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------- ---- KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE ED July 30, 2018 REC AUG 062018 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS KS Goyeromerltal Etllies Commission A. _ Address: 13510 W 72nd St City and Zip Code: Shawnee 66216 County: Johnson Office Sought: House of Represenatives District: 17 B. Check only if appropriate: UAmended Filing __ Termination Report C. Summary (covering the period from January 1,2018 through July 26, 2018) 1. Cash on hand at beginning of period . 18,067.63 2. Total Contributions and Other Receipts (Use Schedule A) . 19,495.00 3. Cash available this period (Add Lines 1 and 2) .. 37,562.63 4. Total Expenditures and Other Disbursements (Use Schedule C) . 7883.27 5. Cash on hand at close of period (Subtract Line 4 from 3) .. 29679.36 6. In-Kind Contributions (Use Schedule B) 39.13 7. Other Transactions (Use Schedule D) . D. "1 declare that this report, including any accompanying schedules md statements, has been examined by me and to the best of my 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." Signature of Candidate or Treasurer Dare 18/3/18 I GEe Form Rev, 2018

AUG 062018 SEE REVERSE SIDE FOR INSTRUCTIONS KS …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201801/H017... · 2018. 8. 6. · kansas governmental ethics commission . receipts

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Page 1: AUG 062018 SEE REVERSE SIDE FOR INSTRUCTIONS KS …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201801/H017... · 2018. 8. 6. · kansas governmental ethics commission . receipts

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KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

EDJuly 30, 2018 REC AUG 062018FILE WITH SECRETARY OF STATE

SEE REVERSE SIDE FOR INSTRUCTIONS KS Goyeromerltal Etllies Commission

A. NameofCmdid~:_T_o_m_C_o_x ~~~~~~~~~~~ _

Address: 13510 W 72nd St

City and Zip Code: Shawnee 66216 County: Johnson

Office Sought: House of Represenatives District: 17

B. Check only if appropriate: UAmended Filing __ Termination Report

C. Summary (covering the period from January 1,2018 through July 26, 2018)

1. Cash on hand at beginning of period . 18,067.63

2. Total Contributions and Other Receipts (Use Schedule A) . 19,495.00

3. Cash available this period (Add Lines 1 and 2) .. 37,562.63

4. Total Expenditures and Other Disbursements (Use Schedule C) . 7883.27

5. Cash on hand at close of period (Subtract Line 4 from 3) .. 29679.36

6. In-Kind Contributions (Use Schedule B) 39.13

7. Other Transactions (Use Schedule D) .

D. "1 declare that this report, including any accompanying schedules md statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. 1understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."

Signature of Candidate or TreasurerDare 18/3/18 I

GEe Form Rev, 2018

Page 2: AUG 062018 SEE REVERSE SIDE FOR INSTRUCTIONS KS …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201801/H017... · 2018. 8. 6. · kansas governmental ethics commission . receipts

Date Amount First Name Last Name Address Occupation Type

1/7/2018 $50 Eric Foss 6708 EI Monte St Prairie village, KS 66208 Attorney Check

2/10/2018 $300 Scott Mach 15300 W 55th Terr Shawnee, KS 66217 Lawyer Check

2/19/2018 $25 David Herdman 13916 w 76th circle Lenexa, KS 66216 E-check

2/28/2018 $10 Hannah Feldman 3227 N Clifton Ave #3 Chicago, IL 60657 Marketing E-check

2/28/2018 $50 Kathryn Bigelow 14107 W 69th St Shawnee, KS 66216 E-Check

2/28/2018 $50 Chelsea Love 15 Wave Avenue Unit 3B Revere, MA 02151 Sales E-Check

3/1/2018 $25 Don Dodge 907 N Coker Loop, San Antonio, TX 78216 Manager E-Check

3/4/2018 $100 James Hubbard 700 West 31st St #1101 Kansas City, MO 64108 Doctor E- Check

4/25/2018 $20 Donna Frie 16809 w 83rd Lenexa, KS 66219 Retired E- Check

6/1/2018 $250 Lathrop & Gage 2345 Grand Boulevard KC,MO 64108 Check

6/9/2018 $100 Bob Regnien 3400 W 119th St, Leadwood, KS 66209 Banking Check

6/9/2018 $100 Mike Alley 7909 Woodstone St Lenexa, KS 66219 Retired Check

6/12/2018 $15 Abby Felter 730 24th St NW Unit 211, Washington, DC 20037 E- Check

6/14/2018 $500 Joseph Lutkenhaus 14631 W 50th St Shawnee, KS Professor Check

6/15/2018 $250 Joshua Dinning 15810 Hastings Park, Selma, TX Accountant Check

6/19/2018 $500 Weyen Burnam 3060 W Wildflower Court, Columbia, MO 65203 Developer E- Check

