22
KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE July 25, 2016 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS FILED JUL 2 6 2016 KRIS W. KOBACH SECRETARY or: STATE A. Name of Candidate: _V_i_c_ki_H_i_a_tt ______________________ _ Address: 21522 W 72nd St City and Zip Code: Shawnee, 66218 Office Sought: State Senator County: Johnson District: 1 O ------ B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from January 1, 2016 through July 21, 2016) 1. Cash on hand at beginning of period ......................................................................... . 2. Total Contributions and Other Receipts (Use Schedule A) ....................................... . 3. Cash available this period (Add Lines 1 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) ........ . 1600.00 7. Other Transactions (Use Schedule D) ............. . 2350.00 4532.83 12088.62 16621.45 5968.92 10652.53 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." 7/21/2016 or Treasurer Date GEC Form Rev, 2016

W. or - Kansasethics.ks.gov/CFAScanned/Senate/2016ElecCycle/... · Al Frisby ./ 10121 W 59th Terr Merriam, ... Richard Franklin ./ 02/13/16 12722 W 118th St ... 02/26/16 500 Enterprise

Embed Size (px)

Citation preview

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE

July 25, 2016

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

FILED

JUL 2 6 2016

KRIS W. KOBACH SECRETARY or: STATE

A. Name of Candidate: _V_i_c_ki_H_i_a_tt ______________________ _

Address: 21522 W 72nd St

City and Zip Code: Shawnee, 66218

Office Sought: State Senator

County: Johnson

District: 1 O ------

B. Check only if appropriate: __ Amended Filing __ Termination Report

C. Summary (covering the period from January 1, 2016 through July 21, 2016)

1. Cash on hand at beginning of period ......................................................................... .

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

3. Cash available this period (Add Lines 1 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) ........ . 1600.00

7. Other Transactions (Use Schedule D) ............. . 2350.00

4532.83

12088.62

16621.45

5968.92

10652.53

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."

7/21/2016 ~L~ Sign~ or Treasurer Date

GEC Form Rev, 2016

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan E funds

Other

Sarah Parish

./ 01/02/16 5844 Maston Merriam, KS 66203 D

Clyde & Wood Law Offices

./ 01/07/16 11225 College Blvd. Suite 110 Overland Park, KS 66210 D

Roberta Eveslage Retired

./ 01/07/16 8513 Bridledale St Lenexa, KS 66220 D

Vicki Hiatt ./ 01/09/16 21522 W 72nd St

Shawnee, KS 66218 D

Margaret Shimmels ./ 01/11/16 10139 S Shadow Cir

Olathe, KS 66061 D

Ricki Schmutz ./ 01/13/16 9603 Nieman Place Overland Park, KS 66214 D

Cindy Williams

./ 01/13/16 2610 Maverick Ln Lawrence, KS 66046 D

01/13/16 Denise Brashley PO Box 860922 ./ Shawnee, KS 66286 D

Kris Vince ./ 01/14/16 21810 W 62nd St

Shawnee KS, 66218 D

Stephen Phillips

./ 01/16/16 2193 Osage Rd Perry, KS 66073 D

Paul Osgood ./ 01/17/16 9965 Edelweiss Cir

Merriam, KS 66203 m

Subtotal This Pag"

Amount of Cash, Check,

Loan or Other Receipt

$10.00

$50.00

$500.00

$25.00

$50.00

$20.00

$20.00

$20.00

$50.00

$15.00

$100.00

$860.00

Page _J_ of J I

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Chris Grenz 01/24/16 22302 W 57th St

