ECEIPTS AND EXPENDITURES REPORT FtlEO -...

-------------------------------

FtlEO jJ\N {) 8 20'0

PON_',I-f.' R',{ Of 51AlE SEcRr: .~.

KANSAS GOVERNMENTAL ETHICS COMMISSION

ECEIPTS AND EXPENDITURES REPORT F A POLITICAL OR PARTY COMMITTEE

January 10,2010

'ORNBURGI-'I FILE WITH SECRETARY OF STATE ~..---."" E REVERSE SIDE FOR INSTRUCTIONS

A. Name of Committee: Kansas Dental Political Action Committee

5200 S W HuntoonAddress:

City and Zip Code: Topeka, KS 66604

This is a (check one): __ Party Committee ,f Political Committee

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

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. 1 understand that the intentional

failure to file this document ~~~o~:~ class A misdemeanor."

Si ature of Treasurer

GEe Form Rev, 2001

C. Summary (covering the period from January 1,2009 through December 31, 2009)

1. Cash on hand at beginning ofperiod .

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) ..

o6. In-Kind Contributions (Use Schedule B) .

o7. Other Transactions (Use Schedule D) .

40,437.98

49,770.75

90,208.73

26,854.74

'63,353.99

Schedule A Contributions and Other Receipts

Kansas Dental Political Action Committee

1/21/2009 McFadden, Ronda L

1/21/2009 Bowman, David A

1/21/2009 McKnight, John H

1/21/2009 Herron, Robert D Jr

1/21/2009 Ramos, Freddie

1/21/2009 Kelley, Greg A

1/21/2009 Fry, Robert W

1/21/2009 Burks, William H III

1/21/2009 Wilcoxon, Donald B

1/21/2009 Kirn, Dean F

1/21/2009 Coad, Russell L

1/21/2009 Ratzlaff, Craig D

1/21/2009 Heath, Paul W

1/22/2009 Marietta, John

1/22/2009 Jones, Jarrod

1/22/2009 Nelson, Edward A

1/22/2009 Marshall, Craig

1/22/2009 Tally, J Brad

1/22/2009 Dillehay, James K

1/22/2009 Woods, Timothy D

1/22/2009 Hargreaves, Larry C

1/22/2009 Giles, Caroline L

1/22/2009 Juhl, Jason M

1/22/2009 Jenkins, Jill C

1/22/2009 Bucher, William E

1/22/2009 Wint, Stanley L

1/22/2009 Klein, MichaelS

1/22/2009 Meng, Sara

1/22/2009 Majors, ChristopherA

1/22/2009 Ruediger, Norman E

1123 E Kansas Plz

713 Main St

45005 4th St

PO Box 507 806 E Maple St

111 E Main St

109 W Main St

123405 pflumm Rd

1326 5 Main St

4601 W 109th St Ste 310

16637 Midland Dr

3525 N Ridge Rd Ste 100

2553 N Lake Ridge Cir

PO Box 99 609 E Lake St

7605 Santa Fe Ave

1513 E 27th St

12350 Reeds St

6310 Lamar Ave Ste 140

13650 Roe Blvd

1821 N Rock Rd

PO Box 26 503 Elm St Ste 1

1409 SW 37th St

2722 Westmar Ct Apt 407

506 EThorpe St

6850 Hilltop Rd Ste 160

975 N Mur Len Rd Ste B

10870 Benson St Ste 2100

8631 W 150th St

3455 W 13th St N

1831 N Rock Road Ct

2037 SE 29th St

Garden City, KS 67846-5870

Seneca, KS 66538-1931

Leavenworth, KS 66048-5041

Columbus, KS 66725-0507

Independence, KS 67301-3709

Independence, KS 67301-3510

Olathe, KS 66062-9601

Ottawa, KS 66067-3527

Overland Park, KS 66211-1315

Shawnee, KS 66217-3042

Wichita, KS 67205-1212


Mc Louth, KS 66054-0099

Salina, KS 67401-4945

Hays, KS 67601-2111


Mission, KS 66202-4284

Leawood, KS 66224-3757


Wamego, KS 66547-0026

Topeka, KS 66611-2369

Toledo, OH 43615-2090

Lakin, KS 67860-9625

Shawnee, KS 66226-3532

Olathe, KS 66062-1803





Topeka, KS 66605-2457

Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check Dentist/HealthCare Industry Check

Subtotal This Page

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$50.00

$125.00

$125.00

$50.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$125.00

$3,600.00

Page 1 of 13



1/22/2009 Kriss, Thomas A 1212 Chestnut St Emporia, KS 66801-5622 Dentist/HealthCare Industry Check $25.00 1/23/2009 Robertson, Matthew E 2054 Stephen Ct Manhattan, KS 66503-7590 Dentist/HealthCare Industry VISA $125.00 1/23/2009 Parsons, David C 123 E 10th Ave Winfield, KS 67156-3639 Dentist/HealthCare Industry VISA $125.00 1/23/2009 Hartman, William E 13031 Kansas Ave Bonner Springs, KS 66012-9206 Dentist/HealthCare Industry VISA $125.00

2/4/2009 Bates, Steven R PO Box 26 503 Elm St Ste 1 Wamego, KS 66547-0026 Dentist/HealthCare Industry Check $125.00

2/4/2009 Tindall, Jennifer R 3703 Peachtree Cir Manhattan, KS 66503-9683 Dentist/HealthCare Industry Check $125.00

2/4/2009 Barth, Jason L 833 SSanta Fe Ave Salina, KS 67401-4946 Dentist/HealthCare Industry Check $125.00

2/4/2009 Van Dyne, Stephanie C 1225N 2nd St Atchison, KS 66002-1401 Dentist/HealthCare Industry Check $125.00

2/4/2009 Stalcup, Gwen 1100 W 8th St Wellington, KS 67152-3423 Dentist/HealthCare Industry Check $175.00

2/4/2009 Smith, Robert G 3700 W 83rd St Ste 103 Prairie Village, KS 66208-5121 Dentist/HealthCare Industry Check $125.00

2/4/2009 Rospond, Steven F 620 N Georgie Ave Derby, KS 67037-1724 Dentist/HealthCare Industry Check $125.00

2/4/2009 Abay, Emeline B 3305 E Douglas Ave #201 Wichita, KS 67218-1025 Dentist/HealthCare Industry Check $125.00

2/4/2009 Darnall, Richard T 2201 SW Westport Dr #200 Topeka, KS 66614-1914 Dentist/HealthCare Industry Check $125.00

2/17/2009 Thompson, R W 10615 W 70th Ter Shawnee, KS 66203-4123 Dentist/HealthCare Industry Check $175.00

3/2/2009 Williams, Kenneth L 2607 SSante Fe Chanute, KS 66720-0683 Dentist/HealthCare Industry Check $125.00

3/2/2009 Fales, John T Jr 13496 SArapaho Dr Olathe, KS 66062-1553 Dentist/HealthCare Industry Check $125.00

3/3/2009 Harmon, Robert H 840 Lakin St Osage City, KS 66523-1283 Dentist/HealthCare Industry Check $125.00

3/3/2009 Auld, Ana P 1334 S Main St Ottawa, KS 66067-3527 Dentist/HealthCare Industry Check $34.75

3/3/2009 Martin, Kurt F 2901 Canterbury Dr Hays, KS 67601-2152 Dentist/HealthCare Industry Check $125.00

3/3/2009 Crowder, Richard D 14922 W 87th Street Pkwy Lenexa, KS 66215-4159 Dentist/HealthCare Industry Check $157.00

3/3/2009 Behrens, Dee Ann R 6420 Parallel Ave Kansas City, KS 66102-1043 Dentist/HealthCare Industry Check $125.00

3/3/2009 Taylor, Timothy T 8919 Parallel Pkwy Kansas City, KS 66112-1636 Dentist/HealthCare Industry Check $250.00

3/3/2009 Hines, Richard A 11237 Nail Ave Leawood, KS 66211-1639 Dentist/HealthCare Industry Check $125.00

3/3/2009 Greenhalgh, Dallan E 6302 Monrovia St Shawnee, KS 66216-2559 Dentist/HealthCare Industry Check $125.00

3/3/2009 Roufs, Brett A 3231 Royer West Dr Newton, KS 67114-9639 Dentist/HealthCare Industry Check $125.00

3/3/2009 Christensen, Kevin K 2860 SSeneca St Wichita, KS 67217-2865 Dentist/HealthCare Industry Check $125.00

3/3/2009 Banks, Bruce S 1271 SW Woodhull St Topeka, KS 66604-1849 Dentist/HealthCare Industry Check $125.00

3/11/2009 Evans, Larry 3550 S 4th St Ste 240 Leavenworth KS 66048-5158 Dentist/HealthCare Industry Check $125.00

