OCT 8 6 October 26, 2020 SCOTT SCHWAB Segfibtary of STATE FILE with SECRETARY of STATE SEE REVERSE SIDB for INSTRUCTIONS

KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMMITTEE OCT 8 6 October 26, 2020 SCOTT SCHWAB SEGfiBTARy OF STATE FILE WITH SECRETARY OF STATE SEE REVERSE SIDB FOR INSTRUCTIONS

., Kansas Hospital Association Political Action Committee

Address: ^SESths-t

City and Zip Code: Topeka'66601

This is a (check one); Party Committee Political Committee

B. CJieck only if appropriate: Amended Filing Termioatton Report

C, Summary (covering the period from July 24,2020 fhrougli October 22,2020) 1. Cash on hand at beginniug of period 68,104.41

1. Total Contributions and Other Receipts (Use Schedule A) 24,220.12

3. Cash available this period (Add Lines 1 and 2) 92,324.53

4. Total Expenditures and Other Disbursements (Use Scliedule C) 32,571.93

5. Cash on hand at close of period (Subtract Line 4 fi'oni 3) 59,752.60

6. Jjn-Kmd Ccmtubutious (Use SclieduleB) ,. 547.60

0,00 7. Other Transactions (Use Schedule D) ...,.....,„.,

D. "I declare fhat this report, iacluding any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is tme, correct and complete, I understand that the intentional failure to file this document or intentionally Jpiyg a false^oetu.n^nt is a class A misdemeanor."

W-t^-tb 6ate Signature of Treasurer

GEC Form Rev, 2020 SCHEDULE A CONTmBTHTONS AND OTHER RECEIPTS

Kansas Hospital Association Political Aclloil Committee (Name of Party Committee or Political Committee)

Occupation & Industry o{ Check Amount of Name and Address Individual Giving More Appropriate Box Cash) Check, Date of Contributor Than $150 Loan or Other CaA Clicclr Loau Efaads Otlier Receipt

Ms, Tammy Peterman RN, MS President, Kansas City Division EOO.CO 5101 W. 01st Street University of Kansas Health 7/29/2020 Prairie Village, KS 66208-4920 System, The ^

Ms. Dartene Stone SVP & CHRO •i&a.oo 5714LongteafDr, Stormont Vail Health 7/29/2020 Lawrence, KS 66049-5802 7

Ms. Jlll R. Straub Health Information Management 160.00 5200 NW 44th St. Director 7/29/2020 Topeka, KS 6S616-3405 Stormoni Vail Health y

ii/icky McGrath 1UO.OO z-11 w. m Stormonl Vail Health 8/3/2020 Auburn, KS 66402-9477 ^

Ms, Judy Corzine Adminlstraiive Director and Chief eoo.oo 3621 SWWoodvaltey Place Information Offi 8/11/2020 Topeka, KS 66614-3536 Stormont Vail Health y

Mrs. Terrl Gehring Vice President Operations 100.CO McPherson Hospital 8/11/2020 1993 Arrowhead Road Moundrldge, KS 67107-7498 y

Larry W. Lane Director 100.CO G/11/2020 282'INWHalfdayPI. Stormont Vail Health Topeka,KS6S618-1649 >/

Mr. Robert Langland Senior Vice President and Chief 500.03 8/11/2020 4417 SE Oak Bend Dr. Financial Officer Topeka, KS 66609-9508 Stormont Vail Health ^

Dr. Steve Schwarting MD Msrnber, Board of Trustees 200.CO 8/11/2020 1862 Indy Road Memorial Health System a.bllene, KS 67410-6362 y

Ms, Debra L. Yociim Vice President, Clinical Services MO.CO 8/11/2020 5045 SE 10th StormontValI Health recumaeh, KS 66542-9426 y

3r. Rob Kenagy MD President and Chief Executive i,coo.(» 8/12/2020 '20 S, Kansas Ave. Apt. 300 Officsr ropeka, KS 66603-388S StormontVall Health y

3.SCO.OO

Page of SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Hospital Association Political Action Committee (Name of Party Committee or Political Committee)

Occupation & Industry of Check Amount of Name and Address Individual GivhigMore Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Oxck LQBH B ftimty Other Receipt

\te. Amy Klncado Adm. Director, Contlnlum of Care 100.00 2S16 SW Chauncay Dr. Stormont Vail Hcallh 8/19/2020 Fopeka, KS 66614-4952 /

\/ls, Gsnny L, Nicholas Vice President. Government 2(i0,00 1001 West 58th Street Relations 8/19/2020

Ws, Shannan Flaoh Chief Executive Officer 2EO.OO 21749 Ptowboy Rd. Klngman Community Hospital 8/2-1/2020 Paxteo, KS 66526-9256 /

Suallty Hgallhcare Comm'rttBe for Psrenl Organization 850.00 PO Box 144 8/2/2020 Jefferson CKy, MO 65102-0144 /

Suality Healthcare Comffllttss for Parent Organization 260.00 ?0 Box 144 9/2/2020 Jefferson City, MO 66102-0144 /

Quality Heallhcare CommitteB for Parent Organization 260,1)0 9/2/2020 PO Box 1-14 Jefferson City, MO 66102-0144 /

