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, t:\LEO KA'rSAS GOVERNMENTAL ETHICS COMMISSION\ ~ \
\ ? 4: lfJfJ't; \ RECEIPTS AND EXPENDITURES REPORT
\ jUl ~ ~t~?'\J~G~,..\ OF A CANDIDATE FOR STATE OFFICE:<.\-\\-\°'" - - ~-;.f:.\ t:. \
8.0\~...:; ,p.'I Or ~ \. . JULY 24 2006\' ...,..,0.,-. p.. ,\s\::.v,.,~FILE WITH SECRETARY OF STATE AND CANDIDATE'S COUNTY ELECTION OFFICER
SEE REVERSE SIDE FOR INSTRUCTIONS
A. Name of Candidate: Patrick K George
Address: 3007 Westview Ave
City and Zip Code: Dodge City, KS 67801
Office Sought: State Representative
County: Ford
District: 119
B. Check only if appropriate: - Amended Filing - Termination Report
C. Summary (covering the period from January 1, 2006 through July 20, 2006)
1. Cash on hand at beginning of period ,.....................................................
2. Total Contributions and Other Receipts (Use Schedule A) ,...........................
7985.08
2613.00
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) "..........................
2686.66
7911.42
6. In-Kind Contributions (Use Schedule B) .........
7. Other Transactions (Use Schedule D) .............. 6000.00
7 /;)-d/2eoc'Date
D. "I declare that this report, including any accompanying schedules and statements, has been examined by meand to the best of my knowledge 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."
~~GEC Form Rev, 2001
--SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Patrick K George
(Name of Candidate, Party Committee or Political Committee)
Date Name and Addressof Contributor
Occupation of IndividualGivingMore Than $150
7/8/06
Michael K Pimer9121 Renner Blvd #214Lenexa, KS 66219
7/13/06Kansas Hospital Assn PACPO Box 2308Topeka, KS 66601
7/13/06
Kansas State Bankers Assn PACPO Box 4407Topeka, KS 66604-0407
Check
Appropriate Box
Cash Check Loan Other
DI[z]IDID
DI[z]IDID
DI[z]/D/D
DI[z]IDID
DI[z]IDID
DI[z]IDID
DI[z]IDID
DI[z]IDID
DI[Z1IDID
DI[ZJIDID
Page...L of...A.-
Amount ofCash, Check,
Loan or
Other Receipt
$100.00
$100.00
$100.00
$250.00
$50.00
$100.00
$400.00
$15.00
$250.00
$250.00
$1,615.00
_1if';m_---'~i'~::$"'mq,~"'.' ."'- ,-'k'--."~b.,lik=,- "='..--
Doris Zimmerman4/3/06 I 1809 Burr Parkway
Dodge City, KS 67801
David Kensinger & Assoc
6/5/06 I 555 S Kansas Ave, Suite 302Topeka, KS 66603
Kansas Gas Service
6/21/06 I Employee PACPO Box 25957Overland Park, KS 66625
Kansas Optometric PAC6/26/06 ,1266 SW Topeka Blvd
Topeka, KS 66612
James Maag7/6/06 ,1924 SW Indian Woods Ln
Topeka, KS 66611
Farmers Alliance Mutual
7/8/06 ,Insurance Company1122 N Main PO Box 1401McPherson, KS 67460
Kansas Contractors Ass PAC
7/8/06 I PO Box 5061Topeka, KS 66605
--SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Patrick K George
(Name of Candidate, Party Committee or Political Committee)
Date Name and Addressof Contributor
Occupation of IndividualGiving More Than $150
Check
Appropriate Box
Check Loan OtherCash
PMCA Gas PAC7/13/061115 SE 7th St
Topeka, KS 66603-3901 DI[z]IDIDVoided check #1043
5/30/06 I (DC Area Chamber of Commerce) DIDIDlrzJKansas Medical Society Political
7/13/061 Action Committee623 SW 10th AveTopeka, KS 66612
Kansas Society of CPA's Political7/13/06 I Action Committee
1080 SW Wanamaker, Suite 200Topeka, KS 66604-3807
DI[z]IDID
DI[z]IDIDKansas Chamber of Commerce &
7/7/06 I Industry PAC835 SW Topeka BlvdTopeka, KS 66612-1671
DI[z]IDID
DIDIDID
DIDIDID
DIDIDID
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
Amount of
Cash, Check,Loan or
Other Receipt
$250.00
$48.00
$250.00
$200.00
$250.00
$998.00
$2,613.00
$2,613.00""°'"
Page -2- of 2-
1Bi-~l?f~",,,,~JJ~,,,,%,
--SCHEDULE C
EXPENDITURES AND OTHER DISBURSEMENTS
Patrick K George
(Name of Candidate, Party Committee or Political Committee)
Date Name and Address Purpose of Expenditureor Disbursement
Amount
