10/28/2012 13:20 #887 P. 002/014 From:318 284 8544 KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE October 29,2012 .,.::;.., '. - . , FILE WITH SECRETARY OF STATE c; SEE REVERSE SIDE FOR INSTRUCTIONS Mark Kahrs A, Name of Candidate: P.O. Box 597 Address: City and Zip Code: Wichita, KS 67201 County: Kansas State Representative Office Sought: District: B. Check only if appropriate: _'_ Amended Filing __ Termination Report C. Summary (covering the period from July 27, 2012 through October 25, 2012) L 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) ............. :............................. 902.15 6. In-Kind Contributions (Use Schedule B) ......... 2,918.63 7. Other Transactions (Use Schedule D) .............. 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." 10/29/12 Date Signature of Candidate or Treasurer c \.1 L L ::' ; ilj I , . ; .-.. Sedgwick 87 21,514.86 36,570.00 58,084.86 6,368.84 51,696.02 GEe Form Rev, 2001 Page 1 of13
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~i/f}~ - Kansasethics.ks.gov/CFAScanned/House/2012ElecCycle/... · B/7 Kansas Ins. Agents PAC 250.00 y 815 5W Topeka Blvd. Topeka, K5 66612 8/7 Derrel< Schartz 250.00 y Investor Real
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10/28/2012 13:20 #887 P. 002/014From:318 284 8544
KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE
October 29,2012 .,.::;..,
'. - . ,
FILE WITH SECRETARY OF STATE c; SEE REVERSE SIDE FOR INSTRUCTIONS
Mark KahrsA, Name of Candidate:
P.O. Box 597Address:
City and Zip Code: Wichita, KS 67201 County:
Kansas State RepresentativeOffice Sought: District:
B. Check only if appropriate: _'_ Amended Filing __ Termination Report
C. Summary (covering the period from July 27, 2012 through October 25, 2012)
L 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) ............. :.............................
902.156. In-Kind Contributions (Use Schedule B) .........
2,918.637. Other Transactions (Use Schedule D) ..............
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."
10/29/12 ~i/f}~ Date Signature of Candidate or Treasurer
r·~ ;.~ c ~:"; \.1 f~ L
L ::' ;ilj I , .
; .-..
Sedgwick
87
21,514.86
36,570.00
58,084.86
6,368.84
51,696.02
GEe Form Rev, 2001
Page 1 of13
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Mark Kahrs Kansas State Representative Kahrs for Kansas W
District 1187 ....&
OJSchedule A
I\)Contributions and en
-l:aOther Receipts co OJ
Method of receipt
2012 E-fds Address
Date Name Receipt cash check loan Other Occupation Industry Street Address City, State & Zip
7/30 Andrew Powell 50.00 Y PrIest PrIest 2717 Hyde Park Dr. Grand Prairie, TX 75050
B/2 Christine or Donald C. Astle 100.00 Y Attorney Attorney 5323 E. 49th St. N. Bel Aire, KS 67220 --
8/2 RAI Services Company 200.00 Y P.O. Box 464 Winston-Salem, NC 27102
B/2 QuikTrip Corporation 200.00 y 4705 S. 129th Ave. Tulsa, OK 74101
8/2 Mark V. Heitz Rev. Trust 500.00 y Retired Retired 4505 Southwinds Dr. Miramar Beach, Fl 32550
8/2 JFM Limited Partnership I 250.00 Y 3333 SE 21st ST. Topeka, KS 66607
8/2 Stanley R. & Shirley A. Moler 25.00 Y 2139 Capri Ln. ~ichita, KS 67207
8/3 MichaelT. Egan 250.00 Y L+A, Inc. Sales 21705 W. 58th St. Shawnee, KS 66218
8/3 Donna H. Egan 250.00 Y Homemaker Homemaker 21705 W. 58th St. Shawnee,KS 66218
__~/L __ Ronald Davis 2S0.00 Y Retired Retired P.O. Box 781690 ._.- -"_._- ..__. __._-- .'Wichita~!<?_~??7~ ____,_.____ _._-_._-,~- ..... _._- .._-----.----_._-_ ...._-_ ..
