KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT • - ,- .. ..., -<, OF A POLITICAL OR PARTY COMMITTEE , . , October 29, 2012 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name ofCOlmnittee: Kansas State Farm Insurance Agents and Employees PAC
Address: 825 S. Kansas Avenue, Suite 500
City and Zip Code: _T_o_p_e_k_a_6_6_6_1_2 _
This is a (check one): __ Party COlmnittee '" Political Committee
B. Check only if appropriate: __Amended Filing __ Tennination Report
C. Sunnnary (covering the period from July 27,2012 through October 25, 2012)
1. Cash on hand at beginning of period .. 96,673.43 2. Total Contributions and Other Receipts (Use Schedule A) . 12,276.02 3. Cash available this period (Add Lines I and 2) . 108,949.45 4. Total Expenditures and Other Disbursements (Use Schedule C) .. 47,102.04 5. Cash on hand at close of period (Subtract Line 4 from 3) .. 61,847.41 6. In-Kind Contributions (Use Schedule B) ...... 0.00 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. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."
7 (l., J- -1-. ;)f" 'J!.:) ,I,){ .~/ .,,1'1 I...; Date l Signature of Treasurer
GEe Form Rev, 2001 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees 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 Cash Check Loan Other Other Receipt
John Langcuster Insurance 10/10/12 7311 W 132nd St Ste 180 AgenUlnsurance .; $300.00 Overland Park, KS 66213
Brian Neuhaus Insurance 10/10/12 7700 E Polo AgenUlnsurance .; $60.00 Wichita, KS 67206
Marcia Charton Insurance 10/10/12 address unknown AgenUlnsurance .; $150.00
Matthew Greer Insurance 10/10/12 4700 S Providence Rd AgenUlnsurance .; $60.00 Columbia, MO 65217
Fred Fulks Insurance 10/10/12 13220 Metcalf, Ste 300 AgenUlnsurance .; $250.02 Overland Park, KS 66213
Judie Laws Insurance 10/10/12 3620 SW Fairlawn Ste 100 AgenUlnsurance .; $180.00 Topeka, KS 66614
Jody Parker Insurance 10/10/12 101 S Ridge Rd Ste B AgenUlnsurance .; $30.00 Wichita, KS 67209-2110
Lynn Grover Insurance 10/10/12 7700 E Polo Agent/Insurance .; $150.00 Wichita, KS 67206
Peggy Schmidt Insurance 10/10/12 7700 E Polo AgenUlnsurance .; $60.00 Wichita, KS 67206
Karl Kunz Insurance 10/10/12 655 S Sage Hill Trl AgenUlnsurance .; $75.00 Garden City, KS 67846
Erin Barrett Insurance 10/10/12 13220 Metcalf Avenue Suite 300 AgenUlnsurance .; $150.00 Overland Park, KS 66213
$1,465.02 Subtotal This Page
Page _2-._ of_2-q SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees 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
Sandy Walker Insurance 10/10/12 9666 Quivira Agent/Insurance ,f $150.00 Lenex, KS 66215-1669
Steve Fischer Insurance 10/10/12 POBox 23205 Agent/Insurance ,f $150.00 Overland Park, KS 66283
Kurt Goeser Insurance 10/10/12 1201 Wakarusa E-1 Agent/Insurance ,f $75.00 Lawrence, KS 66049
Roger Crossman Insurance 10/10/12 1010 S. Kansas, Ste B-6 Agent/Insurance ,f $90.00 Liberal, KS 66901
Brad Lock Insurance 10/10/12 2520 N 14th Agent/Insurance ,f $90.00 Dodge City, KS 67801
David Chavez Insurance 10/10/12 6605 Parallel Pkwy Agent/Insurance ,f $126.00 Kansas City, KS 66102
Karen Jameson Insurance 10/10/12 304 E Chestnut Agent/Insurance ,f $60.00 I Junction City, KS 66441
Lee Barrett Insurance 10/10/12 2606 N Fleming St Ste 7 Agent/Insurance ,f $60.00 Garden City, KS 67846
Shanda Swinehart Insurance 10/10/12 114 N Main St Agent/Insurance ,f $120.00 Greensburg, KS 67054
Todd Barnes Insurance 10/10/12 1025 N Main Agent/Insurance ,f $60.00 Newton, KS 67114
