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KANSAS GOVERNMENTAL ETIDCS COMMISSION
r------.--f ~,,~~ --, ',,,,,,"'~~~~ .i ~ tii.-~:O !I I
I JAN 1 0 2005 !j I
!RON _I l~rv" r' J:;',ILE WITH SECRETARY OF STATE AND THE CANDIDATE'S COUNTY, .v, \lry, 'D I'-
LSECRETiI /;;)\I O~JS'-!:=-EtJ:;'/CTIONOFFICER SEE REVERSE SIDE FOR INSTRUCTIONS~
RECEIPTS AND EXPENDITURESREPORTOF A CANDIDATE FOR STATE OFFICE
January 10, 2005
Name of Candidate
Address
Kansans for Thornbur!!h
PO Box 4872
City and Zip Code Topeka 66604-0872 County SN
Office Sought Secretary of State DistrictNo. State
Check only if appropriate: Amending Filing _Termination Report
Summary (coveringthe period from Jan 1,2004 through Dec31,2004)
1. Cash on hand at beginning of period ... $16,112.87
2. Total Contributions and Other Receipts (Use Schedule A) .$23,845.00
3. Cash available this period(Add Lines 1 and 2) .$39,957.87
4. Total Expenditures and Other Disbursements (UseScheduleC) .$13,929.85
5. Cash on hand at close of period (Subtract Line 4 from 3) $26,028.02
6. In-Kind Contributions (Use Schedule B) .$ 250.00
7. Other Transactions (Use ScheduleD) ..$ 0.00
D. "I declare that this report, including any accompanying schedules and---Statements,-l1as-been-examined-b¥--me-and-tQ-the-best-Q-f-m¥-kne-wi@dg€
and belief is true, correct and complete. I understand that the intentionalfailure to file this document or intentionally filing a false document is a
class A misdemeanor." A./ / ,/ /J ~/ j; t:J); S- ~tUUta.eJc: tS/ ~ c/" t'9Date . , Signature of Treasurer
--
GEC Form Rev, 2001
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
Cash Check Loan Other
12/17/04 Kansas Governmental Consulting800 SW Jackson St, Ste 808Topeka, KS 66612-1292
x
12/31/04 2300 West Associates, LLCPO Box 4287
Topeka, KS 66604-0287
x
12/22/04 Venture CorporationBox 1486Great Bend, KS 67530
x
12/30/04 Pinegar, Smith and Associates, Inc513 SW Van BurenTopeka, KS 66603-3302
x
11/2/04 KIA PAC815 SW Topeka BlvdTopeka, KS 66612
x
11/24/04 Alan and Holly Cobb3429 SW Stonybrook DrTopeka, KS 66614-5117
x
10/23/04 DJ. RebeinBox 1147Dodge City, KS 67801
x
10/1304 KS WSW PAC720 SW Jackson St, Ste 310Topeka, KS 66603
x
10/9/04 John and Betty Dicus1524 SW Lakeside DrTopeka, KS 66604
Banking x
10/12/04 James W. McBride, Jr25 Peppertree LaneTopeka, KS 66611
x
10/7/04 John Federico LobbyistFederico Consulting815 SW Topeka Blvd, 2ndFloorTopeka, KS 66612-1635
x
-
10/20/04 Mark and StacyParkinson10590 Glenview LaneOIathe, KS 66061
x $500.00Business Owner
Subtotal This Page
Amt of Cash,Check, Loan, orOther Receipt$250.00
$1,000.00
$250.00
$500.00
$250.00
$100.00
$250.00
$250.00
$250.00
$250.00
$250.00
$4,100.00
Page 2 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
10/9/04 Whitney B. Damron, PA Lobbyist800 SW Jackson St., Ste 1100Topeka, KS 66612-2205
10/7/04 KS Society of CPA's PAC1080 SW Wanamaker, Suite 200Topeka, KS 66604-3807
10/11/04 C.c. HutchinsonPO Box 2609Topeka, KS 66601
Retired
10/11/04 Jay and Wilda Langley102 S. BradleySalina, KS 67401
10/11/04 Robert 1. ClubinePO Box 1572
Salina, KS 67402-1572
9/30/04 Carl and Pamela Koupal Banking3768 SW Clarion Park DriveTopeka, KS 66610-1279
10/14/04 Security Benefit Life InsuranceOne SecurityBenefit PlaceTopeka, KS 66636-0001
10/7/04 KS Agri Business Council816 SW TylerTopeka, KS 66612
10/4/04 Pat Hubbell Associates, Inc.800 SW Jackson St., Ste 914Topeka, KS 66612-1292
10/11/04 Entz and Chanay PA1414 SW AshworthPlace, Suite 201Topeka, KS 66604-3736
10/19/04 Community Bankers Association PAC3003 SW Van Buren, Suite ATopeka, KS 6661-2224
-- 10/12/04 Schwerdt Design Group, Inc. - - -~--- -2231 SW Wanamaker Rd.
