Campaign Finance Receipts Expenditures Report 109...
10
Campaign Finance Receipts and Expenditures Report Print this form or Go Back Campaign Finance Receipts & Expenditures Report 10/31/2016 Check only if appropriate D Amended Filing Campaign Finance Candidate Name:J.R. Claeys Filing Report Address: 2157 Redhawk Ln Address2: City: Salina Zip: 67401 County: Saline Home Phone: (785) 250-5758 Business Phone: Office Sought: State Representative District: 69 SUMMARY (covering the period from 7/22/2016 through 10/27/2016) 1 CASH ON HAND AT BEGINNING OF PERIOD 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS 3 CASH AVAILABLE THIS PERIOD 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS 5 CASH ON HAND AT CLOSE OF PERIOD 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS 7 OTHER TRANSACTIONS Page 1of1 Governmental Ethics Commission 109 W. 9th, Suite 504 Topeka, KS 66612 Phone (785) 296-4219 Fax (785) 296-2548 www.kansas.gov/ethics D Termination Report (Schedule A) view/Qrint (Add Lines 1 and 2) (Schedule C) view/Qrint Subtract Line 4 from 3) (Schedule B) view/Qrint (Schedule D) view/Qrint 11644.53 $21,793.46 $33,437.99 $24,555.03 $8,882.96 $145.70 10000.00 "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 ." Electronically filed on : 10/31/2016 9:38:13 PM Signature of Candidate or Treasurer: J.R. Claeys Print this form or Go Back http://www.kssos.org/elections/cfr_viewer/reports/exp_report_ main.aspx 1111 /2016
Transcript of Campaign Finance Receipts Expenditures Report 109...
Campaign Finance Receipts and Expenditures Report
Print this form or Go Back
Campaign Finance Receipts & Expenditures Report 10/31/2016
Check only if appropriate D Amended Filing
Campaign Finance Candidate Name:J.R. Claeys Filing Report Address: 2157 Redhawk Ln
Address2:
City: Salina Zip: 67401 County: Saline
Home Phone: (785) 250-5758 Business Phone:
Office Sought: State Representative District: 69
SUMMARY (covering the period from 7/22/2016 through 10/27/2016)
1 CASH ON HAND AT BEGINNING OF PERIOD
2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS
3 CASH AVAILABLE THIS PERIOD
4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS
5 CASH ON HAND AT CLOSE OF PERIOD
6 IN-KIND (NON-MONETARY) CONTRIBUTIONS
7 OTHER TRANSACTIONS
Page 1of1
Governmental Ethics Commission 109 W. 9th, Suite 504
Topeka, KS 66612 Phone (785) 296-4219
Fax (785) 296-2548 www.kansas.gov/ethics
D Termination Report
(Schedule A) view/Qrint
(Add Lines 1 and 2)
(Schedule C) view/Qrint
Subtract Line 4 from 3)
(Schedule B) view/Qrint
(Schedule D) view/Qrint
11644.53
$21,793.46
$33,437.99
$24,555.03
$8,882.96
$145.70
10000.00
"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."
