A. - Name of Committee: Kansas Bankers Association PAC
Address: _P_O_B_ox_4_4_07 _
City and Zip Code: Topeka, Kansas 66604-0407
This is a (check one): _._ Party Committee ,f Political Committee
B. Check only if appropriate: _.__ Amended Filing __ TelIDination Report
C. Summary (covering the period from January 1,2011 through December 31,2011) 1. Cash on hand at beginning of period ; ' 30,677.81 2. Total Contributions and Other Receipts (Use Schedule A) .. 51,870.38 3. Cash available this period (Add Lines 1 and 2) . 82,548.19 4. Total Expenditures and Other Disbursements (Use Schedule C) . 42,800.00 5. Cash on hand at close of perIod (Subtract Line 4 from 3) .. 39,748.19 6. In-Kind Contributions (Use Schedule B) 8,800.00 7. Other Transactions (Use Schedule D) 0.00
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. 1 understand that the intentional • failure to file this document or intentionally filing a false document is a class A misdemeanor."
GEe Form Rev, 2001 SCHEDIJLEA CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Political Committee)
I Occupation & Industry oi Check Amount of I Name and Address Individual Giving More .Appropriate Box . Casb, Check, I Date of Contributor Than $150 j----,--"'T'"""---,----j Loan or Cash Check Loan Other IOttier Receipt I
_Bruce lyI~rgan _ C!;:O, Profe!?sional Bank 1712/11 7418 Cottonwood Rd. Consultants $1,000.00 I Shawnee, Kansas 66216 . I
The Citizens State Bank ~oger Brown, CEO 1/12/11 PO Box 509 $250.00 Cheney, Kansas 67025
Tami Pruitt 1/31/11 310 N. Pine , Beloit, Kansas 67420
J. Scott Chipman 1/31/11 1808 Debray Drive $100.00 I Dodge City, Kansas 67801
KANZA Bank John Boyer, CEO 1/31/11 151 N. Main St. $715.00 I I Kingman, Kansas 67068
Solomon Bancshares, Inc. David Riordan, President 2/10/11' Box 305 $500.00 I Solomon, Kansas 67480
Bennington State Bank Mike Berkley, CEO 2/10/11 PO Box 1280 $1,200.00 Salina, Kansas 67402 First Security Bank I Kent Nee.dham, CEO 2/10/11 PO Box 306 $245.00 Overbrook, Kansas 66524
Docking Bancshares, Inc. Bill Docking, CEO I 2/10/11 PO Box 928, Arkansas City, KS $250.00 I
Doug Morley CEO, Valley State Bank 2/10/11 507 E 4th $250.00 Belle Plaine, Kansas 67013
Union State Bank Bill Docking, CEO 2/10/11 PO Box 928 $1,123.20 Arkansas City, Kansas 67005 . I $5,733.20 I I
PageL of /5 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Political Committee)
I Occupation & Industry of Check I Amount of Name and Address Individual Giving More Appropriate Box I Cash, Check, Date of Contributor Than $150 t--"--r-C-be-ck--r-L-.-an---r-o-'-be-r-;1 Loan 0 r C b I Other Receipt
Cottonwood V~lIey Bank_ 2/17/11 PO Box 67 -./ $132.00 I I • Cedar Point, Kansas 66843 I First National Agency Joe Butcher, President 2/17/11 PO Box 129 $700.00 Cimarron, Kansas 67835 Iv' First National Bankshares of Robert Lampert, President I 2/17/11 Beloit, PO Box 600 ~ $300.00 Beloit, Kansas 67420 I First Sank Kansas Kent Suer, CEO 2/17/11 PO Box 1337 $996.00 Salina, Kansas 67402.
Home Bank & Trust Company RD. Rucker, CEO 2/17/11 217 N. Main $348.00 Eureka, Kansas 67045 I " I
First Team Resources Kevin Chase, CEO 2/17/11 1033 N Buckner $600.00 Derby, Kansas 67037
Aiden State Bank J. Todd Rowland, F 2/17/11 PO Box 288 President $200.00 I Steriing, Kansas 67579 ", Great American Bank Travis Hicks, CEO· 2/17/11 33050 W. 83rd Street $312.00 DeSoto, Kansas 66018
Montie Taylor 2/17/11 1540 - 17000 Road I~ $100.00 Parsons, Kansas 67357 KenfBuer 2/17/11 1413 Austin CR $100.00 Salina, Kansas 67401
Steven Michel 2/17/11 512 Kensington $100.00 Salina, Kansas 67401
$3,888.00 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (N ame of Party Committee or Political Committee)
I Occupation & Industry of Check I Amount of Name and Address Individual Giving More Appropriate Box Cash, Check,
Date of Contributor Than $150 , . . Loan or Cash I Check Loan I Other I I Other Receipt
Michael-- & Debra Mildfelt- - - .. - - 2/17/11 10 Terrace Dr. .; - I $100.00 I I I I• 'vVinfield, Kansas 67156 I• I Joe Butcher President, Centera Bank, I 2/17/11 PO Box 289 I Cimarron 1.1 I I $250.00. I Ii Cimarron, Kansas 67835 I I I Calvin Coady / 2/28/11 806 N Cypress Street v.. $107.40 I I Wichita, Kansas 67206 I I I Mark Larrabee 2/28/11 6300 Nail Iv" $56.10 Shawnee Mission, Kansas 66202 I I I CSB Bancshares, Inc. Dave Brownback, CEO I 2/28/11 PO Box 128 I", $468.00 Ellsworth, Kansas 67439 I I I I State Bank of Delphos Tom McGavran, CEO ! ! 2/28/11 PO Box 305 .; $280.80 Delphos, Kansas 67436
I I 1st National Bank Skip Numrich, CEO I • 2/28/11 PO Box 290 I.; $160.00 Scott City, Kansas 67871 I
First National Bancshares Skip Numrich, President I 2/28/11 PO Box 290 ~ $150.00 Scott City, Kansas 67871
Bank of Whitewater I 2/28/11 PO Box 69 .f $60.00 I Whitewater, Kansas 67154 Chisholm Trail State Bank Mary Ann Berry, 2/28/11 6160 N. Broadway President $374.40 Wichita, Kansas 67204 .I
Farmers Bank & Trust Barney Horton, CEO 2/28/11 PO Box 279 .; $312.00 Atwood, Kansas 67730
$2,318.70 " ..,~ ."e~,~:,~." ..,'.;,::::?<.\:;.·i··;;<.t,,·,··_·:':"'·'}{\i\ ... "...... ,,'.:, \ <:',C',-, ..
