Kansas Governmental Ethics Commission
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KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE October 31, 2016 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: Vicki Hiatt --------------------------- Address: 21522 W 72nd St City and Zip Code: Shawnee 66218 County: Johnson Office Sought: State Senate 1 District: ------O B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from July 22, 2016 through October 27, 2016) 1. Cash on hand at beginning of period ......................................................................... 10652.53 2. Total Contributions and Other Receipts (Use Schedule A) ....................................... 42138.09 3. Cash available this period (Add Lines 1 and 2) ......................................................... 52790.62 4. Total Expenditures and Other Disbursements (Use Schedule C) .............................. 36770.12 5. Cash on hand at close of period (Subtract Line 4 from 3) .......................................... 16020.50 6. In-Kind Contributions (Use Schedule B) ......... 463. 70 7. Other Transactions (Use Schedule D) ............. 1000.00 D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." 10/28/16 Date GEC Form Rev, 2016 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Vicki Hiatt (Name of Candidate) Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Check Loan Efunds Other Receipt J Donald Lysaught Jr. 07/22/16 6850 Bell Rd. ./ $75.00 Shawnee, KS 66217 a Sara McAllister 07/22/16 11700 W 48th Terr ./ $75.00 Shawnee, KS 66203 a June Groth 07/22/16 11700 W 48th Terr ./ $75.00 Shawnee, KS 66203 a Karen Heusman 07/22/16 21609 W 49th St ./ $25.00 Shawnee, KS 66226 a Tim Wood 07/24/16 1488 Marilee Dr ./ $100.00 Lawrence, KS 66049 a Pete Henderson 07/24/16 3406 N 154 Stinurance ./ $25.00 Basehor, KS 66007 a Jerry Hess 07/25/16 14215 W 51st Ct ~ $20.00 Shawnee, KS 66216 a Mitchell & Carolyn Griffin 07/26/16 5648 Flint St ./ $100.00 Shawnee, KS 66203 a Loma Eaton 07/27/16 7202 Goddard St ./ $150.00 Shawnee, KS 66203 a Mark Doll 07/28/16 4047 Donald St Apt. K ./ $5.00 Eugene, OR 97 405 a Robert Rusher 07/29/16 6518 Central ~ $100.00 Shawnee, KS 66217 G ' $750.00 Subtotal This Page ., Page_\_ of L) J SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Vicki Hiatt (Name of Candidate) Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Check Loan E funds 0th;.:- Receipt Angie Hendershot 07/29/16 5437 Oakview St ~ $100.00 Shawnee, KS 66216 D Plumbers & Pipefitters (PAC) 07/29/16 Local Union No.441 ~ $500.00 1330 E 1st St., Ste 115 D Eva C. Lord Cook 07/30/16 21903 W 57th Terr ~ $50.00 Shawnee, KS 66226 a Kena Zumalt 07/31/16 7119 Caenen Ave ~ $50.00 Shawnee, KS 66216 D James Meeks 07/31/16 21621 W 60th Terr ./ $25.00 Shawnee, KS 66218 D Derek Martin 08/01/16 12455 Rosehill St ~ $25.00 Overland Park, KS 66213 a Janelle Schnorf 08/01/16 14603 W 62nd St ./ $10.00 Shawnee, KS 66216 a Deborah Jordan 08/02/16 6463 Payne St ./ $25.00 Shawnee, KS 66226 a Mary Lynch 08/04/16 5645 Flint ~ $50.00 Shawnee, KS 66203 D Richard Cooley 08/04/16 7127 Halsey Dr ./ $25.00 Shawnee, KS 66216 D Janae Schaeffer 08/05/16 1403 W 58th St ./ $50.00 Shawnee, KS 66216 D ·c $910.00 Subtotal This Page Page L ofL\3 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Vicki Hiatt (Name of Candidate) Occupation & Industry of Check A.mount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Check Loan E funds Other Receipt Steve Solomon 08/07/16 2733 Coneflower Ct ./ $50.00 Lawrence, KS 6604 7 a Susan Jarsulic 08/07/16 8822 Bluejacket ./ $100.00 Shawnee, KS 66203 a Greg Borr 08/08/16 5928 Albervan St ./ $100.00 Shawnee, KS 66216 a Sally Levitt Accountant 08/10/16 21007 W60th Terr ./ $250.00 Shawnee, KS 66218 a Howard Bauleke Attorney 08/08/16 1840 California St NW #10 ./ $250.00 Washington, DC 20009 a J.C. Democratic Cent. Committee PAC 08/11/16 6025 Martway ./ $1 ,000.00 Mission KS 66202 Beverly Carter 08/13/16 7306 Park ./ $25.00 Shawnee, KS 66216 a Deena Burnett 08/13/16 731 Arkansas ./ $50.00 Lawrence, KS 66044 a Mary Schulda 08/14/16 6340 Millridge St ./ $100.00 Shawnee, KS a Marianne Notley 08/15/16 14108 W 61st St $25.00 Shawnee, KS 66216 a Planned Parenthood PAC 08/15/16 4401 W 109th St Ste 200 $500.00 Overland Park, KS 66211 