Campaign Finance Receipts and Expenditures Report Print this form or Go Back Campaign Finance Receipts & Expenditures Report 10/31/2016 Check only if appropriate D Amended Filing Campaign Finance Candidate Name:J.R. Claeys Filing Report Address: 2157 Redhawk Ln Address2: City: Salina Zip: 67401 County: Saline Home Phone: (785) 250-5758 Business Phone: Office Sought: State Representative District: 69 SUMMARY (covering the period from 7/22/2016 through 10/27/2016) 1 CASH ON HAND AT BEGINNING OF PERIOD 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS 3 CASH AVAILABLE THIS PERIOD 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS 5 CASH ON HAND AT CLOSE OF PERIOD 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS 7 OTHER TRANSACTIONS Page 1of1 Governmental Ethics Commission 109 W. 9th, Suite 504 Topeka, KS 66612 Phone (785) 296-4219 Fax (785) 296-2548 www.kansas.gov/ethics D Termination Report (Schedule A) view/Qrint (Add Lines 1 and 2) (Schedule C) view/Qrint Subtract Line 4 from 3) (Schedule B) view/Qrint (Schedule D) view/Qrint 11644.53 $21,793.46 $33,437.99 $24,555.03 $8,882.96 $145.70 10000.00 "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 ." Electronically filed on : 10/31/2016 9:38:13 PM Signature of Candidate or Treasurer: J.R. Claeys Print this form or Go Back http://www.kssos.org/elections/cfr_viewer/reports/exp_report_ main.aspx 1111 /2016
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SUMMARY (covering the period from 7/22/2016 through 10/27/2016)
1 CASH ON HAND AT BEGINNING OF PERIOD
2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS
3 CASH AVAILABLE THIS PERIOD
4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS
5 CASH ON HAND AT CLOSE OF PERIOD
6 IN-KIND (NON-MONETARY) CONTRIBUTIONS
7 OTHER TRANSACTIONS
Page 1of1
Governmental Ethics Commission 109 W. 9th, Suite 504
Topeka, KS 66612 Phone (785) 296-4219
Fax (785) 296-2548 www.kansas.gov/ethics
D Termination Report
(Schedule A) view/Qrint
(Add Lines 1 and 2)
(Schedule C) view/Qrint
Subtract Line 4 from 3)
(Schedule B) view/Qrint
(Schedule D) view/Qrint
11644.53
$21,793.46
$33,437.99
$24,555.03
$8,882.96
$145.70
10000.00
"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."
Electronically filed on: 10/31/2016 9:38:13 PM Signature of Candidate or Treasurer: J.R. Claeys