KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMMITTEE January 10,2012 . FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS t-­ A- Name ofCommittee: Kansas Food Dealers Association PAC· r __ 2809 West 47th Street Address: ------~------City and Zip Code: Westwood, KS 66205

This is a (check one): __Party Committee .f Political Committee

B. Check only if appropriate: __Amended Filing __ Termination Report

C. Summary (covering the period from January 1, 2011 through December 31,2011)

1. Cash on hand at beginning ofperiod . 2,227.13 - ' 2. Total Contributions and Other Receipts (Use Schedule A) . 10,500.00

3. Cash available this period (Add Lines I and 2) ~ . 12,727.13

4. Total Expenditures and Other Disbursements (Use Schedule C) : .. 12,203.87 5. Cash on hand at close of period (Subtract Line 4 from 3) . 523.26 . 6. In-Kind Contributions (Use Schedule B) . 7. Other Transactions (Use Schedule D) .

D. "Ideclare that this report, including any accompanying schedules and statements, has been examined byme 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."

1/9/2012 Date sion~ture of Tre~urer 1l:J; V GEe Form Rev, 2001 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Food Dealers Association 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 Casb Check LoaD Other Other Receipt

Kansas Food Dealers Association . 1­ -11/28/11­ 2809 West 47th Street $10,500.00 Westwood, KS 66205

$10,500.00

Complete iflast page of Schedule A

Total Itemized Receipts for Period $10,500.00

Total Unitemized Contributions ($50 or less) .

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

$10,500.00

Page _2_ of_8_ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS Kansas Food Dealers Association 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

Clay Aurand for State Campaign Contribution 11/28/11 Re~resentative, 810 Shady Lane-­ _ -$250.00 - Belleville, KS 66935

Richard Billinger For State Campaign Contribution 11/28/11 Representative, Box 594 $250.00 Goodland, KS 67735

Anthony Brown For State Campaign Contribution 11/28/11 Representative, 799 East 2200 Rd ­ $250.00 Eudora, KS 66025

Steven Brunk For State Rep, 11/28/11 8119 E Champions Court Wichita, KS 67226

Terry Calloway For lState 11/28/11 Representative, 301 Windwood Drive, Pittsburg, KS 66762

Richard Carlson For State 11/28/11 Representative, 26810 Jeffrey Road, St. Marys, KS 66536

Ward Cassidy For State 11/28/11 Representative, 420 E 2nd, St. Francis, KS 67756

Pat Colloton For State 11/28/11 Representative, 2513 West 118th Street, Leawood, KS 66211 David bum For State 11/28/11 Representative, 2903 Lakeshore Drive, Augusta, KS 67010

Paul Davis For State _Campaign Contribution 11/28/11 Representative, 1731 Indiana, $250.00 Lawrence, KS 66044

Jim Denning For State Campaign Contribution 11/28/11 Representative, 8416 W 115th $250.00 Street, Overla~d Park, KS 66210

$2,750.00

Page_3_of~ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Food Dealers Association PAC (Name ofParty 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

James Fawcett For State Campaign Contribution 11/28/11 Representative, 711 Crestview $250:00 Drive, Junction City, KS 66441

Bill Feuerborn For State Campaign Contribution 11/28/11 Representative, 1600 Park Road, $250.00 Garnett, KS 66032

Mario Goice For State I Campaign Contribution 11/28/11 Representative, 1254 North Pine $250.00 Grove Court, Wichita, KS 67212

Jane Goodman For State Campaign Contribution 11/28/11 Representative, 410 South $250.00 Broadway, Leavenworth, KS 66048

Lana Gordon For State Campaign Contribution 11/28/11 Representative, 5820 SW 27th $250.00 Street, Topeka, KS 66614

Terri Lois Gregory For State Campaign Contribution 11/28/11 Representative, 324 Dearborn, $250.00 Baldwin City, KS 66006

Amanda Grosserode for State Campaign Contribution 11/28/11 Representative, 12601 W 99th $250.00 Street, Lenexa, KS 66215

Broderick Henderson For State Campaign Contribution 11/28/11 Representative, 2710 N 8th Street, $250.00 Kansas City, KS 66101

Brett Hildabrand For State Campaign Contribution 11/28/11 Representative, 7352 Royalty Way $250.00 #108, Merriam, KS 66203

Don Hill For State Representative, Campaign Contribution 11/28/11 1720 Luther $250.00 Emporia, KS 66801

Steve Heubert For State Campaign Contribution 11/28/11 Representative, 619 North Birch, $250.00 Valley Center, KS 67147

$2,750.00

B Page __4 of . SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Food Dealers Association PAC (Name of Party Committee or PoliticalCommittee)

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

Steven Johnson For State Campaign Contribution .. 11/28/11· Representative, "1 0197 S fl-lopkins " - $250.00 Rd, Assaria, KS 67416

Marvin Kleeb For State Campaign Contribution 11/28/.11 Representative, 14206 Eby," $250.00 Overland Park, KS 66221

