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Jul 29 2012 5:3ipM QUIRIN 6204212459 p. 1 KANSAS GOVERNMENTAL ETHICS COMMISSION RECEWTSANDEXPENDlTURESREPORT OF A CANDIDATE FOR STATE OFFICE 30,2012 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: _D_w_By_n_e_U_rn_b_a_r....:.,9_ e _ r Address: 1585 70th Road City and Zip _ County: Neosho Office Sought: State Senate District: _1_5 _ B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from January 1,2012 through July 26,2012) 1. Cash on hand at beginning of period .. 47,332.42 2. Total Contributions and Other Receipts (Use Schedule A) . ·33,575.00 3. Cash available this period (Add Lines 1 and 2) . 80,9101.42 4. Total Expenditures and Other Disbursements (Use Schedule C) : . 67,639.41 5. Cash on hand at close of period (Subtract Line 4 from 3) .. 13,268.01 6. In-Kind Contributions (Use Schedule B) 345.47 7. Other Transactions (Use Schedule D) 5,031.38 D. "'1 declare that this report, including anyaccompan' schedules and statements, has been examined by me and to the best of my knowledge and belief is correct and complete. I understand that the intentional failure to file this document or inte Q?dl;ddJ (pat . nally . g a false document is a class A misdemeanor." GEe Form Rev, 2001
Transcript

Jul 29 2012 5:3ipM QUIRIN 6204212459 p. 1

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEWTSANDEXPENDlTURESREPORT OF A CANDIDATE FOR STATE OFFICE

Ju~y 30,2012

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: _D_w_By_n_e_U_rn_b_a_r....:.,9_e_r

Address: 1585 70th Road

City and Zip Code:_T_h_~y_e_r_._66_77_6 _ County: Neosho

Office Sought: State Senate District: _1_5 _

-....::"""""~

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

C. Summary (covering the period from January 1,2012 through July 26,2012)

1. Cash on hand at beginning ofperiod .. 47,332.42

2. Total Contributions and Other Receipts (Use Schedule A) . ·33,575.00

3. Cash available this period (Add Lines 1 and 2) . 80,9101.42

4. Total Expenditures and Other Disbursements (Use Schedule C) : . 67,639.41

5. Cash on hand at close ofperiod (Subtract Line 4 from 3) .. 13,268.01

6. In-Kind Contributions (Use Schedule B) 345.47

7. Other Transactions (Use Schedule D) 5,031.38

D. "'1 declare that this report, including anyaccompan' schedules and statements, has been examined by me and to the best of my knowledge and belief is correct and complete. I understand that the intentional failure to file this document or inte

Q?dl;ddJ(pat

. nally . g a false document is a class A misdemeanor."

GEe Form Rev, 2001

Jul 29 2012 5:37PM QUIRIN 6204212459 p.2

._ .. SCHEDULE A- . - _.- _. - .-. --­CONTRIBUTIONS AND OTHER RECEIPTS

Dwayne !Jmbarger

(Name ofCandidllte)

nate Name and Address

of Contributor

Occupation & Industr)' of Individual Giving More

Than $150 Cull Check LoaD E I'DDds

"'OiiID"

Cheek Amount of Appropriate Box Ca~h, Check,

f---r----r--.,.-----l Loall or Other Receipt

02106/12 Linda Howard­1317 Pinehurst Circle Lawrence, KS 66049

Homemaker Spouse: President/CEO Contractor

$750.00

02/02112 Elizabeth Tumer 15023 Wallace Road. Lot A Oswego. KS 67356

$20.00

01/17/12 Gary-Wall 3120 Briggs Avenue Parsons. KS 67357

Funeral Home Director Funeral Services $250.00

02115/12 Kip Spray 5000 Timber Creek Road Great Bend, KS 67530

Business Owner Construction $500.00

02/13/12 Brian Hanson 838 Bramerton Sl. Andover, KS 67002

Business Owner Construction .; $400.00

01/10/12 Mrs. Wm. D. Bowen 19068 US HWY 59 Parsons, KS 67357

Retired high school counselor. Spouse retired pharmacist.

,f $200.00

03/05/12 Ron Wood P. O. Box 395 Chetopa, KS 67336-0395

$25.00

01/01/12 Robert C. Gibbs 611 Quail Creek Rd. Parsons, KS 67357

Physician Healthcare $250.00

01/02f12 Lue Bamdollar 416 W. 6th Coffeyville, KS 67357

$100.00

06f02l12 Oswego Drug Store 413 Commercial Oswego, KS 67356

$500.00

06125112 Linda Moley 506 Westwood Coffeyville, KS 67337

$50.00

$3,045.00

-J "Li..--: pageLof__

p.3 Jul 29 2012 5:37PM QUIRIN 6204212459

.. SCHEDULE'-A- .. . ... .. . . . CONTRIBUTIONS AND OTHER RECEIPTS

nwayne Umbarger

(Nwne ofCandidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual GMng More

Than $150

Check Amount of Appropriate Box Cash, Check,

r--~":"'-""'----,r----l Loan or Otber Cull CMdl 1.0.. E fund.