Shawnee, KS 66226 a RF. McGowan

01/25/16 4805 W 81st St ./ Prairie Village, KS 66208 a Faye Davis

./ 01/27/16 340 Kaw Ln Lake Quivira, KS 66217 a Suzanne Allen Civic Volunteer

./ 02/01/16 6511 Seneca Rd. Mission Hills, KS 66208 a Gary Stith

02/02/16 2517 Meadowood Dr Manhattan, KS 66502 a Keith Grigsby

./ 02/03/16 515 MohawkStW Lake Quivira, KS 66217 D

B Joan Johnson

./ 02/03/16 11615 Flint Overland Park, KS 66210 a

02/03/16 Al Frisby

./ 10121 W 59th Terr Merriam, KS 66203 D

Gregg & Linda Albee 02/05/16 11073 Century Ln

Overland Park, KS 66210 a John Segale

~ 02/07/16 5325 Alden St Shawnee, KS 66216 a Carta Hanson

./ 02/07/16 17700 W 66th Ter Shawnee, KS 66217 G

Subtotal This Page

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

./ $50.00

$25.00

$75.00

$500.00

./ $100.00

$30.00

$50.00

$50.00

~ $50.00

$100.00

$40.00

$1,070.00

Page _d_ of ~ I

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Robert Latas 02/08/16 7412 McCoy St ./

Shawnee, KS 66227 a John Lantos

02/10/16 174 Terrace Tri W ./ Lake Quivira, KS 66217 a Peter Gogol

02/12/16 5019 W 65th Terr Prairie Village, KS 66208 a Richard Franklin

./ 02/13/16 12722 W 118th St Overland Park, KS 66210 a Lenore Rowe

./ 02/13/16 9200 Craig St Overland Park, KS 66212 a Alice Capson

./ 02/13/16 11412 W 105th St Overland Park, KS 66214 D

Mark Doll 02/15/16 4047 Donald St Apt. K

Eugene, OR 97 405 a

02/18/16 Patricia Pettey 5316 Lakewood St ./ Kanas City, KS 66106 a Dan Ousley

02/18/16 6800 Farley St Shawnee, KS 66203 a Expeditors Intl of Wash Inc

02/26/16 500 Enterprise Dr Ste 500 Flower Mound, TX 75028 a Vicki Hiatt

02/26/16 21522 W 72nd St Shawnee, KS 66218 m

Subfotal This Page

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

$15.00

$100.00

./ $10.00

$100.00

$100.00

$10.00

./ $10.00

$25.00

./ $25.00

./ $10.00

./ $24.31

$429.31

Page ..3_ of ;}., \

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan E funds

Other

Anne Pritchett 02/28/16 6201 W 67th St t/

Overland Park, KS 66202 GI

Jenae Schaeffer 03/02/16 14503 W 58th St t/

Shawnee, KS 66216 GI

James Johnson

t/ 03/02/16 6618 Hedge Ln Terr#101 Shawnee, KS 66226 GI

K. E. McCarthy t/ 03/03/16 8631 Travis St

Overland Park, KS 66212 GI

Kathy Madison

./ 03/04/16 7602 Oakview Ln Shawnee, KS 66216 GI

Judy Coday

./ 03/05/16 6708 Millcreek Rd Shawnee, KS 66217 D

Cynthia Bender Dodds

./ 03/05/16 7195 Houston St Shawnee, KS 66227 GI

03/05/16 Mary Shulda 6340 Millridge St t/ Shawnee, KS 66218 D

Nicholas Bunnell

t/ 03/06/16 7816 Shady Bend Ct Lenexa, KS 66227 GI

Heather Bacon-Shone 03/07/16 6708 SW 12th Ave ./

Portand, OR 97219 GI

Vicki Hiatt

./ 03/07/16 21522 W 72nd St Shawnee, KS 66218 G

· Subtotal This Page

Amount of Cash, Check,

Loan or Other Receipt

$25.00

$50.00

$50.00

$25.00

$50.00

$100.00

$50.00

$100.00

$100.00

$50.00

$24.31

$624.31

Page _j_ of_dj

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Nrune of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Kyle Russell 03/16/16 3509 W 48th Terr

