KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPOR FILED OF A POLITICAL OR PARTY COMMITTE July 28, 2014 JUL 28 2014

FILE WITH SECRETARY OF STATE KRIS W KOBACH SEE REVERSE SIDE FOR INSTRUCTION S~CRETARYOP'STATE

A. Name ofCommittee: Kansas Optometric Political Action Committee

Address: 1266 SW Topeka Blvd.

City and Zip Code: Topeka, KS 66612

This is a (check one): __ Party Committee 1/ Political Committee

B. Check only if appropriate: __Amended Filing __ Tennination Report

C. Summary (covering the period from January 1,2014 through July 24, 2014) 1. Cash on hand at beginning of period . 47,734.29 2. Total Contributions and Other Receipts (Use Schedule A) . 102,866.37 3. Cash available this period (Add Lines land 2) . 150,600.66 4. Total Expenditures and Other Disbursements (Use Schedule C) . 25,781.21 5. Cash on hand at close of period (Subtract Line 4 from 3) .. 124,819.45 6. In-Kind Contributions (Use Schedule B) . 0.00 7. Other Transactions (Use Schedule D) . 0.00

D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."

July 25, 2014 Date

GEe Form Rev, 2001 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 01-02-14 Dr. Andrew Hill Optometrist Check $500.00 PO Box 397 Louisburg, KS 66053 01-06-14 Dr. David Barnhart Optometrist Check $200.00 101 W. 10th St., Ste. C Eudora, KS 66025 01-06-14 Dr. Jerry Padfield Optometrist Check $250.00 4501 Cleaver II Blvd. Kansas City, MO 64130 01-07-14 Dr. Richard Dean Optometrist Check $500.00 PO Box 970 Tonganoxie, KS 66086 01-08-14 Dr. Larry Stoppel Optometrist Check $250.00 123 West 4th Washington, KS 66968 01-13-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 01-13-14 Dr. Doug Ball Optometrist Check $500.00 3120 N. Plum Hutchinson, KS 67502 01-13-14 Dr. Ron Hansen Optometrist Check $500.00 3120 N. Plum Hutchinson, KS 67502 01-13-14 Dr. Ben Whittredge Optometrist Check $500.00 3120 N. Plum Hutchinson, KS 67502 01-13-14 Dr. Lea Krannawitter Optometrist Check $200.00 9934 College Blvd. Overland Park, KS 66210 01-14-14 U.S. Bank Interest $0.47 Topeka, KS 01-21-14 Dr. Dale Cole Optometrist Check $100.00 712 Colonial Court Salina, KS 67401 Subtotal This Pa~e $3,510.47

Page 1 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 01-21-14 Todd Fleischer, CAE Assistant Executive Check $75.00 5727 SE Paulen Road Director Be~on,KS 66409 01-22-14 Dr. Jeremy Durham Optometrist Check $25.00 437 N. Tyler Wichita, KS 67212 01-22-14 Dr. Chad Thompson Optometrist Check $125.00 206 S. Mill St. Beloit, KS 67420 01-22-14 Dr. Nicklaus Richmond Optometrist Check $30.00 206 S. Mill Beloit, KS 67420 01-27-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 01-30-14 Dr. Diane Galbrecht Optometrist Check $500.00 395 North K-7 Highway Olathe, KS 66061 01-31-14 Dr. Kyle Dotson Optometrist Check $1,000.00 5137 NW Sterling Chase Dr. Topeka, KS 66618 02-03-14 Dr. Jason Eubank Optometrist Check $1,500.00 10305 E. 19th St. N. Wichita, KS 67206 02-03-14 Dr. Charles Beier Optometrist Check $500.00 4816 SW West Hills Drive Topeka, KS 66606 02-03-14 Dr. Terry Carney Optometrist Check $500.00 2144 SW36th St. Topeka, KS 66611 02-03-14 Dr. Randall Holloway Optometrist Check $25.00 4 S. National Fort Scott, KS 66701 02-03-14 Dr. Randal Dyck Optometrist Check $250.00 1107 SW Gage Blvd. Topeka, KS 66604 02-03-14 Dr. Susan Rollenhagen Optometrist Check $200.00 1107 SW Gage Blvd. Topeka, KS 66604 Subtotal This Page $4,740.00

Page 2 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-03-14 Dr. Craig Baier Optometrist Check $200.00 515 N. Main Newton, KS 67114 02-03-14 Dr. Mike Duffy Optometrist Check $1,000.00 501 N. Main Eureka, KS 67045 02-03-14 Dr. J. William Clement Optometrist Check $200.00 61 E. 1900 Road Baldwin City, KS 66006 02-03-14 Dr. Kari Burchett Optometrist Check $250.00 PO Box 456 Osawatomie, KS 66064­ 02-03-14 Dr. Brandon Fisher Optometrist Check $200.00 746 N. Maize Rd. Wichita, KS 67212 02-03-14 Dr. JeffLuty Optometrist Check $500.00 1000 N. Brown, Ste. A Abilene, KS 67410 02-06-14 Dr. David Nelson Optometrist Check $100.00 4123 SW Gage Center Dr. Topeka, KS 66604 02-06-14 Dr. Michael Deutscher Optometrist Check $500.00 7622 SW 28th Terrace Topeka, KS 66614 02-06-14 Dr. Jeannette Holland Optometrist Check $750.00 1106 Walnut Street Oskaloosa, KS 66066 02-06-14 Dr. Heath Holland Optometrist Check $750.00 1106 Walnut Street Oskaloosa, KS 66066 02-06-14 Dr. Lois Vierthaler Kessen Optometrist Check $250.00 208 W. Ross Blvd. Dodge City, KS 67801 02-06-14 Dr. Jordan Gwaltney Optometrist Check $100.00 2520 N. 14th Avenue Dodge City, KS 67801 02-06-14 Dr. Robert Hatfield Optometrist Check $100.00 2520 N. 14th Avenue Dodge City, KS 67801 Subtotal This Page $4,900.00

