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KANSAS GOVERNMENTAL ETHICS COMMI~~
·-RECEIPTS AND EXPENDITURES REPORT t)F A CANDIDATE FOR STATE OFFICE
July 30, 2012
FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name of Candidate: _R_u_t_t1_T_e_ic_h_m_a_" _
Address: 434 E. Old Hwy 50
City and Zip Code: Stafford 67578 County: Stafford
Office Sought: _S_e_"_a_te ---,- District: 33
B. Check only if appropriate: __ Amended Filing __Termination Report
C. Summary (covering the period from January 1, 2012 through July 26,2012)
1. Cash on hand at beginning ofperiod . 81008.39
2. Total Contributions and Other Receipts (Use Schedule A) . 44532.50
3. Cash available this period (Add Lines 1 and 2) .. 125540.89
4. Total Expenditures and Other Disbursements (Use Schedule C) .. 100598.11
5. Cash on hand at close ofperiod (Subtract Line 4 from 3) .. 24942.78
6. In-Kind Contributions (Use Schedule B) .. 250.00
7. Other Transactions (Use Schedule D) . 350.00
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."
GEe Form Rev, 2001
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name ofCandidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Tban $150
Cbeck Appropriate Box
Amount of Casb, Cbeck,
Loan or Otber Receipt
Cash CbKk Loan E fuDds 'Olber
01/07/12 Robert Wunch Box 473 Kingman, Ks. 67068
Attorney
.f $200.00
02109/12 James C. Klaver. 1535 N. Thoroughbred Ct. Wichita, Ks. 67235
Contractor
.f $500.00
02121/12 Kip Spray 5000 Timber Creek Rd. Great Bend, Ks. 67530
Contractor
.f $1,000.00
02121/12 Kelly Spray 5000 Timber Creek Rd. Great Bend, Ks. 67530
Housewife .f $1~~·Q'00.OO
03/27/12 Wakon &Brenda Fowler 20351 SE 20th Ave Pratt, Ks. 67124
Physician .; $500.00
04/24/12 Vickie Hurt 2771 SW Sagebrush Topeka, Ks. 66614
.f $150.00
04/30/12 Reggie &Sheila Fisher 110 N. Exchange Saint John, Ks. 67576
Farmer/Rancher
.f $500.00
06/05/12 Pamela Dietz 1220 E 5th St. Pratt, Ks. 67124
.f $100.00
06/05/12 Raymond H. Woods 1228 N. 5th St. Independence, Ks.
.f $100.00
06/18/12 Bonnie DUdrey 300 N. Buffalo Stafford,Ks. 67578
.; $100.00
06/18/12 Senate Republican Leadership Committee Box 1772, Topeka, KS.66601
PAC
.f $1,000.00
Subtotal Tbis Page . $5,150.00
. I
Page ----L- of-----.Lrr
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name ofCandidate)
Date Name and Address . of Contributor
Ark Valley Education Employee PAC, 111 N. Main Lindsborg, ,Ks.
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other ReceiptCash Check Loan E ftmd.
Other
06/10/12 PAC Education .f $1,000.00
06/18/12 Andrew Evans Box 58 Coldwater, Ks
.f $50.00
06/25/12 Kim & Susie Barnes 215 E.8th Lamed, Ks. 67550
.f $100.00
06/25/12 Troy Nelson 1566 210 Ave Lewis, Ks. 67552
.f $100.00
06/25/12 Connie Nelson 1339 180 Ave. Lewis, Ks. 67552
.f . $100.00
06/25/12 Ronald Lindberg Box 296 Lewis, Ks. 67552
.f $100.00
06/25/12 Ks. Livestock Assn. 6031 SW 37th St. Topeka, KS.66614
PAC .f $500.00
06/25/12· James & Kathleen Maag 1924 SW Indian Woods Topeka, Ks. 66611
Lobbyist
.f $200.00
06/25/12 Sheila Frahm Box 849 Colby, Ks. 67701
Farmer .f $250.00
07/02112 John Koepke 2936 SW Staffordshire Rd. Topeka, Ks. 66614
.f $50.00
07/02112 Charles Hyler 1112 N. Monroe Hutchinson, Ks. 67501
.f $50.00
Subtotal This Page $2,500.00
Page ~ of--.!1l.