~ .lteceipt

06/29/12 Mary Schmidt 1001 N. 2nd St Independence, KS 67301

$100.00

07/02/12 Danny Fulton 211 E. 3rd Ave. Caney,KS 67333

$100.00

07/02/12 Transys1ems Corporation 115 South 6th St. Independence, KS 67301

$200.00

06/15/12 ACEC of Kansas PAC 825 S, Kansas Ave., Ste 500 Topek~.KS 66612

$1,000,00

06/29/12 Eldon Shields 9701 High Dr. Leawood,KS 66206

Attomey Legal Services $500.00

06/28(12 LoIs J. Davis 210 N. Preston Thayer, KS 66776

$25.00

06/19/12 Neal Barkley 2534 CR5050 Elk City, KS 67344

$100.00

06/21/12 Linda Weidert 502 W. Wilson St. Erie, KS 66733

$100.00

06/19/12 Jay Kingery 2408 W, 3rd Terrace Chanuie, KS 66720

$50.00

06/19/12 Coffeyville Resources 10 E. Cambridge Circle Drive, Ste. 250, Kansas City, KS 66103

$500.00

06/05112 Senate Republican Leadership CommL, P, O. Box 1772 Topeka, KS 66601

$1.000.00

$3,675.00

p 2- of 2-2-­age-- -­

Jul 29 2012 5:38PM QUIRIN 6204212459 p.4

..... _ - - _.- _ _._-_ ·---SCHEDULE-A--· --_._-_.. ­CONTRIBUTIONS AND OTHER RECEIJlTS

Dwayne Umbarger

(Name ofCandidate)

Name and Address Date of Contributor

Marjorie Troy 06/06{12 117 Country Club Lane

Parsons, KS 67357

Kansas Bankers Assoc. PAC 06/25/12 P. O. Box 4407

Topeka, KS 66604

Klaver Construction Company, Inc. 06/25/12 701 ED Ave

Kingman, KS 67068

Donna Schneweis 06126/12 2044 SW Stone

Topeka, KS 66604

William R. Brady 06/26/12. 1235 Stone Creek Rd.

Lawrence. KS 66049

Koger Agency, Inc. 06/25/12 P. O. Box 4587

Topeka, KS 66604

Greenbush Seed &Supply 06/25/12 2609 Flynn Drive

Parsons, KS 67357

06122112 Monarch Cement Company P. O. Box 1000 Humbolt, KS 66748

Edward Moses 06126/12 5624 33rd Terrace

Topeka,KS 66614

Montie Taylor 06129/12 1540 17000 Road

Parsons, KS 67357

Vincent Miller 06/28/12 1706 23000 Road

Parsons, KS 67357

$500.00

$500.00

$50.00

$50.00

$50.DO

$500.00

$100.00

$100.00

. $50.00

$1,000.00

$1,000.00

eaJll CbllOk Lon E flJftCh ""Qjj;;"

Check Amount of Appropriate Box Cash,·Cbeck,

1--~";;""""':"-----,---1 Loan or Other Receipt

Occupation & Industr)· of Individual Giving More

Than $150

$3,900.0D

pag~ of bV

------------- ---

Jul 29 2012 5:39PM QUIRIN 6204212459 p.5

-- -- ---"_ ... _-.- -. "'-"--"--- -,.- - ---_.- -,..

- -SCHEDULE-A-- - -. - - - -------------- ----- --- ------- ----_.-- - ---- -- ._- . --_. -- --_. CONTRIBUTIONS AND OTHER RECEIPTS

Dwayne Umbarger

(Name ofCandidate)

Occupation & Industry of Check AmOllnt of Name and Address Individual Giving More Appropriate Box Cash, Check.

Date ' ofContributor Than $150 t--...,........:.---r--~-....... Chec. Lolli E IIa.d,

Qii;U"

Loan or Other Receipt

06/29/12 Joseph A. Smith 19600 Udall Road Erie, KS 66733

06/19/12 Higher Education Fund of Greater KC Chamber of Commerce, 911 Main St., KC, MO 64105-5303

06/19/12 Sheila Frahm 410 N. Grant Ave. Colby, KS 67701

06/27/12 Animal Medical Center - Chartered Box 256 Chanute, KS 66720

06/27/12 Regina Harmison 17055203rd Road Erie,KS 66733

06/26/12 Betty Westhoff 7250 Wallace Road St. Paul, KS 66771

06/27/12 Mrs. W. E. Oakes 2900 Regency Dr. Independence. KS 67301

06/26112 Kansas JOBS PAC P. O. Box 2504 Topeka, KS 66601

06/26112 Kansas Traditional RepUblican MajOrity PAC, P. O. Box 7463 Overiand Park, KS 66207

