1/10/2020 Campaign Finance Receipts and Expenditures Report Print this fonn or Go Back Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. Topeka, KS 66612 1110/2020 Office (785) 296-4219 Fax (785)296-2548 ethics.kansas.gov Check only if appropriate Amended Filing Termination Report Campaign Finance Organization Name: Kansas Pharmacists Association - PAC Filing Report Address: 1020 SW Fairlawn Rd Address2: City: Topeka Zip: 66604 Chairperson Home Phone: Chairperson Business Phone: Party Committee PAC SUMMARY (covering the period from 1/1/2019 through 12/31/2019) 1 CASH ON HAND AT BEGINNING OF PERIOD 6129.89 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/p-rint $12,928.00 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $19,057.89 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/p-rint $18,550.00 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $507.89 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/p-rint $0.00 7 OTHER TRANSACTIONS (Schedule D) view/p-rint $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: 1/10/20208:28:58 AM Signature of Treasurer: Nate Rockers Print this fonn or Go Back kssos.org/elections/cfr_viewerlreports/exp_report_main.aspx 1/1 1/10/2020 Campaign Finance Schedule A Report Print this form or Go Back SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS Committee: Kansas Pharmacists Association· PAC Type of Payment Occupation of Name and Address Date Individual Giving Amount of Contributor Cash, Check, Loan, E-funds, Other More Than $150 Julie Keeton 12/26/19 409 S. Bay Credit Card Pharmacist $500.00 Greensburg KS 67054 Van Coble 12/09/19 1919 E 14th St Credit Card Pharmacist $50.00 Winfield KS 67156 Ralph Holbrook 12/09/19 3769 SW Deer Trail Dr Credit Card Pharmacist $30.00 Topeka KS 66610 Brian Caswell 12/09/l 9 2900 Rivers Edge Credit Card Pharmacist $100.00 Baxter Springs KS 66713 Kristen Powell 12/09/19 2830 SE Shawnee Dr Credit Card Pharmacist $21.00 Topeka KS 66605 Dared Price 12/09/19 610 Quail Nest Rd Credit Card Phannacist $50.00 Winfield KS 67156 Emily Prohaska 12/09/19 8193 W 123rd St Credit Card Phannacist $50.00 Overland Park KS 66223 Jody Reel 12/09/19 308 Hampton St Credit Card Phannacist $150.00 Sabetha KS 66534 Nate Rockers 12/09/19 23937 Eagle Court Credit Card Phannacist $100.00 Paola KS 66071 Kevin Vohs 12/09/19 1038 Sutherland Dr Credit Card Pharmacist $100.00 Louisburg KS 66053 Kristen Powell 1l/19/19 2830 SE Shawnee Dr Credit Card Phannacist $21.00 Topeka KS 66605 Emily Prohaska 11/01/19 8193 W 123rd St Credit Card Pharmacist $50.00 Overland Park KS 66223 Dared Price 11/01/19 610 Quail Nest Rd Credit Card Pharmacist $50.00 Winfield KS 67156 kssos.org/elections/cfr_viewer/reports/schedule_8_report.8spx 1/9 1/10/2020 Campaign Finance Schedule A Report 11/01/19 Nate Rockers Credit Card Phannacist $100.00 23937 Eagle Court Paola KS 66071 lody Reel 11/01/19 308 Hampton St Credit Card Phannacist $150.00 Sabetha KS 66534 Brian Caswell 11/01/19 2900 Rivers Edge Credit Card Phannacist $100.00 Baxter Springs KS 66713 Van Coble 11/01/19 1919 E 14th St Credit