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date
07/02112
07/02112
07/02112
07/02112
07/02112
07/02112
07/02112
07/02112
07/02112
07/02112
07/02112
Name and Address of Contributor
Melody Davies 706 E. 7th Kinsley, Ks.67547
John & Diane Humphreys Box 683 Ashland, Ks. 67831
Mr. & Mrs. Byron Roenbaugh 1111 Mocha Ln. Kinsley, Ks. 67547
Fred & Nancy Kerr 144 SW 19th Ave Pratt, Ks. 67124
Higher Education Fund Greater Ks. Chamber of Commerce, 911 Main Kansas City, Mo. 64105 a Richardson Images LTD PO Box 106 Lindsborg, Ks. 67456
\
Gary Skaggs 542 Terrace Dr. Pratt, Ks. 67124
Alliance Well Service, Inc. 470 Yucca Ln. Pratt, Ks. 67124
Randy & Terryl Henderson 323 E 6th Pratt, Ks. 67124
David Monical 1400 SW Stratford Rd Topeka, Ks.66604
H.A. Smith Lamed, Ks. 67550
Subtotal Tbis Page
Occupation & Industry of Individual Giving More
Tban $150
Cbeck Appropriate Box
Amount of Casb, Cbeck,
Loan or Otber ReceiptCasb Cbec:k Loan !.f!!!!!!!
Other
~ $100.00
~ $100.00
Retired .f $200.00
Farmer ~ $500.00
PAC
t/ $500.00
.f $50.00
Retired .f $250.00
Oil Industry .~ $500.00
Retired/Education .f $200.00
t/ $100.00
.f $60.00
$2,560.00
Page~of~~_
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Tban $150
Cbeck Appropriate Box
Amount of Casb, Cbeck,
Loan or Otber Receipt
Cash Cbock LOaD EfnDds Other
07/02112 A.C. & Nancy Boland 505 Iowa Pratt, Ks. 67124
Retired
.f $300.00
07/02112 Whitney Damron 919 S. Kansas Ave Topeka, KS.66612
Lobbyist
.f $250.00
07/05/12 Bob & Janice Moore 100232 NW 40th Ave. luka, Ks. 67066
Fanner
.f $200.00
0;7/05/12 Thomas & Janice Crissman 276 NW 60th Ave Great Bend, Ks. 67530
.f $25.00
07/05/12 Michael & Rebecca McFall 618 Sunrise Ave Pratt, Ks. 67124
Fanner ..f $200.00
07/05/12 James & Cibyl Ronen 116 Centennial Ct. Saint John, Ks. 67576
RetiredlBanker . .{ $200.00
07/05/12 Beverly & Donald Komarek 315 Point Dr. Great Bend, Ks. 67530
.f $100.00
07/05/12 Perry & Nancy Schuetz 2800 Harrison St. Great Bend, Ks. 67530
.f $20.00
07/05/12 Mary Margaret Boyles 807 N Main Saint John, Ks. 67576
.f $25.00
07/05/12 ACEC of Kansas PAC 825 S. Kansas Ave. Suite 500 Topeka,Ks.66612
Engineering Companies
.f $1,000.00
07/05/12 Mr. & Mrs. Thad Henry 141 SW 19th Ave. Pratt, Ks. 67124
Retired .; $200.00
Subtotal 'Ibis Page $2,520.00
Page~of~
SCHEDULEA' CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cash Check Loan E funds Other
07/05/12 . Norman Cooper 668 NW 40th St. Saint John, Ks. 67576
.f $100.00
07/05/12 Ks. Committee Rural Electrification PO Box 790 Meade, Ks. 67864
Electric Cooperatives
.f $300.00
07/05/12 Ks. Contractors Assn. PAC PO Box 5061 Topeka, KS.66605
PAC Contractors .f $750.00
07/06/12 Marvin & Eunice Proctor 1326 E. 3rd. St. Pratt, Ks. 67124
.f $100.00
07/06/12 Sunflower Electric Power Corp. PO Box 1020 Hayes, Ks. 67601
Electric
.f $400.00
07/06/12 Thomas Vernon 5913 Rosewood Dr. Great Bend, Ks. 67530
.f $100.00
07/06/12 R.F. Graff 291 NW 70th Ave Pratt, Ks. 67124
Teaching
.f $200.00
07/06/12 Bert & Rochelle Chronister 17124 Bethel Rd. Neodesha,Ks.66757
.f $100.00
07/06/12 Larry L. Moyer 1118 Holly Pratt, Ks. 67124
Retired
.f $250.00
07/06/12 Kay & Rodney Lesh 1118 Holly Pratt, Ks. 67124
Retired
.f $250.00
07/06/12 Kansas Star Casino Employee 777 Kansas Star Dr. Mulvane, Ks. 67110
PAC Hotel/Casino .f $1,000.00
Subtotal This Page $3,550.00
Page ~ ofi'1_
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman.
(Name of Candidate)
Date . Name and Address
ofContributor
Occupation & Industry of . Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cash Ch«:k Loan !l!!!!!!! Olb..