Dodge City Daily Globe
1/5/06 1PO Box 820Dodge City, KS 67801
Advertising
$50.00
KS Coalition for Life
1/13/061 5575 S Mosley StWichita, KS 67216
Donation$7.00
Banquet Table$350.00
Breakfast & meeting
$15.00
Dues$25.00
Donation$25.00
Membership
$65.00
Donation$50.00
Summer Reading Program donation
$25.00
St Jude's Childrens Research Hospital
3/10/06 I C/o Kari Casterline2313 Robin RdDodqe City, KS 67801
Donation
$25.00
$637.00
Page-L of 3
KS Day Club1/19/061 PO Box 2153
Topeka, KS 66601
KS Prayer Breakfast1/20/061 3436 NWKendall Ave
Topeka, KS 66618
DC Area Arts Council
1/22/06 1PO Box 945Dodge City, KS 67801
The Continental Singers2/26/06 1C/o LisaNebbeling
1307 Ave ADodae Citv. KS 67801
BoothillAssn
2/26/061 Front StreetDodge City, KS 67801
Muscular Dystrophy Association2/26/061 C/o Faye Wells
1806 6th AveDodge City, KS 67801
DC Public Library3/10/0611001 N2ndAve
DodgeCity, KS 67801
}.~ .~l~~r-SCHEDULE C
EXPENDITURES AND OTHER DISBURSEMENTS
Patrick K George
(Name of Candidate, Party Committee or Political Committee)
Page -2- of ~
PrinfP'ag~
Date Name and Address Purpose of Expenditure Amountor Disbursement
Special Olympics Donation
3/14106 5280 Foxridge Dr $100.00Mission, KS 66202
David Heineman 10 legislative mugs
3/31/06 3826 SW Cambridge Ct $100.00
Topeka, KS 66610-1166
HO's Restaurant Campaign lunch meeting
4/6/06 2600 Central $24.81
DQdg City, KS 67801
DC Country Club Sam Brownback luncheon
4/18/06 PO Box 879 $13.25Dodge City, KS 67801
ALS Association Donation
4/25106 526 S Market $50.00
Wichita, KS 67202
Secretary of State Candidate's Declaration of4/25/06 10th & Jackson Intention Fee $105.00
Topeka, KS 66612
KS Legislative Administrative Services Highlights publication
5/4/06 Room 511-S State House $8.60Topeka, KS 66612
Hobby Lobby Certificate picture frames
5/12/06 2101 N 14th St $25.99Dodge City, KS 67801
St Marys of the Plains Donation
5/12/06 PO Box 416 $100.00Dodge City, KS 67801
G & G Inc Computer donation USD 443
5/25/06 PO Box 1599 "Certicipation" Parental Involvement $481.38Dodge City, KS 67801
.'i'> ".cy
ThiS Page
...,.$1,009.03
-SCHEDULE C
EXPENDITURES AND OTHER DISBURSEMENTS
Patrick K George
(Name of Candidate, Party Committee or Political Committe~)
Date Name and Address Purpose of Expenditureor Disbursement
Amount
DC Area Chamber of Commerce
5/30/06 I PO Box 939Dodge City, KS 67801
State of City member registration$12.00
Key Print Office Equipment5/30/06 I PO Box 966
Dodge City, KS 67801
Envelopes$80.59
HOts Restaurant
6/1/06 I 2600 CentralDodge City, KS 67801
Team captain meeting luncheon$49.04
Right to Life of Kansaslnc
6/101061 214 SW 6th Ave Suite 208Topeka, KS 66603
Donation$50.00
Pat George6/20/06 I 3007 Westview Ave
Dodge City, KS 67801
Reimb for insurance premium increasedue to public office holder $180.00
DC Chamber of Commerce
6/26/06 I PO Box 939Dodge City, KS 67801
DC days Tshirts & monthly breakfastmeeting $54.00
Fidelity State Bank &Trust07/03/06I PO Box 1120
Dodge City, KS 67801
Bank fee for wire transfer$15.00
Mike Pimer
7/3/06 I 9121 Renner Blvd#214Lenexa, KS 66219
Wire transfer website design & emailmaintenance $600.00
$1,040.63
Complete if last page of Schedule C
Page~ of 3-.,~~~ii\t'.~~
Total Itemized Expenditures This Period $2,686.66
Total Unitemized Expenditures of$50 or less
TOTAL EXPENDITURES & OTHER DISBURSEMENTS$2,686.66THIS PERIOD (to line 4 of Summary)
~~~-
SCHEDULE DOTHER TRANSACTIONS
Patrick K George
(Name of Candidate, Party Committee or Political Committee)
Date Nature of Account or LoanPayable or Loan Receivable
Name and Address
Patrick K George
8/2/04 I 3007 WestviewDodge City. KS 67801
Campaign operating funds
Complete if last page of Schedule D
TOTAL OTHER TRANSACTIONS (to line 7 of Summary)
Balance atClose ofPeriod
$6,000.00
$6,000.00
$6,000.00
Page L of---1-