KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMMITTEtf~Et----__ RECEIVED July 27, 2020 JUL 272020 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTI01', S SE~~ET.°TTARSyCHWA8 OF STATE
A. Name of Committee: Kansas Hospital Association Political Action Committee
215 SE 8th Street Address: ------C1'tyan d Z'Ip C0 de: Topeka. 66601 _
This is a (check one): __ Party Committee " Political Committee
B. Check only if appropriate: __Amended Filing __ Telmination Report
C. Summary (covering the period from January 1,2020 through July 23,2020) 1. Cash on hand at beginning of period . 70,946.31
2. Total Contributions and Other Receipts (Use Schedule A) . 21,665.47
3. Cash available this period (Add Lines land 2) . 92,611.78
4. Total Expenditures and Other Disbursements (Use Schedule C) .. 24,507.37 5. Cash on hand at close of period (Subtract Line 4 from 3) .. 68,104.41 6. In-Kind Contributions (Use Schedule B) .. 2,421.41 7. Other Transactions (Use Schedule D) .. 0,00
D. "1 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 intentionalIy fili~cumentis a class A misdemesnor."
7/27/2020 ~ ---~---=------Date Signature ofTreasurer
GEe Form Rev, 2017 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Hospital Association Political Action Committee (Name of Party Committee or Political Committee)
Occupation & Industry of ChecJ{ Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Check Loan E funds Other Receipt
Ms. Kiley Floyd Chief Executive Officer 350.00 1600 Community Drive Nemaha Valley Community 1/21/2020 Seneca, KS 66538-9739 Hospital t/
Mr. Chad R. Austin Executive Vice President 115.38 6518 SW 26th Court Kansas Hospital Association 2/1812020 Topeka, KS 66614-4305 t/
Ms. Lisa Brooks Administrator 119.82 HC 65, Box 8A Comanche County Hospital 2/18/2020 Coldwater, KS 67029-9500 t/
Ms. Audrey Dunkel Director of Financial Advocacy 57.69 215 SE 8th Street Kansas Hospital Association 2/1812020 Topeka, KS 66603-3906 t/
Ms. Vallerie L Gleason President and Chief Executive 73.03 609 Autumn Glen CI. Officer 2/18/2020 Newton, KS 67114-9007 Newton Medical Center t/
Kansas Association of Health Care Professional Association 250.00 2/18/2020 Communicators 215 SE 8th Avenue Topeka, KS 66603-3906 t/
Mr. Leonard Hernandez Chief Executive Officer 350.00 2/18/2020 220 Apache SI. Coffey County Hospitai New Strawn, KS 66839-8801 t/
Mr. Pat Patton Chief Executive Officer 250.00 2/18/2020 485 N. Kansas Hwy 2 Hospital District 6 - Patterson Anthony, KS 67003-2526 Health Center t/
Charles Rozanski 100.00 2/18/2020 6135 McGee SI. University of Kansas Hospital, The Kansas City, MO 64113-2209 t/
Mrs. Cindy Leah Samuelson Vice President 25.00 2118/2020 1107 NE 54th St Kansas Hospital Association Topeka, KS 66617-4505 t/
~s. Melissa Atkins CPA Chief Executive Officer 100.00 2/27/2020 ~04 West Prout Street Graham County Hospital Hill City, KS 67642-1435 .f
. . ~ ~ , . ". .. -.' ~., -~, 'T - .. . - ~ ;.f/ - - .. , 1,790.92 - - . Page _1__ of_8__ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Hospital Association Political Action Committee (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 Cash Check Loan E funds Other Receipt Christiane Cole 250.00 1110 Evergreen Dr. Phillips County Health Systems 2/27/2020 Phillipsburg, KS 67661-7061 .; Mr. Dennis L George Chief Executive Officer, APS 500.00 3959 Hwy 59 Kansas Hospital Association 2/27/2020 Ottawa, KS 66067-8345 .; Mr. Elgin Glanzer Chief Financial Officer 500.00 1602 Park Place Ct. Memorial Health System 2/27/2020 Abilene, KS67410-2153 .; Rhonda Goddard 100.00 2869 170lh Ave. Graham Counly Hospital 2/27/2020 Penokee, KS 67659-2023 .; Mr. Pat Patton Chief