~Nsl~ GOVERNMENTAL ETHICS COMMISSIONethics.ks.gov/CFAScanned/Senate/2008ElecCycle/200810/S30... ·...

FRClM : !'JEI FAX NCI. :3155851045 Clet. 27 2008 01:45PM Pi

./\ .

~Nsl~ GOVERNMENTAL ETHICS COMMISSION // ..~~ I:l \ .

,// ~\ l,10\SQ ~CEIPTS AND EXPENDITURES REPORT \ " '\.~'\ 0°'0 ~lZ A CANDIDATE FOR STATE OFFICE

'0'-'\ ::A'0'V C,'\ ~'\ '. \\ '\00'?~ OY: ~ October 27, 2008

\ o~6~0 FILE~RETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER

\ S SEE REVERSE SIDE FOR INSTRUCTIONS

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

C. Summary (coveriDg the period from July 25, 2008 through October 23,2008)

1..Cash on hand at beginning ofperiod .. kftl.f2 R,19

2. Total Omtributions and Other Receipts (Use Schedule A) .. r; J '-) /.;, 7, -:z.-q

3. Cash available this period (Add Lines I and 2) . 1?.~£'3 l.:..08

4. Total Expenditures and Other Disbursements (Use Schedule C) . II, J"Z../ ,e.. 5. Cash on hand at close ofperiod (Subtract line 4 from 3) . J IS,7)'··i, 3 i-, 6. In-Kind Contributions (Use Schedule B) cJ s ~ S. 7 L

7. Other Transactions (Use Schedule D) ~ .

D. "I declare that this report, including any accompanying schedules and statements, bas been e:xammed by me and to the best of my knowledge and belief is true, correct and complete. 1understand that the intentional. failure to file this document or intentionally filing a false document is a class A misdemeanor."

10- 2 7c v?: J? --.. ~ Date S~ature of Candidate

t. r er . .

GEe Form Rev, 2001

FROM :WBI FAX NO. :3166851045 Oct. 27 2008 01:46PM P2

SCHEDULE A CONTRIBUTIONS AND OrnER RECEIPTS

Susan Wagle for Senate

8-4-08 Koch Industries 4111 E. 37th St. North Wichita, KS 67220

8~4~O8 Ks Medical Society 623 S;W. 10th Ave Top~ka, KS 66612

84~O8 Heart Pac 2250 N. Rock Road

. #118-224 Wichita, KS 67226

8-4~O8 KS Bankers Assoc P.O. Box 4407 Wichita, KS 66604

8-4-08 One OK Employees PAC P.O. Box 871 Tulsa, OK 74102

8-26-08 NFIB Kansas Safe Trust 1201 F Street, NW, Suite 200 Washington, DC 20004

8-26·08 America's Health Insurance Plans 601 Pennsylvania Ave NW, #500 Washington, DC 20004