Mrs. Carrie L. Saia BSN, MSM Chief Executive Officer 350.00 9/3/2020 SS53110ThRd Holton Community Hospital Delta, KS 66418-9536 /

Mr. Leslie Lacy 150.00 9/4/2020 1,'5-IORoadS Great Plains Heallh Alliance. Inc. Saint Frands, KS G77G6-0547 /

Wostey Hoyt 200.00 9/9/2020 200 Buckskin Road Hutchlnson Regional Medical Hulchinson, KS 675D2-4407 Center /

Mr. Dallas A Polsn Chief of Public Policy Strategy 360.00 9/10/2020 5401 West 101 st Terrace Children's Mercy Hospital Kansas Ovorland Park, KS 68207-3')27 CKy /

:!KS^^S^7iiSiS^^!ffisSiSWKSSSS^^ 5,600.00

Page of SCHEDULE A CONTRIBUTIONS AND OTHER RECTEIPTS

Kansas Hospital Association Political Acllon Committee (Name of Party Committee or Political Committee)

Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Uiite of Contributor Than $150 Loan or Other Casli Cfamk JLortn Etunds Other Receipt

Kansas Good Government Fund HCA State PAC to PAC transfer 1,OOO.CO 215 SE 8th HCA Kansas Good Governmsnt 31U12020 Topeka, KS 68603-3906 Fund ^1

Kansas Good Government Fund HCA State PAC to PAC transfer I.OOO.flO 215 SE 8(h HCA Kansas Good Govsmment 9/14/2020 Topeka, KS 66603-3906 Fund ^1 Kansas Good Govsminent Fund HCA State PAC to PAC transfer 500.00 215 SE 8th HCA Kansas Good Governmsnt 9/14/2020 Tupeka, KS 66603-390B Fund ^1

Sundowar Chapter HFMA Profesislonal Assoclalton 6CO.CO PO Box 2198 Sunflower Chapter HFMA 9/14/2020 WlchHa.KS 67201-2196 ^1

Kansas Hospital Auxiliaries of Volunteers Professional 100.00 1449 North High Drive Assoriation 9/-14/2020 McPherson. KS 67<)60-2107 ,1

Mr. Eldon Kospks Chief Financial Officer 1CO.BO 9/14/2020 300 S, Nebraska Ave. SS Mltchell County Hospital Health Uinden, NE 68959-2302 Systems ,1

Ms. Laralne Gengter Chief Financial Officer 1Cfl,OD 8/16/2020 W Cedar Circle Lindsborg Community Hospllat Llndsborg, KS 67456-2328 ^\

Mr, Elgln Glanzer Chief Financial Officer 31W.OO 9/16/2020 1G02 Park Placed Memorial Health System Wens, KS 67410-2163 /!

Us. Beth Hedborg RN Director Nursing •I 00.00 9/16/2020 2570 1st Ave, Lindsborg Community Hospital Marquelte, KS 67464-8810 ^1

Mr. Paul D, Kemplnski Chief Executive Officer 600.CO 8/16/2020 t813W.148

nr. Larry VanDerWege ^dmln(^tralor soo.fla 9/16/2020 r43 Diamond Or, -Indsborg Community Hospilal -indsborg, KS 67456-2328 ^1 SHIilllifiiti! iiSiSSSiSiS 4.700.CO

Page, of SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Hospital Association Political Action Commlllee (Name of Party Committee or Political Committee)

Occupation &. Indush'y of Check Amount of Name nnd Address Individual Giving More Appropriate Box Casli, Check, Date of Contributor T&au SI50 Lonn or Other Cash Cb&clt Lortu E funds Olhu Receipt

^lr, Jeramy Armstrong FACHE 3hief Executive Officer 100.00 3 OBOX399 yitchell County Hospital Heallh 9/17/2020 Saloit, KS 67420-0399 Systems /

Mr. Jeremy Armstrong FACHE 3hlef Execuiive Offlcor 162.00 3 OBox399 Vlltchell County Hospital Health 8/21/2020 Belolti K8 67420.0S9B Systems ,1

Ms. Karen Braman SVPHeallhcare Strategy & 75CI.BO 311 N.-(464 Rd. Planning S/21/2020 Lawrence, KS 66049-9184 Kaniias Hospital Association /

Mr. Chad R. Austin Presidp.nt & CEO 269.22 3518 SW 26th Court Kansas Hospital Association 9/24/2020 Fopeka, KS 68814-4306 /

Ms. Audrey Duntol Olreotor of Fllianciat Advocacy 134.S1 215 SE 8th Street Kansas Hospital Association 9/24/2020 ropska, KS 66603-3806 /

Mrs. Jennifer A. Findtey \/P Educadon/Speclal Projects 70,00 9/24/202D SSirSWAshwcrthCt. Kansas Hospital Association Fopeha, KS 66614-4530 /

Mrs, Clndy Leah Samuelson >/lce President 67.34 S/24/2020 1107 NE 54th S( Kansas Hospital Association Topete, KS 66617-4506 /

Robert Steels MD 75.00 9/27/2020 5808W.l10lhSt. Children's Mercy Hospital Kansas Overiand Pork, Ks 66211-2504 /