07/09/12 James Musgrove PO Box 215 Claflin, Ks. 67525
Oil & Gas Geologist
~ $250.00
07/09/12 Kansas Medical Society PAC 623 SW 10th Ave. Topeka, Ks.66612
PAC Medical. .~ $1,000.00
07/09/12 Kansas State Firefighters PAC do Mike Gunther, 817 W. 19th Hutchinson, Ks. 67502
PAC Firefighters
i
~ $1,000.00
07/09/12 Gerald D. Marlatt 17009 B. Rd Emmett, Ks. 66422
~ $50.00
07/09/12 Gary & Mary Fitzsimmons Farms 130210 NE 5th St Cunningham, Ks. 67035
.f $50.00
07/09/12 Roger &Virginia Russell 788 SE 10th Ave Saint John, Ks. 67576
.f $50.00
07/09/12 Kenneth & Barbara Sewing 635 E. Vickers Stafford, Ks. 67578
Farmer
.f $200.00
07/09/12 Charles &Anne Grigsby 10177 NW 90th Ave Pratt, Ks. 67124
Realty
~ $250.00
07/09/12 Edward & Bonnie Redmon 1148 Meadow Lane Topeka, Ks. 66604
~. $50.00
07/09/12 Carter & Ma~orie Barker· 118 SE 25th Ave Pratt, Ks. 67124
.f $100.00
07/10/12 Jack & Belinda Galle 610 Sunrise Ave Pratt, Ks. 67124
.f $100.00
Subtotal This Page $3,100.00
Page~ofLtL
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date . Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Than $150
Check . Appropriate Box
Amount of Cash, Check,
Loan or Other ReceiptCash Check Loan E funds
Orb..
07/10/12 Gregg & Martha Wade 436 SW 50th Pratt, Ks. 67124
.{ $50.00
07/10/12 Cielo Grande 436 SW 50th Ave Pratt, Ks. 67124
..f $50.00
07/10/12 Keith Mull PO Box 8 Lamed, ks. 67550
.f $100.00
07/10/12 Daniel & Cathryn Latourell 5965 16th S1. Terr. Great Bend, Ks. 67530
.{ $100.00
07/10/12 Christopher Schuetze 18825 24 RD Cimmarron, Ks. 67835
.{ $50.00
07/10/12 Tommy & Ann Smith 2535 H Rd Garfield, Ks. 67529
.f $50.00
07/10/12 Glenn A. Mull Land & Cattle 553 R. Rd Pawnee Rock, Ks. 67567
.f $100.00
07/10/12 Edward H. Klima 917 S. Santa Fe Salina. Ks. 67401
.f $100.00
07110/12 Lindsay N. Walter 2804 Tejas Ave Fort Worth, Tx. 76116 Hoase.-flJ:fe
.f $200.00
07/10/12 Norma Gatterman 810 W 4th Lamed, Ks. 67550
Retired
.f $450.00
07/10/12 Kenneth & LeeAnn Brunson 40050 NE 10th S1. Pratt, Ks. 67124
.f $50.00
Subtotal This Page $1,300.00
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name ofCandidate)
Date Name and Address
ofContributor
Paul F. Hayse Rev. Trust Michael Hayse TTE 2065. Mound; Pratt, Ks. 67124
Occupation & Industry of Individual Giving More
Than $150
Check· Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cash Ch..,k Loan E funds Orbr.
07/10/12 .f $100.00
07/10/12 Morgan & Deb Trinkle 80236 NE 70th Ave Preston, Ks. 67583
.f $100.00
07/10/12 Kansas Hospital Assn. PAC 215 SE 8th Ave Topeka, Ks.66603
PAC Medical .f $250.00
07/10/12 Architects PAC 700 5W Jackson St. Topeka, Ks.66603
PAC Architect .f $250.00
07/12112 ATT Kansas PAC 220 E 6th Rm.500 Topeka, Ks.66603
PAC Communications .f $500.00
07/12112 R.L. & T.M. Miller 306 SE 30th 5t Pratt, Ks. 67124
.f $25.00
07/12112 Midwest Energy Inc. Hays, Ks. 67601
Energy Co.
.f $200.00
07/12112 Century Link Inc. Employees PAC 1099 New York Ave. Suite 250 Washington, DC 20001 .
PAC Telecommunications .f $500.00
07/17/12 Phil Ruffin PO Box 17087 Wichita, Ks. 67217
Retired
.f $500.00
07/17/12 BNSF Railway Co. 2500 Lou Menk Dr. AOB-3 Fort Worth, Tx. 76131
Railway Industry
.f $500.00
07/17/12 The Kansas Realtors PAC 3644 SW Burlingame Rd Topeka, Ks. 66611
PAC Realty .f $1,000.00
Subtotal This Page $3,925.00
Page~ofj!L .
