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Kansas Governmental Ethics Commission Ceipts And b- Reset pa57 KANSAS GOVERNMENTAL ETHICS COMMISSION CEIPTS AND EXPENDITURES REPORT \OF A POLITICAL OR PARTY COMMITTEE October 30,2006 FILE WITH SECRETARY OF STATE E REVERSE SIDE FOR INSTRUCTIONS A.'w- Name of Committee: Kansas Optometric Political Action Committee Address: 1266 SW Topeka Blvd. City and Zip Code: Topeka, KS 66612 This is a (check one): Party Committee 4 Political Committee B. Check only if appropriate: Amended Filing Termination Report C. Summary (covering the period from July 21,2006 through October 26,2006) 1. Cash on hand at beginning of period .......................................................................... $29,134.68 2. Total Contributions and Other Receipts (Use Schedule A) ........................................ $6,171.34 3. Cash available this period (Add Lines 1 and 2) .......................................................... $35,306.02 4. Total Expenditures and Other Disbursements (Use Schedule C) .............................. $25,250.00 5. Cash on hand at close of period (Subtract Line 4 from 3) ........................................... $10,056.02 6. In-Kind Contributions (Use Schedule B) ......... -0- 7. Other Transactions (Use Schedule D) .............. -0 - D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document onally filing a false document is a class A misdemeanor." 10-27-06 Date GEC Form Rev, 2001 -= Print Page SCHEDULE A CONTFUBUTIONS AND OTHER RECEIPTS KANSAS OPTOMETFUC POLITICAL ACTION COMMITTEE DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 37-21-06 U.S. Bank Interest Topeka, KS 37-2 1-06 Dr. Greg Joyce Optometrist Check Box 1216 El Dorado. KS 67042 37-21-06 Dr. Roger Joyce Optometrist Check Box 1216 El Dorado. KS 67042 37-21-06 Dr. Jim Johnson Optometrist Check 1820 S. Ohio Salina. KS 67401 37-26-06 Dr. M.D. Torrence Optometrist Check 314 W. 1st Avenue Hutchinson. KS 6750 1 37-26-06 Dr. L.E. Mogel Optometrist Check 34 Linksland Dr. Hutchinson. KS 67502 37-26-06 Dr. H.L. Bumgardner Optometrist Check $125.00 2205 S. Seneca Wichita. KS 672 13 37-26-06 Dr. Robert Nelson Optometrist Check $62.50 437 N. Tyler Wichita. KS 67212 37-26-06 Dr. Craig Newland Optometrist Check $125.00 501 Main Parsons, KS 67357 37-26-06 Dr. Wayne Gilmore Optometrist Check 501 Main Parsons, KS 67357 37-27-06 Dr. Rebecca Sparks Optometrist Check $62.50 PO Box 326 Derby, KS 67037 17-28-06 Dr. F. Rodney Copeland Optometrist Check $62.50 12405 Central Avenue 1 l~odgeCity, KS 6780 1 Subtotal This Page $1,058.13 1 Page 1 of 4 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 07-28-06 Dr. Bill Whitesell Optometnst Check $50.00 21 900 S.Webster, Suite B Spring Hill, KS 66083 07-28-06 Dr. Larry Washburn Optometrist Check $62.50 PO Box 747 Colby, KS 67701 08-03-06 Dr. Scott Landes Optometrist Check $62.50 1710 S. Hillside Wichita, KS 6721 1 08-03-06 Dr. John Volosin Optometrist Check $100.00 1851 N. Webb Road Wichita, KS 67206 08-04-06 Dr. Lewis LaPierre Optometrist Check $125.00 2069 S. Ohio Salina, KS 67401 08-07-06 Dr. Mike Hattan Optometrist Check $500.00 Box 357 Hays, KS 67601 38-07-06 Dr. Jan Turnbull Hageman Optometrist Check $250.00 PO Box 1314 McPherson, KS 67460 08-07-06 Dr. Tamrny Odle Goering Optometrist Check $250.00 PO Box 1314 McPherson, KS 67460 38-14-06 Dr. Randall Pohlenz Optometrist Check $25.00 2144 SW 36th Street Topeka, KS 6661 1 38-14-06 U.S. Bank Interest $4.62 Topeka, KS 38-1 6-06 Dr. Randall Holloway Optometrist check $25.00 4 S. National Fort Scott, KS 66701 38-24-06 Dr. Tom Leonard Optometrist Check $125.00 191 1 Gage Blvd. Topeka, KS 18-28-06 Dr. Michael Deutscher Optometrist Check $100.00 8 121 E. Old Mill Court Wichita, KS 67226 Subtotal This Page $1,679.62 Page 2 of 4 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 08-29-06 Dr. Steven Bryant Optometrist Check 119 W. 7th Concordia. KS 66901 08-3 1-06 Dr. Ronald Fiegel Optometrist Check 2230 N. Ridge Road, Suite E Wichita, KS 67205 09-01 -06 Dr. Jerry Akers Optometrist Check PO Box 738 Hays, KS 67601 09-07-06 Dr. R. Kay Driver Optometrist I Check 306 E. 6th Goodland. KS 67735 09-1 1-06 Dr. William Crawford Optometrist 961 6 Glenwood St. I Check Overland Park, KS 66212 09-14-06 Dr. Chad Premer Optometrist Check 2201 16th Street Great Bend. KS 67530 09-14-06 U.S. Bank Interest Topeka, KS 09-29-06 Dr. Travis Sharpe Optometrist I Check 2069 S. Ohio Salina, KS 67401 10-06-06 Dr. Julie Toon Optometrist Check 81 18 