Executive Officer 350.00 485 N. Kansas Hwy 2 Hospital District 6 - Patterson 2/27/2020 Anthony, KS 67003-2526 Health Center .; Mr. Ryan Stover Chief Financial Officer 100.00 Citizens Medical Center 2/27/2020 707 Valley Vista Norton, KS 67654-0250 .; Mr. Anthony Thomas Chief Executive Officer 250.00 2/27/2020 POBox 389 Rooks County Health Center Plainville, KS 67663-0389 .; Mr. Bruce Wilt Director, Government Relations 100.00 2/27/2020 820 Carriage Rd. Via Christi Health Maize, KS 67101-9697 .; Ms. Gina Frack Chief Executive Officer 250.00 2/28/2020 7622 Hwy 383 Norton County Hospital Norton, KS 67654-5687 .; Cassandra Pucket 10000 2/28/2020 212 Main Minneola District Hospital Minneola, KS 67865-8511 .; ~r. Allen Van Driel Chief Executive Officer 100.00 2/28/2020 ~14 South Main Street Smith County Memorial Hospital ~mith Center, KS 66967-3001 .; .. 'f" - -. - <"1 .- _' .r.~l: . _. - ~.. - , c~~~i~~ -~ 2,600.00 " ~ ~~ -L_ - '. . . . Subtotal This Page" .. ;'~~. ,..~,,-o;;-. ~ ';~i~",,: '\h-.5~;t;'li/ ~~, ::~,;;.;/-:'l :..:t!).:.:'{},' ..' '. : s',:. -', Page 2 of 8 -- -- SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Hospital Association Political Action Commitlee (Name of Party Committee or Political Committee) Occupation & Industry of Checl< Amount of Name and Address Individual Giving More Appropriate Box Cash, Checl<, Date of Contributor Than $150 Loan or Other CRsh Cheek Loftn E runds Orher Receipt Kirk Benson MD 200.00 13141 Outlook SI. University of Kansas Health 3/4/2020 Overland Park, KS 66209-4307 System, The t/ Mr. Chad R. Austin Executive Vice President 76.92 6518 SW 26th Court Kansas Hospital Association 3/9/2020 Topeka, KS 66614-4305 t/ Mr. Harold Courtois Chief Executive Officer 101.78 515 Elise Heights SI. Memorial Health System 3/9/2020 Abilene, KS 67410 t/ Ms. Audrey Dunkel Director of Financial Advocacy 38.46 215 SE 8th Street Kansas Hospital Association 3/9/2020 Topeka, KS 66603-3906 t/ Ms. Niceta Farber Chief Executive Officer 125.00 POBox 167 Sheridan County Health Complex 3/9/2020 Hoxie, KS 67740-0167 t/ Mrs. Lora Key Chief Executive Officer 250.00 2380 VRd Sabetha Community Hospital 3/9/2020 Sabetha, KS 66534-2595 t/ Michael O'Dell 125.00 3/9/2020 1901 Sheridan Ave. Sheridan County Health Complex Hoxie, KS 67740-9602 t/ Mrs. Cindy Leah Samuelson Vice President 19.24 3/9/2020 1107NE54thSt Kansas Hospital Association Topeka, KS 66617-4505 t/ Mr. Richard Shank External Affairs Representative 306.16 3/9/2020 1701 East 23rd Avenue Hutchinson Regional Medical Hutchinson, KS 67502-1105 Center t/ Mr. Dennis R Shelby Chief Executive Officer 138.00 3/9/2020 POBox 360 Wilson Medical Center Neodesha, KS 66757-0360 t/ Mr. Larry VanDerWege Administrator 155.25 3/9/2020 743 Diamond Dr. Lindsborg Community Hospital Lindsborg, KS 67456-2328 t/ ~ -;;;;._~:; <. ,i'~.£; ~ ~".< !rl'~1", .",. :-~~-... - . ., ".Le '. '. - - - 5 -.' - . L ::- . 1,535.81 ~$ubtota'l - ~?5i~' , ~;,.:~:.~, ~ . This.Page .~.-,. ~ ~ .J4.~'';\~ ~:'.' -- ••"',. <'.' 3:'l' 0 _ -: - :n .'- 7"'-' . Page _3__ of_8__ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Hospital Association Political Action Committee (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 C",h Check Loan E fund' Other Receipt Mr KennyWilk Vice Chair 70.25 14123 Belrive Clr. University of Kansas Hospital, The 3/9/2020 Basehor, KS 66007-5268 .f Amber Williams CFO 200.00 1128 N. Nelson Ave. Southwest Medical Center 3/9/2020 Liberal, KS 67901-2970 .f Andrew Bair 69.00 509 N. Douglas Ave. Ellsworth County Medical Center 3/23/2020 Ellsworth, KS 67439-3221 .f Mr. David Mark Burnett ACHE, ARRT President and Chief Executive 388.65 201 East Albert