page~of /5 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of I Name and Address Individual Giving More Appropriate Box Cash, Check, I Date of Contributor Than $150 Loan or I Casb Check LOBn Other Other Receipt
. Astra Bank L.ayne Hoop~, CEO 2/28/11 PO Box-200 $639.60 Scandia, Kansas 66966
The Farmers State Bank Linda Plummer, CEO 2/28/11 PO Box 160 $350.00 I Oakley, Kansas 67748 I
Leslie Brandt 2/28/11 12852 Oakridge Lane J' $100.00 I Holton, Kansas 66436 " David Brownback , 2/28/11 301 E. 11th I y $100.00 Ellsworth, Kansas 67439
Mark Schifferdecker 2/28/11 PO Box 67 .fl $100.00 I Girard, Kansas 66743 I Julie Hower 2/28/11 920 T Avenue $100.00 Council Grove, Kansas 66846
David Shepherd CEO, The Mission Bank, I 2/28/11 5711 W. 69th St. Mission $250.00 I Overland Park, Kansas 66204
Robert Means 2/28/11 PO Box 435 $100.00 Elwood, Kansas 66024
Pony Express Community Bank 2/28/11 PO Box 458 $100.00 Elwood, Kansas 66024
Paul Boeding CEO, Baileyville State 2/28/11 1801 N. 11th Street Bank, Seneca $250.00 Seneca, Kansas 66538
Baileyville State Bank Paul Boeding, CEO .2/28/11 PO Box 230 $200.00 Seneca, Kansas 66538
$2,289.60
. Page Lt of /5 SCHF.DULEA CONTRIBUTIONS AND OTHERRECEIPTS
Kans.as Bankers Association PAC (Name of Party Committee or Political Committee)
. Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Casb, Cbeck, Date of Contributor Than $150 Loan or Cash Check Loan Other Other Receipt
Denison State Bank Jim Birkbeck, CEO - -- . ., 3/14/11 PO Box 71 .f $924.00 Holton, Kansas 66436
Linda Plummer 3/14/11 604 Hudson Avenue J... $100.00 I Oakley, Kansas 67748
Equity Bancshares, Inc. Brad Elliott, CEO 3/14/11 225 "IV. Central .{ $250.00 Andover, Kansas 67002
Pratt Community Bancshares, Inc. Kelly Mason, CEO I . 3/14/11 223 S. Main St. I $561.60 I Pratt, Kansas 67124 " Centera Bank Mike Stevens, CEO ~ I 3/14/11 PO Box 400 $900.00 Sublette, Kansas 67877 " Bruce Morgan CEO, Professional Bank 3/30/11 7. 418 Cottonwood Dr. Consultants ,f $428.43 Shawnee, Kansas 66216
United Bank of Kansas I John Geiger, CEO I 3/30/11 10101 Woodland Rd. $312.00 I Lenexa, Kansas 66220
US Bancorp . PAC to PAC donation I 3/30/11 800 Nicollet Mall, BC MN-H210 $1,000.00 I Minneapolis, MN 55402
John Geiger 3/31/11 13008 Eby $100.00 Overland Park, Kansas 66213 .f
First State Bank David Herndon, CEO 4/14/11 650 Kansas Avenue ~ $421.20 Kansas City, Kansas 66105
Dale Bradley CEO, The Citizens State 4/14/11 2411 Heartland Drive Bank, Miltonvale ,f $500.00 Manhattan, Kansas 66503
$5,497.23
Page 2 ofh SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Politi:al Committee)
I I I Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Cub Check LoaD Otber' . Other Receipt I ! I The Citizens State Bank Dale Bradley, CEO -. 4/14/11 PO Box413 ~ - - - .f- I- '$156.00 I I I I Miltonvale, Kansas 67466 I The First State Bank Boyd Beutler, CEO I 4/21/11 PO Box 397 ./y I $156.00 I I Ness City, Kansas 67560
The First State Bank Walter Fry, CEO I / 4/21/11 PO Box 105 . Y $216.00 Kiowa, Kansas 67070 I Union State Bank Dwight Ferguson, 4/21/11 PO Box 518 President ,f $336.00 Clay Center, Kansas 67432