E. Douglas, Ste. 107 Wichita. KS 67206 10-06-06 Dr. David Reynolds Optometrist Check 465 Deer Creek Run --- --- Deerfield Beach, FL 33442 10-07-06 Dr. Jerry Leopold 915 N. Main McPherson, KS 67460 10-11-06 Rep. Annie Kuether Legislator I check - return 1346 Southwest Wayne I of excess Topeka, KS 66604 contribution 10-16-06 U.S. Bank Interest Topeka, KS Subtotal This Page $1,933.59 Page 3 of 4 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE NAME AND CHECK AMOUNT lDATE I ADDRESS OR CASH OF CONTRIBUTOR 10-24-06 Dr. Greg Joyce Optometrist Check $125.00 Box 1216 El Dorado, KS 67042 10-24-06 Dr. Roger Joyce Optometrist Box 1216 El Dorado, KS 67042 10-24-06 Dr. Chris Banninger Optometrist Check $62.50 1000 E. Cloud Salina. KS 67401 10-24-06 Dr. David Cooper Optometrist Check 1000 E. Cloud Salina, KS 67401 10-25-06 Dr. Wayne Gilmore Optometrist Check 501 Main Parsons, KS 67357 10-25-06 Dr. Craig Newland Optometrist Check 501 Main Parsons, KS 67357 10-25-06 Dr. Mike Malone Optometrist Check 2144 SW 36th St., Ste. 1 Topeka, KS 6661 1 10-25-06 Dr. Mark Noms Optometrist Check 2301 Tenth Avenue Leavenworth, KS 66048 10-25-06 Dr. Kyle Kelly Optometrist Check 2301 Tenth Avenue Leavenworth, KS 66048 10-26-06 Dr. M.D. Torrence Optometrist Check 314 W. 1st Avenue Hutchinson, KS 67501 10-26-06 Dr. H.L. Bumgardner Optometrist Check $125.00 2205 S. Seneca Wichita, KS 672 13 Subtotal This Page $1,500.00 l~otalItemized Receipts for Period 1 $ 6,171.34 Total Unitemized Contributions ($50 or Less) $ TOTAL RECEIPTS THIS PElUOD (to line 2 of Summary) $ 6,171.34 Page 4 of 4 SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS KANSAS OPTOMETRIC POLITICAL ACTION COlMMITTEE -- DATE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT RHCC Fund Raiser 500.00 2025 SW Gage Blvd. Topeka, KS 66604 Barnett for Governor Fund Raiser 2,000.00 Box 1937 Emporia, KS 66801 Phil1 Kline for Attorney General Fund Raiser 1000.00 PO Box 4026 Toveka, KS 66604 Sandy Praeger Fund Raiser 500.00 PO Box 1001 Topeka, KS 66601 Ron Thornburgh campaign contribution 500.00 PO Box 4872 Topeka, KS 66604 Kathleen Sebelius for Governor campaign contribution 2,000.00 PO Box 4302 Topeka, KS 66604 Dave Crum for State Rep. campaign contribution 500.00 2323 N. Ohio Street Augusta, KS 670 10 Mike O'Neal for Sate Rep. campaign contribution 500.00 8 Windemere Court Hutchinson, KS 67502 Marti Crow for State Rep. campaign contribution 250.00 1200 S. Broadway Leavenworth, KS 66048 Bonnie Huy for State Rep. campaign contribution 1142 S. Governeour Court Ray Menick for State Rep. campaign contribution 500.00 6874 W. 164th Terrace Stilwell, KS 66085 Brenda Landwehr for State Rep. campaign contribution 1 500.00 2837 N. Edwards Street Wichita, KS 67204 Sydney Carlin for State Rep. campaign contribution 200.00 PO Box 32 Manhattan. KS 66502 Subtotal This Page $9,450.00 Page 1 of 6 KANSAS OPTOMETRIC POLITICAL ACTION COMlMITTEE DATE NAME AND ADDRESS PURPOSE OF EXPEhDITURE AMOUNT OR DISBURSEMENT 9-22-06 Mark Treaster for State Rep. campaign contribution 200.00 8908 W. Fountain Green Road Prettv Prairie. KS 67570 9-22-06 Bill Feuerborn for State Rep. campaign contribution 1 1600 Park Road Garnett, KS 66032 9-22-06 Josh Svaty for State Rep. campaign contribution 250.00 1606 Avenue JJ Ellsworth.,- KS 67439 9-22-06 Dale Swenson for State Rep. campaign contribution 250.00 3351 S. McComas Wichita. KS 672 17 9-22-06 Bill Otto for State Rep. campaign contribution 250.00 102 9'h LeRoy, KS 66857 9-22-06 Deena Horst for State Rep. campaign contribution 250.00 920 South Ninth Salina, KS 67401 9-22-06 Kay Wolf for State Rep. campaign contribution 250.00 8339 Roe Avenue Prairie Village, KS 66207 9-22-06 Lee Tafanelli for State Rep. campaign contribution 250.00 7075 122"~Street Ozawkie, KS 66070 9-22-06 Judy Morrison for State Rep. campaign contribution 250.00 10323 W. 6gthStreet Shawnee Mission, KS 66203 9-25-06 Tom Hawk for State Rep. campaign contribution 250.00 3 1 15 Harahey Ridge Manhattan, KS 66502 9-25-06 Lance Kinzer for State Rep. campaign contribution 250.00 12549 S. Brougham Olathe, KS 66062 9-25-06 Ted Powers for State Rep. campaign contribution 250.00 1492 N. Powers Drive Mulvane, KS 67 1 10 9-25-06 Geraldine Flaherty for State Rep. campaign contribution 200.00 18 16 Fernwood Wichita. KS 672 16 Subtotal This Page $3,400.00 Page 2 of 6 WTSASOPTOMETRIC POLITICAL ACTION COMMITTEE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT campaign contribution 7001 W.
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