15
KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE :JJ> I.S' FILED JUL 1 4 2014 ALE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS KRIS W KOBACH SECRETARY Or: STATE A. Name of Candidate Abbie Hodgson Address PO Box 1456 City and Zip Code Lawrence, KS 66044 1-\1\I.r \11 It-I D County Douglas Office Sought State Representative District No. 46 B. Check only if appropriate: [l] Amended Filing o Termination Report C. Summary (covering the period from 01/01/2013 through 12/31/2013 I. Cash on hand at beginning of period $0.00 2. Total Contributions and Other Receipts (Use Schedule A) $13,201.95 3. Cash available this period (Add Lines I and 2) 4. Total Expenditures and Other Disbursements (Use Schedule C) . 5. Cash on hand at close of period (Subtract Line 4 from 3) . .. .. 6. In-Kind Contributions (Use Schedule B) $0.00 7. Other Transactions (Use Schedule D) $1,396.95 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 Date Signature of Candidate or Treasurer GEe Form Rev, 2001

RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

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Page 1: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

~~+-:JJ> I.S'

FILED

JUL 1 4 2014

ALE WITH SECRETARY OF STATE

SEE REVERSE SIDE FOR INSTRUCTIONS

KRIS W KOBACH SECRETARY Or: STATE

A. Name of Candidate Abbie Hodgson

Address PO Box 1456

City and Zip Code Lawrence, KS 66044 1-\1\I.r \11 It-I D County Douglas

Office Sought State Representative District No. 46

B. Check only if appropriate: [l] Amended Filing o Termination Report

C. Summary (covering the period from 01/01/2013 through 12/31/2013

I. Cash on hand at beginning of period $0.00

2. Total Contributions and Other Receipts (Use Schedule A) $13,201.95

3. Cash available this period (Add Lines I and 2) ~_~~~?g_~:~?_

4. Total Expenditures and Other Disbursements (Use Schedule C) . ~~~~~.~:~_~_

5. Cash on hand at close of period (Subtract Line 4 from 3) . .. .. ._~_~~~?_E?_~:~~

6. In-Kind Contributions (Use Schedule B) $0.00

7. Other Transactions (Use Schedule D) $1,396.95

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

;;;:Yfil;ngafalZ2f~~~~ Date Signature of Candidate or Treasurer

GEe Form Rev, 2001

Page 2: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of Occupation & Industry of Appropriate Box Cash, Check,

Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan Efunds Other

Other Receipt

11/26/2013

Mike Anderson 811 New Jersey St Lawrence, KS 66044-2743

lV Host

Television D IZl D D $200.00

12/10/2013

Krysten Barrett 947 New Hampshire St Apt 408 Lawrence, KS 66044-3078

D IZl D D $100.00

112/23/2013

Ginny Beall 6544 High Dr Mission Hills, KS 66208-1936 D IZl D D $100.00

10/02/2013

Branden Bell 15729 Ash St Overland Park, KS 66224-3540

Attorney

Legal D D D IZl $500.00

12/31/2013

Vicki Buening 1255 SW High Ave Topeka, KS 66604-3954 D IZl D 0 $100.00

12/17/2013

CARE Counseling 3601 SW 29th St Ste 108 Topeka, KS 66614-2015

0 IZl 0 0 $100.00

12117/2013

Sarah Catlin 2264 Country Ln Columbia, MO 65201-6334 D IZl D D $100.00

$1,200.00

Page 2 of 13

Page 3: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of Occupation & Industry of Appropriate Box Cash, Check,

Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other

Other Receipt

11/02/2013

Robert Choromanski 14413 W 80th Ter Lenexa, KS 66215-4111 D D D IZl $100.00

11/12/2013

Nicole Corcoran Pippen 8331 NW US Highway 24 Silver Lake, KS 66539-9653 D IZl D D $100.00

