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Kansas Governmental Ethics Commission

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Kansas Governmental Ethics Commission 10/05/2012 12:39 13152558130 TBCINC PAGE 01 KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE October 29,2012 FILE WITH SECRETARY OF STATE-">' c SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: Leslie Osterman Address: 1401 Dallas City and Zip Code: Wichita 67217-2313 County; Sedgwick Office Sought: Kansas House of Representatives District: 97 ------­ B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the perlod from July 27, 2012 through October 25,2012) L Cash on hand at beginning ofperiod .. $9,783.29 2. Total Contributions and Other Receipts (Use Schedule A) . $11,000.00 3. Cash available this period (Add Lines 1 and 2) . $20,783.29 4. Total Expenditures and Other Disbursements (Use Schedule C) . $12,217.95 5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . $8,565.34 6. In-Kind Contributions (Use Schedule B) $49.41 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. 1understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." 10/26/12 Date Signature ofCandTdate or Treasurer GEe Form Rev, 2001 10/05/2012 12:39 13152558130 TECINC PAGE 02 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS leslie Osterman (Name ofCandidaw) Occupatioa &: Isdu.try of Cbeek Amoa.lltof Name and Address Individual Glvhll More Appropriate BoJ:: Cuh,Cbeek, Date ofContributor Tba. $150 Loaa or Otlter c... CINdo. t­ ~ 0d00Ir ilempt Anderson Financial Services, LLC Financial services 06102112 600 South Broadway $250.00 Salina. Kansas 67401 HCA Kansas Good Gov. Fund PAC 08/03/12 550 N. Hillside $250.00 Wichita, Kansas 67214 Kansas Farm Bureau Vote Fund PAC 08/30/12 2627 KFB Plaza $500.00 Manhattan, Kansas 66502 Kansas Independent Business PAC 09101112 200 E. 1st Street, N Suite 101 $500.00 Wichita, Kansas 67202 Kathy Dawson, Cox Comm. PAC 09/03/12 901 S. George Washington Blvd. $250.00 Wichita, Kansas 67211 Kansas Health Care Assn.. PAC PAC 09/08/12 117 SW 6th Ave., $te. 200 $200.00 Topeka, Kansas 66603 Kansas Bankers Assn. PAC PAC 09/11/12 P.O. Box 4407 $400.00 Topeka,Kansas66604 Kansas Contractors Assn. PAC 09/14/12 P.O. Box 5061 $200.00 Topeka,Kansas66605 Builders Assn. of Kansas PAC PAC 09/15/12 212 SW 8th Ave., Ste. 201 $200.00 Topeka. Kansas 66603 NFIB-Kansas Safe Trust PAC 09/17/12 1201 F St., NW, Suite 200 $200.00 Washington, DC 20004 Kansas AGRI Business Council PAC 09/18/12 816 $W Tyler St., Suite 100 $250.00 Topeka. Kansas 66612 $3,200.00 Page __ of__ 10/05/2012 12:39 13152558130 TBCINC PAGE 03 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Leslie Osterman (Name ofCandidate) Occupation & lndllStry of Cb«k Amount of Name aod Address Individual Giving More Appropriate Box Cash, Cheek. Date of Contributor Tball Sl50 Loa. or Other c... (:h«k I.-. ~ 0tI>0r Receipt Road Map PAC, Inc. PAC 09/19/12 2436 SW camelot Pl. .f $500.00 Topeka,K8nsas66614 lSI Enviromental Enviromental Consulting 09120/12 215 S. Laura St. .f $150.00 Wichita, Kansas 67211 Kansas Chamber of Commerce PAC 09/20/12 835 SW Topeka Blvd. .f $500.00 Topeka, Kansas 66612 Kansas Realtors PAC PAC 09122112 3644 SW Burlingame Rd. .f $500.00 Topeka,Kansas Wichita Realto~ PAC PAC 09122112 170 W. Dewey Street ./ $500.00 Wichita, Kansas Polinelli Shughart Consulting Firm 09/23/12 700 West 47th St., Ste. 1000 .f $150.00 Kansas City, Mo. 64112 Kansas Optometric PAC PAC 09/27/12 1266 SW Topeka Blvd .f $250.00 Topeka, Kansas 66612 Kansas Physical Therapy Assn. PAC 09128112 2900 SW Plass Ct., Ste. 202 .f $500.00 Topeka, Kansas 66611 KS. Manufactured Housing Indus. PAC 10/06/12 3521 SW 5th St. .f $100.00 Topeka, Kansas 66606 Kansas Medical Society PAC PAC 10108/12 623 SW 10th Ave. .; $500.00 Topeka. Kansas 66612 Medical Society of Sedg. County PAC 10/08/12 1102 S. Hillside .f $500.00 Wichita, Kansas 67211 '1!~ , "'~ ;:'~;,! ", _:~~!~ /': i\~ ;:ti:'~! ~~';~i'~' ", !illifil !