2012-07-30 15:55 FAX 02 » 785 296 2548 P 1/.12

" '.

KANSAS GOVERNM.ENTAL .l!:THICS CONrMISSJON

RECEIPTS Al\T[) EXPENDfTURES REPORT OF /\ CANDIDATE FOR STATE OFFICE

July 30, 2012

FILE \-VUH SI::CRETARY OF STATE SEE REVERSE SIDE FORINSTRUCTIONS

A. Name of Candidate: _D_a_vL~.,=!_a_ns_e_n _

Adl1re5~: PO Box 6125---_.­

City and Zip Code: Wic~i~, KS 67208

Office SClLLghL: State Representative

Counly: Sedgwick.

District: 89-"-­ ------­

B. Cheek only if appropriate: __. Ameuded Fih)lS __ TCl1ninatinn Rermrt

C. SUlmnary (covering th~ pCI'jod from .January 1,2012 through July 26) 20.12)

I. Cash on hand at beginning ufperiod .

2. Total Cuntributions und Other .Receipts (Uf;t; Schcdufc A) .

3. Cash available t.his period (Add Lines 1 and. 2) .

4. Toml Expenditures amI Other Disbun;emcJ1ls (Usc Schedule q ..

5. Cash on hand at dose orpcriod (SubTract J,;nt: 4 from 3) ..

6. In-Kind Cuntributions (Use Sl:hl:dulc "8) __ . 426.56

0.00

3810.00

3810.00

2784.83

1025.17

7. Othl:r Transaction::; (Usc Schedule D) .. 426.56

D. "1 declare that this report, including any accompanying ~chcduies and statemcnts, has been e;r;amlncd by me and to the best of my knowledge iiud belief is tm.::, COHC\.:t lind complete. J undcl"Stand that the intentional lllilure to tile this uot.:urnent or intentionally fi ling a false doculllent is a class A mi5dclncanor."

tl (7v'D ((7-­Date

cAWsD ('I)~~ll'rf={f=---- _ Signature of Candidate o;~rer

GEe Form Rev, 2001

2012-07-30 15:55 FAX 02 » 785 296 2548 P 2/12

SCHEDULE A CONTRIBUnONS AND O'lliER RECEiPTS

navid Hansen for State Representative (NllJIIe of Candidntc, i'l1ny. C(ll11mithx: ill Political Commillre

Dare

_.­

N(IJflc (lnd Addrf!.J'~:·oICo7/rrihu(rH"

, ". ....

Vccupanrm uIindividr«z/Oi..,i,,/,: More Than y,J 50

~." -

l"kcclc Am:vo 'riale Eo;. Cash OJ..,k 1.01 E."',,!!

11 0lJ\I'

..' ..

AI1WWl( (if

Cash, Check. Loan or Olhr.r ... •R.ccciIJr

6/13/20J.2 Annette Olsen 1029 LlUigo Ln Dewey,.a.z 86327

x 100.00

6/14/2012 Jane Bymes 9500 DELANO WICHITA, KS 67212

x 25.00

6/1612012 John Hope Jr 302 LEXINGTON ST ANDOVER, KS 67()(l2-%68

....... . .

x

-

100.00 I

6123/2012 Barbara LOllSdorf 114 GrllIld Av. WaJ.J$iu, WI :54403

K

\

75.00

-

6/2512012

6(25/2012

Mary Price NGG78 Sl-lORI~WOOD HILLS ROAD LAI<.E MILl.S, \\'1 53551

-­Betsy Behnke 6710 HA WAIT KAIDR. 1/ 1002 HONOLULU, HI %&25

I - -..

11.

"

.... .. ".

50.00

100.00

.­

fil2(;12012 Darlene Hansen 17 BPRlNGFrELD CT MADISON, WI 53719

lC 50.00

f---...

6126120} 2

- .­

Jerry Lewis 2120 ROSEMONT DR. COLfAX, NC 27235

- ..... _.

x

.. "'" -

100.00

6/2712012 Kan Rink\;[ 7925 KILLARNEY PL wrCHITA, KS 67206

x 30.00

6/28/2012 Barbara Lawrence; 7280 SAUl( RD MADISON. WT 53717-1211

X 50.00

Subtotal Th.is Page: 68().OO

&i",dA lof4 page~o~2-­

2012- 07- 30 15: 56 FAX 02 » 785 296 2548 P 3/12

SCIJEDULEA CONTRIBUTIONS AND O~R RECEIPTS

David Hansen tor State Representative (N'l.mc ofCmulidate. J.'Iu1}', Cmnmillee or r(lliticll! ClImnlillec

c---'Date

r----' ­

6128(2012

612812012

6(Z8(ZD12

Name omi Addren v( ConIributnr

.............