12/17/2013

Wes Crenshaw 1722 E 816th Rd Lawrence, KS 66049-9137 D D D IZl $100.00

12/21/2013

Whitney Damron 919 S Kansas Ave Topeka, KS 66612-1210 D D D IZl $150.00

10/29/2013

Dana Fertig 201 Arizona St Lawrence, KS 66049-2110

Technical Services Veterinarian Veterinary Medicine

D IZl D D $100.00

12/17/2013

Dana Fertig 201 Arizona St Lawrence, KS 66049-2110

Technical Services Veterinarian Veterinary Medicine

D D D IZl $100.00

12/03/2013

Findley & Associates PO Box 1342 Topeka, KS 66601-1342 D IZl D D $100.00

$750.00

Page 3 of 13

Page 4: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of Occupation & Industry of Appropriate Box Cash, Check,

Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other

Other Receipt

10107/2013

Debra Ford 15108 Lake Side Dr Basehor, KS 66007-9720 D D D 0 $100.00

12/18/2013

Martha Gershun 5710 Lockton Ln Fairway, KS 66205-3417 D D D 0 $100.00

11/16/2013

Marilu Goodyear 9507 Pine St Lenexa, KS 66220-3656 D D D 0 $100.00

12/23/2013

Greenroom Salon, Inc 924 1/2 Massachusetts St Lawrence, KS 66044-2868 D 0 D D $100.00

12/17/2013

Shanan Guinn 1107 C St NE Washington, DC 20002-6303 D D D 0 $100.00

11/01/2013

Stefanie & Keith Henderson 4968 Stoneback Dr Lawrence, KS 66047-3341

Prosecutor

Law D 0 D D $250.00

08/09/2013

Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Teacher

Education D D 0 0 $900.00

$1,650.00

Page 4 of 13

Page 5: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of Occupation & Industry of Appropriate Box Cash, Check,

Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other

Other Receipt

08/09/2013

Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Teacher

Education 0 0 ~ ~ $88.00

08/12/2013

Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Teacher

Education 0 0 ~ 0 $100.00

08/14/2013

Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Teacher

Education 0 0 ~ ~

I

$225.00

09/16/2013

Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Teacher

Education 0 0 ~ ~ $30.00

10104/2013

Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Teacher

Education 0 0 ~ ~ $53.95

11/04/2013

Cherie Hodgson 1726 Poyntz Ave Manhattan, KS 66502-4151

Academic Prog Coord.

Education 0 ~ 0 0 $250.00

09/27/2013

Dave Hoqgson 2700 Brittany Ter Apt 1 Manhattan, KS 66502-0403

Veterinarian

Agriculture 0 0 0 ~ $500.00

$1,246.95

Page 5 of 13

Page 6: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of Occupation & Industry of Appropriate Box Cash, Check,

Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other

Other Receipt

12/03/2013

Ed Hodgson 1240 28th Rd Little River, KS 67457-9004

Farmer

Agriculture D IZI D D $250.00

12/17/2013

Rich Hodgson 107 Quiet Oak Cir The Woodlands, TX 77381-4172

ConSUltant

Mining D IZI D D $500.00

10103/2013

Joe Jarvis 5418 Woodstock St Shawnee, KS 66218-9277 D D D IZI $100.00

10104/2013

Eric Johnson 2740 NE 29th St Fort Lauderdale, FL 33306-1732

Chief of Staff

Government D D D IZI $250.00

11/20/2013

Eric Johnson 2740 NE 29th St Fort Lauderdale, FL 33306-1732

Chief of Staff

Government D D D IZI $250.00

11/26/2013

Kansas Advancing Women PO Box 1996 Lawrence, KS 66044-1996 D IZI D D $500.00

12/03/2013

Jack & Sarah Martin 1108 Hilltop Dr Lawrence, KS 66044-4530 D IZI D D $150.00

$2,000.00

Page 6 of 13

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of Occupation & Industry of Appropriate Box Cash, Check,

Date Name and Address of Individual Giving More Loan or Contributor Than $150 Cash Check Loan E funds Other