G. Sam Davis Insurance 10/10/12 6240 W. 135th, Suite 100 Agent/Insurance ,f $100.00 Overland Park, KS 66223 .
$1,081.00 Subtotal This Page
Page 3__ of "Z.-C\ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving 1\1 ore Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Cash Check Loan Other Other Receipt
Lowell Hardesty Insurance 10/10/12 10540 Marty #130 AgenUlnsurance .; $50.00 Overland Park, KS 66212
Bob Jones Insurance 10/10/12 8118 E Douglas, Ste 103 Agent/Insurance .; $150.00 Wichita, KS 67206
Galen Shields Insurance 10/10/12 POBox 618 AgenUlnsurance .; $150.00 McPherson, KS 67460
Bill Kadyk Insurance 10/10/12 POBox 19416 AgenUlnsurance .; $150.00 Lenexa, KS 66215
Gary Thompson Insurance 10/10/12 3700 N. Woodlawn AgenUlnsurance .; $150.00 Wichita, KS 67220
Terry Johnson Insurance 10/10/12 303 S. Hillside St. AgenUlnsurance .; $300.00 Wichita, KS 67211
Ron Lemon Insurance 10/10/12 1115 Westport Rd Ste A AgenUlnsurance .; $75.00 Manhattan, KS 66502
David Tebbe Insurance 10/10/12 7723 Quivira Rd. AgenUlnsurance .; $105.00 Lenexa, KS 66216
John Schultz Insurance 10/10/12 9431 E. Central, Ste. 2043 AgenUlnsurance .; $50.00 Wichita, KS 67206
Dennis Bivens Insurance 10/10/12 9367 W. 87th St AgenUlnsurance .; $150.00 Overland Park, KS 66212
Ron Culp Insurance 10/10/12 9407 W 87th St AgenUlnsurance .; $75.00 Ov~rland Park, KS 66212
$1,405.00 Subtotal This Page
Page _~_ of~~ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees 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 Cash Check Loan Other Other Receipt
Mark Berquist Insurance 10/10/12 12014 W 87th Agent/Insurance .; $100.00 Lenexa, KS 66216
Steve Clark Insurance 10/10/12 1930 N. Maize Rd. Agent/Insurance .; $150.00 Wichita, KS 66212
Everett Euler Insurance 10/10/12 2057 Huntington Rd Agent/Insurance .; $75.00 Emporia, KS 66801
Moe Linden Insurance 10/10/12 P. O. Box 757 Agent/Insurance .; $150.00 Dighton, KS 67839
Mindy Dougherty Insurance 10/10/12 P.O. Box 510 Agent/Insurance .; $90.00 Elkhart, KS 67950
Ryan Disbrow Insurance 10/10/12 115 N Maple St Agent/Insurance .; $120.00 I Garnett, KS 66032-9405
Terry Sparks Insurance 10/10/12 POBox 753 Agent/Insurance .; $150.00 lola, KS 66749
Jim LaDuke Insurance 10/10/12 P. O. Box 1334 Agent/Insurance .; $300.00 McPherson, KS 67640
J. Frederick Thurlow Insurance 10/10/12 551 S. Woodlawn Agent/Insurance .; $85.00 Wichita, KS 67218
Rea Laflin Insurance 10/10/12 101 S 5th Agent/Insurance .; $60.00 Atchison, KS 66002
Todd Shepard Insurance 10/10/12 1906 E. 29th St Agent/Insurance .; $75.00 Topeka,KS \36605
$1,355.00 Subtotal This Page
Page _~ of 2.'1. SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees 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 Cash Check Loan Other Other Receipt
Mike Grosdider Insurance 10/10/12 2400 Iowa St AgenUlnsurance ~ $75.00 Lawrence, KS 66046
Nyle Salmans Insurance 10/10/12 8832 W. 95th St. AgenUlnsurance ~ $75.00 Overland Park, KS 66212
Dennis Richter Insurance 10/10/12 2704 N Topeka Blvd AgenUlnsurance ~ $75.00 Topeka, KS 66617
Penny Hardesty Insurance 10/10/12 10540 Marty, Suite 120 AgenUlnsurance .; $150.00 Overland Park, KS 66212
Dan Gillig Insurance 10/10/12 P.O. Box 333 AgenUlnsurance ~ $65.00 Pratt, KS 67124
Paul Davault Insurance 10/10/12 3625 SW 29th St AgenUlnsurance ~ $60.00 Topeka, KS 66611
Jonathan Wollen Insurance 10/10/12 309 N. Main Agent/lnsurance ~ $80.00 Kingman, KS 67068
Sue Zientara Insurance 10/10/12 300 SW 33rd St. AgenUlnsurance ~ $210.00 Topeka, KS 66611
Harold Mann Insurance 10/10/12 P.O. Box 838 AgenUlnsurance ~ $150.00 Coffeyville, KS 67337
Paul Brucks Insurance 10/10/12 2121 N Tyler Ste 203 Agent/Insurance ~ $75.00 Wichita, KS 67212
Mike Ayres Insurance 10/10/12 619 W Douglas AgenUlnsurance ~ $60.00 Wichita, KS 67213 .