Card Pharmacist $50.00 Winfield KS 67156 Ralph Holbrook 11/01/19 3769 SW Deer Trail Dr Credit Card Pharmacist $30.00 Topeka KS 66610 Kevin Vohs 11/01/19 1038 Sutherland Dr Credit Card Phannacist $100.00 Louisburg KS 66053 Kevin Vohs 10/02/19 1038 Sutherland Dr Credit Card Pharmacist $100.00 Louisburg KS 66053 Ralph Holbrook 10/02/19 3769 SW Deer Trail Dr Credit Card Pharmacist $30.00 Topeka KS 66610 Van Coble 10/02/19 1919 E 14th St Credit Card Phannacist $50.00 Winfield KS 67156 Brian Caswell 10/02/19 2900 Rivers Edge Credit Card Phannacist $100.00 Baxter Springs KS 66713 lody Reel 10/02/19 308 Hampton St Credit Card Pharmacist $150.00 Sabetha KS 66534 Nate Rockers 10/02/19 23937 Eagle Court Credit Card Phannacist $100.00 Paola KS 66071 Dared Price 10/02/19 610 Quail Nest Rd Credit Card Pharmacist $50.00 Winfield KS 67156 Emily Prohaska 10/02/19 8193 W 123rd St Credit Card Pharmacist $50.00 Overland Park KS 66223 Kristen Powell 10/02/19 2830 SE Shawnee Dr Credit Card Phannacist $21.00 Topeka KS 66605 Kim Tien Nguyen 09/28/19 3945 Roanoke Rd Credit Card Phannacist $10.00 Kansas City MO 64111 09/23/19 Kezia Uhrich Credit Card Phannacist $250.00 kssos.org/eleclions/cfr_viewer/reports/schedule_a_report.aspx 2/9 1/10/2020 Campaign Finance Schedule A Report PO Box 161 Oakley KS 67748 Nate Rockers 09/06119 23937 Eagle Court Credit Card Pharmacist $100.00 Paola KS 66071 lody Reel 09/06119 308 Hampton St Credit Card Pharmacist $150.00 Sabetha KS 66534 Kristen Powell 09/06/19 2830 SE Shawnee Dr Credit Card Pharmacist $21.00 Topeka KS 66605 Dared Price 09/06/19 610 Quail Nest Rd Credit Card Pharmacist $50.00 Winfield KS 67156 Emily Prohaska 09/06119 8193 W l23rd St Credit Card Pharmacist $50.00 Overland Park KS 66223 Ralph Holbrook 09/06/19 3769 SW Deer Trail Dr Credit Card Pharmacist $30.00 Topeka KS 66610 Brian Caswell 09/06/19 2900 Rivers Edge Credit Card Pharmacist $100.00 Baxter Springs KS 66713 Van Coble 09/06/19 1919 E 14th St Credit Card Pharmacist $50.00 Winfield KS 67156 Kevin Vohs 09/06/19 1038 Sutherland Dr Credit Card Pharmacist $100.00 Louisburg KS 66053 Tim Bredehoft 6209 09/05/19 Credit Card Pharmacist $50.00 Palisades Dr Lawrence KS 66049 Doug Funk 08/29/19 5111 Eagles Ridge Ct. Credit Card Pharmacist $250.00 Lawrence KS 66047 Kim Tien Nguyen 08/28/19 3945 Roanoke Rd Credit Card Pharmacist $10.00 Kansas City MO 64111 Van Coble 08/26/19 1919E l4thSt Credit Card Pharmacist $250.00 Winfield KS 67156 Lisa Gales 08/21/19 PO Box 222 Credit Card Pharmacist $500.00 Coldwater KS 67029 Merlin McFarland 08113119 1945 Jayhawk Dr Credit Card Pharmacist $250.00 Kingman KS 67068 08/09/19 Terry Kepka Credit Card p $250.00 kssos.org/elections/cfr_viewerlreports/schedule_aJeport.aspx 3/9 1/10/2020 Campaign Finance Schedule A Report 408 Bradley St. Ellsworth KS 67439 Harold Godwin 08/07/19 10112 W 98th St Credit Card Pharmacist $250.00 Overland Park KS 66212 Amanda Applegate 08/02/19 13410 W. 78th Terr Credit Card Pharmacist $250.00 Lenexa KS 66216 Brian Caswell 08/01/19 2900 Rivers Edge Credit Card Pharmacist $100.00 Baxter Springs