27
Jan. 9, 2014 3:08PM Conlee Schmidt & Emerson No. 5448 P. 2 KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES OF A CANDIDATE FOR STATE OFFIC RECEIVED January 10,2014 JAN 09 2014 JM llllID1I4 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIO KRIS W. KOBACH . SECRETARY OF STATE A. Name of Candidate: _J_o_h_n_C_a_rm_ic_h_ae_I _ Address: 1475 N. Lieunett 5t City and Zip Code: Wichita, 67203 County: ':edgwlck Office Sought: State Representative District: 92 ------ B. Check only if appropriate: __ Amended Filing Termination Report C. Summary (covering the period from January 1,2013 tbrough December 31,2013) 1. Cash on hand at beginning of period . 0.00 2. Total Contributions and Other Receipts (Use Schedule A) . 26702.00 3. Cash available this period (Add Lines 1 and 2) .. 26702.00 4. Total Expenditures and Other Disbursements (Use Schedule C) . 8406.26 5. Cash on hand at close of period (Subtract Line 4.from 3) .. 18295.74 6. In-Kind Contributions (Use Schedule B) 957.05 1. Other Transactions (Use Schedule D) 824.60 D. "I dedan: 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. 1 understand that the intentional failure to file this document or intentionally fir e document is a class A misdemeanor." 1/912014 Date GEe Form Rev, 2001

JM llllID1I4 W. A. - Kansasethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H092JC_2014… · dedan: that this report, including any accompanying schedules : ... Committee or Political

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Jan. 9, 2014 3:08PM Conlee Schmidt & Emerson No. 5448 P. 2

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPO'D'P-----F~IL:=-=E=D::-----, OF A CANDIDATE FOR STATE OFFIC

RECEIVED January 10,2014 JAN 09 2014

JM llllID1I4 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIO

KRIS W. KOBACH . SECRETARY OF STATE

A. Name of Candidate: _J_o_h_n_C_a_rm_ic_h_ae_I ~ _

Address: 1475 N. Lieunett 5t

City and Zip Code: Wichita, 67203 County: ':edgwlck

Office Sought: State Representative District: 92 ----- ­

B. Check only ifappropriate: __ Amended Filing ~_ Termination Report

C. Summary (covering the period from January 1,2013 tbrough December 31,2013)

1. Cash on hand at beginning ofperiod . 0.00

2. Total Contributions and Other Receipts (Use Schedule A) . 26702.00

3. Cash available this period (Add Lines 1and 2) .. 26702.00

4. Total Expenditures and Other Disbursements (Use Schedule C) . 8406.26

5. Cash on hand at close ofperiod (Subtract Line 4.from 3) .. 18295.74

6. In-Kind Contributions (Use Schedule B) 957.05

1. Other Transactions (Use Schedule D) 824.60

D. "I dedan: 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. 1understand that the intentional failure to file this document or intentionally fir e document is a class A misdemeanor."

1/912014 Date

GEe Form Rev, 2001

Jan. 9. 2014 3:08PM Conlee Schmidt & Emerson No. 5448 P. 3

SCHEDULE A CONTRIBUTIONS AND OlliER RECEIPTS

John Carmichael for House 92 (NlIJIIC ofCandidate. Party, Commillee or Political Committee

Date Nam, andAdritUlf ofCo'ltriburor Occupation & IrtdU$Uy of lndfllidutlf Giving More

Than $/50

Cht.ckAooro/Jriat, Box Amounloj Cash, Cht.ck,

/"QDrz or Osh" R,ceiDl

c:..b Cbook lA'l\ ilJImIl OIl1o,

8/15/2013 Raj Goyle 11 W17th St 9th Floor New York, NY 10011

Attorney Legal x 500.00

8116/2013 Joan GedIaitis 225 N Yale Ave Wichita, KS 67208·3333

x 5.00

8117/2013 James Baker 1349 Svensk Rd Lindsborg, KS 67456

x 10.00

8117/2013 Stewart Bell 119 Osage St PO Box 61 Moline, KS 67353·5332

X 10.00

8/1712013 Jane Billingsley POBox 175 Derby,KS 67037-0175

x 10.00

8/17/2013 Flora Bisliop 2227 WVentoso Rd Wichita, KS 67204-1729

x 20.00

8/1712013 Phil Black 118 ERepublicAve Salina, KS 67401-6002

x 5.00

8/1712013 RyonC8rey 13i9 Svensk Rd Lindsborg, KS 67456

x to.OO

8/171:2013 Robert Chorornanskl 14413 W80th rer Lenexa, KS 66215-4111

x 10.00

8/17/2013 KenCibosld 13S NTerrace Dr Wichita, KS 67208-3941

x 20.00

Subtotal This Page: 600.00

Scltecl A. 1of16 Page _1_ of 'ZIo

Jan, 9. 2014 3:09PM Conlee Schmidt & Emerson No. 5448 P. 4

SCHEDULE A CONTRlBUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 (Name of C.IIldidale, Party. Committee or Political COUlIIlill/le

Datil Namll andAddrU8 o/Contrlbutor Occupation & [ndtut1'y of IndMdua/ Giving Morc