06/28/12 Richardson Images. Ltd. -P. O. Box 106 Lindsborg, KS 67456

06129/12 Whitney B. Damron, P. A. 919 South Kansas Avenue Topeka, KS 66612

$100.00

$500.00,f

Farmer Agriculture ,f $250.00

$100.00

.f $100.00

.f $10.00

Retired. Spouse Banking 1 Financial Services. $250.00

$1,000.00

$1,000.00

.f $50.00

Lobbyist Govemmental Relations .f $250.00

$3,610.DO

Page !i- of ~'2­

p.6 Jul 29 2012 5:40PM QUIRIN 6204212459

---- ._--- ---- ---------- -- ---- -- ------._---- ----._- -. - - -----~ --- -- -·----SeHEDULEA--- --- - --- .- --_.-.-_. - --------------.-..--. --- .. ----------_.. --.------ -- . CONTRIBUTIONS AND OTIlER RECEIPTS

Dwayne Umbarger

(Name ofCandidate)

Occupation & lBdustry of Amount of Name and Address

Cbeek Individual Giving More Appropriate Box Cash, Check,

- Date of Contributor Tbao $150 Loao or Other C.... Cbeck Lo.. r. road.

Qii;O';'" Receipt

Peggy S. Martin 12243 W. 128th St.06/29/12 $25.00 Overland Park, KS 66213

Venture Corporation 06/25/12 $1,000.00

Great Bend, KS 67350 P. O. Box 1486

Denise C. Apt 07/10/12 PO Box 327 $100.00

lola, KS 66749

Kenneth W. Peterson Director, Kans~s $250.00

Topeka, KS 66612 Petroleum Council 06/26/12 800 SW Jackson St" Ste. 1005 Natural Resources

R. E. Brandenburg 07/01/12 601 N. 30th 8t. $50.00

Parsons, KS 67357

W. D. ·Pete" Hughes 07/01/12 1405 Morgan Ave. $50.00

Parsons, KS 67357

Timothy R. Emert Attorney 07/02112 309 N. Fourth St, Legal Services $500.00

Independence, KS 67301

BNSF Railway Company $250.0007/05/12 2500 Lou Menk Drive, AOB·3

Fort Worth, TX 76131

Dustrol, Inc. 07/13112 P. O. Box 309 $100.00

Towanda, KS 67144

Kansas Hospital Assoc. PAC $250.00

Topeka, KS 66603

Kansas Medical Society PAC

06/26112 215 S. E. 8th Avenue

06/20/12 623 SW 10th Ave. $500.00 Topeka. KS 86612

$3,015.00

--- - --

Jul 29 2012 5:41PM QUIRIN 6204212459 p.?

-- -- ----------~ ------­ ---~--- - -SCHEDULEA:

CONTRIBUTIONS AND OTHER RECEIPTS

Dwayne Umbarger

(Name OfCl!Ddidate)

Check .Amount of Name and Address

Occupation &: Industry of Appropriate Box Cash, Check,

Date ofContributor Individual Giving More

Than $150 I--...,.-;,.;;.-..:.,.--T"""----l Loan or Other C..h Chd r-n E funol.

""iiihU'" Receipt

Kansas Optometric PAC 07/12112 1266 SW Topeka Blvd. $500.00

Topeka.KS 66612

Mary Ann Kneeland 07105/12 1020 S. Denman $25.00

Chanute, KS 66720

Dr. Dwight Blackwood 07/02112 15 N. Highland $50.00

Chanute. KS 66720

Richey's Rexall Drug, Inc. 07103/12 511 N. Main.P. O. Box 195 $250.00

Erie, KS 66733

Seventh St. Pharmacy, Inc. 07/03/12 P. O. Box 196 $250.00

Erie, KS 66733

Paul Peter Finney Acupuncturist 07/07/12 714 Bridge St. $300.00

Humboldt, KS 66748

Robert D. Ames 07/03/12 23530 Douglas Rd.

Healthcare

575.00 Chanute, KS 66720

Edward Redmon 07/05/12 $50,00

Topeka, KS 66604 1148 Meadow Ln.