Avenue Officer 3/23/2020 Scott City, KS 67871-6117 Scott County Hospital .f Ms. Ruth Duling Chief Executive Officer 100.00 2604 Carline Girard Medical Center 3/23/2020 Girard, KS 66743-2213 .f Mr. Pat Patton Chief Executive Officer 64.40 Hospital District 6 - Patterson 3/23/2020 485 N. Kansas Hwy 2 Anthony, KS 67003-2526 Health Center .f Ms. Andrea Taylor Chief Human Resources Officer 113.85 3/23/2020 511 NE Tenth Street Memorial Health System Abilene, KS 67410-2153 .f Mr. Curt Thomas Administrator 100.00 3/23/2020 312 Custer Street Ness County Hospital District No 2 Ness City, KS 67560-1654 .f Mr. Jeffery Perry President and Chief Executive 250.00 3/24/2020 800 Raven Hill Drive Officer Atchison, KS 66002-9204 Atchison Hospital .f Gene Suellentrop for Kansas Senate 250.00 4/9/2020 6813 W. Northwind Circle Void ~ Gene Wichita, KS 67205 .f Suellenlrop for Kansas Senate ~r. Chad R. Austin Executive Vice President 76.92 4/16/2020 ~518 SW 26th Court Kansas Hospital Association !Topeka, KS 66614-4305 .f .. . . Page 4 of 8 -- -- SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Hospital Association Political Action Committee (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 CAsh Check LOAn E funds athe,' Receipt Mr. Jeremy Clingenpeel Administrator 250.00 POBox 159 Satanta District Hospital and Long 4/16/2020 Satanta, KS 67870-0159 Term Care .; Ms. Audrey Dunkel Director of Financial Advocacy 38.46 215 SE 8th Street Kansas Hospital Association 4/16/2020 Topeka, KS 66603-3906 .; Mrs. Jennifer A. Findley VP Education/Special Projects 20.00 3517 SW Ashworth CI. Kansas Hospital Association 4/16/2020 Topeka, KS 66614·4590 .; Mr. Doyle L McKimmy FACHE Chief Executive Officer 250.00 100 Crestvue Jewell County Hospital 4/16/2020 Mankato, KS 66956-2407 .f Mrs. Cindy Leah Samuelson Vice President 19.24 1107 NE 54th St Kansas Hospital Association 4/16/2020 Topeka, KS 66617-4505 .; Associated Purchasing Services APS GPO 4,000.00 APS 5/19/2020 215 South East Eighth Topeka, KS 66603 .f Ms. Lisa Brooks Administrator 85.00 5/19/2020 HC 65, Box 8A Comanche County Hospital Coldwater, KS 67029-9500 .f Ms. Marcia Gabel Chief Financial Officer 125.00 5/19/2020 235 West Vine Lane County Hospital Dighton, KS 67839-0969 .f Ms. Jennifer Whipple Director Nursing 125.00 5/19/2020 350380 Road Lane County Hospital Beeler, KS 67518-8135 .; Dr. Lynn Fisher MD 150.00 5/29/2020 13917 E. Ayesbury SI. KU School of Medicine - Wichita Wichita, KS 67228-8728 .f Mr. W. Bryant McNally Vice President of Membership 150.00 6/2/2020 02 Russell Boulevard Services "olumbia, MO 65203-1720 Missouri Hospital Association .f ''L , - ..:"... 'Y"? .."-' .~ r, .~" ' :~. : - ~ 5,212.70 .:~ . "_':l-..-f'..".· ~ Subtotal This Page J.:~~ . '.f ' .,' - . - '7-:, .:.... .' ." Page _5__ of_8__ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Hospital Association Political Action Commillee (Name of Party Committee or Political Committee) Occupation & Industry of Checl< Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Chock LORn E funds Other Receipt Mr. Kim Moore 250.00 810 Loch Lommond Dr. Hutchinson Regional Medical 6/15/2020 Hutchinson, KS 67502-2045 Center t/ Mr. Chad R. Austin Executive Vice President 230.76 6518 SW 26th Court Kansas Hospital Association 6/18/2020 Topeka, KS 66614-4305 t/ Ms. Audrey Dunkel Director of Financial Advocacy 115.38 215 SE 8th Street Kansas Hospital Association 6/18/2020 Topeka, KS 66603-3906 t/ Kansas Healthcare Engineers Association Professional Association 500.00 215 SE Eighth Ave. 6/18/2020 Topeka, KS 66603-3906 t/ Mrs. Jennifer A. Findley VP Education/Special Projects 60.00 3517 SW Ashworth Cl. Kansas Hospital