Other Receipt

12/18/2013

Keith Michal 15729 Ash St Overland Park, KS 66224-3540 0 0 0 IZl $100.00

11/04/2013

Wilson Miner 21 Powers Ave San Francisco, CA 94110-4616 0 0 0 IZl $100.00

09/27/2013

Tiffany Muller 3305 Alabama Ave SE Washington, DC 20020-1441

Deputy Chief of Staff

Public Policy 0 0 0 IZl $500.00

11/06/2013

John Naramore 2043 E 1250 Rd Lawrence, KS 66044-9300 0 IZl 0 0 $150.00

11/12/2013

Ryan Neville-Shepard 4696 Rosebud Dr Columbus, IN 47203-3811 0 IZl 0 0 $100.00

12/17/2013

Diana Pierron 1808 Castle Pines Ct Lawrence, KS 66047-2017 0 IZl 0 0 $100.00

10/18/2013

Kathy Reichenberger 6363 Lazy Day Ln Andale, KS 67001-9543 0 0 0 IZl $100.00

$1,150.00

Page 7 of 13

Page 8: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of

Date Name and Address of Occupation & Industry of Individual Giving More

Appropriate Box Cash, Check, Loan or

Contributor Than $150 Cash Check Loan Efunds Other Other Receipt

11/06/2013

Terry & Elaine Riordan 1613 Tennessee St Lawrence, KS 66044-4196 D ~ D D $100.00

11/25/2013

James Roberts 9532 W 85th St Overland Park, KS 66212-4501 D D D ~ $100.00

12/28/2013

Robert C Rowland 4409 Roundabout Cir Lawrence, KS 66049-2155 D D D ~ $100.00

11/26/2013

Bob Schumm 1720 Saint Andrews Dr Lawrence, KS 66047-1702

Restaurant Owner

Hospitality D ~ D D $250.00

12/11/2013

Cory Sheedy 2902 Atchison Cir Lawrence, KS 66047-3949

Attorney

Govt D D D ~ $200.00

12/28/2013

Jim & Linda Slattery 1600 Maddux Ln McLean, VA 22101-3200

Attorney

Law D ~ D D $200.00

11/15/2013

Roberta Suenram 409 Vine Dr Lawrence, KS 66049-1999 D D D ~ $150.00

$1,100.00

Page 8 of 13

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of

Date Name and Address of Occupation & Industry of Individual Giving More

Appropriate Box Cash, Check, Loan or

Contributor Than $150 Cash Check Loan Efunds Other Other Receipt

Jenny & Trent VanEaton 1456 K 18

10/23/2013 Bennington, KS 67422-9034

Jenny & Trent VanEaton 1456 K 18

12/19/2013 Bennington, KS 67422-9034

Astrid Villamil 1515 Saint Andrew St

11/06/2013 Columbia, MO 65203-2329

Alex Wages 3518 SW Stonybrook Dr

11/18/2013 Topeka, KS 66614-5118

Alex Wages 3518 SW Stonybrook Dr

12/24/2013 Topeka, KS 66614-5118

Daniel Waters 829 Missouri St

11/18/2013 Lawrence, KS 66044-3957

Cindy & Edward Weathers 617 Arrowhead Dr

12/10/2013 Lawrence, KS 66049-1890

Electrician

Construction/Engineeri ng

Homemaker

None

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

$75.00

$50.00

$100.00

$25.00

I

$50.00

$500.00

$250.00

$1,050.00

Page 9 of 13

Page 10: RECEIPTS AND EXPENDITURES REPORT OF FILED A CANDIDATE …ethics.ks.gov/CFAScanned/House/2014ElecCycle/201401/H046AH_a… · 12/19/2013 Bennington, KS 67422-9034 Astrid Villamil 1515

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Check Amount of

Date Name and Address of Occupation & Industry of Individual Giving More

Appropriate Box Cash, Check, Loan or

Contributor Than $150 Cash Check Loan E funds Other Other Receipt

11/12/2013

Bill & Terry Winton 322 Marigold Ave Corona Del Mar, CA 92625-3049

0 ~ 0 0 $100.00

11/21/2013

Larry & Anita Wolgast 3400 SW Birchwood Dr Topeka, KS 66614-3214 0 ~ 0 0 $75.00

Complete if this is the last page of Schedule A

Total Itemized Receipts for Period $10,321.95

Total Unitemized Contributions $2,760.00

Sale of Political Materials (Unitemized) $0.00

Total Contributions When Contributor Not Known $120.00

$13,201.95

$175.00

Page 10 of 13

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Date Name and Address Purpose of Expenditure or Disbursement Amount