The State Bank of Oskaloosa Larry Bowser, CEO I I 4/21/11 I PO Box 325 ,f $171.60 I Oskaloosa, Kansas 66006 I I I I SJN Bane Co. 4/21/11 PO Box 68 ,f $100.00 Saint John, Kansas 67576 I
I Kendaii State Bank jayne Coieman, CEO I 4/21/11 PO Box 188 ~ $327,60 I I I Valley Falls, Kansas 66088
The Baldwin State Bank Tom Dillon, CEO 4/21/11 PO Box 46 ~ $300.00 Baldwin City, Kansas 66006
Stockgrowers State Bank Kendal Kay, CEO 4/21/11 ' 622 Main St. $530.40 Ashland, Kansas .f
Anderson Chandler 4/21/11 2327 SW Mayfair Place .f $100.00 Topeka, Kansas 66611 I I . I Bank of Palmer Bruce Meyer, CEO 4/27/11 PO Box 90 ,f $250.00 Palmer, Kansas 66962 ...... ':" ., . . . :.~ . . '~".'" .:.' ',",' . ..; :::" ..... ·.'cF "'.' "'..' 0- " ..; .''''/. .. ' .. ' ". . $2,643.60 '. -.. Subtotal This Page
Page 1...tz.. of 15 .SCHEDULE A CONTRIBUTIONS AND OTHERRECEIPTS
Kansas Bankers Association PAC· (N a.me of Party Committee or Political Committee)
Occupation & Industry of Check Amount of ···Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Cash Check Loan Other Other Receipt
- Bank otTescott Mark Berkley, CEO_ .v 4/27/11 PO Box 195 V $811.20 Tescott, Kansas 67484
Farmers State Bank James Moore, CEO 4/27/11 PO Box 330 $348.00 Westmoreland, Kansas 66539
First Kansas Bancshares; Inc. Keith Hughes, CEO 4/27/11 PO Box 913 $500.00 Hutchinson, Kansas 67504
State Bank Michael Mense, CEO 4/27/11 PO Box 77, Hoxie, Kansas .; $300.00
Farmers & Merchants Bank Jerry Hanzlick, President 4/27/11 PO Box 338 .; $156.00 Hill City, Kansas 67642
State Bank of Spring Hill Fred Dunmire, CEO 4/27/11 PO Box 387 $144.00 Spring Hill, Kansas 66083
First Security Bank & Trust Co. Joe Herman, President 4/27/11 PO Box 283 $240.00 Norton, Kansas 67654
Valley State Bank Tim Kohart, CEO 4/28/11 PO Box 1277 $300.00 Syracuse, Kansas 67878
Carolyn Holle CEO, Farmers National 4/28/11 PO Box 158 Bank $312.00 Agra, Kansas 67621
Richard Jensen 4/28/11 .19024 - 240 Terrace .; $100.00 WaKeeney, Kansas 67672
Trego-WaKeeney State Bank Richard Jensen, CEO 4/28/11 PO Box 187 .; $192.00 WaKeeney, Kansas 67672
$3,403.20
page_lof is SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date' of Contrib utor Than $150 Loan or Cash Check Loan Other Other Receipt
- Lyndon State Bank - Thoma,'> Magnuson, CEO_ 4/28/11 PO Box 518 ,f $200.00 Lyndon, Kansas 66451
Theodore Starr CEO, Citizens State Bank, 4/28/11 522 Pawnee Hiawatha ,f $250.00 Hiawatha, Kansas 66434
Citizens State Bank Ted Starr, CEO 4/28/11 610 Oregon $405.60 Hiawatha, Kansas 66434
Mark Larrabee 4/28/11 6300 Nat! $51.80 Shawnee Mission, Kansas 66202
The Halstead Bank Alex Williams, CEO 5/6/11 314 Main Street ,f $250.00 Halstead, Kansas 67056
Bob Kobbeman President, Capital City 5/12/11 4930 SE Tecumseh Rd. Bank, Topeka { $250.00 Berryton, Kansas 66409
State Bank of Downs Bill Berkley, President 5/12/11 PO Box 216 $252.00 Downs, Kansas 67437
Home State Bank & Trust Ted Odie, CEO 5/12/11 PO Box 1266 { $720.00 McPheffion;Kansas67460
Dighton National Bancshares Mark von leonrod, CEO 5/12/11 105 E Long .,f $300.00 Dighton, Kansas 67839
Todd Slavik 5/20/11 111 Crawford St. ',f $75.00 Long Island, Kansas 67647
Lloyd Culbertson CEO, First National Bank, 5/20/11 322 West H St. Phillipsburg ,f $250.00 Phillipsburg, Kansas 67661 c.