SCHEDULE A . CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of ..
Cash, Check, Loan or Other
ReceiptCash Checok . LoaD E foods
Olbe.
07/17/12 The Flower Shoppe Lou Lynne Moss, 201 E 4th Pratt, Ks. 67124
.f $100.00
$100.00
$750.00
$50.00
$250.00
$20.00
$150.00
$250.00
$100.00
$50.00
$100.00
$1,920.00
07/17/12 Crystal Obee DDS, PA 609 Marsh, PO Box 96 Kinsley, Ks. 67547
.f
07/17/12 CHC of Kansas 8320 Ward Parkway Kansas City, Mo. 64114
Banking Industry
.f
07/17/12 Randy & Kim Fritzemeier 2802 Salt Marsh Rd Stafford, Ks. 67578
.f
07/17/12 Kansas Agri Business Council 816 SW Tyler St., Suite 100 Topeka,ks.66612
Grain & Agriculture
.f
07/17/12 . Eric Webb 348 NE SR61 Pratt, Ks. 67124
.f
07/17/12 James W. VanBlaricum III DDS 10481 Lake Rd Pratt, Ks. 67124
Q",~~ ...~ .f
07/17/12 C.L. Meigs 400 S. Main, Suite 106 Pratt, Ks. 67124
Insurance
.f
07/17/12 Phyllis & Michael Farney 10263 NW 10th Pratt, Ks. 67124
.f
07/17/12 R. Patrick & Carolyn Gaughan 1232 N Shefford Wichita, Ks. 67212
.f
07/17/12 Judith R. Brungardt 409 Saratoga Ct. Pratt, Ks. 67124
..f
Subtotal This Page
Page ~ of-l':l
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
of Contributor
Occnpation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other . Receipt Cash Chec:k Loan E funds
Other
07/17/12 Tom Brungardt Jr. 409 Saratoga Ct. Pratt, Ks. 67124
.f $100.00
07/17/12 Daniel & Maria Suiter MD 207 Lake Rd Pratt, Ks. 67124
.f $150.00
07/17/12 Donald &Jeanne Peters 1435 E 6thST Pratt, Ks. 67124
.f $50.00
07/17/12 Gary &Lynnette Curtis 110085 NW 110th St Byers, Ks. 67021
Farmer .f $1,000.00
07/17/12 Kelly &Barbara Mason 1104 Sunny Land Pratt, Ks. 67124
Banker
.f $200.00
07/17/12 Robert &Teresa Blasi 453 SE Park Hills Dr. Pratt, Ks. 67124
.f $100.00
07/17/12 Darrell &Laurelann Stroda 362 Lake Rd. Pratt, Ks. 67124
.f $50.00
07/17/12 Dr.William&TheresaWojciechowski 615 Sunrise Ave Pratt, Ks. 67124
President Pratt County Jr. College .f $300.00
07/17/12 Kelly & Debbie Estes Lic. K02-46-Q781 Bucklin, Ks. 67834
Farm Equipment
.f $200.00
07/17/12 Bobbe Stanion 401 Rochester, Apt. 110 Pratt, Ks. 67124
.f $100.00
07/17/12 William &Cynthia Keller 302 Lake Rd. Pratt, Ks. 67124
Electrical Supply Co.