Mission, KS 66205 a Sally Levitt Accountant

03/20/16 21007 W 60th Terr ./ Shawnee, KS 66218 a Sheryl Bussell

./ 03/24/16 PO Box2034 Kansas City, KS 66110 a Stephen Ingram

./ 03/28/16 14625 S Chalet Dr Olathe, KS 66062 a Sara McAllister

./ 03/28/16 11700 W 48th Terr Shawnee, KS 66203 a June Groth

./ 03/30/16 11700 W 48th Terr Shawnee, KS 66203 a Nancy Mudd

./ 03/31/16 7625 Eby Ln Overland Park, KS 66204 a Brad Pentola

./ 03/31/16 22406 W 45th St Shawnee, KS 66226 a Andrea Harding

./ 04/02/16 22614 W 46th Terr Shawnee, KS 66226 a Janet Allen

./ 04/04/16 22814 W 72nd Terr Shawnee, KS a Dan Kempen Rochdale Grp./Finance

04/06/16 4861 Constance Shawnee, KS 66216 G

' . Subtotal This Page

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

./ $100.00

$250.00

$50.00

$50.00

$50.00

$50.00

$100.00

$25.00

$50.00

$50.00

./ $1,000.00

$1,775.00

Page 5_ of_6j_

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Marge Burton 04/06/16 7108 Alden

Shawnee, KS 66217 D

Andy Sandler

./ 04/07/16 6339 Beverly Dr Mission, KS 66202 D

Danielle Volle 04/07/16 335 Halderman St. PO Box 1

Lecompton, KS 66050 D

Vicki Hiatt 04/09/16 21522 W 72nd St

Shawnee, KS 66218 D

Dan Ousley 04/18/16 6800 Farley St

Shawnee, KS 66203 D

Ray Preston

./ 04/21/16 5727 Cottonwood St Shawnee, KS 66216

Marilyn Kubler

./ 04/26/16 5930 Albervan St Shawnee, KS 66216 D

04/26/16 George Skells

./ 7 420 Constance St Shawnee, KS 66216 D

Karen Mitchell

./ 04/26/16 15024 W 71st Ter Shawnee, KS 66216 D

David Platt ./ 04/26/16 5645 Noland Rd

Shawnee, KS 66216 D

Linda & Jim Santee

./ 04/26/16 21620 W 72nd St Shawnee, KS 66218 E

SubtotalThis Page

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

./ $100.00

$100.00

./ $5.00

./ $25.00

./ $10.00

$25.00

$100.00

$50.00

$100.00

$100.00

$30.00

$645.00

Page _h__ of d (

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Aline Zimmer

./ 04/30/16 430 Navajo Ln W Lake Quivira, KS 66217

Judith Arnold 05/01/16 11605 W 6oth Pl ./

Shawnee, KS 66203 0

Margaret Lukas

./ 05/01/16 5831 Summit St Shawnee, KS 66216 0

Marilyn Gregory ./ 05/02/16 5308 Woodstock Ct

Shawnee, KS 66218

Amanda Simms

./ 05/04/16 14603 W 49th St Shawnee, KS 66216

Janet Allen

./ 05/04/16 22814 W 72nd Terr Shawnee, KS 66227 n Marie Lerner-Sexton

./ 05/04/16 12034 S Greenwood Olathe, KS 66062 0

Vicki Hiatt 05/09/16 21522 W 72nd St

Shawnee, KS 66218 0

Kathryn Good

./ 05/10/16 12704 W66th Shawnee, KS 66216 0

Mitchell & Carolyn Griffin

./ 05/10/16 5648 Flint St Shawnee, KS Shawnee 66202 0

Eliese Holt

./ 05/11/16 5711 Oakview St Shawnee, KS 66216 m

.· .. Subtotal This Page

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

$25.00

$25.00

$25.00

$100.00

$25.00

$50.00

$50.00

./ $25.00

$25.00

$100.00

$25.00

$475.00

Page!}_ of ~ }

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Jennifer Ashby 05/13/16 151 Lakeshore S