Page 3 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-06-14 Dr. Heather Robben Optometrist Check $250.00 PO Box458 WaKeeney, KS 67672 02-06-14 Dr. George Hopkins Optometrist Check $100.00 802 Campus Drive Garden City, KS 67846 02-06-14 Dr. Darin Hopkins Optometrist Check $100.00 802 Campus Drive Garden City, KS 67846 02-06-14 Dr. Scott Ackerman Optometrist Check $100.00 802 Campus Drive Garden City, KS 67846 02-06-14 Dr. Nicole Meerpoh1 Optometrist Check $100.00 121 W.4th Holton, KS 66436 02-06-14 Dr. Leslie Gallagher Optometrist Check $100.00 121 W. 4th Holton, KS 66436 02-06-14 Dr. Joanna Chamberlain Optometrist Check $125.00 15052 S. Blackbob Road Olathe, KS 66062 02-06-14 Dr. Brian McDonald Optometrist Check $125.00 15052 S. Blackbob Road Olathe, KS 66062 02-06-14 Dr. Gi1an Cockrell Optometrist Check $500.00 739 Road 200 Emporia, KS 66801 02-06-14 Dr. Richard Reeves Optometrist Check $750.00 1571 Navajo Road Clay Center, KS 67432 02-06-14 Dr. M.D. Torrence Optometrist Check $62.50 8101 Saint Andrews Dr. Hutchinson, KS 67502 02-06-14 Dr. Travis Kinderknecht Optometrist Check $750.00 1201 Castle Rock Road Quinter, KS 67752 02-07-14 Dr. Greg Joyce Optometrist Check $250.00 201 N. Vine El Dorado, KS 67042 Subtotal This Pa2e $3,312.50

Page 4 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-07-14 Dr. Cody Hoss Optometrist Check $100.00 1425 W. Grand, Ste. 111 Haysville, KS 67060 02-07-14 Dr. Rick McKinney Optometrist Check $100.00 PO Box 765 Newton, KS 67114 02-07-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 02-07-14 Dr. Jim Johnson Optometrist Check $62.50 1820 S. Ohio Salina, KS 67401 02-07-14 Dr. Jeff Schletzbaum Optometrist Check $1,500.00 2311 N. Waldron Hutchinson, KS 67502 02-07-14 Dr. Ron Juenemann Optometrist Check $250.00 PO Box 509 Phillipsburg, KS 67661 02-07-14 Dr. Ryan Simmonds Optometrist Check $100.00 PO Box 765 Newton, KS 67114 02-07-14 Dr. Sam OdIe Optometrist Check $2,000.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Brian Horsch Optometrist Check $2,000.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Rick Schroeder Optometrist Check $1,500.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Scott McClain Optometrist Check $750.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Angela Truelove Optometrist Check $750.00 2800 SW Wanamaker Rd. Topeka, KS 66614 Subtotal This Page $9,122.50

Page 5 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-07-14 Dr. John Harvat Optometrist Check $750.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Ed Rodriguez Optometrist Check $750.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Bridgette Ostmeyer Optometrist Check $500.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Kyle Bechtold Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Erin Hamilton Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Brian Carpenter Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Nathan Kluttz Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Sally Irwin Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Christina Heptig Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Jayme Brown Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 02-07-14 Dr. Angela MacDonald Optometrist Check $200.00 2800 SW Wanamaker Rd. Topeka, KS 66614 04-07-14 Dr. Matt Gerstberger Optometrist Check $1,000.00 707 Kansas Plaza Garden City, KS 67846 02-11-14 Dr. Nick Mondero Optometrist Check $250.00 2616 Brookepointe Circle Manhattan, KS 66502 Subtotal This Page $4,850.00

Page 60f24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-11-14 Dr. Brent Crandon Optometrist Check $200.00 1019 Massachuetts St. Lawrence, KS 66044 02-11-14 Dr. Elizabeth Crandon Optometrist Check $200.00 1019 Massachuetts St. Lawrence, KS 66044 02-11-14 Dr. Paul Unruh Optometrist Check $500.00 PO Box 696 Hesston, KS 67062 02-11-14 Dr. L.E. Mogel Optometrist Check $250.00 34 Linksland Dr. Hutchinson, KS 67502 02-11-14 Dr. Eric McPeak Optometrist Check $1,000.00 706 Oregon St. Hiawatha, KS 66434 02-11-14 Dr. David A. Miller Optometrist Check $250.00 2902 West Lake Drive Emporia, KS 66801 02-11-14 Dr. Joshua Gooden Optometrist Check $250.00 PO Box 210 Oakley, KS 67748 02-11-14 Dr. Tom Leonard Optometrist Check $125.00 1911 SW Gage Blvd. Topeka, KS 66604 02-11-14 Dr. Bill Carriger Optometrist Check $250.00 1001 SW Mulvane Topeka, KS 66604 02-11-14 Dr. Diana Carriger Optometrist Check $250.00 1001 SW Mulvane Topeka, KS 66604 02-11-14 Dr. Roger Klassen Optometrist Check $100.00 8504 S. 100th St. La Vista, NE 68128 02-11-14 Dr. John Bealmear Optometrist Check $250.00 3782 Vaquero Place Las Cruces, NM 88007 02-11-14 Dr. Cory Lindenman Optometrist Check $100.00 3000 E. 9th Winfield, KS 67156 Subtotal This Page $3,725.00