$1,075.00 Subtotal This Page
Page _6__ of 2-q SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, I Date of Contributor Than $150 Loan or Check L02n Other Cash Other Receipt
Gary Urbanek Insurance 10/10/12 P. O. Box 399 AgenUlnsurance .; $150.00 Ellsworth, KS 67439
Josh Salmans Insurance 10/10/12 511 Leavenworth St AgenUlnsurance .; $90.00 Manhattan, KS 66502
Connie Shiverdecker Insurance 10/10/12 810 Main Agent/Insurance .; $150.00 Neodesha,KS 66057
Ernie Ruelas Insurance 10/10/12 11330 E Central Ste 400 AgenUlnsurance .f $70.00 Wichita, KS 67206
G.E. Moore Insurance 10/10/12 P. O. Box 688 AgenUlnsurance .; $150.00 Leavenworth, KS 66048
John Burns Insurance 10/10/12 P. O. Box 25275 AgenUlnsurance .; $75.00 Overland Park, KS 66225
Bruce Detwiler Insurance 10/10/12 1115 E River St AgenUlnsurance .; $60.00 Eureka, KS 67045
Kale Erway Insurance 10/10/12 621 Broadway Agent/Insurance .; $75.00 Larned, KS 67550
Kathy Burt Insurance 10/10/12 P. O. Box 180 AgenUlnsurance .; $75.00 Hoisington, KS 67544
Betty Blubaugh Insurance 10/10/12 215 SPark AgenUlnsurance .; $60.00 Parsons, KS 67357
Antonio Durano Insurance 10/10/12 825 W. Central AgenUlnsurance .; $75.00 Andover, KS 67002
$1,030.00 Subtotal This Page SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving More Approp riate Box Cash, Check, Date of Contributor Than $150 Loan or Cash Cheek Loan Other I Other Receipt
Debbie Nordling Insurance 10/10/12 617 S. Main AgenUlnsurance .; $150.00 Hugoton, KS 67951
Matt Ciani Insurance 10/10/12 11828 Quivira Rd Agent/Insurance .; $65.00 Overland Park, KS 66210
Marsha Adams Insurance 10/10/12 P.O. Box 505 AgenUlnsurance .; $150.00 Osawatomie, KS 66064
Starlyn Venus Insurance 10/10/12 200 N Summit AgenUlnsurance .; $60.00 Arkansas City, KS 67005
David Lawrence Insurance 10/10/12 3610 W. Central Ave. AgenUlnsurance .; $150.00 Wichita, KS 67203
Andy Fry Insurance 10/10/12 13822 E. Camden Chase Ct. AgenUlnsurance .; $60.00 I Wichita, KS 67228
John Wills Insurance 10/10/12 6339 Long Ste A AgenUlnsurance .; $130.00 Shawnee, KS 66216-2564
Ladonna Junghans Insurance 10/10/12 2714 Liberty Hall Rd AgenUlnsurance .; $210.00 Junction City, KS 66441
Debbie Swinney Insurance 10/10/12 2099 E 151st St Ste 100 AgenUlnsurance .; $150.00 Olathe, KS 66062
Patty Ann Sanborn Insurance 10/10/12 415 N 4th AgenUlnsurance .; $90.00 Burlington, KS 66839
Mark Elling Insurance 10/10/12 6011 Nieman Rd., Suite 3 AgenUlnsurance .; $150.00 Shawnee, KS 66203
$1,365.00 Subtotal This Page
Page _8__ of_L.-c:J. SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees PAC (Name ofParty 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
Dean Jones Insurance 10/10/12 10254 W 13th AgenUlnsurance .; $150.00 Wichita, KS 67212
Julie Stoll Insurance 10/10/12 8600 Shawnee Msn Pkwy, Ste AgenUlnsurance .; $180.00 303 Merriam, KS 66202
Kevin Hale Insurance 10/10/12 15295 W 119th St Agent/Insurance .; $180.00 Olathe, KS 66062
Charlie Hughes Insurance 10/10/12 10394 Mastin Agent/Insurance .; $150.00 Overland Park, KS 66212
Wayne Voss Insurance 10/10/12 2707 Vine Ste 13 Agent/Insurance .; $60.00 Hays, KS 67701
Jane Johnson Insurance 10/10/12 P.O. Box 423 AgenUlnsurance .; $150.00 Colby, KS 67661
Kevin Shields Insurance 10/10/12 6160 E. 21St, Ste 160 Agent/Insurance .; $60.00 Wichita, KS 67208
Keith King Insurance 10/10/12 101 N Main St Agent/Insurance $90.00 Ottawa, KS 66067 .;
Rochelle Tramp Insurance 10/10/12 4311 W. 6th St, Ste A AgenUlnsurance .; $90.00 Lawrence, KS 66049
Robert Pinkerton Insurance 10/10/12 P.O. Box 321 Agent/Insurance .; $150.00 Phillipsburg, KS 67661
Steven Crichton Insurance 10/10/12 126 W. Main Agent/Insurance .; $150.00 Council Grove, KS 66846
$1,410.00 Subtotal This Page SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas State Farm Insurance Agents and Employees 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 Other Cosh Check Loan ~ Other Receipt
Lowell Davis 08/17/12 8745 Ballentine, Ste. E .f $100.00 Overland Park, KS 66214
Jim Garrison 08/17/12 2115 SW Fairlawn Plaza Dr. $100.00 Topeka, KS 66602 t/
Kevin Rathert 08/17/12 2929 N. Rock Rd., Ste. 140 .f $60.00 Wichita, KS 67226
Jodi Stark 08/17/12 618 Market .f $300.00 Osage City, KS 66523
Cindy Waggoner 08/17/12 1548 E 61st Street N $100.00 Park City, KS 67219-1952 .f
Dietsch Insurance Agency Inc. 09/14/12 821 W. Main $100.00 Chanute, KS 66720 .f
Lynette Hudson 09/14/12 4228 SW 29th Terr. $300.00 I .; Topeka, KS 66614-3002
Bonnie J. Buckman Ins. Agcy Inc. 09/28/12 208 S. Main .f $250.00 EI Dorado, KS 67042
$1,310.00 Subtotal This Page
Complete if last page of Schedule A
Total Itemized Receipts for Period $11,496.02
Total Unitemized Contributions ($50 or less) $780.00
Sale of Political Materials (Unitemized) $0.00
Total Contributions When Contributor Not Known $0.00
TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $12,276.02
