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~. /Xt~ Date Signature of Treasurer KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT RECEIVED OF A POLITICAL OR PARTY COMMITTEE JAN 092020 January 10,2020 FILE WITH SECRETARY OF STATE KS Governmental Ethics Commission SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Committee: Kansas Beverage Association PAC Address: c/o Hein Govt Consulting LLC, 5845 SW 29th Street City and Zip Code: Topeka 66614·2462 This is a (check one): __ Party Committee v' Political Committee B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from January 1,2019 through December 31,2019) 1. Cash on hand at beginning of period ,. _ . $2,633.75 2. Total Contributions and Other Receipts (Use Schedule A) . $34,642.00 3. Cash available this period (Add Lines 1 and 2) . $37,275.75 4. Total Expenditures and Other Disbursements (Use Schedule C) . $36,550 5. Cash on hand at close ofperiod (Subtract Line 4 from 3) _ . $725.75 6. In-Kind Contributions (Use Schedule B) $0 7. Other Transactions (Use Schedule D) $0 D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally ti[jng a false document is a class A misdemeanor." /~. /xt~ Date Signature of Treasurer GEe Form Rev, 2019 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Beverage Association PAC (Name of Party Committee or Political Committee) Occupation of Check Amount of Narne and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Co.h Check Loon E fund. Other Receipt See at1achment to Schedule A V' c. I $0.00 Subtotal This Page , j Page~of-L Kansas Beverage Association - PAC SCHEDULE A CONTRIBUTIONS & OTHER RECEIPTS Date Name Name Address Paid Amount Jan - Dec 19 01/03/2019 Pepsi-Cola Bottling Pittsburg Pepsi-Cola Bottling Pittsburg P.O. Box 1924 Pittsburg, KS 66762 493.00 01/0312019 Pepsi-Cola Bottling Marysville Pepsi-Cola Bottling Marysville P.O. Box 535 Marysville, KS 66508 955.00 01/09/2019 Mahaska Pepsi Cola Salina Jim Frush P.O, Box 1243 Salina, KS 67501 1,194.00 01/14/2019 PepsiCo., Inc. PepsiCo" Inc. 7701 Legacy Drive Plano, TX 75024 597.00 02/12/2019 Coca-Cola North America Franchise Company Attn: Kevin Morris 580.00 02/26/2019 Coca-Cola Bottling of Emporia Coca-Cola Bottling of Emporia 2931 W 15th Emporia, KS 66801 239.00 02/26/2019 Coca-Cola Refreshments USA, Inc. Attn: Norm Ross 10001 Industrial Blvd. Lenexa, KS 66215 19,122.00 03/20/2019 Pepsi Beverages Company Pepsi Beverages Company 1n5 Kansas City Road Olathe, KS 66061 11,462,00 Jan· Dec 19 34,642.00 3 o.f- II SCHEDULEB IN-KIND (Non-Monetary) CONTRIBUTIONS Kansas Beverage Association PAC (Name of Party Committee or Political Committee) List Occupation Value of Date Name and Address for Those Giving an Description of In-Kind In-Kind of Contributor In-Kind of More Than Contribution Contribution $150 -­ ~ $0.00 Subto(lIi This Pllge i. Complete if last page of Schedule B Total Itemized (over $100) In-Kind Contributions $0.00 Total Unitemized ($100 or less) In-Kind Contributions $0.00 TOTAL tN-KIND c;Q'I:"~!BU!IO~STHrS ~ERIOD Ho line 6 of Summary) $0.00 Page -=t_ ocJL SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Beverage Association PAC (Name ofParty Committee or Political Committee) Purpose ofErpcnditure 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 See Attached Schedule C $36,550.00 . _. $36,550.00 Su~t~tall'hil Page Page ~ of_I_\ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS January through December 2019 Date Name Name Address Memo Amount 12/16/2019 Kelly for Governor Box 2096 Topeka KS 66601 Campaign Contribution 2,000.00­ Rep. Adam Smith 1970 Road 3 Weskan, 12/16/2019 Smith, Adam for State Representative KS 67762 Campaign Contribution 250.00­ Mr. Adam Thomas 1308 E. 152nd Street 12/1612019 Thomas for State Representative Olathe KS 66062 Campaign Contribution 250.00­ 12/16/2019 Straub for State Representative 401 S. Kennedy Ellinwood, KS 67526 Campaign Contribution 250.00­ Rep. Annie Kuether 1346 SW Wayne 12/16/2019 Kuether for State Representative Avenue Topeka, KS 66604 Campaign Contribution 250.00­ Dr. Bill Pannbacker 210 E. College 12/16/2019 Pannbacker for State Representative Washington KS 66968 Campaign Contribution 250.00­ 12116/2019 Wasinger for State Representative 1602 Elm Street Hays, KS 67601 Campaign Contribution 250.00­ Rep. Boyd Orr 30111 H Road Fowler KS 12/16/2019 Orr for State Representative 67644 Campaign Contribution 250.00­ 9051 Renner Blvd. #3002 Lenexa, KS 12/16/2019 Woodard for State REpresentative 66219 Campaign Contribution 250.00­ Esau, Charlotte for State Mrs. Charlotte Esau 11702 S. 12/16/2019 Representative Winchester Street Olathe KS 66061 Campaign Contribution 250.00­ Helmer, Cheryl for State 12/16/2019 Representative 3109 Bolero Court Winfield, KS 67156 Campaign Contribution 