Topeka, KS 66614-4275
Subtotal This Page
Cash Check Loan Other
x
x
x
x
x
x
x
x
x
x
x
x
Amt of Cash,Check, Loan, orOther Receipt$250.00
$250.00
$250.00
$125.00
$125.00
$250.00
$250.00
$250.00
$250.00
$500.00
$250.00
$500.00
$3,250.00
Page 3 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of Contributor
10/7/04 L. Jeremy Slaughter623 SW 10thAve.Topeka, KS 66612
10/8/04 Jay Allbaugh1307N. TallyrandWichita, KS 67206
10/6/04 John B. Dicus3149 SW 15thSt.Topeka, KS 66604-2515
10/14/04 Glenda L. Cafer240I SW Crest Dr.Topeka, KS 66614
10/14/04 John C. Peterson2841 Plass
Topeka, KS 66611
10/14/04 Eric and Tami Bowser910 Westview Dr.PO Box 387Oskaloosa, KS 66066
10/18/04 James and Mary Lou Birkbeck401 Commanche
Holton, KS 66436
10/20/04 D.L. Smith1405 SW 41sl St.
Topeka, KS 66609
10/7/04 Kansas Automobile DealersElection Action Committee
800 SW Jackson, Ste. 1110Topeka, KS 66612
10/8/04 John C. Bottenberg800 SW Jackson, Ste. 914Topeka, KS 66612-2214
10/7/04 Kansas Bankers Association PACPO Box 4407
Topeka, KS 66604-0407
10/14/04 Brier Development Company, Inc.10 Westboro Place
Topeka, KS 66604
Subtotal This Page
Occupation ofIndividualGiving More Than $150
Lobbyist
Business executive
Banking
Attorney
Lobbyist
Banking
Banking
Business Owner
Lobbyist
Cash Check Loan Other
x
x
x
x
x
x
x
x
x
x
x
Amt of Cash,Check, Loan, orOther Receipt$500.00
$500.00
$250.00
$250.00
$250.00
$250.00
$250.00
$250.00
$250.00
$250.00
$500.00
x $250.00
$3,750.00
Page 4 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
10/7/04 Ferrell ConstructionPO Box 750107Topeka, KS 66675
9/29/04 Amerus Annuity Group555 S. Kansas Ave.Topeka, KS 66603-3444
10/7/04 Kansas Funeral Directors and EmbalmersAssoc.1200 S. Kansas Ave.Topeka, KS 66612
10/12/04 Kansas Electric Cooperatives, Inc.PO Box 4267
Topeka, KS 66604-0267
10/12/04 Frank Johnson, D.D.S., PA1244 SW Oakley AveTopeka, KS 66604
Dentist
10/1/04 KS Optometric PAC1266 SW Topeka Blvd.Topeka, KS 66612
9/30/04 Kansas Independent Oil and Gas Assn.105 S. Broadway, Suite 500Wichita, KS 67202-4262
10/12/04 Sims Law Office408 SW 7thSt.