~O Page -- of-- L...'1. SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
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
Gaches Braden and Associates Management Fee, postage and printing 08/02/12 825 S. Kansas Avenue, Suite 500 $427.96 Topeka,KS 66612
Intrust Bank N.A. Credit Card processing fees 08/03/12 105 N. Main $8.00 Wichita, KS 67202
Capitol Plaza Hotel food and beverage, audio visual, and hotel rooms 08/16/12 1717 SW Topeka Blvd. $1,859.79 Topeka, KS 66612
Gaches Braden and Associates Management Fee, postage, printing and fax 08/16/12 825 S. Kansas Avenue, Suite 500 $871.19 Topeka, KS 66612
Salina Country Club food and beverage, audio visual and room rental 08/30/12 P.O. Box 2056 $555.72 Salina, KS 67401
Intrust Bank N.A. Credit Card processing fees 09/04/12 105 N. Main $26.50 Wichita, KS 67202
Alan Jilka for State Representative Political Contribution 09/14/12 847 So. 9th $150.00 Salina, KS 67401
Allen Schmidt for State Senate Political Contribution 09/14/12 1464B Hopewell Road $250.00 Hays, KS 67601
Amanda Grosserode for State Rep Political Contribution 09/14/12 12601 West 99th Street $100.00 I Lenexa, KS 66215
Ann Mah for State Representative Political Contribution 09/14/12 3351 SE Meadowview Dr $100.00 Topeka, KS 66605
Annie Kuether for State Rep Political Contribution 09/14/12 1346 S.W. Wayne Avenue $100.00 Topeka, KS 66604. . $4,449.16 Subtotal This Page
Page --l \ of-- z....q SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
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
Annie Tietze for Kansas Rep Political Contribution 09/14/12 329 SW Yorkshire Rd $100.00 Topeka, KS 66606
Anthony Brown for State Senate Political Contribution 09/14/12 799 E 2200 Rd. $300.00 Eudora, KS 66025
Anthony Hensley for State Senate Political Contribution 09/14/12 2226 SE Virginia Avenue $150.00 Topeka, KS 66605
Barbara Ballard for State Rep Political Contribution 09/14/12 1532 Alvamar Drive $100.00 Lawrence, KS 66047
Barbara Bollier for State Rep Political Contribution 09/14/12 6910 Overhill Road $100.00 Mission Hills, KS 66208
Benny Boman for State Rep Political Contribution 09/14/12 1914 Euclid $100.00 Wichita, KS 67213
Bill Feuerborn for State Rep Political Contribution 09/14/12 1600 Park Road $200.00 Garnett, KS 66032
Bill Sutton for State Representative Political Contribution 09/14/12 301 W. Westhoff PI. $100.00 Gardner, KS 66030
Blaine Finch for State Rep Political Contribution 09/14/12 5 SW Fairview Dr. $100.00 Ottawa, KS 66067
Bob Reader for State Senate Political Contribution 09/14/12 6560 N. 52nd St. $150.00 Manhattan, KS 66503
Brandon Whipple for State Rep Political Contribution 09/14/12 2925 S. Walnut $100.00 Wichita, KS 67217 , . $1,500.00 Subtotal This Page
Page \?.. of 1...'1 SCHEDULEC EXPENDITURES AA'D OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees 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
Brenda Landwehr for State Rep Political Contribution 09/14/12 2837 N. Edwards St. $300.00 Wichita, KS 67204
Brett Hildabrand for State Rep Political Contribution 09/14/12 16820 W 67th St., Apt. 407 $100.00 Shawnee,KS 66217
Brian Weber for State Rep Political Contribution 09/14/12 PO Box 804 $100.00 Dodge City, KS 67801
Carolyn Bridges for State Rep Political Contribution 09/14/12 5219 E. First St $100.00 Wichita, KS 67208
Carolyn McGinn for State Senate Political Contribution 09/14/12 11047 N. 87th W $150.00 Sedgwick, KS 67135
Caryn Tyson for State Senate Political Contribution 09/14/12 P.O. Box 191 $150.00 Parker, KS 66072
Charles Macheers for State Rep Political Contribution 09/14/12 21704 W. 57th Terrace $100.00 Shawnee,KS 66218
Chris Steineger for State Senate Political Contribution 09/14/12 51 South 64th St $300.00 Kansas City, KS 66111
Clark Shultz for State Rep Political Contribution 09/14/12 515 N. Ash #9 $500.00 McPherson, KS 67460
Connie O'Brien for State Rep Political Contribution 09/14/12 22123211th $100.00 Tonganoxie, KS 66086
Craig McPherson for State Rep Political Contribution 09/14/12 P.O. Box 23448 $100.00 Overland Park, KS 66213 , $2,000.00 Subtotal This Page
Page ---.l3..- of Z.H SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name ofPa11y 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
Dan Kerschen for State Senate Political Contribution 09/14/12 645 S. 263 W $2!;i0.00 Garden Plain, KS 67050
Daniel Hawkins for State Rep Political Contribution 09/14/12 9406 Harvest Ln. $150.00 Wichita, KS 67212
David Haley for State Senate Political Contribution 09/14/12 PO Box 171110 $150.00 Kansas City, KS 66101
Dennis Hedke for State Rep Political Contribution 09/14/12 1669 N. Sagebrush St $100.00 Wichita, KS 67230
Dennis Pyle for State Senate Political Contribution 09/14/12 2979 Kingfisher Rd. $300.00 Hiawatha, KS 66434
Diana Dierks for State Rep Political Contribution 09/14/12 1221 Sunrise Drive $150.00 Salina, KS 67401
Dick Barta for State Senate Political Contribution 09/14/12 5332 NW Lincoln $300.00 Topeka, KS 66618