Patrick Munz 1562 N. PINECREST WICHITA, KS 67208

lames White 704NWALNUT COLORADO SPRINGS, CO 80905

Jano Grossmall 115 SNEWPORT COURT J.IIKE FOREST, JJ. 60045

Occuparion oflndivitl"al Giving More. Thcm ,'(,15(1

.Retired teacher

Ched /lvlJfY. tyiare no~

Casb OlecJ' 1''"1 R-r",lIl,n 0"-.:,

x

x

1(

I1mvlmr nf Crr.th. Olerk.

[,oun or Other

Re~~

50.00

100.00

500.00

mO(201Z

"

7(2(2012

f-.......

7/4/2012

7/6/2012 -

f---'"

717f2012

i/8f2012

Stand fl)! Peaee Brookiugs. ~D

Jean Jacobs 61:57 HOLMES ST KANSAS CITY, MO 64110·3343

..... "

Rulh I3radshaw I 350 N. Old Manor Rd

Wichita, KS 67208

.. -­ --JIlllt': Teddec 4301 WIMBLEDON Tt-:R. NO. SA 1./\WRENCE. KS 66047

.,.,.

frank Vietz 1677 HOffMANN LANE l\TEW BRAlJNI"l:LS, TX 78132

.... ,,, . .

Linda Dehart 138 LAFAYETTE AV~NUE

Al\'NAPOLIS, MD 21401

.. .­

_.

Legislative Aide

._' ,'- ­

x

..,

x

)(

x

x

x

-"

......

10.00

100.00

.- ­

75.00

25.UU

50.00

_.. -

200.00

7/8/2012 Jane Heide 6832 LOCUST UNSAS CITY, MO 64131

Minister

,

Subtotal This Page:

Ie 5UO.OO·

}6JO.00

Selled A 2qf4 pag,e~of_1~

2012-07-30 15:57 FAX 02 » 785 296 2548 P 4/12

SCHEDU1.E A CONTRIBUTIONS AND OTHER RECEIPTS

David Hansen for State Representative (Numc ofCandidalc, I'llrty, COOIlllillec or PolittCll1 CQmminee

fJute

-.,.­

7/9/2012

Nmr1l: andAddrC5.< ofCunlribll!Or

.­ ".

Chll!les McCollough 165,110I'EWELL-WERTSVILLE RD. HOPEWELL, NJ 8525

h"cupatiOlt oflnriividuul (;Ivln~ M(J~ l1k1fl 8/.'iO

.,.... _.-­

Crn,(:c Ar1rJm lriare Bo}:. C",b Cb<ci; Loll rd1ulll<

~ (,'~hc:r

....­

x

Amount of Onh, Chf!c:k.

l,oarl or Other

Rf!~~

75.00

7110/2012 Joon Gilson 14252 W 15JSTTER. APT. 200 OLATHE, KS 66062-6119

x 25.00

7/l0/2012 I3arhara Lesier 2424 RIVERHILLS RD. TWO RIVERS, WI 54241

Homemaker x 250.00

7/12/2012

Kathy Mooigliani . 125 BROOKS STREET ARLINGTON, MA 2474

x: 40.00

7/12/20J2

_.,'

7f15f2012

...­

Su~anne Carman 535 LAKJ:<:DR_

IRANDOM LAKE, WI 53075­1765 -INancy Golden 41J9NOHORD IKOLOA, HI 96756 I .

I _. IK Olsen .-:' .

....

x

"

~ ...

50.00

.­

50.00

7116/2012 1944 ASOKA ST. STRA.SRliI{G, CO S013Cl

x 40.00

...... .

7fl6f2012 A Pos1cr ]2715 w IOIST. LENEXA. KS 6G2J5-I753

" 50.00

.. ... .. .... ,'­

?f20/20l2 G-dly WilkersQn 1'112 SUNSE'f DR. OERBY, KS 67037

x W.OO

7/20/2012 . Leslie Bomowsky 405 N SAINT PAUL ST WICHITA, KS 67203

, ,

x 25.00

Subto1al Thi~ Page: 615.UO

-

~'clted A 3014 Page i-of J2-­

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SCHEDULE A CONTRlllUTTONS AND OTIIERRECEIPTS

David Hansen for State Representative (Name: ufCMdidlltc, l'urly, COO1lni~ or f'olitici1l COUlIl1i=.

Dare

, .

Name lit/iii Addr(:s,~ ojCrJtllribl<IOr

.. ....­

()ccll!'uliu" ofIndividrl(l{ Givin)!.

More Than $150

......