Tho/f$JSO

CllIlckAl'lLt'Qtp"iQ/e Box AmQWltqf Cash, Check, Lean or Other

ReclilJt

c..b o.ldo 1.0... B.llIlGt 011\0(

8/17/2013 BreeColby 2510 E Pawnee St Apt 803 Wichita, KS 67211·5565

x 25.00

8/17/2013 BreeColby 2510 E pawnee St Apt 803 Wichita, KS 672J J-5565

x 25.00

81 17/20J3 Susan Ellis 200 W Douglas Ave Ste 300 Wichita, KS 67202·3003

Attomey Legal x 250.00

8117/2013 Jean Farrar 210 W9thSt Newton. KS 67114·1110

l( 100.00

8/1712013 Roger Fincher 1826 Burning Tree Ct. Lawrence, KS 66047-8943

Attorney Legal lC. 500.00

8/17/2013 Geraldine Flah3l'ty 1816 E FernwQod St Wichita, KS 67216·2869

x 25.00

8117/2013 Mary Ann Flunder PO Box 171535 Kansas CilY, KS 66117-0535

x 20.00

8/17/2013 Lawrence Gurney 1861 N Rock Rd Wichita, KS 67206·4200

Attomey Legal x 500.00

8/17/2013 Darrell HlU1llin 1611 Elm Hays, KS 67601

x 5.00

8/17n013 Arnita Haury 7913 SW 24th St Halstead, KS 67056-9344

x 5.00

Subtotal This Page: 1455.00

PSlO'e 1- of "C6~_SchsdA 2ofl6 '"t) __

-- --

Jan. 9. 2014 3:09PM Conlee Schmidt & Emerson No. 5448 P. 5

SCHEDULE A CON1R1BUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 (Name of CllIldidatc. Party. Committee Or Politioal Cownittee

Date Name and AddrU8 ofContributQr Oceupalion & Industry of Il/dividl/Ql GN/ng Mof'C

T!uzn$ISO

Check ADDtopl'iate Box A1IlQII1It of Cash, Chl!~

/.Qan or Other ReceiDl

e::a.t. Chodo ~ Ulmd> OIhor

811712013 Robert Hemlllldu 3227 N Longfellow Ct Wichita, KS 67'1:l6-1240

X 20.00

8117/2013 Peggy Jones-Foxx 1222 S Horseback St wichita, KS 61230-7817

x 5.00

8117/2013 Jerry Kerr 1155 NHighway 99 Emporia, KS 66801

x 5.00

8117/2013 Sylvia Kelly 400 Highland Ave Newton, KS 67114·2058

x 10.00

811712013 Lee Kinch 345 NRiverview St Ste 700 Wichita, KS 67203-4265

Attorney Legal x 500.00

8117/2013 Steve Little 818 SHighSt ElDorado, KS 67042-2521

x 5.00

8/1712013 Sondra Luke 1142 S BriarcliffCir Wichita, KS 67207-2808

x 5.00

8/1712013 Scott Mackey POBox 12353 Kansas City, KS 66112-0353

x 5.00

8/17/2013 AnnMah 3351 SE Meadowview Dr Topeka, KS 66605-3022

x 10.00

811712013 Ardena Matlack 448 E Retlat St Clearwater, KS 67026-9700

Retired x 250.00

Subtotal Thi5 Page: 815.00

Sehed A j of/6 Page 3 orL-G

Ja.n. 9. 2014 3:09PM Conlee Schmidt &Emerson No. 5448 P. 6

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Cannichael for House 92 (Name ofCa1ldidate, Party, Commiltee or Political COll\lllittee

Dale Name and Addru~ a/Contributor Occupation &ltlliustry of lndividuol Giving Mort

ThanJJ50

CheckAppropriale B~ imoW1to/ Cash, Check. Loan or Other

ReceiJjl

Cuh Ch<cJI LollI illmIl1 Othor

8/17/2013 Adrian Polansky 520 KStreet Belleville, KS 66935

x 20.00

811712013 Anne Pritchett 6201 W67th St Overland Parle, KS 66202-4264

x 5.00

811711013 Craig Rich 2929E.Otme Wichita, KS 67211-3033

x 10.00

811712013 Dennis Romero 3213 N Longfellow Ct Wichita, KS 67226-1240

x 10.00

8/17/2013 Juanita Roy 20617 W 96th St Lenexa, KS 66220-2659

X 5.00

8i17f2013 William Roy 20617 W96th St Lenexa, KS 66220·2659

x 5.00

8/1712013 Melody Saxton 7605 Erichsen Rd Junction City, KS 66441

x 20.00

8117/2013 Chester Selmon 17 E Sunnybrook Dr Wichita, KS 67232-9102

x 5.00

8/17/2013 Frank Smith 390 SE 110 Ave B1uffCity, KS 67018-7630

x 25.00

8/1712013 Timothy Snow 1738 N Hood St Wichita, KS 6'7203-2849

x 20.00

SubtotaJ Thi5 Page: 125.00

SchBd A <I of/6 Page-±-of eb

Jan. 9. 2014 3: 10PM Conlee Schllliat & Emerson No. 5448 P. 7

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Cannichael for House 92 (Name ofClIIldidalt, }>arty. COl\lmittee or Political Committee

Dale Nome and Address o/Contributor OCCl/POIiOIl &Industry 0/ /ndillidual Giving Mote