~1W!j· $4,150.00 }:. " ::::;;1f:Il ,:' ~ " ;. II 1 .... ' ... ., '-, . oJ ", Pllge __ of__ 10/06/2012 12:39 13162658130 TBCINC PAGE 04 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Leslie Osterman (Name of Candidate) Occupation &; Industry of Check Amount 01 Name and Address Individual Giving More Appropriate Bol[ Cash, Cbeck, Date ofCo..tributor Tho.. $150 t--T;';""""';"""--""T"""---f Loa. or Other Receipt Kansas Society of CPA's. PAC PAC 10/09/12 100 SE 9th Street. Ste. 502 $100.00 Topeka,Kansas 66612 Justin A. or Ann E. Hoover Physical Therapist 10/09/12 604 N. Spring Valley Road $250.00 Junction City, Kansas 66441 Kansas Dental, PAC PAC 10/09/12 5200 SW Huntoon Street $250.00 Topeka, Kansas 66604 Black Hills Corporation, PAC PAC 10/09/12 P.O. Box 1400 $250.00 Rapid City, SD 57709 Koch Industries, Inc Oil and Gas 10/10/12 4111 E. 37th St. N. $500.00 Wichita, Kansas 67220 AT&T Kansas PAC PAC 10/11/12 220 E. 6th, Room 500 $250.00 Topeka, Kansas 66603 Builders Assn.PAC, KC Chapter PAC 10/13/12 720 OAK Street $500.00 Kansas City, Mo. 64106 Kansas Restaurant & Hospitality PAC 10/15/12 3500 N. Rock Road, Bldg. 1300 $250.00 Wichita, Kansas 67226 KS. State Farm Insurance PAC 10/16/12 825 S. Kansas Ave., Ste. 500 $100.00 Topeka. Kansas 66612 Phil Ruffin Oil 10116/12 P.O. Box 17067 $200.00 Wichita, Kansas 67217 Jacob Liquor Exchange, LLC Liquor Sales 10/17/12 3049 N. Rock Road $200.00 Wichita. Kansas 67226 $2.850.00 Page __of__ 10/05/2012 12:39 13152558130 TECINC PAGE 05 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Leslie Ostennan (Name ofCandidate) Occupation & Industry of Check A.auator Name aad Address Individual GI\'in: More Appropriate Box Casb. Check, Date of ContributoJ" ThaD S150 Loaa or Other Cub 0...11. lAaa .l.lIII* OM­ Receipt KS, Assn. for Responsible Liquor PAC 10/18112 Laws, 919 S. Kansas Ave. .f $200.00 Topeka, Kansas 66612 Anderson Financial Services Financial 10/16/12 600 S. Broadway .f $150.00 Salina, Kansas 67401 KS. Automobile Dealers PAC PAC 10/18/12 731 S. Kansas Ave. .f $200.00 Topeka,Kansas 66603 American Family Insurance PAC PAC 10/20/12 '300 SW Arrowhead Road $150.00 Topeka, Kansas 66604 Dondlinger and Sons Const. Construction 10123/12 P.O. Box 398 $100.00 Wichita, Kansas 67201 $800.00 Complete if last page of Schedule A Totalltemin:d Receipts for Period $11,000.00 Total Unilemized Contributions ($50 or less) $0.00 Sale ofPolitical Materials (Unitemized) $0.00 Total Contributions When Contributor Not Known $0.00 i....':~,:·, $11,000.00 Page __of__ 10/05/2012 12:39 13152558130 TECINC PAGE 05 SCHEDULER IN-KIND CONTRIBUTIONS Leslie Osterman (Name ofCandidate) List Oc:eupatiolll & Value of Date Name and Add.-us Industry ro.- T"ose GIYlng Description of In-Kind (n-Klnd of Contributor an In-Kind of More Thau Contrlb.tioD Contribution S1S0 Kansas Chamber Jobs PAC PAC voter file. 1-360 10125/12 835 SW Topeka Blvd. $49.41 Topeka, Kansas 66612 $49.41 Complete iflast page ofSchedule B Total Itemized (over $100) In-Kind CoutributiQIl5 $49.41 Total Unite:mize:d ($100 or lells) In-Kind Contributions $0.00 $49.41 Page: _1_ of__ 10/05/2012 12:39 13152558130 TBCINC PAGE 07 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Leslie Ostennan (Name of Candidate) Purpose or Expenditure Date Name a ..d Address or Dlsburseme",t Amount Singulatis Group 2-Mailers 9/15/12 P.O. Box 9265 $3,418.02 Shawnee Mission. Kansas 66201 Kobagraphy Photos for mailers 9/15/12 4701 N. 138th St. $250.00 Piper, Kansas 66189 SCRP Advance voter mailer 10116112 P.O. Box 47626 $1,049.93 Wichita, Kansas 67201 Kansas Republican Party Mailers 10/16/12 P.O. Box 4157 $7,500.00 Topeka, Kansas 66604 $12.217.95 Page --1 of--- 10/05/2012 12:39 13152558130 TECINC PAGE 08 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS leslie Osterman ( Name ofCandidllte) Purpose of E,ltpeddlture Pate NaUle Bod Addreu or DlsburseDieat ADlOUDt ).t.1..,i~ $0.00 . ::'r. Complete iflast page of Schedule c Total Itemized Expenditures This Period $12,217.95 $0.00 512.211.95 Page of .. .
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