Page 70f24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-11-14 Dr. William Holman Optometrist Check $100.00 3000 E. 9th Winfield, KS 67156 02-11-14 Dr. Tara Hake Optometrist Check $250.00 1331 Poyntz Ave. Manhattan, KS 66502 02-12-14 Dr. Stacy Clark Optometrist Check $250.00 1601 E. Iron Ave. Salina, KS 67401 02-12-14 Dr. Kenton Driver Optometrist Check $250.00 1601 E. Iron Ave. Salina, KS 67401 02-12-14 Dr. Martin Funk Optometrist Check $250.00 PO Box 497 Chanute, KS 66720 02-12-14 Dr. Rebecca Sparks Optometrist Check $250.00 PO Box 326 Derby, KS 67037 02-12-14 Dr. Laura Branstetter Optometrist Check $250.00 PO Box 326 Derby, KS 67037 02-13-14 Dr. Jason Rogers Optometrist Check $2,500.00 5703 W. 95th St. Overland Park, KS 66207 02-13-14 Dr. Greg Besler Optometrist Check $2,500.00 5703 W. 95th St. Overland Park, KS 66207 02-13-14 Dr. Terry Hawks Optometrist Check $2,500.00 5703 W. 95th St. Overland Park, KS 66207 02-13-14 Dr. Mark Coble Optometrist Check $500.00 9501 State Ave., #2 Kansas City, KS 66111 02-13-14 Dr. Jeremy Guenthner Optometrist Check $100.00 8113 E. Kellogg Dr., Ste. 500 Wichita, KS 67207 02-14-14 U.S. Bank Interest $0.47 Topeka, KS Subtotal This Page $9,700.47

Page 8 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-14-14 Dr. Brad Wimmer Optometrist Check $100.00 411 East Centennial Pittsburg, KS 66762 02-14-14 Dr. Kevin Cline Optometrist Check $100.00 415 SE Louis Blvd. Mulvane, KS 67110 02-18-14 Dr. Randall Bowling Optometrist Check $100.00 1607 E. Anson Fayetteville, AR 72701 02-18-14 Dr. Tyler Schremmer Optometrist Check $250.00 801 N. Pine Hoisington, KS 67544 02-18-14 Dr. Rebecca Dobbins Optometrist Check $500.00 301 W. 11th St. Coffeyville, KS 67337 02-19-14 Dr. Bill Whitesell Optometrist Check $125.00 21900 South Webster, Ste. B Spring Hill, KS 66083 02-19-14 Dr. Ted Rosentreter Optometrist Check $250.00 975 N. Mur-Len Road Olathe, KS 66062 02-19-14 Dr.leffLuthi Optometrist Check $250.00 975 N. Mur-Len Road Olathe, KS 66062 02-20-14 Dr. Matt Stanley Optometrist Check $100.00 1441 Anderson Avenue Manhattan, KS 66502 02-20-14 Dr. Robert Nelson Optometrist Check $125.00 15411 Hickory Circle Goddard, KS 67052 02-20-14 Dr. Robin Agpoon Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Misha Anderson Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Trevor Askew Optometrist Check $200.00 1851 N. Webb Road Wichita, KS 67206 Subtotal This Page $3,100.00

Page 90f24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-20-14 Dr. Doug Blackman Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Dwight Blackwood Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Suzanne Buchanan Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Gail Burden Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Betty Jo Cantrell Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Ashley Craven Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Rex Gibson Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Dan Gillogly Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Anthony Hartness Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Jill Hueslkamp Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. P. Joe Jittawait Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Lori Krueger Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Kathy Kuhl Optometrist Check $250.00 1851 N. Webb Road Wichita, KS 67206 Subtotal This Pa~e $6,250.00

Page 10 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-20-14 Dr. Steve Kuhl Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Rebecca Lehr Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Daniel Marchant Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Cheryl McGuire Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Chris Means Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Robert Moore Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. R. Michael Murphy Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Jaryl Ollenburger Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Kristina Post Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Marcus Randall Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Kirby Ray Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Gina Ridder Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Tim Ridder Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 Subtotal This Page $6,500.00

Page 11 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-20-14 Dr. Christie Rose Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Alan Russell Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Jennifer Taylor Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-20-14 Dr. Wendy Walker Optometrist Check $500.00 1851 N. Webb Road Wichita, KS 67206 02-24-14 Dr. David Cooper Optometrist Check $62.50 1000 E. Cloud Salina, KS 67401 02-24-14 Dr. Chris Banninger Optometrist Check $62.50 1000 E. Cloud Salina, KS 67401 02-24-14 Dr. Chad Fleming Optometrist Check $500.00 2635 W. Douglas Ave. Wichita, KS 67213 02-24-14 Dr. Jeff Yarrow Optometrist Check $500.00 2635 W. Douglas Ave. Wichita, KS 67213 02-24-14 Dr. Ashley Blasi Optometrist Check $250.00 2635 W. Douglas Ave. Wichita, KS 67213 02-24-14 Dr. Paul Lampert Optometrist Check $500.00 PO Box 568 Russell, KS 67665 02-24-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 02-24-14 Dr. Roger Wineinger Optometrist Check $250.00 7505 Quivira Shawnee, KS 66216 02-24-14 Dr. Russell Icke Optometrist Check $250.00 5525 Gramar Street Wichita, KS 67218 Subtotal This Page $4,385.00

