Campaign Finance Receipts and Expenditures Report Page 1 of 1 Print this form or Go Back Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 109 W. 9th, Suite 504 October 29 2012 Topeka, KS 66612 Phone (785) 296-4219 Fax (785) 296-2548 www.kansas.gov/ethics Check only if appropriate Amended Filing Termination Report Campaign Finance Candidate Name:Daniel J Kerschen Filing Report Address: 645 S 263 W Address2: City: Garden Plain Zip: County: Sedgwick Home Phone: (316) 535-2310 Business Phone: Office Sought: State Senator District: 26 SUMMARY (covering the period from July 27 2012 through October 252012) 1 CASH ON HAND AT BEGINNING OF PERIOD $20,552.39 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $39,864.60 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $60,416.99 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $35,208.89 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $25,208.10 6 IN-KIND CONTRIBUTIONS (Schedule B) view/print $298.32 7 OTHER TRANSACTIONS (Schedule D) view/print $0.00 '" 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." Electronically filed on: 10/29/2012 11 :51 :01 AM Signature of Candidate or Treasurer: Andrew Gorges Print this form or Go Back http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx 10/29/2012 Campaign Finance Schedule A Report Page I of 8 Print this form or Go Back SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Candidate: Daniel J Kerschen Occupation And Type of Payment Name and Address Industry of Individual Date Amount of Contributor Cash, Check, Loan, Other Giving More Than $150 RAJ Services Company 07/27/12 PO Box 464 Check $250.00 Winston-Salem NC 27102 WAL-MART STORES, INC. 07/28/12 702 SW 8th ST Check $1,000.00 Bentonville AR 72716 PMCAGAS PAC 07/28/12 PO Box 678 Check $250.00 Topeka KS 66603-3901 Casey's General Stores 07/28/12 PO Box 3001 Check $250.00 Ankeny IA 50021-8045 Kansas Society of CPA's Politcal Action Committee 07/28/12 1080 SW Wanamaker RD STE Check $250.00 200 Topeka KS 66604-3807 Lewis Mull 1700 N Waterfront PKWY 07/28/12 Check Executive Oil & Drilling $1,000.00 BLDG 1200 Wichita KS 67206 Roger Brown 07/30/12 814 Lincoln Check $100.00 Cheney KS 67025-0088 Builders' Association Political Action Committee 08/01/12 Check $250.00 720 Oak ST Kansas City MO 64106 David Kensinger & Associates 08/01/12 3205 SW 33rd CT Check $1,000.00 Topeka KS 66614 MTM Petroleum, Inc. 08/02/12 2370 S State Road 14 E Funds $1,000.00 Kingman KS 67068 http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 10/29/2012 Campaign Finance Schedule A Report Page 2 of8 Hy-Vee, Inc. 08/05/12 5820 Weston PKWY Check $500.00 West Des Moines IA 50266 QuickTrip Corporation 08/02/12 4705 S 129th EAVE Check $500.00 Tulsa OK 74134-7008 S. Jim Farha Living Trust 08/02/12 1313 N Webb RD 240 Check $150.00 Wichita KS 67206 AMERIGROUP Corporation 08/03/12 4425 Corporation LN Check $500.00 Virginia Beach VA 23462 Kansas Star Casino Employee PAC 08/03/12 Check $1,000.00 777 Kansas Star DR Mulvane KS 67110 Kansas Speedway 08/04/12 400 Speedway BLVD Check $250.00 Kansas City KS 66111 Adam Beren 08/04/12 1739 N Duckcross CV Check Executive Oil & Gas $500.00 Wichita KS 67206-3323 The Presidential Coalition, LLC 08/06/12 Check $1,000.00 1006 Pennsylvania SE AVE Washington DC 20003-2142 Roger Brown 08/25/12 814 Lincoln Check $100.00 Cheney KS 67025-0088 Community Bankers Association Political Action 08/25/12 Committee Check $150.00 3003 SW Van Buren STE A Topeka KS 66611-2224 Security Benefit Life Insurance PAC 08/30/12 Check $250.00 1 Security Benefit PL Topeka KS 66636 Kansas Independent Business PAC, Inc. 09/01/12 Check $250.00 415 S Main Wichita KS 67202-3719 Monsanto Company 09/08/12 800 N Lingbergh Check $1,000.00 Louis MO 63167 http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx 10/29/2012 Campaign Finance Schedule A Report Page 3 of8 John Peterson 09111112 2841 Plass Check $100.00 Topeka KS 66611 William Brady 09111112 1235 Stone Creek DR Check $50.00 Lawrence KS 66049 Kansas Farm Bureau VOTE FBF 09/06/12 Check $500.00 2627 KFB PLZ Manhattan KS 66502 Kansas Bankers Association PAC 09111112 Check $250.00 PO Box 4407 Topeka KS 66604-0407 Builders Association of Kansas -PAC 09111112 Check $300.00 212 SW 8th AVE STE 201 Topeka KS 66603 Merck Sharp & Dohme Corp. 1 Merck DR 09114112 Check $500.00 Whitehouse Station NJ 8889­ 3400 Rodney Steven Owner Health, Wellness 09114112 2558 N Ridge RD Check $1,000.00 and Fitness Wichita KS 67205 Kansas Cable PAC 09117112 900 S Kansas AVE STE 300 Check $250.00 Topeka KS 66612 Kansas Optometric Political Action Committee 09/22112 Check $1,000.00 1266 SW Topeka BLVD Topeka KS 66612 Johnson & Johnson 1 Johnson & Johnson PLZ 09/22/12 Check $250.00 FLOOR 4 New Brunswick NJ 8933-7204 Kansas Agri Business Council 09/20/12 816 SW Tyler ST STE 100 Check $250.00 Topeka KS 66612 Kansas Association for Responsible Liquor Laws, Inc. 09/24112 Check $250.00 919 S Kansas AVE Topeka KS 66612 Whitney Damron Attorney Government 09/24112 919 S Kansas AVE Check $250.00 Relations Topeka KS 66612-1210 http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 10/29/2012 Campaign Finance Schedule A Report Page 4 of 8 Kansas Automobile Dealers Election Action Committee 09/24/12 Check $250.00 731 S Kansas AVE Topeka KS 66603-3807 John Deere Political Action Committee 09/20/12 Check $1,000.00 1 John Deere PL Moline IL 61265 Westar Energy Employees Political Action Committee 09/29/12 Check $250.00 PO Box 889 Topeka KS 66601 Anderson Financial Services, LLC / Loan Max LM 168 09/29/12 Check $500.00 600 S Broadway Salina KS 67401 RAI Services Company 10/01/12 PO Box 464 Check $250.00 Winston-Salem NC 27102 Terrence Dunn 09/24/12 12008 Ensley LN Check CEO Construction $500.00 Leawood KS 66209 Kansas Contractors Association Political Action 09/24/12 Committee Check $1,000.00 PO Box 5061 Topeka KS 66605 BlueCross BlueShield of Kansas 09/24/12 Check $500.00 1133 SW Topeka BLVD Topeka KS 66629-0001 Graches, Braden and Associates, Inc. 09/24/12 Check $750.00 825 S Kansas AVE STE 500 Topeka KS 66612 Road Map PAC Inc 09/24/12 2436 SW Camelot PL Check $1,000.00 Topeka KS 66614 Federico Consulting 09/24/12 900 S Kansas AVE STE 300 Check $250.00 Topeka KS 66612 KS WSW PAC 09/24/12 212SW8thAVE Check $1,000.00 Topeka KS 66603 Cox Communications 09/24/12 Check $500.00 901 S George Washington http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx 10/29/2012 Campaign Finance Schedule A Report Page 5 of8 BLVD Wichita KS 67211-3901 Kansas Health Care Assn. PAC 09/24/12 117 SW 6th AVE STE 200 Check $500.00 Topeka KS 66603-3840 lE. Dunn Construction Company 09/24/12 Check $1,000.00 1001 Locust ST Kansas City MO 64106 Kansas Dental Political Action Committee 09/24/12 Check $500.00 5200 SW Huntoon ST Topeka KS 66604 Kansas Star Casino Employee PAC 09/24/12 Check $1,000.00 777 Kansas Star DR Mulvane KS 67110 Swisher International, Inc. 09/24/12 PO Box 2230 Check $250.00 Jacksonville FL 32203-2230 ONEOK Employees Political Action Committee 09/24/12 Check $250.00 PO Box 871 Tulsa OK 74102 Distilled Spirits Council 09/24/12 1250 EYE NW ST STE 400 Check $250.00 Washington DC 20005-3998 Medical Society of Sedgwick County PAC 10/05/12 Check $500.00 1102 S Hillside Wichita KS 67211 Kansas Medical Society Political Action Committee 10/05/12 Check $1,000.00 623 SW 10th AVE Topeka KS 66612-1627 KS Manufactured Housing Industry PAC 10/04/12 Check $100.00 3521 SW 5th ST Topeka KS 66606 Kansas Livestock Association PAC 10/03/12 Check $250.00 6031 SW 37th ST Topeka KS 66614-5129 Kansas Society of CPA's 10/03/12 Political Action Committee Check $500.00 1080 SW Wanamaker RD STE http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 10/29/2012 Campaign Finance Schedule A Report Page 6 of8 200 Topeka KS 66604-3807 Sunflower Dairy PAC 10/03/12 103739 HWY Check $100.00 Ft. Scott KS 66701 HCA Kansas Good Government Fund 10/06/12 Check $300.00 550 N Hillside Wichita KS 67214 Kansas Chamber of Commerce Political Action Committee 10/06/12 Check $500.00 835 SW Topeka BLVD Topeka KS 66612 Kansas Hospital Association Political Action Committee 10/06/12 Check $500.00 215 SE 8th AVE Topeka KS 66603 Wichita Realtors Political Action Committee 10/06/12 Check $500.00 170 W Dewey ST Wichtia KS 67202 The Kansas Realtors Political Action Committee 10/06/12 Check $1,000.00 3644 SW Burlingame RD Topeka KS 66611 Koch Industries, Inc.