Don Hill for State Representative Political Contribution 09/14/12 1720 Luther St. $100.00 Emporia, KS 66801
Don Hineman for State Rep Political Contribution 09/14/12 116 S. Longhorn Rd. $100.00 Dighton, KS 67839
Don Schroeder for State Rep Political Contribution 09/14/12 708 Charles St. $150.00 Hesston, KS 67062
Eber Phelps for State Rep Political Contribution 09/14/12 3103 Olympic Lane $100.00 Hays, KS 67601 . $1,850.00 Subtotal This Page
Page~of 7-9 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
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
Ed Trimmer for State Rep Political Contribution 09/14/12 1402 E. 9th $150.00 Winfield, KS 67156
Elaine Bowers for State Senate Political Contribution 09/14/12 1326 N. 150th Rd. $150.00 Concordia, KS 66901
Emily Perry for State Rep Political Contribution 09/14/12 6910 W. 67th Street $100.00 Overland Park, KS 66202
Gail Finney for State Rep Political Contribution 09/14/12 1754 N Madison Ave. $150.00 Wichita, KS 67214
Garrett Love for State Senate Political Contribution 09/14/12 101 Escalanta $250.00 Montezuma, KS 67867
George Edwards II for State Rep Political Contribution 09/14/12 256 Van Arsdale $150.00 Haysville, KS 67060
Grant Randall for State Rep Political Contribution 09/14/12 258 SW Hwy 166 $100.00 Baxter Springs, KS 66713
Greg Smith for State Senate Political Contribution 09/14/12 8605 Robinson $150.00 Overland Park, KS 66212
Harold Lane for State Rep Political Contribution. 09/14/12 2202 SE Monroe St. $150.00 Topeka, KS 66605
J. David Crum for State Rep Political Contribution 09/14/12 2903 Lake Shore Dr. $100.00 Augusta, KS 67010 , $1,450.00 Subtotal This Page
Page ---lS..- of L 9 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
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
J. Russell Jennings for State Rep Political Contribution 09/14/12 Box 295 $100.00 Lakin, KS 67860
J. Stephen Alford for State Rep Political Contribution 09/14/12 4179 East Road 19 $100.00 Ulysses, KS 67880 I J.R. Claeys for State Rep Political Contribution 09/14/12 PO Box 501 $100.00 Salina, KS 67401
Jacob LaTurner for State Senate Political Contribution 09/14/12 204 E. Euclid St. $150.00 Pittsburg, KS 66762
James Todd for State Rep Political Contribution 09/14/12 10456 W. 116th Terr. Apt. 205 $100.00 Overland Park, KS 66210
Jan Pauls for State Representative Political Contribution 09/14/12 101 East 11th $150.00 Hutchinson, KS 67501 I Jana Goodman for State Rep Political Contribution 09/14/12 410 South Broadway $100.00 Leavenworth,KS 66048
Janet Mitchell for State Rep Political Contribution 09/14/12 1921 SW Damon Court $150.00 Topeka, KS 66611
Jay Emler for State Senate Political Contribution 09/14/12 1457 Shawnee Road $250.00 Lindsborg, KS 67456
Jeff Longbine for State Senate Political Contribution 09/14/12 2801 Lakeridge Rd $500.00 Emporia, KS 66801
Jeff Melcher for State Senate Political Contribution 09/14/12 11424 Canterbury Circle $150.00 Leawood,. KS 66211 $1,850.00 Subtotal This Page
Page~of 2'1 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name OfPaJ1y 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
Jene Vickrey for State Rep Political Contribution 09/14/12 502 S. Countryside Dr $100.00 Louisburg, KS 66053
Jerry Henry for State Rep Political Contribution 09/14/12 3515 Neosho Rd. $100.00 Cummings, KS 66016
Jerry Lunn for State Rep Political Contribution 09/14/12 14512 Horton St. $100.00 Overland Park, KS 66223
Jim Denning for State Senate Political Contribution 09/14/12 8416 W. 115th St. $250.00 Overland Park, KS 66210
Jim Kelly for State Representative Political Contribution 09/14/12 309 South 5th $100.00 Independence, KS 67301
Jim Ward for State Representative Political Contribution 09/14/12 3100 East Clark $150.00 Wichita, KS 67211
Joe Seiwert for State Rep Political Contribution 09/14/12 1111 E Boundary Rd $150.00 Pretty Prairie, KS 67570
John Alcala for State Rep Political Contribution 09/14/12 520 NE Lake $150.00 Topeka. KS 66616
John Barker for State Rep Political Contribution 09/14/12 103 Wassinger Ave $100.00 Abilene, KS 67410
John Bradford for State Rep Political Contribution 09/14/12 125 Rock Creed Loop $100.00 Lansing, KS 66043
John Doll for State Representative Political Contribution 09/14/12 2927 Cliff Place $100.00 Garden City, KS. 67846 . $1,400.00 Subtotal This Page
Page \1- of z..q SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees 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
John Edmonds for State Rep Political Contribution 09/14/12 P.O. Box 1805 $100.00 Great Bend, KS 67530
John Rubin for State Rep Political Contribution 09/14/12 13803 W. 53rd St. $300.00 Shawnee, KS 66216
John Wilson for State Rep Political Contribution 09/14/12 1923 Ohio Street $100.00 Lawrence, KS 66046
Joseph Scapa for State Rep Political Contribution 09/14/12 2209 S. White Cliff Ln. $100.00 Wichita, KS 67207