Lake Quivira, KS 66217 D

Carol Sweeney

./ 05/18/16 5705 W 86th St Overland Park, KS 66207 D

Dan Ousley 05/18/16 6800 Farley St

Shawnee, KS 66203 D

Laraine McCray ./ 05/20/16 7330 McCoy St

Shawnee, KS 66227

Mark Doll 05/23/16 404 7 Donald St Apt. K

Eugene, OR 97 405 D

Monica Kerr 05/31/16 8730 W 70th St

Merriam, KS 66204

Barbara McDonald

./ 06/02/16 5420 Goddard St Shawnee, KS 66203 D

Judy Coday Retired

./ 06/04/16 6708 Millcreek Rd Shawnee, KS 66217 D

Thomas & Melinda Kearney

./ 06/06/16 11918 S Greenwood St Olathe, KS 66062

Vicki Hiatt 06/09/16 21522 W 72nd St

Shawnee, KS 66218 D

G. Dale Mathey 06/11/16 109 S Tremont

Kansas City, KS 66101 G

Subtotal This Page

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

./ $50.00

$50.00

./ $10.00

$50.00

./ $10.00

./ $25.00

$50.00

$200.00

$100.00

./ $25.00

./ $50.00

$620.00

Page _E_ of ~ }

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan E funds

Other

Carol & Chuck Bailey

./ 06/15/16 6628 Red Oak Dr Shawnee, KS 66217 GI

Carla Hanson 06/15/16 17700 W 66th Terr ./

Shawnee, KS 66217 GI

David & Skylar Bellinger

./ 06/15/16 6817 Red Oak Dr Shawnee, KS 66217 GI I

Jessica & Andy Schuttler ./ 06/15/16 5110 Payne St

Shawnee, KS 66226 GI

Janice Butts & Cole Welch

./ 06/15/16 6639 Red Oak Dr Shawnee, KS 66217 GI

David Wewers

./ 06/16/16 7228 Meadow View St Shawnee, KS 66227

Dan Ousley ./ 06/18/16 6800 Farley St Shawnee, KS 66203 GI

Dianne Evans ./ 06/19/16 7610 Grandview Ln

Overland Park, KS 66204 GI

Margaret Schimmels ./ 06/20/16 10139 S Shadow Cir

Olathe, KS 66061 GI

Linda & Jim Santee ./ 06/21/16 21620 W 72nd St

Shawnee, KS 66218 GI

Thom & Ann Norbury Retired

./ 06/21/16 5101 Ballentine St Shawnee, KS 66203

· Subtotal This Page

Amount of Cash, Check,

Loan or Other Receipt

$10.00

$40.00

$50.00

$50.00

$100.00

$150.00

$10.00

$50.00

$25.00

$20.00

$200.00

$705.00

Page _5_ of2J

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan E funds

Other

Mary Ann Ciochan

./ 06/21/16 5029 Garett Shawnee, KS 66203 a Peggy Werle

./ 06/21/16 5706 Westgate St Shawnee, KS 66216 a John & Connie Smith

./ 06/21/16 23321 W 45th Terr Shawnee, KS 66226 a Ann Martin

./ 06/21/16 11602 Tomahawk Cir Pkwy #B Leawood, KS 66211 a Judy Kozak

./ 06/21/16 10514 W 73rd St Shawnee, KS 66203 a Nancy Wagner

./ 06/21/16 12008 W 121st St Overland Park, KS 66213 B

Marcia Manter Project Manager/

./ 06/21/16 7110 Lackman Rd Apt 303 Health Shawnee, KS 66217 a Lawrence Levine

./ 06/21/16 705 Fawn Creek Leavenworth,KS 66048

Albert Frisby

./ 06/21/16 10121 W 59th Terr Merriam, KS 66203 a Phyllis Zimmer

./ 06/21/16 10912 W 65th St Shawnee, KS 66203 a KS National Education Assoc. PAC

./ 06/21/16 715 SW 1oth Ave Topeka, KS 66612 G

Subtotal This Page

Amount of Cash, Check,

Loan or Other Receipt

$25.00

$20.00

$50.00

$100.00

$25.00

$50.00

$200.00

$10.00

$25.00

$100.00

$1,000.00

$1,605.00

Page JJl of {X. /

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan E funds

Other

Mary Lou Peter 06/22/16 22816 W 73rd St ./