9·2-08 K.s Republican Senatorial Com P.O. Box 2663 Topeka, KS 66601

9-2-08 Kansas Hospital Assoc 215 S.E. 8th Ave Topeka, KS 66603

9-2-08 Kansas Hospital Assoc· 215 S.E. 8th Ave . Topeka, KS 66603

Pac

Pac

Subtotal this Page

500.00Business Check Energy

Pac

Pac

Pac

Pac

Pac

Check

Check

1,000.00

1,000.00

Check 750.00

Pac

Check

Check

Check

250.00

250:00

350.00

Committee Check

Check

5,000.00

500.00

Check 500.00

10,100.00

2

FROM :WBl FAX NO. :3166851045 Oct. 27 2008 01:52PM Pi

SCHEDULE A CONTRIBUTIONS ANTI OTHER RECEIPTS


9-2-08 Heart Pac 2250 N. Rock Rd, #118-224 Wichita, KS 67226

9-22-08 Kansas Cable Pac P.O. Box 3027 Wichita, KS 67201

9-2-08 Anheuser Busch Cos One Busch Place St. Louis, Mo 63118

9-12-08 KS Insurance Agents Pac 815 S.W. Topeka Blvd. Topeka, KS 66612

9-15-08 Ks Medical Society Pac 623 S.W. 10th Ave. Topeka, KS 66612

9-18~08 Wichita Area Business Pac 350 W. Douglas Ave Wichita, KS 67202

9-22-08 Kansas Contractors Assoc P.O. Box 5061 Topeka, KS 66605

Pac

Pac

Business Beer

Pac

Pac

Pac

Pac

8-30-08 National Assoc of Chain Drug Stores Pac P.O. Box 5061 Topeka, KS 66605

8-20-08 Walgreens 104 Wilmot Road Deerfield, II 60015

9-4-08 Occidental Oil and Gas Wilmington, DE 19801

9-8-08 Wichita Realtors Pac 540 S.Broadway Wichita, KS 67202

Business Drug Store

Business Oil and Gas

Pac

Check 1,000.00

Check 250.00

Check 500.00

Check 500.00

Check 1,000.00

Check 1,000.00

Check 500.00

Check 250.00

Check 250.00

Check 250.00

Check 250.00

5750.00

3

Subtotal This Page


SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS


9-8-08 BNSF Railway Co Business 2500 Lou Menk Dr. AOB-3 Railroad Fort Worth, IX 76131

9-12-08 K.s Manufactured Housing Pac 3521 SW 5th St, Topeka, KS 66606

9-8-08 KS Bankers Assoc Pac P.O. Box 4407 Topeka, KS 66604

9-16-08 Merck & Co. Business P.O. Box 1700 Pharmaceutical Whitehouse Station, NJ 08889

9-19-08 Ks Automobile Dealers Pac 731 S. Kansas Ave. Topeka, KS 66603

09-18-08 Kansas Livestock Assoc Pac 6031 SW 37t11 St. Topeka, KS 66614

09-19-08 Kansas Dental Pac 5200 SW Huntoon St Topeka, KS 66604

9-10-08 Home Builders Assoc or K.C. Pac 600' E. l03 rd 8t. Kansas City, MO 64131

9-26-08 Heartland Community Bankers Pac 700 S. Kansas Ave. #512 Topeka, KS 66603

9-26-08 Spirit Aerosystems . Business P.O. Box 780008 Manufacturing Wichita, KS 67278

9-25-08 KS Credit Union Pac 816 S.E.Topelal Topeka, KS 66612

Subtotal This Page

Check 500.00

Check 100.00

Check 500.00

Check 200.00

Check 200.00

Check 500.00

Check 700.00

Check 250.00

Check 300.00

Check 400.00

Check 250.00

3,900.00

4




10-2-08 Higher Education Fund Greater Kansas City Chamber

911 Main St #2600 Kansas City, MO 64105

Pac Check 500.00

10~1O-08 Builders Asoe Pac Kansas City Chapter 632 W. 39th St. Kansas City. MO 64111

Pac Check· 350.00

10-10-08 Medical Society ofSedgwick County 1102 S. Hillside Wichita. KS 67211

Pac Check 500.00

10-10-08 QC Holdingsl Inc. 9401 Indian Creek Pkwy Suite 1500 Overland Park, KS 66201

Pac Check 500.00

10-10-08 Kansas Phlsical Therapy Assoc 214 SW 6 Ave. #205 'Topeka, KS 66603

Pac Check 500.00

10-08-08 PolsineIli j Shalton. Flanigan 700 W. 41" 81. #1000 Kansas City, MO 64112