Topeka, KS 66603
9/16/04 Gaches, Braden, Barbee and Assoc.300 SW 8thSt., Third FloorTopeka, KS 66603-3912
10/21/04 Prairie Band Potawatomi Nation
16281 Q RoadMayetta, KS 66509
10/18/04 The Boeing CompanyPO Box 3999Seattle, WA 98124-2498
- - ~- - _JD/l3L04cAG_C:l'i~,,_C-
200 W. 33rd Street
Topeka, KS 66611
-~-
Subtotal This Page
Cash Check Loan Other
x
x
x
x
x
x
x
x
x
x
x
x
Amt of Cash,Check, Loan, orOther Receipt$200.00
$500.00
$250.00
$250.00
$250.00
$250.00
$100.00
$500.00
$250.00
$250.00
$250.00
$250.00
$3,300.00
Page 5 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
Cash Check Loan Other
10/13/04 Columbian Financial Corporation4701 W. lloth St.Overland Park, KS 66211
x
10/20/04 Elrick and Associates
3595 N. Webb Road, Suite 100Wichita, KS 67226-8127
x
10/21/04 Barry Law Offices, LLC.PO Box 4816
Topeka, KS 66604
x
10/22/04 Strathman Sales Company, Inc.2127 SE Lakewood Blvd.
Topeka, KS 66605
x
10/22/04 Midwest Health Management, Inc.3715 SW 29th St., Suite 200Topeka, KS 66614
x
10/13/04 Polsinelli, Shalton, Welte, Suelthaus700 W. 47th St., Suite 1000KiLl1sasCity, MO 64112
x
10/11/04 Martin Tractor1737 SW 42ndPO Box 1698
Topeka, KS 66601
x
10/29/04 Douglas Hutchinson7535 SW 33rd St.
Topeka, KS 66614-4660
Business owner x
10/20/04 Jeffrey FraserPO Box 4919Jackson, WY 83001-4919
Business owner x
10/26/04 Anheuser-Busch Cos., Inc.One Busch Place
St. Louis, MO 63118
x
11/2/04 Patrick Hurley Lobbyist700 SW Jackson St., Suite 206Topeka, KS 66603-3757
x
- --- ---.- -- -- --- ---~_.~
10/27/04 Blue Beacon International, Inc.PO Box 856Salina, KS 67402-0856
x
Subtotal This Page
Amt of Cash,Check, Loan, orOther Receipt$1000.00
$250.00
$250.00
$250.00
$250.00
$250.00
$250.00
$500.00
$1000.00
$250.00
$250.00
$500.00
$5,000.00
Page 6 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of Contributor
10/26/04 QuikTrip Corporation4705 S 129thEAve
Tulsa, OK 74101-3475
x
Amt of Cash,Check, Loan, orOther Receipt$500.00
Occupation of IndividualGiving More Than $150
Cash Check Loan Other
11/5/04 Kearney and Associates1200 W 10thAveTopeka, KS 66604
x $500.00
11/4/04 Kansas Livestock Assn PAC6031 SW 37thStTopeka, KS 66614-5129
x $250.00
10/30/04 David and Sophia Kovac1229 N 90thStKansas City, KS 66112-1501
x $15.00
10/25/04 Mikel and Susie Barlow404 S DelewareBurlingame, KS 66413
x $15.00
10/26/04 Don and Donna Brown2204 N CharitonKingman, KS 67068-8203
x $25.00
10/28/04 Dr. Eugene Davidson136 W 5th StRussel!, KS 67665
x $50.00
10/2/04 Deryl and Anita Schuster27931 W 87thSt SouthViola, KS 67149
x $25.00
10/4/04 Linda and Richard Hayse1724 SW Collins Ave