4/6/2009 Smith, Ricky D 402 Main St Gridley, KS 66852-9777 Dentist/HealthCare Industry Check $250.00

4/7/2009 Berry, Ellen F 9419 Wenonga Rd Leawood, KS 66206-2028 Dentist/HealthCare Industry Check $125.00

4/7/2009 Ottem, James R PO Box 1568 Hutchinson, KS 67504-1568 Dentist/HealthCare Industry Check $125.00

4/7/2009 Oettmeier, Bert W Jr 4501 College Blvd Ste 270 Leawood, KS 66211-2332 Dentist/HealthCare Industry Check $125.00

Subtotal This Page $4,191.75

Page 2 of 13



4/7/2009 Scheer, Brick R -

7707 E29th st N Wichita, Ks 67226-3403 Dentist/HealthCare Industry Check $125.00 4/7/2009 Clark, Jeffrey B 5990 SW 28th St Topeka, KS 66614-2545 Dentist/HealthCare Industry Check $125.00

4/8/2009 Torres, John M 651 Country Acres Wichita, KS 67212-3574 Dentist/HealthCare Industry VISA $125.00

5/1/2009 Cunningham, Kevin P 11900 W 87th Street Pkwy Lenexa, KS 66215-4559 Dentist/HealthCare Industry Check $125.00

5/1/2009 Hudson, Jennifer M 10513 W Westport St Wichita, KS 67212-7417 Dentist/HealthCare Industry Check $125.00

5/4/2009 Wagle, Jason 825 SHillside St Wichita KS 67211-3005 Dentist/HealthCare Industry VISA $125.00

5/4/2009 Raben, Lucynda 8100 E22nd St N Ste 1, Bldg 100 Wichita KS 67226-2388 Dentist/HealthCare Industry VISA $125.00

5/4/2009 Small, Harold 3 S Main St Caldwell KS 67022-1531 Dentist/HealthCare Industry VISA $125.00

5/4/2009 Conover, Gary 2939 N Rock Rd Ste 110 Wichita KS 67226-1100 Dentist/HealthCare Industry VISA $125.00

5/4/2009 Mason, Ted 0 201 SArmour St Ste 101 Wichita, KS 67207-1065 Dentist/HealthCare Industry VISA $150.00

5/11/2009 McFadden, Richard I 2010 La Mesa Dr Dodge City, KS 67801-6426 Dentist/HealthCare Industry Check $125.00

5/11/2009 Oakley, Richard M 5811 Nail Ave Mission, KS 66202-2731 Dentist/HealthCare Industry Check $125.00

5/11/2009 Krause, Donald H Jr 9401 Nail Ave Ste 201 Shawnee Msn, KS 66207-2515 Dentist/HealthCare Industry Check $125.00

5/11/2009 Krause, Kevin J 9401 Nail Ave Ste 201 Shawnee Msn, KS 66207-2515 Dentist/HealthCare Industry Check $125.00

5/11/2009 Martin, Harry E 4601 W 109th st Ste 217 Overland Park, KS 66211-1314 Dentist/HealthCare Industry Check $125.00

6/8/2009 Huyett, Laura J 4627 Shawnee Dr Kansas City, KS 66106-3648 Dentist/HealthCare Industry VISA $125.00

6/8/2009 Taylor, Cathleen M 6811 W 121st St Overland Park, KS 66209-2005 Dentist/HealthCare Industry Check $50.00

6/30/2009 Holtz, Frank J 106 NW 15th St Abilene, KS 67410-1548 Dentist/HealthCare Industry Check $10.00

6/30/2009 Kincaid, Charles 306 E23rd St PO Box 3745 Lawrence, KS 66046-0745 Dentist/HealthCare Industry Check $125.00

7/2/2009 Eikenbary, Brad W 10940 Parallel Ave Ste A Kansas City, KS 66109-4512 Dentist/HealthCare Industry Check $125.00

7/2/2009 Mitchell, David M 9601 Antioch Rd Overland Park, KS 66212-4061 Dentist/HealthCare Industry Check $125.00

7/14/2009 Craft, David A 340 W 7th St Junction City, KS 66441-3054 Dentist/HealthCare Industry Check $125.00

7/14/2009 Nelson, Robert L 13018 State Line Rd Leawood, KS 66209-1756 Dentist/HealthCare Industry Check $125.00

7/14/2009 Partridge, Gregory J 841 S Hillside St Wichita, KS 67211-3005 Dentist/HealthCare Industry Check $125.00

7/16/2009 Fasbinder, John 3700 W 83rd St Ste 109 Prairie Vlg, KS 66208-5120 Dentist/HealthCare Industry VISA $125.00

8/18/2009 Gentry, James D 4861 W 134th St Ste A Leawood, KS 66209-7803 Dentist/HealthCare Industry Check $125.00

10/29/2009 Tull, Gregory T 12541 Foster St Ste 330 Overland Park, KS 66213-2301 Dentist/HealthCare Industry . Check $125.00

11/17/2009 Dahm, John F 205 E1st Ave Hutchinson, KS 67501-7145 Dentist/Hea!thCare Industry Check $125.00

11/17/2009 Cassidy, Kevin M 2301 SW 6th Ave Topeka, KS 66606-1759 Dentist/HealthCare Industry Check $125.00

11/17/2009 Bettin, Stanley L 220 W Commercial St Lyons, KS 67554-2716 Dentist/HealthCare Industry Check $125.00

11/17/2009 Cleverley, R Guy 428 N 7th St Fredonia, KS 66736-1397 Dentist/HealthCare Industry Check $125.00

11/17/2009 Crow, Stewart L 117 N Penn Ave Independence, KS 67301-0648 Dentist/HealthCare Industry Check $125.00


Page 3 of 13



11/17/2009 Elmer, Jeffrey L 172 Allcutt Ave Bonner Springs, KS 66012-3414 Dentist/HealthCare Industry Check $125.00 11/17/2009 Burg, George F 3700 W 83rd St Shawnee Msn, KS 66208-5121 Dentist/HealthCare Industry Check $125.00

11/17/2009 Brown, James 0 4121 W 83rd St Ste 230 Prairie Village, KS 66208-5323 Dentist/HealthCare Industry Check $125.00

11/17/2009 Doyle, William H 5370 College Blvd Ste 120 Overland Park, KS 66211-1621 Dentist/HealthCare Industry Check $125.00

111/17/2009 Brittain, Bruce A 428 Lioba Dr Andover, KS 67002-0790 Dentist/HealthCare Industry Check $125.00

11/17/2009 Baesel, Dean W 881 N Tyler Rd Wichita, KS 67212-3200 Dentist/HealthCare Industry Check $125.00

11/17/2009 Beaver, Robert C 2860 SSeneca St Ste A . Wichita, KS 67217-2882 Dentist/HealthCare Industry Check $125.00

11/17/2009 Conover, Gary H 2939 N Rock Rd Ste 101 Wichita, KS 67226-1100 Dentist/HealthCare Industry Check $125.00

11/17/2009 Baumgardner, Lorie M 4301 SW Huntoon St #4 Topeka, KS 66604-1985 Dentist/HealthCare Industry Check $125.00

11/17/2009 Cooper, John M 1813 SW Fairlawn Rd Topeka, KS 66604-3646 Dentist/HealthCare Industry Check $125.00

11/17/2009 Deeter, Kelly B 729 SW Prairie Ct Topeka, KS 66606-2319 Dentist/HealthCare Industry Check $125.00

11/17/2009 Camarata, Joseph C 8508 W 142nd St Overland Park, KS 66223-2565 Dentist/HealthCare Industry Check $125.00

11/17/2009 Harmon, Matt R 840 Lakin St Osage City, KS 66523-1152 Dentist/HealthCare Industry Check $125.00

11/17/2009 Herre, Timothy R 11201 Nail Ave Ste 120 Leawood, KS 66211-1832 Dentist/HealthCare Industry Check $125.00

11/17/2009 Harmon, Robert H 840 Lakin St Osage City, KS 66523-1283 Dentist/HealthCare Industry Check $125.00

11/17/2009 Gross, Guy W 1920 SOhio Salina, KS 67401-6643 Dentist/HealthCare Industry . Check $125.00

11/17/2009 Gross, Kathryn E 1920 S Ohio St Salina, KS 67401-6643 Dentist/HealthCare Industry Check $125.00

11/17/2009 Guest, Ken 1920 S Ohio St Salina, KS 67401-6643 Dentist/HealthCare Industry Check $125.00

11/17/2009 Haas, Scott G 770 S Range Ave Colby, KS 67701-2967 Dentist/HealthCare Industry Check $125.00