KS 66713 Van Coble 08/01119 1919 E 14th St Credit Card Pharmacist $50.00 Winfield KS 67156 Ralph Holbrook 08/01119 3769 SW Deer Trail Dr Credit Card Pharmacist $30.00 Topeka KS 66610 Emily Prohaska 08/01119 8193 W 123rd St Credit Card Pharmacist $50.00 Overland Park KS 66223 Dared Price 08/01119 610 Quail Nest Rd Credit Card Pharmacist $50.00 Winfield KS 67156 Kristen Powell 08/01119 2830 SE Shawnee Dr Credit Card Pharmacist $21.00 Topeka KS 66605 Jody Reel 08/01119 308 Hampton St Credit Card Pharmacist $150.00 Sabetha KS 66534 Nate Rockers 08/01119 23937 Eagle Court Credit Card Pharmacist $100.00 Paola KS 66071 Kevin Vohs 08/01119 1038 Sutherland Dr Credit Card Pharmacist $100.00 Louisburg KS 66053 Sandie Kueker 07/31/19 1302 E Hickory Credit Card Pharmacist $250.00 Hesston KS 67062 Kim Tien Nguyen 07/28/19 3945 Roanoke Rd Credit Card Pharmacist $10.00 Kansas City MO 64111 Emily Blew 07/25/19 744 N Waco Ave Credit Card Pharmacist $250.00 Wichita KS 67203 John Isaacs 07/24/19 4184 Country Road 2000 Credit Card Pharmacist $250.00 Coffeyville KS 67337 07110119 Nick Schulte Credit Card Pharmacist $250.00 2815 Winterbrook Circle kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 4/9 1/10/2020 Campaign Finance Schedule A Report Lawrence KS 66047 Nate Rockers 07/01/19 23937 Eagle Court Credit Card Pharmacist $100.00 Paola KS 66071 Kevin Vohs 07/01119 1038 Sutherland Dr Credit Card Pharmacist $100.00 Louisburg KS 66053 lody Reel 07/01119 308 Hampton St Credit Card Pharmacist $150.00 Sabetha KS 66534 Kristen Powell 07/01/19 2830 SE Shawnee Dr Credit Card Pharmacist $21.00 Topeka KS 66605 Dared Price 07/01119 610 Quail Nest Rd Credit Card Pharmacist $50.00 Winfield KS 67156 Emily Prohaska 07/01119 8193 W 123rd St Credit Card Pharmacist $50.00 Overland Park KS 66223 Ralph Holbrook 07/01/19 3769 SW Deer Trail Dr Credit Card Pharmacist $30.00 Topeka KS 66610 Brian Caswell 07/01/19 2900 Rivers Edge Credit Card Pharmacist $100.00 Baxter Springs KS 66713 Van Coble 07/01119 1919 E 14th St Credit Card Pharmacist $50.00 Winfield KS 67156 Kim Tien Nguyen 06/28/19 3945 Roanoke Rd Credit Card Pharmacist $10.00 Kansas City MO 64111 Ralph Holbrook 06/03119 3769 SW Deer Trail Dr Credit Card Pharmacist $30.00 Topeka KS 66610 Van Coble 06/03/19 1919 E 14th St Credit Card Pharmacist $50.00 Winfield KS 67156 Brian Caswell 06/03/19 2900 Rivers Edge Credit Card Pharmacist $100.00 Baxter Springs KS 66713 Emily Prohaska 06/03/19 8193 W 123rd St Credit Card Pharmacist $50.00 Overland Park KS 66223 Kristen Powell 06/03/19 2830 SE Shawnee Dr Credit Card Pharmacist $21.00 Topeka KS 66605 lody Reel 06/03119 308 Hampton St Credit Card Pharmacist $150.00 Sabetha KS 66534 kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 5/9 1/10/2020 Campaign Finance Schedule A Report Kevin Vohs 06/03/19 1038 Sutherland Dr Credit Card Pharmacist $100.00 Louisburg KS 66053 Nate Rockers 06/03/19 23937 Eagle Court Credit Card Pharmacist $100.00 Paola KS 66071 Dared Price 06/01/19 610 Quail Nest Rd Credit Card Pharmacist $50.00 Winfield KS 67156 Julie Keeton 06/01/19 409 S.