Page 12 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 02-25-14 Dr. Nicklaus Richmond Optometrist Check $30.00 206 S. Mill Beloit, KS 67420 02-25-14 Dr. Chad Thompson Optometrist Check $125.00 206 S. Mill St. Beloit, KS 67420 02-25-14 Dr. Jeremy Durham Optometrist Check $25.00 437 N. Tyler Wichita, KS 67212 02-25-14 Dr. Todd Zerger Optometrist Check $250.00 900 Westchester Salina, KS 67401 02-25-14 Dr. Robert Murphey Optometrist Check $250.00 900 Westchester Salina, KS 67401 02-25-14 Dr. Brandon Smith Optometrist Check $250.00 900 Westchester Salina, KS 67401 02-25-14 Dr. Cliff Holt Optometrist Check $1,500.00 6435 Nieman Road Shawnee, KS 66203 02-26-14 Dr. H.L. Bumgardner Optometrist Check $125.00 2205 S. Seneca Wichita, KS 67213 02-26-14 Dr. David Nelson Optometrist Check $200.00 4123 SW Gage Center Dr. Topeka, KS 66604 02-28-14 Dr. Jerry Leopold Optometrist Check $250.00 1009 Heatherwood Pl. McPherson, KS 67460 03-03-14 Dr. Robert Arnold Optometrist Check $500.00 115 E. Marlin St. McPherson, KS 67460 03-03-14 Dr. Mark Glenn Optometrist Check $250.00 7th & Kansas Russell, KS 67665 03-03-14 Dr. Mike Malone Optometrist Check $125.00 6200 SW 23rd Topeka, KS 66614 Subtotal This Page $3,880.00

Page 13 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 03-03-14 Dr. Christopher Arnold Optometrist Check $100.00 22407 W. 66th St. Shawnee, KS 662265 03-04-14 Dr. Charles Rottinghaus Optometrist Check $500.00 4734 NW Valencia Rd. Silver Lake, KS 66539 03-05-14 Dr. Kendall Krug Optometrist Check $1,500.00 2203 Canterbury Hays, KS 67601 03-05-14 Dr. Matt Skahan Optometrist Check $500.00 424 N. Washington lola, KS 66749 03-05-14 Dr. Jan Hageman Optometrist Check $187.50 PO Box 1314 McPherson, KS 67460 03-05-14 Dr. Tammy Goering Optometrist Check $187.50 PO Box 1314 McPherson, KS 67460 03-05-14 Dr. Wes Garton Optometrist Check $1,000.00 2107 S. Seneca Wichita, KS 67213 03-05-14 Dr. Stacey Jones Optometrist Check $500.00 1604 W. 29th St. Hays, KS 67601 03-06-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 03-07-14 Dr. Alan Phillips Optometrist Check $250.00 15017 Linden Lane Leawood, KS 66224 03-07-14 Dr. Chris Deutscher Optometrist Check $1,000.00 200 E. 6th Topeka, KS 66603 03-10-14 Dr. Dawn Williams Optometrist Check $1,000.00 707 Kansas Plaza Garden City, KS 67846 03-10-14 Dr. Robert Hoch Optometrist Check $1,000.00 707 Kansas Plaza Garden City, KS 67846 Subtotal This Page $7,735.00

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DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 03-10-14 Dr. Toan Nguyen Optometrist Check $500.00 707 Kansas Plaza Garden City, KS 67846 03-10-14 Dr. Brandon Dahl Optometrist Check $500.00 707 Kansas Plaza Garden City, KS 67846 03-12-14 Dr. David Jacoby Optometrist Check $500.00 PO Box 258 Osage City, KS 66523 03-12-14 Dr. Jenee Barth Optometrist Check $250.00 11 Red Fox Lane Salina, KS 67401 03-13-14 Dr. Brandon Hunter Optometrist Check $250.00 13440 Roe Avenue Leawood, KS 66209 03-14-14 Dr. Bill Hefner Optometrist Check $1,000.00 200 E. 6th Topeka, KS 66603 03-14-14 U.S. Bank Interest $0.80 Topeka, KS 03-14-14 Dr. Wayne Gilmore Optometrist Check $250.00 501 Main Parsons, KS 67357 03-14-14 Dr. Craig Newland Optometrist Check $250.00 501 Main Parsons, KS 67357 03-14-14 Dr. Jeff Janasek Optometrist Check $250.00 8150 E. Douglas, Ste. 50 Wichita, KS 67206 03-17-14 Dr. Tom McCarthy Optometrist Check $750.00 2953 N. Wild Rose Ct. Wichita, KS 67205 03-17-14 Dr. Kyle Gwinner Optometrist Check $250.00 PO Box 339 Ellsworth, KS 67439 03-17-14 Dr. David Reynolds Optometrist Check $125.00 465 Deer Creek Run Deerfield Beach, FL 33442 Subtotal This Page $4,875.80

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DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 03-17-14 Dr. Ryan Farrar Optometrist Check $200.00 2381 N. Kansas Ave. Liberal, KS 6790 I 03-17-14 Dr. Gerard Lozada Optometrist Check $250.00 PO Box 1041 Shawnee Mission, KS 66202 03-19-14 Dr. Rick Roenfeldt Optometrist Check $100.00 2020 First Avenue Dodge City, KS 67801 03-20-14 Dr. Scott Landes Optometrist Check $250.00 1710 S. Hillside Wichita, KS 67211 03-20-14 Dr. Shane Kannarr Optometrist Check $250.00 2521 N. Broadway Pittsburg, KS 66762 03-21-14 Dr. Jeff Janasek Optometrist Check $250.00 8150 E. Douglas, Ste. 50 Wichita, KS 67206 03-21-14 Dr. A. Roy Roberts Optometrist Check $500.00 8150 E. Douglas, Ste. 50 Wichita, KS 67206 03-24-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 03-24-14 Dr. Patricia Dorsey Optometrist Check $250.00 827 Commercial Emporia, KS 66801 03-24-14 Dr. Duane Muck Optometrist Check $250.00 PO Box 350 Osborne, KS 67473 03-28-14 Dr. Thomas Brooks Optometrist Check $250.00 166 N. 190th Girard, KS 66743 03-27-14 Dr. Steven Miller Optometrist Check $25.00 PO Box 43 Buhler, KS 67522 03-31-14 Dr. Steven Schwartz Optometrist Check $100.00 1202 Maple Wichita, KS 67213 Subtotal This Page $2,685.00