11/17/2009 Kinderknecht, Lynn W 2770 Hall St Hays, KS 67601-1815 Dentist/HealthCare Industry Check $125.00

11/17/2009 Gaskill, Effie N PO Box G Hugoton, KS 67951-1207 Dentist/HealthCare Industry Check $125.00

11/17/2009 Frazier, L Thane 109 W Main St Lyons, KS 67554-1927 Dentist/HealthCare Industry Check $125.00

11/17/2009 Hanson, Kent W 216 ETaylor St Lyons, KS 67554-3618 Dentist/HealthCare Industry Check $125.00

11/17/2009 Kittle, Paul EJr . 30Q S 2nd St Leavenworth, KS 66048-2803 Dentist/HealthCare Industry Check $125.00

11/17/2009 Greenwood, Anthony J 1440 Park Ave Baxter Springs, KS 66713-2727 Dentist/HealthCare Industry Check $125.00

11/17/2009 Hall, Susan G 4102 W 6th St Lawrence, KS 66049-4609 Dentist/HealthCare Industry Check $125.00

11/17/2009 Herrera, Paul D 519 Canyon Dr Lawrence, KS 66049-2451 Dentist/H ea IthCare Indu stry Check $125.00

11/17/2009 Herrera, Joe M 701 Washington Blvd Kansas City, KS 66101-2113 Dentist/HealthCare Industry Check $125.00

11/17/2009 Gonzales, Lisa 10203 Leavenworth Rd Kansas City, KS 66109-3005 Dentist/HealthCare Industry Check $125.00

11/17/2009 Harman, Heidi A 14247 Metcalf Ave Overland Park, KS 66223-3367 Dentist/HealthCare Industry Check $125.00

11/17/2009 Hines, Richard A 11237 Nail Ave' Leawood, KS 66211-1639 Dentist/HealthCare Industry Check $125.00

11/17/2009 Herre, Craig W 11201 Nail Ave Leawood, KS 66211-1669 Dentist/HealthCare Industry Check $125.00


Page 4 of 13



11/17/2009 Herre, Scott B 4144 W 124th Ter Leawood, KS 66209-2235 Dentist/HealthCare Industry Check $125.00 11/17/2009 Hannah,JJoseph 1441 E 151st St Olathe, KS 66062-2854 Dentist/HealthCare Industry Check $250.00 11/17/2009 Humphrey, John KJr 8800 W 75th St Overland Park, KS 66204-4001 Dentist/HealthCare Industry Check $125.00 11/17/2009 Jowett, Ted A 1017 SW Gage Blvd Topeka, KS 66604-1991 Dentist/HealthCare Industry Check $125.00

11/17/2009 Hochstetler, Gary L 113 E 8th St Horton, KS 66439-1704 Dentist/HealthCare Industry Check $125.00

11/17/2009 Finley, Ronald J 117 S 18th St Parsons, KS 67357-3365 Dentist/HealthCare Industry Check $125.00

11/18/2009 Peppes, Gregory J 11551 Granada Ln Ste 200 Leawood, KS 66211-1444 Dentist/HealthCare Industry Check $125.00

11/18/2009 Miller, Craig E 2901 Canterbury Dr Hays, KS 67601-2152 Dentist/HealthCare Industry Check $125.00

11/18/2009 Pivonka, Timothy M 361 Grant Ave Junction City, KS 66441-4201 Dentist/HealthCare Industry Check $125.00

11/18/2009 Nichols, Shawn L 361 Grant Ave Junction City, KS 66441-4201 Dentist/HealthCare Industry Check $125.00

11/18/2009 Loftus, Daniel R 2501 Canterbury Dr Hays, KS 67601-2296 Dentist/HealthCare Industry Check $125.00

11/18/2009 Martin, Kurt F 2901 Canterbury Dr Hays, KS 67601-2152 Dentist/HealthCare Industry Check $125.00

11/18/2009 Nuckols, Thomas A 310 SW 1st St Plainville, KS 67663-0057 Dentist/HealthCare Industry Check $125.00

11/18/2009 Remsing, Errol F 21660 Big Timber Rd Blue Rapids, KS 66411-8699 Dentist/HealthCare Industry Check $125.00

11/18/2009 Larkin, E Grant 2510 Henderson Dr Garden City, KS 67846-3624 Dentist/HealthCare Industry Check $125.00

11/18/2009' Loudenback, Chad 530 E 30th Ave Hutchinson, KS 67502-8431 Dentist/HealthCare Industry Check $125.00

11/18/2009 McVey, Randall K 2501 N Campus Dr Garden City, KS 67846-3794 Dentist/HealthCare Industry Check $125.00

11/18/2009 Paige, Barry A 119 West 8th St La Crosse, KS 67548-0306 Dentist/HealthCare Industry Check $125.00

11/18/2009 Mathes, John D 603 S Main St Pratt, KS 67124-2630 Dentist/HealthCare Industry Check $125.00

11/18/2009 Patrzykont; John A 106 N Cline Rd Coffeyville, KS 67337-1205 Dentist/HealthCare Industry Check $125.00

11/18/2009 McKnight, Sidney A III 2200 W 75th St Prairie Village, KS 66208-3505 Dentist/HealthCare Industry Check $125.00

11/18/2009 Myers, Dennis T 102 E Walnut St Troy, KS 66087-0586 Dentist/HealthCare Industry Check $125.00

11/18/2009 Oltjen, Jay M 1441 E 151st St Olathe, KS 66062-2854 Dentist/HealthCare Industry Check $250.00

11/18/2009 Reed, Tom R 8340 Mission Rd Shawnee Msn, KS 66206-1355 Dentist/HealthCare Industry Check $125.00

11/18/2009 Oliver, N Randolph 2200 W 75th St Prairie Village, KS 66208-3505 Dentist/HealthCare Industry Check $125.00

11/18/2009 Morris, Jay F 5600 W 95th St Ste 204 Overland Park, KS 66207-2968 Dentist/HealthCare Industry Check $125.00

11/18/2009 Lee, Henry A Jr 10550 Quivira Rd Overland Park, KS 66215-2306 Dentist/HealthCare Industry Check $67.00

11/18/2009 Lasalle, Anthony D 10985 Cody St Ste 110 Overland Park, KS 66210-2024 Dentist/HealthCare Industry Check $125.00

11/18/2009 Krueger, Harold A 6807 W 121st St Overland Park, KS 66209-2005 Dentist/HealthCare Industry Check $125.00

11/18/2009 May, David L 233 N Hillside St Wichita, KS 67214-4903 Dentist/HealthCare Industry Check $125.00

11/18/2009 Pratt, James G 5605 SW Barrington Ct Topeka, KS 66614 Dentist/HealthCare Industry Check $125.00

11/18/2009 O'Neal, Kerry M 2201 SW Westport Dr Topeka, KS 66614-1914 Dentist/HealthCare Industry Check $125.00


Page 5 of 13



11/18/2009 Reynolds, Michael C 2215 SW Westport Dr Topeka, KS 66614-1926 Dentist/HealthCare Industry Check $100.00

11/18/2009 Protzman, Ronald G 1409 Stanton St' Emporia, KS 66801-6170 Dentist/HealthCare Industry Check $125.00

11/18/2009 Patton, John C 1507 W 12th Ave Emporia, KS 66801-2457 Dentist/HealthCare Industry Check $125.00

11/18/2009 Remsing, Ellen 0 4201 Anderson Ave Ste A Manhattan, KS 66503-7603 Dentist/HealthCare Industry Check $125.00

11/18/2009 Ruliffson, Mark H 6665 N 52nd St Manhattan, KS 66503-8712 Dentist/HealthCare Industry Check $125.00

11/18/2009 Wisdom, Eric J 1629 Poyntz Ave Manhattan, KS 66502-4148 Dentist/HealthCare Industry Check $125.00

11/18/2009 Stasch, Jeffrey J 1812 EMary Street Garden City, KS 67846-3652 Dentist/HealthCare Industry Check $125.00

11/18/2009 Robinson, Michael 3601 S4th St Leavenworth, KS 66048-5015 DentisVHealthCare Industry Check $125.00

11/18/2009 Walton, W D 920 6th Ave Leavenworth, KS 66048-3225 Dentist/HealthCare Industry Check $125.00

11/18/2009 Strader, Ronald D 508 N Ozark St Girard, KS 66743-1125 Dentist/HealthCare Industry Check $125.00

11/18/2009 Willis, Robert A 204 E Lincoln Ave Wellington, KS 67152-3061 Dentist/HealthCare Industry Check $125.00

11/18/2009 Williams, Jennifer E 4154 Mercier St Kansas City, MO 64111-4153 Dentist/HealthCare Industry Check $125.00

