\ FILE with SECRETARY of STATE \ Bon-N..\~-\See REVERSE SIDE for INSTRUCTIONS

$\ FILE with SECRETARY of STATE \ Bon-N..\~-~~\See REVERSE SIDE for INSTRUCTIONS ~~$

.t-

~ KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT

~~,n OF A POLITICAL OR PARTY COMMITTEE ' ~. ,..,,',,' . ,\,,-...,.. C \.. , \. - -

. () lr::/:Jb \ January 10,2006 j~'" 1,c,n \ FILE WITH SECRETARY OF STATE \ BoN-n..\~-~~\sEE REVERSE SIDE FOR INSTRUCTIONS ~~,.. A. Name of Committee: Kansas Dental Politir~l Artinn rnmmittee Address: 5200 SH Huntoon

City and Zip Code: I..Q..p..e~n, ~S r;hr;nL1, This is a (check one): - Party Committee -X- PoliticalCommittee

B. Check only if appropriate: - Amended Filing - Termination Report

C. Summary (covering the period from January 1,2005 through December 31, 2005)

1. Cash on hand at beginning of period "'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' $ 12. 378. 80

2. Total Contributions and Other Receipts (Use Schedule A) ...... E~,~75.0Q 3. Cash available this period (Add Lines 1 and 2) ...... 7S.9S3.Rn 4. Total Expenditures and Other Disbursements (Use Schedule C) ...... 36.530.12

5. Cash on hand at close of period (Subtract Line 4 from 3) S ~ q , i 7 ':\ 68 6. m-¥jnd ContributiQils (Use Schedule B) ...... :iL..O.!} 7. Other Transactions (Use Schedule D) ...... Q Qil

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, ~ect and complete. I understand that the intentional

failure to file this document or inte~a1,iy fiJ.4ig-11fafsedocument is a class A misdemeanor." 1/9/200h ,XI Date

GEC Form Rev, 2001 'dD OS . rlI1Af,r-,skitJ{/, VA.

-POY! ;'''!{is'-' 1/ /os - /.2/:<,;O~ K-D-P AC REPORT-

Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/16/05 878259609 Dentist Check $125.00 $80.00 $45.00 Abay, Emeline B #201 3305 E Douglas Ave Wichita, KS 67218-1025

1/25/05 . 030650263 Dentist Check $125.00 $80.00 $45.00 Anderson, Kenneth R 132 N West St

Wichita, KS 67203-1293

3/24/05 030820603 Dentist Check $125.00 $80.00 $45.00 Anderson, t.ana K 372 S Hillside St

Wichita, KS 67211-2129

1/26/05 162860368 Dentist Check $250.00 $205.00 $45.00 Armfield, Mark H 2814 Ohio St

Augusta, KS 67010-2361

1/26/05 162870648 Dentist Check $250.00 $205.00 $45.00 Armfield, Melodee R 2814 Ohio St

Augusta, KS 67010-2361

3/16/05 162690096 Dentist Check $125.00 $80.00 $45.00 Bagby, Thomas K 6610 Parallel Pkwy

Kansas City, KS 66102-1047

Subtotal this page: ;f/()OO.OD Page 1 Page I of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/27/05 138580750 Dentist Check $125.00 $80.00 $45.00 Bagley, John N 1211 N West St

Wichita, KS 67203-1231

3/24/05 114770036 Dentist Check $250.00 $205.00 $45.00 Baldwin, George A 7070 W 107th St

Overland Park, KS 66212-1810

3/16/05 030760012 Dentist Check $125.00 $80.00 $45.00 Barlow, Thomas J Ste H 505 N Franklin Ave Colby, KS 67701-2346

3/24/05 077760091 Dentist Check $125.00 $80.00 $45.00 Barth, Tom L Ste D140 1133 College Ave Manhattan, KS 66502-2770

2/15/05 050750457 Dentist Check $125.00 $80.00 $45.00 Barton, John P III 615 Holiday Plz

Lansing, KS 66043-1307

3/24/05 162900891 Dentist Check $250.00 $205.00 $45.00 Baumgardner, Lorie M Ste4 4301 SW Huntoon St Topeka, KS 66604-1985

Page 2 Subtotal this page: 11 {()()(). 60

Page l- of 7~ Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

10/25/05 030040011 Dentist Check $125.00 $80.00 $45.00 Baxter, Steven W 1240 N Perry Ave

Wichita, KS 67203-3058

2/15/05 162820039 Dentist Check $125.00 $80.00 $45.00 Beam, Daryl K Ste 400 301 W 13th St Hays, KS 67601-3766

3/24/05 138640851 Dentist Check $125.00 $80.00 $45.00 Beaver, Robert C SteA 2860 S Seneca St Wichita, KS 67217-2882

5/6/05 162870151 Dentist Check $250.00 $205.00 $45.00 Behrens, Dee Ann R 6420 Parallel Ave

Kansas City, KS 66102-1043

2/1/05 162900750 Dentist Check $125.00 $80.00 $45.00 Blaich, Gary D 1509 W 4th St

Coffeyville, KS 67337-3307

3/24/05 162751492 Dentist Check $125.00 $80.00 $45.00 Boomsaad, Oscar E 121 N Chester St

Olathe, KS 66061-3612

Z7S.0() Page 3 Subtotal this page: :f

Page 3 of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/24/05 162040058 Dentist Check $250.00 $205.00 $45.00 Boyle, Tara D Ste 210 10101 Woodland Dr Lenexa,KS66220-3816

3/24/05 050870156 Dentist Check $125.00 $80.00 $45.00 Bridenstine, Kelly D 8308 Allman Rd

Lenexa, KS 66219-2705

3/24/05 162830907 Dentist Check $125.00 $80.00 $45.00 Brittain, Bruce A PO Box 790 428 Lioba St Andover, KS 67002-0790

3/24/05 162760724 Dentist Check $125.00 $80.00 $45.00 Brooks, Scott A 3455 W 13th St N

Wichita, KS 67203-4500

3/24/05 138620762 Dentist Check $125.00 $80.00 $45.00 Brown, James 0 Ste 230 4121 W 83rd St Prairie Vlg, KS 66208-5373

3/24/05 138640801 Dentist Check $125.00 $80.00 $45.00 Brown, Orville E 7032 E Lincoln St

Wichita, KS 67207-2699

Subtotal this page: 87). clb Page 4 Page4 of 7:5 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/24/05 162720869 Dentist Check $125.00 $80.00 $45.00 Burg, George F Ste 102 3700 W 83rd St Shawnee Msn, KS 66208-5120

3/29/05 077830422 Dentist Check $125.00 $80.00 $45.00 Burks, William H III 1326 S Main St

Ottawa, KS 66067-3527

1/25/05 162781027 Dentist Check $125.00 $80.00 $45.00 Burton, Daniel A 219 S Hillside St

Wichita, KS 67211-2128

3/24/05 130870141 Dentist Check $125.00 $80.00 $45.00 Bycroft, Barton G 1111 Parkwood Dr

Salina, KS 67401-7438

3/25/05 138640190 Dentist Check $125.00 $80.00 $45.00 Byers, Michael D 3613 SW Ashworth Ct

Topeka, KS 66614-4597

3/24/05 050930546 Dentist Check $250.00 $205.00 $45.00 Cassidy, Kevin M 2301 SW 6th Ave

Topeka, KS 66606-1712

Page 5 Subtotal this page: t(f?5_d 0

Page 5" of 7.3 Occuptaion Type Of Pay K-D-PAC AND.PAC K-D-PAC ADPAC

3/24/05 162920641 Dentist Check $125.00 $80.00 $45.00 Castaneda, Alberto R 21620 Midland Dr SteA Shawnee, KS 66218-9064

3f24/05 162850765 Dentist Check $125.00 $80.00 $45.00 Chang, Joseph P Bldg 400 404 S Edgemoor St Wichita, KS 67218-1631

1/25/05 162030013 Dentist Check $125.00 $80.00 $45.00 Christensen, Kevin K 2860 S Seneca St

Wichita, KS 67217-2865

3f24/05 138590072 Dentist Check $250.00 $205.00 $45.00 Cleveland, William C 8601 Wenonga Ln

Leawood, KS 66206-1458

3f15/05 162850583 Dentist Check $125.00 $80.00 $45.00 Coad, Russell L Ste 100 3525 N Ridge Rd Wichita, KS 67205-1212

3f24f05 162701174 Dentist Check $125.00 $80.00 $45.00 Conover, Gary H Ste 110 2939 N Rock Rd Wichita, KS 67226-1100

Page 6 Subtotal this page: $t7S:d0

Page ~ of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/24/05 162830139 Dentist Check $125.00 $80.00 $45.00 Cooper, John M 1813 SW Fairlawn Rd

Topeka, KS 66604-3646

2/21/05 162831418 Dentist Check $125.00 $80.00 $45.00 Cope, John M Ste 109 11111 Nail Ave Leawood, KS 66211-1625

3/24/05 050830803 Dentist Check $125.00 $80.00 $45.00 Cotton, Kenneth D 221 SAsh St PO Box 452 McPherson, KS 67460-0452

3/24/05 151970293 Dentist Check $125.00 $80.00 $45.00 Cowell, Nancy J PO Box 8 101 S McGee St Caney, KS 67333-0008

2/2/05 030990263 Dentist Check $125.00 $80.00 $45.00 Craft, David A 511 Caroline Ave

Junction City KS 66441-5229

3/24/05 162761011 Dentist Check $250.00 $205.00 $45.00 Craig, James S Ste 160 12208 W 87th Street Pkwy Lenexa,KS 66215-2896

Page 7 Subtotal this page: 17S dO

Page 7 of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/22/05 162990181 Dentist Check $125.00 $80.00 $45.00 Craven, Scott B Ste 118 4860 College Blvd Overland Park, KS 66211-1665

3/24/05 162751624 Dentist Check $125.00 $80.00 $45.00 Crow, Stewart L PO Box 648 117 N Penn Ave Independence, KS 67301-0648

3/24/05 138650222 Dentist Check $125.00 $80.00 $45.00 Cummings, Bill H 5407 Norwood St

Shawnee Mission, KS 66205-

3/24/05 162851599 Dentist Check $125.00 $80.00 $45.00 Dahm, John F PO Box 674 205 East 1st St Hutchinson, KS 67504-0674

3/15/05 162710224 Dentist Check $125.00 $80.00 $45.00 Darnall, Richard T Ste 200 2201 SW Westport Dr Topeka, KS 66614-1914

3/22/05 162030014 Dentist Check $125.00 $80.00 $45.00 Davidson, Lindsay D Ste B 751 N Mur Len Rd Olathe, KS 66062-5401

Page 8 Subtotal this page: 7S 0.06

Page 'f/ of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/28/05 162730412 Dentist Check $125.00 $80.00 $45.00 Davis, Dale A 3907 SW 39th

Topeka, KS 66610

3/9/05 067780158 Dentist Check $250.00 $205.00 $45.00 Davis, Lawrence H 3001 E Central Ave

Wichita, KS 67214-4814

3/15/05 174840275 Dentist Check $125.00 $80.00 $45.00 Davis, Ronald V Ste 112 10646 W Central Ave Wichita, KS 67212-5182

2/1/05 162671096 Dentist Check $125.00 $80.00 $45.00 Deeter, Kelly B 729 SW Prairie Ct

Topeka, KS 66606-2319

3/15/05 162880184 Dentist Check $125.00 $80.00 $45.00 Detmer, Margaret A Ste 200 8404 W 13th St N Wichita, KS 67212-2978

