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KANSAS GOVERNMENTAL ETHICS COMMISSION

JAN 05 2021

ECEIVED January 10,2021

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIO~GovemmentalEth' C '.

les ommlSSlon

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

A. Name of Candidate: _G_E_N_E_S_U_E_L_L_E_N_T_R_O_P _

Address: ... _~~.~~ N

From:Gutschenritter & Johnson 316 267 9215 01/05/2021 14:38 #1272 P.003/007

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Gene Suellentrop (Name of Candidate)

Date Name and Address of Contributor

10/24/2020

10/24/2020

10/24/2020

10/2412020

10/24/2020

10/24/2020 Health Care

Investments

Health Care

Health Care

Health Care

Dentistry

Maxim Healthcare Services 7227 Lee DeForest Dr Columbia, MD 21046 KS Hospital Association PAC 215 SEth 8th Avenue Topeka, KS 66603

Quest Diagnostics Inc. PAC 500 Plaza Drive Secaucus, NJ 07094

PHK Political Action Committee 1200 SW 10th Ave Topeka. KS 66604

Smlledireclclub, LLC 414 Union Street, 8th Floor Nashville, TN 37219

Caremar1< RX, Inc. P.O. Box 287 Lincoln, RI 02865·0287

10/24/2020 Technology Microsoft Corporation PAC 3720 159th Ave, Northeast Redmond. WA 98052

10124/2020

10/24/2020

10/26/2020

1012412020

1----

Health Care

Health Care

Health Care

Energy T '0 k KS 66604

Homestaed of Wichita Ops, LLC 3024 SW Wanamaker Rd. Topeka, KS 66614 Midwest Health, Inc. 3024 SW Wanamaker Rd. Topeka, KS 66614 KS Assn of Nurse Anesthetists PAC P.O. Box 4006 Lawrence, KS 66046

KS Power Alliance PAC 212 SW 8th Ave Ste 207

Amount of Check A ro riate Box Cash, Check,

Cash Check Loan Other Loan or Other

X 1000.00

X 1000.00

X 500.00

X 300.00

X 250.00

X 100000

X 500.00

X 500.00

X 500.00

X 500.00

X 250.00

6300.00rg~~i§lB~~~Iir;rfL~ilk~;I~I;Zt~~it~:Kr~~i;;rf1j~i~E1fl~ Page 1 of 3

From:Gutschenritter & Johnson 316 267 9215 01/05/2021 14:38 #272 P.004/007

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Gene Suellentrop

Occupation & Industry Amount of Cash, Check,

Date Name and Address of Contributor of Individual Giving Loan or Other Receipt

More Than $150 Cash Almas Energy Corp PAC

10/26/2020 XEnergy5430 LBJ Freeway, Ste 160 25000 Dallas, TX 75240-2630 POM of Kansas, LLC

10/30/2020 3870 Peachtree Indusrial Blvd Gaming X 1000.00 Duluth, GA 30096 Spirit State PAC

10/30/2020 XAddress unknown PAC 1000.00

Restoring Our Nation PAC 11/6/2020 X9634 E Clubhouse Court PAC 1000.00

Wichita, KS 67226 Blue Cross Blue Shield of KC PAC

11/20/2020 X2301 Main 5t Insurance 1000.00 Kansas City, MO 64108

425000

Page 20f 3

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Gene Suellentrop (Name of Candidate)

Amount of Date Name and Address of Contributor Cash, Check,

Loan or Other Cigna

12/912020 900 Cottage Grove Road Insurance 250.00 Bloomfleld, CT 06002 Servcie Corp Inti PAC

X

XPO Box 130548 Funeral Home Business 500.00 Houston. TX 77219-0548 KS Independent Pharmacy PAC

12117/2020

3512 SW Fairlawn Rd.. Ste 300 Pharmacy12/17/2020 X 250.00 Topeka, KS 66614 LKQ Corp Employee Good Govt Fund 500 W. Madison Street Automotive X12/17/2020 250.00 Chlca o.IL 60661 Kansans for Quality MenIal Health 2117 Cedar Springs Ln Health Care 12/28/2020 X 500.00 Independence, KS 67301 HSLF of Kansas PAC

X11460 Tomahawk Creek PkYlY Sle 30012129/2020 Humane Society 250.00 Leawood, KS 66211

2000.00

Page 3 of 3

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SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Gene Suellentrop (Name 01 Candidate)

Date Name and Address Purpose of Expenditure or Disbursement Amount

KS Republican Party 10/261202 800 SW Jackson St. Sle 1300

To ka KS 66604 KS Republican Party

10/26/2020 800 SW Jackson St. Sle 1300 To ka KS 66604 KS Republican Party

10/2612020 800 SW Jackson 51. Ste 1300 To ka KS 66604 Singularis Group

10/27/2020 PO Box 9265 Shawnee Mission, KS 66201 Harland Clar1(e

10/2812020 Online Purchase

Shawnee County Republican Party 10/25/2020 3420 5W Van Buren

To eka KS 66611 A&G Properlies, LLC

11/3/2020 101 N. Ridge Rd, Ste 8 Wichita, KS 67212 Gene Suelfentrop

11/6/2020 6813 W Norlhwind Circle Wichita KS 67205 Salvation Army

11113/2020 350 N. Market St Wichita KS 67202 Bishop Carroll High School

11/13/2020 8101 WCentralAve Wichita KS 67212 The Lords Diner

11/13/2020 520 N. Broadway Wichita, KS 67214 51. Joseph Monastary

12/1/2020 200 S. Lewis Ave Tulsa OK 74114 Best Buy

12114/2020 Online Purchase

Campaing Mailer

Campaing Mailer

Campaing Mailer

Facebook Graphic Maller

Check Reorder

Social Media Purchase

Sign Storage

Mileage Reimbursement - $316.8 Reimbursement for Periodicals - $190.00

Reimbursement for Election NI ht Pa - $138.57

Charitable Donation

Charitable Donalion

Charitable Donation

Charitable Donation

Supplies

598.56

7032.12

5393.39

1770.00

26.10

5000.00

768.00

645.37

100.00

250.00

250.00

100.00

$26.86

$21,960.40

Page 1 of 2

F~om:Gutschen~itte~ & Johnson 316 267 9215 01/06/2021 14:39 #272 P.007/007

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Gene Suellentrop (Name of Candidate)

Date Name and Address Purpose of Expenditure or

Disbursement Amount

Gene Suellentrop 12/23/2020 6813 W Northwind Circle Senate Leadership Race Reimbursement 698.88

Wichita, KS 67205

12128/2020 Gene Suellentrop 6813 W Northwind Circle Reimbursement for Senate Laptop 2828.33 Wichita, KS 67205

12/3112020

Gene Suellentrop 6813 W Northwind Circle Reimbursement for 6 months web fees 17400 Wichita, KS 67205

$3,701.21

c I t If La t P f Sched Ie C $0.00

$25,661.61

$25,661.61

Page 2 of 2