250.00­ Mr. Christopher Croft 8909 W. 148th 12/16/2019 Croft for State Representative Terrace Overland Park KS 66221 Campaign Contribution 250.00­ Rep. Dan Hawkins 9406 Harvest Lane 12116/2019 Hawkins for State Representative Wichita KS 67212 Campaign Contribution 500.00­ Rep. Dave Baker 278 Lakeroad Council 12/16/2019 Baker for State Representative Grove, KS 66846 Campaign Contribution 250.00­ French, David for State 12/16/2019 Representative P,O. Box 291 Lansing, KS 66043 Campaign Contribution 250,00­ Benson, David for State 13901 Hemlock Street Overland Park, 12/16/2019 Representative KS 66223 Campaign Contribution 250.00­ Rep. Doug Blex 3131 CR 2600 12/16/2019 Blex for State Representative Independence KS 67301 Campaign Contribution 250,00­ Rep. Eileen Horn 2121 Vermont Street 12/16/2019 Horn for State Representative Lawrence, KS 66046 Campaign Contribution 250,00­ Rep. Emil Bergquist 6430 N. Hydraulic 12/16/2019 Bergquist for State Representative Park City KS 67219 Campaign Contribution 250,00­ Rep. Eric Smith 627 Kennebec Street 12/16/2019 Smith, Eric for State Representative Burlington KS 66839 Campaign Contribution 250.00­ Rep. Fred Patton 339 NE 46th St. 12/16/2019 Patton, Fred for State Representative Topeka KS 66617 Campaign Contribution 250,00­ Warfield, Freda for State 774 SE Ridgeview Dr. Topeka, KS 12/16/2019 Representative 66609 Campaign Contribution 250.00­ Co 0+ II Rep. J,R. Claeys 2157 Redhawk Lane 12/16/2019 Claeys for State Representative Salina KS 67401 Campaign Contribution 250.00­ Rep. Jan Kessinger 12605 Walmer 12/16/2019 Kessinger for State Representative Street Overland Park KS 66209 Campaign Contribution 250.00­ Rep. Jarrod Ousley 6800 Farley Merriam 12/16/2019 Ousley for State Representative KS 66203 Campaign Contribution 250,00­ Rep. Jerry Stogsdill 4414 Tomahawk 12/16/2019 Stogsdill for State Representative Road Prairie Village, KS 66208 Campaign Contribution 250.00­ Rep. Jesse Burris 1545 E. 11 9th Street 12/16/2019 Burris for State Representative Mulvane KS 67110 Campaign Contribution 250.00­ Borjon, Jese for State 5326 SW 40th Terrace Topeka, KS 12116/2019 Representatives 66614 Campaign Contribution 250.00­ Rep. Jim Karleskint 24542 Cantrell Road 12/16/2019 Karlesklnt for State Representative Tonganoxie KS 66086 Campaign Contribution 250,00­ Newland, Joe for State 12/1612019 Representative 6395 Trego Rd. Neodesha, KS 66757 Campaign Contribution 250.00­ Mr, John Toplikar 507 E. Spruce Olathe, 12/16/2019 Toplikar for Representative KS 66061 Campaign Contribution 250.00­ Rep. John Alcala 520 NE Lake Topeka 12/16/2019 Alcala for State Representative KS 66616 Campaign Contribution 250.00­ Rep. John Resman 434 N. Persimmon 12/16/2019 Resman for State Representative Drive Olathe KS 66061-5072 Campaign Contribution 250.00­ Mr. K. C, Ohaebosim Box 21271 Wichita 12/16/2019 Ohaebosim for State Representative KS 67208-7271 Campaign Contribution 25000­ Mrs. Kellie Warren 14505 Falmouth 12/16/2019 Warren for State Representative Street Leawood KS 66224 Campaign Contribution 250.00­ Rep. Ken Corbet 10351 SW 61st Street 12/16/2019 Corbet for State Representative Topeka KS 66610-9655 Campaign Contribution 250.00­ Rep. Ken Rahjes 1798 E. 900 Road 12116/2019 Rahjes for State Representative Agra KS 67621 Campaign Contribution 250.00­ Williams, Kristey for State Rep. Kristey Williams 506 Stone Lake 12/16/2019 Representatlv Court Augusta, KS 67010 Campaign Contribution 250.00­ Rep. Kyle Hoffman 1318 Avenue T 12/16/2019 Hoffman for State Representative Coldwater KS 67029 Campaign Contribution 250,00­ Rep. Leo Delperdang 2103 N. Pintail 12116/2019 Delperdang for State Representative Wichita KS 67235 Campaign Contribution 250,00­ Rep. Leonard Mastroni 102 Fairway 12116/2019 Mastroni for State Representative Drive LaCrosse KS 67548 Campaign Contribution 250.00­ Rep. Lonnie Clark 819 N. Washington 12/16/2019 Clark for State Representative Street Junction City KS 66441 Campaign Contribution 250.00­ Rep. Louis Ruiz 2914 W. 46th Avenue 12/16/2019 Ruiz for State Representative Kansas City KS 66103 Campaign Contribution 250.00­ Rep. Mark Schreiber Box 2331 Emporia 12/16/2019 Schreiber for State Representative KS 66801 Campaign Contribution 250.00­ Mr. Mark Samsel 227 Edgewood Drive 12/16/2019 Samsel for State Representative Wellsville KS 66092 Campaign Contribution 250.00­ Mr. Martin Long P. O. Box 1031 Ulysses 12/16/2019 Long, Martin for State Representative KS 67880 Campaign Contribution 25000­ Ms. Megan Lynn 14430 W. 139th Place 12/16/2019 Lynn for State Representative Olathe KS 66062 Campaign Contribution 250,00­ 2805 Bluestem Drive Lawrence, KS 12/16/2019 Amyx, Mike for State Representative 66047 Campaign Contribution 250.00­ Rep.
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