Republican Party 10/17/16 2605 SW 21st S~.

Topeka, KS 66604

Pound Feistien and Associates 10/20/16 5614 Connecticut Ava. NW Suite 270

Washington, DC 20015

lntrust Bank 10/20116 Wichita, KS 67201

TPS 10/23/16 1325 E. Douglas

Wichita, KS 67211

TPS 10/24/16 1325 E. Douglas

Wichita, KS 67211

Pound Feinstein and Associates 10/24/16 5614 Connecticut Ave. NW Suite 270

Washington, DC 20015

lntrust Bank

10/24/16 Wichita, KS 67201

Grandview Neighboorhood Association 10/27/16 3801 E. Funston

Wichita, KS 67218

Purpose of Expeudlture or Disbursemtint

Fundraisar expense

Digital media

Postage

Campaign Services

Radio Ads

Wire transfer fee

Printing

Printing and Postage

TV Ads

Wire transfer fee

Ad

Awuu11t

$29.95

$4.201.50

$6.45

$4,262.47

$29,829.75

$18.00

$992.57

$1,674.94

$32,100.00

$18.00

$17.50

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Mike Petersen

( NtUlle ofC1mdid1tte)

Purpose of Expenditure Date Name and Addterrli or Disbursement Amouut

Mike Petersen Misc campaign expenses all under 50.00 10/27/16 2608 South Southeast Drive reimbursements $79.10

Wichita, KS 67216

lntrust Bank Main. fee 8/23/16 Wichita, KS 67201 $12.07

lntrust Bank Main. fee 9/26/16 Wichita. KS 67201 $7.25

lntrust Bank new checks 9/16/16 Wichita, KS 67201 $37.94

Pound Fienstein and Associates Media Production 10/27/16 5614 Connecticut Avenue, NW Suite 270 $5,545.00

Washington, DC 20015

Pound Fianstain and Associates Design 10127116 5614 Connecticut Ave, NW Suite 270 $650.00

Washington. DC 20015

Subtotal Thill P11.ie $6.331 .36

Complete if last page of Schedule c

Total Itemized Expenditures This Period $89,828.75

Tobll Unitemized Expenditures of $50 or less $0.00

'I'OTAL EXf'ENDITU.R.ES & OTHER DISBURSEMENTS $89,828.75 THIS PER~OD (to lia114 ofSununucy)

Page 5 of b -- --

+ Pound, Feinstein

& Associates INVOICE BILL TO Petersen for Senate

2608 Southeast Drive Wichita, KS 6721 6

ACTIVITY

Medla:Medla auy Radio Buy 10/21-11/8

Mlscellaneous Cllent Expenses

Pound. Feinstein & Associates 5614 Connecticut Avenue, NW, Suite 270

Washington, DC 20015 (20.2)237-9820 [email protected]

INVOICE# 297 4

DATE 10/19/2016

TERMS Due on receipt

QTY RATE AMOUNT

1 28,301.00 28,301.00

5 135.00 675.00 ~ Fed Ex for checks and station paperwork

Medla:Medla Production ~~ 2.25 195.00 438.75 Studio rental and audio engineer

Medla:Medla Production 1 25.00 25.00 Sound effect royalties

Medla:Medla Production 1 150.00 150.00 Music royalties

Medla:Medla Produdion 1 240.00 240.00 Talent fee for Bo Wilson

···· · ·· ·· ·-- - · ·· ... ....... ..... .. ... . . . ·· · ··· -·········· ····· . ,.. .. . ........ ... .. . . .. .. . .. . ·· ······ · ··· · ·· · ·· · -· .. ··- · ·-· ·· ·- -· · ·- ···· -····

PLEASE NOTE: Our address for receiving payments has recently

changed to:

Pound, Feinstein & Associates

5614 Connecticut Avenue, NW, SUite 270

Washington, DC 2001 5

PAYMENT BALANCE DUE

29,829.75

$0.00

N e)- (';\ 'i'\ll 1A ""-t r u: J ,\b 0{ &\, ,\- \tv\S ~ "(D 1 ~ '('{\ArV-~ ' Kr~~ 11·-Q', G 3 0. oo K f x:r :i131L.\5Lt. 60 l.Z N S5 $ 3l 315:3 ~ 6D K ~A-M-f ~~ t 5 ~ .. ov KV W F $ · \ 1 d-.~ 6 \· oo 1 I -T <1 I\\ $ ~ .t::\ \ \ . ~ Q

+ Pound, Feinstein

& Associates INVOICE Bill. TO

Pound, Fel""1eln &. A~ 5614 Con~t AYanua, NW, :Suite 270 Washil'lgton, DC 20015 (202)237-9820

[email protected]

INVOICE. ti 2$83 DATE 10/24/2016 PeteJSen tar Sen.ate

2608 Soulhaasl Drive

Wichita, t<S 67216 TeRMS Due on receipt

ACTIV11'Y QTY

M~~Med~Buy 1 Televlsioo nme 10/25·1117 © Mlscellaneoos Cllertt E:xpansas "'"'V 4 FOOBx Foas lo< p_.wod< ""°payments ~

F'l.E.ASE NO'rE: Our !l11dr<ME. tar !ecer.olng paymenU> hW> me;(()'; PAY.,,ENT rJulngei:i io: ~~ BALANCE DUE

Pounc!, FNTsluin & lw>ocidltt&

SOY 4 Cotln«ti:til A1'41nu.i, NW. Sul!M 2.70 Wa£tlingtoo. !>C 20015

RAT'f

31,000.00

35.00

A.MOUNT

31,950-DO

140.00

32,100.00

$0.00

NM~ ?~:to S~tiMh ~ior )I> rwlbif ' ~) N - ~ o~C\l.o~, ~ \~ s p.,:<; ~ $ 5 '"\ ') ~ '16 ~ V- fltl. i vJ • § t '1 , ao ~ L --f\tt,th fl>IYI- k t '\ "fo :i v,_stWv .$~~~.1b \(Wl\-\ - $~l13'~·oo \(f\ \(__~ - ~6 j L\ d-_ '\I~

https://connect.intuit.com /portal/app/CommerceNetwork/?cta=_ .. loca le=en_U Sllvie\i\//d ce;o obc-1Sfb·414[;;-908o· ~ 3 a7 23bb2 9 86 10/30/'16, 6;49 PM P~ge 1 of 2


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