Joshua Powell for State Rep Political Contribution 09/14/12 104 NW Red Bud Cir $100.00 Topeka, KS 66617
Juanita Roy for State Senate Political Contribution 09/14/12 20617 W 96 Street $150.00 Lenexa, KS 66220-2659
Julia Lynn for State Senate Political Contribution 09/14/12 18837 W. 115th Terr $250.00 Olathe, KS 66061
Julie Menghini for State Rep Political Contribution 09/14/12 1207 E. Quincy $100.00 Pittsburg, KS 66762
Kasha Kelley for State Rep Political Contribution 09/14/12 POB 1111 $100.00 Arkansas City, KS 67005
Kathy Wolfe Moore for State Rep Political Contribution 09/14/12 3209 N. 131 st Street $150.00 Kansas City, KS 66109
Kay Wolf for State Senate Political Contribution 09/14/12 8339 Roe $300.00 Prairie Village, KS 66207 . . $1,750.00 Subtotal This Page
Page~of 2.9 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name ofPaJ1y Committee or Political Committee)
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
Keith Esau for State Rep Political Contribution 09/14/12 11702 S. Winchester St. $100.00 Olathe, KS 66061
Kelly Kultala for State Senate Political Contribution 09/14/12 12232 Hubbard Rd. $300.00 Kansas City, KS 66109
Kelly Meigs for State Rep Political Contribution 09/14/12 7842 Rosehill Road $100.00 Lenexa, KS 66216
Ken Corbet for State Rep Political Contribution 09/14/12 10351 SW 61 St $100.00 Topeka, KS 66610
Ken Willard for State Rep Political Contribution 09/14/12 24 Dakota $100.00 Hutchinson, KS 67502
Kyle Hoffman for State Rep Political Contribution 09/14/12 1318 Avenue T $100.00 Coldwater, KS 67029
Lance Kinzer for State Rep Political Contribution 09/14/12 12549 S. Brougham $300.00 Olathe, KS 66062
Larry Campbell for State Rep Political Contribution 09/14/12 15803 S. Avalon $100.00 Olathe, KS 66062
Larry Powell for State Senate Political Contribution 09/14/12 2209 Grandview Dr. E. $500.00 Garden City, KS 67846
Laura Kelly for State Senate Political Contribution 09/14/12 234 SW Greenwood Ave $300.00 Topeka, KS 66606
Les Donovan for State Senate Political Contribution 09/14/12 314 N. Rainbow Lake $300.00 Wichita, KS 67235 .. $2,300.00 Subtotal This Page
Page ~ of z..S. SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
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
Leslie Osterman for State Rep Political Contribution 09/14/12 1401 Dallas $100.00 Wichita, KS 67217
Louis Ruiz for State Rep Political Contribution 09/14/12 2914 W 46th Ave $100.00 Kansas City, KS 66103
Marc Rhoades for State Rep Political Contribution 09/14/12 1006 Lazy Creek Drive $300.00 Newton, KS 67114
Marci Francisco for State Senate Political Contribution 09/14/12 1101 Ohio St. $300.00 Lawrence, KS 66044
Mario Goico for State Rep Political Contribution 09/14/12 1254 N. Pine Grove Ct. $100.00 Wichita, KS 67212
Mark Hutton for State Rep Political Contribution 09/14/12 7118 W. Clearmeadow Ct. $100.00 Wichita, KS 67205
Marshall Christmann for State Rep Political Contribution 09/14/12 816 South Grand $100.00 Lyons, KS 67554
Marty Read for State Rep Political Contribution 09/14/12 18244 KS Hwy 52 $100.00 . Mound City, KS 66056
Marvin Kleeb for State Rep Political Contribution 09/14/12 14206 Eby $300.00 Overland Park, KS 66221
Mary Pilcher-Cook - State Senate Political Contribution 09/14/12 13910 W 58 PI. $250.00 Shawnee,KS 66216
Megan England for State Rep Political Contribution 09/14/12 5522 Cedar $100.00 Roeland Park, KS 66205 . $1,850.00 Subtotal This Page
Page --2D of-- 2 q SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees 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
Melanie Meier for State Rep Political Contribution 09/14/12 713 Oak St $100.00 Leavenworth, KS 66048
Michael O'Donnell for State Senate Political Contribution 09/14/12 1435 W. Haskell $150.00 Wichita, KS 67213
Mike Burgess for State Rep Political Contribution 09/14/12 6009 SW 23rd St $100.00 Topeka, KS 66614
Mike Petersen for State Senate Political Contribution 09/14/12 2608 Southeast Drive $150.00 Wichita, KS 67216
Mike Peterson for State Rep Political Contribution 09/14/12 450 N 17th St. $100.00 Kansas City, KS 66102
Mitch Holmes for State Senate Political Contribution 09/14/12 211 SE 20th Ave $500.00 St John, KS 67576
Nancy Lusk for State Repe Political Contribution 09/14/12 7700 West 83rd Street $100.00 Overland Park, KS 66204
Nile Dillmore for State Rep Political Contribution 09/14/12 1102 Jefferson $100.00 Wichita, KS 67203
Oletha Faust-Goudeau for Senate Political Contribution 09/14/12 4158 Regents Lane $300.00 Wichita, KS 67208
Pat Apple for State Senate Political Contribution 09/14/12 PO Box 626 $500.00 Louisburg, KS 66053
Pat Pettey for State Senate Political Contribution 09/14/12 5316 Lakewood St. $500.00 Kansas City, KS 66106 . , $2,600.00 Subtotal This Page
Page ---.Z::L of 2.9 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name ofPaliy Committee or Political Committee)