3/22/05 162880647 Dentist Check $125.00 $80.00 $45.00 Deutch, Michelle B Ste 326 8575 W 110th St Overland Park, KS 66210-2620

Page 9 Subtotal this. page: I' f57S-

Page (of 7..5 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

4/28/05 162980455 Dentist Check $250.00 $205.00 $45.00 Devlin, Julie A Bldg 301 2020 N Webb Rd Wichita, KS 67206-3407

2/2/05 116790868 Dentist Check $250.00 $205.00 $45.00 Dillehay, James K 1821 N Rock Rd

Wichita, KS 67206-1291

3/10/05 162691169 Dentist Check $125.00 $80.00 $45.00 Dix, Michael E Ste 214 4860 College Blvd Overland Park, KS 66211-1664

3/28/05 045831098 Dentist Check $500.00 $455.00 $45.00 Donigan, William T Jr 518 Market St

Osage City, KS 66523-1158

3/28/05 162770319 Dentist Check $250.00 $205.00 $45.00 Doyle, William H Ste 120 5370 College Blvd Overland Park, KS 66211-1651

3/28/05 162700035 Dentist Check $125.00 $80.00 $45.00 Drevets, Stanley C 430 S Ohio St

Salina, KS 67401-3199

Subtotal this page: b df;/ 500.0 Page 10 Page(0 of 7-3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/26/05 162790424 Dentist Check $125.00 $80.00 $45.00 Edmonds, Scott B 2949 SW Wanamaker Dr

Topeka, KS 66614-5325

3/28/05 030820434 Dentist Check $250.00 $205.00 $45.00 Faerber, John S Ste 245 4121 W 83rd St Prairie Vlg, KS 66208-5303

1/27/05 162820173 Dentist Check $125.00 $80.00 $45.00 Fales, John T Jr 13496 S Arapaho Dr

Olathe, KS 66062-1553

3/28/05 162741849 Dentist Check $125.00 $80.00 $45.00 Fankhauser, Thomas 0 Ste 10 8150 E Douglas Ave Wichita, KS 67206-2390

3/21/05 162890612 Dentist Check $125.00 $80.00 $45.00 Farha, Vincent T 500 N Georgie Ave

Derby, KS 67037-1706

2/9/05 162810040 Dentist Check $250.00 $205.00 $45.00 Fasbinder, John Ste 109 3700 W 83rd St Prairie Vlg, KS 66208-5186

Page 11 Subtotal this page: :10ao6.o0

Page (f of 7) Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/10/05 077000314 Dentist Check $125.00 $80.00 $45.00 Ferguson, Joseph G 714 Liberty St

Clay Center, KS 67432-1529

3/9/05 138600970 Dentist Check $125.00 $80.00 $45.00 Ferson, Frank D 723 S Ohio St

Salina, KS 67401-7453

3/28/05 162760310 Dentist Check $125.00 $80.00 $45.00 Finley, Ronald J 117 S 18th St

Parsons, KS 67357-3391

3f28/05 030600169 Dentist Check $125.00 $80.00 $45.00 Foley, McGrew T Ste 300 1230 N Broadmoor Ave Wichita KS 67206-3891

3f28f05 030940250 Dentist Check $125.00 $80.00 . $45.00 Foley, Thomas J 6611 School Cir

Wichita, KS 67212-7211

2f2/05 177950451 Dentist Check $125.00 $80.00 $45.00 Frankenbery, Todd 9100 E 29th St N

Wichita, KS 67226-2177

Subtotal this page: if 7S0.c) I> Page 12 Page/2..of 73. Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/28/05 138520350 Dentist Check $125.00 $80.00 $45.00 Frazier, L Thane 109 W Main St

Lyons, KS 67554-1927

3/25/05 138500807 Dentist Check $125.00 $80.00 $45.00 Fyler, Carl J 300 SW Yorkshire Rd

Topeka, KS 66606-2260

2/2/05 077930280 Dentist Check $12500 $80.00 $45.00 Gagnon, John D 1919 N Webb Rd

Wichita, KS 67206-3405

1/26/05 130790960 Dentist Check $125.00 $80.00 $45.00 Gegenheimer, Lan Ste C 100 E 9th St Lawrence, KS 66044-2683

3128/05 077820655 Dentist Check $125.00 $80.00 $45.00 Gemar, Dennis D 9664 Quivira Rd

Lenexa, KS 66215-1669

2/2/05 162890729 Dentist Check $125.00 $80.00 $45.00 Gish, Steven P SteA 11409 Ash St Leawood, KS 66211-1753

Subtotal this page: r47S'o.0 0 Page 13 Page /3 of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/28/05 162660289 Dentist Check $125.00 $80.00 $45.00 Gislar, Lex E 113 E 11th St

Ottawa, KS 66067-3501

2/9/05 162870721 Dentist Check $125.00 $80.00 $45.00 Gonzales, Lisa 1216 N 79th St

Kansas City, KS 66112-3308

3/10/05 162700027 Dentist Check $125.00 $80.00 $45.00 Greenhalgh, David R 6345 Long St

Shawnee, KS 66216-2577

3/28/05 162760120 Dentist Check $125.00 $80.00 $45.00 Greenwood, Anthony J 1440 Park Ave

Baxter Springs, KS 66713-2727

3/28/05 162020030 Dentist Check $125.00 $80.00 $45.00 Gross, Guy W 1920 S Ohio St

Salina, KS 67401-6643

3/28/05 162020031 Dentist Check $125.00 $80.00 $45.00 Gross, Kathryn E 1920 S Ohio St

Salina, KS 67401-6643

Subtotal this page: if 7:>0.00 Page 14 Page{~Of 7} Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/28/05 162840039 Dentist Check $250.00 $205.00 $45.00 Grubiss, Frederick C 15095 W 123rd St

Olathe, KS 66062-6964

3/28/05 162780897 Dentist Check $125.00 $80.00 $45.00 Guest, Ken 1920 S Ohio St

Salina, KS 67401-6643

3/28/05 077810010 Dentist Check $125.00 $80.00 $45.00 Gurwell, Kit R Ste 100 304 S Clairborne Rd Olathe, KS 66062-4107

3/28/05 077900134 Dentist Check $125.00 $80.00 $45.00 Haas, Scott G Ste 1 770 S Range Ave Colby, KS 67701-2967

3/28/05 162870846 Dentist Check $250.00 $205.00 $45.00 Hale, Hal 7032 E Lincoln St

Wichita, KS 67207-2638

3/28/05 162840906 Dentist Check $250.00 $205.00 $45.00 Hannah, J Joseph 1441 E 151st St

Olathe, KS 66062-2861

Page 15 Subtotal this page: #'1.I /:;'5'00 PagelS" of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/28/05 162860409 Dentist Check $125.00 $80.00 $45.00 Hansen, Kenneth A 100 NW 2nd St

Abilene, KS 67410-2649

3/28/05 162730636 Dentist Check $125.00 $80.00 $45.00 Hanson, KentW 216 E Taylor St

Lyons, KS 67554-3618

2/21/05 077000075 Dentist Check $125.00 $80.00 $45.00 Hargleroad, Jennifer K Ste310 8575 W 110th St Overland Park, KS 66210-2774

1/26/05 162710406 Dentist Check $250.00 $205.00 $45.00 Hargreaves, Larry C 1401 SW 37th St

Topeka, KS 66611-2369

2/2/05 077840207 Dentist Check $125.00 $80.00 $45.00 Harman, Heidi A 14247 Metcalf Ave

Overland Park, KS 66223-3367

3/28/05 162770533 Dentist Check $125.00 $80.00 $45.00 Harmon, Robert H Ste 2 613 Market St Osage City, KS 66523-1283

Subtotal this page: .$ 57S:b 0 Page 16 Page(~of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/27/05 077820479 Dentist Check $125.00 $80.00 $45.00 Heavrin, Barry G PO Box 854

Parsons, KS 67357-0854

3/28/05 162750329 Dentist Check $125.00 $80.00 $45.00 Helm, A Martin III PO Box 188 429 N Linden St Belle Plaine, KS 67013-0188

2/9/05 030850277 Dentist Check $125.00 $80.00 $45.00 Henrichs, Kelly S Ste 2C 100 W Ross Blvd Dodge City, KS 67801-7217

2/9/05 162680401 Dentist Check $250.00 $205.00 $45.00

Henson, Robert B . 700 S Front St

Salina, KS 67401-4997

3/10/05 162810701 Dentist Check $125.00 $80.00 $45.00 Herre, Craig W Ste 120 11201 Nail Ave Leawood, KS 66211-1832

3/10/05 162880712 Dentist Check $125.00 $80.00 $45.00 Herre, Scott B 4144 W 124th Ter

Leawood, KS 66209-2235

subtotal this page: I 37S-d0 Page 17 Pagel? of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/28/05 162881059 Dentist Check $125.00 $80.00 $45.00 Herrera, Joe M 3433 Rainbow Ext

Kansas City, KS 66103-2082

3/28/05 155820278 Dentist Check $125.00 $80.00 $45.00 Herrera, Paul D 519 Canyon Dr

Lawrence, KS 66049-2451

3/9/05 162791034 Dentist Check $125.00 $80.00 $45.00 Herres, Blake E 568 W 7th St

Hoisington, KS 67544-1918

3/28/05 077890418 Dentist Check $125.00 $80.00 $45.00 Herrmann, Scott D 713 W 7th St

Holton, KS 66436-1412

3/28/05 162770567 Dentist Check $125.00 $80.00 $45.00 Hertzler, William 0 #200 7717 E 29th St N Wichita, KS 67226-3443

3/28/05 162810777 Dentist Check $125.00 $80.00 $45.00 Herwig, Robert V Ste 260 11900 W 87th Street Pkwy Lenexa, KS 66215-4517

Subtotal this page: $ 75().o 0 Page 18 Page/F of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

4/28/05 162690989 Dentist Check $250.00 $205.00 $45.00 Hildreth, Jay W Jr #8 5566 Maefield Dr Wamego, KS 66547-9108

3/21/05 162750337 Dentist Check $125.00 $80.00 $45.00 Hines, Richard A Ste 140 11237 Nail Ave Leawood, KS 66211-1639

3/9/05 050660234 Dentist Check $125.00 $80.00 $45.00 Hockett, J Anthony 4031 W 98th St

Shawnee Mission, KS 66207-

3/28/05 030810023 Dentist Check $125.00 $80.00 $45.00 Holloway, Milton R PO Box 466

Beloit, KS 67420-0466

2/15/05 162870325 Dentist Check $250.00 $205.00 $45.00 Holm, J Greg 7405 W Central Ave

Wichita, KS 67212-3595

2/2/05 162970399 Dentist Check $125.00 $80.00 $45.00 Huerter, Gerard W Jr Suite 450 8919 Parallel Pkwy Kansas City, KS 66112-1655

Subtotal this page: 000.00 ~/ Page 19 Page!'( of 7} Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/1/05 162761342 Dentist Check $125.00 $80.00 $45.00 Hunt, Dalton L PO Box 571 115 N Main St Buhler, KS 67522-0571

3/31/05 162030027 Dentist Check $125.00 $80.00 $45.00 Huntington, Kyle 10706 Augusta Dr

Kansas City, KS 66109-5004

3/21/05 010940791 Dentist Check $125.00 $80.00 $45.00 Huslig, Aaron A Ste G 105 S Andover Rd Andover, KS 67002-7867

1/27/05 162000625 Dentist Check $125.00 $80.00 $45.00 Huyett, Laura J 4627 Shawnee Dr

