KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMIVIITTEE October 29, 2012 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name of Committee: Kansas Land Title Association PAC
Address: 7321 NW Rochester Rd
City and Zip Code: Topeka Kansas 66617
This is a (check one): __ Party Committee tI Political Committee
B. Check only if appropriate: __ Amended Filing __ Termination Report
C. Summary (covering the period from July 27,2012 through October 25, 2012) 1. Cash on hand at beginning ofperiod ; . 10343.10 2. Total Contributions and Other Receipts (Use Schedule A) . 7997.50 3. Cash available this period (Add Lines 1 and 2) . 18340.60
4. Total Expenditures and Other Disbursements (Use Schedule C) .. 9200.00 5. Cash on hand at close of period (Subtract Line 4 from 3) : . 9140.60 6. In-Kind Contributions (Use Schedule B) ...... 2334.50 7. Other Transactions (Use Schedule D) . 0.00
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 filing a false document is a class A misdemeanor."
---" ), I" 10/27/12 '~)'Li~ l~ Date Signature of Treasurer
GEe Form Rev, 2001 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Land Title Association PAC (Name of Party Committee or Political Committee)
Occupation & Industry of Check Amount of Narne and Address Individual Giving More Appropriate Box Cash, Check, Date of ContIibutor Than $150 Loan or Other Cash Check Loan E funds Other Receipt fJolly I=ptlng, GOney Gounty litle, Iitie Agent PO Box 273, Burlington, Ks 66839 II 8/10/12 120.00 E Jay Deines, Fowler Abstract & Title Agent Title, PO Box 398, WaKeeney Kansas 67672 II 8/10/12 250.00 Steve Lewis, Realty Inc., PO Box Title Agent 203, Oswego, Ks 67356 II 8/21/12 950.00 Lee Taylor, Charlson & Wilson Title Agent Abstracters 111 N. 4th Manhattan, Ks 66502 II 8/10/12 175.00 [Tom Lorson, Heartland Title Svc, litle Agent p990 SW 28th Topeka Ks 66614 II 8/10/12 280.00 'vW Lynn Abstract, 121 N. 7th, Title Agent Salina, Ks 67401 t/ 8/10/12 200.00 Deborah Lewis, PO Box 305, [Title Agent Larned, Ks 67550 V 8/10/12 402.50 Taylor Abstract, PO Box 305, Title Agent Larned, Ks 67550 II 8/10/12 300.00 Greeley Co Abstract, PO Box 339, Title Agent Tribune Ks 67879 t/ 8/10/12 365.00 Security 1st, 434 N Main, Wichita Title Agent Kansas 67202 1/ 9/28/12 1600.00 'voiller Abstract, I-'U tjox 254, ~mlth IllIe Agem Center, Ks 66967 t/ 9/28/12 100.00
Subtotal This Page 4742.50
Page_)_of2 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Land Title Association PAC (Name ofParty Committee or Political Committee)
Occupation & Industry of Check Amount of Narne and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cosh Check Loon ~ Other Receipt UKeele-VVIISOn Abstact, IU1 KanSaS Iitie Agent Ave #0 Atchison Ks 66002 1/ 8/10/12 100.00 Lane County Title, PO Box 695, Title Agent Dighton Ks 67839 1/ 8/10/12 100.00 Pottawatomie Co Abstract PO Box Title Agent ~18 Westmoreland Ks 66549 II 8/21/12 100.00 Softpro, Pattrick Mann, 4800 Falls Title Agent of Nevse Rd, Raleigh NC 27609 1/ 8/10/12 275.00 Heartland Title Svc, 5990 SW 28th Title Agent ~opeka Ks 66614 1/ 8/10/12 250.00 Regier Title, 129 E. Broadway #100, Title Agent Newton Ks 67114 V 10/5/12 450.00 Marshall County Title, PO Box 468, Title Agent Marysville Ks 66508 II 10/5/12 100.00 Haskell Co Title, PO Box 636, Title Agent Sublette, Ks 67877 1/ 10/5/12 200.00
Subtotal This Page 1575.00
Page --2 of -- 3 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Kansas Land Title Association PAC (Name ofParty Committee or Political Committee)
Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Checl.:, Date of Coutributor Than $150 Loan or Other Cash Check Loan ~ Other Receipt Miami County Title, PU l:3ox 296, TItle Agent Paola, Ks 660 71 v' 10/22/12 200 I-Irst Amencan litle, 7200 College Title Ageny Blvd, Overland Park Ks 66201 t/ 10/22/12 500