Ms. Reagan Cusslmanlo JD Government Relations Manager sco.oo 9/29/2020 17181 W.1S9lh St, University of Kansas Health Otathe, KS 68062-3917 System, The /

Mr, Jeffrey Novorr t/lce President 2CO.OO 0/29/2020 3644 W,183rd Terraca University of Kansas Hospital, Th< Leawood, KS 66224-9558 /

teffWrlght 150.00 9/29/2020 1000 CambrldgH St. MS3Q11 Jnlverslty of Kansas Health

2,476.17 ^^SSsSSS^^to^3!i^!USVS^^fS^S^SS&SS^^:A^^^;ii>^^^t^^$ »Tt^r^l';JtT:t:i ^PaoiA^^^:yv^^^^i^^^^^^l^^y^^

Page _ _ of' SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Hospital Assoctatlon PolHlcat Acllon Comm'rttBO CMamc of Party Committeo or Political Coiumittce)

Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Coulributor Than $150 Loan or Other Cull Check Xoan Bftmds Other Receipt

3hrls Harper 103.0(1 1000 Cambridge St. MS 301 1 University of Kansas Health 9/30/2020 Kansas City, KS 661GO-SS01 System, The /

ShristinB Hogan-Nawgren 1CO.OO 19S98 S. Valencia Rd. University of Kansas Health 9/30/2020 3urllngamo, KS 66413-8628 System, The /

yr. Ken Johnson Prssidont and Chisf Exaculive 1CO.OO 9/30/2020 1403 Spyglass Dr. Officer 4utahinson, KS 67502-8071 Hutehlnson Regional Medical / Center

John McDonough 1CO.OO 14S09 Brlar Drive University of Kansas Health 9/30/2020 .eawood, KS 667.24-3621 System, The /

\4r. Steven B. Poage Vies PresIdent/CFO 303.00 9/30/2020 MOISWAIameda Kansas Hospllal Association ropeka,KS6B614-S109 /

Ms, Roxanne R. Schotlel ZSU.OB 9/30/2020 304 E. Third St. Washington Counly Hospital Ateshlngton, KS 66868-2098 /

3ean Kumer 100.00 10/6/2020 5942 Reinhardt Drive University of Kansas Health ::almay, KS 66205.3329 System, Tlie /

Jeff Andersen 160.00 10/7/2020 2300 Shawnee Mission Pkwy University of Kansas Health 3ts, 300, Mallstop 8008 System, The / /Veatwood, KS 66205 vtr. Robert L Mullen FACHE 250.00 10/13/2020 1704 Sheffield Circle Kansas Hospital Association Manhattan, KS 66603-2220 /

As, Rita K Buurman ntorlm Chief Execultve Officer 100.00 10/15/2020 iSQ Parkvlew Drive uiorris County Hospital iabcthn, KS 66534-2200 /

1,85(1.00

p8 Page. of SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Hospital Association Polllicat Action CommHtea (Name of Party Comnnttee or Political Committee)

Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriiite Box Cash, Check, Date of Cotttributor Than $150 LoiUt or Otlicr Cash CWk Unn B funds Olhir Receipt

Us. Dee Deo Dowell Director, CAM Networks 100.00 2120FarmstBBd Aseenslon Via Chrlsti St. Francis 10/15/2020 A'lchila,K8 67208-18B7 /

W. Dennis R Shelby Chief Executive Officer •I 00.00 ?0 Box 360 Wllson Medical Center 10/1S/2020 Neodes.ha, KS 6S757-0360 /

Mr, Lany VanDerWBgo Administrator •100.00 TAS Diamond Dr. Ltndsborg Communlly Hospital 10/15/2020 Undsborg,KSe7456-2S28 /

Ws. Holly French Chief Financial Officer ica.ao 2579 Burllngame Rd. Newman Regional Health 1D/16/2020 Mmlre, KS 66830 /

Mr. Todd Willert Chief Executive Officer 350.00 300 Western St. Community HoalthCare System -10/20/2020 Onaga.KS 66521-8100 /

Ms, Joannah Applequlst Corporate Compliance Officer 1BO.OO 10/21/2020 3802 Buttorfisld Road Hays Medical Center Hays, KS 67601-8100 /

Ms, Shelley Boden Consultant 250.01) 10/21/2020 Box S Boden Heallhcare Luray, KS 67648-OOOS /

Brenda Dykslra 500.DO 10/21/2020 14-157 W.U-lst Street University of Kansas Hospital, Thi Olatlio, KS 68062-5376 /

Ms. Vallerle L Gleason Prosideiit and Chief Executlvs 600,00 10/21/2020 309 Autumn Glen Ct. Officer Newton, KS 67114-9007 Newton Medical Center /

Mrs. Jenny Nlblock Chief Clinical Officsr lcn.oo 10/21/2020 1880 County Road 0 Citizens Medical Center Colby, K8 67701-0173 /

Carrie Soderberg 100.00 10/21/2020 1620 Overlook Dr. 3alfna Regional Heallh Cenlsr iallna, KS 87401-3694 /