Kansas City, KS 66106-3648

3/10/05 162710539 Dentist Check $25.00 $25.00 $0.00 Jacobs, Robert W 346 Maine SI

Lawrence, KS 66044-1359

3/31/05 162880522 Dentist Check $125.00 $80.00 $45.00 Jensen, Mark S Ste 245 8901 W 74th St Shawnee Msn, KS 66204-2202

Subtotal this page: ;#~SO.60 Page 20 Page,,2bof 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/9/05 162950549 Dentist Check $125.00 $80.00 $45.00 Jensen, Shawn D 4 Compound Dr

Hutchinson, KS 67502-4300

3/15/05 162770658 Dentist Check $125.00 $80.00 $45.00 Jimenez, Arthur S 5331 E 21st St N

Wichita, KS 67208-1699

3/31/05 162850202 Dentist Check $125.00 $80.00 $45.00 Jirovec, Donald Jr Ste 225 7301 Mission Rd Prairie Vlg, KS 66208-3014

3/31/05 162851052 Dentist Check $125.00 $80.00 $45.00 Johns, Robert A Suite 110 11225 Nail Ave Leawood, KS 66211-1625

2/15/05 162801023 Dentist Check $125.00 $80.00 $45.00 Johnson, Greg 1271 SW Woodhull St

Topeka, KS 66604-1849

2/21/05 156030027 Dentist Check $125.00 $80.00 $45.00 Jones, Jarrod 1513 E 27th St

Hays, KS 67601-2111

Subtotal this page: $15?J.o b Page 21 Page)( of 13 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/31/05 138630745 Dentist Check $125.00 $80.00 $45.00 Jones, S Meigs Jr Ste 101 1901 W 47th PI Westwood, KS 66205-1834

3/31/05 162700043 Dentist Check $125.00 $80.00 $45.00 Jones, Stephen W 710 Commercial St

Emporia, KS 66801-2992

3/31/05 162830379 Dentist Check $250.00 $205.00 $45.00 Jowett, Ted A #C 1017 SW Gage Blvd Topeka, KS 66604-1991

3/22/05 162780855 Dentist Check $125.00 $80.00 $45.00 Julian, Jon M 700 N Maple St

Me Pherson, KS 67460-3339

2/15/05 162780318 Dentist Check $100.00 $100.00 $0.00 Katzer, Ronald L PO Box 147

Auburn, KS 66402-0147

3/31/05 162830402 Dentist Check $125.00 $80.00 $45.00 Keith, Don Ste 200 6299 Nail Ave Mission, KS 66202-3547

Subtotal this page: if 'lS-O.o b Page 22 Page;'~of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/31/05 138650446 Dentist Check $125.00 $80.00 $45,00 Kice, Richard L Ste 101 1831 N Rock Road Ct Wichita, KS 67206-1364

3/31/05 162841540 Dentist Check $125.00 $80,00 $45,00 Kimes, Charles Ste 111 8100 Marty St Overland Park, KS 66204-3737

3/21/05 162850335 Dentist Check $125,00 $80.00 $45.00 Kim, Dean F 16637 Midland Dr

Shawnee, KS 66217-3042

3/31/05 030750261 Dentist Check $125,00 $80.00 $45,00 Kittle, Paul E Jr 309 S 2nd St

Leavenworth, KS 66048-2803

2/15/05 073870050 Dentist Check $125,00 $80,00 $45,00 Klein, Kandee K 801 N Main St

Garden City, KS 67846-5436

3/31/05 162841516 Dentist Check $250,00 $205.00 $45.00 Klein, Michael S Ste 102 8631 W 150th St Overland Park, KS 66223-2294

Subtotal this page: ~ ft7S () 0

Page 23 Page.)3 of73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/21/05 162850749 Dentist Check $125.00 $80.00 $45.00 Klestinske, Charles H PO Box 418 32980 W 83Rd St De Soto, KS 66018-0418

3/16/05 138590684 Dentist Check $125.00 $80.00 $45.00 Krause, Donald H Jr Ste 201 9401 Nail Ave Shawnee Msn, KS 66207-2508

4/13/05 162900916 Dentist Check $125.00 $80.00 $45.00 Krause, Kevin J Ste 201 9401 Nail Ave Shawnee Msn, KS 66207-2508

3/31/05 050800442 Dentist Check $125.00 $80.00 $45.00 Kremers, William R 5830 Nail Ave

Mission, KS 66202-2730

2/15/05 077970286 Dentist Check $125.00 $80.00 $45.00 Kriss, Thomas A 1212 Chestnut St

Emporia, KS 66801-5622

3/25/05 138630026 Dentist Check $125.00 $80.00 $45.00 Laham, Jerome M 1906 Saddle Creek St

Wichita, KS 67206-4402

Subtotal this page: If 7~.6 0 Page 24 Page.2

1/25/05 030810346 Dentist Check $125.00 $80.00 $45.00 Lahey, Thomas Jr 106 N Glendale St

Wichita, KS 67208-4089

1/25/05 030800206 Dentist Check $250.00 $205.00 $45.00 Langley, Dean H 401 N Main St

Kingman, KS 67068-1336

3/31/05 162830428 Dentist Check $500.00 $455.00 $45.00 Larkin, E Grant 2510 Henderson Dr

Garden City, KS 67846-3624

1/27/05 162700118 Dentist Check . $125.00 $80.00 $45.00 Lasalle, Anthony D Ste 280 10550 Quivira Rd Lenexa, KS 66215-2375

3/29/05 162680964 Dentist Check $125.00 $80.00 $45.00 Lasater, George D Ste 349 8900 State Line Rd Leawood, KS 66206-1994

1/27/05 162881257 Dentist Check $125.00 $80.00 $45.00 Le, Jerry H 430 N Woodlawn St

Wichita, KS 67208-4334

Subtotal this page: If /.I~SDroD Page 25 Page..lS-of7~ Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1f27f05 162670121 Dentist Check $125.00 $80.00 $45.00 Lee, Vernon G 415 N Washington Ave

lola KS 66749-2352

3f21f05 162770814 Dentist Check $125.00 $80.00 $45.00 Leins, Charles E 234 S Cherry St

Olathe, KS 66061-4425

3/31/05 162890935 Dentist Check $125.00 $80.00 $45.00 Lineback, Kelly M Ste 200 407 S Clairborne Rd Olathe, KS 66062-1744

3f31/05 077860255 Dentist Check $125.00 $80.00 $45.00 Lintzman, Sharon R Ste 1 4301 SW Huntoon St Topeka, KS 66604-1967

1/27/05 010980789 Dentist Check $125.00 $80.00 $45.00 Loftus, Daniel R 2501 Canterbury Dr

Hays, KS 67601-2296

3/31/05 077730284 Dentist Check $125.00 $80.00 $45.00 Lohse, Robert R Jr 5100 SW 28th St

Topeka, KS 66614-2321

SUQtotal this page: !/ 750.6 a Page 26 pagePb of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/21/05 162831327 Dentist Check $125.00 $80.00 $45.00 Long, Robert 0 Ste 109 11111 Nail Ave Leawood, KS 66211-1625

3/31/05 077970260 Dentist Check $125.00 $80.00 $45.00 Lowe, Jeffrey 2701 Sternberg Dr

Hays, KS 67601-2060

1/27/05 162910717 Dentist Check $125.00 $80.00 $45.00 Lowe, Matthew C SteA 2711 S Rouse St Pittsburg, KS 66762-6621

3/31/05 162691028 Dentist Check $125.00 $80.00 $45.00 Lundgrin, Jerry R PO Box 1424 909 E Wayne St Salina, KS 67402-1424

3/31/05 030940276 Dentist Check $125.00 $80.00 $45.00 Lundgrin, Michael S PO Box 1424

Salina, KS 67402-1424

3/31/05 162680542 Dentist Check $125.00 $80.00 $45.00 Macauley, Don R Ste 110 4601 W 109th St Overland Park, KS 66211-1313

Subtotal this page: :1{7 50.6 0 Page 27 Page~7of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/15/05 162770864 Dentist Check $125.00 $80.00 $45.00 Manda, Edward A III 330 Maine St

Lawrence, KS 66044-1359

3/31/05 162710604 Dentist Check $125.00 $80.00 $45.00 Manuel, John L 786 N Ridge Rd

Wichita, KS 67212-3325

3/9/05 162880671 Dentist Check $125.00 $80.00 $45.00 Marcotte, Alan D 810 Main St

Winfield, KS 67156-2835

3/16/05 162840766 Dentist Check $125.00 $80.00 $45.00 Marshall, Craig Ste 8 6300 Glenwood St Overland Park, KS 66202-4011

2/9/05 162821579 Dentist Check $125.00 $80.00 $45.00 Martin, Alan J 6130 Nieman Rd

Shawnee, KS 66203-2940

3121/05 138651072 Dentist Check $125.00 $80.00 $45.00 Martin, Anthony W 9100 E 29th St N

Wichita, KS 67226-2177

Subtotal this page: '7S0.6'tJ Page 28 Pagelf of 7J Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/9/05 162861142 Dentist Check $125.00 $80.00 $45.00 Martin, Philip H 6130 Nieman Rd

Shawnee, KS 66203-2940

1/25/05 162801388 Dentist Check $125.00 $80.00 $45.00 Martin, Steven K 6130 Nieman Rd

Shawnee, KS 66203-2940

3/31/05 077830018 Dentist Check $125.00 $8000 $45.00 Mathes, John D 603 S Main St

Pratt KS 67124-2630

3/31/05 162770880 Dentist Check $125.00 $80.00 $45.00 May, David L 233 N Hillside St

Wichita, KS 67214-4903

2/1/05 162741675 Dentist Check $125.00 $8000 $45.00 Mayer, Don R 215 S Hillside St

Wichita, KS 67211-2196

3/31/05 103540135 Dentist Check $125.00 $80.00 $45.00 McCabe, Fred F 107 E 12th Ave

Emporia, KS 66801-5099

Subtotal this page: '# 7:;;,'0.0 b Page 29 Page~iof 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/27/05 162910262 Dentist Check $50.00 $50.00 $0.00 McColm, Shelly L 12W 8th St

Lawrence, KS 66044-2602

1/27/05 162850210 Dentist Check $125.00 $80.00 $45.00 McCullough, Pamela R 229 N Main St

Newton, KS 67114-3442

3/31/05 162880944 Dentist Check $125.00 $80.00 $45.00 McFadden, Richard I 2010 La Mesa Dr

Dodge City, KS 67801-6426

2/9/05 077970195 Dentist Check $125.00 $80.00 $45.00 McFadden, Ronda L 1133 E Kansas Ave

Garden City, KS 67846-5864

3/31/05 162770921 Dentist Check $250.00 $205.00 $45.00 McGill, Eugene F Ste 208 3700 W 83rd St Shawnee Msn, KS 66208-5120

1/25/05 162970365 Dentist Check $125.00 $80.00 $45.00 McKnight, Sidney A III Ste N-5 7501 Mission Rd Prairie Vlg, KS 66208-4216

Subtotal this page: 1/ gOO. 6 0 Page 30 Page30 of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/31/05 182830177 Dentist Check $125.00 $80.00 $45.00 McVey, Randall K Palo Verde Place Palo Verde Place Ste 100 Garden City, KS 67846-3794

2/22/05 077890046 Dentist Check $125.00 $80.00 $45.00 Mendez, Albert 1510 N Broadway St