Shawnee, KS 66227 D

Connie & Gary Mitzner

./ 06/24/16 20714 W 63rd Terr Shawnee, KS 66215 D

,

Margaret Schimmels

./ 06/24/16 10139 S Shadow Cir Olathe, KS 66061 D

Martha Petersen ./ 06/24/16 10200 W 62nd St Apt 706

Merriam, KS 66203 D

Mary Beth & Michael Blake

./ 06/29/16 570 Lakeshore Dr W Lake Quivira, KS 66217 D

Wade & Jennifer Williams

./ 07/05/16 4809 Summit Cir Shawnee, KS 66216 D

Gloria Walker

./ 07/05/16 10802W 96th Pl Overland Park, KS 66214 D

Patricia Reves ./ 07/05/16 6803 Park

Shawnee, KS 66216 D

Anne Pritchett ./ 07/06/16 6201 W 67th St

Mission, KS 66202 D

Nathaniel Chamy Attorney 07/07/16 9 West Market St

Rhinebeck, NY 12572 D

Robert Rusher 07/07/16 6518 Central

Shawnee, KS 66217 ~

Subtotal This Page

Amount of Cash, Check,

Loan or Other Receipt

$25.00

$50.00

$25.00

$25.00

$100.00

$150.00

$25.00

$50.00

$50.00

$169.00

$100.00

$769.00

Page jJ_ of d_ !

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan E funds

Other

Nancy Leiker Business Analyst/

./ 07/07/16 8801 W 71 st St Manufacturing Merriam, KS 66204 D

Peter Janovsky Attorney

./ 07/08/16 91 Central Park W New York, NY 10023 D

Kathryn Bigelow

./ 07/08/16 14107 W 69th St Shawnee, KS 66216 D

Jennifer Miller-Smith Homemaker 07/08/16 1277 E Crandall Ave

Salt Lake, UT 84106 D

Vicki Hiatt

./ 07/09/16 21522 W 72nd St Shawnee, KS 66218 D

Marge Gasnick ./ 07/09/16 3322 N 54th St

Kansas City, KS 66104 e LRICo Services LLC (PAC)

./ 07/11/16 2416 E 37th St N Wichita, KS 67219 D

Jean Rosenthal ./ 07/11/16 5044 Walnut St

Kansas City, MO 64112

Steven Melling

./ 07/12/16 7117 Ballentine St Shawnee, KS 66203

Megan & Matthew England ./ 07/13/16 5522 Cedar St

Roeland Park, KS 66205 D

Eugene Wilson

./ 07/13/16 14117 W 56th Ct Shawnee, KS 66216 c

StibtOtal This Page ..

Amount of Cash, Check,

Loan or Other Receipt

$200.00

$169.00

$100.00

$170.00

$25.00

$10.00

$500.00

$50.00

$25.00

$100.00

$100.00

$1,449.00

Page j_QL of2_l

Vicki Hiatt

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Vicki Hiatt 03/09/16 21522 W 72nd St

Shawnee, KS 66218 D

Dee Ann DeRoin 07/13/16 1617 Massachusetts St

Lawrence, KS 66044 D

Greater KC Women's PC

./ 07/13/16 Separate Segregated Fund PO Box 10095 D

Richard Randolf 111 07/16/16 77 45 Rosehill Rd

Shawnee, KS 66216 D

Dan Ousley 07/18/16 6800 Farley St

Shawnee, KS 66203 D

Roslyn Bethke

./ 07/18/16 5633 Woodland Dr Shawnee, KS 66218 D

Gary Christian 07/19/16 15313 W 79 Terr D

Lenexa, KS 66219 D

Janet & Steven Kander ./ 07/19/16 7445 Twilight Ln

Shawnee, KS 66217 D

Amber Stenger

./ 07/20/16 22113 W 56th St Shawnee, KS 66226 D

Lauren Martin

~ 07/20/16 5316 Oakview St Shawnee, KS 66216 D

Sharon Phillips

./ 07/20/16 8545 Westgate St Lenexa, KS 66215 G

Subtotal This Page

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

./ $25.00

./ $50.00

$100.00

./ $100.00

~ $10.00

$75.00

./ $50.00

$50.00

$20.00

$100.00

$100.00

$680.00

Pageilof2l

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

(Name of Candidate)