Subtotal This Page 700.00
Complete if last page of Schedule A
Total Itemized Receipts for Period 7017.50
Total Unitemized Contributions ($50 or less) 980.00
Sale ofPolitical Materials (Unitemized) 0.00
Total Contributions When Contributor Not Known 7997.50
TOTAL RECEIPTS TillS PERIOD (to line 2 of Summary) 7997.50
. -7 page~Of~ SCHEDULEB IN-KIND CONTRIBUTIONS
Kansas Land Title Association PAC (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 IMIKe Malone t-Ioellty National litle, Iitie Insurance Iail Gate tiet 2250 N. Rock Rd, Wichita, Ks 67226 10/3/12 200.00 ILinucK HacKer, Amencan Il1Ie OT I ltIe Agent It\ cHale ~OIT tiag Ulysses, 206 E. Grant Ave. Ulysses, Ks 67880 10/3/12 200.00 Liapltal litle, 4!:SLl VV otn Lawrence Iitie Agent KU l::3asKetbali IlcKets Ks 66049
10/3/12 350.00 vontlnental litle, 400U vv lu~tn, Iitie Agent KU Football Tickets Overland Park Ks 66211
10/3/12 175.00 I;:lecurny 1 Sl, 404 I\J. IVlaln VVlcnlla, Iitie Agent K State Football Tickets Ks 667202
10/3/12 275.00 ILawyers IllIe, t-'U bOX 4U4tJ, Title Agent estes t-'arK LiondO ;:ltay Topeka, Ks 66604
10/3/12 600.00 I~reeley va Illie t-'u tiOX 00~, Jltle Agent ljarrel ;:lpnngs Hunt Club Tribune Ks 67879
10/3/12 200.00 HannaTord Abstract, t-'U ljOX L00, Title Agent elgin Hotel weeKend Marion Ks 66861
10/3/12 200.00
Subtotal This Page 2200.00
Complete if last page of Schedule B
Total Itemized (over $100) In-Kind Contributions 2200.00
Total Unitemized ($100 or less) In-Kind Contributions 134.50
TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD (to line 6 of Summary) 2334.50
Paae / of / ;:;, ------ SCHEDULE C EXPENDITURES AND OTHER DISBURSENIENTS
Kansas Land Title Association PAC ( Name of Party Committee or Political Committee)
Name and Address Purpose of Expenditure Date To Whom Expenditure is Made Amount H independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address "ansans TOr a uemocraIlc Mouse ICampaign Contribution
10/11/12 500.00 RoadMap PAC;, Inc. Campaign Contribution
10/11/12 500.00
Subtotal This Page 1000.00
Complete if last page of Schedule c
Total Itemized EA'Penditures This Period 9200.00
Total Unitemized EA'Penditures of $50 or less 0.00 TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary) 9200.00
Page _1_ of 'l SCHEDULEC EXPENDITURES AND OTHER DISBURSElVIENTS
Kansas Land Title Association - PAC (Name ofParty Committee or Political Committee)
Purpose of Expenditure Narne and Address Amount Date To Whom Expenditure is Made H independent or in-Iond expenditure in excess of $300 is made for a candidate, list candidate name & address Lance Kinzer for Rep. Comm. Campaign Contribution
10/11/12 250.00 Ray Merrickfor Rep. Comm. Campaign Contribution
10/11/12 200.00 Paul Davis for Rep. Comm. vampaign Contribution
10/11/12 200.00 Jim Kelly for Rep. Comm. Campaign Contribution
10/11/12 200.00 Emily Perry for Rep. Comm. IGampa/gn Gontributlon
10/11/12 250.00 Dennis McKinney for Rep. Comm. IGampalgn Gontnbutlon
10/11/12 200.00 Dick Barta for ~enate Gomm. Gampalgn Gontnbutlon
10/11/12 200.00 Laura Kelly for Senate Comm. vampalgn Gontnbutlon
10/11/12 200.00 ::lam tjrownoacK Tor LiOV vampaign Contribution
10/11/12 500.00 Derek Cichmldt Attn (jeneral IGampalgn Contribution
10/11/12 500.00 Jeff Longbine for Senate Comm Campaign Contribution
10/11/12 250.00
Subtotal This Page 2950.00
pageLof.D i SCHEDULEC EXPENDITURES AND OTHER DISBURSEJVlENTS
Kansas Land Title Association - PAC (Name ofParty Committee or Political Committee)