Pittsburg, KS 66762-3020

3/16/05 162740833 Dentist Check $125.00 $80.00 $45.00 Meschke, John D 2 Compound Dr

Hutchinson, KS 67502-4300

1/25/05 142770868 Dentist Check $250.00 $205.00 $45.00 Mettman, Wendell J PO Box 207

Derby, KS 67037-0207

4/13/05 162810313 Dentist Check $125.00 $80.00 $45.00 Michel, Michael E Ste B 2951 SW Wanamaker Dr Topeka, KS 66614-5341

2/21/05 162660255 Dentist Check $125.00 $80.00 $45.00 Milford, Michael L 200 W Ross Blvq

Dodge City, KS 67801-7296

Subtotal this page: g'7S: <;)C Page 31 Page3/ of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/21/05 162810321 Dentist Check $125.00 $80.00 $45.00 Miller, Richard E 12136 W 87th Street Pkwy

Lenexa, KS 66215-2810

3/31/05 077830026 Dentist Check $125.00 $80.00 $45.00 Miller, William A 305 W Main St

Hill City, KS 67642-1927

4/4/05 162761293 Dentist Check $125.00 $80.00 $45.00 Milligan, Ted R 8123 E Harry St

Wichita, KS 67207-4603

1/27/05 162880423 Dentist Check $250.00 $205.00 $45.00 Minnis, Daniel N Accent Dental 2002 S Rouse St Pittsburg, KS 66762-6629

3/9/05 162670725 Dentist Check $125.00 $80.00 $45.00 Mitchell, David M 9601 Antioch Rd

Overland Park, KS 66212-4061

1/25/05 162801289 Dentist Check $125.00 $80.00 $45.00 Mitchell, Steven G 12148 W 95th St

Lenexa, KS 66215-3805

Subtotal this page: 4'l75 0 0 Page 32 Page3z..of 73 " Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/9/05 162990545 Dentist Check. $125.00 $80.00 $45.00 Moore, Andrew S 5550 Hedge Lane T er

Shawnee Mission, KS 66226-

3/15/05 163971205 Dentist Check $12500 $80.00 $45.00 Moore, James E Ste 106 3700 W 83rd St Prairie Village, KS 66208-5120

4/4/05 030780771 Dentist Check $125.00 $80.00 $45.00 Moriarty, Patrick 0 #G 3514 Clinton Pkwy Lawrence, KS 66047-2145

3/24/05 162970456 Dentist Check $125.00 $80.00 $45.00 Mowry, Catherine A Ste 100 8704 Bourgade St Lenexa, KS 66219-1400

3/24/05 162940615 Dentist Check $125.00 $80.00 $45.00 Mowry, Kevin Ste 101 8704 Bourgade St Lenexa, KS 66219-1440

4/4/05 047781267 Dentist Check $250.00 $205.00 $45.00 Murray-Ciary, Anita C 6231 S W 29th St

Topeka, KS 66614-5470

Subtotal this page: i/ &"75.0 C::. Page 33 Page;} of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

4/4/05 138580742 Dentist Check $125.00 $80.00 $45.00 Murrison, Max E 2486 Maclean Cir

Salina, KS 67401-7123

4/4/05 162700134 Dentist Check $125.00 $80.00 $45.00 Myers, Dennis T PO Box 586 102 E Walnut St Troy, KS 66087-0586

4/4/05 058760200 Dentist Check $125.00 $80.00 $45.00 Nelsen, Brent E Ste 100 1120 N Rock Rd Derby, KS 67037-3587

3/15/05 162751145 Dentist Check $125.00 $80.00 $45.00 Nelson, Robert L 13018 State Line Rd

Leawood, KS 66209-1756

2/21/05 151752344 Dentist Check $250.00 $205.00 $45.00 Neufeld, Ira I 1709 S Mur Len Rd

Olathe, KS 66062-2622

3/24/05 162020056 Dentist Check $125.00 $80.00 $45.00 Nielson, Daniel C 15714 S Summertree Ct

Olathe, KS 66062-3843

Subtotal this page: :I'/75'.00 Page 34 PageBif-of 7.3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

4/4/05 162740958 Dentist Check $125.00 $80.00 $45.00 Nielson, Donald C Ste 100 16500 Indian Creek Pkwy Olathe, KS 66062-1215

4/4/05 162800801 Dentist Check $250.00 $205.00 $45.00 Nuckols, Thomas A PO Box 57 310 SW 1st St Plainville, KS 67663-0057

5/6/05 162810347 Dentist Check $125.00 $80.00 $45.00 O'Sullivan, Thomas P Ste 106 11111 Nail Ave Leawood, KS 66211-1625

3/29/05 162780904 Dentist Check $125.00 $80.00 $45.00 Oettmeier, Bert W Jr Ste 270 4501 College Blvd Leawood, KS 66211-2332

1/25/05 162820568 Dentist Check $125.00 $80.00 $45.00 Oliver, N Randolph 7501 Mission Rd

Prairie Vlg, KS 66208-4217

4/4/05 179920858 Dentist Check $250.00 $205.00 $45.00 Oltjen, Jay M 1441 E 151st St

Olathe, KS 66062-2854

Subtotal this page: $" /()OI () .0 0 Page 35 Page )s of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/21/05 177950443 Dentist Check $125.00 $80.00 $45.00 Omido, Gilbert R 7602 E Harry St

Wichita, KS 67207-3128

4/13/05 142760380 Dentist Check $125.00 $80.00 $45.00 Ottem, James R PO Box 1568

Hutchinson, KS 67504-1568

2/15/05 138610961 Dentist Check $125.00 $80.00 $45.00 Padgham, Ross A Ste 400 1230 N Broadmoor Ave Wichita KS 67206-3891

2/2/05 162900495 Dentist Check $250.00 $205.00 $45.00 Paoni, Christopher J 106 S Ozark St

Girard, KS 66743-1530

2/1/05 010690693 Dentist Check $250.00 $205.00 $45.00 Park, William W Ste 310 404 S Edgemoor St Wichita, KS 67218-1632

5/5/05 138500568 Dentist Check $125.00 $80.00 $45.00 Parsons, Ray E 8427 E Peppertree St

Wichita, KS 67226-1902

Subtotal this page: $; (Jt;"O~O "0

Page 36 Page 3fr>of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/29/05 162841409 Dentist Check $125.00 $80.00 $45.00 Partridge, Gregory J 841 S Hillside St

Wichita, KS 67211-3005

3/16/05 162980330 Dentist Check $125.00 $80.00 $45.00 Patterson, Jason R 12080 W 135th St

Overland Park, KS 66221-8136

4/4/05 162750014 Dentist Check $250.00 $205.00 $45.00 Patton, John C 1501 W 12th Street

Emporia, KS 66801-2430

10/6/05 162980520 Dentist Check $250.00 $205.00 $45.00 - Pendleton, Steven D Ste 309 8919 Parallel Pkwy Kansas City, KS 66112-1655

4/4/05 162830999 Dentist Check $250.00 $205.00 $45.00 Peppes, Gregory J 11551 Granada

Leawood, KS 66211

4/4/05 162920659 Dentist Check $125.00 $80.00 $45.00 Peterson, Erik J 107 S Main St

Lindsborg, KS 67456-2417

Subtotal this page: 'I!J ,;(S--ou Page 37 Page3? of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/25/05 162741609 Dentist Check $125.00 $80.00 $45.00 Pierce, Steven J 8615 Rosehill Rd

Lenexa, KS 66215-2867

2/2105 162960621 Dentist Check $125.00 $80.00 $45.00 Pinamonti, Gina B 2602 S Rouse St

Pittsburg, KS 66762-6632

1/25105 116760473 Dentist Check $125.00 $80.00 $45.00 Prater, Nick A Ste 160 13095 S Mur Len Rd Olathe, KS 66062-1298

4/4105 162801742 Dentist Check $125.00 $80.00 $45.00 Pratt, James G Ste 200 5605 SW Barrington Ct Topeka, KS 66614

2/9105 162670684 Dentist Check $125.00 $80.00 $45.00 Purma, Charles J II 324 N Main St

Scott City, KS 67871-1180

3/21105 162930525 Dentist Check $125.00 $80.00 $45.00 Putnam, Barton W 12637 W 145th St

Olathe, KS 66062-7801

Subtotal this page: $ 7S-0.d Q

Page 38 Pagej~ of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/25105 162970521 Dentist Check $125.00 $80.00 $45.00 Quillin, Diana L 401 N Woodlawn St

Wichita, KS 67208-4367

1/26/05 050830358 Dentist Check $125.00 $80.00 $45.00 Raben, Lucynda Ste 1, Bldg 100 8100 E 22nd St N Wichita, KS 67226-2388

3/10/05 030910295 Dentist Check $250.00 $205.00 $45.00 Rainbolt, Thomas A SteA 1425 Wakarusa Dr Lawrence, KS 66049-3832

2/1/05 162910759 Dentist Check $125.00 $80.00 $45.00 Ratzlaff, Craig D 2553 N Lake Ridge Cir

Wichita, KS 67205-1320

4/4/05 162840881 Dentist Check $250.00 $205.00 $45.00 Reavis, Allen B PO Box 399 111 N 5th St Atchison, KS 66002-0399

4/4/05 162810446 Dentist Check $125.00 $80.00 $45.00 Reed, Tom R Ste 220 8340 Mission Rd Shawnee Msn, KS 66206-1362

Subtotal this page: $/06V ,(;b Page 39 PageJq of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/1/05 162890521 Dentist Check $125.00 $80.00 $45.00 Resch, Guy R 205 E 12th Ave

EI Dorado, KS 67042-4322

4/4/05 077980251 Dentist Check $125.00 $80.00 $45.00 Reusser, Terra L 119 E Lincoln Ave

Wellington, KS 67152-3046

4/4/05 162690484 Dentist Check $125.00 $80.00 $45.00 Reynolds, Michael C 2215 SWWestport Dr

Topeka, KS 66614-1926

4/13/05 162950507 Dentist Check $125.00 $80.00 $45.00 Reynolds, Wendy D 410 E 61st St N

Wichita, KS 67219-1906

4/4/05 162660685 Dentist Check $125.00 $80.00 $45.00 Rhodes, R James Jr Ste 3 2401 S Tucker Ave Pittsburg,KS66762-6619

1/26/05 162850260 Dentist Check $125.00 $80.00 $45.00 Richard, Michael W 2702 Campus Dr

Garden City, KS 67846-3670

Subtotal this page: ~ 7SO ,0 b Page 40 Page'lD of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/22/05 077880401 Dentist Check $125.00 $80.00 $45.00 Ringler, Grant D 3008 Garden Grove Pkwy

Hutchinson, KS 67502-4216

3/10/05 162791589 Dentist Check $125.00 $80.00 $45.00 Ritter, Charles A Jr: 723 S Ohio St

Salina, KS 67401-7453

2/9/05 162920609 Dentist Check $125.00 $80.00 $45.00 Robertson-Cameron, Stephanie Ste 100 2434 N Woodlawn St Wichita, KS 67220-39.59

3/16/05 077760140 Dentist Check $50.00 $50.00 $0.00 Robinson, Michael 3601 S 4th St

Leavenworth, KS 66048-5015

1/26/05 162781382 Dentist Check $125.00 $80.00 $45.00 Rogers, Paul N 1939N11thSt

Arkansas City, KS 67005-1724

2/1/05 162781267 Dentist Check $125.00 $80.00 $45.00 Rohr, Steven A 6505 E Harry St