.f $200.00
Subtotal This Page $2,450.00
;,
Page ~ of-,L,f{··
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cash Chec:k Loan E fund. Olb.,
07/17/12 Suzan Patton 10147 Lake Rd Pratt, Ks. 67124
.{ $50.00
07/17/12 Marvin & Nancy Schmidtberger PO Box 424, 410 N. Thompson Pratt, Ks. 67124
.{ $100.00
07/17/12 Judys Country Styling Judy Doolittle, 10349 Lake Rd Pratt, Ks. 67124
.f $50.00
07/17/12 Kent & Deb Goyen 281 NE 45th Ave Pratt, Ks. 67124
.{ $100.00
07/17/12 Helen F. Lake 619 S. Jackson Pratt, Ks. 67124
.f $100.00
07/17/12 Mildred G. Riley 815 W. 5th St Pratt, Ks.67124
.f $50.00
07/17/12 Barbara Shinkle 408 Haskell Pratt, Ks. 67124
.f $50.00
07/17/12 S. A. Lawton 507 Welton Pratt, Ks. 67124
.{ $50.00
07/17/12 Steven & Susan Parsons 205 N. Oak St. Pratt, Ks. 67124
.f $100.00
07/17/12 Marjorie Buck PO Box 204 luka, Ks. 67066
.f $50.00
. 07/17/12 DWight W. Adams 10135 NW 70th Ave Pratt, Ks. 67124
R 'Q. -\ i V"~ d... .f $150.00
Subtotal This Page $850.00
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
ofContributor
Occupation & Industry of .Individual Giving More
Than $150
Check Appropriate BOI
Amount of Cash, Check,
Loan or Other Receipt·Casb Cbec:k Loan E funds
Otber
07/17/12 Kathy Shrack 100226 NW 10th luka, Ks. 67066
t:"Cl ~ ,..t n~ .f $150.00
07/17/12 Thomas & Kay Schnittker 445 SE Park Hills Dr. Pratt, Ks. 67124
.f $100.00
07/17/12 Betty Onstott 521 Parklane St Pratt, Ks. 67124
~ $50.00
07/17/12 Jerry & Margaret Larson 914 W. 2nd St Lamed, Ks. 67550
.f $25.00
07/17/12 Carol & Shirley McNickle 256 NE 140th Ave Stafford, Ks. 67578
.f $50.00
07/17/12 Donald & Dorothy Trinkle 70030 NE 110th Ave Preston, Ks.67583
.; $50.00
07/17/12 Marilyn Kennedy 318 S. New St. Pratt, Ks. 67124
.; $25.00
07/17/12 Doug & Jan Meyer 1405 Riverview Rd Pratt, Ks. 67124
.f $25.00
07/18/12 Michael & Cynthia Moore 810 Loch Lommand Hutchinson, Ks. 67502
~ $100.00
07/18/12 Larry & Marlene Carr 615 Morris Lamed, Ks. 67550
.f $100.00
07/18/12 Jacob & Shirley Rosenbaugh 2949 S. Rd. Haviland, Ks. 67059 FC"-IfY\U
~ $200.00
Subtotal This Page $875.00
Page~of-L~
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check, Loan or Other
ReceiptCasb Cbeck Loan E funds
Other
07/18/12 Jim Schwertner PO Box 1 Schwertner, Tx. 76573
t/ $100.00
07/18/12 Phyllis & George Miller, Jr. 97 NE 110th Ave Ellinwood, Ks. 67526
't/ $100.00
07/18/12 Kansans For Quality MHS 11116 Sloan Ave Kansas City, Ks. 66109
PAC Mental Health t/ $250.00
07/18/12 Ks. Assn of Health Plans 825 S. Kansas Ave Suite 502 Topeka, Ks.66612
PAC Health Insurance t/ $450.00
07/18/12 DCP Midstream, LP 370 17th St Suite 2500 Denver, Co. 80202
Petroleum Industry
t/ $500.00
07/23/12 Bill Robbins Pratt, KS.67124 .f $50.00
07/23/12 Jenna Fincham clo Lisa Fincham Pratt, Ks. 67124
.f $30.00
07/23/12 Richard Robbins 5188 57th Ave Belvidere, Ks. 67028
Rancher
t/ $500.00
07/23/12 Stull Law Office, P.A. PO Box 345 Pratt, Ks. 67124
Attorney
t/ $500.00
07/23/12 Kathleen Holt· PO Box 633 Cimarron,Ks.67835
t/ $50.00
07/23/12 C.E. New, Sr. PO Box 325 Stafford, Ks. 67578
.f $100.00
Subtotal This Page $2,630.00
Page ~ ofJ1L.
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
ofContributor
Occupation & Industry of Individual Giving More
Than $150 Cash
Check Appropriate Box
Check Loan .!.f!!!!!!! Other
Amount of Cash, Check,
Loan or Other Receipt
07/23/12
07/23/12
07/23/12
07/23/12
07/23/12
07/23/12
07/23/12
07/23/12
07/23/12
07/23/12
07/23/12
Vickie Hurt 2771 SW Sagebrush Ct Topeka, Ks.66614
The Koger Agency, Inc. PO Box 4587 Topeka, Ks.66604
Kansas Health Care Assn. PAC 117 SW 6th Ave Topeka, Ks.66603
LT.C. Great Plains, LLC 27175 Energy Way Novi, Mi. 48377
Ks. WSW PAC 212 SW 8th Ave Topeka, Ks.66603
Gerald & Heidi Goodman 506 E. 39th Ct. Hutchinson, Ks. 67502
Kansas Cooperative Council PO Box 1747 Hutchinson, Ks. 67504
Kansas Assn. of Public Employees 1300 SW Topeka Blvd. Topeka, Ks.66612
KTLA Consumer Civil Justice 719 SW Van Buren Topeka,Ks.66603
Merle & Beth Rose 120199 W. FirstSt. Haviland, Ks. 67059
Security Benefit Life Insurance One Security Benefit Place Topeka, Ks. 66636
Cf"""-;; \..\n' 01'\
O~('H.''''
