KANSAS GOVERNMENTAL ETHICS COMMI~rmii:E~C-;=EI;-:-:V::::-ED----

RECEIPTS AND EXPENDITURES REPOR JAN 0,62016 OF A POLITICAL OR PARTY COMMITTE KRIS W KO SECRETARY OFBACH January 10,2016 STATE FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Committee: t4u1~ 50(/'*3 ~ C.PA.s PZ;L{-iLdAc-h'ClV" CbW\I'V\Jth~~ Address: 100 SG t(0 Sf Sf<.. 6b;}

City and Zip Code: _---:'l~0_fp..=:e~/::fI:.:..:'->:::}....-----'-k:..::0::....-__b-=-fo-=-fo_'_Z-. _

This is a (check one): __Party Committee ~ Political Committee

B. Check only if appropriate: __Amended Filing __Termination Report

C. Summary (covering the period from January 1,2015 through December 31,2015) 1. Cash on hand at beginning ofperiod . 28, 814-. D7 2. Total Contributions and Other Receipts (Use Schedule A) .. :J..o, 8";15. J5' 3. Cash available this period (Add Lines 1 and 2) . 4C" 031,32 4. Total Expenditures and Other Disbursements (Use Schedule C) .. J~, o~ ().oD 5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . 6. In-Kind Contributions (Use Schedule B) ...... (} 7. Other Transactions (Use Schedule D) -e­

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D. "I declare that this report, including any accompanying schedules and statements, has been examined byrne 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 intention filing a false document is a class A misdemeanor!'

1- b- \6 Date

GEe Form Rev, 2015 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Society of CPAs 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 t---...,------,--,------t Loan or Other Cash Check LOAD E fUDds Olher Receipt

09/13/10 Rep. - Void Check $250.00

09/13/10 Rep. - Void $100.00 Check

12/14/12 Rep. - Void Check $100.00

07/14/14 Rep. - Void Check $250.00

08/29/14 Rep. - Void Check $100.00

08/29/14 Rep. J Stephen Alford - Void $100.00 Check

Gary C Allerheiligen 09/08/15 10214 E Bronco $100.00 Wichita, KS 67206

James T Clark 09/24/15 2116 Inverness $100.00 Lawrence, KS 66047 DeAnn A Hill 09/03/15 538 Southridge Blvd $60.00 Baxter Springs, KS 66713

Anthony D Kruse 06/01/15 1554 N Terhune St $100.00 Wichita, KS 67230

Matthew R List 06/01/15 1411 ETimberFaliCt $100.00 Andover, KS 67002

':;'. 'c' < .• '; .' $1,360.00 >.' .... ,~.,.,.~.. , :.

Page 1 of 2 -- --- SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Society of CPAs 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 Casb Cbeck LOin E funds Otber Receipt

William A Pickert 06/01/15 1628 Rocky Creek Rd ~ $100.00 Wichita, KS 67230

Gregory J Seiwert 06/01/15 10825 Glengate Circle $100.00 Wichita, KS 67206 .f

Kenneth A Selzer 03/06/15 12504 Buena Vista Kansas Insurance .f $250.00 Leawood,KS 66209 Commissioner

Kenneth A Selzer 08/04/15 12504 Buena Vista .f $110.00 Leawood, KS 66209

Steven L Webb 06/01/15 721 Bramerton St ~ $100.00 Andover, KS 672002

..,'""i,·"·;··.'::....•; :y;r::-;;C·~1;if:·L.··)··.::.c>Ci ~ :'t\~f!i;\~~~~t~~}~~~~ ~$· ." ..... ;.. X:' •..i.•... ;~;,:. ,. ..:··.i· ...... ',...... 'f'"'~ '"j"i,t/!"i/< .';);" $660.00 '. ·n:t·:,:r'i' ITiiis ...,X.·'­....;::.,:'., "i".·'··",:· .,. '. . ", ·.;i:). 'l::.: .

Complete if last page of Schedule A

Total Itemized Receipts for Period $2,020.00

Total Unitemized Contributions ($50 or less) $18,805.25

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known $20,825.25

Page _2_ of__2 _ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Society of CPAs Political Action Committee (Name of Party Committee or Political Committee)

Narne and Address Purpose of Expenditure Date To Whom Expenditure is Made Amount Ifindependent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address

See Attached $12,050.00

..;L}c:,., ,:/ '.' .S.·' i.e,', i.e' ...., ,<.,..+·.i· ,.i"? .,' •.f..... :':0; $12,050.00 '. '·:i··' This·pag~':i'~::.::1".,;' .....;.•,.,.:;;,..". ":."": 3:"';''''', "':" ;., . ,';,:f;· . .:., .•.. ' . .•. >',: ",

Complete if last page of Schedule c

Total Itemized Expenditures This Period $12,050.00

Total Unitemized Expenditures of $50 or less IqT~!j,~~~!1~(i.9:i~~PlS~YI~SEMENTS { •.•.. $12,050.00 THIS PERIOD (to!in(4ofSummary), ' .. '

Page 1 of 2 -- -- Kansas Society of CPAs Political Action Committee

Date Name Address City 5lale lip Purpose Amount 7/1/2015 Governmental Ethics Commission 109 W 9th 5t, 5te 504 Topeka K5 66612 Registration Fee 300.00 10/1/2015 2605 5W 21st Street Topeka K5 66604 Campaign Contribution 2,000.00 10/12/2015 8119 E. Champions Ct. Wichita K5 67226 Campaign Contribution 250.00 10/22/2015 Tom Sawyer 1041 5 Elizabeth 5t Wichita K5 67213 Campaign Contribution 250.00 10/22/2015 Tom Burroughs 3131 S 73rd Terrace Kansas City KS 66106 Campaign Contribution 250.00 10/n/2015 John Edmonds 209 NETen Road Great Bend KS 67530 Campaign Contribution 500.00 10/n/2015 14206 Eby Overland Park KS 66221 Campaign Contribution 250.00 10/n/2015 6813 W Northwind Circle Wichita KS 67205 Campaign Contribution 250.00 10/22/2015 Peggy Mast 765 Road 110 Emporia KS 66801 Campaign Contribution 250.00 10/22/2015 Jene Vickrey 502 S Countryside Dr Louisburg KS 66053 Campaign Contribution 250.00 10/22/2015 Ray Merrick 6874 W 164th Terr Stilwell KS 66085 Campaign Contribution 250.00 10/22/2015 House PAC 7118 ClearMeadow Ct Wichita K5 67205 Contribution 250.00 10/22/2015 961 E. 1600 Road Baldwin City KS 66006 Campaign Contribution 250.00 10/22/2015 P.O. Box 191 Parker KS 66072 Campaign Contribution 250.00 10/22/2015 1212 North Second Street Independence KS 67301 Campaign Contribution 500.00 10/22/2015 P.O. Box 726 Hutchinson K5 67504 Campaign Contribution 500.00 10/22/2015 Susan Wagle 4 North Sagebrush Wichita KS 67230 Campaign Contribution 500.00 10/22/2015 Ken Seltzer 12504 Buena Vista leawood KS 66209 Campaign Contribution 2,000.00 10/22/2015 Kris Kobach PO Box 1993 Topeka KS 66601 campaign Contribution 500.00 12/7/2015 Ks Rep Senatorial Committee PO Box 2663 Topeka KS 66601 Contribution 2,500.00 Total 12,050.00

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