Wichita, KS 67207-2997

. :I Subtotalthispage: (;?s_o 0

Page 41 Pageif( of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

6/29/05 162680691 Dentist Check $125.00 $80.00 $45.00 Rosevear, Robert A Ste 140 11233 Nail Ave Leawood, KS 66211-1638

1/27/05 162960613 Dentist Check $280.00 $235.00 $45.00 Roufs, Brett A 3231 Royer West Dr

Newton, KS 67114-9639

4/4/05 162750759 Dentist Check $125.00 $80.00 $45.00 Ruliffson, Mark H 6665 N 52nd St

Manhattan, KS 66503-8712

4/4/05 077770488 Dentist Check $125.00 $80.00 $45.00 Ruse, James K 4839 W 135th St

Leawood, KS 66224-5924

4/28/05 162960340 Dentist Check $125.00 $80.00 $45.00 Saulsbury, Valerie D 9906 College Blvd

Overland Park, KS 66210-1756

3/29/05 130820678 Dentist Check $125.00 $80.00 $45.00 Scheer, Brick R 7707 E 29th St N

Wichita, KS 67226-3404

Subtotal this page: .# 9DS.c)6 Page 42

pagelfJ- of 2.? Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/9/05 162811121 Dentist Check $125.00 $80.00 $45.00 Schulte, Stephen G Ste 210 . 15301 W 87th Street Pkwy Lenexa, KS 66219-1402

414/05 162741758 Dentist Check $250.00 $205.00 $45.00 Scott, Roscoe W 9601 Antioch Rd

Overland Park, KS 66212-4061

4/4/05 162880853 Dentist Check $125.00 $80.00 $45.00 Seabaugh, Linda S Ste 220 8340 Mission Rd Shawnee Msn, KS 66206-1362

4/4/05 162940409 Dentist Check $125.00 $80.00 $45.00 Sheldon, Daniel V 125 E Park St

Olathe, KS 66061-3428

4/4/05 162670585 Dentist Check $125.00 $80.00 $45.00 Sheldon, Larry D 125 E Park St

Olathe, KS 66061-3428

1/27/05 162820751 Dentist Check $250.00 $205.00 $45.00 Sherwood, Cynthia E 3936 S 10th St

Independence, KS 67301-8959

Subtotal this page: Jf ~~o().o 6

Page 43 Pagetf3 of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

4/4/05 162841631 Dentist Check $125.00 $80.00 $45.00 Shortell, Thomas P 5930 Roe Ave

Mission, KS 66205-3062

2/22/05 162841087 Dentist Check $125.00 $80.00 $45.00 Siebrasse, Jon D 2300 Main St

Parsons, KS 67357-2724

3/9/05 077900332 Dentist Check $250.00 $205.00 $45.00 Small, Harold A 3 S Main St

Caldwell, KS 67022-1531

3/15105 162020072 Dentist Check $125.00 $80.00 $45.00 Smith, Grant R Ste 103 3700 W 83rd St Prairie Vlg, KS 66208-5183

1/25/05 081620679 Dentist Check $125.00 $80.00 $45.00 Smith, Ned E Jr Ste 200 4510 W 89th St Prairie Vlg, KS 66207-2292

4/4/05 162830684 Dentist Check $250.00 $205.00 $45.00 Smith, Ricky D 402 Main St

Gridley, KS 66852-9777

Subtotal this page: /1/ / ,,60.0 0 Page 44 Page'f~of 7,) Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/1/05 162720249 Dentist Check $250.00 $205.00 $45.00 Smith, Robert G Ste 103 3700 W 83rd St Shawnee Msn, KS 66208-5183

2/2/05 077750133 Dentist Check $125.00 $80.00 $45.00 Snowden, Daniel J 220 W Central Ave

Arkansas City, KS 67005-2691

1/25/05 162680998 Dentist Check $125.00 $80.00 $45.00 Squire, Charles F 555 N Carriage Pkwy

Wichita, KS 67208-4594

4/11/05 162860699 Dentist Check $125.00 $80.00 $45.00 Stalcup, Gwen 1100 W 8th St

Wellington, KS 67152-3423

4/11/05 077840413 Dentist Check $250.00 $205.00 $45.00 Stasch, Jeffrey J 1812 E Mary St

Garden City, KS 67846-3652

2/21/05 030780630 Dentist Check $125.00 $80.00 $45.00 Sterling, Kevin J 1013 Lamplighter Ln

Garden City, KS 67846-3241

Subtotal this page: <1//I OaD.O0

Page 45 PagetfS of 1.3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/26/05 030780648 Dentist Check $250.00 $205.00 $45.00 Steven, Joseph P Jr 232 N Seneca St

Wichita, KS 67203-6090

4/11/05 162680724 Dentist Check $125.00 $80.00 $45.00 Strader, Ronald D 508 N Ozark St

Girard, KS 66743-1125

1/25/05 162890836 Dentist Check $125.00 $80.00 $45.00 Stringer, John J Ste 11 4301 SW Huntoon St Topeka, KS 66604-1968

4/11/05 162851250 Dentist Check $125.00 $80.00 $45.00 Strong, Deanne A Bldg 400 404 S Edgemoor St Wichita, KS 67218-1632

3/9/05 162811436 Dentist Check $125.00 $80.00 $4500 Strutz, William C Ste 201 7070 Renner Rd Shawnee, KS 66217-3048

2/21/05 162710943 Dentist Check $125.00 $80.00 $45.00 Swain, Charles B 5638 Nieman Rd

Shawnee, KS 66203-2348

Subtotal this page: 11 175".0 b

Page 46 PageLfb of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/15/05 162910098 Dentist Check $125.00 $80.00 $45.00 Tally, J Brad 13650 Roe Blvd

Leawood, KS 66224-3757

4/11/05 162970357 Dentist Check $125.00 $80.00 $45.00 Taylor, Cathleen M Ste 115 4860 College Blvd Overland Park, KS 66211-1665

3/21/05 162670709 Dentist Check $125.00 $80.00 $45.00 Thompson, R W 10615 W 70th Ter

Shawnee, KS 66203-4123

4/4/05 162940425 Dentist Check $125.00 $80.00 $45.00 Thurlow, Lisa A 5329 W 94th Ter

Shawnee Mission, KS 66207-

1/27/05 162741287 Dentist Check $250.00 $205.00 $45.00 Tilton, Jon W Ste 320 404 S Edgemoor St Wichita, KS 67218-1632

3/21/05 162841144 Dentist Check $125.00 $80.00 $45.00 Torres, John M 651 Country Acres

Wichita, KS 67212-3439

Subtotal this page: <4[{ 7[;.o-?J Page 47 Page41of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

4/11/05 162760831 Dentist Check $125.00 $80.00 $45.00 Trotter, James B Ste B 4901 W 136th St Leawood, KS 66224-5926

4/11/05 162810743 Dentist Check $125.00 $80.00 $45.00 Twietmeyer, Rebecca L 826 Lincoln St

Cheney, KS 67025-8952

4/11/05 162811113 Dentist Check $250.00 $205.00 $45.00 Twietmeyer, Steven F 3920 W 31st St S

Wichita, KS 67217-1112

4/11/05 162840229 Dentist Check $125.00 $80.00 $45.00 Underwood, Mark L 3033 SW Villa West Dr

Topeka, KS 66614-4487

4/11/05 162801065 Dentist Check $125.00 $80.00 $45.00 Van Blaricum, Galen 3310 Mesa Way

Lawrence, KS 66049-2361

4/28/05 138610268 Dentist Check $125.00 $80.00 $4500 Van Blaricum, James W III 10481 Lake Rd

Pratt, KS 67124-8122

Subtotal this page: '%75.0 i) Page 48 Page'ff of 7J Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

4/11/05 162920625 Dentist Check $250.00 $205.00 $45.00 Vande Riet, Riki 524 S Adams St

Junction City, KS 66441-3704

4/11/05 162761475 Dentist Check $125.00 $80.00 $45.00 Vandenberg, Michael E 9226 Ptlumm Rd

Lenexa, KS 66215-3384

4/11/05 162710993 Dentist Check $125.00 $80.00 $45.00 Waitley, Norman G Ste 280 10550 Quivira Rd Overland Park, KS 66215-2375

4/11/05 162700126 Dentist Check $125.00 $80.00 $45.00 Walton, W D 920 6th Ave

Leavenworth, KS 66048-3225

4/11/05 162980067 Dentist Check $125.00 $80.00 $45.00 Warden, Stephanie M 9906 College Blvd

Overland Park, KS 66210-1756

1/26/05 162731288 Dentist Check $125.00 $80.00 $45.00 Waters, Nevin K Ste B 751 N Mur Len Rd Olathe, KS 66062-5401

Subtotal this page: :! 2175:,0 b

Page 49 Page 41 of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

3/31/05 162850153 Dentist Check $125.00 $80.00 $45.00 Watson, William R Jr 3535 E Central Ave

Wichita, KS 67208-3231

3/9/05 162820945 Dentist Check $125.00 $80.00 $45.00 Whitlow, William R 2301 N Waldron St

Hutchinson, KS 67502-1133

2/9/05 162701067 Dentist Check $5000 $50.00 $0.00 Wiksten, David V 5100 SW 28th SI

Topeka, KS 66614-2321

4/11/05 162780821 Dentist Check $125.00 $80.00 $45.00 Willis, Robert A 204 E Lincoln Ave

Wellington, KS 67152-3061

4/11/05 162711074 Dentist Check $125.00 $80.00 $45.00 Willits, Richard H Ste 201 5600 W 95th St Overland Park, KS 66207-2921

4/11/05 162880548 Dentist Check $125.00 $80.00 $45.00 Wilson, Barry P Ste 200 6299 Nail Ave Mission, KS 66202-3547

Subtotal this page: ,,(, IS". 0 0

Page 50 Page Sf) of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/1/05 030880852 Dentist Check $125.00 $80.00 $45.00 Wilson, Steven L 825 S Hillside St

Wichita, KS 67211-3005

3/9/05 130770341 Dentist Check $125.00 $80.00 $45.00 Wilson, Thomas K Ste 240 520 S Santa Fe Ave Salina, KS 67401-4190

2/9/05 162791068 Dentist Check $125.00 $80.00 $45.00 Wint, Stanley L Ste 2100 10870 Benson St Overland Park, KS 66210-1509

2/2/05 030750500 Dentist Check $125.00 $80.00 $45.00 Wisdom, Eric J 1629 Poyntz Ave

Manhattan, KS 66502-4148

4/11/05 162851143 Dentist Check $125.00 $80.00 $45.00 Woltkamp, David B Ste 201 5600 W 95th St Shawnee Msn, KS 66207-2968

2/1/05 162840279 Dentist Check $125.00 $80.00 $45.00 Wood, Robert M 2445 SW Wanamaker Rd

Topeka, KS 66614-5470

Subtotal this page: -I 7 So.o 0

Page >1 of 73 Page51 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

2/1/05 162720140 . Dentist Check $125.00 $80.00 $45.00 Wright, Ronald D Ste 204 11100AshSt Leawood, KS 66211-1764

1/26/05 162811212 Dentist Check $125.00 $80.00 $45.00 Wright, Ronald G 514 Delaware St

Hiawatha, KS 66434-2118

4/11/05 162900932 Dentist Check $125.00 $80.00 $45.00 Wuthnow, Lynn R 1615 E Iron Ave

Salina, KS 67401-3237

4/11/05 162000584 Dentist Check $125.00 $80.00 $45.00 Ysidro, Carol M 7615 Mcintosh Rd