Business Law Office

Check 200.00

9--18-08 Lynette Rauvolabouta 25 Huntington St. Eastborough, KS 67206

Homemaker Check 100.00

9-16-08 George Jones P.O. Box 780600 Wichita, KS 67278

Gas Producer Check 500.00

10-8-08 Francis Sevart 322 Whitfield St. Wichita, K.S 67206

Engineer Check 100.00

10~08-0g Mary Wilkinson 145 S. Pershing Wichita, KS 67218


Subtotal from This Page 3,400.00

5




J0-10-08 Robert Clark 15917 Lynnwood Circle Wichita, KS 67230

Retired

. 10-10-08 Jan TangeIlWl 8715 Churchill Circle Wichita, KS 67206

Retired

10-10-08 Herb Klaskin 24 Lynwood Blvd Eastborough, KS 67207

Retired

10-9-08 StevenRohr 6505 E.Harry Wichita, KS 67207

Dentist

10-9-08 Hal 'Hale 7032 E. Lincoln Wichita, KS 67207

Dentist

10-9-08 Lucynda Raben 9634 Clubhouse Ct. Wichita, KS 67226

,Dentist

10-9-08 John Hollingsworth 9400 E. Wilson Estates Pl-Wocjota S 67206

Dentist wy, #902

10-9-08 Charles Squire 555 N. Carriage Pkwy Wichi1:<4 KS 67208

Dentist

10-9-08 Robert Beaver 2860 S. Seneca, Suite A Wichita. KS 67217

Dentist

10-9-08 Wendy Reynolds 2401 N. Peckham Ct.

Dentist

Wichita, KS 67228

10-9-08 Brick Scheer Dentist 211 Lancaster Court Wicruta, KS 67230

Subtotal This Page

Check 150.00

Check 100.00

Check 100.00

Check 250.00

Check 150.00

Check 100.00

Check 75.00

Check 100.00

Check 100.00

Check 400.00

Check 500.00

2,025.00

6

FROM :WBI FRX NO. :3156851045 Oct. 27 2008 01:54PM P5

SCHEDULE A C01\T'fRIBUTIONS AND OTHER RECEIPTS.

Susan Wagle for. Senate

10-9-08 Marvin Edgington Dentist 231 N. West St Wichita, KS 67203

10~9-08 Anthony Martin Dentist 8913 Churchill Court WichitA, KS 67206

10-9-08 Ronald Jackson Optometrist 982 N. Tyler, Ste A Wicihta, KS 67212

10-9-08 Ron Fiegel Optometrist 2230 N. Ridge Rd Ste E Wichita, KS 67205

lO-9~O8 Michael Murphy Optometrist 2254 Penstemon Ct Wichita, KS 67226

10-9-08 We~.Garton Optometrist 2107 S. Seneca Wichita, KS 67213

10~9-08 Alan Hansen Optom~ist

751 N. Mur-Len Rd, Ste A Oiathe, KS 66062

10-9-08 Ron Hansen Optometrist 3120 N. Plum Hutchinson, KS 67502

10-9-08 Drs Hawks, Besler & Rogers Optometrists 315 E. Main Gardner, KS 66030

10-9-08 Tammy Goering Optometrist 1323 E. First St. McPherson, KS 67460

Subtotal Tl;lls Page

Check 300.00

Check 100.00

Check 100.00

Check 100.00

Check 100.00

Check 100.00

Check 100.00

Check 200.00

Check 250.00

Check 75.00

1425.00

7

FROM :WBI FAX NO. : 3156851045 Oct. 27 200E: 01: 55PM PE,



lO~9-08 Steven Bryant 620 Cedar Concordia, KS 66901

Optometrist

10-9-08 Restore America Pac P.O. Box 2275 Topeka, KS 66601

Pac

10-9-08 Preferred Health Systems 8535 E. 21 st North Wichita, KS 67206

Business Insurance

10-9~08 TOID McCarthy 321 S. Hillside Wichita, KS 67211

Optometrist

10-9·08 Russell McCaulley 181l\TE 20 Road Great Bend. KS 67530

Optometrist

10-9-08 David Waldie 9390 E. Central #101 Wichita, KS 67206

Optometrist

10-9-08 Joe Sullivan 9115 Windwood St. Wichita, KS 67226

Optometrist

10-9-08 Jan Hageman 1434 E. First St. McPherso~ KS 67460

Optometrist

10-9-08 Drs Norris and Kelly 2301 Tenth Avenue Leavenworth, KS 66048

Optometrist

10-9-08 Charles Kissling 1202 W. Maple Wichita, K.S 67213

Optometrist

10-9-08 Roy Roberts 8150 E. Douglas Wichita, KS 67206

Optometrist

Subtotal This Page

Check 150.00

Check 1,000.00

Check 500.00

Check 150.00

Check 100.00

Check iOO.OO

Check 100.00

Check 75.00

Check 200.00

Check 200.00

Check 200.00

2,775.00

8

FROM :WBI FAX NO. :3166851045 Oct. 27 2008 01:55PM __P__7 ___



10-9-08 Wichita Family Vision 437 N. Tyler Wichita. KS 67212

Optometrist Check 200.00

10~9-08 Wes Garton 2107 S. Seneca Wichita, KS 67213


10-9-08 Ron Fiegel 2230 N. Ridge Rd, Ste, # Wichita, KS 67205


09-12-08 Kansas Independent Business Inc. 415 S. Main Wichita, KS 67202·

Pac Check l~OOO.OO

10-14-08 Yvonne Riedl 71 SLinden Ct Wichita, KS 67206


10~14~O8 John Woolf 626 Preston Trail Wichita, KS 67230 .