Occupation & Industry of Check Name and Address Individual Giving More Appropriate Box

Date of Contributor Than $150 Cash Check Loan

Carla Sabus

./ 07/20/16 5433 Oakview St Shawnee, KS 66216

Mary Lynn Martin

~ 07/20/16 5316 Oakview St Shawnee, KS 66216

Elizabeth Anderson 07/20/16 9480 Woodland

Lenexa, KS 66220

Subtotal This Page

Complete if last page of Schedule A

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

TOTALRECEiPTSi;ms PEtPO:O (to line 2 of Summary)

Amount of Cash, Check,

Loan or Other E funds

Receipt Other

$100.00

$50.00

./ $150.00

$300.00

$12,006.62

$82.00

·. $12,088.62

Page fl of-2.J

SCHEDULED IN-KIND (Non-Monetary) CONTRIBUTIONS

Vicki Hiatt

(Name of Candidate)

List Occupation & Value of Date Name and Address Industry for Those Giving Description of In-Kind In-Kind

of Contributor an In-Kind of More Than Contribution Contribution $150

Vicki Hiatt NGPVan 1/1/16 21522 W 72nd St Data Management System $150.00

Shawnee, KS 66218

Vicki Hiatt NGPVan

2/1/16 21522 W 72nd St Data Management System $150.00 Shawnee, KS 66218

Vicki Hiatt NGPVan 3/1/16 21522 W 72nd St Data Management System $150.00

Shawnee, KS 66218

Vicki Hiatt NGPVan 4/1/16 21522 W 72nd St Data Management System $150.00

Shawnee, KS 66218

Vicki Hiatt NGPVan 5/1/16 21522 W 72nd St Data Management $150.00

Shawnee, KS 66218 System

Vicki Hiatt NGPVan 6/1/16 21522 W 72nd St Data Management $150.00

Shawnee, KS 66218 System

Vicki Hiatt NGPVan 7/1/16 21522 W 72nd St Data Management System $150.00

Shawnee, KS 66218

Sul:Jtotal This Page $1,050.00

Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions

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

TOTAL IN.:.KIND CONTRIBUTIONS THIS PERIOD (to line 6 of Summary) $0.00

Page [ _!;-- ofll

SCHEDULED IN-KIND (Non-Monetary) CONTRIBUTIONS

Vicki Hiatt

(Name of Candidate)

List Occupation & Value of Date Name and Address Industry for Those Giving Description of In-Kind In-Kind

of Contributor an In-Kind of More Than Contribution Contribution $150

Mindy Waldron Meet & Greet Food 3/31/16 22615 W 46th Terr $50.00

Shawnee, KS 66216

Cathy Matlack Meet & Greet Food

4/26/16 7225 Brockway $100.00 Shawnee, KS 66227

Carla Hanson Meet & Greet Food 6/15/16 17700 W 66th Ter $100.00

Shawnee, KS 66217

Karen Mitchell Meet & Greet Food 6/21/16 15024 W 71st Ter $50.00

Shawnee, KS 66216

Al Frisby Meet & Greet Food 6/21/16 10121 W 59th Terr $50.00

Merriam, KS 66203

Paula Sales Meet & Greet Food 7/12/16 7119 Larson Ln $50.00

Shawnee, KS 66203

Wanda Smith Meet & Greet Food 7/19/16 7007 Red Oak Ct $100.00

Shawnee, KS 66217

John Segale Meet & Greet Food 7/20/16 5325 Alden St $50.00

Shawnee, KS 66216

' .

Su bt~talThis Page· $550.00

·. ·.

Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions $1,600.00

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

$1,600.00

Page lb_ of2-l

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Vicki Hiatt

(Name of Candidate)

Purpose of Expenditure Date Name and Address or Disbursement Amount

Sage Payment Solutions Electronic Fund Fees 1/4/16 12120 Sunset Hills Rd.Suit 500 $31.63

Reston, VA 20190

Monticello Postal Store Stamps 1/5/16 Shawnee, KS 662269998 $50.42

Smoky Hill Strategies Consultant Fees 1/17/16 1349 Svensk Rd $500.00

Lindsborg, KS 67 456

Smoky Hill Strategies Consultant Fees 1/30/16 1349 Svensk Rd $500.00

Lindsborg, KS 67456

Office Depot Store Stationary 2/1/16 15600 Shawnee Mission Pky $48.88

Shawnee, KS 66217

Sage Payment Solutions Electronic Fund Fees 2/2/16 12120 Sunset Hills Rd.Suit 500 $13.77

Reston, VA 20190

Monticello Postal Store Stamps 2/23/16 Shawnee, KS 662269998 $70.00

Expeditors Intl of Wash Inc Chip Phone Square 2/23/16 500 Enterprise Dr Ste 500 $29.00

Flower Mound, TX 75028

Target Store Phone Square 2/24/16 15700 Shawnee Mission Pky $10.94

Shawnee, KS 66217

Moss Printing Business Cards 2/26/16 5406 Johnson Dr $103.88

Mission, KS 66205

Smoky Hill Strategies Consultant Fees 2/29/16 1349 Svensk Rd $500.00

Lindsborg, KS 67456

Subtotal ThiS Page $1,858.52

Page J1_ of__dl

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Vicki Hiatt (Name of Candidate)

Purpose of Expenditure Date Name and Address or Disbursement Amount

Office Depot Office Supplies 3/1/16 15600 Shawnee Miss Pky $57.98

Shawnee, KS 66217

Sage Payment Solutions Electronic Fund Fees 3/7/16 12120 Sunset Hills Rd,Suit 500 $13.48

Reston, VA 20190

Smoky Hill Strategies Consultant Fees 3/28/16 1349 Svensk Rd $500.00

Lindsborg, KS 67456

Smoky Hill Strategies Online Advertising 3/28/19 1349 Svensk Rd $200.00

Lindsborg, KS 67456

Sage Payment Solutions Electronic Fund Fees 4/7/16 12120 Sunset Hills Rd,Suit 500 $18.56

Reston, VA 20190

Costco Office Supplies 4/9/16 9350 Marshall Dr $152.83

Lenexa, KS 66215

Office Depot Office Supplies 4/10/16 15600 Shawnee Mission Pky $33.46

Shawnee, KS 66217

Monticello Postal Store Stamps 4/11/16 Shawnee, KS 662269998 $94.00

Minsky's Pizza Room Reservation Fee 4/12/16 7198 Renner Rd $25.00

Shawnee, KS 66217

Secretary of State State Senate Filing Fee 4/18/16 120 SW 10th Ave $70.00

Topeka, KS 66612

Monticello Postal Store Stamps 4/18/16 Shawnee, KS 662269998 $47.00

Subtotai This Page $1,212.31

Pageilof~)

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Vicki Hiatt (Name of Candidate)

Purpose of Expenditure Date Name and Address or Disbursement Amount

Web Network Solutions LLC Website Services 4/26/16 12808 Gran Bay Pkw, W $39.98

Jacksonville, FL 33258

Smoky Hill Strategies Consultant Fees 4/30/16 1349 Svensk Rd $500.00

Lindsborg, KS 67 456

Sage Payment Solutions Electronic Fund Fees 5/7f16 12120 Sunset Hills Rd.Suit 500 $57.35

Reston, VA 20190

Minsky's Pizza Pizza for Precint Leaders 5/10/16 7198 Renner Rd $299.36

Shawnee, KS 66217

Web Network Solutions LLC Website Services 5/23/16 12808 Gran Bay Pkw, W $4.99

Jacksonville, FL 33258

Sage Payment Solutions Electronic Fund Fees 6/6/16 12120 Sunset Hills Rd.Suit 500 $8.06