Derby, KS 67037-2515

2/9/05 162660057 Dentist Check $125.00 $80.00 $45.00 Ziegenhorn, Dallas R 7515 Nail Ave

Shawnee Mission, KS 66208-

1/25/05 063780665 Dentist Check $125.00 $80.00 $45.00 Zivnuska, Philip S 3609 E 93rdSt N

Valley Center, KS 67147-8722

Subtotal this page: #750.0'0 Page 52 Page 5""--of73 K-D-PAC REPORT-

Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12/28/05 162860368 Dentist Check $250.00 $205.00 $45.00 Armfield, Mark H 2814 Ohio St

Augusta, KS 67010-2361

12/28/05 162870648 Dentist Check $250.00 $205.00 $45.00 Armfield, Melodee R 2814 Ohio St

Augusta, KS 67010-2361

1/5/06 162830022 Dentist Check $125.00 $80.00 $45.00 Baker, Steven R 4121 W 83rd St

Prairie Village, KS 66208-5323

1/5/06 162731428 Dentist Check $125.00 $80.00 $45.00 Barden, Ronald D 2518 W 15th Ave

Emporia, KS 66801-6173

12/21/05 162720017 Dentist Check $125.00 $80.00 $45.00 Barnes, Thomas K # 100 9390 E Central Ave Wichita, KS 67206-2565

12/21/05 138650959 Dentist Check $125.00 $80.00 $45.00 Bettin, Stanley L Family Dentistry 220 W Commercial St Lyons, KS 67554-2716

Subtotal this page: ~/ trOV,b0

Page 1 Page5~ of 73

~- Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12128105 162910410 Dentist Check $125.00 $80.00 $45.00 Blanchaert, Remy H Jr 1919 N Webb Rd

Wichita, KS 67206-3405

113106 162730248 Dentist Check $125.00 $80.00 $45.00 Boydston, Harry L Ste 322 4601 W 109th St Overland Park, KS 66211-1398

12121105 138620762 Dentist Check $125.00 $80.00 $45.00 Brown, James 0 Ste 230 4121 W 83rd 5t Prairie Vlg, KS 66208-5373

12119105 138610846 Dentist C'teck $125.00 $80.00 $45.00 Bruner, Hugh H Jr Ste 114 4860 College Blvd Overland Park, KS 66211-1665

1/6/06 077830422 Dentist Check $125.00 $80.00 $45.00 Burks, William H III 13265 Main St

Ottawa, KS 66067-3527

12/20/05 162781027 Dentist Check $125.00 $80.00 $45.00 Burton, Daniel A 2195 Hillside St

Wichita, K5 67211-2128

Subtotal this page: :j 'Z5L>.oD

Page 2 Pagesf of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/1/06 162030013 Dentist Check $125.00 $80.00 $45.00 Christensen, Kevin K 2860 S Seneca St

Wichita, KS 67217-2865

12/21/05 162970349 Dentist Check $125.00 $80.00 $45.00 Cole, Roy E 1919 N Webb Rd

Wichita, KS 67206-3405

1/5/06 030990263 Dentist Check $125.00 $80.00 $45.00 Craft, David A 511 Caroline Ave

Junction City KS 66441-5229

12f28/05 077800590 Dentist Check $125.00 $80.00 $45.00 Cramer, Lynn A Ste 265 1035 N Emporia St Wichita, KS 67214-2972

1/6/06 130540257 Dentist Check $125.00 $80.00 $45.00 Danner, Clark D 1305 Westloop PI

Manhattan, KS 66502-2841

12f28/05 162030014 Dentist Check $125.00 $80.00 $45.00 Davidson, Lindsay D Ste B 751 N Mur Len Rd Olathe, KS 66062-5401

Subtotal this page: #'f?Sb.o D

Page 3 Page~of73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/3/06 162671096 Dentist Check $250.00 $205.00 $45.00 Deeter, Kelly B 729 SW Prairie Ct

Topeka, KS 66606-2319

12/28/05 162880647 Dentist Check $125.00 $80.00 $45.00 Deutch, Michelle B Ste 326 8575 W 110th St Overland Park, KS 66210-2620

12/28/05 162790424 Dentist Check $125.00 $80.00 $45.00 Edmonds, Scott B 2949 SW Wanamaker Dr

Topeka, KS 66614-5325

1/3/06 077850587 Dentist Check $125.00 $80.00 $45.00 Edwards, Mark 4830 Quail Crest PI

Lawrence, KS 66049-3838

12/28/05 077800392 Dentist Check $125.00 $80.00 $45.00 Erickson, Mark Erickson & Gill Dentistry 122 East Lincoln Wellington, KS 67152-3045

12/21/05 162810040 Dentist Check $250.00 $205.00 $45.00 Fasbinder, John Ste 109 3700 W 83rd St Prairie Vlg, KS 66208-5186

Subtotal this page: ~600 ,l> 0

Page 4 Pag~ of ?3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/1106 138600970 Dentist Check $125.00 $80.00 $45.00 Ferson, Frank D 723 S Ohio St

Salina, KS 67401-7453

1/5/06 030940250 Dentist Check $125.00 $80.00 $45.00 Foley, Thomas J 6611 School Cir

Wichita, KS 67212-7211

12/22/05 162731452 Dentist Check $125.00 $80.00 $45.00 Fry, Robert W 12340 S Pflumm Rd

Olathe, KS 66062-9601

12/21/05 077930280 Dentist Check $250.00 $205.00 $45.00 Gagnon, John D 1919 N Webb Rd

Wichita, KS 67206-3405

1/6/06 162000534 Dentist Check $125.00 $80.00 $45.00 Gaskill, Effie N PO Box G

Hugoton, KS 679,51-1207

12/28/05 162000633 Dentist Check $125.00 $80.00 $45.00 Gill, Carissa M 122 E Lincoln Ave

Wellington, KS 67152-3045

Subtotal this page: ::1875".0 ()

Page 5 Page $7 of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/4/06 162770517 Dentist Check $125.00 $80.00 $45.00 Hamel, David L PO Box 109 1124 Pony Exp Hwy Marysville, KS 66508-0109

12/20/05 162840691 Dentist Check $250.00 $205.00 $45.00 Hamilton, Scott D 2235 SW West port Dr

Topeka, KS 66614-1945

1/5/06 077840207 Dentist Check $125.00 $80.00 $45.00 Harman, Heidi A 14247 Metcalf Ave

Overland Park, KS 66223-3367

12/28/05 151780410 Dentist Check $125.00 $80.00 $45.00 Harmon, Richard D Ste B 975 N Mur Len Rd Olathe, KS 66062-1803

12/21/05 162730644 Dentist Check $125.00 $80.00 $45.00 Harris, Michael P 218 E Fulton Ter

Garden City, KS 67846-6186

1/5/06 162841201 Dentist Check $125.00 $80.00 $45.00 Hechler, Steven L Ste 1 12800 Metcalf Ave Overland Park, KS 66213-2622

Subtotal this page: (: Z7S-bO

Page 6 Page~ of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12/21/05 162720637 Dentist Check $125.00 $80.00 $45.00 Hemberger, Glenn V Ste 310 8575 W 110th St Overland Park, KS 66210-2774

12/19/05 162860243 Dentist Check $125.00 $80.00 $45.00 Herzog, Mark A 804 E 8th St

Ellsworth, KS 67439-2535

1/1/06 162750337 Dentist Check $125.00 $80.00 $45.00 Hines, Richard A Ste 140 11237 Nail Ave Leawood, KS 66211-1639

1/5/06 050660234 Dentist Check $125.00 $80.00 $45.00 Hockett, J Anthony 4031 W 98th St

Shawnee Mission, KS 66207-

12/20/05 138640067 Deritist Check $125.00 $80.00 $45.00 Hollingsworth, John G 2814 E Central Ave

Wichita, KS 67214-4793

12/20/05 162970399 Dentist Check $125.00 $80.00 $45.00 Huerter, Gerard W Jr Suite 450 8919 Parallel Pkwy Kansas City, KS 66112-1655

Subtotal this page: ~s-o.o 0

Page 7 page$"i of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/6/06 162850385 Dentist Check $125.00 $80.00 $45.00 Hughes, Brad PO Box 580

Louisburg, KS 66053-0580

12/28/05 162791076 Dentist Check $125.00 $80.00 $45.00 Imel, Terry L 504 Main St Goodland Dental Arts Goodland, KS 67735-1842

1/1/06 162690781 Dentist Check $125.00 $80.00 $45.00 Ingram, L Ronald 105 W 4th St

Pratt, KS 67124-2698

12/19/05 077020013 Dentist Check $125.00 $80.00 $45.00 Iseman, Michael F 1270 N Pine Grove Ct

Wichita, KS 67212-5673

12/20/05 162880928 Dentist Check $125.00 $80.00 $45.00 Johnson, Frank N 1244 SW Oakley Ave

Topeka, KS 66604-1675

12/29/05 162780938 Dentist Check $125.00 $80.00 $45.00 Johnston, Bruce M Ste 202 2300 N 14th Ave Dodge City, KS 67801-2367

Subtotal this page: ~7S-D.OO

Page 8 Pageto of 23 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/6/06 162780318 Dentist Check $100.00 $100.00 $0.00 Katzer, Ronald L PO Box 147

Auburn, KS 66402-0147

1/5/06 162850335 Dentist Check $125.00 $80.00 $45.00 Kim, Dean F 16637 Midland Dr

Shawnee, KS 66217-3042

12/20/05 073870050 Dentist Check $250.00 $205.00 $45.00 Klein, Kandee K 801 N Main St

Garden City, KS 67846-5436

1/1/06 162841516 Dentist Check $125.00 $80.00 $45.00 Klein, Michael S Ste 102 8631 W 150th St Overland Park, KS 66223-2294

12/19/05 162821307 Dentist Check $45.00 $45.00 $0.00 Knapp, William L Jr PO Box 388 130 E Lincoln Ave Lincoln, KS 67455-0388

1/5/06 162880887 Dentist Check $250.00 $205.00 $45.00 Kohlhorst, Justin R 911 N Main St

Garden City, KS 67846-5400

Subtotal this page: :if S1 5:.0 () Page 9 Page'! of is Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12122105 073010804 Dentist Check $125.00 $80.00 $45.00 Krische, Matthew F 2210 Yale Rd

Lawrence, KS 66049-2647

12f20/05 030810346 Dentist Check $125.00 $80.00 $45.00 Lahey, Thomas Jr 106 N Glendale St

Wichita, KS 67208-4089

12120/05 162670105 Dentist Check $125.00 $80.00 $45.00 Landreth, Estel L 4620 E Douglas Ave

Wichita, KS 67208-3988

1/3/06 162881257 Dentist Check $125.00 $80.00 $45.00 Le, Jerry H 430 N Woodlawn St

Wichita, KS 67208-4334

12/28/05 162670121 Dentist Check $125.00 $80.00 $45.00 Lee, Vernon G 415 N Washington Ave

lola KS 66749-2352

12120f05 162791133 Dentist Check $12500 $80.00 $45.00 Lewis, William J PO Box 828

Syracuse, KS 67878-0828

Subtotal this page: s;1?s-o .0b

Page 10 Page?2. of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/5/06 162880762 Dentist Check $125.00 $80.00 $45.00 Loewen, Loren M 615 S Main St

Hillsboro, KS 67063-1592

1/3/06 162910717 Dentist Check $125.00 $80.00 $45.00 Lowe, Matthew C SteA 2711 S Rouse St Pittsburg, KS 66762-6621