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
Peggy Mast for State Rep Political Contribution 09/14/12 765 Road 110 $300.00 Emporia, KS 66801
Pete DeGraaf for State Rep Political Contribution 09/14/12 1545E.119th $300.00 Mulvane, KS 67110
Phil Hermanson for State Rep Political Contribution 09/14/12 5338 S. Mosley $300.00 Wichita, KS 67216
Ponka-We Victors for State Rep Political Contribution 09/14/12 2220 Mascot $100.00 Wichita, KS 67204
Ralph Ostmeyer for State Senate Political Contribution 09/14/12 P.O. Box 97 $250.00 Grinnell, KS 67738-0097
Ramon Gonzales Jr. for State Rep Political Contribution 09/14/12 312 Elm St $100.00 Perry, KS 66073
Randy Garber for State Rep Political Contribution 09/14/12 2424 Timberlane Terrace $100.00 Sabetha, KS 66534
Ray Merrick for State Rep Political Contribution 09/14/12 6874 W.164th Terr. $300.00 Stilwell, KS 66085
Reid Petty for State Rep Political Contribution 09/14/12 818 N. Lincoln $100.00 Liberal, KS 67901
Richard Carlson for State Rep Political Contribution 09/14/12 26810 Jeffrey Rd. $200.00 St. Marys, KS 66536
Richard Pikul for State Rep Political Contribution 09/14/12 16021 Westerly Heights Dr $100.00 Wamego, KS 66547
\ $2,150.00 Subtotal This Page
Page 72- of 2-'1 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees 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
Rob Bruchman for State Rep Political Contribution 09/14/12 5016 W. 108th Terr., #522 $100.00 Overland Park, KS 66211
Robert Montgomery for State Rep Political Contribution 09/14/12 107 W. Cedar $300.00 Olathe, KS 66062
Robert Olson for State Senate Political Contribution 09/14/12 19050 W 161 st. Street $500.00 Olathe, KS 66062
Roderick Houston for State Rep Political Contribution 09/14/12 4902 Looman St. $150.00 Wichita, KS 67220
Ron Highland for State Rep Political Contribution 09/14/12 27487 Wells Creek Rd. $100.00 Wamego, KS 66547
Ron Ryckman for State Rep Check stock and envelopes 09/14/12 14234 W 158th St. $100.00 Olathe, KS 66062
Ronald Ellis for State Senate Political Contribution 09/26/12 9199 K-4 Hwy $300.00 Meriden, KS 66512
Ronald Ryckman for State Rep Political Contribution 09/26/12 P.O. Box 192 $100.00 Meade, KS 67864
Scott Schwab for State Rep Political Contribution 09/26/12 14953 W. 140th Terr $300.00 Olathe, KS 66062
Sean Gatewood for State Rep Political Contribution 09/27/12 1628 NW 33rd PL $100.00 Topeka, KS 66618
Shanti Gandhi for State Rep Political Contribution 09/27/12 5802 Clarion Lakes Way $100.00 Topeka, KS 66610 . $2,150.00 Subtotal This Page
Page '2.-3 of L.-" SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees 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
Sharon Schwartz for State Rep Political Contribution 09/14/12 2051 20th Road $100.00 Washington, KS 66968
Stan Frownfelter for State Rep Political Contribution 09/14/12 4527 Gibbs Rd $100.00 Kansas City, KS 66106
Stephanie Clayton for State Rep Political Contribution 09/14/12 9825 Woodson Dr. $100.00 Overland Park, KS 66207
Steve Abrams for State Senate Political Contribution 09/14/12 PO Box 942 $150.00 Arkansas City, KS 67005
Steve Brunk for State Rep Political Contribution 09/14/12 8119 Champions Ct. $300.00 Wichita, KS 67226
Steve Huebert for State Rep Political Contribution 09/14/12 619 N Birch $100.00 Valley Center, KS 67147
Steven Johnson for State Rep Political Contribution 09/14/12 10197 South Hopkins Road $100.00 Assaria, Kansas 67416
Susan Concannon for State Rep Political Contribution 09/14/12 921 N Mill $100.00 Beloit, KS 67420
Susan Wagle for State Senate Political Contribution 09/14/12 4 N. Sagebrush St. $1,000.00 Wichita, KS 67230
Sydney Carlin for State Rep Political Contribution 09/14/12 1650 Sunny Slope Lane $150.00 Manhattan, KS 66502
Terry Bruce for State Senate Political Contribution 09/14/12 5301 N. Centennial Rd. $500.00 Nickerson, KS 67561 . $2,700.00 Subtotal This Page
Page~of Lq SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name ofpaliy 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
Tim Garvey for State Rep Political Contribution 09/14/12 326 Courtleigh $100.00 Wichita, KS 67218
Tom Arpke for State Senate Political Contribution 09/14/12 512 West Iron Avenue $150.00 Salina, KS 67401
Tom Burroughs for State Rep Political Contribution 09/14/12 3131 South 73rd Terr. $300.00 Kansas City, KS 66106
Tom Holland for State Senate Political Contribution 09/14/12 961 E. 1600 Road $500.00 Baldwin City, KS 66006
Tom Moxley for State Rep Political Contribution 09/14/12 1852 S 200 Rd $100.00 Council Grove, KS 66846
Tom Phillips for State Rep Political Contribution 09/14/12 1530 Barrington Drive $100.00 Manhattan,KS 66503
Travis Couture-Lovelady State Rep Political Contribution 09/14/12 2680 Three Rd $100.00 Palco, KS 67657
Troy Waymaster for State Rep Political Contribution 09/14/12 PO Box 283 $100.00 Luray, KS 67649