$3,004.40
'~age _~ of 15 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Loan Other Cash Check Other Receipt
.j L. Kent Culbertson _ .1 5/20/11 115 2nd Street $100.00 Phillipsburg, Kansas 67661
TamiShkolnick 5/20/11 5940 Thompson Creek Blvd. $100.00 Lincoln, NE 68516-5689
Farmers & Merchants Bank Brent Wiedeman, 5/20/11 PO Box 797 President $400.00 Colby, Kansas 67701
Terry Puett 5/26/11 7120 SW Auburn Rd. .; $100.00 Auburn, Kansas 66402
Prescott State Bank 5/26/11 PO Box 98 .; $144.00 Prescott, Kansas 66767
Leonard Wolfe CEO, United Bank & 5/26/11 PO Box 311 Trust, Marysville' $203.45 Marysville, Kansas 66508
David Brownback 5/26/11 301 E. 11th .; $90.00 Ellsworth, Kansas 67439
James Stallbaumer President, Stockgrowers 5/31/11 13921 NW 54th St. State Bank, Maple Hill .; $250.00 Rossville, Kan,sas 66533
Stockgrowers State Bank Max Fuller, CEO 5/31/11 225 Main $500.00 Maple Hill, Kansas 66507
The Bank of Protection· Candy Murphy, CEO 5/31/11 PO Box 98 .; $500.00 Protection, Kansas 67127
Padgett Agency Brent Padgett, President 6/9/11 Box 309 .; $1,100.00 Greenleaf, Kansas 66943
$3,487.45
Page _CL of Ii.::> SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Check Loan Other Cash Other Receipt
The Bank _Gary WalJer, Presicjent 6/9/11 PO Box 148 $193.00 Oberlin, Kansas 67749 "/
Farmers State Bank Jan Oleen, President 6/9/11 PO Box 8 ,f $150.00 Dwight, Kansas 66849
Carson Bank Frank Carson, CEO 6/30/11 PO Box 158 ,f $733.20 Mulvane, Kansas 67110
Jack Rowden President, Citizens State 7/6/11 PO Box 728 Bank, Hugoton ,f $225.00 Hugoton, Kansas 67951
W. R. Robbins CEO, Farmers Bank & 7/22/11 2703 McKinley Trust, Great Bend $250.00 Great Bend, Kansas 67530
Farmers Enterprises, Inc. W.R. Robbins, CEO 7/22/11 1017 Harrisoni ,f $500.00 Great Bend, Kansas 67530
Thomas Page President, Emprise Bank, 7/22/11 16161 SW 30th Wichita ,f $1,500.00 Benton, Kansas 67017
Mid-America Bancshares, Inc. John Lehman, CEO 7/22/11 PO Box 6 ,f $100.00 Girard, Kansas 66743
Chris Donnelly EVP, Bank of the Prairie, 7/22/11 2212 E Sycamore Olathe ,f $500.00 Tongano~e, Kansas 66086
Gregg Lewis CEO, First Option Bank, 7/29/11 PO Box 277 Osawatomie ,f $250.00 Osawatomie, Kansas 66064
John Sturd 7/29/11 1313 N A St. $100.00 Arkansas City, Kansas 67005
$4,501.20
Pagel~ of'/S SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Casb Check Loan Orher Other Receipt
Mea.der InsurCJ.nce Agericy Craig _Meader, C;;EO 7/29/n 305 Pearson $390.00 Waverly, Kansas 66871
Mark Larrabee 7/29/11 6300 Nail $53.60 Shawnee Mission, Kansas 66202
James Maag 8/8/11 1924 SW Indian Woods Lane $100.00 Topeka, Kansas 66611 '
Plains State Bank J. Kirk Friend, CEO 8/9/11 PO Box 38, Plains, Kansas $300.00
United Bancshares, Inc. Frank Reifschneider, CEO 8/9/11 PO Box G $300.00 Garden City, Kansas 67846
Garden City State Bank Frank Reifschneider, 8/9/11 PO Box G CEO $343.20 Garden City, Kansas 67846
Ben Craig 8/16/11 12529 Knox $125.00 Overland Park, Kansas 66213
Bryan Biggs 8/16/11 11517 W. 101 stTerrace $125.00 Overland Park, Kansas 66214
Deborah Ross 8/16/11 14958 S. Glen Eyrie St. $125.00 Olathe, Kansas 66061 ' ,
Mark Myer 8/16/11 9248 Woodstone $125.00 L~nexa, Kansas 66219
Dennis Monahan 8/16/11 8006 Rosehill $125.00 Lenexa, Kansas 66215
$2,111.80
pageJ_J of IS SCHEDULE A CONTRffiUTIONS AND OTHER RECEIPTS
Kansas Bankers Association PAC (N arne of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Narne and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than$150 Loan or Cash Check Loan Other Other Receipt
t Darrell Chambers 8/16/11 12313 Rosewood Dr. $125.00 Overland Park, Kansas 66209 Thomas Fitzsimmons 8/16/11 3514 W 100th Street $100.00 Leawood, Kansas 66206 Paula Yoakum 8/16/11 12202 W 104Terrace $75.00 Overland Park, Kansas 66215 Linda Qureshi 8/16/11 16201 W 143rd Terrace $75.00 Olathe; Kansas 66062 Candy Murphy President, Bank of 8/31/11 PO Box 98 Protection $173.25 Protection, Kansas 67127 Matt Canfield 8/31/11 233 Catalpa Ct. $100.00 Derby, Kansas 67037 Frank Reifschneider President, Garden City 8/31/11 1007 Lamplighter Lane State Bank . $560.10 Garden City, Kansas 67846 Bank of Greeley 9/13/11 PO Box 80 $140.40 Greeley, Kansas 66033 First State Bank & Trust Bill Grant, President 9/13/11 PO Box 219 $1,164.00 Tonganoxie, Kansas 66086 Frank Suellentrop 9/13/11 623 Homestead Ct. $100.00 