Check.AuurC~riale 8,!!..-;­ J1m~U1fi~1 CDb~ Chelck Loa li~.'.i!11l111 Cash, Chuck.

n Olhoo Lean or Ocher

.... ,' ... ~

&ceioc

7/21/2012 K.!IlhIeen Andersol1 3901 ALBERTAJ)R. DERBY, KS 67037-7026

X 20.00

7/22/2012 JuliCJ Engelking 4420 MARK. TWAiN CT DERBY,.KS 67037

x. 25.00

712212012 Cathy Wilheim 8210 W 15TH STN WICHiTA, KS 67212-1612

X 25.00

7/2312012

Kansas National Education Association Political Action Committt:C 715 SW lOTH AVE. T9~EKA, KS 56612-168,.6...

I'AC

........

!C 500.00

7/2412012

7125rJ..012

......

Michael MullZ 107 N CHURCll ST. HUDSON, KS 67545

Sally HallS(,'1l .'5214 PEMBROO.K elK. W1CHTTJ\, KS 67220

. " ...

..

Candidtde Spouse

.­ ...

.­

x

x.

.. . ..

-

25.00

200.00

7/26/2012

-,.•

Phyllis Cole-Dai

• ...1'••

- .

...

)(

..'

100.00

r ~

J

I

'--' - . "'

Subtotal This Pag~: 895.00

Sched A 4uf4 page2of~

2012-07-30 15:58 FAX 02 » 785 296 2548 P 6/12

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

David Hansen for State Representative (Nwno ofC:ondidlltc, Jlwty, Committee or Political Committee

Last page of Schedule A:

"­Total Itemized Receipts for Period 3800.00 Total Unitemized Contributions ($50 or less) 10.00 Sale of Political Materials (Unitemized) 0.00 Total Contri.butions When Contributor Not Known 0.00 TOTAL RECEIPTS THIS PERIOD (to Ilne 2 of Summary) 3810.00

2012-07-30 15:59 FAX 02» 785 296 2548 P 7/12

SCHEDULEB LN~KINJ) CONTRlBUT[ONS

David Hansen for Stale Representali vC (Num~ ofC'andidll!t; Pwty, Coaumttce or ~lili~aJ COClltT1;\tx:c

Oul" l'la"''' Ulld Address o!Crmtriblllor U.•r OcCup,Hion & Indu.rfr'yj;;r 1hosI: GMng'un l(l-K-indo!

More Than $/50

Des,riptwn ('lln-Kind Conrriburw'l

...

r'otue c!f'lll-K.irld COlttriburirm

7117/2012 David Hansen PO BQX &125 Wichita, KS 67208

Envelopes / DiUons 12.79

6/14/20L2 David Hansen PO Box 8125 Wichita, KS 67208

Food for campaign meeting 1Cheddars

21.96

71 L7(20 12 David Hausen PO Box 8125 Wichita, KS 672011

.­

Bevcrag~s for fundrllising . party I Dillons

35.89

David Han:)eTl 6/2412012

, PO !.lox &125 Wichita, KS 67208

-' I

7125/2012 I. David Hansen I POBox 8125

Wichita, KS 67208

.' .,~.

..­

Food for carnpaibTII yolunteers I n Vicino

-Stamps 11ISP~

_......

38.17

45.00

7fl12012

..

David t-Ianscn PO Box 812.5 Wil::hila. KS 67208

&_" ..~ .. -­

Stamps I USPS

...........

48.00

....

6/22/20[2 David Hansen P()Llox 8125 Wichita, KS 67208

.. ," .._­

f'rinling CRWpaigo literature /OmceMnx 65.64

6/)412012 LJnvi,d Hans\,.1l. PO BOK 8125 Wichita. KS 67208

.. ..

PO Box rental I USPS

... ..

[ill.OO

7117(2012 David Hansell POBox 8125 Wichil.8, KS 67208

food for fundrai:;ing party I l>ilIon~

91.11

Subtotal this page: 426.56

Sched B lufl Pagt: ,...1 of I2­

20 12- 07- 30 15:59 FAX 02 » 785 296 2548 P 8/12

SCHEDULED iN-KIND CONTRIBUTIONS

David Hanst::n [or State Representative (Name crf Candidulc:, P'<1l1y. ("",rnina: lIr Political Committee

Ulst page "f Schedule .6:

Totalltemited (over $100) In-Kind ContD.butions 426.56 Total Unitentized ($100 or less) In-Kind Contributions 0.00 TOTAL IN-KIND CONTRIBUTIONS THIS PERTOD (to line 6 of Summa",) \

426.56

Page _?_ ofJ.!­

"

Call\lassing supplies

Printing campaign literature

Palm canis ~nd consulti~g retainer (PalIn card$ from DNV Printing, 800S W 129lh S1, Overland Park.,

Ks 66213 , ..