M. M. Atteberry 07/05/12 1612 Broadway Ave. $100,00

Parsons, KS 67357

Architects PAC 07118/12 700 SW Jackson St.. Ste 209 $250.00

Topeka, KS 66603

Gerald D. Marlatt 07/05112 17009 BRoad $50.00

Emmett. KS 66422

$1,900.00

page~Of ~V-

------------

Jul 29 2012 5:42PM QUIRIN S204212459 p.8

----~---------------------------SCHEDULE-K------------------------------------ ---­

CONTRIBUTIONS AND OTHER RECEIPTS

Dwayne Umbarger

(Name ofCandidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Cbeck,

IAlIlJl or Other Receipt

CBlh Chccll Loan E funds ""iiiher

07/01/12 Kansas Firefighters PAC 817W.19th Hutchinson, KS 67502

$1,000.00

07/03/12 Kansas Star Casino Employee PAC, 777 Kansas Star Dr. Mulvane, KS 67110

,f $1,000,00

07/13/12 John Jeffrey Zehnder, Jr. 700 MonteryWay, Apt E-4 Lawrence, KS 66049

.; $20.00

07/10/12 Douglass W. Wallace 706 SW Grandview Ave. Topeka,KS 66606

$100,00

06/10/12 Cheryl B. Reid 1013 S, Rutter Chanute. KS 66720

.f $50.00

07/11/12 Mary E. TUr1<ington 1433 SW Campbell Ave. Topeka, KS 66604

.f $100.00

07/12/12 Kansas Agri Business Council 816 SW Tyler St., Suite 100 Topeka, KS 66612

.; $250,00

07/11/12 Uniserv Southeast PAC 615 S. Broadway, Suite B Pittsburg, KS 66762

$300.00

07/10/12 The Kansas Realtors PAC 3644 SW Burlingame Rd. Topeka, KS 66611

.{ $1,000.00

07/12/12 George C. Knox 1717 Cedar Ridge Road Parsons, KS 67357

of $100.00

. 07105/12 Phil Ruffin P. O. Box 17087 Wichita, KS 67217

Business Owner GamIng _ .; $500.00

$4,420.00

Page 2 of ")....V'

Jul 29 2012 5:43PM QUIRIN 6204212459 p.9

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Dwayne Umbarger

(Name of Cllndid~te)

Date Name and Address

of Contributor

Occupation & IndUStry of Individual Giving More

Than $150 Cub

Chec:k Appropriate Box

Otuk Lo.. E fundI ~

Amount of Cash, Check,

LoaD or Other Receipt

07/12/12 Marilyn J. Harms 619 S. Evergreen Ave. Chanute, KS 66720

.f $100.00

07/05/12 Betty Bamhart 607 S. Ashby Chanute, KS 66720

.; $100.00

07/10/12 Dorothy M. Ricketts 605 N. Grant Erie, KS'66733

.; $100.00

07/10/12 Dee Ann Parsons 17600 Elk Rd, Chanute, KS 66720

.f $100.00

07/07/12 Jerry L. Hamm 1010 W. 5th CoffeyVille, KS 67337

.f $25.00

07123/12 Pete's of Erie, Inc. P. O. Box 794 Parsons, KS 67357

.f $250.00

07/23/12 Moore's Retail Liquor Store 3139 Main Parsons, KS 67357

$100.00

07/23/12 Summit Strategies Group LLC 1211 SW Garfleld Ave Topeka, KS 66604

$150.00

07124/12 Kansas Values PAC P. O. Box 571 Topeka, KS 66601

$1.000.00

07/25/12 Barbara A. Smith 516 N. Main Erie, KS 66733

Business Owner Pharmacy / Healthcare $250.00

07/25/12 Dale J. Steinman 211 W. Main Chanute, KS 66720

Business Owner Insurance $250.00

$2,425.00

Jul 29 2012 5:44PM QUIRIN 6204212459 p. 10

Dwayne Umbarger

SCHEDULE-A-­CONTRIBUTIONS AND OTHER RECEIPTS

-- ­ ----------- ­

(Name ofCaodidate)

Date

07/18112

Name and Address of Contributor

KTLA ConsumerlCivil Justice PAC 719 SW VBn Buren Topeka, KS 66603

OCt'upatlon & Industry of IndJvidual Giving More

Than $150

Check Appropriate 80I

Amount or Cash, Cleek,

Loan or Other Receipt

$500.00

Cash Check LaiD E fund. ""QihC;

07/26/12

07/18/12

07/26/12

07/19/12

07/23/12

07/23/12

07/16/12

07/14112

07/21/12

07122112

Betty Westhoff 7250 Wallace Road St. Paul, KS 66771

Kansas Assoc. of Public Employees. 1300 SW Topeka Blvd., Topeka, KS 66612

Keith Smith 207 Airport Road St. Paul, KS 66771

Robert Bartelli Box 703 Parsons, KS 67357

Mike Henry 14970 Arkansas St. Chanute, KS 66720

Jarold Hen ry 14385 Elk Rd. Chanute, KS 66720

Kevin Shepard 2093 Woodland View Dr. Independence, KS 67301

John Latzer 3109 Johnston Rd. Parsons, KS 67357

Beverly Nogle 2409 W. 3rd Terrace Chanute, KS 66720

David McCoy 211 N. Lafayette Chanute, KS 66720

$25,00

$800.00

$100.00

$100:00

$50.00

$50.00

$100.00

$100,00

$50.00

$25.00

$1,900.00

page:LOf~1./

-- ---

Jul 29 2012 5:45PM QUIRIN 6204212459 p. 11

-------------~---.---------'---S€HEDULE-A---------------------------------­CONTRIBUTIONS AND OTHER RECEIPTS

Dwayne Umbarger

(Name of Candidate)

