Jan. 8.2019 3:11PM Agler & Gaedder! No. 0117 P, 2 KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND REPORT OR A CANDIDATE FOR STATE OFFICE January 10.2019 FILEWITH SECRETARY OF. STATE AND CANDIDATE'S COUNTY ELECTION OFFICER .• SEE REVERSE SIDE FOR INSTRUCTIONS' A. Name or C!lndldate: Jeff Longblne Addess: 2801 Lakeridge Rd City and Zip Code: Emporia KS 66801 .County: Lyon Office Sought Senate District: 17 B. Check only If appropriate: __ Amended Filing __Termination Report C. Summary (covering the periodfrom October 28, 2016 through December 31, 2018) 1. Cash on hand at beginning of period 165,645.76 2. Total Contributions and Other Receipts (Use Schedule A) 24,860.59 3. CBsh Available this period (Add Lines 1 and 2) 190706.35 4. Total Expenditures and Other Disbursements (Use Schedule C) 24.694.61 5. Cash on hand at close of period (SUbtract Line 4 from 3) 165,811.74 6. In-Kind ContributIons (Use Schedule B) 7. Other Transactions (Use Schuedule D) __0 _ 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 al)d complete. I understand that the intentional failure to file this document or intentionally tiling a false document is a class A misdemeanor."
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Jan. 8.2019 3:11PM Agler & Gaedder! No. 0117 P, 2
KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND ~XPENDITURES REPORT OR A CANDIDATE FOR STATE OFFICE
January 10.2019
FILEWITH SECRETARY OF. STATE AND CANDIDATE'S COUNTY ELECTION OFFICER .• SEE REVERSE SIDE FOR INSTRUCTIONS'
A. Name or C!lndldate: Jeff Longblne Addess: 2801 Lakeridge Rd City and Zip Code: Emporia KS 66801 .County: Lyon Office Sought Senate District: 17
B. Check only If appropriate: __ Amended Filing __Termination Report
C. Summary (covering the periodfrom October 28, 2016 through December 31, 2018) 1. Cash on hand at beginning of period 165,645.76 2. Total Contributions and Other Receipts (Use Schedule A) 24,860.59 3. CBsh Available this period (Add Lines 1 and 2) 190706.35 4. Total Expenditures and Other Disbursements (Use Schedule C) 24.694.61 5. Cash on hand at close of period (SUbtract Line 4 from 3) 165,811.74 6. In-Kind ContributIons (Use Schedule B) ~O_
7. Other Transactions (Use Schuedule D) __0 _
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 al)d complete. I understand that the intentional failure to file this document or intentionally tiling a false document is a class A misdemeanor."
Jan, 8,2019 3:11PM Ag!e'r & Gaedded SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
No,0117 P,3
Jeff Longbine Occupation & Check AppropriRteB.ox Amount or
.. ,.Industry of Cash1 Check,Name and Address of ]ndiVidulllGiving Loan or OtherContributor C..h Check' Loiln ECund. '
More Than $150 Other ReceiptDate 5/9/2018 Astrazeneca 'Pnaraceutical 250.00X
1800 Concord Pike PO Box 15437 Wilmington, DE 19850-5437
6/23/2018 Jeff Longbine Transfer of state 4,860.59X 3012 W Highway50 reimbursement of Emporia, KS'66801 liewsleUerexpense to
Senate account
6/30/2018 HCA Kansas Good PAC 250.00X Government Fund 5845 SW 29th 5t. Topeka, KS 66614
7/10/2018 Kansas Electric Power Utilities 100,00X Cooperative, Inc. P.O.l3ox4877 Topeka, KS 66604
7/10/2018 Eli Lilly And Company pAc 500.00X Political Action Committee Indianapolis, IN 46285
7/10/2018 Sempra Energy Natural gas 500.00X 4888th Ave. San Diego, CA 92101-7123
Total Itemized Expenditures This Period $24894.61 Total Uniltemlzed Expenditures of $50 or less $0.00 TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIODCto line 2 of ~ummarv) $24,894.61