Topeka, KS 66604-3219Topeka, KS 66604
x $25.00
10/7/04 Gaylord and Sue AndersonBox 250Carbondale, KS 66414
x $10.00
10/4/04 Kurt and Patricia Bossert6832 SW 43rdTopeka, KS 66610-1571
x $50.00
-~~- --------- --
10/2/04 Dorothy G. Rose25200 W 91st
Lenexa, KS 66227
x $25.00
Subtotal This Page $1490.00
Page 7 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Page 8 of 18
Kansans for ThornburghDate Name& Address Occupation of Individual Cash Check Loan Other Amt of Cash,
Of Contributor Giving More Than $150 Check, Loan, orOther Receipt
10/7/04 William & Lillian Powell x $50.002326 SE Leo AveTopeka, KS 66605
10/2/04 Ralph Skoog x $50.00235 SW GreenwoodTopeka, KS 66606-1226
10/4/04 Jo Anna Mitchell x $30.005216 NE Kendall Wood Rd.Topeka, KS 66617
10/3/04 John and Crystal Cross x $25.003114 BroadwayGreat Bend, KS 67530
10/3/04 Dr. and Mrs. Gary Forbach x $25.003326 SE Driftwood C1.Topeka, KS 66605-2321
10/2/04 Robert and Marilynn Stephan x $100.0014243 W. 84thTerr.Lenexa, KS 662] 5-4] 00
10/3/04 Barbara Schmidt x $25.00310 E. LocustIndependence, KS 67301
10/6/04 Gabriel Faimon x $15.00PO Box 218Auburn, KS 66402
10/4/04 Shirley Klein x $30.001931 SW 32nd S1.
Topeka, KS 66611
10/6/04 Matthew Hickman x $25.004108 SW Stone AveTopeka, KS 66610-1179
10/4/04 Robert Orth x $50.00PO Box 900Sublette, KS 67877
-.--- 101anJeLpindler - x $25.003425 NW Kendall Ave.Topeka, KS 66618-1433
Subtotal This Page $450.00
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
Cash Check Loan Other
10/4/04 Robert and Mary ComptonRt. 3 Box 242Fredonia, KS 66736
x
10/5/04 Michael and Shelly Callison3732 SW Spring Creek Ln.Topeka, KS 66610
x
10/14/04 Michael and Kimberly Stewart2055 E. 175 Road
Lecompton, KS 66050
x
10/14/04 Jonathan and Georgia Small1931 SW Indian Woods Ln.Topeka, KS 66611-1678
x
10/6/04 James and Gail Brungardt405 ApolloSilver Lake, KS 66539-961I
x
10/6/04 Francis Beal7401 SW 24th St.
Topeka., KS 66614-6032
x
10/14/04 Patrice and Richard Petersen-Klein x
10/12/04 Mary Turkington1433 SW CampbellTopeka, KS 66604-2657
x
10/14/04 Gary and Beverly Bothwell2100 SW Westridge Dr.Topeka, KS 66614
x
10/14/04 Jared and Melissa Maag1301 SW MacVicar Ave.Topeka, KS 66604
x
10/14/04 Bradley and Judy Stauffer5008 SW Brentwood Rd.
Topeka, KS 66606
x
10/14/04 Dan Hermes- DBA Public Solutions25-l.2-SW-Osbom-
Topeka, KS 66614
x--
Subtotal This Page
Amt of Cash,Check, Loan, orOther Receipt$25.00
$50.00
$25.00
$50.00
$25.00
$25.00
$50.00
$25.00
$25.00
$50.00
$50.00
$25.00
$425.00
Page 9 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
10/15/04 Mark and Better Morris, II.140 SW Fairlawn Rd.