Contractors
PAC Medical Industry
Energy Corp.
PAC Wine Wholesales
Retired
v
PAC Professional Union
PAC Civil Justice System
PAC Insurance Industry
t/
t/
.f
t/
.f
.f
.f
t/
.f
.f
.f
$150.00
$1,000.00
$1,000.00
$250.00
$400.00
$300.00
$100.00
$800.00
$250.00
$75.00
$500.00
Subtotal This Page $4,825.00
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
of Contributor
Merck Sharp & Dohme Corp. One Merck Dr. Whitehouse Station, NJ. 08889
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Casb Cbec:k Loan E funds Other
07/23/12 Phannaceutical
t/ $500.00
07/23/12 Tug Hill Operating LLC 550 Bailey Ave. Suite 510 Fort Worth, Tx. 76107
Petroleum Industry
t/ $500.00
07/23/12 Ks. Independent Phannacy SVC 4125 SW Gage Center Topeka,Ks.66604
PAC Phannaceutical .f $500.00
07/25/12 Tom Jones ll~ N· ~a"",\Ho'l\.
\)'('C\~ \ "" S LOld'-j
Dr. Russell & Rachel McCaulley 181 NE 20 Rd Great Bend, KS.67530
.f $50.00
07/25/12 Optometries
t/ $200.00
07/25/12 Blake & Christine Himmelwright PO Box 851 Pratt, Ks. 67124
.f $100.00
07/25/12 Karen Schadel 2448 380th Ave Alexander, Ks. 67513
.f $25.00
07/25/12 Robert & Donna Schmisseur . 10327 Lakeroad Pratt, Ks. 37124
t/ $100.00
07/25/12 D. Wayne & Flo Parsons 307 S. High Pratt, Ks. 67124
.f $100.00
07/25/12 Velma Kraft 408 NE Overland Trail Great Bend, Ks. 67530
t/ $25.00
07/25/12 Lee Borck PO Box 1506 Great Bend, Ks. 67530
Cattle Co.
.f $1,000.00
Subtotal This Page $3,100.00
Page ~ofi'1~
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name of Candidate)
Date Name and Address
ofContributor
KAKElV \.500 .N. \,.-....h"'S\
\,....)( <. "" \ -\.c... \ f< s
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cash Check Loan E funds Other
07/25/12 Reimbursement for overpayment .{ $997.50
07/26/12 Patrick Maloney 1740 N Spruce Kingman, Ks. 67068
.{ $100.00
07/26/12 Devine & Donley, LLC 534 S Kansas Ave., Suite 1420 Topeka, Ks.66603
Attorneys
.f $500.00
07/26/12 L. Crowe PO Box 622 Coldwater, Ks. 67029
.{ $30.00
07/26/12 William & Texanita Randle 11414 W. Texas St. Wichita, Ks. 67209
.{ $50.00
07/26/12 National Assn. Chain Drug Stores 413 N. Lee St AJexandria, Va. 22314
Pharmaceutical .f $250.00
07/26/12 Ks. Society Professional Engineers 825 S. Kansas Ave. Suite 500 Topeka,Ks.66612
PAC Professional Engineers .f $300.00
07/26/12 AAA Allied Group Inc. 15 W. Central Parkway Cincinnati, Oh. 45202
Road Safety Insurance .{ $200.00
07/26/12 Kansas Dental 5200 SW Huntoon St Topeka, Ks.66604
PAC Dentistry .f $500.00
07/26/12 Richard Rathburn II 215 E. Main Coldwater, Ks. 67029
Attorney
.f $200.00
07/26/12 Summit Strategies Group LLC 1211 SW Garfield Ave Topeka,Ks.66604
LObb~i4c .f $150.00
Subtotal This Page $3,277.50
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Ruth A. Teichman
(Name ofCandidate)
Date Name and Address
ofContributor -
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other ReceiptCash Check LoaD ~
Oth.r
Subtotal ThisPage $0.00
Complete if last page of Schedule A
Total Itemized Receipts for Period $44,532.50
Total Unitemized Contributions ($50 or less)
Sale ofPolitical Materials (Unitemized)
Total Contributions When Contributor Not Known
TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $44,532.50
Pagei!Lof~
-SCHEDULEB IN-KIND CONTRIBUTIONS
(N arne of Candidate)
Date Name and Address of Contributor
List Occupation & Industry for Those Giving an In-Kind of More Than
$150
Description of In-Kind Contribution