Colwich, Kansas 67030 $2,737.75 Page J~of IS SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Bankers Association PAC (N arne of Party Committee or Political Committee) Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Cash Cbetk Loan Other Other Receipt Brad Yaeger " 9/13/11 2814 N.Spring Meadow "'; $100.00 Wichita, Kansas 67205 Steven Suellentrop 9/13/11 13601 W. Hardtner St. $100.00 Wichita, Kansas 67235 Legacy Bank Frank Suellentrop, CEO 9/13/11 PO Box 68 $1,500.00 Colwich; Kansas 67030 Janet Wetta 9/13/11 115 S. 7th $75.00 Colwich, Kansas 67030 Alex Williams 9/30/11 404 W 3rd St. $100.00 Halstead, Kansas 67056 Joylynn Harlow 9/30/11 233 W. Robson Rd. $100.00 Salina, Kansas 67401 State Bank of Carbondale 9/30/11 530 Main $100.00 Carbondale, Kansas·66414 Farmers & Drovers Bank John White, President 9/30/11 PO Box C $468.00 Council Grove, Kansas 66846 John,White President, Farmers & 10/11/11 PO Box C Drovers Bank, Council ,; $500.00 Council Grove, Kansas 66846 Grove Allison Grace SVP; Andover State Bank 10/11/11 2025 N Clear Creek Ct. ~ $250.00 Wichita, Kansas 67230 Patrick Slabaugh 10/27/11 1220 Parkside Rd. $100.00 Lawrence, Kansas 66049 $3,393.00 Page~ of IS SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Bankers Association PAC (N arne of Party Committee or Political Committee) J . Occupation & Industry of. Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Cash Check Loan \ Other Other Receipt - Fraflk Reifschneider President, Garden City -. 10/31/11 1007 Lamplighter Lane State Bank '$300.00 Garden City, Kansas 67846 Kyle Campbell President, Astra Bank, 11/8/11 1708 Linden Lane Abilene $250.00 Abilene, Kansas 67410 Eric Schroeder 11/14/11 4525 SW Admiral Byrd Dr. $100.00 Lees Summit, MO 64082 The Baxter State Bank Jim Hoskins, CEO 11/14/11 PO Box 71 $250.00 Baxter Springs, Kansas 66713 Vision Bank Gary Yager, President 11/14/11 3031 SW Wanamaker $421.20 Topeka, Kansas 66614 Mark Larrabee 11/20/11 6300 Nail Shawnee Mission, Kansas 66202 James Berkley 1'1/23/11 PO Box 511 $100.00 Stockton, Kansas 67669 Michael Boehm 11/30/11 8522 Caenen Lake Ct. $100.00 Lenexa, Kansas 66215 Alan Meyer 12/13/11 917 Springcreek Rd. $100.00 Seneca, Kansas 66538 Michael Needham 12/19/11 . 24135 W 113th Terrace $100.00 Olathe, Kansas 66061 Fidelity State Bank .. Scott Chipman, CEO 12/19/11 PO Box 1120 $624.00 Dodge City, Kansas 67801 $2,397.00 Page Jd of . /S SCHEDULE A CONTRffiUTIONS AND OTHER RECEIPTS Kansas Bankers Association PAC - Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than$lSO Loan or Cash Check Loan· Other Other Receipt - Jason Joh.nson .. .12/30/11 1218 N. Campbell Avenue $100.00 Beloit, Kansas 67420 Jack Rowden President, Citizens State 12/30/11 PO Box 728 Bank, Hugoton $317.85 Hugoton, Kansas 67951 Ty Hedlund 12/30/11 PO Box 158 $78.00 Montezuma, Kansas 67867 Chris Donnelly 12/30/11 2212 E Sycamore $51.20 Tonganoxie, Kansas 66086 Leonard Wolfe 12/30/11 POBox311 $63.00 Marysville, Kansas 66508 $610.05 Complete if last page of Schedule A Total Itemized Receipts for Period $48,016.18 Total Unitemized Contributions ($50 or less) $3,854.20 Sale ofPolitical Materials (Unitemized) ,Total Contributions When Contributor Not Known $51,870.38 Page 16 of IP:> SCHEDULEB IN-KIND CONTRIBUTIONS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) List Occupation & Value of Date Name and Address Industry for Those Giving Description of In-Kind In-Kind of Contributor an In-Kind of More Than Contribution Contribution $150 Kansas Bankers Association Bankers Association Personnel Time -12/31/11 PO Bo~ 4407 $8,800.00 Topeka, Kansas 66604 $8,800.00 Complete if last page of Schedule B Total Itemized (over $100) In-Kind Contributions $8,800.00 Total Uniteni.ized ($100 or less) In-Kind Contributions $8,800.00 page_LOf~ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Assocation PAC (Name of Party Committee or Political Cominittee) Purpose of Expenditure Name and Address Amount Date To Whom Expenditure is Made If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address . ALEC Kansas Scholarship Fund contribution 02/18/11 5845 SW 29th Street . $500.00 Topeka, Kansas 66614 Democratic House Campaign contribution 03/11/11 Committee, PO Box 2083 $500.00 Topeka, Kansas 66601 The Senate.Democrats . contribution 03/15/11 PO Box 1811 $500.00 Topeka, Kansas 