Forrest Knox for State Campaign Contribution 11/28/11 Representative, 17120 Udall $250.00 Road, Altoona, KS 66710

Kelly Meigs For State Campaign Contribution 11/28/11 Representative, 7842 Rosehill Rd, $250.00 Lenexa, KS 66216

Robert Montgomery For State Campaign Contribution . 11/28/11 Representative, 1300 E Sleepy " ~250.00 Hollow Drive, Olathe, KS 66062

Michael"O'Neal For State Campaign Contribution 11/28/11 Representative, 8 Windemere $250.00 Court, Hutchinson, KS 67502

John Rubin For State Campaign Contribution 11/28/11 Representative, 13803 W 53rd St. $250.00 Shawnee, KS 66216

Scott Schwab For State Campaign Contribution 11/28/11 Representative, 14953 W 140th $250.00 Terrace, Olathe, KS 66062

Arlen Siegfreid For State Campaign Contribution 11/28/11 Representative, 1403 W Prairie $250.00 Terrace, Olathe, KS 66061

Mike Slattery For State Campaign Contribution 11/28/11 Representative, 5015 Reeds Rd, $250.00 Mission, KS 66202

Sheryl Spalding For State Campaign Contribution 11/28/11 Representative, 12119 Bluejacket, $250.00 Overland Park, KS 66213

$2,750.00

Page _5_ of_8_ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Food Dealers Association 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

Gene Suellentrop For State Campaign Contribution 11/28/11 Representative, 6813 W Northwind • $250.00 . - Circle, Wichita, KS 67205

Vern Swanson for State Campaign Contribution 11/28/11 Representative, 1422 5th Street, $250.00 Clay Center, KS 67432

Jene Vickrey For State Campaign Contribution 11/28/11 Representative, 502 S Countryside $250.00 Drive, Louisburg, KS 66053

Kay Wolf For State Representative, Campaign Contribution 11/28/11 8339 Roe, Prairie Village, KS $250.00 66207

Kathy Wolfe Moore For State Campaign Contribution 11/28/11 Representative, 3209 N 131 st St., . $250.00 Kansas City, KS 66109

Ron Worley For State Campaign Contribution 11/28/11 Representative, 8957 Woodstone, $250.00 Lenexa, KS 66219

Barbara Bollier For State Campaign Contribution 11/28/11 Representative, 6910 Overhill Rd, $250.00 Mission Hills, KS 66208

Jeff Longbine for Senate Campaign Contribution 08/01/11 2801 Lakeridge Road $1,000.00 Emporia, KS 66801 American Legislative Exchange Kansas Legislator Scholarship Fund 03/11/11 Council, 1101 Vermont Avenue, $500.00 NW 11th Floor, Wast), DC 20005

McBee Purchase CheckslDeposit Slips/Endorsement Stamp 03/08/11 PO Box 1186 $198.43 Lancaster, CA 93584-9961

Governmental Ethics Commission Annual Registration Fee 06/28/11 109 SW 9th, Suite 504 $240.00 Topeka, KS 66612

$3,688.43

Page _6 of_8_ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Food Dealers Association 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

LIMB Bank Bank Service Fee 01/04/11 1010 Grand Blvd \ - $22:99 Kansas City, MO 64106

LIMB Bank Bank Service Fee 02/02/11 1010 Grand Blvd $22.15 Kansas City, MO 64106

LIMB Bank Bank Service Fee 03/02/11 1010 Grand Blvd $21.83 Kansas City, MO 64106

LIMB Bank Bank Service Fee 04/04/11 1010 Grand Blvd $22.16 Kansas City, MO 64106

LIMB Bank Bank Service Fee 05/03/11 1010 Grand Blvd $21.88 Kansas City, MO 64106

LIMB Bank Bank Service Fee 06/03/11 1010 Grand Blvd $21.87 Kansas City, MO 64106

LIMB Bank Bank SerVice Fee 07/05/11 1010 Grand Blvd $21.89 Kansas City, MO 64106

LIMB Bank Bank Service Fee 08/02/11 1010 Grand Blvd $22.12 Kansas City, MO 64106

LIMB Bank. Bank Service Fee 09i02/11 1010 Grand Blvd $22.15 Kansas City, MO 64106

LIMB Bank Bank Service Fee 10/04/11 1010 Grand Blvd $22.00 Kansas City, MO 64106

LIMB Bank Bank Service Fee 11/03/11 1010 Grand Blvd $22.00 Kansas City, MO 64106

$243.04

Page _7_ of_8_ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Food Dealers Association PAC (Name of Party Committee or Political Committee)

Name 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

LIMB Bank Bank Service Fee -12/02114 ­ 1010 Grand Blvd $22.40 Kansas City, MO ,641 06

$22.40

Complete if last page of Schedule c

Total Itemized Expenditures This Period $12,203.87

Total Unitemized Expenditures of$50 or less

$12,203.87

Page _8_ of__8 _