Cbeck Amount DfOccupation & Industry of Individual Giving More Appropriate Box Cash, Check, Name and Address

Daie of Contributor

07/18112 Bryan Schulz 7630 80th Road Thayer, KS 66776

07/16112 Lue Bamdollar 416 W. 6th St., P. O. Box 3BB Coffeyville, KS 67337

07/16/12 KS State Farm Ins. Agents & Employees PAC, 825 S. Kansas Ave., 5te 500, Topeka, KS 66612

07/19/12 James Hardy 319 Hillside Drive Chanute, KS 66720

. McCune Robinson Inc. 07/17/12 725 West Cherry

Chanute, KS 66720

. Spirit Aerosystems 07/13/12 P. O. Box 780008

Wichita, KS 67278

K5 Society of Prof. Engineers PAC 07/16/12 825 S. Kansas Ave., Ste 500

Topeka, KS 66612

AAA Allied Group Inc. 06/28/12 15 W. Central Parkway

Cincinnati. OH 45202

Kansas Committee for Rural 07112112 Electrification, P. O. Box 790

Meade, KS ·67864

Kansas Healthcare Assn. PAC 07117/12 117 SW 6th Ave., Ste 200

Topeka, KS 66603

Michel T. Loomis 07/21/12 701 Louisiana 5t.

La~ence, KS 66044

Than $150 I--..,...;;....;"..~--~-~ Loan or Otber Receipt

$100.00

$100.00

$1,000.00

$50.00

$500.00t/

,f $300.00

$300.00

$300.00

$250.00

$250.00

$75.00

$3,225.00

pagelO of bV'

-- --

Jul 29 2012 5:46PM QUIRIN 6204212459 p. 12

-----------------------------~~SGHEDULEA~------ _ CONTRIBUTIONS AND OTHER RECEIPTS

Dwayne Umbarger

(Name of Candidate)

Occupation & Industry of Cbeck Amollnt of Name and Address Individual Giving More Appropriate Box Cash, Check,

Date of Contributor Than $150 I---~"':-"';"'---r----i !Alan or Other

07120/12 KS Wine & Spirits Wholesalers PAC, 212 SW 8th Ave., Ste 202 Topeka, KS 66603

07/20/12 Karyl L. Buffington 1313 W. 2nd Coffeyville, KS 67337

07104/12 Rochelle Chronister 17124 Bethel Road Neodesha,KS 66757

07/22112 Elizabeth Gudmonson 2061 Lakewood Dr. Independence, KS 67301

07/20/12 Little Government Relations LLC 800 SW Jackson St., Ste. 914 Topeka. KS 66612

07/23112 Security Benefit Life Ins. PAC One Security Benefit Place Topeka, KS 66636

07/19/12 Michael J. Hammond 244 NE 59th Ter. Topeka, KS 66617

07/10/12 Forget-Me-Not-Farms 22502 R Road Cimarron, KS 67835

Lobbyist Mental Health

ealh Check

./

'" ,(

.f

v'

.f

.f-

Lun E /Ullds Orbor Receipt

$250.00

$100.00

$100.00

$50.00

$150.00

$500.00

$250.00

$1.000.00

$2,400.00

- II iL-VPage of

----------- ---- - ------------ -- - - --

Jul 2S 2012 5:46PM QUIRIN 620421245S p. 13

~ ------.-------.- -- --_._- -----.-- ."_._-- - - -.- -------_.._..-- -­ ---------------------_._-­SCHEDULE A

CONTRIBtITIONS AND OTHER RECEIPTS

Dwayne Umbarger

(Name ofCandidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Than $150 C••h

Check Appropriate DOl:

Oteck Loan

AmouDtof Cash, Cbeck,

Loan or Otber Re~eipt

$0.00

Complete if last page of Schedde A

Totallternized Receipts for Period $33,575.00

Total U.niternized Contributions ($50 or less) $0.00

Sale ofPolitical Materials (Unitemized) $0.00

Total Contributions When Contributor Not Known $0.00

$33,575.00

Page [2/0f 2--1..,...0--"

Jul 29 2012 5:47PM QUIRIN 6204212459 p. 14

.--.-----.-----.~-·---------·----------------------SCHEDUbE--B-----------------------------·---·--------

IN-KIND CONTRIBUTIONS

Dwayne Umbarger

(Name of Candidate)

Date

7/26/12

Name and Address (If Contributor

Mrs. W. E. Oakes 2900 Regency Dr. Independence. KS 67301

List Occupation & Industry for Those Giving an In-Kind of More Than

5150

Retired. Spouse Banking I Financial Services.

Description of In-Kind Contribution

Host fundraiser. $176.63 ads. $28.84 supplies. $140.00 coffee I muffins.