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DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 03-31-14 Dr. Erin Smith Optometrist Check $250.00 1601 E. Iron St. Salina, KS 67401 03-31-14 Dr. David Nelson Optometrist Check $200.00 4123 SW Gage Center Dr. Topeka, KS 66604 03-31-14 Dr. Tom Lentz Optometrist Check $500.00 1223 N. Rock Rd., Bldg. C Wichita, KS 67206 04-01-14 Dr. Mark Bettencourt Optometrist Check $1,000.00 1405 W. U.S. Hwy. 24 Wamego, KS 66547 04-01-14 Dr. Stanley Nelson Optometrist Check $100.00 715 Broadway Marysville, KS 66508 04-01-14 Dr. William Holman Optometrist Check $100.00 3000 E. 9th Winfield, KS 67156 04-01-14 Dr. Cory Lindenman Optometrist Check $100.00 3000 E. 9th Winfield, KS 67156 04-02-14 Dr. Chad Thompson Optometrist Check $125.00 206 S. Mill St. Beloit, KS 67420 04-02-14 Dr. Jeremy Durham Optometrist Check $25.00 437 N. Tyler Wichita, KS 67212 04-02-14 Dr. Nicklaus Richmond Optometrist Check $30.00 206 S. Mill Beloit, KS 67420 04-02-14 Dr. Lance Eisenbarth Optometrist Check $250.00 403 NW Lyman Road Topeka, KS 66608 04-02-14 Todd Fleischer, CAE Optometrist Check $75.00 5727 SE Paulen Road Berryton, KS 66409 04-07-14 Dr. Ryan Kueker Optometrist Check $250.00 631 Lincoln Ave. Wamego, KS 66547 Subtotal This Page $3,005.00

Page 17 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 04-07-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 04-07-14 Dr. R. Kay Driver Optometrist Check $250.00 306 E. 6th St. Goodland, KS 67735 04-10-14 Gary Robbins, CAE Executive Director Check $250.00 1266 SW Topeka Blvd. Topeka, KS 66612 04-10-14 Dr. T. Gregory Dulos Optometrist Check $250.00 1302 S. Main Ottawa, KS 66067 04-10-14 Dr. Randall Holloway Optometrist Check $25.00 4 S. National Fort Scott, KS 66701 04-10-14 Dr. Jim Johnson Optometrist Check $62.50 1820 S. Ohio Salina, KS 67401 04-10-14 Dr. Martin Funk Optometrist Check $250.00 PO Box 497 Chanute, KS 66720 04-11-14 Dr. Greg Joyce Optometrist Check $250.00 201 N. Vine E1 Dorado, KS 67042 04-11-14 Dr. Tom Leonard Optometrist Check $125.00 1911 SW Gage Blvd. Topeka, KS 66604 04-14-14 U.S. Bank Interest $1.06 Topeka, KS 04-14-14 Dr. Mike Malone Optometrist Check $125.00 6200 SW 23rd Topeka, KS 66614 04-14-14 Dr. Chuck Kissling Optometrist Check $250.00 2265 N. Sandplum St. Wichita, KS 67205 04-16-14 Dr. David Cooper Optometrist Check $62.50 1000 E. Cloud Salina, KS 67401 Subtotal This Page $1,911.06

Page 18 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 04-16-14 Dr. Chris Banninger Optometrist Check $62.50 1000 E. Cloud Salina, KS 67401 04-17-14 Dr. Mark Norris Optometrist Check $500.00 2301 Tenth Avenue Leavenworth, KS 66048 04-17-14 Dr. Kyle Kelly Optometrist Check $500.00 2301 Tenth Avenue Leavenworth, KS 66048 04-17-14 Dr. Brad Majher Optometrist Check $1,000.00 2251 N. Woodlawn Wichita, KS 67220 04-17-14 Dr. Anh Tran Optometrist Check $1,000.00 2251 N. Woodlawn Wichita, KS 67220 04-17-14 Dr. Jacob Shaw Optometrist Check $1,000.00 2251 N. Woodlawn Wichita, KS 67220 04-18-14 Dr. Nick Richmond Optometrist Check $30.00 206 S. Mill Beloit, KS 67420 04-18-14 Dr. Chad Thompson Optometrist Check $125.00 206 S. Mill St. Beloit, KS 67420 04-18-14 Dr. Jeremy Durham Optometrist Check $25.00 437N. Tyler Wichita, KS 67212 04-18-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 04-21-14 Dr. Troy Maydew Optometrist Check $1,000.00 PO Box 1024 Pratt, KS 67124 04-21-14 Dr. Seth Thibault Optometrist Check $1,000.00 PO Box 1024 Pratt, KS 67124 04-21-14 Dr. Andrew Piester Optometrist Check $100.00 PO Box 1024 Pratt, KS 67124 Subtotal This Page $6,352.50