10/22/2013 Jacob Beaumont 946 Indiana St Apt 4 Lawrence, KS 66044-2852

Consulting services - Consultant $1,250.00

11/26/2013 Best Buy 2020 W 31st St Lawrence, KS 66046-5537

Office Supplies - Electronics/Computers $86.95

10/08/2013 Lawrence Main Post Office 645 Vermont St Lawrence, KS 66044-7901

Postage - Postage/Shipping $46.00

12/17/2013 Lawrence Main Post Office 645 Vermont St Lawrence, KS 66044-7901

Postage - Postage/Shipping $46.00

10/24/2013 Pro-Print 838 Massachusetts St Lawrence, KS 66044-2658

Postage - Postage/Shipping $72.35

10/29/2013 Pro-Print 838 Massachusetts St Lawrence, KS 66044-2658

Printing, mailing - Printing $1,003.55

12/17/2013 Pro-Print 838 Massachusetts St Lawrence, KS 66044-2658

Letterhead - Printing $260.88

09/03/2013 Sage Payment Solutions 1750 Old Meadow Rd Ste 300 McLean, VA 22102-4304

Online Contribution Fees - Fundraising Expenses

$39.27

$2,805.00

Page_l_l_ of -l.L

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Abbie Hodgson

(Name of Candidate, Party Committee or Political Committee)

Date Name and Address Purpose of Expenditure or Disbursement Amount

10101/2013 Sage Payment Solutions 1750 Old Meadow Rd Ste 300 McLean, VA 22102-4304

Online Processing Fees - Fundraising Expenses

$69.33

11/01/2013 Sage Payment Solutions 1750 Old Meadow Rd Ste 300 McLean, VA 22102-4304

Online contribution processing fees -Fundraising Expenses

$58.78

ComDlete if last Daee of Schedule C Total Itemized Exoenditures This Period $2,933.11

Total Unitemized Exoenditures $50 or less $0.00

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary)

$2,933.11

$128.11

Page --.lL of ~

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SCHEDULED

OTHER TRANSACTIONS

Abbie Hodgson (Name of Candidate, Party Committee or Political Committee)

Date Name and Address Nature of Account or Loan Payable or Loan Receivable

Balance at Close of Period

08/09/2013 Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

NGP Set up $900.00

08/09/2013 Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

PO Box $88.00

08/12/2013 Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Bank acct start up $100.00

08/14/2013 Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Logo $225.00

09/16/2013 Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Banner design $30.00

10104/2013 Abbie Hodgson 829 Missouri St Lawrence, KS 66044-3957

Office supplies $53.95

Complete if last page of Schedule D

TOTAL OTHER TRANSACTIONS (to line 7 of Summary) $1,396.951

$1,396.95

Page 13 of 13

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1

KANSAS GOVERNMlTh;1.'AL-ETHICS COM1\1ISSION I'------~---·_--....,..,.-

RECEIPTS AND EXPENDITURESREPbRT OF '. A CANDIDAT.E FOR STA.TE OFFICE

.... ,­ ..RECEIVED January 1{), 2013 "

. .. . . IlL..

'. FrLEl WITH SECRETARY OF STATE JAN l' 20f4 . SBB REVERsESfD~ FORfNS'l'RUCTlONS'- . '. '. ,-,. ",. -." . .,'

kSGovernmentaf FtbiCs "OTRiiiiUie

: ,.'

A. Name of Candidate Abbie Hodgsl)n . =--:--~""'-----=----""'._------,---'--:'-_---------

Address PO Box. 1456 ~_---':-_;"':'-------'--:_--'-"_.''-' -':-'"-':-~-----_--:"'~""""'------

Cilyand Zip Code Lawrence, KS 66044·. 'C(lunty Douglas__. Office Sought KS House District No. 46

B. Check ouly if appropriate: _~_Amended Filing

,',".