8/24 D. D. Anderson 250.00 y Retired Retired 731 N. Mission Wichita, K5 67206
~/24 David & Kristine Heinemann 100.00 Y Gov. Relations Gov. Relations 3826 SW Cambridge Ct. Topeka, KS 66610
9/2 Bryan Riley 50.00 y Policy Analyst Gov. Relations 305 CST NE, Apt 410 Washington, DC 20002
9/4 Free State PAC C00455717 500.00 Y P.O. Box 2712 Topeka, KS 66601
9/4 Marc &Stacey Palazzo 100.00 y 8609 Mendocino Dr. Austin, TX 7873S
9/4 Lisa C. Ritchie . 125.00 y Homemaker Homemaker 7 N Hampton Rd. £astborough, K5 67206
9/4 Scott Ritchie III 12S.00 y Oil industry Oil 7 N Hampton Rd. Eastborough, KS 67206
9/4 Hawker Beechcraft, Inc. PAC 500.00 y P.O. Box 85 Wichita, KS 67201
9/4 John or Alta Oser 100.00 y 8957 E. Churchill Circle Wichita, KS 67206
9/4 Tim McGivern 100.00 Y 1335 R. Street, NW Unit 1/2 Washington, DC 20009
9/4 Ronald K. Badger 250.00 Y Attorney Attorney 7234 E. Rockh ill St. Wichita, KS 67206
9/4 Janet L. Badger 2S0.00 Y Homemaker HDmemaker. 7234 E. Rockhill 51. WichIta, KS 67206
9/6 Andrew Amend 100.00 Y Consultant Self 11841 O'Neil St. Wichita, KS 67212
Page 2 of 13
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Mark Kahrs Kansas State Representative Kahrs for Kansas CIJ District HB7
....... en
Schedule A N Contributions and en
-1:>0 Other Receipts co
~ -1:>0
Method of receipt
2012 E-fds Address
Date I Name Receipt I cash 1 check 1 loan I Other I Occupation I Industry I Street Address ICity, State & Zip F I~Kansas farm Bureau Vote fBf Fund ..._~KFB Plaza Manhattan, KS 66502 I -9/12 .rCerner PAC Account - I . . '[2800 Rockcreek. Parkway Kansas City, MO 64117
~plritAerosystems H50.00 P.O. Box 780008 Wichita,ICS672780008 I 9/12 I Kansas Indep. Bus. PAC, Inc. 250.00 200 E.lst ST. N, Suite 101 Wichita, KS 672022106
9/12 1w. W. Hanna 250.00 I 1 Y I retired retired I 2 N West Park.way 1Wichita, KS 67206
9/12 Patti H. or O. Lee Elrick, Jr. J_ ~ I -.L '(_ ~ _ ~~e~Broker Insurance 1440 N. Gatewood 1151 ~ichita, KS 67206 I
9/12 Ronald Davis ~~y~ ~ --retired retired P.O. Box 781690 Wichita, KS 67207
9/12 1Charlie & Marla Chandler 250.00 I I y 1 I i Banker I Banker I 8200 Killarney Ct. I Wichita, KS 67206
9/12 1. D. & S_usan Swanson 100.00 Y 115 Lynwood Wichita, KS 67207 I
-'-~i~- :~~H~~~~~&!,_~s_()t:.!-~~~. __...__. -~~~~ --- ._-~-. ------ ---._ 'Attorn~y--+---Attor~~y--"~'I-~~~l~;i~ikc;"--... "-'---J~Z~:~~~}~~~ -,------- .. 9/12 1Stephanie Hodge 500.00 I 1 y 1 1 I Homemaker Homemaker I 7507 NorfolkCir. I Wichita, KS 67206 9/12 Pete & Debble O~ Business Owner Capital 111 4412 E. 77th St. N. Valley Center, Ks 67147
9/20 I Ronald & Cindy Baldwin 1 250.00 I I y I I Banker 1 CrossFint Holdings I P.O. Box 25387 IOverland Park, KS 66225
~l~rue Properties, LLC P.O. Box 783258 Wichita, KS 67278 9/20 I Adam Beren Berexco, LLC Berexco, LLC 2020 N. Bramblewood St. Wichita, KS 67206
9/20 'William W. Park 100.00 I I y 1 1 I Self-employed 1 Realtor 115304 Windham Ct. I Wichita, KS 67230
9/20 I Diane Z. Part I 100.00 I I y 1 1 I Self-employed I Dentist 115304 Windham Ct. I Wichita, KS 67130
9/20 I Peter & C. Nina Fitzgerald I 250.00 I I y I I I Board member I Banking I 1445-A Laughlin Ave.
~20 John Deere PAC ~--+-+- I IOneJohnOeerePlace 9/20 Always Pay Day Cash Advance 8< Pawn, llC 1- y I 1503 E. Pawnee
... ·~j-i~-I-~~i~ij~i~~:~C~~:;so~-~- ---+- '--i~::I---'I-+- j j. I-_.~:'sin ...~.".slJll"-n_1_!.__Koch_Lnd.,-~n~··---lii~Ir~~~~~~~VSt~-···
I McLean, VA 22101
h~Oline.IL61265 I Wichita, K5 67211
.. ·····--I··~:~~*~ ~ ~H6i··_·---- -·---1
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9/20 I Cox Communications I 500.00 I 1 y I 1 I 1931 SW Henderson Rd. I Topeka, KS 66615 N
9/20 I Kansas Cable PAC I 250.00 I y I 1 I I I 900 S. Kansas Ave., #300 1Topeka, KS 66612 CIJ
9/20 I Kansas Health Card Assoc. - PAC I 250.00 I I y I I I , I 117 SW 6th Ave., #200 1Topeka, KS 66603 N
9/20
9/20
I Road Map PAC,lnc. IBuilders Assot:. of Kansas - PAC
I 500.00 I I Y I I I I I 2436 SW Camelot PI.