Thall $/50

Check AO/Jro/Jrioll Box AmouHlof Cash, Ch£ck, Loan or Oth,r

&c,iDl

Ca5Ir Oloal< toto UlIlJ4l Othor

8117/2013 Dale Swenson 330 S Tyler Rd Apt 808 Wichita, KS 67209

·x 5.00

811712013 Chad Taylor PO Box, 362 Topeka, KS 66601-0362

x 20.00

8/1712013 Woody Thompson 8302 E Gilbert St Wichira, KS 67207·2418

x, 5.00

8/17/2013 Ronald Tracy 5415 S. Southwood Wichita.KS

x 10.00

8/17/2013 FrankVopat 503 N. FOfester Wichita, KS 67235

x 25.00

8117/2013 Joan Wagnon 4036 NE Kimbal Rd Topeka, KS 66617·1567

x 20.00

8117/2013 Andrew Walker 34 Regal Crescent St North Newton, KS 67111·8039

x 5.00

8/17/2013 Kenneth Walsh 9201 Epping Ln fI~s~d,KS 67056·9351

x 50.00

8117{2013 Marge Zakoura-Vaughan 9016 E Boxthom St Wichita, KS 67226-1521

Retired Social Services x 250.00

81l7n013

Law Office Prochaska, Giroux & Howell 7701 EKelll1ggDr Ste415 Wichita, KS 61207·1721

Legal x 500.00

Subtotal This Page: 890.00

Sc/lld II 5q[/6 page~of 1...to

Jan, 9. 2014 3: 10PM Conlee Schmidt & Emerson No, 5448 P, 8

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Cannichael for House 92 (Name ofCandidalB. Pany. COIll/Ilitlee ot Polltical Committee

Dat€ Name andAddrf!$/J o/Contributor OtC1Jpation & Industry 0/ Indtvidl/J1/ Giving More

Th(lfl$/SO

CheckApJ)To1J1'iQle Box Amowlto! Cosh, Check, Loan or Other

Receipt

Caok Cbor.k La.. B..l!lIIIIll O1lIar

8/19/2013 Patrick Cantwell 2021 N Broadrooor 8t Apt 102 Wichita, KS 67206

x 100.00

811912013 Charles Hess 1861 N Rock Rd Ste 320 Wichita, KS 67206-1264

Attorney Legal x 500.00

8/19/2013 Pat Lehman 51S WManlo St Wichita, KS 67204·4062

X 100.00

8/1912013 Andrew Walker 34 Regal Crescent St North Newton, KS 61117-8039

x 20.00

8/21/2013 AIanJilka 847 S 9th St Salina, KS 67401

x 75.00

8/21/2013 Ireland Court Reporting PO Box 99 Kechi, KS 67067

Legal x 150.00

8/23/2013 Tholnas Wamer 8020 E Greenbriar Ct Wichita, KS 67226-1834

Attorney Legal x 500.00

8/26/2013 Eric Hartenstein 200 W Douglas Ave Ste 900 Wichita, KS 67202

x 50.00

9/312013 DJRebein PO Box 1.147 Dodge City, KS 67801

x 100.00

9/1612013 DIane Wahto 1912 Parle Place Wichita, KS 67203

Retired Education x 25.00

Subtotal This Page: 1620.00

SchedA 6ofl6 Page ~ of 2.'0

Jan. 9. 2014 3: 11 PM Conlee Schmidt & Emerson No. 5448 P, 9

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Cannichael for House 92 (Name ofCandidate. PallY, Commiltee or Political Committee

Dale Name aruJ Address o!CortiribvkJr Occupation &; IndlUtry oj IndllllduDl GMl1g More

Thad/50

ChfckAppro"t;at~Bo~ AmoW/toj Cash. Checlf. Loan or Oth£r

Re.c~ip,

Clsh c_ lmn ll!IIIIlla Olbor

10/312013 Jon Von Achen 200 WDouglas Ave Sto 300 Wichita, KS 67202

Attorney x 100.00

10/18/2013 SEIU Missouri State Council PAC 5585 Pershing Ste 170 St Louis, MO 63139 LabofUnion x: 250.00

1012312013 Robert Cornwell PO Box 3804 Wichita, KS 67201

Attorney l< 100.00

10123/2013 George H Pearson PA 212 SW 8th St Ste 101 Topeka. KS 66603

Legal x 500.00

10/24/2013 Jefery Carmichael 6104 Rambling Rose Ln Valley Center, KS 67147

Attorney x 250.00

1012412013 CenturyLink 5454 W 110th St Overland Park, KS 66211

Telecommunications x 250.00

1012512013 John Nodgaard 1002 N Lawrenco Wichita, KS 67206

Attorney X 500.00

10/2512013 Kenton Wirth POBox 181 Rose Hill, KS 67133

Attorney x 100.00

10128/2013 Pyle Law Office 207 N Main Ste 203 McPherson, KS 67460 Legal x 500.00

10/29/2013 Bradley Post 48 E Norfolk Dr Eastborough, KS 67206

Retired Legal x 500.00

Subtotal This Page: 3050.00

Page l of 'l.L;..~A7ofJ6

-- --

Jan. 9. 2014 3:11PM Conlee SchmiH & Emerson No, 5448 P. 10

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Cannichael for House 92 (N~e ofCandidalo, PI(ty. Commillce at l'olilic.l Commilt8B

Dale Name and Addre$$ ojContributor Occupation &; I"dustry of b1dividual Giving More