Association 6/18/2020 Topeka, KS 66614-4590 t/ Service Corporation Kansas Health 750.00 215 SE Eighth Kansas Hospital Association 6/18/2020 Topeka, KS 66603-3906 t/ Ms. Sally Othmer Director of Data Services 23.10 6/18/2020 1725 NW Grove Kansas Hospital Association Topeka, KS 66606-1237 t/ Mrs. Cindy Leah Samuelson Vice President 57.72 6/18/2020 1107 NE 54th SI Kansas Hospital Association Topeka, KS 66617-4505 t/ Angela Renee Johnson 100.00 6122/2020 2564 Highway 15 Memorial Health System Abilene, KS 67410-6035 t/ Mary Jo Taylor for Kansas Senate 250.00 6/22/2020 114N.Union Void - Mary Jo Taylot Stafford, KS 67578 t/ ror Kansas Senate Kent Thompson for Kansas House 250.00 6/22/2020 PO Box 626 Void - Kenl Thompson lola, KS 66749 t/ rOf Kansas House - 'co . ~ .~ - '. , ., ' , - - '. -. 2,586.96 ~,:,,\li .. " - '~, SubtotalThis.page - , - . .::'"r, ~- :~S'" .:"~ ,. -, ." - ' Page _6__ of_8__ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Hospital Association Political Action Committee (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 Cash Check Loan E funds Other Receipt Annie Kuether for Kansas House 250.00 1346 Southwest Wayne Ave. Void Annie Kuether 6/24/2020 Topeka,66604 lor Kansas Siale .f House Barbara W. Ballard for Kansas House 250.00 1532 Alvamar Drive 6/25/2020 Void Barbara W. Lawrence, KS 66047 .f Ballard for Kansas House Telry Rusconi 100.00 4800 NE Pebble Beach SL University of Kansas Hospital, The 6/2612020 Lees Summit, MO 64064-1323 .f Brenda Landwehr for Kansas House 250.00 2611 N. Bayside CL 6/30/2020 Void Brenda Wichita, KS 67205 .f Landwehr lor Kanses House Mr. Bob Page President and Chief Executive 1.000.00 3510 W. 92nd SL Officer 6/30/2020 Leawood, KS 66206-1768 University of Kansas Health System, The .f Mr. Dan Peters General Counsel 350.00 7/6/2020 3901 Rainbow Boulevard Univelsity of Kansas Hospital, The Kansas City, KS 66160-8500 .f Mr. Harold Courtois Chief Executive Officer 900.00 7/9/2020 515 Elise Heights SL Memorial Health System Abilene, KS 67410 .f Anthony Geiger Trustee 75.00 7/9/2020 210 NW 10th Memorial Health System Abilene, KS 67410-2328 .f KAHVRP 100.00 7/9/2020 215 SE Eighth Topeka, KS 66603-3906 ~ Molly Haase Director of Advocacy 100.00 7/10/2020 32 W. 70th Terrace AdventHealth Shawnee Mission Kansas City, MO 64113-2564 .f Mr. Durrel Kelley Senior Vice President, Operations 500.00 7/13/2020 250 North Rock Road, Suite 160 Great Plains Health Alliance, Inc. Wichita, KS 67206-2241 .f -~ ' _ r .,1 . " -' - - , " - - .. - 3.875.00 - .~ ~, .~.ii' SubtotalThis Page ~ . ~ . '.... Y'' - - :... ,,,,. Page _7__ of_8__ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Hospital Association Political Action Committee (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 CAsh Check LOAn E funds Other Receipt Mr. Doug Gaston Senior Vice President and Chief 100.00 2601 W. 112th SI. Financial Officer 7/17/2020 Leawood, KS 66211-2950 University of Kansas Health System, The t/ KHHRA Hospital HR Professional 500.00 215 SE Eighth 7/17/2020 Association Topeka, KS 66603-3906 KHHRA t/ Account Recovery Specialists, Inc. KHA Associate Member 550.00 3505 N. Topeka 7/20/2020 Wichita, KS 67219-3641 t/ Mr. Curtis R Hawkinson Chief Executive Officer 250.00 1109 Keystone Rd. Community Memorial Heallhcare 7/2312020 Marysville, KS 66508-1338 t/ Organization of Nurse Leaders Kansas Nursing Professional Association 250.00 215 SE Eighth KONL 7/23/2020 Topeka, KS 66603-3906 t/ c' • -. , .. " "~ - ,'~~r - , -~-"l:t- .. ',,-, .F' .' . . - ~. - , - - . - .' - ~ <.-= .