Ty Masterson for State Senate Political Contribution 09/14/12 1539 Phyllis Lane $250.00 Andover, KS 67002
Virgil Weigel for State Rep Political Contribution 09/14/12 1900 SW Briarwood Drive $150.00 Topeka, KS 66611-2041
Ward Cassidy for State Rep Political Contribution 09/14/12 Box 303 $100.00 St Francis, KS 67756
$1,950.00 Subtotal This Page
Page 'Z-S of 2'1 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name ofPal1y Committee or Political Committee)
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
Will Carpenter for State Rep Political Contribution 09/14/12 6965 S.w. 18th St. $100.00 EI Dorado, KS 67042
Willie Dove for State Rep Political Contribution 09/14/12 14715 Timber Lane $100.00 BonnerSprings,KS 66012
Tom Hawk for State Senate Political Contribution 09/14/12 3115 Harahey Ridge $150.00 Manhattan, KS 66502
Vern Swanson for State Rep Political Contribution 09/14/12 1422 5th St $150.00 Clay Center, KS 67432
Vicki Schmidt for State Senate Political Contribution 09/14/12 5906 SW 43rd Ct. $500.00 Topeka,KS 66610
Vincent Wetta for State Rep Political Contribution 09/14/12 1204 N. Poplar $100.00 Wellington, KS 67152
Arlen Siegfreid for State Rep Political Contribution 09/14/12 1403 W. Prairie Terrace $350.00 Olathe, KS 66061
Darrel Harbaugh for State Rep Political Contribution 09/14/12 1222 W. 3rd $150.00 Coffeyville, KS 67337
Edwin Bideau III for State Rep Political Contribution 09/14/12 14 South Rutter $150.00 Chanute, KS 66720
Forrest Knox for State Senate Political Contribution 09/14/12 17120 Udall Rd. $250.00 Altoona, KS 66710
Jeff King for State Senate Political Contribution 09/14/12 1212 N. 2nd St. $350.00 Independence, KS 67301 . $2,350.00 Subtotal This Page
Page~of 2~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees 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
Larry Hibbard for State Rep Political Contribution 09/14/12 858 EE75 Road $150.00 Toronto, KS 66777
Mark Kahrs for State Rep Political Contribution 09/14/12 P.O. Box 781547 $250.00 Wichita, KS 67278
Michelle Hucke for State Rep Political Contribution 09/14/12 1914 South Locust $200.00 Pittsburg, KS 66762
Richard Proehl for State Rep Political Contribution 09/14/12 510 Pine Ridge Road $350.00 Parsons, KS 67357
Robert Grant for State Rep Political Contribution 09/14/12 407 W Magnolia $350.00 Cherokee, KS 66724
Intuit Inc. Check stock and envelopes 09/14/12 2632 Marine Way $248.38 Mountain View, CA 94043
Shirley Palmer for State Rep Political Contribution 09/26/12 1862 Eagle Road $150.00 Fort Scott, KS 66701
Virgil Peck for State Rep Political Contribution 09/26/12 Box 277 $150.00 Tyro, KS 67364
Gaches Braden and Associates Management Fee, postage and printing, meeting facility 09/26/12 825 S. Kansas Avenue, Suite 500 expenses $2,872.45 Topeka, KS 66612
Broderick Henderson for State Rep Political Contribution 09/27/12 2710 North 8th St $100.00 Kansas City, KS 66101
Jack Thimesch for State Rep Political Contribution 09/27/12 P.O Box 177 $100.00 Cunningham, KS 67035 . , $4,920.83 Subtotal This Page
Page -..ll of 2.q SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees 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
Valdenia Winn for State Rep Political Contribution 09/14/12 1044 Washington Blvd. $100.00 Kansas City, KS 66102
Jim Howell for State Rep Political Contribution 09/27/12 125 Buckthorn Rd $100.00 Derby, KS 67037
Keith Humphrey for State Senate Political Contribution 09/27/12 2924 I\J. Rough Creek Road $150.00 Derby, KS 67037
Gaches Braden and Associates Management Fee, postage and printing, meeting facility 10/04/12 825 S. Kansas Avenue, Suite 500 expenses, and travel $3,806.56 Topeka, KS 66612
Great Western Dining Service Inc. Meeting facility expenses 10/04/12 P.O. Box 699 $352.79 Tipton, MO 65081-0699
Intrust Bank Credit Card processing fees 10/03/12 105 N. Main $12.90 Wichita, KS 67202
Casey Moore for State Senate Political Contribution 10/24/12 3825 SE 31 st St $150.00 Topeka, KS 66605
Gene Suellentrop for State Rep Political Contribution 09/14/12 6813 W. Northwind Cir. $100.00 Wichita, KS 67205
Paul Davis for State Rep Political Contribution 09/14/12 1731 Indiana $300.00 Lawrence, KS 66044
Hilton Branson Conv Center Hotel Meeting facility, audio/visual, food and beverage 08/02/12 200 Sycamore $2,791.80 Branson, MO 65616
. . $7,864.05 Subtotal This Page
Page -.W. of l.-q SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas State Farm Insurance Agents and Employees PAC (Name of Party Committee or Political Committee)
Name and Address Purpose of Expenditure Date To Whom Expenditure is Made Amount If independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address
$0.00 Subtotal This Page
Complete iflast page of Schedule c
Total Itemized Expenditures This Period $47,084.04
Total Unitemized Expenditures of$50 or less $18.00
TOTAL EXPEj'lDITURES & OTHER DISBURSEMENTS $47,102.04 THIS PERIOD (to line 4 of Summary)
Page --.2:L of 2-q