PO,~'llge for mailing,

.. Yl1n.l signs lind printing for mai.1ing

(frolll BNV PrinLing, HOO) W 129lh Sl, Overland Park.. Ks

6(213)

--

2012-07-30 16:00 FAX 02» '785 296 2548 P 9/12 I SCfTEDULEC

FXPENDlTURES AND OTHER DlSBUKSEMF,NTS

David Tlansen for Slate RcpresentEltive INJIllC ofCalldjd~lc, 1""11.)', CIIIIIJllj[[e~ or PoliticNI CllmmiU.tt

. ......­ -

..

6/22/2012

AtlWW11I Nan,,: and Address /'u/,POSf? of£;CP<"ldil"n~ ",.0,,1. IOisbursr.m,!1'/r

DolinI' General 540 N Andover Rd 3/).1)5IAndover, KS 67002

Office Mllx 65.64

Wichita, KS 6/25/20/2 8147 East Kellogg

Roll Call COl'l!;ulting 1034.74PO Bux 4!t03 J~71912012

IWichita, 'KS 67201 ...- I

USPS7/18/2012

Wichitil, KS I .'

Ro.1I Call Consulting 7127/2012 PO Bllx 48031 I

Wichita, KS 11720 I I

. I .. I I

I

._.

I

.­~- 1­i

46.40

I

"­

1600.00

..~-

I

i

I ~-_..... , -~~ .. ..

~ ~

Subtotal This Page: . 2784.83

L--..... .... .... I

Page ~ Ol"'~.Sr::heclC' loll -- _..

2012-07-30 16:00 FAX 02 » 785 296 2548 P 10/12

SCHEDULf,C EXPENDITURES AND 01TlER. DISBURSEMENTS

David llimscn for State RePI-cscntative (N'lIIIle vCCall<licla!c, Pnrty, Cummittee Qr l'olitlcal Cummill.et:

Last page of Schedule C:

I Total Ttemized Expenditures This Period 2784.83 r Total Unitemized Expenditures of$50 (IT less 0.00 I TOTAL EXPEND.lTIJRES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary)

2784.83

2012-07-30 16:00 FAX 02 » 785 296 2548 P 11/12

SCIIEVULP. 0 OTHER TRANSACTIONS

David Hansen for ~lalC Representative (Name ofCllndi~ Pw-ly, COJluuitta: CTr 1'"liticw Commitree

LJ(lCC

6/14/2012

Name 'and /J.ddrcss

David Hansen PO Dox 8125 Wkhllll. KS 672UX

NCl':Ure ojAr",~"",1 ar LoaJ1 rayablc or &Jan Receivable

,

Food for campaign meeting ~

nfl/UnO<! "I Close vi Pr.riod

21.96

6/14/2012 David Hansen PO Box 8125 Wichita, KS 67208

PO Box rental 68.00

6/22/2012

6/24/2012

71lf2012

7/17/2012

7/17/2012

"

7/17/2012

7/25/2012

-

'

David Hansen PO Bod125 Wichita, KS 67208

David Hansen PO Box 8125

Wichita, KS 67208

David Hanstl1 PO Box 8125 Wichita, KS 67208

David T[linsen PO Flo~ 8125 Wichita, KS (;7208

David Hansen , PO ~(l~ 8125 Wichita, KS 67208

... . '

David Hansen l'0 BUl( 8125 Wichit!l., KS 67208

David Hansl,."T1 POBox 8125 Wichita, KS 67201)

..­

_.....

..

Temporary Palm Cards

---~~ ..

I·'ood for campaign volunlc...ers

..

Stamp:l

.. '

Envclopeg

. ' ..~ ...

.l"ood fui fllndrai~ing ('lllrty

..

Bevcr.tges li)r lundrniSll!£ partY

Stamps

-­

<,

.... ,"-'.

&5.64

..... _ ­~l8.17

48.00

.,'­

12.7?

91.11.

3H9

45.00

Subtotal This Page; 426.56

SchedDJufI pageJLof~

2012-07-30 16:01 FAX 02 » 785 296 2548 P 12/12

SCHEDULED OTHER l1~SACT'ONS

David Hansen for State Repre~entativc (Name of(ilndidatc, Pw-Iy. Comrni,t1I><: nr l'uliticul CommillCl:

Last page of Schedule D:

426.56TOTAL OTHER TRANSACTIONS (to line 7 of rSummary)

Page } ~of_J,'k