-:: - 1,650.00 ", \,:~. Pag~,,~r~':( c. c~_· ~'1~~ .:,~.,~, ' - , SuJ5total This '~- .. "" ~". -. -~- ~ ".... c ;". Complete if last page of Schedule A Total Itemized Receipts for Period 20,934.66 Total Un itemized Contributions ($50 or less) 730.81 Sale of Political Materials (Unitemized) 0.00 Total Contributions When Contributor Not Known 0.00 .. ~ :",' :" ' ~ H~e"i'(}f :~~ - to. TOTAL ro;Q;IPTSTi!IS.PERl-bD. '(t9 ry) .. t..~; _ L. ,,' 21,665.47 'i'{-./, ' Su.it1na.. ~ ...... - '" ... - Page _8__ of_8__ SCHEDULE B IN-KIND CONTRIBUTIONS Kansas Hospital Association Political Action Committee (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 Hospital Association Wendling, Noe, Nelson, Johnson- 2/20/2020 215 SE Eighth PAC Audit 1,400.00 Topeka, KS 66603 Kansas Hospital Association Premier Global - Conference Call 2128/2020 215 SE Eighth 57.48 Topeka, KS 66603 Kansas Hospital Association Premier Global - Conference Call 215 SE Eighth 2/28/2020 25.34 Topeka, KS 66603 Kansas Hospital Association Wichita Marriott - Whiskey Tasting 215 SE Eighth Event 360.00 3/13/2020 Topeka, KS 66603 Kansas Hospital Association Fed Ex Package to AHA PAC 215 SE Eighth 3/31/2020 Topeka, KS 66603 42.47 Kansas Hospital Association Premier Global - Conference Call 215 SE Eighth 5/31/2020 Topeka, KS 66603 12.06 Kansas Hospital Association Ks Governmental Ethics - 2020 215 SE Eighth PAC Registration 6/15/2020 Topeka, KS 66603 300.00 Kansas Hospital Association Premier Global - Conference Call 215 SE Eighth 6/30/2020 Topeka, KS 66603 224.06 .. :' , ' L " n. ,-"" ~ . .-~ :".i.-i,- ':~ ~ ...~ . -::;.' '-~~\~} ~:~~fL ,q,:':{S~2 .-' . . '-. .. .,' ~- . :;..;..... "';; 2,421.41 ' , _":0- ... <:' , " - Pag~._, ~, " . '~, ~-;",;..:' ~: ' ' --~., SUbtotal"This . .•..V -' ,': ~, .. " , .. Y - i':T " . Complete if last page of Schedule B 2,421.41 Total Itemized (over $100) In-Kind Contributions Total Unitemized ($100 or less) In-Kind Contributions 0.00 .., ... ,'." ' ~, i" " _.'.::>' '~\;~I~ ~-~' 2,421.41 .TOTALlN~KINDCO~TinBUTTP~STHIS.P.E~H>D- Page _1__ of_1__ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (Name ofPat1y 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 CoreFirst Bank &Trust Bank fees for credit card 3035 SW Topeka Blvd 76.18 1/2/2020 Topeka, KS 66611 CoreFirst Bank &Trust Bank fees for credit card 3035 SW Topeka Blvd 49.06 1/10/2020 Topeka, KS 66611 Square Up Elgin Glanzer 2/27/2020 13.10 Square Up George Palmer 2/27/2020 0.62 Square Up Rhonda Goddard 2/27/2020 2.70 Square Up Pat Patton 2/27/2020 9.20 Square Up Jeff Bowman 2/28/2020 1.40 Square Up Cassandra Pucket 2/28/2020 2.70 Square Up Gina Frack 2/28/2020 6.60 Square Up Allen Van Oriel 2/28/2020 2.70 - ""~ .~~ >--W,, -~- -:-'\1 ~~. . • --= ."" "0: ~ c_ -" >.£ '. . '. - c c.,". ~}i~;_'~~'~~c~: '" S~6to~a(This'page- ;~~_ ~ ;'~'b~ .~ ~ -;1-~~' 164.26 . -~~~-;: l~ .~ . ~l ?tit ..: . ;.,; , - c,. c,. ''i.!' - ; Page_1_of~ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (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 Senate Democrats PAC Annual Steak Fry P.O. Box 1911 1,000.00 3/3/2020 Topeka, KS 66601 Square Up Kirk Benson 3/4/2020 6.10 AHAPAC-American Hospital Association Federal PAC 2,375.51 3/10/2020 800 10th Street, N.W. Two City Center, Suile 400 Square Up Jeff Perry 3/24/2020 7.55 AHAPAC-American Hospilal Association FEDERAL 583.65 5/2112020 800 10th Street, NW Two City Center, Suite 400 Square Up Lynn Fisher 5/29/2020 4.65 Square Up Bryant McNally 6/2/2020 4.65 John Alcala for Kansas House John Alcala, STATE HOUSE 57th KS 6/22/2020 520 NE Lake SI. 250.00 Topeka, KS 66616 Dave Baker for Kansas House Dave Baker, STATE HOUSE 68th KS 6/22/2020 278 Lakeroad 250.00 Council Grove. KS 66846 Ed Berger for Kansas Senate Ed Berger, STATE SENATE 34th KS 6/22/2020 2603 Heather Parkway, Suite B 250.00 Hutchinson, KS 67502 - :-:~~ ~~~"~ ~.?: ': .