Attorney Check 100.00

10-10-08 Eugenie Stevens 576 N. Broadmoore Ct. Wichita, KS 67206

Sm business Owner

Check 100.00

10-10-08 Sammy Kouri 619 N. Armour Wichita, KS 67206

Physician Check 250.00

10·10-08 Ken Dillehay 1821 N. Rock Rd Wichita, KS 67206

Orthodontist Check 500.00

1~10~O8 J. Michael Vess 1700 Watern-ont Pkwy #500 Wichita, KS 67206

Oil Producer Check ·500.00

Subtotal This Page 3,050.00

9

FROM :WBI FR>< NO. : 3166851045 Oct. 27 2008 01:55PM P8



lO~I4-08 Jerald Branson 7373 E. 29th St.North Wichita, KS 67226

Retired Check 75.00

lO-l4~O8 C. Robert Buford .1223 N. Rock Rd, Bldg A Wichita, KS 67206

Oil Producer Check 200.00

10-14-08 William Syrios 802 Eastmoor Wichita, KS 76207

Attorney Check 200.00

10-14-08 Don Brada 52 Mission Rd Wichita, KS 67207

Psychiatrist Check 100.00

lO~I4-08 Thomas Devlin P.O. Box 782170 Wichita, KS 67278

Investor Check 1,000.00

. 10-14-08 Kent Weixe1man 122 CaIdinal Lane Wichita, KS 67230

Engineer, Check 200.00

10·14-08 Lisa Ritchie 7 N. Hampton Rd. Eastborough, KS 67206

. Homemaker Check 250.00

I 0~14·08 Harvey Sorensen Attorney 1551 N. Waterfront Pkwy #100 Wichita, KS 67206