Value of Io-Kind

Contribution

$345.47

$345.47

Complete if last page of Scbedule B

Total ltemized (over SI 00) In-Killd Contributions

Total Unitemized (SlOO or less) ID~Kind Contributions

$34.5.47

$345.47

pagellDf ~

Jul 29 2012 5:48PM QUIRIN 6204212459 p. 15

---------------------------S€HE-DUbE-G-·---­EXPENDITURES AND OTHER DISBURSEMENTS

Dwayne Umbarger (Name of Candidate)

Date Name and Address Purpose 01 Expenditure

or Disbursement Amount

1/6/12

1/10112

1/11/12

1(30/12

1/30(12

1/30/12

2(1/12

2/24/12

2/13/12

2/9/12

Thrive 2 E. Jackson Ave. lola, KS 66769

Capitol Water Fund, Dick Kelsey 24047W.MacArthur Goddard, KS 67052

Timothy Michael Murphy Memorial Fund, 3 & 2 Baseball Club of Johnson Co. Scholarship Fund, P. O. Box 14011, Lenexa, KS 66282

Chanute Area Chamber of COmmerce 21 N;Lincoln, P. O. Box 747 Chanute, KS 66720

Capitol Water Fund, Dick Kelsey 24047 W. MacArthur Goddard, KS 67052

Pittsburg State University College Republicans, 1701 S. Broadway, Box 109 Pittsburg, KS 66762

Capitol Water Fund, Dick Kelsey 24047 W.MacArthur Goddard, KS 67052

Thayer Schools 300 West Wilson Street Thayer, KS 66776

David O'Bryan 402 Central St St. Paul,KS 66771

legislative Adminstrative Services 300 SW 10th Ave.Sle 551-5 Topeka KS 66612-1504

Project 17 Contribution

Office legislative water

Donation

2012 Membership Dues $100.00 Building Maintenance $25.00

Office legislative water

Donation

Office legislative water

Donation

Reimburse for reorder of campaign account checks.

Legislative Coins· 50 coins and holders.

$1,667.00

$65.00

$100.00

$125.00

$30.00

$100.00

$40.00

$22.00

$26.33

$275.00

2/9/12 Labette Avenue P. O. Box 269 Oswego, KS 67356

Newspaper subscription $43.00

$2,493.33

Jul 29 2012 5:49PM QUIRIN 6204212459 ~. 16

.-~-._--~_.._---------_.__._--------------~-SGHEDULEC----~----__~ ~ ~ . . _ EXPENDITURES AND OTHER DISBURSEMEl'TS

Dwayne Umbarger (Name of Candidate)

Date Name and Address Purpose 01 Ell.pendlture

or Disbursement Amount

2/9/12 Joy Isaacs 12534 As~ew St Grandview, MO 64030

Legislative Work $200.00

2110/12 Legislative Spouses 600 S. Trindle St. Hugoton. KS 67951

Senate State Pin $35.00

2118112 Larry Woolery 58BO 90th Road Thayer, KS 66776

Donation to Thayer Horse Pull $100.00

2/17/12 Baxter Springs Chamber of Commerce 1004 Military Ave. Baxter Springs, KS 66713

Chamber Dues 2012 $50.00

2127/12 Labette Community College Foundation 200 S. 14th 51. Parsons, KS 67357

Silver Sponsor Donation $300.00

2117/12 Special Olympics Kansas P. O. Box 29141 Mission, KS 66201-9141

Donation $50.00

. 2/23/12 Kansas State Historical Society 6220 SW 6th Topeka,KS 66615

State pins for student guests -$39.22

2/23/12 Hawk Designs P. 0, Box 754,1415 N. Kentucky lola, KS 66749

Art Print for Fundraiser $130.00

2/24/12 T-Town Storage P. O. Box 15 Thayer, KS 66776

Campaign Storage $270.00

3/1/12 Kansas Legislative Admin. Services 300 SW 10th Ave., Ste. 551-5 Topeka, KS 66612-1504

Legislative Stamps $90.00

1/9/12 Bill Me Later (www.billmelater.com) P. O. Box 2394 Omaha, NE 68103

Hewlett Packard prInter ink $58,46

$1,322.68 I

pagelS: "2-~

Jul 29 2012 5:50PM QUIRIN 6204212459 p. 17

SCRED_ULE C EXPENDITURES AND OTHE=R~D~I=S=B=URS=-=-E=M=-==E~N=T=S:----------

Dwayne Umbarger

(N arne of Candidate)

Purpose Dr Ellpendlture D.te Name U1d Address or Disbursement Amount

Sam's Club Paper, mailing labels, and office supplies. 2121/12 12200 W. 95th Street $66.36

Lenexa, KS 66215

Kansas Turnpike Autholity Hotel $446.08. Food $55.00. 2/28/12 9401 E. Kellogg Dr. $501,08