Reston, VA 20190

Monticello Postal Store Stamps 6/6/16 Shawnee, KS 662269998 $47.00

Smoky Hill Strategies Consultant Fees 617/16 1349 Svensk Rd $500.00

Lindsborg, KS 67 456

Office Depot Office Supplies 6/10/16 15600 Shawnee Mission Pky $41.53

Shawnee, KS 66217

Monticello Postal Store Stamps 6/11/16 Shawnee, KS 662269998 $47.00

Price Chopper Stamps 6/11/16 12010 Shawnee Mission Pky $65.80

Shawnee, KS 66216

Subtotal This. Page $1,611.07

Page Ji of_lJ

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Vicki Hiatt

(Name of Candidate)

Purpose of Expenditure Date Name and Address or Disbursement Amount

Web Network Solutions LLC 6/20/16 12808 Gran Bay Pkw, W $4.99

Jacksonville, FL 33258

Monticello Postal Store 6/29/16 Shawnee, KS 662269998 $94.00

Monticello Postal Store 7/1/16 Shawnee, KS 662269998 $47.00

Costco 7/2/16 9350 Marshall Dr $251.76

Lenexa, KS 66215

Mary Kay 7/6/16 8600 Kessler St $380.00

Overland Park, KS 66212

Monticello Postal Store 7/7/16 Shawnee, KS 662269998 $103.40

Sage Payment Solutions 7/11/16 12120 Sunset Hills Rd.Suit 500 $20.99

Reston, VA 20190

Costco 7/11/16 9350 Marshall Dr $384.88

Lenexa, KS 66215

" .. . ·· ..

(S. $1,287.02 '

SubtotaIJ'hisPage ·. . .·

Complete if last page of Schedule c

Total Itemized Expenditures This Period $5,968.92

Total Unitemized Expenditures of$50 or less . ..

TOTAL EXPENDITURES & OTHER DISBURSEMENTS $5,968.92 TIIISPERIOD (to line 4ofSuriamary) ..

Vicki Hiatt

(Name of Candidate)

Date Name and Address

Vicki Hiatt 10/23/15 21522 W 72nd St.

Shawnee, KS 66218

Vicki Hiatt 11/1/15 21522 W 72nd St.

Shawnee, KS 66218

Vicki Hiatt 12/1/15 21522 W 72nd St.

Shawnee, KS 66218

Vicki Hiatt 1/1/16 21522 W 72nd St.

Shawnee, KS 66218

Vicki Hiatt 2/1/16 21522 W 72nd St.

Shawnee, KS 66218

Vicki Hiatt 3/1/16 21522 W 72nd St.

Shawnee, KS 66218

Vicki Hiatt 4/1/16 21522 W ?2nd St.

Shawnee, KS 66218

Vicki Hiatt 5/1/16 21522 W 72nd St.

Shawnee, KS 66218

Vicki Hiatt 6/1/16 21522 W ?2nd St.

Shawnee, KS 66218

Vicki Hiatt 7/1/16 21522 W ?2nd St.

Shawnee, KS 66218

Subtotal This Page

SCHEDULED OTHER TRANSACTIONS

Nature of Account or Loan Payable or Loan Receivable

Candidate's Loan

NGPVan Data Management System

NGPVan Data Management System

NGPVan Data Management System

NGPVan Data Management System

NGPVan Data Management System

NGPVan Data Management System

NGPVan Data Management System

NGPVan Data Management System

NGPVan Data Management System

Complete if last page of Schedule D

TOTAL. OTH.ERTRANSACTIONS (to line 7 of Summary)

Balance at Close of Period

$1,000.00

$150.00

$150.00

$150.00

$150.00

$150.00

$150.00

$150.00

$150.00

. $150.00

$2,350.00

$2,350.00

Page 21 of ;)_ {