C. Summary (covering the period fr~tn . ~1f01l2013 . .. ' jhr;:)u~h' 1213'-112013: ).

1. Cash on hand at beginning of perl(,d "':'.;::..~"''.'.'''''''.' •.,,:, ,:.- ;.,.~.. '" ;.:.:.;:.:".,.: , : ~ .. :.•.....: " ' :. :.J~:2~

2. Total Contributions lind O~hel' Receipts (Use ScheduJeA) .. ': .. $11,805.00. ' .. :~ ••••• _." ··0.. ·,.·· - -,- w 0- ",­~ ••• o' _ ..

3. Cash available this ptlriod(Add Lines 1 and' 2) .' . . . . $11,805.00 .. __ __ .. _, w w "=-1"" : __ , ..- -0-""" _ .. .:. ..

4. Total "Expenditures anclOthtr Di!:;b~rse~~e:l~is{iJseSchedJl~Cf:'. :.:'. . :', . •.•. ......•.. . ". $2.933.11 ". " . ," -. :-._--_ --_ _ ':", _-_ _--- ..~

5. Cash On hand at close ofperi6d (SllblIactLiil~.4 from3) , :., :._ ::~ .. : : _ "'".~~,.~.?~:~~.

6. hl·Kind Contributions (Use Schedule ]3) _ ..' .. _ ." $0;00 .. _. __ .- r.· •. ....... __ ".__ ." •• _- - ---- .. -. :-- --- -_ " ­~ ~

7. O.her Transactiom, (Use Schedule0) '. . . '. $1.396.95 ~_..;.--~_._ .. _- ....... _..... .:. ... :.. .: ", ...• : .... -.-'.'...... _.. -......... _..... _.. _ ...... -:: ........ _-_ .. ­.. ~_ .. _

. . .~. ..... , .. "

".

D. "I declare that thisrepo'rt. inciudil1gallY .accciil1panyil1gscI1(ldujesa:tld·st~rementS.:hllS .b.eeri examin,:dbY me and ti:nhe best of my Jmowledge and beUet'is true; corre,ztand c'omplete,l uil~el'standthatthelnterttional failure to file this dOClIrm:nl or intentionally t1Ung 11 false document is a dfl~sA nlis~~mc:ultor.". . ..

Date Signature of Candidate or TreaHufcr GEe Form Rev, 2001

lS~ll ~10~/91/1010 39\i'd 5010 381.:1.:10' X3Q3~

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SCHEDULE A CONTRIBUTIONS Al\iD OTHERREGEIPTS

.Abbie Hodg~on " (Name of Candidate, Party Comrn [ttee or PolItical t-'0-n-1n-l-ttt-'-e-e-)-,-,

Ch~ck,,, Amnunt of " OCcui)sti,)n & Industry of ' Appropri~te Box Cash, Check,

Date Name .and Address"of IndividJl~lGivingMore" Loan or Contributor '1'llIan $150 Cash Check Loan E funds Otller

Other Receipt.... . '

10/29/2013

Pa(Pettey , '

5316 Lakewood St Kansas City, KS 66106-:2202

'"

"

",

," , ,

'"

12/17/2013

Diana Pierron 1808 Castle Pines Ct Lawrence, KS £i604j~2017 '

-

Katherine Pryor 1128 Cynthia st Lawrence, KS 66049,34 '11

Emily Randel ~ " .....

1117 Pacific St Kansas City, M064106~'1319

Kathy Reichenberger 6363 Lazy Day Ln Andale. KS 67001-9543

LaChrystal Ricke 114 Kelfyn Oaks" Dr Conroe, TX 77306·6342"

Terry & Elaine Riordan 1613 Tennessee st Lawrence, KS 66044-4196

','­

12/19/Z013

11/04/2013

10/18/2013

12/17/2013

11/06/2013

..

" ,

'.

, ,

"

"

.... ~

'","

,,'

,

. "

, . ..... , '"

..

..

' ,

, ,

'"

0 [2) 0 0 $30.00

0 0 0 0 $100.00

,,',

0 0 0 IZJ

...

$50.00

','

0

, '

~,

" .

"0 0 $50.00

D" , .

'

0 , '

"

0 [2} $100.00

,,0' :0 :0 [2] $25.00

0 , '

0 0 0 $100.00

..

$455.00

Pas" 15 Ill' 23

TC-TT J"TD"ZIDT'TOzgrz C"bO CQ}C.OTrA