Wichita, KS 67207

Chanute Tribune Subscription Renewal 3/12/12 310 W.Cherry $72.00

Chanute, KS 66720

Erie Record SUbscription Renewal 3/14/12 213 S. Main, P. O. 80)( 159 $25.00

Erie, KS 66733 "

Independence Daily Reporter Subscription Renewal 3/12/12 320 N. 6th, P. O. Box 869 $125.95

Independence, KS 67301

51. Patrick's Parade, c/o Jean Johnston Parade Donation 2127/12 1703 Chess St. $50.00

Parsons, KS 67357

Parsons Publishing Subscription Renewal 3/12112 P. O. Box 836 $72.00

Parsons, KS 67357

Columbus News· Report SUbscription Renewal 3/14112 105 S. Pennsylvania $130.56

Columbus, KS 66725

The Coffe}Ville Journal Subscription Renewal 3/15/12 P. O. Box 849 $19,50

Coffeyville, KS 67337

Kansas Historical Foundation Legislative pins for students 3/15/12 6425 sw 6th Ave. $34.32

Topeka, KS 66615

Kansas Historical Foundation Legislative pins for students 3/22112 6425 SW 6th Ave. $75.44

Topeka,KS 66615

$1,172.21

pagei/etJf -;"...V

p.18 Ju1 29 2012 5:51PM QUIRIN 6204212459

~-----SeHEDULE-C3

EXPENDITURES AND OTHER DISBURSEMEl'TS

Dwayne Umbarger (Name of Candidate)

Pu rpose of EJipenditure Date Name and Address or Disbursement AIDOUDt

Jamie Lane Pat Saville Retirement Reception 3/6112 Rm. 333 E., Statehouse $25.00

Topeka, KS 66612

David Heinemann Legislative cups 3/27/12 3826 SW Cam bridge Ct. $320.00

Topeka, KS 66610

Cherokee County New Advocate Advertisement 3/27112 P. O. Box 940 .$165.00

Miami; OK 74355

Kansas Dept. of Corrections ReSolution Frames 3128/12 900 SW Jsckson St., 4th Floor $400.00

Topeka, KS 66612

Hawver's Capitol Report Newspaper subscription 3/30(12 Statehouse Rm 047E, 300 SW 10th $180.00

Topeka, KS 66612

Montgomery County Chronicle Newspaper subscriprion 3/27112 202 W. 4th, P. O. Box 186 $25.00

Caney,KS 67333

Special Olympics Kansas Donation 4/25/12 5280 Foxridge Drive $100.00

Mission, KS 66202

Boys State, cia Columbus High School Donation 4/25/12 124 S. High School $260.00

Columbus. KS 66725

Kansas Secretary of State, Memorial Hall Kansas flag for miiitary 5110/12 120 SWAve. $49.03

Topeka, KS 66612

Multiple Sclerosis Society, c/o Sleven Miller Donation 5/16112 508 Maple Crest Drive $500.00

Parsons. KS 67357

Kansas Secretary of State, Memorial Hall Campaign Filing Fee 6/1/12 120 SWAve. $130.00

Topeka. KS 66612

$2,154.03

D ~.Page of ~

Jul 292012 5:52PM QUIRIN S204212459 p.19

Dwayne Umbarger

SE-HE-DULE-€ EXPENDITURES Al\1) OTHER DISBURSEMENTS

(Name of Candidate)

Date

6/1f12

6/11/12

6118/12

6/18112

6f20/12

6/18/12

6/24/12

6/18/12

5/16/12

6/28/12

6/28f12

Name and Address

Frame Warehouse 1907 SW Gage Blvd. Topeka, KS 66604

Emily Lawrence 4515 W. 26th Place Joplin. MO 64804

Kansas Outdoor Advertising P. O. Box 61 Columbus, KS 66725

PAR Forms Carp. 1716 Coming, P. O. Box 372 Parsons, KS 67357

Grass Roots Design Group 110 W. Main Independence. KS 67301

Tray Richardson 3040 Steven Drive La~ence,KS 66049

Fire Escape Coffeehouse 126 W. MaIn, P. O. Box 65 Chanute. KS 66720

All American Outdoor Advertising P. O. Box 3984 Springfield, MO 65808

Baxter Springs Chamber of Commerce 1004 Military Avenue Baxter Springs. KS 66713

Sam's Club 1401 SW Wanamaker Rd. Topeka. KS 66604

Service Office Supply 1401 S. Santa Fe Chanute, KS 66720

Purpose of Expenditure or Disbursement

Bills signed

Campaign Pictures

Campaign Signs

Postage $675.45. Sales Tax $72.16. Printing $844.00.

Campaign Signs and Materials.

Dwayne Umbarger for Senate Domain Name.