66601 Jeff Longbine for Senate contribution 06/21/11 PO Box 1903 $500.00 Emporia, Kansas 66801 . Susan Mosier for House contribution 06/23/11 1228 Westloop Place #136 $250.00 Manhattan, Kansas 66502 Vince Wetta for House contribution 06/23/11 1204 N. Poplar $250.00 Wellington, Kansas 67152 Rob Bruchman for House contribution 06/23/11 PO Box 7141 $250.00 Overland Park, Kansas 66207 Phil Hermanson for House contribution 06/23/11 5338 S. Mosley $250.00 Wichita, Kansas 67216 TerriLois Gregory for House contribution 06/23/11 PO Box 105 $250.00 Baldwin City, Kansas 66006 Garrett Love for Senate contribution 06/23/11 PO Box 63 $500.00 Copeland, Kansas 67837 Oletha Faust-Goudeau for Senate contribution 06/23/11 PO Box 20335 $100.00 Wichita,.Kansas $3,850.00 Page_l_ of \ \ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Name and Address Amount Date To Whom Expenditure is Made- Ifindependent or in-kind expenditure in excess of $300 is m'ade for a candidate, list candidate name & address Mitch Holmes for House contribution .1 07/07/11 _ 211 SE 20th Avenue $250:00 St. John, Kansas 67576 Joe Seiwert for House contribution 07/07/11 1111 E. Boundary Rd. $250.00 Pretty Prairie, Kansas 67570 Ron Ryckman for House contribution 07/07/11 PO Box 192 $250.00 Meade, Kansas 67864 Bob Montgomery for House contribution 07/07/11 107 W, Cedar $250,00 Olathe, Kansas 66061 Jim Howell for House contribution 07/07/11 125 E. Buckthorn Rd .. $250,00 Derby, Kansas 67037 James Fawcett for House contribution 07/07/11 711 Crestview Drive $250.00 Junction City, Kansas 66441 Kyle Hoffman for House contribution 07/07/11 1318 Avenue T $250.00 Coldwater, Kansas 67029 Rob Olson for Senate contribution 07/07/11 19050 W 161st $250.00 Olathe, Kansas 66062 Mary Pilcher Cook for Senate contribution 07/07/11 13910 W. 58th Place $250.00 Shawnee, Kansas 66216 Sean Gatewood for House contribution 07/12/11 1628 NW 33rd Place $250.00 Topeka, Kansas 66618 Stan Frownfelter for House contribution 07/12/11 4527 Gibbs Road $250.00 Kansas City, Kansas $2,750.00 PageL oflL SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Name and Address Amount Date To Whom Expenditu~eis Made If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address Tom Burroughs for House contribution 07/12/11 3131S73rdTerrace .. $250.00 . Kansas City, Kansas . Marvin Kleeb for House contribution 07/12/11 14206 Eby $250.00 Overland Park, Kansas 66221 Marc Rhoades for House contribution 07/12/11 100 Duncan Terrace $500.00 Newton, Kansas 67114 Jay Emler for Senate contribution 07/13/11 1457 Shawnee Road $500.00 Lindsborg, Kansas Peggy Mast for House contribution 07/14/11 765 Road 110 $250.00 Emporia, Kansas 66801 Anthony Brown for House contribution 07/14/11 799 E 2200 Road $250.00 Eudora, Kansas 66025 Vern Swanson for House contribution 07/20/11 1422 5th Street $250.00 Clay Center, Kansas 67432 Carolyn McGinn for Senate contribution 07/25/11 11047 N. 87th St. W. $1,000.00 Sedgwick, Kansas 67135 Ty Masterson for Senate contribution 07/25/11 10504 SW Indianola $250.00 Augusta, Kansas 67010 Julia Lynn for Senate contribution 07/25/11 7301 W 129th St., Suite 100 $250.00 Overland Park. Kansas Lance Kinzerfor House contribution 07/25/11 12549 S Brougham $250.00 Olathe, Kansas 66062 $4,000.00 Page ~of_I_\ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Narne and Address Amount Date To Whom Expenditure is Made Ifindependent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address Mike Slattery for House contribution 07/25/11 PO Box 1171 .. . $250.00' Mission, Kansas 66222 Terry Calloway for House contribution 07/25/11 3402 Airport Circle $250.00 Pittsburg, Kansas 66762 Randy Garber for House contribution 07/25/11 2424 Timberlane Terrace $250.00 Sabetha, Kansas 66534 Annie Tietze for House contribution 08/23/11 329 SW Yorkshire Rd. $100.00 Topeka, Kansas 66606 Ann Mah for House contribution 08/23/11 3351 SE Meadowview Dr. $100.00 Topeka, Kansas 66605 Annie Kuether for House contribution 08/23/11 1346 SW Wayne $100.00 Topeka, Kansas 66604 Derek Schmidt for Atty. General contribution 08/29/11 PO Box 804 $500.00 Independence, Kansas 67301 Jeff King for Senate contribution 08/31/11 1212 N Second St. $500.00 Independence, Kansas 67301 Julia Lynn for Senate contribution 08/31/11 7301 W 129th St., Ste. 100 $250.00 Overland