Topeka, KS 66606
10/18/04 Herbert and Margaret Ragsdale1727 SW RandolphTopeka, KS 66604
10/15/04 Brad and Nancy Bryant412 AquariusSilver Lake, KS 66539
10/23/04 Grace and Thurman Miller3139 Kestrel Rd.Reserve, KS 66434-8150
10/15/04 Rita and Arden Ensley5512 W. 19thTopeka, KS 66604
10/14/04 Chris Canfield3404 SW Arrowhead Rd.Topeka, KS 66614
1016/04 David and Barbara Moore25 Williamson DrHutchinson, KS 67502
10/14/04 Ardeshir and Fariba Pouraryan614 Huntwick Lane
Tyler, TX 75703
10/18/04 Martha Sue Williams357 Village Lane.Eureka, KS 67045
10/14/04 Godderz Law FirmPO Box IIBurlingame, KS 66413
10/15/04 Frank and Patricia Oppitz1524 NW Grove Ave
Topeka, KS 66606-1234
~ - --- --lGfl-1104-Marilyn-Hansen--
2082 Westridge CourtWichita, KS 67201
Subtotal This Page
Cash Check Loan Other
x
x
x
x
x
x
x
x
x
x
x
--x
Amt of Cash,Check, Loan, orOther Receipt$100.00
$25.00
$50.00
$25.00
$100.00
$25.00
$50.00
$50.00
$20.00
$25.00
$25.00
$25.00
$520.00
Page 10 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation ofIndividualGiving More Than $150
Cash Check Loan Other
10/1204 James Taylor1703 ArrowheadAtchison, KS 66002
x
10/12/04 David YoderMarlatt HallManhattan, KS 66506
x
10/14/04 Natalie Haag9125 NW Topeka Ave.Topeka.,KS 66617
x
10/14/04 Michael and Michelene Brassel6545 SW 26th Ct.
Topeka., KS 66614-4376
x
10/14/04 Nancy Lindberg5715 SW 31'1Terr.Topeka.,KS 66614
x
10/13/04 Burlingame Bankshares, IncFirst State Bank BuildingBurlingame, KS 66413
x
9/29/04 Michael Ryan509 Court St.PO Box 205Clay Center, KS 67432
x
10/11/04 Donald and Janet Chubb
1011 SW CambridgeTopeka., KS 66604
x
9/30/04 Marshall and Sandra Crowther1230 W. 29thCt.Lawrence, KS 66046
x
10/2/04 Lillian Dawkins201 NW Broadmoor Ave.Topeka.,KS 66606-1254
x
10/1/04 Larry and GwenMontgomeryFlint Valley RanchRR 7-1920 SW West Union Road
-~ - -- - Topeka., KS 66615-9714
x
----
Amt of Cash,Check, Loan, orOther Receipt$25.00
$40.00
$25.00
$25.00
$15.00
$100.00
$100.00
$100.00
$15.00
$15.00
$25.00
9/30/04 John R Wine Jr.
DBA John R Wine, Jr. Attorney at Law410 NE 43rd St.
Topeka., KS 66617
x $25.00
Subtotal This Page $510.00
Page 11 of 18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
Cash Check Loan Other
9/29/04 Derek and Jennifer Schmidt416 - 'l2North 5thStIndependence, KS 67301
x
10/12/04 Chris McGee.
1616 SW CampbellTopeka., KS 66604
x
10/11104 Robert and Evelyn Bernica1631 Lakeside Dr.
Topeka., KS 66604
x
10/4/04 William and Sarah McNeive125 WoodlawnTopeka.,KS 66606
x
9130104 D.R. Quade and Eldon L. Hyle2306 Hillside Dr.Salina, KS 67401
x
10/10/04 Kathryn FritzBox 23
Morrowville, KS 66958
x
10/04 David Johnson1320 W. 27th S1. F-33
Topeka., KS 66611-2608
x
10/11/04 A.L. and Anna Nemec1956 SWNavajo LaneTopeka.,KS 66604-3708
x
10/11104 Shirley Rausch2030 Briarwood Dr.
Topeka., KS 66611
x
10/11104 Joseph Jekel9258 Reeder Dr.
Overland Park, KS 66214-2130
x
1017104 William and Mary Beth Acree5222 NW Sterling Chase Dr.Topeka.,KS 66618
x
10/10/04RobertHecht,Attorney ~-- - -- --3111 SW Jewell Ave.