Page 19 0[24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 04-21-14 Dr. Larry Washburn Optometrist Check $125.00 POBox 747 Colby, KS 67701 04-28-14 Dr. Scott Landes Optometrist Check $125.00 1710 S. Hillside Wichita, KS 67211 04-28-14 Dr. HL Bumgardner Optometrist Check $125.00 2205 S. Seneca Wichita, KS 67213 04-28-14 Dr. Ron Fiegel Optometrist Check $125.00 3460 N. Ridge Road Wichita, KS 67205 04-28-14 Dr. M.D. Torrence Optometrist Check $62.50 8101 Saint Andrews Dr. Hutchinson, KS 67502 04-28-14 Dr. Julie Toon Optometrist AMEX $1,000.00 8118 E. Douglas Wichita, KS 67206 04-28-14 Dr. Steven Bryant Optometrist VISA $200.00 119 West 7th Concordia, KS 66701 04-30-14 Dr. Ashley Reddell Optometrist Check $100.00 2301 Tenth Avenue Leavenworth, KS 66048 04-30-14 Dr. Jonathan Reddell Optometrist Check $100.00 2301 Tenth Avenue Leavenworth, KS 66048 04-30-14 Dr. Wayne Gilmore Optometrist Check $250.00 501 Main Parsons, KS 67357 04-30-14 Dr. Craig Newland Optometrist Check $250.00 501 Main Parsons, KS 67357 04-30-14 Dr. Leslie Gregor Optometrist M.C. $125.00 15100 Metcalf Ave., Ste. 101 Overland Park, KS 66223 05-02-14 Dr. Bill Whitesell Optometrist Check $125.00 21900 South Webster, Ste. B Spring Hill, KS 66083 Subtotal This Pal!e $2,712.50

Page 20 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 05-05-14 Dr. Andrew Franken Optometrist Check $100.00 1298 Ottumwa Road Troy, KS 66087 05-05-14 Dr. Laurie White Optometrist Check $150.00 2010 Central Dodge City, KS 67801 05-05-14 Dr. A.L. Young Optometrist Check $100.00 10215 Paganica Place Hutchinson, KS 67502 05-05-14 Dr. JingYe Optometrist Check $200.00 4121 Blackjack Oak Dr. Lawrence, KS 66047 05-05-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 05-08-14 Gandhi for Kansas House Legislator - Returned Check $250.00 5802 Clarion Lakes Way campaign Topeka, KS 66610 contribution. Not running for legislature.

05-14-14 U.S. Bank Interest $1.16 Topeka, KS 05-29-14 Dr: Larry Stoppel Optometrist Check $250.00 123 West 4th Washington, KS 66968 05-30-14 Dr. Nick Richmond Optometrist VISA $30.00 206 S. Mill Beloit, KS 67420 05-30-14 Dr. Chad Thompson Optometrist VISA $125.00 206 S. Mill St. Beloit, KS 67420 05-30-14 Dr. Jeremy Durham Optometrist MasterCard $25.00 437 N. Tyler Wichita, KS 67212 05-30-14 Dr. Jan Hageman Optometrist VISA $187.50 PO Box 1314 McPherson, KS 67460 05-30-14 Dr. Tammy Goering Optometrist VISA $187.50 PO Box 1314 McPherson, KS 67460 Subtotal This Pa~e $1,616.16

Page 21 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 05-30-14 Dr. Todd Ze!ger Optometrist VISA $250.00 900 Westchester Salina, KS 67401 05-30-14 Dr. Robert Murphey Optometrist VISA $250.00 900 Westchester Salina, KS 67401 05-30-14 Dr. Brandon Smith Optometrist VISA $250.00 900 Westchester Salina, KS 67401 05-30-14 Dr. Brandon Hunter Optometrist VISA $250.00 13440 Roe Avenue Leawood, KS 66209 06-02-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 06-02-14 Dr. Nee! Gupta Optometrist Check $250.00 8641 W. 135th St. Overland Park, KS 66223 06-04-14 Dr. Steven Flory Optometrist Check $250.00 3300 Bob Billings Pkwy, Ste. 9 Lawrence, KS 66049 06-11-14 Dr. Steven Miller Optometrist Check $25.00 PO Box 43 Buhler, KS 67522 06-12-14 Dr. Chris Franken Optometrist Check $250.00 727 Commercial Street Atchison, KS 66002 06-12-14 Dr. Leslie Gregor Optometrist Check $125.00 15100 Metcalf Ave., Ste. 101 Overland Park, KS 66223 06-12-14 Dr. Ryan Kueker Optometrist Check $250.00 631 Lincoln Ave. Wamego, KS 66547 06-14-14 U.S. Bank Interest $1.20 Topeka, KS 06-16-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 Subtotal This Page $2,171.20

Page 22 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 07-01-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 07-09-14 Dr. Ryan Emrick Optometrist Check $200.00 3007 Izquierdo Court Emporia, KS 66801 07-09-14 Dr. Nick Richmond Optometrist M.C. $30.00 206 S. Mill Beloit, KS 67420 07-09-14 Dr. Jeremy Durham Optometrist VISA $25.00 437 N. Tyler Wichita, KS 67212 07-09-14 Dr. Chad Thompson Optometrist VISA $125.00 206 S. Mill St. Beloit, KS 67420 07-14-14 Todd Fleischer, CAE Asst. Executive VISA $75.00 5727 SE Paulen Road Director Berryton, KS 66409 07-14-14 U.S. Bank Interest $1.21 Topeka, KS 07-16-14 Dr. Jon Stoppel Optometrist Check $10.00 404 N. Mesquite St. Olathe, KS 66061 07-16-14 Dr. Randall Holloway Optometrist Check $25.00 4 S. National Fort Scott, KS 66701 07-16-14 Dr. David Reynolds Optometrist Check $125.00 465 Deer Creek Run Deerfield Beach, FL 33442 07-17-14 Dr. M.D. Torrence Optometrist Check $62.50 8101 Saint Andrews Dr. Hutchinson, KS 67502 07-17-14 Dr. Mark Norris Optometrist Check $250.00 2301 Tenth Avenue Leavenworth, KS 66048 07-17-14 Dr. Kyle Kelly Optometrist Check $250.00 2301 Tenth Avenue Leavenworth, KS 66048 Subtotal This Page $1,188.71