11/18/2009 Van Blaricum, Galen 3310 Mesa Way Lawrence, KS 66049-2361 Dentist/HealthCare Industry Check $125.00

11/18/2009 Waitley, Norman G 10985 Cody St Ste 110 Overland Park, KS 66210-2024 Dentist/HealthCare Industry Check $125.00

11/18/2009 Warden, Stephanie M 2200 W 75th St Ste 101 Prairie Village, KS 66208-3500 Dentist/HealthCare Industry Check $125.00

11/18/2009 Thein, David J 5000 W 95th St Prairie Vlg, KS 66207-3364 Dentist/HealthCare Industry Check $67.00

11/18/2009 Willits, Richard H 12870 Metcalf Ave Overland Park, KS 66213-2622 Dentist/HealthCare Industry Check $125.00

11/18/2009 Woltkamp, David B 12870 Metcalf Ave Overland Park, KS 66213-2622 Dentist/HealthCare Industry Check $125.00

11/18/2009 Ziegenhorn, Dallas R 7515 Nail Ave Shawnee Mission, KS 66208-4762 Dentist/HealthCare Industry Check $125.00

11/18/2009 Scott, Roscoe W 9601 Antioch Rd Overland Park, KS 66212-4061 Dentist/HealthCare Industry Check $125.00

11/18/2009 Vandenberg, Michael E 9226 Pflumm Rd Lenexa, KS 66215-3346 Dentist/HealthCare Industry Check $125.00

11/18/2009 Smith, Bradley N 7501 Mission Rd Prairie Village, KS 66208-4217 Dentist/HealthCare Industry Check $67.00

11/18/2009 Roufs, Brett A 3231 Royer West Dr Newton, KS 67114-9639 Dentist/HealthCare Industry Check $275.00

11/18/2009 Rospond, Steven F 620 N Georgie Ave Derby, KS 67037-1724 Dentist/HealthCare Industry Check $125.00

11/18/2009 Underwood, Mark L 3033 SW Villa West Dr Topeka, KS 66614-4487 DentisVHealthCare Industry Check $125.00

11/18/2009 Smith, Ricky D 402 Main St Gridley, KS 66852-9777 Dentist/HealthCare Industry Check $250.00

11/18/2009 Todorov, Nedelko P 9390 ECentral Ave Ste 100 Wichita, KS 67206-2565 Dentist/HealthCare Industry Check $125.00

11/19/2009 Rogers, Scott N 2311 Pinecrest Ct . Arkansas City, KS 67005-8500 Dentist/HealthCare Industry Check $125.00

11/19/2009 Rogers, Nicole M 2311 Pinecrest Ct Arkansas City, KS 67005-8500 Dentist/HealthCare Industry Check $125.00

11/19/2009 Ferguson, Joseph G 308 Court St Clay Center, KS 67432-2420 Dentist/HealthCare Industry Check $125.00

11/19/2009 Miner, Daniel J 1010 Downing Ave Ste 10 Hays, KS 67601-2461 Dentist/HealthCare Industry Check . $125.00

11/19/2009 Miner, Melinda K 1010 Downing Ave Ste 10 Hays, KS 67601-2461 Dentist/HealthCare Industry Check $125.00


Page 6 of 13



11/19/2009 Beam, Daryl K 1809 E27th St Hays, KS 67601-2148 Dentist/HealthCare Industry Check $125.00

11/19/2009 Herzog, Mark A 804 E8th St Ellsworth, KS 67439-2535 Dentist/HealthCare Industry Check $125.00

11/19/2009 Lewis, William J PO Box 828 Syracuse, KS 67878-0828 Dentist/HealthCare Industry Check $125.00

11/19/2009 Obee, Crystal A PO Box 96 Kinsley, KS 67547-0096 Dentist/HealthCare Industry Check $250.00

I 11/19/2009 Richard, Michael W 2702 N Campus Dr Garden City, KS 67846-3670 Dentist/HealthCare Industry Check $125.00

11/19/2009 Rosenberg, Joseph 0 205 N Santa Fe Saint John, KS 67576-2029 Dentist/HealthCare Industry Check $125.00

11/19/2009 Gilmore, Mark L 932 N 50th St Kansas City, KS 66102-3477 Dentist/HealthCare Industry Check $125.00

11/19/2009 Minnis, Daniel N 2002 5 Rouse St Pittsburg, KS 66762-6629 Dentist/HealthCare Industry Check $250.00

11/19/2009 Conrad, Jon 808 Willow St Coffeyville, KS 67337-0374 Dentist/HealthCare Industry Check $125.00

11/19/2009 Heavrin, Barry G PO Box 854 Parsons, KS 67357-0854 Dentist/HealthCare Industry Check $125.00

11/19/2009 Rogers, Paul N 1939 N 11th St Arkansas City, KS 67005-1724 Dentist/HealthCare Industry Check $125.00

11/19/2009 Stalcup, Gwen 1100 W 8th St Wellington, KS 67152-3423 Dentist/HealthCare Industry Check $125.00

11/19/2009 Brightwell, Steven 4121 W 83rd St Prairie Vlg, KS 66208-5300 Dentist/HealthCare Industry Check $125.00

11/19/2009 Merriweather, Christopher 5201 College Blvd Leawood, KS 66211-1624 Dentist/HealthCare Industry Check $125.00

11/19/2009 Baldwin, George A 7070 W 107th St Overland Park, KS 66212-1810 Dentist/HealthCare Industry Check $125.00

11/19/2009 DaVidson, Terry L 120 W 6th St Newton, KS 67114-2155 Dentist/HealthCare Industry Check $125.00

11/19/2009 Troilo, Mark P PO Box 98 Rose Hill, KS 67133-0098 Dentist/HealthCare Industry Check $125.00

11/19/2009 Walker, Crystal R 2822 N Cardington Ct Wichita, KS 67205-2054 Dentist/HealthCare Industry Check $125.00

11/19/2009 Steven, Joseph PJr 232 N Seneca St Wichita, KS 67203-6023 Dentist/HealthCare Industry Check $125.00

11/19/2009 Nelson, Kenneth W 1919 N Webb Rd Wichita, KS 67206-3405 Dentist/HealthCare Industry Check $125.00

11/19/2009 Burton, Daniel A 2195 Hillside St Wichita, KS 67211-2128 Dentist/HealthCare Industry Check $125.00

11/19/2009 Watson, William RJr 3535 ECentral Ave Wichita, KS 67208-3231 Dentist/HealthCare Industry Check $125.00

11/19/2009 Foley, Thomas J 3213 N RIDGE RD Wichita, KS 67205 Dentist/HealthCare Industry Check $125.00

11/19/2009 Hollingsworth, John G 2814 ECentral Ave ' Wichita, KS 67214-4793 Dentist/HealthCare Industry Check $125.00

11/19/2009 Clark, Jeffrey B 5990 SW 28th St Topeka, KS 66614-2545 Dentist/Heal~hCare Industry - Check $125.00

11/19/2009 Johnson, Frank N 1244 SW Oakley Ave Topeka, KS 66604-1675 Dentist/HealthCare Industry Check $125.00

11/19/2009 Stringer, John J 4301 SW Huntoon St Topeka, KS 66604-1968 Dentist/HealthCare Industry Check $125.00

11/19/2009 Troyer, Dean A 4301 SW Huntoon St Topeka, KS 66604-1964 Dentist/HealthCare Industry Check $125.00

11/19/2009 Jones, Stephen W 3722 N Arkansas Ave Wichita, KS 67204-4053 Dentist/HealthCare Industry Check $125.00

11/19/2009 Hughes, Teresa 5005 W 57th St Roeland Park, KS 66205-2830 Dentist/HealthCare Industry Check $125.00

11/19/2009 Wilson, Steven L 210 E30th Ave Hutchinson, KS 67502-2463 Dentist/HealthCare Industry Check $125.00

11/20/2009 Ohnmacht, Chad A 1701 Williams St Great Bend, KS 67530-2542 Dentist/HealthCare Industry Check $125.00


Page 7 of 13



11/20/2009 Lancaster, Patrick R 132 Huntington Cir Pittsburg, KS 66762-6864 Dentist!HealthCare Industry Check $125.00 11/20/2009 Wells, Jason D 700 S Front St Salina, KS 67401-4919 Dentist/HealthCare Industry Check $125.00 11/20/2009 Smith, Christopher D 1133 College Ave Bldg D Ste 110 Manhattan, KS 66502-2779 Dentist/HealthCare Industry Check $125.00 11/20/2009 Henson, Robert B 700 S Front St Salina, KS 67401-4919 Dentist/HealthCare Industry Check $125.00 11/20/2009 Neuenschwander, Karl W PO Box 258 Hoxie, KS 67740-0258 Dentist!HealthCare Industry Check $125.00