Park, Kansas Mike ONeal for House contribution 08/31/11 8 Windemere Ct. $500.00 Hutchinson, Kansas 67502 Jerry Henry for House contribution 08/31/11 3515 Neosho Rd. $250.00 Cummings, Kansas 66016 $3,050.00 page~ofJL SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Name and Address Amount Date To Whom Expenditure is Made. Ifindependent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address . Scott Schwab for House co.ntribution - .. - ~ 08/31/11 14953 W 140th Terrace $25C):00 Olathe, Kansas 66062 Melanie Meier for House contribution 08/31/11 31301175thSt. $250.00 Leavenworth, Kansas 66q48 Jana Goodman for House contribution 08/31/11 410 South Broadway $250.00 Leavenworth, Kansas 66048 Vern Swanson for House contribution 08/31/11 14225th St. $250.00 Clay Center, Kansas 67432 Richard Proehl for House contribution 08/31/11 510 Pine Ridge Rd. $250.00 Parsons, Kansas 67357 Kelly Meigs for House contribution 08/31/11 7842 Rosehill Rd. $250.00 Lenexa, Kansas 66215 Pete DeGraaf for House contribution 08/31/11 1545 E. 11 9th $250.00 Mulvane, Kansas 67110 David Haley for Senate contribution 08/31/11 PO Box 171110 $250.00 Kansas City, Kansas 66117_ Allen Schmidt for Senate contribution 08/31/11 1464B Hopewell Rd. $250.00 Hays, Kansas 67601 Steve Abrams for Senate contribution 08/31/11 PO Box 942 $250.00 Arkansas City, Kansas 67005 Dennis Pyle for Senate contribution 08/31/11 PO Box 82 $250.00 Hiawatha, Karisas 66434 $2,750.00 Page 5 of_I\ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Narne and Address Amount· Date To Whom Expenditure is Made Ifindependent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address Bob Grant. .. for House- -, contribution 09/12/11 407 W. Magnolia $500.00 Cherokee, Kansas Doug Gatewood for House contribution 09/12/11 411 S: Florida $500.00 Columbus, Kansas Vicki Schmidt for Senate contribution 09/20/11 5906 SW 43rd St. $250.00 Topeka, Kansas 66610 Brian Weber for House contribution 09/20/11 PO Box 804 $250.00 Dodge City, Kansas Ed Trimmer for House ' contribution 09/20/11 1402 E 9th $100.00 Winfield, Kansas 67156 Virgil Peck for House contribution 09/20/11 Box 277 $200.00 Tyro, Kansas 67364 Tom Holland for Senate contribution 09/20/11 PO Box 165 $250.00 Baldwin City, Kansas 66006 Richard Kelsey for Senate contribution 10/05/11 PO Box 215 $500.00 Goddard, Kansas 67052 Reynaldo Mesa for House contribution 10/05/11 1719 Crestway $250.00 Garden City, Kansas 67846 Stephen Alford for House contribution 10/05/11 4179 E. Road 19 $250.00 Ulysses, Kansas 67880 Anthony Hensley for Senate contribution 10/05/11 2226 SE Virginia $500.00 Topeka, Kansas 66605-1357 $3,550.00 Page f.t:z- of_I_1 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure· Narne and Address Amount Date To Whom Expenditure is Made If independent or in-kind expenditure in excess of $300 is· made for a candidate, list candidate na~e & address -- Gene Suelle!1trop for fjouse contrjbution .. 10/05/11 6813 West Northwind Circle $500.00 Wichita, Kansas 67205 Kansans for a Democratic House contribution 10/05/11 PO Box 2083 $500.00 Topeka, Kansas 66601 Republican House Campaign contribution 10/06/11 Committee, PO Box 2186 $2,500.00 Topeka, Kansas 66601 Ron Estes for State Treasurer contribution· 10/06/11 PO Box 2145 $1,000.00 Topeka, Kansas 66601 Amanda Grosserode for House contribution 10/07/11 12601 W 99th St. $250.00 Lenexa, Kansas 66215 Brett Hildabrand for House contribution 10/07/11 7352 Royalty Way #108 $250.00 Merriam, Kansas 66203 Pat Colloton for House contribution 10/07/11 2513 W. 118th,St. $250.00 Leawood, Kansas 66211 Lana Gordon for House contribution 10/07/11 5820 SW 27th St. $250.00 Topeka, Kansas 66614 Senate Republican Leadership contribution 10/18/11 Committee, PO Box 1772 $1,000.00 Topeka, Kansas 66601 Kris Kobach for Sec. of State contribution .10/18/11 PO Box 1993 $1,000.00 Topeka, Kansas 66601 Dan Kerschen for House contribution 10/18/11 645 S 263 W $250.00 Garden Plain, Kansas 67050 $7,750.00 Pagel of I\ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Narne and Address Amount Date To Whom Expenditure is Made If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address Charlotte O'Hara for House cl?ntributior:\, fO/18/1 t 17805 Lackman Road $250.00 Overland Park, f5ansas Rick Billingerfor House contribution 10/18/11 Box 594 $250.00 