Value of In-Kind
Contribution
7/1/12 Don & Susan Young 3701 22nd Street Great Bend, KS
teachers Barton County Fair Booth Fee $175.00
7/10/12 Kim Barnes 215 E. 8th Lamed, KS
Coffee & Rolls - Lamed meet & greet $75.00
$250.00
Complete if last page of Schedule B
Total Itemized (over $100) In-Kind Contributions
Total Unitemized ($100 or less) In-Kind Contributions
$175.00
$75.00
$250.00
Page _1_ of-L
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
(Name of Candidate)
Purpose of Expenditure
Date Name and Address or Disbursement Amount
Stafford Courier Renew subscription 1/14/12 Box 276 $27.00
Stafford, KS
Anthony Republic Renew subscription 1/14/12 Box 31 $40.00
Anthony, KS
Gyp Hills Premiere Renew subscription 1/14/12 Box 27 $45.00
Medicine Lodge, KS
Harper Advocate Renew subscription 1/14/12 Box 36 $40.00
Harper, KS
Harper Advocare Christmas Ad 1/14/12 Box 36 $25.00
Harper, KS
Attica Independent Christmas Ad 1/14/12 Box413 $20.00
Attica, KS
Hawver Capitol Report Subscription 1/14/12 300 SW 10th Ave $180.00
Topeka, KS
Kiowa News Subscription 1/22/12 614 Main $30.00
Kiowa, KS
Protection Press Subscription 1/26/12 Box 567 $30.00
Protection, KS
Pratt Tribune Subscription 2/11/12 Box 909 $123.93
Pratt, KS
Cunningham Courier Subscription 3/18/12 Box 416 $30.00
Cunningham, KS
$590.93
Page~of~
SCHEDULEC EXPENDITURES AND OTHER DISBlJRSEMENTS
Q \&.:\'" =rt. \ s.h rngO (Name of Candidate)
Purpose of Expenditure
Date Name and Address or Disbursement Amount
Great Bend Tribune Subscription 4/9/12 Box 228 $150.75
Great Bend, KS
SignTec lettering on car 5/13/12 301 W. 2nd $239.18
S1. John, KS
Golden Belt Printing Lobbist Letter & mailing 6/16/12 1125 US Hwy 281 ByPass $794.07
Great Bend, KS
Tiller & Toiler Subscription 6/19/12 115W.5th $62.52
Lamed, KS
Eagle Radio Radio Ads 6/22/12 1200 Baker Ave $4,381.30
Great Bend, KS
Hoisington Dispatch Subscription 6/26/12 104 N. Main $25.25
Hoisington, KS
Pratt Tribune Poitical Ads 6/26/12 Box 909 $1,773.00
Pratt, KS
KMMM Radio Ads 6/26/12 30129 E. Hwy 54 $2,802.00
Pratt, KS
My Town Media Radio Ads 6/26/12 Box 383 $1,872.00
Pittsburg, KS
Post Rock Radio Radio Ads 6/26/12 108 W.8th $1,200.00
LaCrosse, KS
Pratt Craft Fair Fair Booth 6/12/12 403 S. High $35.00
Pratt, KS
$13,335.07
Page ~ of.-!L
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
(N ame of Candidate)
Purpose of Expenditure
Date Name and Address or Disbursement Amount
Hoisington Dispatch Newspaper Ads 6/27/12 104 N. Mai $556.20
Hoisington, KS
Ness City News Newspaper Ads 6/27/12 BoxC $168.00
Ness City, KS
Dighton Herald Newspaper Ads 6/27112 Box 426 $420.00
Dighton, KS
Scott County Record Subscription 6/28/12 Box 237 $27.20
Scott City, KS
Great Bend Tribune Newspaper Ads 6/29/12 Box 228 $788.00
Great Bend, KS
Merchanfs Directory Political Ads 6/29/12 Box 5 $75.00
Mullinville, KS
Edwards Co. Sentinel Newspaper Ads 6/29/12 Box 528 $240.00
Cimarron, KS
Scott City Record Newspaper Ads 6/29/12 Box 337 $331.20
Scott City, KS
Glden Bell Printing Yard Signs & Post it Notes 711/12 Box 997 $4,622.38
Great Bend, KS
Golden Belt Printing Palm Cards 711/12 Box 997 $733.29
Great Bend, KS
Stafford Courier Newspaper Ads 7/2112 Box 276 $210.00
Stafford, KS
$8,171.27
Page~of1l-
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Ruth Teichman
(Name of Candidate)
Date Name aud Address
Rush Co. News 7/2112 112W.8th
LaCrosse, KS
Pratt Fair Booth 7/2112 824 W. 1st