Page 23 of24 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND OCCUPATION CHECK AMOUNT ADDRESS OR CASH OF CONTRIBUTOR 07-17-14 Dr. Ashley Reddell Optometrist Check $50.00 2301 Tenth Avenue Leavenworth, KS 66048 07-17-14 Dr. Jonathan Reddell Optometrist Check $50.00 2301 Tenth Avenue Leavenworth, KS 66048 07-21-14 Dr. Bill Whitesell Optometrist Check $125.00 21900 South Webster, Ste. B Spring Hill, KS 66083 07-21-14 Dr. Mike Malone Optometrist Check $125.00 6200 SW 23rd Topeka, KS 66614 07-21-14 Dr. Laurie White Optometrist Check $100.00 2010 Central Dodge City, KS 67801 07-21-14 Dr. Jim Johnson Optometrist Check $62.50 1820 S. Ohio Salina, KS 67401 07-21-14 Dr. Chris Banninger Optometrist Check $62.50 1000 E. Cloud Salina, KS 67401 07-21-14 Dr. David Cooper Optometrist Check $62.50 1000 E. Cloud Salina, KS 67401 Subtotal This Page $637.50 Total Itemized Receipts for Period $102,866.37 Total Unitemized Contributions ($50 or Less) TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $ 102,866.37

Page 24 of24 SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT 3-25-14 Kansans for a Democratic House Fund Raiser 500000 PO Box 2083 Topeka, KS 66601 4-22-14 SoC.DoL.C. Fund Raiser 250.00 2721 SW Arrowhead Road Topeka, KS 66614 6-4-14 Governmental Ethics Commission PAC Registration Fee 240.00 th 109 SW 9 , Suite 504 Topeka, KS 66612 6-9-14 Tom Sloan for State Rep. Campaign Contribution 500.00 772 Hwy40 Lawrence, KS 66049 6-11-14 Erin Davis for State Rep. Campaign Contribution 500.00 12018 S. Clinton Street Olathe, KS 66061 6-12-14 for State Rep. Campaign Contribution 400.00 506 Stone Lake Court Augusta, KS 67010 6-16-14 Barbara Bollier for State Rep. Campaign Contribution 500.00 6910 Overhill Road Mission Hills, KS 66208 6-16-14 Annie Tietze for State Rep. Campaign Contribution 250.00 329 Yorkshire Road Topeka, KS 66606 6-16-14 lR. Claeys for State Rep. Campaign Contribution 250.00 PO Box 501 Salina, KS 67402 6-16-14 John Carmichael for State Rep. Campaign Contribution 250.00 1475 N. Lieunett Wichita, KS 67203 6-16-14 Willie Dove for State Rep. Campaign Contribution 250.00 14715 Timber Lane Bonner Springs, KS 66012 6-16-14 Diana Dierks for State Rep. Campaign Contribution 250.00 1221 Sunrise Drive Salina, KS 67401 Subtotal This Page $4,140.00