;;KsI;I%®|sJ^;§^j3^fi||.îijffi^ ^2i;gâî^!^^^3

Page of' SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Hospital Association Political Action Committee (Name ofTarty Committee or Political Committee)

Occupation & Indu.'itry of Check Amount of Name and Address Individual Giving More Appropriate Box CnsT), Checb, Date of (contributor Than $151) Loan or Other Cash Cliech Loan E funds Other Receipt

Mr. Greg Unruh Chief Executive Officer 3SO.OO B85 N. Thompson CilizetB Medical Center 10/21/2020 Colby, KS 6-/-/01-3702 /

Sherrl Vaughn MD 1UO.OU 12ieWaveriyDr. LMH Health 10/21/2020 Lawrence, K$ 6604S-5016 /

Mr. Shae C. Veach VP Regional Opsratiuns 160.00 4107 Smoky Hill Drive Hays Medical Center 10/21/2020 Hays, KS 67601-4713 /

Mr. Brian A Williams ChiafExecufivs Officer 300.00 1307 Partridge Ave. Labslte Health 10/21/2020 Parsons, KS 67357-6000 /

Susan K Worcester Trustee 100.00 803 Ash Graham County Hospital 10/21/2020 Hill City, KS 67642-2229 /

Mr. Bill Brady Lobbyist 200.00 212SW8(h 10/22/2020 Capitol Slrategies LLC Topeka, KS 6S603-3936 /

Ms, Sandra Olckerson Chief Executive Officer •ioo.co 10/22/2020 325 Mission Road Greatiwood County Hospital Eureka,KS87U45-2119 /

Bgtty Greer loo.oa 10/22/2020 2802 Road AA Keamy County Hospital Deerfleld, KS 67838-3833 /

Mr, Edward Hflrrman W, MBAHCM, President and Chief Executive SflO.OO 10/22/2020 FACHE Officer 3717 Fairway Dr. Hays Medical Center / -lays, KS 6760-1-1688

-eonard Mastronl for Kansas House 2i»,00 10/22/2020 102 Fairway Drivo Vo';d' Lwnard -aCrosss, KS 67548 / MtisrironHorKansns Hooso

ifls. Karen Orr 3htef Nursing Officer 100.00 10/22/2020 I BOSS Llnwood Rd. Providence Medical Centef -inv/ood, KS 66052-'15Z1 /

2,2SO,00

Page.7_ofJL SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Kansas Hospllal Associadon Pollllcal Action Committee (Name of Party Committee or Political Committee)

Occupntiua & Industi-y of Check Amount of Name and Address ludlvidual Giving More Appropriate Box Cnsh, Clieck, Date of Contributor Than $150 Loan or Other Cash Check X-ocm E SmSs Other Receipt

^s. Susan M Page President and Chief Executive 360.00 H10 Maple Street Officer 10/22/2020 Pfatt, KS 67124-2903 Pratt Regional Medical Center /

Mr. Jay Tuston Chief Executive Officer 1CO.OO 3 0 Box 779 10/22V2020 Stanton County Hospital Johnson, KS 67855-0779 /

W(3sSWWSSi^SSiSSSsSSSSSSSS^S?W& ^^^w^^^:^5i^^:i^ •ttO.OO

Complete if last page of Schedule A

Total Itemized Receipts for Period 23,528.17

Total Uuilemized Contributions ($50 or less) 691.95

Sale of Political Materials (Unitemized) 0,00

Total Contributions When Contributor Not Known 0.00

24,220,12

Page _8_of8_ SCHEDULEB IN-KIND CONTRIBUTIONS

Kansas Hospital Association Political Action Committee

(Name of Party Committee or Political Commlttea)

List Occupation & Value of Dnte Name and Address Industry for Tliose Gtvlng Description ofIn-Kind In-Kmd of Contributor an In-Kind of More Than Contribution Contribution $150

Kansas Hospital Association Premier Global-Stesring 9/30/2020 215 SE Eiohlh Committee Megflng 176,49 Topaka, KS 86603

Kansas Hospital Association Quik Print - Cards and Envolopcs 10/8/202U 215 SE Eighth 371.11 Topoka, KS 66803

SS;@Ki£;lS;;^;^^^!ii^^^:;^»:^^;;%^ 'SSiSSS^iiiiiiiMSSiSSSiiSBiSiSX^Uiii&SBSSi^ 547.60

Complete if last page of Schedule B

Totnl Itemized (over $100) In-Kind Cotitributions 547.60

Total Uahemizud (S100 or less) In-Kind Contributions 0.00

S47.60

Page _1__ofJL SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Hospital Association Political Action Comm'rtteB (Nnme of Party Committee or Political Committee)

Purpose ofErpeudilure Numc amd Address Amount Date To Whom Expenditure is Made If independent or in-(dnd expenditure in excess of S300 is made for a caudidatc, list candidate uame & address

;lay Norksy for Kansas House ;tay Norkay, STATE HOUSE Bth KS ^11W.1SlBtSt. 2GO.OO 7/27/2020 3veriand Park, KS 86223

"iHAPAC-Amerlosn Hospital Association FEDERAL 7/29/2020 300 10th Street, NW 1,705.00 rwo City Center, Suite 400 Square Up Robert Ksnagy 8/12/2020 29.30