6/19/2018 $25 Julie Vodehnal 7853 W 153rd terr Overland Park, KS 66223 Teacher Check

6/22/2018 $100 Kansas Bankers Assocation 610 SW Corporate View, Topeka, KS 66615 Check

6/23/2018 $500 Kansas Livestock Association PAC 6031 SW 37th Street Topeka, KS 66614 Check

6/23/2018 $100 Edwin Eilert 8617 W 88th Terr Overland Park, Ks 66212 Commisioner Check

6/25/2018 $500 KC BizPAC 30 W Pershing Rd STE 301 Kansas City, MO 64108 Check

6/25/2018 $100 Don Horine Jr 8517 Cardinal St Lenexa, KS 66219 retired Check

6/27/2018 $250 BNSF 2500 Lou Menk Drive, Fort Worth, TX 76131 Check

6/27/2018 $75 Paul Snider 9617 Appleridge Lane Lenexa, KS 66227 Public Affairs E-Check

6/28/2018 $250 BCBSKC PAC 2301 Main St Kansas City, MO 64108 Check

6/28/2018 $250 HCA Kansas Good Government Fund Po Box 550 One Park Plaza NASHVILLE, TN 37203 Check

6/29/2018 $500 Hallmark Cards, INC PO Box 419580 Kansas City, MO 64141 Check

6/29/2018 $500 Black Hills PAC PO Box 1400 Rapid City, SD 57709 Check

6/29/2018 $250 Westar Energy Employees PAC PO Box 889 Topeka, KS 66601 Check

6/29/2018 $250 ITC Great Plains, LLC 27175 Energy Way Novi, MI 48377 Check

6/29/2018 $250 AT&T 220 SE 6th Ave. Topeka, KS 66603 Check

7/2/2018 $500 KNEA PAC 715 SW 10th Ave Topeka, KS 66612 Check

7/2/2018 $250 Kansas Dental Assocation PAC 5200 SW Huntoon St Topeka, KS 66604 Check

Page 3: AUG 062018 SEE REVERSE SIDE FOR INSTRUCTIONS KS …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201801/H017... · 2018. 8. 6. · kansas governmental ethics commission . receipts

7/2/2018 $250 CenturyTellnc PO Box 4065 Monroe, LA 71211 Check

7/2/2018 $500 Pratt Wind LLC 700 Universe Blvd Juno Beach, Florida 33408 Check

7/2/2018 $500 Kansas Realtors PAC 3644 SW Burlingame RD Topeka, KS 66611 Check

J; 5) Ed $Sd : 21 :diS w:p:s;a a; :gUll:; is J3 is " :Ii 611 is! :z: iI& 3ilis! is!::S £j[ Ii 3it j 3£ i2 6IIdit 7/6/2018 $500 Kansas Restaurant Association PAC 3500 N Rock Rd Bldg 1300 Wichita, KS 67226 Check

7/6/2018 $250 Kansas Rural Independent Telecoms PAC PO Box 4799 Topeka, KS 66604 Check

7/6/2018 $250 Kansas Medical Society PAC 623 SW 10th Ave. Topeka, KS 66612 Check

7/6/2018 $250 Kansas Hospital Association PAC 215 S E 8th Avenue Topeka, KS 66603 Check

7/6/2018 $150 John Peterson 1100 SW 29th St Topeka, KS 66611 Public Affairs Check

7/6/2018 $100 LeEtta Felter 14220 SCopper Creek Olathe, KS 66062 Check

7/9/2018 $300 Sempra Energy 488 8th Avenue San Diego, CA 92101 Check

7/9/2018 $250 Eli Lilly And Company 220 East Adams Springfield, II 62701 Check

7/9/2018 $500 Kansas Ethanol PAC 816 SW Tyler St Suite 100 Topeka, KS 66612 Check

7/9/2018 $500 Kansas Agri Business Council 816 SW Tyler St Suite 100 Topeka, KS 66612 Check

7/9/2018 $250 Kansas Beverage Assocation PAC 5845 SW 29th St Topeka, KS 66614 Check

7/11/2018 $500 Committee for Quality Healthcare PO Box 144 Jefferson City, MO 65102 Check

7/11/2018 $100 Michael Dix 8108 Mullen Rd Lenexa, KS 66215 Dentist Check

7/12/2018 $250 Anheuser Busch One Busch Place St Louis, MO 63118 Check

7/13/2018 $500 Credit Union PAC of Kansas 901 SW Topeka Blvd Topeka, KS 66612 Check