Purpose of Expenditure Name and Address Amount Date To Whom Expenditure is Made H independent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address ~rlen tiiegfreid for Rep. Comm. Campaign Contribution
10/11/12 250.00 Clark Shultz for Rep. Comm. Campaign Contribution
10/11/12 200.00 Tom Burroughs for Rep. Comm. vampaign Gontribution
10/11/12 200.00 Tom Phillips for Rep. Comm. Campaign Contribution
10/11/12 200.00 Bob Grant for Rep. Comm. IGampalgn Contribution
10/11/12 200.00 Eber Phelps for Rep. Comm. ICampalgn Contribution
10/11/12 200.00 Richard Carlson for Rep. Gomm. Gampalgn GOntnbution
10/11/12 200.00 Larry Campbell for Rep. Comm. Gampalgn GOntnbutlon
10/11/12 200.00 Ir'nll Hermanson TOr H.e.p. vomm. vampaign Gontribution
10/11/12 200.00 Rich Proehl for Rep. Comm. ICampaign Contribution
10/11/12 200.00 Jan Pauls for Rep. Comm. Campaign Contribution
10/11/12 200.00 2 Z. '$"V, Subtotal This Page 2469f9O
7 Xl Page -7-- Of_·JV_~ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS
Kansas Land Title 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 Elaine Bowers for ~enate Campaign Contribution
10/11/12 250.00 Pat Pettey for Senate Campaign Contribution
10/11/12 250.00 Jim Denning for Senate vampaign Contribution
10/11/12 250.00 Jeff Melcher for Senate Campaign Contribution
10/11/12 250.00 Anthony Hensley for Senate vampalgn Contribution
10/11/12 250.00 Terry Bruce for Senate I Campaign Contribution
10/11/12 250.00 Jeff King for ~enate campaign contribution
10/11/12 250.00 Vicki Schmidt for Senate campaign contribution
10/11/12 250.00 t-orrest Knox lor ;:,enate vampaign Contribution
10/11/12 250.00 RobUlsonfor~enffie vampaign Contribution
10/11/12 250.00 Hose Republicans Campaign Campaign Contribution Committee
10/11/12 500.00
Subtotal This Page 3000.00 Kansas Land Title Association PAC Contributions Addresses
Sam Brownback, Governor RoadMap PAC, Inc. Brownback for Governor, Inc. 2436 SW Camelot Place P.O. Box 3739 Topeka, KS 66614 Topeka, KS 66604 House Republicans Campaign Committee Derek Schmidt, Attorney General 2025 SW Gage Blvd. Schmidt for Attorney General, Inc. Topeka, KS 66604 P.O. Box 804 Independence, KS 67301 Kansans for a Democratic House P.O. Box 2083 Topeka, KS 66601
Jeff Longbine Anthony Hensley 2801 Lakeridge Road 2226 S.B. Virginia Ave. Emporia, KS 66801 Topeka, KS 66605
Elaine Bowers Terry Bruce 2436 N. 150th P.O. Box 726 Concordia, KS 66901 Hutchison, KS 67504
Pat Pettey Jeff King 5316 Lakewood St. 1212 North 2nd St. Kansas City, KS 66106 Independence, KS 67301
Jim Denning Vicki Schmidt 8416 W. 115th St. 5906 SW. 43 rd Court Overland Park, KS 66210 Topeka, KS 66610
Jeff Melcher Forrest Knox 11424 Canterbury Circle 17120 Udall Road Leawood, KS 66211 Altoona, KS 6671 0
Rob Olson 19050 W. 161 st Street Olathe, KS 66062
Dick Barta Laura Kelly 5332 NW Lincoln 234 SW Greenwood Topeka Ks 66618 Topeka Ks 66606 Arlen Siegfreid Phil Hermanson 1403 W. Prairie Terrace 5338 S. Mosley St. Olathe, KS 66061 Wichita, KS 67216
Clark Shultz Richard Proehl 707 Washington Circle 510 Pine Ridge Road Lindsborg, KS 67456 Parsons, KS 67357
Torn Burroughs Jan Pauls 3131 S. 73 rd Terrace 101 E. lIth Kansas City, KS 66106 Hutchinson, KS 67501
Torn Phillips Lance Kinzer 1530 BarringtonDrive 12549 S. Brougham Manhattan, KS 66503 Olathe, KS 66062
Bob Grant Ray Merrick 407 W. Magnolia Ave 6874 W. 164th Terrace Cherokee, KS 66724 Stilwell, KS 66085
EberPhelps Paul Davis 3103 Olympic Lane 1731 Indiana St. Hays, KS 67601 Lawrence, KS 66044
Richard Carlson Jim Kelly 26810 Jeffrey Road 309 S. Fifth Street St. Marys, KS 66536 Independence, KS 67301
Emily Perry 6910 W. 6ih Street Overland Park, KS 66202
Dennis McKinney Greensburg Kansas
Larry Campbell 15803 Avalon Olathe Ks 66062
TOTAL: 9200