Kansans for a Domocratlc House 3ov. Kelly Event • Aug, 2-1 PO Box 2083 1,000,00 8/17/2020 ropeka,KS 86601

Square Up Shannan Ftach 8/21/2020 7,SG

aiHAPAC-American Hospital Association =EDERAL 8/2472020 1,812.50 300 10th Street, NW Fwo City Center, Suite 400

Square Up Carrie Sala 9/3/2020 10.46

Square Up ^es Lacy 9/4/2020 4.65

Square Up -orin Haas 9/8/Z020 1.75

Square Up /Ves Hoyt 9/9/2020 6.10

'M®^^^^^%i'^@is®i^^ 4,827.30

Page _1_of 12 SCHEDULE C EXPENTHTUEES AND OTHER DISBURSEMENTS

Kansas Hospital Association Political Aclion Commiltes (Name of Party Committee or Political Committeo)

Purpose of Expenditure Name and Address Amount Date To WIioin Expenditure is Made If independent or in-Idnd expenditure in excess of $300 is made for a candidate, list candidate name & address

Square Up Dallas Polen

10.45 9/10/2020

Square Up Jeremy Armstrong

9/17/2020 3.20

^HAPAC-Amerioan Hospital Association FEDERAL 1,781,00 9/21/2020 800 10lh Street, NW Tvfo Ctty Center, Sutie 400 Rick Bltllnger for Kansas Senate Rfck Bllllnfler, STATE SENATE 40lh KS PO Box 594 500.00 9/23/Z020 Scodland, KS 67736

Elalne S, Bowers for Kansas Senate Elalne Bowers, STATE SENATE 3GH1 KS 1326 N 150th Rd 250.00 9/23/2020 Concordla, KS 66901

Afill Carpenter for Kansas House Will Carpenter, STATE HOUSE 751h KS 396SSW1HthSt, 9/23/2020 250.00 E) Dorado, KS 87042

Dalperdang for Kansas Loo Delpordang, STATE HOUSE 84th KS 2103 N. Plnfail St. 9/23/2020 250.00 iWlchita, KS 67236

Brends Diefrlch for Kansas Senals Brendn OIctrlch, STATE SENATE 20th KS S/23/2U20 311 OSW381h Terrace 500.00 ropeka,KS 66610

John Doll For Kansas Senate John Doll, STATE SENATE 391h KS 9/23/2020 2927 Cliff Place 250.00 Sarfen City, KS 67848

Mlck Hohelsel for Kansas House ^loK Hohelsel, STATE HOUSE 97th KS S/23/2020 M30 S. Richmond Mchila, KS 87217 250,00

iiSSiS^^:!I^SSiS;iSi^lSSS^SSiSS^^ 4.044.6S

Page _2_of 12 SCHEDULE C EXPENDITIJTIES AND OTHER DISBURSEMENTS

Kansas Hospital Assoclallon Political Action Committee (Name of Party Committee or Politloal Committee)

Purpose of Expeuditure Name and Address Amount Date To Whom Expenditure is Made If independeut or iu-Iund expenditure iu excess of $300 is made for a candidate, list candidate name & address

J, Russell Jennings for Kansas House ). Rusaoll Jonnlngs, STATE HOUSE 122nd KS 515 Pleasnlvlew 250.00 9/23/2020 -akin, KS 67830

Sleven Johnson for Kansas House 3(p.ven Johnson, STATE HOUSE 108th KS 1Q197 South HopWns Road 9/23/2020 a,ssarla,KS87416 250.00

Jim Kelly for Kansas House )lm Kelly, STATE HOUSE 12lh KS 309 S. Slh 250.00 0/23/2020 Independence, KS 87301

Dan Kerechen for Kansas Senate Dan Kerachen, STATE SENATE 26th KS MS South 263 West 250.00 9/23/2020 Garden Plain, KS 67060

Brenda Landwehr for Kansas House Brenda Landwohr. STATE HOUSE -105tti KS 281'IN.BaysldeCl, 250.00 9/23/2020 MchHa, KS 67205

Marty Long for Kansas House Meriy Long, STATE HOUSE 124lh KS 2221 S, Road P 9/23/2020 2i30.00 Ltlysses, KS 67880

Jeff Longblne for Kansas Senate Jeff Longblne, STATE SENATE 171h KS 9/23/2020 PO Box 1903 600.00 Emporia, KS 66801

Leonard Mastronl for Kansas House -eonard Mastroni, STATE HOUSE 117th KS 9/23/2020 102 Fairway Drive 2SD.OO l.aCrossB/KS 67548

Sarolyn McGinn for Kansas Senate 3arolyn McGtnn, STATE SENATE 31sl KS 9/23/2020 11047NC7W 260.00 SEDGWICK, KS 67135

Mlnnix for Kansas House Km Mlnnlx, STATE HOUSE 118th KS 9/23/2020 S101WRoac)40 Scott City, KS 67871 2SO.OO

2,750.00

Page _3 _of 12 SCHEDOTJE C EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Hospital AssoclaUon Pollllcal Action CommlUee (Name of Party Committee or Political Coiimuftec)