1/4/06 162770864 Dentist Check $125.00 $80.00 $45.00 Manda, Edward A III 330 Maine St

Lawrence, KS 66044-1359

1/6/06 162710604 Dentist Check $125.00 $80.00 $45.00 Manuel, John L 786 N Ridge Rd

Wichita, KS 67212-3325

1/4/06 162741675 Dentist Check $125.00 $80.00 $45.00 Mayer, Don R 215 S Hillside St

Wichita, KS 67211-2196

1/4/06 070780898 Dentist Check $250.00 $205.00 $45.00 McAllister, Dennis C PO Box 207

Derby, KS 67037-0207

Subtotal this page: '" ~7S."'" Page 11 Page?3 of Z3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/5/06 162780665 Dentist Check $125.00 $80.00 $45.00 McBride, R Mike 647 Country Club Ter

Lawrence, KS 66049-2450

12/28/05 162850210 Dentist Check $125.00 $80.00 $45.00 McCullough, Pamela R 229 N Main St

Newton. KS 67114-3442

1/6/06 077970195 Dentist Check $125.00 $80.00 $45.00 McFadden, Ronda L 1133 E Kansas Ave

Garden City, KS 67846-5864

12/28/05 162970365 Dentist Check $125.00 $80.00 $45.00 McKnight, Sidney A III Ste N-5 7501 Mission Rd Prairie Vlg, KS 66208-4216

1/3/06 138640596 Dentist Check $125.00 $80.00 $45.00 Melland, John R 1529 E 30th St

Hutchinson, KS 67502

1/1/06 162980059 Dentist Check $125.00 $80.00 $45.00 Melland, Michael E 1529 E 30th St

Hutchinson. KS 67501-5566

~ Subtotal this page: 7S-0.0D

Page 12 Page -g,q.of 23 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12120/05 162790961 Dentist Check $125.00 $80.00 $45.00 Merriweather, Christopher 5201 College Blvd

Leawood, KS 66211-1624

1/4/06 142770868 Dentist Check $250.00 $205.00 $45.00 Mettman, Wendell J PO Box 207

Derby, KS 67037-0207

12122/05 162660255 Dentist Check $125.00 $80.00 $45.00 Milford, Michael L 200 W Ross Blvd

Dodge City, KS 67801-7296

12/21/05 162880423 Dentist Check $250.00 $205.00 $45.00 Minnis, Daniel N Accent Dental 2002 S Rouse St Pittsburg, KS 66762-6629

1/3/06 162730983 Dentist Check $125.00 $80.00 $45.00 Moody, Robert M 302 W 3rd St

Eureka, KS 67045-1404

12122/05 138570363 Dentist Check $250.00 $205.00 $45.00 Morrison, Robert T 1000 E 30th Ave

Hutchinson, KS 67502-4299

Subtotal this page: :$ /1 ~S-.() 0 / Page 13 Page~s- of 7..3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12/22/05 162800348 Dentist Check $125.00 $80.00 $45.00 Moxley, Mark A 825 S Hillside St

Wichita, KS 67211-3099

12/20/05 162741683 Dentist Check $250.00 $205.00 $45.00 Nelson, Kenneth W 1919 N Webb Rd

Wichita, KS 67206-3405

12/29/05 162720299 Dentist Check $250.00 $205.00 $45.00 O'Hara, Gary E 807 Prescott Rd

Salina, KS 67401-7412

12/21/05 162980356 Dentist Check $125.00 $80.00 $45.00 O'Keefe, Matthew R 7916 W 151st St

Stanley, KS 66223-2118

12/20/05 050730409 Dentist Check $125.00 $80.00 $45.00 Okerstrom, Jack G 7902 Quivira Rd

Lenexa, KS 66215-2733

12/28/05 162820568 Dentist Check $125.00 $80.00 $45.00 Oliver, N Randolph 7501 Mission Rd

Prairie Vlg, KS 66208-4217

Subtotal this page: f,f'// ~b 0 .i) 0 Page 14 Paget'- of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/3/06 162900495 Dentist Check $250.00 $205.00 $45.00 Paoni, Christopher J 106 S Ozark St

Girard, KS 66743-1530

1/5/06 010690693 Dentist Check $125.00 $80.00 $45.00 Park, William W Ste 310 404 S Edgemoor St Wichita, KS 67218-1632

12/29/05 010810788 Dentist Check $125.00 $80.00 $45.00 Parsons, David C 123 E 10th Ave

Winfield, KS 67156-3639

12/21/05 162841409 Dentist Check $250.00 $205.00 $45.00 Partridge, Gregory J 841 S Hillside St

Wichita, KS 67211-3005

12/22/05 077930305 Dentist Check $125.00 $80.00 $45.00 Peterson, Kent T 2210 Yale Rd

Lawrence, KS 66049-2647

1/5/06 162741609 Dentist Check $125.00 $80.00 $45.00 Pierce, Steven J 8615 Rosehill Rd

Lenexa, KS 66215-2867

Subtotal this page: -#"0 I; ~lJ .00

Page 15 Page {.7 of Z3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/4/06 162960621 Dentist Check $125.00 $80.00 $45.00 Pinamonti,.Gina B 2602 S Rouse St

Pittsburg, KS 66762-6632

12/22/05 116760473 Dentist Check $125.00 $80.00 $45.00 Prater, Nick A Ste 160 13095 S Mur Len Rd Olathe, KS 66062-1298

1/4/06 162930525 Dentist Check $125.00 $80.00 $45.00 Putnam, Barton W 12637 W 145th 8t

Olathe, KS 66062-7801

1/3/06 162970521 Dentist Check $125.00 $80.00 $45.00 Quillin, Diana L 401 N Woodlawn 8t

Wichita, KS 67208-4367

1/3/06 050830358 Dentist Check $125.00 $80.00 $45.00 Raben, Lucynda Ste 1, Bldg 100 8100 E 22nd St N Wichita, KS 67226-2388

12/29/05 162850260 Dentist Check $125.00 $80.00 $45.00 Richard, Michael W 2702 Campus Dr

Garden City, KS 67846-3670

Subtotal this page: F?SO.Db Page 16 Page~ of 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12/19/05 162841160 Dentist Check $125.00 $80.00 $45.00 Rosenberg, Joseph 0 307 E 3rd Ave

Saint John, KS 67576-2014

12/20/05 030830104 Dentist Check $125.00 $80.00 $45.00 Rospond, Steven F 620 N Georgie Ave

Derby, KS 67037-1724

12/21/05 081620679 Dentist Check $125.00 $80.00 $45.00 Smith, Ned E Jr Ste 200 4510 W 89th St Prairie Vlg, KS 66207-2292

1/5/06 162860699 Dentist Check $125.00 $80.00 $45.00 .Stalcup, Gwen 1100W 8th St

Wellington, KS 67152-3423

1/6/06 030780630 Dentist Check $125.00 $80.00 $45.00 Sterling, Kevin J 1013 Lamplighter Ln

Garden City, KS 67846-3241

1/4/06 030780648 Dentist Check $250.00 $205.00 $45.00 Steven, Joseph P Jr 232 N Seneca St

Wichita, KS 67203-6090

Subtotal this page: ..?"J" 7 S . .:>1>

Page 17 Page010f 73 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12/21/05 142761099 Dentist Check $125.00 $80.00 $45.00 Stevens, Roger L 1110 Westport Dr

Manhattan, KS 66502-2859

12/29/05 162741287 Dentist Check $250.00 $205.00 $45.00 Tilton, Jon W Ste 320 404 S Edgemoor St Wichita, KS 67218-1632

1/3/06 162820906 Dentist Check $125.00 $80.00 $45.00 Toombs, Kelly H Ste 215 3700 W 83rd St Shawnee Msn, KS 66208-5120

1/1/06 162841144 Dentist Check $125.00 $80.00 $45.00 Torres, John M 651 Country Acres

Wichita, KS 67212-3439

12/20/05 030780698 Dentist Check $125.00 $80.00 $45.00 Troilo, Mark P PO Box 98

Rose Hill, KS 67133-0098

12/19/05 077750042 Dentist Check $250.00 $205.00 $45.00 Troyer, Dean A Ste 2 4301 SW Huntoon St Topeka, KS 66604-1964

Subtotal this page: 7( / () tJO. (; b

Page 18 Page 7D of 7...3 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

1/5/06 162810743 Dentist Check $125.00 $80.00 $45.00 Twietmeyer, Rebecca L 826 Lincoln St

Cheney, KS 67025-8952

12/22/05 162050081 Dentist Check $125.00 $80.00 $45.00 Van Horn, Keith D AptJ2 2600 W 6th St Lawrence, KS 66049-4322

12/22/05 162670858 Dentist Check $125.00 $80.00 $45.00 Wiklund, Theodore P III 2210 Yale Rd

Lawrence, KS 66049-2647

1/3/06 130690424 Dentist Check $250.00 $205.00 $45.00 Williams, Bernard T Ste 225 4601 W 109th St Leawood, KS 66211-1315

12/20/05 162930583 Dentist Check $250.00 $205.00 $45.00 Wilson, Donald C 2235 SW Westport Dr

Topeka, KS 66614-1945

1/6/06 030750500 Dentist Check $125.00 $80.00 $45.00 Wisdom, Eric J 1629 Poyntz Ave

Manhattan, KS 66502-4148

Subtotal this page: ;tj O~O .DD / Page 71 of 73 Page 19 Occuptaion Type Of Pay K-D-PAC AND PAC K-D-PAC ADPAC

12/21/05 162860681 Dentist Check $125.00 $80.00 $45.00 Witcher, Grant 4355 Harbour View Rd

Manhattan, KS 66503-9021

12/20/05 162760774 Dentist Check $125.00 $80.00 $45.00 Wright, M Dean Bldg 301- Cambridge Family 2020 N Webb Rd Wichita, KS 67206-3410

1/6/06 162720140 Dentist Check $125.00 $80.00 $45.00 Wright, Ronald D Ste 204 11100 Ash St Leawood, KS 66211-1764

Subtotal this page: <#'-""~7 SD D

Page 20 Page 7~ of 73 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

~~n5as DentilPglitic~l Action Committee (Name of Candidate, Party Committee or PoliticalCommittee)

Check Amount of Date I Name and Address Cash, Check, of Contributor I OccupationofIndividual I Appropriate Box Loan or Giving More Than $150 I Cash Check Loan Other Other Receipt I I I

9 / 8 / 0 5 Ir1e 1 VinN e u f e 1 d I I I n I 7405 15 Rd Ingalls, KS 67853 Legislator 100.00 10/4/05 James Morrison #3 Cottonwood Dr

PO\. Box." 366 h g i, s 1 a -t q:-- 67701 I I I )< I I I 1 11/21/0 JCODoug1bv:.MaysKS 1920 SW Damon Ct Topeka, KS 66611 Legi'slator 250.00 11/21/0 Clay Aurand RR 1 - Box 151

Courtland, KS I x 66939 Legislator I J I I I 250.00

750.00

Complete if last page of Schedule A

Total Itemized Receipts for Period Total Unitemized Contributions ($50 or less) Sale of Political Materials (Unitemized) Total Contributions WhenContributorNotKnown

:t~wlw:;::I ,:::::::::::::::::::::::::.::.§::1.gliitii::.:~:tI11;I!llI::::t;t:fItt::t:t::::::ii;I:::j:i:::::~::::~:::t::::t:t:i:imtj:t;~~1t:ttt:tj::::ijtIi::j:tttt~tit:::::~::t::::::i.::~:;i::::::i:::i::;i:)::::::::titti,::t~::i:i::::tF. 'i t "i7"i n n Page~of 73 SCHEDULEB IN-KIND CONTRIBUTIONS