Topeka., KS 66611
x
Subtotal This Page
Amt of Cash,Check, Loan, orOther Receipt$15.00
$25.00
$30.00
$25.00
$25.00
$15.00
$100.00
$25.00
$25.00
$15.00
$25.00
$50.00
$375.00
Page 12 of18
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
Cash Check Loan Other
10/6/04 Ronald and Dorothy Hunter23155thDodge City, KS 67801
x
10/9/04 Ann L. Hochscheid1962 SW Regency Pky.Topeka, KS 66604-3515
x
10/6/043 F.J. Loschke3221 SW Randolph, Apt. FTopeka, KS 66611
x
10/6/04 Scott and Stephanie Mickelsen1265 SW Lakeside Dr.Topeka, KS 66604
x
10/7/04 Frank NortonPO Box 2388Salina, KS 67402
x
x
x
x
10/8/04 Peter P. Bodyk, Jr.5200 SW 31st Terr.Topeka, KS 66614-4006
x
10/4/04 H.W. and Marynell ReecePO Box 199Scandia, KS 66966-0199
x
10/6/04 Mark and Nancy Reddy1421 SW RandolphTopeka, KS 66604
x
10/7/04 Ronald and Alison Schneider3847 SW CambridgeTopeka, KS 66610
x----
Subtotal This Page
Amt of Cash,Check, Loan, orOther Receipt$50.00
$25.00
$15.00
$25.00
$25.00
$50.00
$25.00
$25.00
$15.00
$50.00
$25.00
$15.00
$345.00
Page 13 of18
10/6/04 J Richard and Nancy Pratt6 SW Randolph SquareTopeka, KS 66611-3000
10/8/04 Roger and Darlene Schweppe4424 NW Lookout Ct.Topeka, KS 66618
10/8/04 Mack and Suzette Smith621 Walnut StreetSilver Lake, KS 66539-9467
SCHEDULE ACONTRIBUTIONSAND OTHER RECEIPTS
Kansans for ThornburghDate Name& Address
Of ContributorOccupation of IndividualGiving More Than $150
Cash Check Loan Other
12/30/04 David Murfin250 N. Water St. Suite 300
Wichita, KS 67202-1216
x
1/11/04 Kathryn Fritz x
1/13/04 Marc C. Davis x
3/23/04 William and Mary Beth Acree x
4/14/04 Roger Brazier, Ir x
Subtotal This Page
Total Itemized Receipts for Period
Total Unitemized Contributions ($50 or Less)
Sale of Political Materials (Unitemized)
Total Contributions When Contributor Not Known
TOTAL RECEIPTS TillS PERIOD (to line 2 of Summary)
-- --
Amt of Cash,Check, Loan, orOther Receipt$250.00
$10.00
$15.00
$25.00
$25.00
$325.00
$23,840.00
$5.00
$0.00
$0.00
$23,845.00
Page 14 of 18
f-
Kansans for ThornburghDate
10/9/04
SCHEDULE BIN-KIND CONTRIBUTIONS
Name, Address and OccupationOf Contributor
Hendrickson Cattle Company300 East Third Street
Eureka, KS 67045
Total Itemized (Over $50) In-Kind ContributionsTotal Unitemized ($50 or less) In-Kind Contributions
Description ofIn-KindContribution
Beef
TOTAL IN-KIND CONTRIBUTIONS TillS PERIOD (to line 6 of Summary)
-.- --- ~
Value ofIn-KindContributions$250.00
$ 250.00$ 0.00
$ 250.00
Page 15 of 18
----
SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS
Kansans for ThornburghDate Name and Address
1/ll/04
1/12/04
1/21/04
1/21/04
1/21/04
1/21/04
1/21/04
1/21/04
1/21/04
1/21/04
1/21/04
2/2/04
2/15/04
2/15/04
2/26/04
3/7/04
3/22/04
4/19/04
4/27/04
6/23/04
7/1/04
7/1/04~-
7/6/04
Subtotal This Page
Purpose of ExpenditureOr DisbursementReimbursement for postage/suppliesJesse Borjon
1426 SW Campbell AveTopeka, KS 66604
Family Service and Guidance Donation
Capital Plaza Hotel Room rental
Jesse Borjon Reimbursement for supplies
KS Federation of Republican Women KS Day -lunch ticket
Kansas Republican Party KS Day - ticket