Check 250.00

10-27-08 Eli Lilly & Company Indianapolis. IN 46285

Pac Check 400.00

10-27-08 Assoc General Contractors 200 W. 33rd St. Topeka, KS 66611

Pac Check 200.00

10-9-08 Jason Wagle 2844 N. Cypress Ct. Wichita, KS 67226

Dentist Check 250.00

Subtotal for This Page 3;125.00

10

FROM :WBI FRX NO. :3166851045 Oct. 27 200E: 01: 56pr1 P9



10-9·08 Jon Tilton 9255 Wilson Estates Cir Wichita, KS .67206

10-10-08 Terry Poling 11 Sandalwood Wichita, KS 67230

lO-9~O8 Larry Stoppel 318 Commercial VV~gtoD66968

10-9-08 Wade Dulin 2330 Amidon Wichita, KS 67204

10-9-08 KS Optometric Pac 1266 S.W. Topeka Blvd Topeka, KS 66612

10-13-08 Koch Industries 4111 E. 37th St. North Wichita,. KS 67220

10-8-08 Community Bankers Assoc 3003 SW VanBuren, Ste A Topeka, KS 66611

10-17-08 Blue Cross Blue Shield 1133 S. W. Topeka Blvd Topeka, KS 66629

10-15-08 Carolyn Evans 7328 E.Elm Ct Wichita, KS 67206

10-9-08 Kevin Conlin 1015 E. Linden Circle Wichita, KS 67206

10-15-08 James Snodgrass 8830 Windwood Circle Wichita. KS 67226

Dentist

Physician

Optometrist

Optometrist

Pac

Business Energy

Pac

Business Insurance

Homemaker

Exec Director Hospital

Retired

Check 100.00

Check 200.00

Check ]00.00

Check 100.00

Check 1,000,.00

Check 1,000.00

Check 200.00

Check 500.00

Check 100.00

Check 100;00

Check 100.00


11




10-16-08 William Landman 7114 Cbadowes St. Wichita, KS 67206

Investor Check 100.00

10-29·08 Cerner Corporation 2800 Rockcreek Pkwy Kansas City, MO 64117

Pac Check 1,000.00

10-8-08 Union Pacific Railroad 6455 E. Commerce Ave Kansas City, MO 64120

Business Railroad

Check 500.00

10-16-08 James Garvey 1081 S. Glendale Wichita, KS 67218

Real Estate Check 500.00

10':16-08 K.s Assoc of Homes for Aging 217 E. 8th St. Topeka. KS 66603

Association Check 200.00

10-16-08 Googe Farha 1313 N. Webb Rd #240 Wichi~ KS 67206

Physician Check 300.00

10-13-08 JetI Johnson 8919 E. Woodcrest Circle Wichita, KS 67206

Small Business Restaurant

Check 100.00

10-13-08 Commercial Mechanical Inc 1655 Wabash Wichita, Kansas 67214

Small Business Heating & Air

Check 100.00

10-13-08 McCormick Adam & McDonald P.A. 9300 W. lOOth St. #470 . Overland Park, KS 66210

Law Finn Check 100.00

10-9-08 Gary Conover 2939 N.Rock Rd Wichita, KS 67226

Dentist Check 250.00


12


AITACHMENT A CONTRIBUTIONS OTHER RECEIPTS


1O·16~O8 Cyrus Nobles Bus Executive Check13001 Pinehurst Dr. .125.00 Wichita. KS 67230

10-16-08 Thomas Jacob Liquor Store Check LOOO.OO9026 Windwood Wichita, KS 67226

10-13~08 AT&TKansas Pac Check 500.00220 E.~ St #500 Topeka, KS 66603

10-16'-08 Kansas Chamber of Commerce Pac Check 1,000.00835 S.W. TopekaBlvd Topeka, KS 66612

10-22-08 Citizens Finance Co., Inc Loan Company Check 100.00 P.O. Box 780189 Wichita" KS 67278

10-18-08 Koch Supply & Trading, L.P. Commodity Trading .Check "1,000.00 P.O. Box 2302 Wichita., KS 67201

10-18-08 Flint Hills Resources, LP . Refining Company Check 1,000.00 P.O. Box 2917 Wichita, KS 67201

10· 18~08 Koch Chemical Technology Group L.L.C. Process and Check 1,000.00 P.O. Box 2256 Pollution Control

. Wichita., KS 67201 Equipment

10-22-08 GlaxoSmithKline Pharmaceutical Co. Check 500.00 200 N. 16th St. Philadelphia, PA 19102

10-22-08 . Medco Health Solutions Inc. Insurance Check 350.00 100 ParSons Pond Drive . .

Franklin Lakes, NJ 07417

10-18-08 Gaches Braden Barbee, & Assoc Lobbyin~ Finn Check 250.00 825 S.:Kansas Ave #500 topeka, KS 66612

r


13

FRO!'! : WEI FAX NO. : 3166851045 Oct. 27 2008 01:57PM P12



1O-22"()8 KS Assoc of Health Plans 212 SW 8th St. Suite 200 Topeka, KS 66603

Pac

10-23-08 KS Insurance Agents & Employees 555 S. .Kansas Ave. #301 Topeka, KS 66603

Pac

1(}"18-08 Boeing Company P.O. Box 3707 Seattle, WA 98124

Aircraft

10-20-08 Builders Assoc Kansas 212 SW 8th Ave. #201 Topeka, KS 66603

Pac

10-18-08 Bayer 100 Bayer Road Pinsburth, PA 15205

Phannaceuticals

10-20-08 Entertainment Software Assoc 275 ill St NW #300 Washington DC 20004

Software ,

10-20-08 Blue Cross Blue Shield of Kansas City 2301 Main Street Kanas City, MO 64108