T'honSJ50

ChiJck Apf)toprialiJ Box A",ounIO! Calh, Check. Loan or Other

&celDt

~ 010<k Loon UlmdJ. Ol1lor

1013012013 Law Office ofRoeer A Riedrniller 532 N Market St Wichilll, KS 61214 Legal x 500.00

111l/2013 Wiliam Phalen 200W4thSt Pittsburg, KS 66762

Attorney Legal

x 500.00

11/3/2013 AmitaHaury 7913 SW 24th St Halstead, KS 67056

x 50.00

11/1512013 RAI Services Company PO Box 464 Winston-Salem, NC 27102 Consumer Products x 200.00

1111912013 Stanley Ausemus POBox. 1083 Emporia, KS 66801

Attorney Legal

X 500.00

1111912013 Tamara Collins p.O. Box 47131 Wichita, KS 67201

Attol'l'\ey Legal x 100.00

1111912013 Brook3 & Olson 400 N. Washington Liberal, KS 67901

Legal x 300.00

1112112013 Hawker-Beechcr&ft PAC PO Box 85 Wichita, KS 67201

PAC x 150.00

1112212013

Boyd, Kenter, Thomas & Parrish LLC 1150 Grand Blvd Ste 700 Kansas City, MO 64106

Leeal x 100.00

11122/2013 Brave Law Finn 3500 N. Rock Bldg 100 Wichita, KS 67226

Legal x 500.00

SubtolBl This Page: 2900.00

Page <t. of '"Z-bSc1KId A. 8 of'6

Jan. 9. 2014 3:11PM Conlee Schmidt & Emerson No. 5448 P. 11

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 (Nallle QfCartdidale, PartY. Committee Dr Polilical Committee

Datt Namt andAddress ofConil'iblllOr Occupation &: l"dt48try of IndIvidual Giving Mott

Thadl50

CheckADDtaDTia/e Box Amount of Cash. Chtck, LoQl'/orOther

Reallot

Cash ~ 1.0"" UI!lI1lI Ol~...

11/22/2013 ScottLawPA 310 WCentral Ste 211 Wichita, KS 67202 Legal x 500.00

1112612013 Josep~ Cassell 229 E William Ste 100 Wichita, KS 67202

Attorney Legal x 250.00

11/2612013 Danton Hejtmanek 2800 SW Burlingame Rd Topeka, KS 66611

Attorney Legal x 100.00

11126/2013 Law Office ofMark E Kolich 13420 Santa Fe Trail Drive Lenexa, KS 66215

Legal x. 500.00

11/2712013 Spirit Aerosystems PO Box 780008 Wichita, KS 67278 Aircraft Mfg ;'t 250.00

121312013 AT&T KanslIS PAC 220 E 6th Rm 600 Topeka, KS 66603 Telecommunications x 150.00

12/3/2013 Brooks &Olson 400 N. Washington Liberal, KS 67901

Legal x 200,00

121412013 John Hayes 7516 E. Norfolk Cir Wichita, KS 67206

x 100.00

1214/2013 Steve Six. 1131 West Hills PkWy Lawrence, KS 66044

Attorney Legal x. 200.00

12/4/2013 FrankTaff 3601 SW 29th 8t Ste 109 Topeka, KS 66614

Attomey Legal X 500.00

Subtotal This Page; 2750.00

Sdt~cl A. 9 of/6 page~of 1Ja

Jan. 9. 2014 3:12PM Conlee Schmidt & Emerson No. 5448 P. 12

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Carmichael for...l:HllnllJlJll!Iolse....9::t.2.:.....,. _ (Name QfCandidate, Party, CQmmiltee Or PDliticll1 Committee

Dale NaW/4 and Addrl!48 ojCOnJrl/)U1QT OCCllpafiotl & InduslJ'y 0/ lndividuol Gi\IIng MOTe

Than. $/50

Chtck AlJl)rom';ar, Box AmQunto/ Cash, Check. Loan or Other

Receipt

Ciah Chodc lAM Q1l&Pdl Olhor

1214/2013

Glasmant Bird, Schwam & Park LLP PO Box 727 Hays, KS 67601

Legal x 200.00

12/4/2013 Law Office ofSteven 1. BOJ:el 1580 Mahaffie Circle Olathet KS 66062

Legal x 300.00

1215/2013 James Oswalt 330 WFirst Ave Hulchinson, KS 67504

Attorney Legal x 100.00

1215/2013 zackery ReY.Ilolds 2713 Irish Rd Fort Sco~ KS 66701

Anomey Legal x 100.00

12/6/2013 Carl Wiigner 210 S Sweelgum Ct Andovert KS 67002

Attorney Legal x 50.00

1217/2013 Vicki Peterson 3900 SW Chelmsfurd Topeka, KS 66610

Attorney Legal x 50.00

12/812013 Ronald Campbell PO Box 997 Wichita, KS 67201

Anorney Legal x 100.00

121812013 Kim Martens 69411 Mark Twain Dr Derby, KS 67037

Attorney Legal x 100.00

1219/2013 Thomas Docking 300 N. Mead Ste 200 Wichita, KS 67202

Attorney Legal X 500.00

1219/2013 Dan Lykins PO Box7?7 Topeka, KS 66601

Auomey Leglll lC 200.00

Subtotal This Page: 1700.00

Page ~ of 1-c..e,

Jan. 9. 2014 3: 12PM Conlee Schmidt & Emerson No. 5448 P. 13

S~HEDULEA CONTRIBUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 (Name ofCandidate, PII[Iy, Commitlcc or Polilic~1 C<mmillllll