-"- : ~ '?~- Jii ,, P~ge _~ -~ 4,732.11 StibtotalTbis • - .. - -'k~:- -0-" Page_2_of~ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (Name ofParty 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 Rick Billinger for Kansas Senate Rick Billinger, STATE SENATE 40th KS PO Box 594 250.00 6/22/2020 Goodland, KS 67735 Borjon for Kansas House Jesse Sorjon, STATE HOUSE 52nd KS P.O. Box 4872 500.00 6/22/2020 Topeka, KS 66604 Elaine S. Sowers for Kansas Senate Elaine Bowers, STATE SENATE 36th KS 1326 N 150th Rd 250.00 6/2212020 Concordia, KS 66901 Tom Burroughs for Kansas House Tom Burroughs, STATE HOUSE 33rd KS 3131 So. 73rd Terr 250.00 6/22/2020 Kansas City, KS 66106 Suzi Carlson for Kansas House Suzi Carlson, STATE HOUSE 64th KS 1741 Berglund Dr. 250.00 6/22/2020 Clay Center, KS 67432 Carmichael for Kansas John Carmichael, STATE HOUSE 92nd KS 1475 North Lieunett 6/22/2020 250.00 Wichita, KS 67203 Susan L. Concannon for Kansas House Susan Concannon, STATE HOUSE 107th KS 6/22/2020 921 North Mill 250.00 Beloit, KS 67420 Pam Curtis for Kansas House Pam Curtis, STATE HOUSE 32nd KS 6/22/2020 322 N. 16th SI. 250.00 Kansas City, KS 66102 Jennifer Day for Kansas House Jennifer Day, STATE HOUSE 48th KS 6/22/2020 11941 Perry SI. 250.00 Overland Park, KS 66213 Diana Dierks for Kansas House Diana Dierks, STATE HOUSE 71st KS 6/22/2020 1221 Sunrise Dr. 250.00 Salina, KS 67401 ... ¥ ~ ,-,~.~' <1- ;.'" ',"", . '. ' ~~.--1' • -'!.~~~. '. . ." ">" '" r. ~ . . " :_~;,,:,s . ' 2,750.00 ~ }~ ~;, ~ -. S.ubtotal This Page .', " ,-' i)o:.·"\:~~t . '..C.- :, ....~~~ --.~ ~;,,-.~ ,/i;£ ..... :;:'ci., ,-:c". ' . . Page_3_of~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (Name of Party Committee or Political Committee) Purpose of Expenditure Name and Address Amount Date To Whom Expenditure is Made If independent or in-l Brenda Dietrich for Kansas Senate Brenda Dietrich, STATE SENATE 20th KS 6110 SW 38th Terrace 1,000.00 6/22/2020 Topeka, KS 66610 John Doll for Kansas Senate John Doll, STATE SENATE 39th KS 2927 Cliff Place 6/22/2020 Garden City, KS 67846 250.00 Stan Frownfelter for Kansas House Stan Frownfelter, STATE HOUSE 37th KS PO Box 6145 250.00 6/2212020 Kansas City, KS 66106 Jim Gartner for Kansas House Jim Gartner, STATE HOUSE 53rd KS 928 SW Woodbridge Court 250.00 6/22/2020 Topeka, KS 66606 Bruce Givens for Kansas Senate Bruce Givens, STATE SENATE 14th KS 1525 Country Club Rd 250.00 6/22/2020 EI Dorado, KS 67042 Dan Goddard for Kansas Senate Dan Goddard, STATE SENATE 15th KS 3420 Mosher Rd. 6/22/2020 250.00 Parsons, KS 67357 Randall Hardy for Kansas Senate Randall Hardy, STATE SENATE 24th KS 6/22/2020 816 Highland Ave. 250.00 Salina, KS 67401 Tom Hawk for Kansas Senate Tom Hawk, STATE SENATE 22nd KS 6/22/2020 2600 Woodhaven Ct. 250.00 Manhattan, KS 66502 Broderick Henderson for Kansas House Broderick Henderson, STATE HOUSE 35th KS 6/22/2020 2710 North 8th SI. 250.00 Kansas City, KS 66101 Anthony Hensley for Kansas Senate Anthony Hensley, STATE SENATE 19th KS 6/22/2020 2226 SE Virginia 250.00 Topeka, KS 66605 ;.y.:/ ' 3,250.00 $" .' ~~- " .. Page_4_of~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (Name of Party Committee or Political Committee) Purpose of Expenditure Name and Address Amount Date To Whom Expenditure is Made If independent or in-tdnd expenditure in excess of$300 is made for a candidate, list candidate name & address Donna Hoener-Queel for Kansas Donna Hoener-Queal, STATE HOUSE 113th KS 20501 S. Hwy 281 500.00 6/22/2020 Pratt, KS 67124 Tom Holland for Kansas Senate Tom Holland, STATE SENATE 3rd KS 961 E 1600 Rd 