Purpose of Expenditure Name and Address Amount Date To Whom Expeudlture is Made If independent or in-Idnd expenditure in excess of S300 is made fur a candidate, list candidate name & address

Boyd Orr for Kansas Houso 3oyd On-, STATE HOUSE HSlh KS 3011-I H. Rd, 2SO.OO 9/23/2020 Fowter, KS 67844

Richard Proehl for Kansas House Richard Proehl, STATE HOUSE 7th KS 510 Pine Ridge Rd 9/23/2020 Parsons, K8 67357 260.00

Bradley Ralph for Kansas House Sradley Ralph, STATE HOUSE 119(h KS 2009 Frederick Dr. 600.00 9/23/2020 Dodye City, KS 67801

i\dam Smith for Kansas House \dam Smllh, STATE HOUSE 120th KS 1870 RD 3 250.00 9/7.3/2020 i/Veskan, KS 67762

Troy L. Waymastsr for Kansas House ftoy Waymaster, STATE HOUSE 109(h KS 112 NFalrvfewAve 250.00 8/23/2020 Luray, KS Q7C49

John Wheeler for Kansas House lohn Wheeler, STATE HOUSE 123rd KS 302 Anderson Strset 9/23/2020 Qafden City, KS 67846 250.00

KVIIborn for Senate :ychard Wllborn, STATE SENATE 351h KS 1504 Herilage Place 9/23/2020 250,00 McPherson, KS 67460

Square Up Robert Sieele S/27/2020 2,40

Molly Baumgartner for Kansas Senate Ailly Baumsartner, STATE SENATE 37th KS 8/28/2020 >S487 Masters C(. -outsburg, KS 66053 soo.oo

republican Houss Campaign Commlllee 8/28/2020 :>.0, Box 2632 Fopeka, KS 66601 2,500,00

5,002.48

Page 4 of 12 SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Hospital Association PolMloel Action CommlttBe (Name of Party Committee or Political Committee)

Purpose uf Expundilyru Name and Address Amount Date To Whom Expenditure is Made If independent or in-kind expenditure m excess of S300 is mnde for a candidate, list candidate name & address

Save Baker (or Kansas House Oave Baker, STATE HOUSE 68th KS 278 Lakeroad 250.00 9/29/2020 3ouncH Grove, KS 66846

John Barker for Kansas House John Barker, STATE HOUSE 70111 KS 103WassingerAvo 9/29/2020 Wene.KS 874-10 250.00

3uzl Carlson for Kansas Housa Suzt Carlson, STATE HOUSE 64th KS 1741 Berglnnd Dr. 250,00 9/29/2020 31ny Center, KS 67432

..onnie dark for State Rsprssentatlve Lonnlo dark, STATE HOUSE B5th KS 324 B S. Madison 260.00 8/29/2020 Junction Clly.KS 66441

Susan L. Concannon for Kansas House Susan Concannon, STATE HOUSE 107

Donald Ellis {or Kansas House Ronald Elite, STATE HOUSE 47th KS 3-199 K-4 Highway 6/29/2020 250.00 Meriden,KS 66512

John Eotee for Kansas Houss John Eplee, STATE HOUSE 63rd KS 9/29/2020 163 Deer Run 2SO.OO Mchlson, KS 66002

\tegan Lynn for Kansas House Megan Lynn, STATE HOUSE 49th Ks 9/29/2020 14430 W.ISQth Place 260,00 3!alhe, KS 66062

Joe Newtand for Kansas I'fouss Jus Newland, S'l'ATE HOUSE 13lh KS 9/29/2020 3395TregoRd. 260,00 ^eodesha, KS 66767

=red Palton for Kansas House Frod Patlon, STATE HOUSE 50th KS 9/29/2020 339 NE 461h Fopska, KS 66048 260,00

WSsSiWWS&MiiS^S^ 2,500.00

Page ^_of -12 SCHEDULE C EXPENDITURES AND OTHfiR DISBURSEMENTS

Kansas Hospital Association Political Action CommltteB (Name of Party Conunittee or Political Committeo)

Purpose of Expenditure Name and Address Amount Bate To Whom ISxpeudituro is Made If indepeudeut or In-kind expenditure in excess of $300 is made for a candidate) list candidate nanie & address

Ron Ryckman for Kansas House =ton Ryckman, STATE HOUSE 781h KS 14234 W158lhSf. 2SO.OO 9/29/2020 Olathe, KS 660S2

Mark Samssl for Kansas House Mark Samsel, STATE HOUSE 5lh KS 227 Edgewood Drive 9/29/2020 l/Vellsville, KS 66092 250.00

Mark Schreiber for Kansas House Mark Schrelber, STATE HOUSE 60th KS 1722 Yunca 1-ana 250.00 9/29/2020 Emporia, KS 66801

Square Up JeffWrlghl 9/29/2020 4.65

Square Up Reagan Cusslmanlo 9/29/2020 14.80

Square Up Jeffrey Novorr 8/29/2020 6.10

Kent Thompson for Kansas Houso Kent Thompson, STATE HOUSE 9lh KS F>0 Box 626 9/29/2020 250.CO Ida, KS S6749