11/20/2009 Lee, Vernon G 415 N Washington Ave lola, KS 66749-2352 Dentist!HealthCare Industry Check $125.00

11/20/2009 Helm, A Martin III 429 N Linden St Belle Plaine, KS 67013-0188 Dentist/HealthCare Industry Check $125.00

11/20/2009 Nielson, Donald C 16500 Indian Creek Pkwy Olathe, KS 66062-1370 Dentist/HealthCare Industry Check $125.00

11/20/2009 Smith, Ned EJr 4510 W 89th St Prairie Vlg, KS 66207-2282 Dentist/HealthCare Industry Check $125.00

11/20/2009 Fain; Douglas W 3700 W 83rd St Shawnee Msn, KS 66208-5121 Dentist/HealthCare Industry Check $125.00

11/20/2009 Bruner, Hugh H Jr 4860 College Blvd Overland Park, KS 66211-1601 Dentist/HealthCare Industry Check $125.00

11/20/2009 Mitchell, Steven G 12148 W 95th St Lenexa, KS 66215-3805 Dentist/HealthCare Industry Check $125.00

11/20/2009 Voorhees, James T 7313 Oakview St Shawnee, KS 66216-5527 Dentist/HealthCare Industry Check $125.00

11/20/2009 Anderson, Kenneth R 132 N WestSt Wichita, KS 67203-1246 Dentist!HealthCare Industry Check $125.00

11/20/2009 Wakim, Antoine 710 N Woodchuck St Wichita, KS 67212-3628 Dentist/HealthCare Industry Check $100.00

11/20/2009 Katzer, Ronald L PO Box 147 Auburn, KS 66402-0147 Dentist/HealthCare Industry Check $125.00

11/20/2009 Schutte, R L 3400 College Blvd Ste 203 Leawood, KS 66211-1917 Dentist/HealthCare Industry Check $125.00

11/20/2009 Browning, Sarah R 4901 SW Davis Rd Topeka, KS 66610-9613 Dentist/HealthCare Industry VISA $125.00

11/20/2009 Browning, Michael P 12935 SW 57th St Topeka, KS 66610-9150 Dentist!HealthCare Industry VISA $125.00

11/20/2009 Gill, Carissa M 122 E Lincoln Ave Wellington, KS 67152-3045 Dentist!HealthCare Industry VISA $125.00

11/20/2009 Erickson, Mark 122 East Lincoln Wellington, KS 67152-3045 Dentist/HealthCare Industry VISA $125.00

11/20/2009 Bulleigh, Chad A 22046 W 66th St Shawnee, KS 66226-3500 Dentist/HealthCare Industry VISA $125.00

11/20/2009 Armfield, Mark H 2814 Ohio St Augusta, KS 67010-2361 Dentist/HealthCare Industry VISA $125.00

11/20/2009 Armfield, Melodee R 2814 Ohio St Augusta, KS 67010-2361 Dentist/HealthCare Industry VISA $125.00

11/20/2009 Loehr, Joan C 1230 N Broadmoor Ave Wichita, KS 67206-3891 Dentist/HealthCare Industry VISA $125.00

11/20/2009 SWift, Julie C 634 SW Mulvane St Topeka, KS 66606-1678 Dentist/HealthCare Industry VISA $125.00

11/23/2009 Rohr, Kate E 9100 E 29th St N Wichita, KS 67226-2177 Dentist!HealthCare Industry Check $125.00

11/23/2009 Johnson, Michael E 9100 E 29th St N Wichita, KS 67226-2177 Dentist!HealthCare Industry Check $125.00 ~-

11/23/2009 Reed, Cynthia A 1502 E Iron Ave Salina, KS 67401-3260 Dentist/HealthCare Industry Check $125.00

11/23/2009 Miller, William A 305 W Main St Hill City, KS 67642-1927 Dentist/HealthCare Industry Check $125.00

11/23/2009 Wilson, Thomas K 520 SSanta Fe Ave Salina, KS 67401-4190 Dentist/HealthCare Industry Check $125.00

11/23/2009 Kohlhorst, Justin R 911 N Main St Garden City, KS 67846-5561 Dentist/HealthCare Industry Check $125.00


Page 8 of 13



11/23/2009 Prater, Nick A 13095 S Mur Len Rd Olathe, KS 66062-1230 Dentist/HealthCare Industry Check $125.00 11/23/2009 Toombs, Kelly H 3700 W 83rd St Prairie Village, KS 66208-5121 Dentist/HealthCare Industry Check $50.00

11/23/2009 Hemberger, Glenn V 8575 W 110th St Ste 310 Overland Park, KS 66210-2774 Dentist/HealthCare Industry Check $125.00

11/23/2009 Burmaster, Steven F 21900 SWebster St Spring Hill, KS 66083-9609 Dentist/HealthCare Industry Check $125.00

11/23/2009 Rohr, Steven A 6505 E Harry St Wichita, KS 67207-2905 Dentist/HealthCare Industry Check $125.00

11/23/2009 Mason, Ted 0 201 SArmour St Wichita, KS 67207-1065 Dentist/HealthCare Industry Check $250.00

11/23/2009 Frankenbery, Todd 9100 E 29th St N Wichita, KS 67226-2177 Dentist/HealthCare Industry Check $125.00

11/23/2009 Darnall, Richard T 2201 SW Westport Dr Topeka, KS 66614-1914 Dentist/HealthCare Industry Check $375.00

11/23/2009 Hamilton, Scott 0 2235 SW Westport Dr Topeka, KS 66614-1945 Dentist!HealthCare Industry Check $125.00

11/23/2009 Wilson, Donald C 2235 SW Westport Dr Topeka, KS 66614-1945 Dentist!HealthCare Industry Check $125.00

11/24/2009 McFadden, Richard I 2010 La Mesa Dr Dodge City, KS 67801-6426 Dentist/Hea/thCare Industry Check $125.00

11/24/2009 Newkirk, Nealy A 4137 Wimbledon Dr Lawrence, KS 66047-2032 Dentist/HealthCare Industry Check $125.00

11/24/2009 Hartman, William E 13031 Kansas Ave Bonner Springs, KS 66012-9206 Dentist/HealthCare Industry Check $125.00

11/24/2009 Burnett, Rita M 155 S 18th St Kansas City, KS 66102-5642 Dentist/HealthCare Industry Check $125.00

11/24/2009 Johns, Robert A 11225 Nail Ave Leawood, KS 66211-1669 Dentist/HealthCare Industry Check $125.00

11/24/2009 Herwig, Robert V 11900 W 87th Street Pkwy Ste 260 Lenexa, KS 66215-4517 Dentist!HealthCare Industry Check $125.00

11/24/2009 Hatutian, Gary Z 8605 College Blvd Overland Park, KS 66210-1835 Dentist/HealthCare Industry Check $125.00

11/24/2009 Greenhalgh, Dallan E 6302 Monrovia St Shawnee, KS 66216-2559 Dentist/HealthCare Industry Check $8.00

11/24/2009 Davis, Lawrence H 3001 ECentral Ave Wichita, KS 67214-4814 Dentist/HealthCare Industry Check $250.00

11/24/2009 Exon, Robert A 1919 SW 10th Ave Topeka, KS 66604-1425 Dentist/HealthCare Industry Check $125.00

11/30/2009 McAllister, Dennis C 1700 EJames Derby, KS 67037-0207 Dentist!HealthCare Industry Check $125.00

11/30/2009 Marrs, Tyson E 3700 W 83rd St Prairie Village, KS 66208-5120 Dentist/HealthCare Industry Check $125.00

11/30/2009 Tindall, Mark C 1133 College Ave Ste 0-200 Manhattan, KS 66502-2770 Dentist/HealthCare Industry Check $225.00

11/30/2009 O'Hara, Earl M 807 E. Prescott Rd Salina, KS 67401-7412 Dentist/HealthCare Industry Check $125.00

11/30/2009 O'Hara, Gary E 807 E Prescott Rd Salina, KS 67401-7412 Dentist/HealthCare Industry Check $125.00

11/30/2009 Sekavec, Jay G 19710 Four Winds Way Monument, CO 80132-9308 Dentist!HealthCare Industry Check $125.00

11/30/2009 Williams, David W 2300 N 14th Ave Dodge City, KS 67801-2367 Dentist/HealthCare Industry Check $125.00

11/30/2009 Whitlow, William R 2301 N Waldron St Hutchinson, KS 67502-1133 Dentist/HealthCare Industry Check $125.00

11/30/2009 Huyett, Laura J 4627 Shawnee Dr Kansas City, KS 66106-3648 Dentist/HealthCare Industry Check $125.00