Electronically filed on: 10/31/2016 9:38:13 PM Signature of Candidate or Treasurer: J.R. Claeys
Print this form or Go Back
http://www.kssos.org/elections/cfr _viewer/reports/exp _report_ main.aspx 1111/2016
Campaign Finance Schedule A Report Page 1of5
Print this form or Go Back
SCHEDULE A
CONTRIBUTIONS AND OTHER RECEIPTS
Candidate: J.R. Claeys
Type of Payment uccupanon Ana
Name and Address Industry of Individual Date
of Contributor Cash, Check, Loan, Other Giving Amount
Mnr"' Th<>n ~1CI\
General Motors Company PAC
10/27116 25 Massachusetts St. NW Check $250.00 Suite 400 Washington DC 20001
Prairie Band Potawatomie
10/27/16 Nation
Check $250.00 16281 Q Road Mayetta KS 66509
LoanMax 10/27/16 600 South Boradway Check $250.00
Salina KS 67401
John Deere PAC 10/27/16 One John Deere Place Check $500.00
Moline IL 61265
James Berkley 10/26/16 P.O. Box 511 Check Administrator $75.00
Stockton KS 67669
Chris Kollman 10/26/16 420N. Ash Check Administrator $25.00
Stockton KS 67669
Blue Cross & Blue Shield of
10/26/16 Kansas
Check $250.00 1133 SW Topeka Blvd Topeka KS 66629
RAI Services 10/26/16 PO Box 2959 Check $250.00
Winston-Salem NC 27102
Farmers Employee & Agent
10126116 PAC ofKansas
Check $500.00 2345 SW Current Ct Lees Summit MO 64082
Kansas Republican Party
10/26/16 State Operating Account
Check $4,000.00 5601 SW Barrington Ct Topeka KS 66614
Kansas State Rifle
10/20/16 Association PAC
Check $500.00 PO Box 219 Bonner Springs KS 66012
QuikTrip Corporation 10/17/16 4705 S 129th East Avenue Check $500.00
Tulsa OK 74134
10/15/16 Check $500.00
http://www.kssos.org/elections/cfr _viewer/reports/schedule_ a _report.aspx 11/1/2016
Campaign Finance Schedule A Report Page 2of5
Day3 Development, LLC 17475 S Ridgeview Rd Olathe KS 66062
Kansas Beer Wholesalers Association PAC
10/15/16 100 SE 9th St Check $250.00 Suite 100 Topeka KS 66612
Walmart Stores, Inc. 10/15/16 702 SW 8th St Check $500.00
Bentonville AR 72716
Lewis Legal News, Inc. 10/14/16 PO Box 273 Check $500.00
Olathe KS 66051
Kroger 10/14/16 2700 East 4th Check $500.00
Hutchinson KS 67504
Builders Association PAC 10/13/16 720 Oak St Check $250.00
Kansas City MO 64106
Cemer Corporation PAC 10/ 11 /16 2800 Rock Creek Pkwy Check $500.00
Kansas City MO 64117
Antonio Soave Kansas Sec. of
10/11/16 11456 S Parish St. Check Commerce
$125.00 Olathe KS 66061
NexTech Rural Telephone
10111116 Service
Check $250.00 148 N Main St. Lenora KS 67645
Kansas Cable PAC
10/10/16 900 S Kansas Ave
Check $250.00 Ste 300 Topeka KS 66612
Microsoft Corp PAC 10/10/16 16011NE36th Way Check $250.00
Redmond WA 98073
Kansas Health Care
10110116 Association PAC
Check $100.00 117 SW 6th Avenue Ste 200 Topeka KS 66603
Casey's General Stores 10/07 /16 PO Box 3001 Check $250.00
Ackeny IA 50021
Kansas Insurance Agents
10106116 PAC
Check $250.00 815 SW Topeka Blvd Topeka KS 66612
Kansas Restaurant & Hospitality Association PAC
10/06/16 3500 N Rock Rd Check $250.00 Bldg 1300 Wichita KS 67226
10/06/16 Check $250.00
http://www.kssos.org/ elections/ cfr _viewer/reports/ schedule_ a _report. aspx 1111/2016
Campaign Finance Schedule A Report Page 3of5
NFIB/KS Safe Trust PAC 1201 F St NW Ste 200 Washington DC 20004
Altria Client Services 10/06/16 1005 Congress Ave Check $200.00
Richmond VA 23230
PMCAGasPAC 10/06/16 PO Box 678 Check $250.00
Topeka KS 66603
Saline County Republican
10/01/16 Central Committee
Check $50.00 PO Box 2513 Salina KS 67402-2513
Kansas Chamber Jobs PAC 09/28116 835 SW Topeka Blvd Check $500.00
Topeka KS 66612
Kansas Livestock Association
09/28/16 PAC
Check $498.46 6031 SW 37th St Topeka KS 66614
HCA Kansas Good
09/28116 Government Fund PAC
Check $250.00 5845 SW 29th St Topeka KS 66614
Union Pacific Railroad Company
09/19116 600 Broadway Check $250.00 Ste 500 Kansas City MO 64105
Kansas Society of CP As PAC
09/19116 100 SE 9th St
Check $100.00 Ste 502 Topeka KS 66612
Race for Kansas PAC
09/16/16 534 S. Kansas Ave.