::inch far Kansas Blaine Finch, STATE HOUSE SSth KS 9/30/2020 101 West 2nd Street 2SO.OO Ottawa, KS 66067

Square Up Sean Kumer 10/6/2020 3.20

3or[on for Kansas House Jesss Borfon, STATE HOUSE 52nd KS 10/7/2020 3.0. Box 4872 rupeka, KS 66604 250.00

'::iiiiiiiSSi^SiSSS!XSS9tiSMSiSiiSS^^ 1.528.76

Page _ 6___ of 12_ SCHEDULE C EXPENDFFURES AND OTHER DISBURSEMENTS

Kansas Hospital Association Political Action Committee (Name of Party Committee or Political Committee)

Purpose of Expenditure Name and Address Amount Date To Whom Expenilitnrc is Made If independent or in-ldnd expenditure in excess of $300 is made for a candidate, list candidate name & address

Sarmlchael for Kansas John Carmlchael, STATE HOUSE 92nd KS 1475 North Uounelt 250.00 10/7/2020 Aflchlta, KS 87203

3usan L. Concannon for Kansas House Susan Concannon, STATE HOUSE 107th KS 321 North Mill 10/7/2020 Seluil, KS 67420 250,00

Jndsey Coiiatancs for Kansas Jndsoy Constance, STATE SENATE 10111 KS 3.0. Box 3094 500.00 '10/7/2020 Shawnee, KS 66203

ihrls Croft for Kansas House :hris Croft, STATE HOUSE 8lh KS 3909 W.148th Terr, 250.00 10/7/2020 Overiand Park, KS 66221

Mike Dodson for Kansas Houss yike Dodson, STATE HOUSE 671h KS D,0. Box 86 260,00 10/7/2020 tlanhaltan, KS 66606

31olha Fausl-Goudeau far Kansas Senate Slelha Faust-Goudeau, STATE SENATE 29(h KS i-158 Ragenls Lane 10/7/2020 250,00 Mchlta, KS 67208

3fan Frownfeller for Kansas House Stnn Frownfalter, STATE HOUSE 37(h KS 30 Box 6145 10/7/2020 250,00 Kansas City, KS6610B

Jim Gartnerfor Kansas House Jim Gariner, STATE HOUSE 63rd KS 328 SW Woodbridga Court 10/7/2020 250.00 Fapeka, KS B6S06

Lynn Grant for Kansas House Lynn Grain, STATE HOUSE 2nd KS 10/7/2020 202 S. AppleSon 250.00 ::rontenac, KS 66763

Shristlna Haswood for Kansas I'touse Christina Haswood, STATE HOUSE 10111 KS 10/7/2020 2317 Surrey Dr. 2SO.OO -owrence, KS 660'16

:SiS!SSf!s^SS?iiSSS!SiSS?9ttSiiSS^S IIKS@i31JI^S§S?;@iB®IB;SSIISSIIHI%SIIIU^ 2,750.00

Page _7_of 12 SCHEDULE C EXPENDITURliS AND OTHER DISBURSEMENTS

Kansas Hospital Association Pollllcal Aollun Cominlltea (Name of Party Committee or Political Conunitteo)

Purpose of Expenditure Name and Address Amount Date To Wlioin Expenditure is Made If iudepeudeut or iu"ldnd expenditure in excess of $300 is madtt for a candidate, list candidate name & address

Torn Hawk for Kansas Senafe rom Hawk, STATE SENATE 22nd KS 2600 Woadhaven Ct. 600.00 10/7/2020 Manhattan, KS 66502

Anthony Hensley for Kansas Senate ^nthony Hensley, STATE SENATE 19th KS Z226 SE Virginia 10/7/2020 Topeka,KS 65606 500.00

Tim Hodge for Kansas House Dm Hodge, STATE HOUSE 72nd KS 2727 N. Main 250.00 10/7/2020 Morlh Newton, KS 87117

Tom Holland for Kansas Ssnafe rom Halland, STATE SENATE 3rd KS 361 E 1600 Rd £00.00 10/7/2020 Baldwin City, KS 66006

Holniqulsl for Kansas ^ysn Hotmqulst, STATE HOUSE G91h KS P.O. Box 3043 250.00 10/7/2020 Sallna, KS 67401

sindy for Kansas Stndy Holscher, STATE SENATE 8(h KS 3.0. Box 4781 10/7/2020 500,00 Olalhe, KS 660B3

Jo Ella for Kansas Jo Ella Hoye, STATE HOUSE 17th KS P.O. Box 14534 10/7/2020 250.00 Lenexa, KS 6628S

3(acsy Knosll for Kansas Stacoy Knoell, STATE SENATE Bth KS P.O. Box 419B •tO/7'2020 1,000,00 31athe, KS 66063

Vlonloa Murnan fur Kansas House Monica Murnan, STATE HOUSE 3rd KS -SO/7/2020 l313MalloryCL 'illsbury, KS 66762 250.00

4,600.00

Page _8_of 12 SCHEDULE C EXPENDITURES AND OTHER DISBTO.SEMENTS

Kansas Hospital Association Political Action Commifleg (Name of Part}' Committee or Political Committee)