11/30/2009 Green, Steven 0 8919 Parallel Pkwy Kansas City, KS 66112-1636 Dentist/HealthCare Industry Check $125.00

11/30/2009 Collier, Kirk C 3700 W 83rd St Shawnee Msn, KS 66208-5121 Dentist/HealthCare Industry Check $125.00

11/30/2009 Schugel, Thomas J 3700 W 83rd St Shawnee Msn, KS 66208-5121 Dentist/HealthCare Industry Check $125.00


Page 9 of 13



i 11/30/2009 Hechler, Steven L 12800 Metcalf Ave Overland Park, KS 66213-2622 Dentist/HealthCare Industry Check $125.00

11/30/2009 McCullough, Pamela R 229 N Main St Newton, KS 67114-3442 Dentist/HealthCare Industry Check $125.00

11/30/2009 Meng, Sara 3455 W 13th St N Wichita, KS 67203-4500 Dentist/HealthCare Industry Check $125.00

11/30/2009 Mettman, Wendell J PO Box 207 Derby, KS 67037-0207 Dentist/HealthCare Industry Check $125.00

11/30/2009 Lahey, Thomas Jr 106 N Glendale St Wichita, KS 67208-4021 Dentist/HealthCare Industry Check $125.00

11/30/2009 Squire, Charles F 555 N Ca rriage Pkwy Wichita, KS 67208-4506 Dentist/HealthCare Industry Check $125.00

11/30/2009 Manuel, John L 786 N Ridge Rd Wichita, KS 67212-3325 Dentist/HealthCare Industry Check $125.00

11/30/2009 Nelsen, Brent E 1120 N RDck Rd Ste 100 Derby, KS 67037-3587 Dentist/HealthCare Industry Check $125.00

11/30/2009 Lohse, Robert R Jr 5100 SW 28th St Topeka, KS 66614-2321 Dentist/HealthCare Industry Check $125.00

12/1/2009 Hildebrand, Ross A 3822 6th St Great Bend, KS 67530-9733 Dentist/HealthCare Industry Check $125.00

12/1/2009 Riekhof, Alison I 4939 Norwood St Westwood, KS 66205 Dentist/HealthCare Industry Check $125.00

12/1/2009 Kincaid, Charles 306 E 23rd St Lawrence, KS 66046-0745 Dentist/HealthCare Industry Check $125.00

12/1/2009 Huerter, Gerard W Jr 8919 Parallel Pkwy Ste 450 Kansas City, KS 66112-1655 Dentist/HealthCare Industry Check $125.00

12/1/2009 Hullings, Jon G 1700 N Waterfront Pkwy Bldg 700 Wichita, KS 67206-6636 Dentist/HealthCare Industry Check $125.00

12/3/2009 Puckett, Todd T 8919 Parallel Pkwy Ste 480 Kansas City, KS 66112-3629 Dentist/HealthCare Industry Check $125.00

12/3/2009 Barth, Jason L 833 S Santa Fe Ave Salina, KS 67401-4946 Dentist/HealthCare Industry Check $125.00

'12/3/2009 Knapp, William L Jr 130 E Lincoln Ave Lincoln, KS 67455-0388 Dentist/HealthCare Industry Check $125.00

12/3/2009 Harris, Michael P 218 E Fulton Ter Garden City, KS 67846-6151 Dentist/HealthCare Industry Check $125.00

12/3/2009 Brown, Gary L 9 E Wall St Fort Scott, KS 66701-1422 Dentist/HealthCare Industry Check $125.00

12/3/2009 Paoni, Christopher J 106 S Ozark St Girard, KS 66743-1530 Dentist/HealthCare Industry Check $125.00

12/3/2009 Small, Harold A 3 S Main St Caldwell, KS 67022-1531 Dentist/HealthCare Industry Check $125.00

12/3/2009 Van Horn, Keith D 2210 YaleRd Lawrence, KS 66049-2647 Dentist/HealthCare Industry Check $125.00

12/3/2009 Krische, Matthew F 2210 Yale Rd Lawrence, KS 66049"2647 Dentist/HealthCare Industry Check $125.00

12/3/2009 Fales, John T Jr 13496 S Arapaho Dr Olathe, KS 66062-1553 Dentist/HealthCare Industry Check $125.00

12/3/2009 Grubiss, Frederick C 4720 RainbDw Blvd Mission, KS 66205-1831 Dentist/HealthCare Industry Check $125.00

12/3/2009 Russell, Thomas L 5125 Roe Blvd Roeland Park, KS 66205-2358 Dentist/HealthCare Industry Check $125.00

12/3/2009 Anderson, Lance E 9415 E Harry St Wichita, KS 67207-5072 Dentist/HealthCare Industry Check $125.00

12/3/2009 Gagnon, John D 3510 N Ridge Rd Wichita, KS 67205-1224 Dentist/HealthCare Industry Check $125.00

12/3/2009 Christensen, Kevin K 2860 S Seneca St Wichita, KS 67217-2865 Dentist/HealthCare Industry Check $125.00

12/8/2009 Chaloupek, Elizabeth A 32889 SW 45th Rd Beatrice, NE 68310-7779 Dentist/HealthCare Industry Check $125.00

12/8/2009 Davenport, Justin M 14506 Hemlock St Overland Park, KS 66223-3313 Dentist/HealthCare Industry Check $125.00

12/8/2009 Rupp, Jasmin S 232 N Seneca St Wichita, KS 67203-6023 Dentist/HealthCare Industry Check $125.00


Page 10 of 13



12/8/2009 Stevens, Roger L 1110 Westport Dr Manhattan, KS 66502-2859 Dentist/HealthCare Industry Check $125.00 12/8/2009 Johnston, Bruce M 2300 N 14th Ave Dodge City, KS 67801-2367 Dentist/HealthCare Industry Check $125.00 12/8/2009 Blaich, Gary D 1509 W 4th St Coffeyville, KS 67337-3307 Dentist/HealthCare Industry Check $125.00

12/8/2009 Siebrasse, Jon D 2300 Main St Parsons, KS 67357-2724 Dentist/HealthCare Industry Check $125.00

12/8/2009 Ranjbar, Nader D 4828 Quail Crest PI Lawrence, KS 66049-3838 Dentist/HealthCare Industry Check $125.00

12/8/2009 Fry, Robert W 12340 S ptlumm Rd Olathe, KS 66062-9601 Dentist!HealthCare Industry Check $125.00

12/8/2009 Resch, Guy R 205 E12th Ave EI Dorado, KS 67042-4322 Dentist/HealthCare Industry Check $125.00

12/8/2009 MayeJ, Don R 215 S Hillside St Wichita, KS 67211-2128 Dentist/HealthCare Industry Check $125.00

12/8/2009 Moxley, Mark A 825 S Hillside St Wichita, KS 67211-3005 Dentist/HealthCare Industry Check $125.00

12/8/2009 Abay, Emeline B 3305 E Douglas Ave Wichita, KS 67218-1025 Dentist/HealthCare Industry Check $125.00

12/8/2009 Detmer, Margaret A 8404 W 13th St N Wichita, KS 67212-2978 Dentist/HealthCare Industry Check $125.00

12/8/2009 Rack, Michael P 309 SW Topeka Blvd Topeka, KS 66603-3061 Dentist/HealthCare Industry Check $125.00

12/8/2009 Edwards, Melissa A 434 Main Street Gardner, KS 66030 Dentist/HealthCare Industry Check $125.00

12/14/2009 Keltner, Corwin J 1133 E Kansas Ave Garden City, KS 67846-5864 Dentist/HealthCare Industry Check $125.00

12/14/2009 Bucher, William E 975 N Mur Len Rd Ste B Olathe, KS 66062-1803 Dentist/HealthCare Industry Check $125.00

12/14/2009 Martin, Alan J 6130 Nieman Rd Shawnee, KS 66203-2940 Dentist/HealthCare Industry Check $125.00

12/14/2009 Martin, Philip H 6130 Nieman Rd Shawnee, KS 66203-2940 Dentist/HealthCare Industry Check $125.00

12/14/2009 Martin, Steven K 6130 Nieman Rd Shawnee, KS 66203-2940 Dentist/HealthCare Industry Check $125.00

12/14/2009 Moody, Robert M 302 W 3rd St Eureka, KS 67045-1404 Dentist/HealthCare Industry Check $125.00

12/14/2009 Wagle, Jason E 825 S Hillside St Wichita, KS 67211-3005 Dentist!HealthCare Industry Check $125.00

12/14/2009 Callanan, Karen M 3500 N Rock Rd Bldg 2200, Ste 101 Wichita, KS 67226-1341 Dentist/HealthCare Industry Check $125.00

12/15/2009 Hansen, Kenneth A 100 NW 2nd St Abilene, KS 67410-2649 Dentist/HealthCare Industry Check $125.00