6/22/2020 Baldwin City, KS 66006 250.00 Steven Johnson for Kansas House Steven Johnson, STATE HOUSE 108th KS 10197 South Hopkins Road 250.00 6/2212020 Assaria, KS 67416 Jim Karleskint for Kansas House Jim Karleskint, STATE HOUSE 42nd KS 24542 Cantrell Road 250.00 6/22/2020 Tonganoxie, KS 66086 Jan Kessinger for Kansas House Jan Kessinger, STATE HOUSE 20th KS 12605 Walmer SI. 250.00 6/22/2020 Overland Park, KS 66209 Annie Kuether for Kansas House Annie Kuether, STATE HOUSE 55th KS 1346 Southwest Weyne Ave. 6/22/2020 250.00 Topeka, 66604 Marty Long for Kansas House Marty Long, STATE HOUSE 124th KS 6/22/2020 2221 S. Road P 250.00 Ulysses, KS 67880 Jeff Longbine for Kansas Senate Jeff Longbine, STATE SENATE 17th KS 6/22/2020 PO Box 1903 250.00 Emporia, KS 66801 Carolyn McGinn for Kansas Senate Carolyn McGinn, STATE SENATE 31st KS 6/2212020 11047 N 87W 250.00 SEDGWICK, KS 67135 Vic Miller for Kansas House Vic Miller, STATE HOUSE 58th KS 6/22/2020 510 SW 10th 250.00 Topeka, KS 66612 .~ .0,. c' CJ.: . ~•. ' ~. '., ;" '<..,~.~:,~ ~ '<. ,... '0:.. _ ~'; ~:' -' ~ - - - , 2,750.00 -Subtobil This Page' ...... <. ... ~- - " Page_5_of~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (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, Jist candidate name & address Minnix for Kansas House Jim Minnix, STATE HOUSE 118th KS 8101 W Road 40 500.00 6/22/2020 Scott City, KS 67871 Kathy Wolfe Moore for Kansas House Kathy Moore, STATE HOUSE 36th KS 3209 N 131 st Street 6/22/2020 Kansas City, KS 66109 250.00 Monica Murnan for Kansas House Monica Murnan, STATE HOUSE 3rd KS 1313 Mallory Ct. 250.00 6/22/2020 Pittsburg, KS 66762 Cindy Neighbor for Kansas House Cindy Neighbor, STATE HOUSE 18th KS 10405 Wesl52nd Terrace 250.00 6/22/2020 Shawnee, KS 66203 Joe Newland for Kansas House Joe Newland, STATE HOUSE 13th KS 6395 Trego Rd. 250.00 6/22/2020 Neodesha, KS 66757 KC Ohaebosim for Kansas House KC Ohaebosin, STATE HOUSE 89th KS 2330 N. Oliver #511 6/22/2020 250.00 Wichita, KS 67220 Boyd Orr for Kansas House Boyd Orr, STATE HOUSE 115th KS 6/22/2020 30111 H. Rd. 250.00 Fowler, KS 67844 Brett Parker for Kansas House Brett Parker, STATE HOUSE 29th KS 6/22/2020 8323 W. 108th St., Apt. F 250.00 Overland Park, KS 66210 Fred Patlon for Kansas House Fred Patlon, STATE HOUSE 50th KS 6/22/2020 339 NE 46th 250.00 Topeka, KS 66048 Probst for Progress Jason Probst, STATE HOUSE 102nd KS 6/22/2020 PO Box 3262 250.00 Hutchinson, KS 67504 ,~, 'l:;.~. "'...... ",":: ~ ''',',,"0.'.':; , . " I~:; _~~~. ·~~:',,·7'. . , ~ -r: '~~' - - - , . . ' ' - - - 2,750.00 -~, ~ubiotal - . . o This',Page ~ - .. -c'., , . J - .. oi • Page_6_of~ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Poiitical Action Committee (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 Bradley Ralph for Kansas House Bradley Ralph, STATE HOUSE 119th KS 2009 Frederick Dr. 250.00 6/22/2020 Dodge City, KS 67801 Louis Ruiz for Kansas House Louis Ruiz, STATE HOUSE 32nd KS 2914 W. 46th Ave 6/22/2020 Kansas City, KS 66103 250.00 Ron Ryckman for Kansas House Ron Ryckman, STATE HOUSE 78th KS 14234 W 158th SI. 250.00 6/22/2020 Olathe, KS 66062 Mark Samsel for Kansas House Mark Samsel, STATE HOUSE 5th KS 227 Edgewood Drive 250.00 6/22/2020 Wellsville, KS 66092 Tom Sawyer for Kansas House Tom Sawyer, STATE HOUSE 95th KS 1041 S. Elizabeth St 250,00 6/22/2020 Wichita, 67213 Mark Schreiber for Kansas House Mark Schreiber, STATE HOUSE 60th KS 1722 Yucca Lane 6/22/2020 250.00 Emporia, KS 66801 John Skubal for Stale Senate John Skubal, STATE SENATE 11th KS 6/22/2020 6503 W. 134th Terrace 250.00 Overland Park, KS 66209 Square Up Angela Johnson 6/22/2020 3.20 Dinah Sykes for Kansas Senate Dinah Sykes, STATE SENATE 21st KS 6/22/2020 10227 Theden Circle 250.00 Lenexa, KS 66212 Mary Jo Taylor for Kansas Senate Mary Taylor, STATE SENATE 33rd KS 6/22/2020 114 N, Union 750.00 Stafford, KS 67578 "c>' '-'~ ... :~. -'~' ;;-~.' _~. ,~~~t\ ,}~' ""N~ '~~', . , ',' ~"'" , . ": _ , ..:0':'." , .. " Pag~_./ ;'-iii',~~f~~s,~!