Purpose of ExpendUm'e Name mid Address Amount Date To Whom Expenditure is Made If independent or ro-kind expenditure iu excess of $300 Is made for ,1 candidate, list candidate name & nddrcss

:;lnciy Neighbor for Kansas House ;lndy Neighbor, STATE HOUSE 18th KS I CMOS West 52nd Teirace 250.00 10/7/2020 Shawnee, KS 86203

Jeffrey PiHman for State Senate leffrey Plltman, STATE SENATE 5th KS HOSS.BroadwaySt. 10/7/2020 -eavenworth, KS 66048 1,000.00

:'robsi for Progress tason Probst, STATE HOUSE 102nd KS 30 Box 3262 250,00 10/7/2020 -lutehlnson, KS S75Q4

:ton Ryckman for Kansas HOUBO ?on Ryctonan, STATE HOUSE 78(h KS 1 '1234 W 158th St. 250.00 10/7/2020 31ath8. KS 68082

Torn Sav/yer for Kansas House rom Sawyer, STATE HOUSE 951h KS 1041 S. Elizabeth St coo.oo 10/7/2020 AT|Ghtta,67213

JoBna Scholtz for Kansas loana Scholte, STATE HOUSE 40th KS +914 Glrard St. 10/7/2020 250.00 -eavenworth, KS 66048

Square Up left Andorsen 10/7/2020 4.65

Jerry Stogsdlll for Kansas House lerry Stogsdlll, STATE HOUSE 21e< KS 1414 Tomahawk Road 10/7/2020 250.00 3ralri9 Village, KS 68208

31nah Syftes for Kansas Senate 3inali Sykes, STATE SENATE 21st KS 10/7/2020 10227 Theden Circle 600.00 -enexa, KS 66212

Kansas for Ward )im Ward, STATE SENATE 28th KS 10/7B020 i-iOOE.CIark /Vlchita.KS 67211 SOO.DO

3,754.65

Page _8_of 12 SCHEDULE C EXPENDITURES AKD OTHER DISBURSEMENTS

Kansas Hospital Association Political Action Committee (Name of Party Committee or Political Committee)

Purpose of Expenditure Name and Address Amount Date To Whom Expenditure is Made Tf independent or m-kiud expettdituri! in excess; of $300 is made for a caudidate, list candidate name & address

Brandon Woodard for Kansas House 3randon Woodard, STATE HOUSE 30lh KS 3051 Renner Blvd. #3002 250,00 10/7/2020 Lenexa, KS 66219

Square Up Shawna Roark

10/13/2020 1.75

Square Up Dse Dee Dewell 10/15/2020 3.20

Square Up -arry VanDerWege 10/15/2020 3.20

Square Up Dsnnls Shalby 10/15/2020 3.20

Square Up Rita Buurman 10/15/2020 3.20

^ngela4Kansas Angela Justus Schwcltor, STATE HOUSE 14Ul KS 10/16/2020 20905 W.QOthTerr. 250.00 Lenexa, KS 66220

3ene Suellenlrop for Kansas Senate Sene Suellenlrop, STATE SENATE 271h KS 10/19/ZOZO 3813 W. Norlhwlnd Circle 250,00 nVtehlta, KS 67208

Square Up Joanna Applequisl 10/21/2020 3,20

Square Up Worrle Soderberg 10/21/2020 3.20

770.95

Page. 10 of 12 SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Hospital Association Political Acllon Commiftee (Name of Party Committee or Political Committee)

Purpose ofExpcuditurc Nmuc aud Address Amount Date To Whom TSxpcnditufe is Made If independent or in-ldttd expenditure in excess of $300 Ls made for a candidate, list candidnte name <& address

Square Up 3helly Boden 7,55 10/21/2020

Square Up irenda Dykstra

10/21/2020 14.80

Square Up /al Gteason 10/21/2020 17.70

Square Up Susan Worcester 10/21/2020 3,20

Square Up 3hao Veach 10/21/2020 4.85

47.90

Page 1.1, _of_J_2_ SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Kansas Hospital Association Political Action CQmmittee ( Name of Party Committee or Political Conmiittee)

Name and Address Purpose of Expenditure Date To Whom Expeudituru is Mude Amount If iudepcudent or in-klnd expetiditure in excess of S30R Is made for a candidate, list candidate name & addresy

Square Up ShsrrlVaug'nn

10/21/2020 3.20

Square Up Susan Page

10/22/2020 10.45

Square Up Isaac Boone

10/22/2020 1,78

Square Up BlllBrady

10/22/2020 8.10

Square Up Sandra Dfckerson

10/22/2020 3,20

Square Up Betty Greer

10/22/2020 3.20

Square Up Edward Herman

10/22/2020 14.80

Square Up Jay Tusten

10/22/2020 3.20

^S%?,®^^^^i%??^^;!^S'^ :M^^^My\ 45.90

Complete if last page of Schedule C

Total Itemized Expenditures Tliis Period 32,522.58

Total Uiiitemized Expenditures of $50 or less 49.35

JtQt®^^i>l|uREiit^ffliD|i|tt|JE^^ 32,C71.93

Page 12 of 12