Dall Name andAddress qfContributor Occupation &Industry of Individual Giving Morl

Than $150

Ched AoDJ'opriats Box Amount of Cash, Checlc, Lorin or Other

&ceipt

c..tt Ot..,k 1.0.. Uu!1d.I Othor

12/10/2013 David Bryan POBox 852 Derby. KS 67037

Attorney Legal x 100.00

12/10/2013 Cindy Cleous 129 E Second St Wichita, KS 67202

Attorney Legal x 100.00

12110/2013 Edward Hund 7520 E Norfolk Cir Wichita, KS 67206

Attorney Legal x 100.00

1211012013 Robert Lee 14214 Cascade Wichita, KS 67230

Attorney Le£:al x 500.00

12110/2013 Forrest Robinson 323 N Hampton Rd Wichita, KS 67206

Attorney Legal x 200.00

12/11/2013 Arden Bradshaw 13110 E Mainsgate Cir Wicnita, KS 67228

Attorney Legal X 250.00

12/1112013 Neustrom & Associates FA 118 S. 7th St Salina, KS 67401

Legal x 250.00

1211112013 The Dickerson Law Group 1580 Mahafffie Cir Olathe, KS 66062

Legal x 100.0()

1211212013 David Arst 1002 N Bfooktield Wichita, KS 67206

I

Attol'lley Legal X 50.00

1211212013 Gillard Cohen 208 N. Old Manor Wichita, KS 67208

Attorney Legal

)( 100.00

Subtotal This Page: 1750.00

SchNA JJ oj /6 Page ~ \ of "Z..b

Jan. 9. 2014 3:13PM Conlee Schmidt & Emerson No. 5448 P. 14

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John CannichaeJ for House 92 (N1II1\8 QfCandidllle. PartY. CotMIillee or Political Committee

Daft Namt QI'Id AddrIJss 0fColllributor Occupation &: I"dustry of lndividuq/ Giviltg More

Thad/50

Clwck .4PprOlJl'iatll Box AmOUIll of Cash, Check, LQtm or Other

RsCIJiDI

~ O<dt r­ UYI!!Il 011....

12/12/2013 Phillip Slape 2002 N Colt Ct Andover, KS 67002

Attorney Legal x 500.00

12112/2013 Fred Spigarelli PO Box 1449 Pittsburg, KS 66762

Attorney Legal It 500.00

1211212013

McCullough, Wareheim & LaBunker, PA PO Bolt 1453 Topeka, KS 66601

Legal x 250.00

12/13/2013 Jay Fowler 1551 N Waterfront Pkwy Ste 100 Wichita, KS 67206

Attorney Legal x. 500.00

12113/2013 Speth King 30Q WDouglas Ste 230 Wichita, KS 67202

Attorney Legal x 100.00

12/13/2013 Prairie Band Potawatomi NlIiion 16281 Q Road Mayetta, KS 66509 Gaming x 250.00

12/16/2013 Walter Craig PO Box 409 Derby, KS 67037

Attorney Legal x 100.00

1211612013 Dennis Homer 707 Minnesota Ave Ste 610 Kansas City, KS 66101

Anorney Legal x 250.00

12116/2013 James Johnston 1459 Homestead Wichita, KS 67208

Retired Legal

x 100.00

12116/2013 Sally Kelsey 1545 Rhode Island St Lawrence, KS 66044

Attorney Legal

x 25.00

Subtotal This Page: 2575.00

Sc/ttd A 11 of16 Page~ofZ.b

Jan, 9. 2014 3: 13PM Conlee Schmidt & Emerson No. 5448 P. 15

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 (N8me or C8Qdldale, Party, CQltIlllitlee DC Polilic.1 CommitlLlll

Dale Name QrdAddress o/Co"tributot Occupalion & Industry of Individual Giving More

TiltIdI50

Check ADDl'OIJriatt. Bcx Anwwr1qf Cash, Checlr. Loan or Othtr

Receiot

C<lII Ch.<I, X- UlaW Ot!Ior

1211612013 United Transportation Union PAC North Olmstead, OH 4404Q.5333 Labor Union x 500.00

12/11/2013 Paul Hogan 928 S Broadway Wichita, KS 67211

Attorney Legal x 100.00

12117/2013 Katherine Kirk 1727 E 1000 Rd Lawrence, KS 66049

Attomey Legal x 50.00

12/17/2013 Westar Energy Employees PAC POBox. 889 Tope~ KS 66601 Labor Union X 250.00

12/1812013 David Calvert 532 N Market Wichita, KS 67214

Auorney Legal x 300.00

12/1812013 Brian Collignon 2407 N Rough Creek Rd Derby, KS 67037

Attomey Legal x 200.00

12/18/2013 Benoit Swinnen 921 SW Topeka Blvd Topeka, KS 66612

Attorney Legal

I· x 100.00

1211812013 Kansas Optometric PAC 1266 SW Topeka Blvd Topeka, KS 66612

,

Medical x 250.00

IV18/2013

wichitaIHutchinson Labor Federation 3219 W Central Wichita, KS 67203

Labor Union x 500.00

12/19/2013 Michael Fatall 10401 HolmesRd Ste490 Kansas City, MO 64106

Attorney Legal x 100.00

Subtotal This Page: 2350.00

SehrdA 13 0/16 page~of 7.~

--

Jan. 9, 2014 3:14PM Conlee SchmiH & Emerson No. 5448 P. 16

SCHEDULE A CONTRlBUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 CNall\A of CaJ1.didate, Party. Committee Of Polilieal Committee