Pratt, KS
Postmaster 712112 2100 16th
Great Bend, KS
Golden Belt Printing 7/2112 Box 997
Great Bend, KS
Eagle Radio 7/5/12 Box 609
Great Bend, KS
My Town Media 7/5112 Box 353
Pittsburg, KS
Golden Belt Printing 7/6/12 Box 997
Great Bend, KS
Cox Media 7/9/12 807 E Douglas
Wichita, Ks
Golden Belt Printing 7/10/12 Box 997
Great Bend, KS
Postmaster 7110/12 2100 16th
Great Bend, KS
Cox Media 7/11/12 807 E. Douglas
Wichita, KS
Purpose of Expeuditure or Disbursemeut Amouut
Newspaper Ads $270.00
Booth $80.00
Postage $2,416.27
Introductory Letterl big signs/ postcards $8,352.04
Tapes for Radio Ads $340.80
Tapes for Radio Ads $96.00
Bumper Stickers $137.22
Produdion &Schedule $25,00
Printing & Mailing $3,263.11
Postage $2,502.45
Produdion tapes for TV $2,925.00
$20,407.89
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Ruth Teichman
(Name of Candidate)
Purpose of Expenditure
Date Name and Address or Disbursement Amount
KSN TV ads 7/12/12 833 N. Main $3,493.50
Wichita, KS
KAKE TV ads 7/12/12 1500 N. West $6,650.00
Wichita, KS
KWCH nlads 7/13/12 2815 E. 37th St. N $4,070.00
Wichita, KS
Postmaster postage 7/17/12 2100 16th $2,916.90
Great Bend, KS
Golden Belt Printing printing postcards 7/17/12 Box 997 $3,263.11
Great Bend, KS
Ruth Teichman Reimbursement for credit card payment to 7/17/12 434 E. Old Hwy 50 Recordnews 14690 Parallel Basehor, KS $1,255.01
Staftord,KS printing & postage
American View Point Polling 7/22/12 300 N. Lee St, Suite 400 $3,500.00
Alexander, VA
Design & Print Solutions Post-it-notes in newspapers 7/24/12 4021 SW 10th #264 $4,891.93
Topeka,KS
Visa - FNB Golden Belt Printing for postage 7/24/12 Box 4512 $2,270.57
Carol Stream, IL
Postmaster Postage 7/25/12 2100 16th $2,918.58
Great Bend, KS
Golden Belt Printing Postcard Printing 7/25/12 Box 997 $3,591.58
Great Bend, KS
$38,821.18
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Ruth Teichman
(Name of Candidate)
Pnrpose of Expenditnre
Date AmonntName and Address or Disbnrsement
Recordnews Advance voting letter 7/25/12 $1,732.8914690 Parallel
Basehor, KS
Design & Print Solutions Front page ads - newspapers 7/25/12 $4,891.93
Topeka,KS
Wheat State Strategies Advance Voting Mailings 7/26/12
4021 SW 10th #264
$73.35 Topeka, KS
Rocket Newspaper Ad 7/23/12
Box 2482
$424.00 Lamed, KS
Scott City Record Advertising - Meet & greet 7/25/12
115 W 5th
$94.50 Scott City, KS Box 377
KWCH TV Ads 7/25/12 $3,020.00
Wichita, KS 2815 E, 37th St. N
Cox Media TV Ads 7/26/12 $3,000.00
Wichita. KS
KSN TV Ads
807 E Douglas
7/26/12 $3,060.00 Wichita, KS 833 N. Main
KAKE TV Ads 7/26/12 $2,975.00
Wichita, KS 1500 N. West
$19,271.67
Page -I.e- oCfl:
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Ruth Teichman
( Name of Candidate)
Date Name and Address Purpose of Expenditure
or Disbursement Amount
$0.00
Complete if last page of Schedule c
Totalltemized Expenditures This Period
Total Unitemized Expenditures of $50 or less
$100,598.01
$100,598.01
Page ~ of-!L
SCHEDULED OTHER TRANSACTIONS
Ruth Teichman
(Name of Candidate)
Date
7/13/12
7/13/12
Name and Address
Exon Mobil 800 SW Jackson, Sutie 808 Topeka,KS
Polsenilli/ Shugart 555 S Kansas Ave Topeka,KS
Nature of Account or Loan Payable or Loan Receivable
Contirbution over limit Monies returned
Contribution over limit Monies returned
Balance at Close of Period
$100.00
$250.00
$350.00
Complete if last page of Schedule D
$350,DD
. Page ----l- of-l