7/13/2018 $250 Sunflower Electric Power Corporation PO Box 1020 301 West 13th Street, Hays, KS 67601 Check

7/13/2018 $250 Kansas CRNA PAC 10437 W 125th Ter Overland Park, KS 66213 Check

7/14/2018 $250 Kansas Society of CPAs 114 SE 8th Ave Topeka, KS 66603 Check

7/16/2018 $250 One Gas Inc PAC 15 East Fifth Street Tulsa, Oklahoma 74103 Check

7/16/2018 $250 RAI Services Company 401 N. Main St. Winston-Salem, NC 27101 Check

7/16/2018 $250 Kansas Insurance PAC PO Box 55 Topeka, KS 66601 Check

7/16/2018 $300 Kansas New Energy Economy PAC 610 Brazos St Suite 210 Austin, Texas 78701 Check

7/18/2018 $100 William Harrington 4905 Constance St, Shawnee, KS 66216 Retired e-check

7/18/2018 $500 Abraham Rafie 14513 Floyd St Overland Park, KS 66223 Doctor Check

7/19/2018 $250 Kansas Cooperative Council PO Box 1747 Hutchinson, KS 67504 Check

7/20/2018 $100 Michael Alley 7909 Woodstone St Lenexa, KS 66219 retired Check

7/22/2018 $500 Venture Corporation PO Box 1486 Great Bend, KS 67530 Check

7/22/2018 $50 Lynn Marten 8508 Darnell Lenexa, KS 66215 Check

7/22/2018 $250 UP Railroad Company 600 Broadway, Suite 500 Kansas City, MO 64105 Check

7/22/2018 $250 KIA PAC 815 SW Topeka Blvd Topeka, KS 66612 Check

Page 4: AUG 062018 SEE REVERSE SIDE FOR INSTRUCTIONS KS …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201801/H017... · 2018. 8. 6. · kansas governmental ethics commission . receipts

7/25/2018

7/25/2018

7/25/2018

7/25/2018

7/25/2018

7/26/2018

7/26/2018

7/26/2018

7/26/2018

7/5/2018

$500

$250

$250

$50

$50

$500

$250

$200

$250

$19,495.00

$500

Kansas Farm Bureau Vote FBF Fund 2627 KFB Plaza, Manhattan, KS 66502

Stephanie Spring 7011 Constance St Shawnee, KS 66216

Henry Cox 7011 Constance St Shawnee, KS 66216

Reid Cox 14814 W 71st Terr Shawnee, KS 66216

Amanda Cox 14814 W 71st Terr Shawnee, KS 66216

APAC - Kansas Inc PO Box 1605 Hutchinson, KS 67504

KS WSW PAC 212 Sw 8th ave STE 202 Topeka, KS 66603

Steve Cloud 8820 Vista Dr Lenexa, KS 66220

Atmos Energy Corporation PAC 5430 LBJ Freeway, Suite 160 Dallas, TX 75240

Kansas State Farm Insurance Agent PAC 825 S Kansas Ave Topeka, KS 66604

Researcher

lawyer

Teacher

CEO

Check

Check

Check

Check

Check

Check

Check

Check

Check

Check

Page 5: AUG 062018 SEE REVERSE SIDE FOR INSTRUCTIONS KS …ethics.ks.gov/CFAScanned/House/2018ElecCycle/201801/H017... · 2018. 8. 6. · kansas governmental ethics commission . receipts

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT REC VED

OF A CANDIDATE FOR STATE OFFICE MAY 082018 f

January 10,201)1 KS Governmental EtI1\Cs Commlsslo

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A. ~me~C~ilid~:_T_o_m_C_o_x _

Address: 13510 W 72nd St

City and Zip Code: Shawnee 66216 County: Johnson

Office Sought: House of Represenatives District: 17 ------ ­

B. Check only if appropriate: Amended Filing __ Termination Report L

c. ~.1 't ;J.f)J 7 dllJtY

Summary (covering the period from·~throughDecember 31, 201)l

1. Cash on hand at beginning of period . 6,022.63

2. Total Contributions and Other Receipts (Use Schedule A) . 14,794.00

3. Cash available this period (Add Lines 1 and 2) .. 20,816.63

4. Total Expenditures and Other Disbursements (Use Schedule C) . 2,749.00

5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . 18067.63

6. In-Kind Contributions (Use Schedule B) 213.95

7. Other Transactions (Use Schedule D) .

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."

5/8/18

Date Signature of Candidate or Treasurer

GEe Form Rev, 2016