Dale. Naml! andA.ddrus 0/Crmuiblllor Occupation & Industry of IndMdual Giving Mor,

Thall $150

Che.ckADoroorialtJ BOJc A.mollhtO/ C(l~h. Check, Loan or Other

Receipt

CUIo. ChKk IMP El'lII1dl Other

1211912013 DJRebein POBox 1147 Dodge City, KS 67801

Attorney Legal x 400.00

12119/2013 LllIJ'Y Wall 2024 N Woodlawn Ste 406 Wichita, KS 67208

Attorney Legal x 100.00

12120/2013 Stephen Blaylock 245 N Waco Ste 260 Wichita, KS 67202

Attorney Legal X 500.00

1212012013 Jacob Graybill 21SNMosley Wichita, KS 67202

Attorney Legal K 100.00

1212212013 Thomas Adrian 1704 Cypres3 Lane Newton,KS 67114

Attorney Legal

K 250.00

12/2212013 Marilyn Harp 4217 Bdarwood Dr Lawrence, KS 66049

Attorney Legal x 50.00

1212312013 Carol Bacon 316 STerrace Df Wichita, KS 67218

Attorney Legal x 50.00

12123/2013 Kenneth Clark 301 W Central Wicbita, KS 67202

Attorney Legal x 100.00

12/23/2013 Whitney Damron 919 S Kansas Ave Topeka, KS 66612

Attorney Lobbying x 200.00

1212312013 Sheryl Wilson 314 N Fairway Ave Wichita, KS 67212

x 100.00

Subtotal This Page: 1850.00

SehBd A 14 Q/16 Page \ ~ of 1..\q -~

Jan, 9. 2014 3:14PM Conlee Schmidt & Emerson No. 5448 P. 17

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 (Name ofCMdidale, Party, Commlllcc or l'oUtical Committee

Dale Name and Addrl1ss ofContTibuJor Occupation & /"dustry of lndMdua/ Giving More

Thad/SO

Check AoorOrJriatll Box Amoldllof Cash, Chick, Loan or Otller

RLceiDt

CQlI ClK>ok I.QtII U!IIIIb OiMr

1212312013

Kansas Assn For Responsible Liquor Laws 919 S Kansas Ave Topeka, KS 66612

Liquor Retailers x 200.00

12fl4/2013 Kansas Bankers Association PAC PO/3ox4407 Topeka, KS 66604 Banking Association x 100.00

1212412013 KTLA Consumer cM Justice PAC 719 SW Van Buren Topeka, KS 66603 Legal Association x 500.00

12r24f2013 . The Dudley Finn LLC 23438 SW Pilot Point Rd lJouglass, KS 67039

Attorney Legal x 200.00

12/2612013 Derek Casey 4416 E Eagle Lake Dr Wichita, K5 67220

Attorney Legal x 500.00

1212612013 Robert Coykendall 300 N. Mead Ste 200 Wichita, KS 67202

Attorney Legal

X 100.00

12/26/2013 Kelly Johnston 2005 5 Cypress St Wichita, KS 67207

x 100.00

12t2612013 Cameron Michaud 14910 E Onne Wichita, KS 67230

Attorney Legal x 100.00

I

1212612013 Capitol Advantage LLC 100 SE 9th Ste 503 Topeka, KS. 66612

Lobbying x 50.00

12/2712013 Shane Bangerter POBox 1147 Dodge City, KS 67801

Attorney Legal x 100.00

Subtotal This Page: 1950.00

Page ~ S of 'tV

Jan. 9, 2014 3:14PM Conlee Schmidt & Emerson No, 5448 P. 18

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

John Carmichael for House 92 (Name D!Candidate, Party> Committee Dr Polilical Committee

Dat, Namt. ~11d Address Q!Cof/lributor Occupation & Industry 0/ Individual Giving More

Thdns/50

Check Appropriate ~ Amolln1o! Cash, Check, Loan or Other

Rece:iol

WI Chock LotII U\I.adI Othor

12/3012013 William Dakan PO Box 3324 Wichita, KS 67201

Attom~y

Legal x 100.00

1213112014 Russell Hazlewood 218 N Mosley Wichita, KS 67202

Attorney Legal x 200.00

Subtotal This Page: 300.00

Page~oft6Sdtfi:iA 16 of lfi

Jan. 9. 2014 3:15PM Conlee Schmidt & Emerson No. 5448 P. 19

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

QOhn Car:m..ichael .... J. (Namm ofCan<lidale, Party, Committee Or Political Committee

Last page of Schednle A:

Total Itemized Receipts for Period

26680.00

Total Unitemized Contributions ($50 or less)

17.00

Sale ofPolitical Materials (Unitemized)

0.00

Total Contributions When Contributor Not Known

5.00

TOTAL RECEIPTS TIfiS 26702.00 PERIOD (to line 2 of SummarY)

Page \ f of z.to

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Jan. 9. 2014 3: 15PM Conlee Schmidt & Emerson No. 5448 P. 20