Fundraiser

Campaign Sign

Donation

.Parade candy, water for group door to door

Heavy duty staples for campaign signs

AmouDt

$367.16

$320.00

$1.300.00

$1,591.61

$9,400.31

$94.82

$100.00

$950.00

$70.00

$94.94

$25.14

$14,313.98

Pago J1 of1..----?-"

Jul 29 2012 5:53PM QUIRIN 6204212459 p.20

- Dwayne Umbarger

-----SeHEDULE- G--------~----------------...:.

EXPENDITURES AND OTHER DISBURSEMENTS _

(Name of Candidate)

$22.323.75

Purpose of Expenditure or Disbursement AmountDate Name and Address

DonationAmerican cancer Society $250.006/22112 P. O. Box 22718

Oklahoma City, OK 73123

Grass Roots Design Group Campaign Material $2,754.676/27/12 110 W. Main

Independence. KS 67301

The Record Campaign Mailing 14690 Parallel $6.225.046/25/12 Basehor, KS 66007

Troy Richardson . Campaign Website Design $300.006/25/12 3040 Steven Dr.

Lawrence, KS SB049

The Record News Campaign Postcard Mailing $3,360.896/28/12 14690 Parallel

Basehor. KS 66007

All American Outdoor Advertising Co. Campaign Billboard $40,006/25/12 P. O. Box 3984

Springfield. MO 65808

Wal-Mart Water and Gatorade for group door to door $36.277/10/12 2700 South Santa Fe

Chanute. KS 66720

Mary Christine & Associates Campaign Radio Advertising $5,015.237/6/12 P. O. Bo)( 1574

Lawrence. KS 66044

The Record News Campaign Palm Cards $568.587/9/12 14690Paratlel

Basehor, KS 66007

The Record News Campaign Palm Cards 719/12 14690 Parallel $949.23

Basehor. KS 66007

Campaign Sign MaterialsCleaver Farm Supply $2,803.847/13/12 2103 South Santa Fe

Chanute, KS 66720

Jul 29 2012 5:54PM QUIRIN 6204212459 p.21

--- ---------..---------.---------------------SGHEDULE-G-- --------------------.--------- ---­EXPENDITURES AND OTHER DISBURSEMENTS

Dwayne Umbarger (N ame of Candidate)

Purpose or Expenditure Date Name and Address or Disbursement Amount

The Record News Campaign Mailing 7/9/12 14690 Parailel $3,607.85

Basehor, KS 66007

PACF Fund for Tolen Creek Art Project Donation 6/23112 P. O. Box 894 $35.00

Parsons, KS 67357

Coffeyville Community College Foundation Donation 6/28/12 400 West 11 th $349.99

Coffeyville. KS 67337

Fundralsing by Net. LLC Service Fee 6/28/12 1101 Pennsylvania Ave, NW FL 6 $4.93

Washington. DC 20004

CMC Sign Co. Campaign Sign 7/3/12 P. O. Box 1506 $250.00

Coffeyville, KS 67337

Kansas Press Association Newspaper Ads 7116/12 5423 SW 7th Street $3,846.29

Topeka.KS 66606

US Postal Service Campaign Postage 7/19/12 102 N. Lincoln AI/e. $5.15

Chanute, KS 66720

The Record News Campaign Mailing 7/17/12 14690 Parallel $3,622.85

Basehor, KS 66007

Kansas Contractors Association Fundraislng Expenditures 7/16(12 P. O. Box 5061 $431.44

Topeka, KS 66605

. Wheat State Strategies Postage for Mailing 7/26/12 P. O. Box 2482 $243.90

Topeka, KS 66601

The Record News Two Campaign Mailings 7/26/12 14690 Parallel $7.992.58

Basehor, KS 66007

$20,389.98

paged..Q. of yV"

Jul 29 2012 5:55PM QUIRIN 6204212459 p.22

-----._---------------------- ­ ------ - --- --- - -------------------------~- ------~---

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Dwayne Umbarger

( Name of Candidate)

Purpose of Expenditure Date Name and Address or Disbursement Amount

Newspaper Post-It Ads Design and Print Solutions $3,419.457/26/12 4021 SW 10th #264 I

Topeka, KS 66604

Charger Football, Cherryvale High School Donation $50.007/26/12 700 S. Carson

Cherryvale, KS 67335

$3,469.45

Complete if last page of Schedule c

Total Iternized Expenditures This Period

Total Unitemized Expenditures of $50 or less

$67,639.41

$67,639.41

Jul 29 2012 5:56PM QUIRIN 6204212459 p.23

SCHEDULE D OTHER TRANSACTIONS

Dwayne Umbarger

( Name of Candidate)

Balance at Date Name aod Address Nature of Account or Loao Payable Close of

or LOBn Receivable Period

Dwayne Umbarger Loan from candidate for campaign mileage $3,396.76; $5,031.387/26/12 1585 70th Road cell phone $1,179.24; email service $210.00; Internet

Thayer, KS66776 service $209.65; campaign sign supplies $35.73.

$5,031.38

Complete if last page of Schedule D

$5,031.38


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