Kansas Young Republicans Advertising
KS Native Sons and Daughters Banquet tickets
Pro Print Printing
Ron Thornburgh Reimbursement for supplies
Twila Stutz KS Day - catering
Jesse Borjon Reimbursement for supplies
Lightening Ranch Banquet tickets
YMCA Donation
KS State Historical Society Banquet tickets
Ron Thornburgh Reimbursement for meals
Western State Black Republican Caucus Advertising
Pizza Hut Meals
SS & C Business Accounting
Jesse Borjon Reimbursement for supplies
20-30 Club ofTopeka Advertising
Kansas Republican Party Advertising---
Jade Travel National Assn of Secretaries of State
- travel expenses
Amount
$544.05
$145.00
$339.36
$137.50
$25.00
$20.00
$150.00
$105.00
$911.93
$100.00
$1,200.00
$178.04
$200.00
$100.00
$200.00
$174.00
$125.00
$118.17
$593.12
$230.23
$250.00
$300.00
$277.90
$6,424.30
Page 16 ofl8
SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS
Kansans for ThornburghDate Name and Address Purpose of Expenditure Amount
Or Disbursement7/6/04 Ron Thornburgh National Assn of Secretaries of State $159.30
- reimbursementtravel expenses
7/12/04 Ron Thornburgh Reimbursement for education $425.00
8/5/04 Ron Thornburgh Reimbursementfor travel, meals $100.00
8/17/04 Washburn Endowment Donation $100.00
8/26/04 KS Secretary of State Purchase of 2 Kansas flags $69.60
9/26/04 Lake Shawnee Shelterhouse rental $40.00
9/26/04 Legacy of Leadership Banquet ticket $50.00
9/26/04 Pro Print Printing $533.86
9/26/04 KS Secretary of State Purchase of coffee mugs $147.50
10/1/04 Kansas Republican Party Advertising- handbook $175.00
10/30/04 Jesse Borjon Reimbursement for supplies $277.94
10/30/04 Nancy Bryant Reimbursement for food items $297.82Burger Bash event
10/30/04 Ron Thornburgh Reimbursement for Burger Bash items $332.09
10/30/04 SafeCo Insurance Insurance $629.00
10/30/04 Sunflower Rental table and chair rental $160.80
11/1/04 Ron Thornburgh Reimbursement for travel $207.20
11/1/04 Barker Printing Printing $426.20
11/12/04 Kansas Republican Party GrandClub- dues $1,000.00
12/14/04 Jesse Borjon Reimbursement for supplies $89.39
12/14/04 Ron Thornburgh Reimbursement for travel $60.12
12/31/04 Brad Bryant Reimbursement for supplies $21.55
12/31/04 Christy Harvey Reimbursement for supplies $22.48---
12/31/04 SafeCo Insurance Insurance- late fee $32.00
Subtotal This Page $5,356.85
Page 17 of18
SCHEDULE CEXPENDITURES AND OTHER DISBURSEMENTS
Kansans for ThornburghDate Name and Address Purpose of Expenditure
Or DisbursementReimbursement for gifts
Reimbursement for office event
Reimbursement for meals
Reimbursement for travel
Reimbursement for postage,mailing labels
Donation
Subtotal This Page
Complete if last page of Schedule C
Total Itemized Expenditures This Period
Total Unitemized Expenditures of$50 or less
TOTAL EXPENDITURES/DISBURSEMENTS THIS PERIOD (to line 4 of Summary)
------- -- --~ -~-
Amount
$650.00
$683.97
$38.58
$60.51
$465.64
$250.00
$2,148.70
$13,929.85
$0.00
$13,929.85
Page 18 of 18
12/31/04 Ron Thornburgh
8/9/04 Jesse Borjon
8/17/04 Jesse Borjon
9/15/04 Jesse Borjon
10/1/04 Jesse Borjon
11/1/04 Jayhawk Area Boyscouts