~:,r~I'~~"~"~;~~'J, -~' '~;', :.;,i:,,~ "',c.~/ .. 2,753.20 ~_- Subt6taLThis .. "i", :.,,; "; ' ": .', f4J;:t.';.v.i.., Page_7_of~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (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 Kent Thompson for Kansas House Kent Thompson, STATE HOUSE 9th KS PO Box 626 500.00 6/22/2020 lola, KS 66749 Ponka-We Victors for Kansas House Ponka-We Victors, STATE HOUSE 103rd KS PO Box 48081 6/22/2020 Wichita, KS 67201 250.00 Troy L. Waymaster for Kansas House Troy Waymaster, STATE HOUSE 109th KS 112 N Fairview Ave 250.00 6/22/2020 Luray, KS 67649 Wilborn for Senate Richard Wilborn, STATE SENATE 35th KS 1504 Heritage Place 250.00 6/22/2020 McPherson, KS 67460 Yeager for Kansas Stephanie Yeager, STATE HOUSE 96th KS 4480 South Meridian #94 250.00 6/22/2020 Wichita, KS 67217 Annie Kuether for Kansas House Annie Kuether, STATE HOUSE 55th KS 1346 Southwest Wayne Ave. 6/24/2020 250.00 Topeka, 66604 Square Up Terry Rusconi 6/26/2020 3.20 AHAPAC-American Hospital Association 6/29/2020 FEDERAL 654.73 800 10lh Street, NW Two City Center, Suite 400 Square Up Bob Page 6/30/2020 29.30 Square Up Dan Peters 7/6/2020 10.45 ~ '''';;'cfr'' ". --~ .. .- .,!, . ~~. v .~". ~ -'.F~, ~ - --.: - '. . ~ " -: .::l - " - .. . - . 2,447.68 Sul}totalThis Page ~~ - i, >~'.; , ." c:" " '",> ".< .<" Page_8_of~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (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 $300 is made for a candidate, list candidate name & address David Breuer for Kansas House David Breuer, STATE HOUSE 38th KS 14114 Nelson Cl. 500.00 7/8/2020 Basehor, KS 66007 Lehman4Kansas Fred Lehman, STATE HOUSE 28th KS P.O. Box 23232 7/8/2020 Overland Park, KS 66283-3232 500.00 Jon L. Ungerer for State Representative Jon Ungerer, STATE HOUSE 106th KS Jon Ungerer 500.00 7/8/2020 850 U.S. Hwy 77 Marysville, KS 66508 Square Up Molly Haase 7/10/2020 3.20 ~ ,'", - ,. .'i' ,,".~ _. '. ".' '. . '. '.' '" r ";.:..=..:..:... _. : - , . :$. _. - ~,~~.11 -' ~ '!!," ",' . ~~" " j-o ~.... S,j~: ",~ :;~ ~ '~'1i~E~~: :~:oj't 1,503.20 . ,.: SUbiotalThJs P~g~' - . , - -~i'~<)~ ".;.' ':~ . -, , - - . Page_9_of~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Hospital Association Political Action Committee (Name of Party Committee or Political Conunittee) 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 Square Up Laura Dean 7/10/2020 1.75 Square Up Durrell Kelley 7/13/2020 14.80 CoreFirst Bank & Trust Deluxe - Bank Deposit Slips 3035 SW Topeka Blvd 7/14/2020 Topeka, KS 66611 75.31 Square Up Heather Odell 7/15/2020 1.03 Kansas for Ward Jim Ward, STATE SENATE 28th KS 3100 E. Clark 7/15/2020 Wichita, KS 67211 1,000.00 Finch for Kansas Blaine Finch, STATE HOUSE 59th KS 101 West 2nd Street 7/20/2020 Ottawa, KS 66067 250.00 Square Up Account Recovery Specialists, Inc. 7/20/2020 16.25 Square Up Jody Wright 7/23/2020 1.75 r. ., .. ' . , .. - .~- .... ~ .~! ~ ~,,_.~ ..' "'·:r~.} -'C '- .. 'tj·-· ---" ""- V"I~_ ". .. .. - - - ;r. .' .".- .~, 1,360.89 <'I..';-~- - :>:~~ -,;~~ "ti¥!" - ,_.SubtotaltTJUs Page. ._~:.- ,.: :.:.~ - > '.- -- :.. -" • ; :.£ • -~.".c_ ' J" ." :=-'" " Complete if last page of Schedule C Total Itemized Expenditures This Period 24,461.34 Total Unitemized Expenditures of$50 or less 46.03 TOTA'L EXPENDITuREs &dTHER DISBURSEMENTS . 24,507.37 Page_10_of~