212 SW 8th Ave., #201
ITopeka, KS 66614
Topeka, KS 66603
.......
9/20 Credit World Services, Inc. 6000 Martway Showne. MI..lon, KS 66202
9/20
9/20
Kansas Bankers Assoc. PAC
James or Constance Snodgrass
250.00
500.00
Y
Y Retired retired
P.O. Box 4407
8830 E. Windwood CiL
ITopeka, KS 66604
IWichita, KS 67226
I =to OJ en
9/20 Tiger financial Management 500.00 Y 3527 N. Ridge Road IWichita, KS 6nOS ~
"'C 9/24 10/2
Br~ce, George & Pam William R. !'lath
250.00 500.00 Y
Y Attorney President
Attorney HOC Industries
131 S. Pershing P.O. Box 9958
Wichita, KS 67Z18 Spring, TX 77393-3095 I
C C -1:>0
10/2 Jennifer W. Nath SOO.OO Y Homemaker HO'memaker P.O. Box 9958 Spring, TX 77393-3095 ..... C .......
Page 3 of 13 -1:>0
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Mark Kahrs Kansas State Representative Ka hrs for Kansas W
District 1187 ...&
Schedule A en
Contributions and I\J en
Other Recelpt5 ,J:a
co tJ1 ,J:a ,J:a
Method of receipt
2012 E-fds Address
Date Name Receipt cash Indust!)'check loan Other Occupation Street Address City, State & Zip ySteven & Marjorie Penner10/2 200.00 Medical 54 S. Mission Wichita, KS 67207Physician
yDr. David & Fay Netherton10/2 250.00 Physician Medical 7103 Chelsea St. Wich ita, KS 67206 Martha Buford10/2 300.00 Y retired retired 9176 E. 13th St Wichita, KS 67206
Mitchell & Lisa Herren Attorney10/3 250.00 968 White Tail Ct.Y Attorney Wich ita, KS 67206 Susan Schlapp 100.00 9335 Bent Tree 10/3 Y Wichita, KS 67226
ySchneider Public Strategies, LLC 150.0010/3 9414 Sterling Court Wichita, KS 67205 yA-O KEnterprises, LLC 250.0010/3 1223 N. Rock Rd. Wichita, KS 67206 y250.00Gary F. Gensch Consulting 10/3 224 S. Crestway Wichita, KS 67218
500.00The Media Source, Inc. 221 S. Broadway, fl20510/3 Y Wichita, KS 67202 y~O/3 Alan Schmidt 100.00 10102 E. 19th St. N. Wichita, KS 67206
100.00 Y10/3 Elisabeth Schmidt 10102 E. 19th St. N. Wichita, KS 67206
100.00Walter Lewis Real Estate 903 N. Linden Ct.10/3 Y Wichita, KS 67206Real Estate y50.00 401 S. 162nd West Goddard, KS 6705210/10 ~nda & Mike Kinire
t---.- 200.00 Y 3972 Sweet Bay10/10 Mark Huenergardt, DOS Medical Wichita, KS 67226Dentist 200.00 Y 3972 Sweet BayKelly Huenergardt Homemaker Wichita, KS 6722610/10 Homemaker
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Page 4 of 13 ,J:a
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Mark Kahrs Kansas Slate Representative Kahrs for Kansas W .....Dlstricl 1187 (J)
Schedllie A IV
Contriblltions and (J) ,I::lo
Other Receipts co CJl ,I::lo -1=>0
Method of receipt
2012 E-fds I I I Address
Date Name Receipt cash I check I loan I Other I Occupation I Industry I Street Address I City, State & Zip
10/10 I Clark R. Nelson I 200.00 I I Y I I I Attorney I Attorrley I P.O. BOl{ 780525 I Wichlta,l<S 57278
10/~nsas Society of CPA's PAC 100 SE 9th Street, #502 l..!-0peka, KS 66612
10/10 I Medical Soc. of Sedg. Cty. PAC 1102 South Hillside IWichita,l<S 67211
10/19 Rachael Brown . 50.00 Y 6225 N. 143rd St. E. Wichita,I<S 67228
10/19 Kansas Rest. & Hasp. Assoc. PAC 200.00 Y 3500 N. Rock Rd., Bldg. BOO Wichita, KS 67226 10/19 Britt & Brenda Fulmer 100.00 Y Mens Retailer Retail 9010 Boxthorn Wichita, KS 67226 10/19 Heartland COOlOl. Bankers ASSDC PAC 200.00 Y 7005 Kansas, 1/512 Topeka, KS 66503