SCHEDULEB IN·KIND (Non-Monetary) CONTRIBUTIONS

John Cannichael for House 92 (NBlI\8 of Candidate, Party, Camminea or PalitiWiI CQ[IUlli~

Dalt

8116/2013

811612013

1O/16r2013

10/24/2013

10129r2013

1l!29/2013

12116/2013

IVl612013

1212912013

Name andAddress ofContributor

John Carmichael 1475 N. Lieunett St Wichita, KS

John Carmichael 1475 N. Lieunett St Wichita, KS

John Cannichael 1475 N. Lieunett St Wichita, KS

John Carmichael 1475 N. Lieunett St Wic~ita, KS

John Carmichael 1475 N. Lieunett St Wichita, KS

John Carmichael 1475 N. Lieunett St Wichita, KS

John Carmichael 1475 N. Lieunett St Wichita, KS

Kansas Wine and Spirits Wholesa1~ A5sn 212 SW 8th Ave Ste 202 Topeka, KS

John Carrnichael 1475 N. Lieunett 5t Wichita, KS

Uti Occupation &: Industryjot Those Giving an In-Kind OfMore

ThanS/50

Candidate

Candidate

Candidate

Candidate

Candidate

Candidate

Candidate

Candidate

Description ofIn-Kind Contribution

Printing. Wooten Printing. PO Box 1218, Wichita, KS

Envelopes· Timber Creek, 316 N Cleveland, Wichita

KS

Mileage. Candidate swearing in

Mileage - Kansas City fUndraiser

Campaign cell phone -Verizon Wireless

Campaign cell phone. VeriZQQ Wireless

Mileage" Topeka ftmdraiser

Beer and wine for fundraiser

Campaign cell phone. Verizon Wireless

Valueo! If/-Kind

ContrtblJ.lion

102.33

22.29

157.92

210.56

71.30

71.30

117.60

132.45

71.30

Page \ <i of rz..b -~

957.05

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Jan. 9. 2014 3: 16PM Conlee Schmidt & Emerson No. 5448 P. 21

SCHEDULEB IN-KIND CONTRIBUTIONS

!John Carmichael . (N1lIIIe of Candldate, Party. COl\ll1llttee or "olitical COlllIl\ittee

Last page of Scbedule B:

Total Itemized (over $100) In-Kind Contributions

957.05

Total Unitemized ($100 or less) In-Kind Contributions

0.00

TOTAL IN-KIND 957.05

CONTRIBUTIONS THIS PERIOD (to lioe 6 of Summarv)

Page 19 of ~~

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Jan. 9. 2014 3:16PM Conlee Schmidt & Emerson No. 5448 P. 22

SCHEDULEC EXPENDITIJRES AND OTHER DISBURSEMENTS

John Carmichael for House 92 (Nante ofCandidate, Party. COllll1lRlee Or Political Comnlitt...

Dale Name <mdAddress l'w'pose Q/Expenditure or Disbursemettl

Amount

8/2212013 DiUons 3020 EDouglas Wichita, KS

Fundraiser snacks 89.59

8126/2013 Smoky Hill Strategies 1349 Svensk Rd Lindsborg, KS

Consulting retainer and expense reimbursement 2313.15

8/2612013 Veriton 140 West Street New York, NY

Campaign cell phone 417.85

8/2812013 Office Depot 3035 N Rock Rd Wichita, KS 67226

Office Supplies 314.71

8/29/2013 Bank ofAmerica 500 S West Street Wichita, KS

Check order 44.00

8129/2013 Bank ofAmerica 500 S West Street Wichita, KS

Check order 26.00

9/112013 Google Store 1600 Ampitheatre Parkway Mountain View, CA

Campaign software 10.71

9/112013 12 Global PO Box 50826 Los Angeles, CA

Email hosting 28.67

91112013 NGPVAN 48 Grove St Ste 202 Somerville, MA

Campaign soft'rV8l:e 150.00

911212013 Google Store 1600 AmpUheatre Parkway Mountain View) CA

Campaign software 22.99

Subtotal This Page: 3417.67

Page 1.0 of L.b -~

Ja.n, 9. 2014 3: 16PM Conlee Schmidt & Emerson No, 5448 p, 23

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

John Cannichae! for House 92 (N1Il\Ul ofCartdidare. P8ltY. COItlmillce Of Polilieal Committee

Dale Name andAddress Purpose ofExpenditure or Disbursement

ATIW1Jnl

10/112013 NGPVAN 48 Grove St Ste 202 Somerville, MA

Campaign software 150.00

10/3/2013 Box..net ~

4440 El Camino Real Los Altos, CA

Online data storage 10.00

10/312013 Smoky Hill Strategies 1349 Svensk Rd Lindsborg, KS

Consulting retainer and mileage reimbursement 7:50.00

10/312013 Smoky Hill Strategies 1349 Svensk Rd Lindsborg, KS

Consulting retainer and mileage reimbursement 161.70

10/1212013 Dillons 3932 W 13th 8t Wichita, KS

Stamps 46.00

10/2012013 Adobe 345 Park Ave San Jose, CA

Campaign software 19.99

10/2:5/2013 Box.net 4440 HI Camino Real Los Altos, CA

Online data storage 10.00

10/26/2013 Smoky Hill Strategies 1349 Svensk Rd Lindsborg, KS

Mileage reimbursement 915.88

10/28/2013 Amazon.com/cali Toner 1200 12th Ave Ste 1200 Seattle, WA

Printer toner 189.00

I

1118/2013 Direct Mail Printers 231 Ida Wichita, KS

Subtotal This Page:

Letterhead IlL Envelopes 481.10

2733.67

Sclted C2Qj4 Page 7- \ of 'l.b

Jan. 9. 2014 3:17PM Conlee Schmidt & Emerson No. 5448 P. 24

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

John Cannichael for House 92 (Name ofC1ndidatc, PlIny. Conunitlee Of Political CoIllmiUee

Date. /'Iq",e andAddress PlP"pose ofExpenditure Q~

Disburs~nt

Amount

111812013 PaypaJ 2211 N. 1st St San Jose, CA,

Processing fees 0.45

11I12flO13 Hostgator.com 11251 Northwest Freeway Ste 400 Houston, TX

Website hosting 20.11

11118/2013 Office Depot 613 SDugan Rd Ste 100 Wichita, KS

Office Supplies 52.49

1I/19fl013 Paypal 2211 N. 1st St San Jose,CA

Pr:ocessing fees 3.20

1112512013 Smoky Hill Strategies 1349 Svensk Rd Lindsborg, KS

Consulting retainer 17~O.oo

11126!l013 Box.net 4440 El camino Real Los Altos, CA

Online data stornge 10.00

1112712013 USPS Wichita, KS 67202

postage 92.00

1211/2013 J2Globai POBox 50826 Los Angeles, CA

Email hosting 30.00

1214/2013 Hostgator.com 11251 Northwest Freeway Ste 400 Houston, IX

Website hosting 8.95

12/4/2013 Paypal 2211 N. 1st St SanJose,CA

Processing fees 9.30

Subtotal This Page: 1976.50

Page "Z.Z of '1.-1..::>Sched C 3fJj4

Jan. 9. 2014 3:17PM Conlee Schmidt &Emerson No. 5448 P. 25

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

John Carmichael for House 92 (NBII\8 of C8ndidafc, J;'BIty, Committee or Polilical COmmittee

Dau Noms andAddlWs Purpose 0/Expeflditure or Di$burs,ment

AmQunt

12/512013 Paypal 2211 N. 1st St San Jose, CA

Processing fees 3.20

12/1112013 USPS Wichita, KS 67276 Postage 74.82

12/13/2013 Paypal 2211 N. 1st St San Jose, CA

Processing fees 3.20

12/1612013 USPS Wichita, KS 67202 Postage 184.00

12/17/2013 Paypal '22] ] N. 1st St San Jose, CA

Processing fees 3.20

1212612013 Box.net 4440 El Camino Real Los Altos, CA

Online data storage 10.00

Subtotal This Page: 278.42

b SchaJC4of4 Page 1." of '7­

Jan. 9. 2014 3:17PM Conlee SchmiH & Emerson No. 5448 P. 26

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

p'~hn Carmic~.ael ... J (Name ofClIl\did.Jte, Party, COl\llTlillee or Political CoMl'Diltcc

Last page ofSchedole C:

Total Itemized Expenditures This Period

8406.26

Total Unitemized Expenditures of $50 or less

0.00

TOTAL EXPENDITURES & 8406.26 OTHER DISBURSEMENTS TIDS PERIOD (to line 4 of Summa")

Page -.1:1 of 7.Jo

Jan, 9. 2014 3:18PM Conlee Scnmidt & Emerson No. 5448 P. 27

SCHEDULED OTHER TRANSACTIONS

John Carmichael for House 92 (Name of Candidate, Party, Committee Or Political COllllnittea

Da" Namt and Addr,ss NaturB ofAccount or Loan Payabl, or Loan &aeivable

BalanC<J at Cloll of ptriod

&/16/2013

John C:u:michael Carmichael for House 92 147:> N. Lieunett Wichita, KS

Printing @Wooten Printing 102.33

8I16120l3

John Carmichael Carmichael for House 92 1475 N. Lieunett Wichita, KS

Envelopes @Timber Creek 22.29

10/1612013

John Carmichael Cannichael for House 92 1475 N. Lieunett Wichita, KS

Mileage - Candidate swearing in 157.92

10/24/2013

John Camlichael Carmichael for House 92 1475 N. Lieunett Wichita, KS

Mileage - Kansas City fundraiser 210.56

1012912013

John Cannichael CannichJeI for House 92 1475 N. Lieunen St Wichita, KS

Campaign cell phone. Verizon Wireless 71.30

11129/2013

John Carmichael Carmichael for House 92 1475 N. Lieunett St Wichita, KS

Campaign cell phone - Vetizon Wireless 71.30

12/1612013

John Carmichael Carmichael for House 92 1475 N. Lieunett Wichita, KS

Mileage ­ Topeka fundraiser 117.60

12129/2013

John Carmichael Carmichael for House 92 1475 N. Lieunett 8t Wichita, KS

Campaign cell phone. Verizon Wireless 71.30

Subtotal This Page: 824.6

"'L'> -z..\o ScMtlDJo! J Page __of~_

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Jan. 9. 2014 3:18PM Conlee Schmidt & Emerson No. 5448 P. 28

SCHEDULED OTHER TRANSACTIONS

(Name ofCandidaIe, PlUty, Collllllillee or Politic" Comttee

Last page of Schedule D:

TOTAL OTHER TRANSACTIONS (to line 7 of Summary)

824.60

Page ~b of"2.6