Insurance

10-18-08 GMRI Inc. P.O. Box 59330 Orlando, FL 32859

Restaurants

10-18-08 Jim Farha 1313 N. Webb Rd #240 Wichita, KS 67206

Physician

10-18-08 Stephen Yager 341 S. Crestway Wichita, KS 67218

Financial Consultant

Subtotal this Page

Check 250.00

Check 100.00

Check 200.00

Check 250.00

Check 250.00

Check 250.00

Check 1,000.00

Check 1,000.00

Check 100.00

Check 100.00

3,500.00

14

FROt'1 : WBI FA>< l'-lO. : 3166851045 Oct. 27 2008 01:58PM P13

ArtAcHMENT A CONTRIBUTIONS AND OTHER RECEIPTS


10-18-08 Cary Humphries &Sagebrush Wichita, KS 67230

Bus Executive Check 300.00

10-18-08 Pac ofKansas Opthahnologists 10 W. Phillip Rd #120 Vemon Hills, III 60061

Pac Check 500.00

10-18-08 American Insurance Assoc 1130 Connecticut Ave. NW #1000 Washington DC 20036

Pac Check 250.00

10-18-08 Anderson Financial Services 600 S. Broadway Salina, KS 67401

Loan Company Check 250.00

10-18-08 Prairie Band Potawatomie Nation 16281 Z Road Mayetta, KS 66509

Indian Tribe Check 400.00

10-18-08 Commerce Bancshares, Inc. P.O. Box 419248 Kansas City, MO 64141

Pac Check 100.00

10-16-08 Christopher Jacob 9026 Windwood St. Wichita, KS 67236

Liquor Store Check 500.00

10-18-08 RCA Kansas Good Government Fund Topeka, KS 66611

Pac Check 300.00


Total Itemized Receipts for Period Total Unitemized Contributions Sale of Political Materials Toral Contributions When Contributor Not Known

55,125.00 2,342.29

·0-0

Total Receipts This Period 57,467.29

15

FRO!", : WEI FAX NO. :3155851045 Oct. 27 2008 01:58PM Pl~

SCHEDULEB IN-KIND CmrrRIBUTIONS


10-24-08 Kansas Republican Senatorial Committee

P.O. Box 2663 Topeka, KS 66601

Committee Polling 1,800.00

10·9-08

10-9-08

Kansas Dental Assoc 5200 S.W. Huntoon Topeka, KS 66607

Kansas Dental Assoc 5200 S.W. Huntoon Topeka, KS 66607

Dental Association

Dental Association

Invitations

Food for Fundraiser

132.67

130.61

10-9-08 Kansas Optometric Assoc 1266 S.W. Topeka Blvd Topeka, KS 66612

Optometric Assoc Food for Fundraiser

130.61

10-9'-08 Wichita Optometric Society c/o Brad Majher, Treasurer 2251 N. Woodlawn Wichta, KS 67220

Wichita Optometric Society

Food for Fundraiser

130.61

10-9-08

10-9~O8

K$sas H02'ital Assoc 214 S. E. 8 Ave Topeka KS 66603

Kansas Medical Society 623 S.W. lOth Ave Topeka, KS 66612

Hospital Association

Society

Food for Fundraiser

Food for Fundraiser

130.61

130.61

Total This Page 2,585.72

16

FROM :WBJ FAX NO. :3155851045 Oct. 27 2008 01:58PM P15

SGHEDULEC EXPENDITIJRES


8-27-08 Hawver News Company 3823 S.W. Wood Valley Dr. Topeka, KS 66610

Newspaper 180.00

9-30-08 Handy Mail Company 3839 Dora Wichita, KS 67213

Postage 1,016.69

9·30~O8 Trinity Press 1042 s. Ridge Rd Wichita, KS 67209

Printing 2,453.94

1O~6-08 Midwest Printing 123 W. 12th North Wichita, KS 67203

Advertisement 105.00

10-9-08 Handy Mail Company 3839 Dora Wichita, KS 67213

Mailing 635.68

10-20-08 ,Sams Club "3415 N. Rock Road Wichita, KS 67226

Printer, Scanner, Ink. Paper

341)7

10-20-08 Handy Mail 3839 Dora Wichita, KS 67213

Postage' 3,949.45

10-23-08 Trinity Press 1042 S. Ridge Road Wichi~ KS 76209

Printing 2,355.61


Total Unitemized Expenditures $50.00 or Less 84.00

Total Expenditures and Other Disbursements 11,121.74

17

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