:f<i/19 Altria Client ?ervices, Inc. 250.00 Y 1005 Congress Ave., IIB50 Austin, TX 78701
10/19 The Builders' Assoc. PAC 250.00 Y 720 Oak. Street Kansas City, MO 64106 .....10/19 I Kansas Cr. Union Legs. Act. Comm. I 250.00 I I Y I I \ I I 510 SW 10th St., 11201 I Topeka, KS 66512 o
10/19 Kansas Wine & Spirits Whlsr PAC 200.00 Y 212 SW 8th Ave., #202 Topeka, KS 66603 I ...... IV
__10/19 AT&T Kansas PAC 250.00 Y 220 E. 6th, Room 500 Topeka, KS 66603 co ...... ~~!.~~ _~!cl1.i~<J..~~.l:.r_o_~h.aT11I>.':r..~~~._._.___ ..... ~~.:~~ ____.y____ .. __ .. __ . .._.___ ~~~I,/o,/.:~':'!:'_g~~~_ .. ___ ._._.~ich ita!_K~ __~7.~?3 _. .... __. __ \ IV
o10/19 Kans., ASSDC for Resp Liquor Law" Inc. 200.00 Y 919 S. Topeka Ave. Topeka, KS 65512 .... IV1-_10/19 Whitney B. Oamron, P.A. 100.00 Y 919 S. Topeka Ave. Topeka, KS 66612 .....
10/19 ABC Oiscount Wine & UCfuor 250.00 Y 6425 E. Central Ave. Wichita, KS 67206 W 10/19 Blllecross BlueShield of Kansas 150.00 Y 1133 SW Topeka Blvd. Topeka, KS 65629
1 IV IV10/19 Anderson Financial SerVices, LIC 150.00 Y 600 S. Broadway Salina, KS 67401----'--- .
10/25 Walgreens.. 250.00 Y 104 Wilmot Road #1444 Deerfield, IL 60015
10/25 KS Auto Dealers EAC 100.00 Y 731 S. Kansas Ave Topeka, KS 66603
10/25 Heiland Enterprises, Inc' 300.00 Y 3835 N. Hillcrest Suite 1 Wichita, KS 67220 == ---f---" OJ (J)10/25 Edward and Carol Nazar 100.00 Y 419 E. Cedar Ridge Ct. Andover, KS 67002 -.4t'J9/25 -,;:m~rican Family Insurance K5 PAC 150.00 Y 7325 W~ Taft St. Wichita, KS 67209 -C
10/25 Cary Humphries 100.00 Y 5785 Regal View Rd. Colorado Springs, CO 80919 o10/25 Susan Humphries _ 100.00 Y 5785 Regal View Rd. Colorado Springs, CO 80919 o (J)
10/25 Barbara Shaw 50.00 Y 9202 E. Killarney PI. Wichita, KS 67206 ...... o..... -1=>0Page 5 of 13
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"'T1 ""'I I:) =:
Mark Kahrs Kansas State Representative Kahrs for Kansas w
District 1187 ..... enSchedule A NContributions and en
Other Receipts .ceo .1:0 .c
..
Method of receipt
2012 AddressE·fds
OccupationDate Name Receipt cash check Industryloan other Street Address CltV, State & Zip
yA-OK Enterprises, LLC10/25 250.00 1223 N. Rock Road Wichita, KS 67206 -yBruce Harris 500.00 Owner Wichita, KS 6723010/25 Retail Sales 1522 Rocky Creed Rd yFitness 2000, Inc. 500.0010/25 1046 S. Oliver Wichita, ~S 67218
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36,570.00
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Page 6 of 13 .c
From:316 264 9544 10/29/2012 13:22 1867 P. 008/014
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Mark Kahrs (Name of Candidate)
Amount ofOccupation & Industry of Checl< Name and Address Individual Giving More Cash, Check, Appropriate Box
Date of Contributor Than $150 Loan or Other C••h Cbeck L... E funds ReceiptOtber
Please see previous pages (pag es 2 - 6 of 13)
Complete if last page of Schedule A
Total Itemized Receipts for Period 36,570.00
Total Unilemized Contributions ($50 or less) .00
Sale of Political 'Materials (Unitemizcd) .00
Total Contributions When Contributor Not Known (Included in itemized list above) 20.00