12/15/2009 Kimes, Charles 8100 Marty St Ste 111 Overland Park, KS 66204-3738 Dentist/HealthCare Industry Check $135.00

12/15/2009 Faerber, John S 4121 W 83rd St Ste 245 Prairie Vlg, KS 66208-5303 Dentist/HealthCare Industry Check $125.00

12/15/2009 Twietmeyer, Steven F 3920 W 31st St S Wichita, KS 67217-1112 Dentist/HealthCare Industry Check $125.00

12/16/2009 Imel, Terry L 504 Main St Goodland, KS 67735-1842 Dentist/HealthCare Industry VISA $125.00

12/16/2009 Murray-Clary, Anita C 6231 SW 29th St Ste 100 Topeka, KS 66614-4549 Dentist!HealthCare Industry VISA $250.00

12/17/2009 Hunt, Dalton L PO Box 571 Buhler, KS 67522-0571 Dentist/HealthCare Industry Check $125.00

12/17/2009 Lowe, Matthew C 2711 S Rouse St Ste A Pittsburg, KS 66762-6621 Dentist/HealthCare Industry Check $125.00

12/17/2009 Pierce, Steven J 8615 Rosehill Rd Lenexa, KS 66215-2867 Dentist/HealthCare Industry Check $125.00

12/17/2009 Klein, Michael S 8631 W 150th St Ste 102 Overland Park, KS 66223-2974 Dentist/HealthCare Industry Check $250.00

12/17/2009 Windle, Caren 9339 E 21st St N Ste 200 Wichita, KS 67206-2973 Dentist!HealthCare Industry Check $125.00


Page 11 of 13



12/17/2009 Pierson, Charles 9339 E21st St N Wichita, KS 67206-2971 Dentist/HealthCare Industry Check $125.00 12/22/2009 Torres, John M 651 Country Acres Wichita, KS 67212-3574 Dentist/HealthCare Industry VISA $125.00 12/23/2009 Wuthnow, Lynn R 1615 E Iron Ave Salina, KS 67401-3237 Dentist/HealthCare Industry Check $125.00

12/23/2009 Dunekack, Tatum L 2124 Washington St Great Bend, KS 67530-2453 Dentist!HealthCare Industry Check $125.00

12/23/2009 Milford, Michael L 200 W Ross Blvd Dodge City, KS 67801-7296 Dentist/HealthCare Industry Check $125.00

12/23/2009 Barton, John P III 615 Holiday Plz Lansing, KS 66043-1307 Dentist/HealthCare Industry Check $125.00

12/23/2009 Mendez, Albert 1510 N Broadway St Pittsburg, KS 66762-3020 Dentist/HealthCare Industry Check $125.00

12/23/2009 Epler, Steven D 1010 N Green St Yates Center, KS 66783-1130 Dentist/HealthCare Industry Check $50.00

12/23/2009 Burgmeier, Ronald J 13025 S Mur Len Rd Ste 250 Olathe, KS 66062-1230 Dentist!HealthCare Industry Check $125.00

12/23/2009 Okerstrom, Jack G 7902 Quivira Rd Lenexa, KS 66215-2733 Dentist/HealthCare Industry Check $125.00

12/23/2009 Farha, Vincent T 500 N Georgie Ave Derby, KS 67037-1706 Dentist/HealthCare Industry Check $125.00

12/23/2009 Landreth, Estel L 4620 E Douglas Ave Wichita, KS 67208-3930 Dentist/HealthCare Industry Check $125.00

12/23/2009 Fankhauser, Thomas D 8150 E Douglas Ave Wichita, KS 67206-2390 Dentist!HealthCare Industry Check $125.00

12/23/2009 Johnson, Greg 1271 SW Woodhull St Topeka, KS 66604-1849 Dentist!HealthCare Industry Check $125.00

12/30/2009 Dhameja, Amit 1919 N Webb Rd Wichita, KS 67206-3405 Dentist/HealthCare Industry Check $125.00

12/30/2009 Robertson, Matthew E 2054 Stephen Ct Manhattan, KS 66503-7590 Dentist/HealthCare Industry Check $125.00

12/30/2009 Bycroft, Barton G 1111 Parkwood Dr Salina, KS 67401-6673 Dentist/HealthCare Industry Check $125.00

12/30/2009 Peterson, Erik J PO Box 311 Lindsborg, KS 67456-0311 Dentist/HealthCare Industry Check $125.00

12/30/2009 Bowman, David A 713 Main St Seneca, KS 66538-1931 Dentist/HealthCare Industry Check $125.00

12/30/2009 Wiklund, Theodore P III 2210 Yale Rd Lawrence, KS 66049-2647 Dentist/HealthCare Industry Check $125.00

12/30/2009 Tally, J Brad 13650 Roe Blvd Leawood, KS 66224-3757 Dentist/HealthCare Industry Check $125.00

12/30/2009 Kirn, Dean F 16637 Midland Dr Shawnee, KS 66217-3042 Dentist/HealthCare Industry Check $125.00

12/30/2009 Bates, Steven R 503 Elm St, Ste 1 Wamego, KS 66547-0026 Dentist!HealthCare Industry Check $125.00

12/30/2009 Hall, Mark K 5225 SW 7th St Topeka, KS 66606-2329 Dentist/HealthCare Industry Check $125.00

12/30/2009 Ace, Gary L 1505 W 12th Ave Emporia, KS 66801-2457 Dentist!HealthCare Industry Check $125.00

12/30/2009 Tull, Gregory T 12541 Foster St Ste 330 Overland Park, KS 66213-2301 Dentist/HealthCare Industry Check $125.00

12/31/2009 McKnight, John H 4500 S4th St Leavenworth, KS 66048-5041 Dentist/HealthCare Industry VISA $250.00

12/31/2009 Wilkerson, Brian C 831 Vermont St Lawrence, KS 66044-2665 Dentist/HealthCare Industry VISA $125.00

12/31/2009 Roberts, John M 12023 W Hardtner Ct Wichita, KS 67235 Dentist/HealthCare Industry VISA $125.00

12/31/2009 Hurn-McKinley, Kimberly M Rt 2, Box 75 Norton, KS 67654-9465 Dentist/HealthCare Industry Check $125.00

12/31/2009 Julian, Jon M 700 N Maple St Mc Pherson, KS 67460-3325 Dentist/HealthCare Industry Check $125.00

12/31/2009 Hamel, David L 1200 Broadway Marysville, KS 66508-0109 Dentist/HealthCare Industry Check $125.00


Page 12 of 13



12/31/2009 Bette, Thomas H

12/31/2009 Gregg, Harold M

12/31/2009 Dillehay, James K

301 N Main St

301 N Main St

1821 N Rock Rd

Newton, KS 67114-3444

Newton, KS 67114-3444


Dentist/HealthCare Industry



Check

Check

Check

$125.00 $125.00

$125.00

12/31/2009 Mike Burgess 2610 SW Gainsboro Topeka, KS 66614

Stale Dated Check House

of Representative ck

issued 9/15/08 Check $250.00

12/31/2009 Gail Finney 1754 N. Madison St Wichita, KS 67214

Stale Dated Check House

of Representative ck

issued 7/18/08 Check

Subtotal This Page

$250.00

$875.00

Total Itemized Receipts for Period $49,770.75

Total Unitemized Contributions ($50 or less) 0

0

0

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

Total receipts this period (TO LINE 2 OF Summary) $49,770.75

Page 13 of 13

Schedule C Expenditures and other Disbursements


Date Name Street City State Zip Purpose Amount

09/29/2009 Kansas for a Democratic House Camp Contribribution 500.00

12/28/2009 Grant for House of Representatives 407 W Magnolia Cherokee KS 66724 Camp Contribribution 250.00

12/28/2009 Proehl for House of Representatives 510 Pine Ridge Rd Parsons KS 67357 Camp Contribribution 250.00

12/28/2009 Otto for House of Representatives 1029th LeRoy KS 66857 Camp Contribribution 250.00

12/28/2009 Peck for House of Representatives Box 277 Tyro KS 67364 Camp Contribribution 250.00

12128/2009 Siegfreid for House of Representatives 1403 W Prairie Terr Olathe KS 66061 Camp Contribribution 250.00

12/28/2009 Quigley for House of Representatives 13112 W 84th Street Lenexa KS 66215 Camp Contribribution 250.00

12/28/2009 Neighbor for House of Rep 10405 W 52nd Terrace Shawnee KS 66203 Camp Contribribution 250.00

12128/2009 Furtado for House of Representatives 10104 Hemlock Drive Overland Park KS 66212 Camp Contribribution 250.00