Check $500.00 Suite 1500 Topeka KS 66603
Cong Kevin Yoder YOPAC 09/16/ 16 5631 Aberdeen Rd Check $250.00
Fairway KS 66205
Devine, Donley & Murray GA,LLC
09/16/1 6 534 S. Kansas Ave. Check $250.00 Suite 830 Topeka KS 66603
Kansas Automobile Dealers
09/16/16 PAC
Check $200.00 731 South Kansas A venue Topeka KS 66603
Kansas Medical Society 09/14/16 623 SW 10th Ave Check $500.00
Topeka KS 66612
09/06/16 Check $250.00
http://www.kssos.org/elections/cfr _viewer/reports/schedule_ a _report.aspx 1111/2016
Campaign Finance Schedule A Report Page 4of5
Cong Lynn Jenkins Ad Astra PAC 4824 Normandy Park St. Lawrence KS 66049
National Association of Chain Drug Stores
09106116 1776 Wilson Blvd Check $250.00 Ste 200 Arlington VA 22209
Justin Hill 08/25/16 735 Broadview Dr. Check Paper Products $500.00
Lawrence KS 66044
AT&T Services, Inc. 08/24/16 220 SE 6th Ave Check $250.00
Topeka KS 66603
Anheuser-Busch 08/24/16 One Busch Place Check $250.00
St. Louis MO 63118
Cox Communications 08/24/1 6 931 SW Henderson Rd Check $250.00
Topeka KS 66615
Kansas Society of Professional Engineers
08/2411 6 825 S. Kansas Ave. Check $350.00 Suite 500 Topeka KS 66612
Kansas Optometric PAC 08/24/16 1266 W Topeka Blvd Check $250.00
Topeka KS 66612
Kansas Bankers Association
08/24/1 6 Bank.PAC
Check $250.00 PO Box4407 Topeka KS 66604
PMCAGasPAC 08/24/16 PO Box 678 Check $250.00
Topeka KS 66603
Kansas Agri Business Council 08/24/1 6 816 SW Tyler Check $250.00
Topeka KS 66612
Kansas Realtors PAC 08/24/1 6 3644 SW Burlingame Check $500.00
Topeka KS 66611
3M Company 08/1 8/16 3M Center Bldg. Check $250.00
St. Paul MN 55144
Amerigroup Corporation 08/1311 6 P.O. Box 68086 Check $250.00
Cincinnati OH 45206
American Council of
08/04/16 Engineering Companies
Check $500.00 825 S. Kansas Ave. Topeka KS 66612
08/01/16 DraftKings Inc. Check $300.00 125 Summer St.
http: //www.kssos.org/elections/cfr _viewer/reports/schedule_ a _report.aspx 11/112016
Campaign Finance Schedule A Report Page 5of5
Suite 510 Boston MA 2110
John & Janet Beckman 08/01/16 718 S. 5th St. Check $20.00
Salina KS 67401
Centene Management Co. LLC
07/30/16 8325 Lenexa Dr Check $250.00 Suite 200 Lenexa KS 66214
CHS Refinery at McPherson 07/30/16 2000 S. Main St. Check $250.00
McPherson KS 67460
Kansas Farm Bureau VOTE
07/22/16 FBFFund
Check $250.00 2627 KFB Plaza Manhattan KS 66503
Total Itemized Receipts for Period $21793.46
Total Unitemized Contributions ($50 or less) $0
Sale of Political Materials (Unitemized) $0
Total Contributions When Contributor Not Known $0
TOTAL RECEIPTS THIS PERIOD $21793.46
Print this form or Go Back
http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx 111112016
Campaign Finance Schedule B Report Page 1of1
Print this form or Go Back
SCHEDULEB
IN-KIND (NON-MONETARY) CONTRIBUTIONS
Candidate: J.R. Claeys
Occupation And Description of Value of
Date Name and Address Industry of Individual
In-Kind In-Kind of Contributor Giving
Contribution Contribution More Than $150
NFIB/KS Safe Trust PAC
1011 7/16 1201 F St NW
Mail $24.64 Ste 200 Washington DC 20004