m .. , .. " '· $2,450.00 Subtotal This Page Page l of~ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Vicki Hiatt (Name of Candidate) Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Check Loan E funds Other Receipt Pfizer Inc. PAC 08/15/16 6730 Lenox Center Ct ./ $350.00 Memphis, TN 38115 D Cynthia Stephens 08/15/16 11225 W 99th St ./ $20.00 Overland Park, KS 66214 a Catherine Hauber 08/15/16 4708 Mullen Rd ./ $100.00 Shawnee, KS 66216 a Marilyn Miller 08/16/16 6840 Mastin Dr ./ $50.00 Merriam, KS 66203 a Judy Rapp 08/16/16 12216 S Blackfoot Dr ./ $20.00 Olathe, KS 66062 D Cynthia Williams 08/16/16 2610 Maverick Ln ./ $20.00 Lawrence, KS 66046 a Anne Sheehan 08/16/16 12902 W 76th Terr ./ $100.00 Shawnee, KS 66216 a Martha Friedrich 08/16/16 4011 W 98th St ./ $25.00 Overland Park, KS 66207 D Stanley Williams 08/16/16 14503 W 58th St ./ $100.00 Shawnee, KS 66216 a Bernie Thomsen 08/16/16 14414 W 58th Terr ./ $45.00 Shawnee, KS 66216 a Jeanne Elmer 08/16/16 5825 Oakview St ./ $50.00 Shawnee KS 66216 m I ~ - ' $880.00 Subtotal This Page - " "· Page l of L\~ SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Vicki Hiatt (Name of Candidate) Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cu b Check Loan E funds Other Receipt Kathryn & Jeffrey Teefy 08/16/16 14409 W 58th Terr ~ $25.00 Shawnee, KS 66216 a David & Sheryl Bodensteiner 08/16/16 5820Widmer ~ $100.00 Shawnee, KS 66216 a Katheryn Good 08/16/16 12704 w 66th ~ $25.00 Shawnee, KS 66216 a Jon & Jen Augustine 08/16/16 5821 Oakview St ~ $100.00 Shawnee, KS 66216 a Holly John & Mary Blythe 08/17/16 13563 w 49th ~ $100.00 Shawnee, KS 66216 a William Bradley & Roberta Harding Retired 08/17/16 13808 Goodman St ~ $1 ,000.00 Overland Park, KS 66223 a Jennifer Sutherland de Pacheco 08/17/16 2830 Harrison St Apt 3-South ./ $25.00 Kansas City, MO 64109 a Helen Wawers Retired 08/17/16 8576 Caenen Lake Ct ~ $300.00 Lenexa, KS 66215 a Kathryn Flott 08/17/16 3643 SW York Way ,/ $50.00 Osawatomie, KS 66064 a Michael Putzier 08/18/16 7614 Richards Dr ,/ $100.00 Shawnee, KS 66216 a Judith Hewitt 08/19/16 6340 Lakecrest Dr ./ $40.00 Shawnee, KS 66218 fl . .. .. ,. - .. c -- $1,865.00 Sub_total This Page . Page S- of_:{J SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Vicki Hiatt (Name of Candidate) Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other c ... h Check Loan E funds Other Receipt Sharon Lynch 08/19/16 7216 Cottonwood Dr ./ $50.00 Shawnee, KS 66216 a Paul & Eliese Holt 08/19/16 5711 Oakview St ./ $100.00 Shawnee, KS 66216 a Kyle Russell 08/20/16 3509 W 48th Terr ./ $100.00 Mission, KS 66205 a John Carmichael 08/20/16 1475 Lieunett St ./ $100.00 Wichita, KS 66205 a Kari Rinker 08/20/16 7925 E Killamey Pl ./ $30.00 Wichita, KS 67026 n Kathy Manweiler Social Media Writer & 08/22/16 331 N Dowell St Strategist ./ $200.00 Wichita, KS 67206 a Mary Eshelman 08/22/16 14416 W 72nd St ./ $50.00 Shawnee, KS 66216 a Deborah Kremers 08/22/16 14910 W 60th St ./ $100.00 Shawnee, KS 66216 a Kala Musick 08/22/16 10814 W 62nd St ~ $100.00 Shawnee, KS 66203 a Bernadine Berry 08/23/16 24 Dogwood Ln ./ $25.00 Salmon, ID 83467 G ·- ., - ..., ·- - " -- $855.00 Subtotal This Page Page _fa__ ofn SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Vicki Hiatt (Name of Candidate) Occupation & Industry of Check Amount of Name and Address Individual Giving More Appropriate Box Cash, Check, Date of Contributor Than $150 Loan or Other Cash Check Loan E funds Other Receipt Denise Simmons-Bolden 08/23/16 23941 Whittaker Dr ./ $20.00 Farmington, Ml 48335 D Synthia Caples 08/23/16 100 Uhler Terr ./ $20.00 Alexandria, VA 22301 D Shelly Baker 08/23/16 9418 Scranton St ./ $10.00 Houston, TX 77075 D Steve Bakeeff 08/23/16 165 Wintercrest Dr ./ $25.00 Concord, NC 28025 D Brant Peoples 08/23/16 4925 Alden St ,/ $50.00 Shawnee, KS 66216 D Laurel Beckett 08/23/16 2600 Kline Ct ./ $25.00 Davis, CA 95618 e Matthew Calcara 08/23/16 10761 Burbank Blvd Ste B ./ $75.00 North Hollywood, CA 91601 D Morgan Rathmel 08/23/16 4100 W 97th Terr ./ $25.00 Overland Park, KS 66207 D Daniel Prater 08/23/16 5 Apt 3E 227 E 14th St ,/ $5.00 New York, NY 10003 D Rita Sims 08/23/16 20 Puesta del Sol ,/ $25.00 Placitas, NM 87043 D Laura Kelly 08/23/16 234 Greenwood Ave ./ $100.00 Topeka, KS 66606 G .