K~n5~5 nent~l Pnliticel Action 'Committee (Name of Candidate, Party Committee or Political Committee)

Name, Address and Occupation Date of Contributor Description of Value of List occupation for those giving In-Kind In-Kind an in-kind more than $150 Contribution Contribution

0.00

Complete if last page of Schedule B

Total Itemized (over $50) In-Kind Contributions

Total Unitemized ($50 or less) In-Kind Contributions

':~:_181~.jll__1111111Iiil:':::::::::::...:.:.:.:.::::...;;':;:'illlilil~!lit~~lilil~i~i~:;!:I11i:!;;!:i:~~::~::~~11:1:;~!!~I:II::~!::::!j:::::~;~:;!:j:I::i::::::::~::~:;:;i:I:: n

Page-1- of~ 10:31 AM Kansas Dental Political Action 01/06/06 Schedule C January through December 2005

Date Payment Name Name Address Memo Amount

Campaign Contributions 03/28/2005 Check Legislative Victory Fund PO Box 2083 Topeka, KS 66601 Camp Cant 500.00 08/16/2005 Check Kansans for Praeger POBox 1001 Topeka, KS 66601 Camp Cant 500.00 08/26/2005 Check Grant/Mengini Golf Classic 407 W Magnolia St Cherokee, KS 66724 Camp Cant 500.00 08/31/2005 Check Pyle for Senate Committee 2979 Kingfisher Rd. Hiawatha, KS 66434 Camp Cant 250.00 09/21/2005 Check Lana Gordon for State Representative 5820 S W 27th SI. Topeka, KS 66614 Camp Cant 250.00 09/21/2005 Check Kansas for a Democratic House POBox 2083 Topeka, KS 66601 Camp Cant 250.00 09/21/2005 Check Kansans for Derek Schmidt POBox 747 Independence, KS 67301 Camp Cant 250.00 09/21/2005 Check Tom Holland for Kansas POBox 165 Baldwin City, KS 66006 Camp Cant 250.00 09/21/2005 Check Committee to Elect Annie Kuether 1346 S W Wayne Ave Topeka; KS 66604-2606 Camp Cant 250.00 09/21/2005 Check Ruth Teichman for Senate 434 E Old Hwy 50 Stafford, KS 67578 Camp Cant 250.00 09/21/2005 Check Laura Kelly for Senate 234 SW Greenwood Ave Topeka, KS 66606 Camp Cant 250.00 09/21/2005 Check Sharp for Kansas 7820 Mullen Rd Lenexa, KS 66216 Camp Cant 250.00 09/21/2005 Check Republican House Campaign Committee 2025 S W Gage Blvd. Topeka, KS 66604 Camp Cant 250.00 09/21/2005 Check O'Maliery for State Representative 4804 W 57th SI. Roeland Park, KS 66205 Camp Cant 200.00 09/21/2005 Check Chris Steineger for Senate 51 South 64th St Kansas City, KS 66111-2002 Camp Cant 250.00 09/28/2005 Check Doug Mays for House of Representatives 1920 SW Damon Ct Topeka, KS 66611 Camp Cant 500.00 10/13/2005 Check Bamett for Govenor 1400 Lincoln Emporia, KS 66801 Camp Cant 500.00 11/09/2005 Check Eric Carter For Insurance Commissioner 14340 Mackey St Overland Park, KS 66223 Camp Cant 250.00 11/10/2005 Check Kansans for Kay Wolf 4011 W 87th St Prairie Village, KS 66207 Camp Cant 200.00 11/10/2005 Check Weber for State Representative 405 E Lewerenz Herington, KS 67449 Camp Cant 200.00 11/10/2005 Check Peck for Kansas Representative PO Box 251 Tyro KS 67364 Camp Cant 200.00 11/10/2005 Check Ralph Ostmeyer for Senate 602 SJefferson PO Box 97 Grinnell, KS 67738 Camp Cant 250.00 11/10/2005 Check Tom Thull for State Representative 300 Campus Ct North Newton, KS 67117 Camp Cant 200.00 11/10/2005 Check Pat Apple for Senate 28230 New Lancaster Rd Louisburg, KS 66053 Camp Cant 250.00 11/10/2005 Check Mike O'Neal for House of Representatives 8 Windemere Ct Hutchinson, KS 67502 Camp Cant 200.00 11/10/2005 Check Jason Watkins for HOR 6525 Northwind Wichita, KS 67205 Camp Cant 200.00 11/10/2005 Check Marti Crow for House of Representatives 1200 S Broadway Leavenworth, KS 66048 Camp Cant 200.00 11/10/2005 Check Louis Ruiz for Better Govemment 2914 W 46th Ave Kansas City, KS 66103 Camp Cant 200.00 11/10/2005 Check Mario Goico for House of Representatives 1254 N Pine Grove Ct Wichita, KS67212 Camp Cant 200.00 11/10/2005 Check Kansas Republican Senatorial Committee PO Box 2663 Topeka, KS 66601 .. Camp Cant 1,000.00 11/10/2005 Check The Senate Democrats PO Box 1811 Topeka, KS 66601 Camp Cant 1,000.00 11/10/2005 Check Willa DeCastro for HOR 4515 Pattie Wichita, KS 67216 Camp Cant 200.00 11/10/2005 Check Pat Colloton for House of Representatives 2513 West 118th St Leawood, KS 66211 Camp Cant 250.00 11/10/2005 Check Ed Trimmer for State Representative 1402 E 9th St Winfield, KS 67156 Camp Cant 200.00

Subtotal this page: -# /D,6.sV. b't\

Page J of l-f. 10:31 AM Kansas Dental Political Action 01/06/06 Schedule C January through December 2005 Date Payment -Name Name Address Memo Amount 11/10/2005 Check Ann Mah for House of Representatives 3351 SE Meadowview Dr Topeka, KS 66605 Camp Cant 200.00 11/10/2005 Check Sydney Carlin for HOR POBox 32 Manhattan, KS 66505 Camp Cant 200.00 11/10/2005 Check Judy Morrison for HOR 10323 West 69th St Shawnee, KS 66203 Camp Cant 200.00 11/10/2005 Check Clay Aurand for House of Representaliaves RR1, Box 151 Courtland, KS 66939 Camp Cant 250.00 11/10/2005 Check Mark Treaster for House of Representative 8908 W Fountain Green Rd Pretty prairie, KS 675 Camp Cant 200.00 11/29/2005 Check Jim Barnett for Govenor 1400 Lincoln Emporia, KS 66801 Camp Cant 1,000.00 11/29/2005 Check Kansans for Praeger POBox 1001 Topeka, KS 66601 Camp Cant 1,000.00 12/14/2005 Check Trent LeDoux for Senate 719 W 4th St Holton, KS 66436 Camp Cant 200.00 12/14/2005 Check Mike Burgess for House of Representatives 2610 SW Gainsboro Topeka, KS 66614 Camp Cant 200.00 12/14/2005 Check Jim Barone for Senate 611 W Leighton Frontenac, KS 66763 Camp Cant 250.00 12/14/2005 Check Kevin Yoder for House of Representatives 6618 West 91st #242 PO Box 122333 Overland Pf Camp Cant 200.00 12/14/2005 Check Paul Davis for HOR 900 Massachusetts Ste 601 Lawrence KS 66044 Camp Cant 200.00 12/14/2005 Check Barbara Ballard for Representative 1532 Alvamar Drive Lawrence, KS 66047 Camp Cant 200.00 12/14/2005 Check Gary Hayzlett for House of Representative 308 E Russell Rd PO Box 66 Lakin, KS 67860 Camp Cant 200.00 12/14/2005 Check Larry Powell for House of Representative 2209 GrandvieWEast Garden City, ,KS 67846 Camp Cant 200.00 12/14/2005 Check Terry Bruce for Senate 401 East Sherman Hutchinson, KS 67501 Camp Cant 250.00 12/14/2005 Check Patricia Kilpatrick for HOR 10668 West 115th St Overland Park, KS 66210 Camp Cant 200.00 12/14/2005 Check Kansans for Colyer 7001 W 121st St, Ste 101 Overland Park, KS 6621Camp Cant 250.00 12/14/2005 Check Vicki Schmidt for Senate 2619 SW Randolph Ct Topeka, KS 66614 Camp Cant 250.00 Total Campaign Contributions 16,300.00

Subtotal this page: II>$~DI .00

Page;t of 'f SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Konsas Dental Political Action Committee (Name of Candidate, Party Committee or Political Committee)

Date -Name and Address Purpose of Expenditure Amount or Disbursement

1/28/05 KLEAR: 827 S W To p'ek a~ B 1 V d Topeka, KS Sponsorship $ 1,000.00 2/16/05 Bank of America 5325 St~ 21st St T6peka,KS 66604 Bank Service Charge 20.57

.3/31/05 Bank of America 5325 SW 21st St Topeka, KS 66604 Bank Service CHarge 11.80 4/15/05 A~erican Dental Polit~cal Action C.ommittee Disbursement of funds 1111.14thSt; NH;. #1100 collected 1/1/05 - Wa~hinqton,DC 20005 3/31/05 1 4/30/05 Bank of America 5325 SW 21st St Topeka, KS 66604 ,Bank Service Charge 12.95 5/31/05 Bank of America 5325 SW 21st St Topeka, KS 66604 Bank Service Charge 4.80

6/17/05 Kansas Governmental Ethics Commission 109 W 9th St, Ste 504 To.peka, KS 66612 PAC Registration Fee 240.00 7/1/05 Am~rican Dental Political Action Committee Disbursement of funds 1111 14th St, NW #1100 collected 4/1 - 6/30i05 Washington, DC 20005 2,655.00

$ 14,970.12

Complete if last page of Schedule C

Total ItemizedExpenditures ThisPeriod

Total UnitemizedExpenditures of $50 or less

T.OT EXPENDlTIJRES & OTIIER DISBURSEMENTS TIns PERIOD (to line 4 of Summary) Page-6 ofL SCHEDULEC EXPENDITURESANDOTHER DISBURSEMENTS

Knn~n~ npntnl Pnlitir.nl Ar.tinn rommittpp (Name of Candidate, Party Committee or Political Committee)

Date Name and Address Purpose of Expenditure Amount or Disbursement

12/30/0 American Dental Political Action Commi'ttee Disbursement of funds 1111 14th St, NW, #1100 collected 6/30 - 12/30/0 Washington, DC 20005 0135.00 12/31/0 American Dental Political Acti,gn Committee Disbursement of funds 111J ."J4.,tb.,,:~;t) Nlf;;JfJ:lnO~' c@f;rE;:cte~;'12r:l:;9<~J,213.JIO 5 Washiriqton. be . ~aaa5 5. 1

Complete if last page of Scbedule C

Total ItemizedExpenditures ThisPeriod .r; r:;gn 1/' Total UIlitemizedExpenditures of $50 or less

'fOT EXPENDITURES & OTHER DISBURSEMENTS TInS PERIOD (to line 4 of Summary) $ 36,580.12 Page-i- of-i- SCHEDULE D OTHER TRANSACTIONS

(Name of Candidate, Party Committee or Political Committee)

Date Name and Address Nature of Account or wan Balance at Payable or wan Receivable Close of Period

I TOTAL OTHER TRANSACTIONS (to line 7 of Summary) [ Page_of-