KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMNIITTEE October 29, 2012 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Committee: Kansas Chamber JOBS PAC Address: 835 SW Topeka Blvd City and Zip Code: _T_o_p_e_k_a_6_6_6_12 _ This is a (check one): __ Party Committee '" Political Committee B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from July 27,2012 through October 25,2012) l. Cash on hand at beginning ofperiod . 15000 2. Total Contributions and Other Receipts (Use Schedule A) . 2897.40 3. Cash available this period (Add Lines 1 and 2) . 17897.40 4. Total Expenditures and Other Disbursements (Use Schedule C) . 16721.21 5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . 1176.19 6. In-Kind Contributions (Use Schedule B) 0 7. Other Transactions (Use Schedule D) . o D. "1 declare that this report, including any accompanying schedules and statements, has been examined by me and to the best ofmy knowledge and belief is true, correct and complete. 1 understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." 10/29/2012 Date GEC Form Rev, 2001 SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Kansas Chamber JOBS PAC (Name of Party Committee or Political Committee) 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 !U!!..!!!!! Other Receipt Kansas Chamber PAC 10/25/12 835 SW Topeka Blvd .f $2,897.40 Topeka, KS 66612 $2,897.40 Subtotal This Page Complete if last page of Schedule A Total Itemized Receipts for Period $2,897.40 Total Unitemized Contributions ($50 or less) Sale ofPolitical Materials (Unitemized) , Total Contributions When Contributor Not Known TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $2,897.40 Page __of__ SCHEDULEB IN-KIND CONTRIBUTIONS Kansas Chamber JOBS PAC (Name of Party Committee or Political Committee) List Occupation & Value of Date Name and Address Industry for Those Giving Description ofln-Kind In-Kind of Contributor an In-Kind of More Than Contribution Contribution $150 $0.00 Subtotal This Page Complete iflast page of Schedule B i , Total Itemized (over $100) In-Kind Contributions Total Unitemized ($ I 00 or less) In-Kind Contributions TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD (to line 6 of Summary) $0.00 Page _1_ of__ SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS Kansas Chamber JOBS PAC (Name of Party Committee or Political Committee) Name and Address Purpose of Expenditure Date To Whom Expenditure is Made Amount Ifindependent or in-kind expenditure in excess of $300 is made for a candidate, list candidate name & address Victory Enterprises Campaign Software for Jeff Melcher for Senate - in-kind 09/18/12 5200 SW 30th Street $200.00 Davenport, IA 52802 i360 Voter File - see attachment for list of candidates 09/18/12 PO Box 37046 receiving in-kind $12,000.00 Baltimore, MD 21297 SipVine IE phone program used for Senate candidates, Jeff 09/28/12 12742 South Constance Street Melcher, Dave Harvey, Greg Smith, Jim Denning and $167.40 Olathe, KS 66062 Mary Pilcher-Cook and ... (cont. below) House candidates Bruce Belanger, Charles Macheers, Brett Hildabrand and James Todd. Total for each is $18.60 C Kansas Chamber Reimbursement to the Kansas Chamber for data 10/25/12 835 SW Topeka Blvd $4,353.81 Topeka,KS 66612 $16,721.21 Subtotal This Page Complete if last page of Schedule c Total Itemized Expenditures This Period Total Unitemized Expenditures of$50 or less TOTAL EXPENDITURES & OTHER DISBURSEMENTS , THIS PERIOD (to line 4 of Summary) Page __of__ First Name last Name Amount Steve Abrams $154.42 Pat Apple $154.42 Tom Arpke $154.42 Dick Barta $154.42 Anthony Brown $154.42 Terry Bruce $154.42 Kenya Cox $154.42 JIM DENNING $154.42 Les Donovan $154.42 Steve Fitzgerald $154.42 MITCH HOLMES $154.42 Jeff King $154.42 Forrest KNOX $154.42 Jacob LaTurner $154.42 Garrett Love $154.42 Julia Lynn $154.42 Ty Masterson $154.42 Jeff Melcher $154.42 Casey Moore $154.42 Michael O'Donnell $154.42 Rob Olson $154.42 Ralph Ostmeyer $154.42 Mike Petersen $154.42 Mary Pilcher-Cook $154.42 Larry Powell $154.42 Dennis Pyle $154.42 Bob Reader $154.42 Greg Smith $154.42 Chris Steinegar $154.42 Caryn Tyson $154.42 Susan Wagle $154.42 Joe Ward $154.42 J. STEPHEN ALFORD $49.41 Larry Alley $49.41 Erica Anderson $49.41 John Barker $49.41 Sue Boldra $49.41 BENNY BOMAN $49.41 John Bradford $49.41 Marla Brems . $49.41 ROB BRUCHMAN $49.41 STEVE BRUNK $49.41 Tony Bukaty $49.41 MIKE BURGESS $49.41 RICHARD CARLSON $49.41 WARD CASSIDY $49.41 Marshall Christmann $49.41 J.R. Claeys $49.41 Susan Concannon $49.41 Ken Corbet $49.41 J. DAVID CRUM $49.41 PETER DeGRAAF $49.41 Willie Dove $49.41 John Edmonds $49.41 George Edwards $49.41 Keith Esau $49.41 RANDY GARBER $49.41 Tim Garvey $49.41 Mario Goico $49.41 RAMON GONZALEZ $49.41 JANA GOODMAN $49.41 AMANDA GROSSERODE $49.41 Dennis Hedke $49.41 PHIL HERMANSON $49.41 BREIT HILDABRAND $49.41 Kyle Hoffman $49.41 Michael Houser $49.41 JIM HOWELL $49.41 Michelle Hucke $49.41 STEVE HUEBERT $49.41 Mark Hutton $49.41 STEVEN JOHNSON $49.41 Kevin Jones $49.41 Mark Kahrs $49.41 KASHA KELLEY $49.41 . LANCE KINZER $49.41 MARVIN KLEEB $49.41 Brenda Landwehr $49.41 Rick Lindsey $49.41 Jerry Lunn $49.41 Charles Macheers $49.41 PEGGY MAST $49.41 Craig McPherson $49.41 KELLY MEIGS $49.41 Ray Merrick $49.41 J?net Mitchell $49.41 Lee Modesitt $49.41 Robert Montgomery $49.41 Becky Nioce $49.41 CONNIE O'BRIEN $49.41 LESLIE OSTERMAN $49.41 VIRGIL PECK $49.41 Marc Rhoades $49.41 Aimee Rosenow $49.41 JOHN RUBIN $49.41 RONALD RYCKMAN $49.41 JOSEPH SCAPA $49.41 DON SCHROEDER $49.41 scan SCHWAB $49.41 SHARON SCHWARTZ $49.41 JOE SEIWERT $49.41 Shawn Shipp $49.41 CLARK SHULTZ $49.41 ARLEN SIEGFREID $49.41 John Stevens $49.41 GENE SUELLENTROP $49.41 Bill Sutton $49.41 Jack Thimesch $49.41 James Todd $49.41 Travis Travis Couture-Lovelady $49.41 JENE VICKREY $49.41 Christopher Waldschmidt $49.41 BRIAN WEBER $49.41 .