Page 1 of6 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT 6-16-14 Jack Thimesch for State Rep. Campaign Contribution 300.00 PO Box 321 Kingman, KS 67068 6-16-14 John Barker for State Rep. Campaign Contribution 250.00 103 Wassinger Avenue Abilene, KS 67410 6-16-14 Russ Jennings for State Rep. Campaign Contribution 250.00 PO Box 295 Lakin, KS 67860 6-16-14 for State Rep. Campaign Contribution 250.00 PO Box 963 McPherson, KS 67460 6-16-14 Travis Couture-Lovelady for State Rep. Campaign Contribution 250.00 2680 Three Road Palco, KS 67657 6-17-14 Ron Ryckman, Jr. for State Rep. Campaign Contribution 250.00 14234 W. 158th Street Olathe, KS 66062 6-17-14 Ron Ryckman for State Rep. Campaign Contribution 500.00 PO Box 192 Meade, KS 67864 6-17-14 for State Rep. Campaign Contribution 250.00 5 SW Fairview Drive Ottawa, KS 66067 6-17-14 Ramon Gonzalez for State Rep. Campaign Contribution 300.00 312 Elm St. Perry, KS 66073 6-17-14 Scott Schwab for State Rep. Campaign Contribution 250.00 14953 W. 140th Terrace Olathe, KS 66067 6-17-14 for State Rep. Campaign Contribution 500.00 1346 W. 140th Terrace Olathe, KS 66062 6-17-14 Amanda Grosserode for State Rep. Campaign Contribution 250.00 12601 West 99th Street Lenexa, KS 66215 6-17-14 Larry Campbell for State Rep. Campaign Contribution 250.00 15803 S. Avalon Olathe, KS 66062 6-18-14 Bill Sutton for State Rep. Campaign Contribution 250.00 301 W. Westhoff Place Gardner, KS 66030 Subtotal This Page $4,100.00 Page 2 of6 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT 6-19-14 Adam Lusker for State Rep. Campaign Contribution 400.00 452 S. 210th Street Frontenac, KS 66763 6-19-14 Brandon Whipple for State Rep. Campaign Contribution 250.00 2925 S. Walnue Wichita, KS 67217 6-19-14 Jim Kelly for State Rep. Campaign Contribution 250.00 309 South 5th Independence, KS 67301 6-19-14 John Bradford for State Rep. Campaign Contribution 250.00 125 Rock Creek Loop Lansing, KS 66043 6-19-14 Michael Houser for State Rep. Campaign Contribution 250.00 6891 SW lOth Street Columbus, KS 66725 6-19-14 Marty Read for State Rep. Campaign Contribution 300.00 18244 Kansas Hwy 52 Mound City, KS 66056 6-19-14 for State Rep. Campaign Contribution 250.00 PO Box 626 lola, KS 66749 6-19-14 John Rubin for State Rep. Campaign Contribution 300.00 13803 W. 53 rd Street Shawnee, KS 66216 6-19-14 Melissa Rooker for State Rep. Campaign Contribution 500.00 4124 Brookridge Drive Fairway, KS 66205 6-19-14 for State Rep. Campaign Contribution 250.00 322 N. 16th Street Kansas City, KS 66102 6-19-14 for State Rep. Campaign Contribution 250.00 2914 W. 46th Avenue Kansas City, KS 66103 6-19-14 for State Rep. Campaign Contribution 250.00 2710 N. 8th St. Kansas City, KS 66101 6-19-14 Charles Macheers for State Rep. Campaign Contribution 300.00 21704 W. 5ih Terrace Shawnee, KS 66218 6-19-14 Connie O'Brien for State Rep. Campaign Contribution 300.00 22123 211 th St. Tonganoxie, KS 66086 Subtotal This Page $4,100.00 Page 3 of6 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT 6-19-14 Dick Jones for State Rep. Campaign Contribution 300.00 4231 Marlboro Road Topeka, KS 66610 6-19-14 for State Rep. Campaign Contribution 250.00 520 NE Lake Topeka, KS 66616 6-19-14 Don Schroeder for State Rep. Campaign Contribution 250.00 708 Charles Street Hesston, KS 67062 6-19-14 Will Carpenter for State Rep. Campaign Contribution 500.00 6965 SW 18th St. EI Dorado, KS 67042 6-19-14 Ed Trimmer for State Rep. Campaign Contribution 250.00 1402 E. 9th Avenue Winfield, KS 67156 6-19-14 Rick Billinger for State Rep. Campaign Contribution 500.00 310 Acacia Goodland, KS 67735 6-19-14 Steve Brunk for State Rep. Campaign Contribution 500.00 8119 E. Champions Court Wichita, KS 67226 6-19-14 Jim Ward for State Rep. Campaign Contribution 250.00 3100 E. Clark Wichita, KS 67211 6-19-14 for State Rep. Campaign Contribution 300.00 619 N. Birch Avenue Valley Center, KS 67147 6-19-14 Tom Sawyer for State Rep. Campaign Contribution 300.00 1041 S. Elizabeth St. Wichita, KS 67213 6-19-14 Leslie Osterman for State Rep. Campaign Contribution 250.00 1401 Dallas Wichita, KS 67217 6-19-14 Steven Anthimedes for State Rep. Campaign Contribution 500.00 2725 S. Mason Terrace Wichita, KS 67216 6-19-14 Janice Pauls for State Rep. Campaign Contribution 500.00 101 E. 11 th Hutchinson, KS 67501 6-19-14 Steven Becker for State Rep. Campaign Contribution 300.00 PO Box 384 Buhler, KS 67522 Subtotal This Page $4,950.00 Page 4 of6 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT 6-20-14 Basil Dannebohm for State Rep. Campaign Contribution 300.00 211 Craig Street Ellinwood, KS 67526 6-20-14 John Ewy for State Rep. Campaign Contribution 500.00 312 Park Street Jetmore, KS 67854 6-20-14 Don Hineman for State Rep. Campaign Contribution 300.00 116 South Longhorn Road Dighton, KS 67839 6-20-14 Bud Estes for State Rep. Campaign Contribution 500.00 1405 Elbow Bend Dodge City, KS 67801 6-20-14 Sue Boldra for State Rep. Campaign Contribution 300.00 2405 General Custer Hays, KS 67601 6-20-14 for State Rep. Campaign Contribution 300.00 112 N. Fairview Avenue Luray, KS 67649 6-23-14 Marshall Christmann for State Senate Campaign Contribution 500.00 816 South Grand Lyons, KS 67554 6-23-14 Richard Wilborn for State Senate Campaign Contribution 500.00 1504 Heritage Place McPherson, KS 67460 7-8-14 Ponca-We Victors for State Rep. Campaign Contribution 250.00 PO Box 48081 Wichita, KS 67201 7-10-14 for State Rep. Campaign Contribution 300.00 1900 SW Briarwood Drive Topeka, KS 66614 7-10-14 Lane Hemsley for State Rep. Campaign Contribution 300.00 2909 SW 33 rd Circle Topeka, KS 66614 7-10-14 Sally Cauble Campaign Contribution 500.00 PO Box 1065 Liberal, KS 67901 7-10-14 Kevin Jones for State Rep. Campaign Contribution 250.00 416 E. Seventh Street Wellsville, KS 66092 Subtotal This Page $4,800.00

Page 5 of6 KANSAS OPTOMETRIC POLITICAL ACTION COMMITTEE

DATE NAME AND ADDRESS PURPOSE OF EXPENDITURE AMOUNT OR DISBURSEMENT 7-11-14 for State Rep. Campaign Contribution 250.00 27487 Wells Creek Road Wamego, KS 66547 7-14-14 Joe Scapa for State Rep. Campaign Contribution 200.00 2209 S. White Cliff Lane Wichita, KS 67206 7-14-14 U.S. Bank Credit Card Fees 441.21 Topeka, KS 7-16-14 Kansans for a Democratic House Fund Raiser 500.00 PO Box 2083 Topeka, KS 6660 1 7-16-14 RHCC Fund Raiser 1,500.00 Attn: Jerry Lunn 14512 Horton Street Overland Park, KS 7-16-14 Mario Goico for State Rep. Campaign Contribution 250.00 1254 N. Pine Grove Court Wichita, KS 67212 7-17-14 Menghini for State Rep. Campaign Contribution 250.00 1207 E. Quincy Street Pittsburg, KS 66762 7-22-14 Becky Hutchins for State Rep. Campaign Contribution 300.00 407 New York Avenue Holton, KS 66436

Subtotal This Page $3,691.21 Total Itemized Expenditures This Period $25,781.21 Total Unitemized Expenditures of $50 or less 0.00 TOTAL EXPENDITURES & OTHER DISBURSEMENTS TillS PERIOD (to line 4 of Summary) $25,781.21

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