Goodland, Kansas 67735 Ward Cassidy for House contributiOn 10/18/11 420 E 2nd $250.00 St Francis, Kansas 67756 Kathy Wolfe Moore for House contribution 10/18/11 3209 N 131 st $250.00 Kansas City, Kansas Paul Davis for House contribution 10/25/11 730 New Hampshire $500.00 Lawrence, Kansas 66044 John Vratil for Senate . contribution 10/25/11 9534 Lee Blvd. $500.00 Leawood, Kansas 66206 Arlen Siegfreid for House contribution 10/25/11 1403 West Prairie Terrace $500.00 Olathe, Kansas 66061 . Bill Wolf for House contribution 10/25/11 1512 Broadway Court $250.00 Great Bend, Kansas 67530 Jene Vickery for House contribution 10/25/11 502 S Countryside Drive $500.00 Louisburg, Kansas Bill Feuerborn for House contribution 10/25/11 1600 Park Rd. $250.00 Garnett, Kansas 66032 Jeff King for Senate contribution 11/14/11 1212 N. Second St $500.00 Independence, Kansas $4,000.00 Page ~ of_I_1 SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Narne and Address Amount Date To Whom Expenditure is Made Ifindependent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address .. DwaYlle Umbarger for Senate contribution 11/14/11 1585 70th Road '. $500.00 Thayer, Kansas Pete Brungardt for Senate contribution 11/14/11 522 Fairdale Road $500.00 Salina, Kansas Stephen Morris for Semite contribution 11/14/11 600 S. Trindle $1,000.00 Hugoton, Kansas 67951 Ruth Teichman for Senate contribution 11/14/11 434 E Old Highway 50 $1,000.00 Stafford, Kansas 67678 Kansas Republican Senatorial contribution 11/16/11 Committee, PO Box 2663 $1,000.00 Topeka, Kansas 66601 Terrie Huntington for Senate contribution 11/17/11 6264 Glenfield Drive $500.00 Fairway, Kansas Tim Owens for Senate contribution 11/17/11 7804 W 100th Street $500.00 Overland Park, Kansas Chris Steineger for Senate contribution 11/17/11 51 S 64th Street $500.00 Kansas City, Kansas Brenda Landwehr for Senate contribution 11/17/11 2837 North Edward Street $500.00 Wichita, Kansas 67204 Bob Marshall for Senate contribution 11/29/11 999 - 215th Street $250.00 Fort Scott, Kansas 66701 Jeff Longbine for Senate contribution 11/29/11 PO Box 1903 $500.00 - Emporia, Kansas 66801 $6,750.00 page~ofJL SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC (Name of Party Committee or Political Committee) Purpose of Expenditure Name and Address Amount Date To Wh?m Expenditure is Made Ifindependent or in-kind expenditure in excess of$300 is made for a candidate, list candidate name & address Ponka-We Victors for House contribution ., 11/16/11 PO Box 48081 " $100.00 Wichita, Kansas 67201 Ralph Ostmeyer for House contribution 11/29/11 PO Box 97 $500.00 Grinnell, Kansas 67738 Jim Denning for House contribution 11/29/11 8416 W. 115th Street $250.00 . Overland Park, Kansas 66210 John Rubin for House contribution 11/29/11 13803 W 53rd Street $250.00 Shawnee, Kansas 66216 Anthony Brown for House contribution 11/30/11 799 E 2200 Rd. $250.00 Eudora, Kansas 66025 The Senate Democrats contribution 11/30/11 PO Box 1811 $500.00 Topeka, Kansas 66601 Rob Olson for Senate contribution 12/02/11 19050 W 161 st Street $250.00 Olathe, Kansas 66062 David Haley for Senate contribution 12/09/11 PO Box 171110 $250.00 Kansas City, Kansas 66117 Barbara Bollier for House contribution 12/09/11 6910 Overhill Rd. $250.00 Mission Hills, Kansas 66208 Ron Worley for House contribution 12/09/11 8957 Woodstone $250.00 Lenexa, Kansas 66219 John Grange for House contribution 12/09/11 1115 Rim Rock Road $250.00 EI Dorado, Kansas $3,100.00 Page 10 of_I_' SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Bankers Association PAC ( Name of Party Conunittee or Political Committee) Name and Address Purpose of Expenditure Date To Whom Expenditure is Made Amount Ifindependent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address Jim Kelly for House contribution 12/16/11 - 309 South 5th ., $500.00 Independence, Kansas 67301 Joseph Scapa for House contribution 12/16/11 2209 S. White Cliff Lane $250.00 Wichita, Kansas 67207 Don Hineman for House contribution 12/16/11 116 South Longhorn Rd. $250.00 Dighton, Kansas 67839 Kay Wolf for House contribution 12/21/11 8339 Roe Avenue $250.00 Prairie Village, Kansas $1,250.00 Complete if last page of Schedule c Total Itemized Expenditures This Period $42,800.00 Total Unitemized Expenditures of $50 or less $42,800.00 page~ofJL