Kansas Grain & Feed Association
08/2411 6 816 SW Tyler St. Fundraiser Food & Drink $21.06 Suite 100 Topeka KS 66612
Kansas Chamber Jobs PAC 08/01/16 835 SW Topeka Blvd Voter Database $100.00
Topeka KS 66612
Total Itemized (over $100) In-Kind Contributions $145.70
Total Unitemized ($100 or less) In-Kind Contributions $0
TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD $145.70
Print this form or Go Back
http://www.kssos.org/elections/cfr _viewer/reports/schedule_ b _report.aspx 11/112016
Campaign Finance Schedule C Report Page 1of2
Print this form or Go Back
SCHEDULEC
EXPENDITURES AND OTHER DISBURSEMENTS
Candidate: J.R. Claeys
Date Name and Address Purpose of Expenditure
Amount or Disbursement
J.R. Claeys Candidate (self) Facebook - Ads
10/24/16 2157 Redhawk Ln $500.00 Salina KS 67401
Candidate (self) Office Max - Postage J.R. Claeys Stamps
10/19/16 2157 Redhawk Ln $47.00 Salina KS 67401
Salina Journal Newspaper Ads Advertisement
10/14/16 333 South 4th $848.75 Salina KS 67401
J.R. Claeys Candidate (self) Office Max - Postage/Cards
10/14/16 2157 Redhawk Ln $294.00 Salina KS 67401
J.R. Claeys Candidate (self) Office Max - Rubber Bands
10/11116 2157 Redhawk Ln $8.69 Salina KS 67401
J.R. Claeys Candidate (self) Campaign HQ - Phone Calls
10/11116 2157 Redhawk Ln $1,563.26 Salina KS 67401
J.R. Claeys Candidate (self) Axiom Strategies - Mail
10/07116 2157 Redhawk Ln $5,500.00 Salina KS 67401
Candidate (self) Sam's Club - Paper/Post-it J.R. Claeys Notes
09/13/16 2157 Redhawk Ln $55.70 Salina KS 67401
Axiom Strategies Printing Palm Cards
09/09/16 1215 NW Briarcliff Pkwy
$2,500.00 Ste 85 Kansas City MO 64116
J.R. Claeys Candidate (self) Axiom Strategies - Mail
09/01 /16 2157 Redhawk Ln $3,000.00 Salina KS 67401
08/18/16 J.R. Claeys Candidate (self) State of Kansas - Postage $11.42 2157 Redhawk Ln overage Salina KS 67401
http://www.kssos.org/elections/cfr _viewer/reports/schedule_ c _report.aspx 1111/2016
Campaign Finance Schedule C Report Page 2 of2
Candidate (self) LD Products - Toner J.R. Claeys Cartridges
08/0611 6 2157 Redhawk Ln $106.21 Salina KS 67401
J.R. Claeys Candidate (self) Loan Repayment 11/01 11 1
08/01 /16 2157 Redhawk Ln $10,000.00 Salina KS 67401
J.R. Claeys Candidate (self) Sec. of State Fee
07/22/16 2157 Redhawk Ln $120.00 Salina KS 67401
Total Itemized Expenditures This Period $24555.03
Total Unitemized Expenditures of $50 or less $0
TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $24555.03
Print this form or Go Back
http://www.kssos.org/ elections/ cfr _viewer/reports/ schedule_ c _report. aspx 11/1/2016
Campaign Finance Schedule D Report Page 1of1
Print this form or Go Back
SCHEDULED
OTHER TRANSACTIONS
Candidate: J.R. Claeys
Nature of Account Balance at Close of Date Name and Address or Loan Payable Period
or Loan Receivable
J.R. Claeys Loan - For General Campaign 07/21 11 6 2157 Redhawk Ln $10,000.00
Salina KS 67401 Expenses
TOTAL OTHER TRANSACTIONS I $10,000.00
Print this form or Go Back
http: //www.kssos.org/elections/cfr_viewer/reports/schedule_d_report.aspx 11/1 /2016