12/28/2009 Benlon for House of Representatives 8725 W 79th SI. Overland Park KS 66204 Camp Contribribution 250.00

12/28/2009 Slattery for House of Representatives 5015 Reeds Rd Mission KS 66049 Camp Contribribution 250.00

12/28/2009 Olson for House of Representatives 19050 W 161st St Olathe KS 66062 Camp Contribribution 250.00

12/28/2009 Merrick for House of Representatives 6874 West 164th Terr Stilwell KS 66085 Camp Contribribution 250.00

12/28/2009 Burroughs for House of Representatives 3131 S. 73rd Terr Kansas City KS 66106 Camp Contribribution 250.00

12/28/2009 Brown for House of Representatives 799 E 2200 Rd Eudora KS 66025 Camp Contribribution 250.00

12/28/2009 Davis for House of Represnetatives 1731 Indiana Lawrence KS 66044 Camp Contribribution ·250.00

12/28/2009 Schwab for House of Representatives 14953 West 140th Terr Olathe KS 66062 Camp Contribribution 250.00

12/28/2009 Gordon for House of Representatives 5820 SW 27th St Topeka KS 66614 Camp Contribribution 250.00

12128/2009 Hill for House of Representatives 1720 Luther Emporia KS 66801 Camp Contribribution 250.00

12/28/2009 Henry for House of Representatives 3515 Neosho Rd Cummings KS 66016 Camp Contribribution 250.00

12128/2009 Craft for House of Representatives POBox 1767 Junction City KS 66441 Camp Contribribution 250.00

12/28/2009 Shultz for House of Representatives 707 Washington Cir Lindsborg KS 67456 Camp Contribribution 250.00

12/28/2009 Schroeder for House of Representatives 708 Charles St Hesston KS 67062 Camp Contribribution 250.00

12/28/2009 Mast for House of Representatives 765 Road 110 Emporia KS 66801 Camp Contribribution 250.00

12/28/2009 Crum for House of Representatives 2903 Lakeshore Dr. Augusta KS 67010 Camp Contribribution 250.00

12128/2009 Trimmer for House of Representatives 1402 E 9th Winfield KS 67156 Camp Contribribution 250.00

12/28/2009 DeGraaf for House of Representatives 1545 E 119th Mulvane KS 67110 Camp Contribribution 250.00

12/28/2009 Finney for House of Representatives 1754 N. Madison St Wichita KS 67214 Camp Contribribution 250.00

12/28/2009 Ward, Jim for House of Representatives 3100 E Clark Wichita KS 67211 Camp Contribribution 250.00

12/28/2009 Landwehr for House of Representatives 2837 N Edwards Wichita KS 67204 Camp Contribribution 250.00

Subtotal This Page 7,750.00

Page 1 of 3

Expenditures and other Disbursements Kansas Dental Political Action Committee

12/28/2009 Dil/more for House of Representatives 1102 Jefferson St Wichita KS 67203 Camp Contribribution 250.00

12/28/2009 Hermanson for House of Representatives 5338 S Mosley Wichita KS 67216 Camp Contribribution 250.00

12/28/2009 Swenson for House of Representatives 3351 S McComas Wichita KS 67217 Camp Contribribution 250.00

12/28/2009 Flaharty for House of Representatives 1816 E Fernwood Wichita KS 67216 Camp Contribribution 250.00

12/28/2009 Goico for House of Representatives 1254 N Pine GroveCt Wichita KS 67212 Camp Contribribution 250.00

12/28/2009 O'Neal for House of Representatives 8 Windemere Ct Hutchinson KS 67502 Camp Contribribution 250.00

12/28/2009 Svaty, D for House of Representatives 1355 Hwy 156 Ellsworth KS 67439 Camp Contribribution 250.00

12/28/2009 Watkins for House of Representatives 6525 W Northwind St Wichita KS 67205 Camp Contribribution 250.00

12/28/2009 Phelps for House of Representatives 3103 Olympic Lane Hays KS 67601 Camp Contribribution 250.00

12/28/2009 Bethell for House of Representatives 104 E 3rd Alden KS 67512 Camp Contribribution 250.00

12/28/2009 Neufeld for House of Representatives 740515 Road Ingalls KS 67853 Camp Contribribution 250.00

12/28/2009 Morrison, Jim for House of Representative #3 Cottonwood Dr Colby KS 67701 Camp Contribribution 250.00

12/28/2009 Hyazlett for House of Representatives PO Box 66 Lakin KS 67860 Camp Contribribution 250.00

11/17/2009 Senate Republican Leadership Committee POBox 1772 Topeka KS 66601 Camp Contribribution 500.00

12/10/2009 Kansas Republican Senatorial Committee POBox 2663 Topeka KS 66601 Camp Contribribution 1.000.00

12/28/2009 Francisco for Senate 1101 Ohio SI. Lawrence KS 66044 Camp Contribribution 250.00

12/28/2009 Holland for Senate 961 E 1600 Rd Baldwin City KS 66006 Camp Contribribution 250.00

12/28/2009 Haley for Senate 936 Cleveland Ave. Kansas City KS 66101 Camp Contribribution 250.00

12/28/2009 Steineger for Senate 51 South 64th St Kansas City KS 66111 Camp Contribribution 250.00

12/28/2009 Pilcher-Cook for Senate 13910 West 58 Place Shawnee KS 66216 Camp Contribribution 250.00

12/28/2009 Vratil for Senate 9534 Lee Blvd Leawood KS 66206 Camp Contribribution 250.00

12/28/2009 Schmidt for Senate PO Box 747 Independence KS 67301 Camp Contribribution 250.00

12/28/2009 Masterson for Senate PO Box 424 Andover KS 67002 Camp Contribribution 250.00

12/28/2009 Barnett for Senate 1400 Lincoln Emporia KS 66801 Camp Contribribution 250.00

12/28/2009 Kelly for Senate 234 SW Greenwood Ave Topeka KS 66606 Camp Contribribution 250.00

12/28/2009 Hensley for Senate Hensley for Senate Topeka KS 66605 Camp Contribribution 250.00

12/28/2009 Schmidt, V for Senate 5906 SW 43rd Ct Topeka KS 66610 Camp Contribribution 250.00

12/28/2009 Taddiken for Senate 2614 Hackberry Rd. Clifton KS 66937 Camp Contribribution 250.00

12/28/2009 Reitz for Senate . 1332 Sharingbrook Manhattan KS 66503 Camp Contribribution 250.00

12/28/2009 Brownlee for Senate 14725 S Chalet Dr Olathe KS 66062 Camp Contribribution 250.00

12/28/2009 Brungardt for Senate 522 Fairdale Rd Salina KS 67401 Camp Contribribution 250.00

Subtotal This Page 8,750.00

Schedule C Expenditures and other Disbursements


12/28/2009 Kelsey for Senate 24047 W MacAruthur Goddard KS 67052 Camp Contribribution 250.00

12/28/2009 Wagle for Senate 4 Sagebrush Wichita KS 67230 Camp Contribribution 250.00

12/28/2009 McGinn for Senate 11047 N 87th W Sedgwick KS 67135 Camp Contribribution 250.00

12/28/2009 Teichman for Senate 434 E Old Hwy 50 Stafford KS 67578 Camp Contribribution 250.00

12/28/2009 Colyer for Senate 7001 W 121st St Overland Park KS 66209 Camp Contribribulion 250.00

12/28/2009 Morris, Steve for Senate 600 Trindle St Hugoton KS 67951 Camp Contribribution 250.00

12/28/2009 The Senate Democrats POBox 1811 Topeka KS 66601 Camp Contribribution 1,000.00

07/29/2009 McKinney for State Treasurer 1220 S Main Greensburg KS 67054 Camp Contribribution 1,000.00

07/29/2009 Six for Attorney General PO Box 478 Topeka KS 66601 Camp Cr;>ntribribution 1,000.00

11/23/2009 Brownback for Governor, Inc PO Box 3739 Topeka KS 66604 Camp Contribribution 2,000.00

12/10/2009 Schmidt for Attorney General PO Box 747 Independence KS 67301 Camp Contribribution 1,000.00

06/30/2009 Kansas Dental Assoc 5200 SW Huntoon Topeka KS 66604 Washington Leadership Conference 2,614.74

07/20/2009 Kansas Governmental Ethics Commission 109 SW 9th St, Ste 504 Topeka KS 66612 Annaul Registration Fee 240.00

Subtotal This Page . 10,354.74

Total Itemized Expenditures This Period $26,854.74

Total Unitemized Expenditures of $50 or less $0.00

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary) $26,854.74

./

Page 3 of 3

ECEIPTS AND EXPENDITURES REPORT FtlEO -...

Documents

Transcript of ECEIPTS AND EXPENDITURES REPORT FtlEO -...