KANSAS GOVERNMENTAL ETHICS COMMIS~N 'S'C ...ethics.ks.gov/CFAScanned/House/2008ElecCycle/... · oct...
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Oct 27 08 04:20p R Michael Beatty . 7858252149 p.1 KANSAS GOVERNMENTAL ETHICS RECEIPTS AND EXPENDITURES REPORT , OFACANDIDATEFORSTATEOFFICE Go °Cl ? 1 ''v October 27, 2008 <'OUe ,, Co FILE WiTH SECRETARY OF STATE ANT> CANDIDATE'S COUNTY SEE REVERSE SIDE FOR INSTRUCTIONS '" A. _ Address: 3 Crestview Dr City and Zip COde:._S_3_li_n_a_6_7_4_0_1 _ County: Sa line Office Sought: Representative District: 71 st ------ B. Check only if appropriate: _'__ Amended Filing __ Termination Report C. Summary (covering the period from July 25,2008 through October 23,2008) 1. Cash on hand at beginning of period : . 13361.72 2. Total Contributions and Other Receipts (Use Schedule A) . 3. Cash available this period (Add Liries 1 and 2) .. 33656.72 4. Total Expenditures and Other Disbursements (Use Schedule C) .. 13601.21 5. Cash on hand at'close of period (Subtract Line 4 from 3) .. 20055.51 6. In-Kind Contributions (Use Schedule B) .00 7. Other Transactions (Use Schedule D) ...... :_ ...... .00 D. "1 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." f(,. / 7vue j Signature ./ GEe Form Rev, 2001
Transcript of KANSAS GOVERNMENTAL ETHICS COMMIS~N 'S'C ...ethics.ks.gov/CFAScanned/House/2008ElecCycle/... · oct...
Oct 27 08 04:20p R Michael Beatty . 7858252149 p.1
KANSAS GOVERNMENTAL ETHICS COMMIS~N
RECEIPTS AND EXPENDITURES REPORT 'S'C~; , OFACANDIDATEFORSTATEOFFICE Go °Cl 'JV~i"~
~'" ? 1 ''vOctober 27, 2008 J"~O:~!<J/~IL. <'OUe
, , ~Jc.is}-S~/~ Co
FILE WiTH SECRETARY OF STATE ANT> CANDIDATE'S COUNTY ELEC~~JCER SEE REVERSE SIDE FOR INSTRUCTIONS '~1<J '"
A. ~eofCm~~:_C_h_a_r_le_s_B_._R_o_ili ~ _
Address: 3 Crestview Dr
City and Zip COde:._S_3_li_n_a_6_7_4_0_1 _ County: Sa line
Office Sought: Representative District: 71 st -----
B. Check only if appropriate: _'__ Amended Filing __ Termination Report
C. Summary (covering the period from July 25,2008 through October 23,2008)
1. Cash on hand at beginning ofperiod : . 13361.72
2. Total Contributions and Other Receipts (Use Schedule A) . 202~5.00
3. Cash available this period (Add Liries 1 and 2) .. 33656.72
4. Total Expenditures and Other Disbursements (Use Schedule C) .. 13601.21
5. Cash on hand at'close of period (Subtract Line 4 from 3) .. 20055.51
6. In-Kind Contributions (Use Schedule B) .00
7. Other Transactions (Use Schedule D) ......:_...... .00
D. "1 declare that this report, including any accompanying schedules and statements, has been examined by me and to the best ofmy 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."
f(,. /h:~L / ~~. 7vue j Signature o~n;asU;ef ./
GEe Form Rev, 2001
Oct 27 08 04:21 p R Michael Beatty 7858252149 p.4
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Charles B. Roth
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving M'ore
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cuh Cbock LOBI! Oth.er
7/28/08 Phil Ruffin POBox 17087 Wichita. KS 67217
Businessman ,f $200.00
7128/08 Helen Graves 628 Windsong Salina, Ks 67401
Investments ,f $500.00
7/28/08 Kansas Medical Society Political Action Council 23 SW 10th Ave.Topeka, Ks 6661
./ $500.00
8/4/08 Chesapeake Energy Corporation PO Box 18496 Oklahoma City. OK 73101
,f $100.00
8/11/08 Anheuser-Busch COS, INC One Busch Place St. Louis, MO 63118
,f $250.00
8/17/08 ONEOK Employees PAC PO Box 871 Tulsa, OK 74102
.f $250.00
8/28/08 Mid-Kansas Electric Company PO Box 980 Hays, KS 57601
-~ $350.00
8/29/08 Kansans For Lifesaving Cures PO Box 1141 Lawrence, Ks 66044-1141 .f $500.00
9/5108 Connie Achterberg 132 Overhill Rd Salina, KS 67401
Attorney
.f 550.00
9/5/0B Robert I. Clubine PO Box 2267 Salina, KS 67402-2287
Accountant
~ $50.00
9/5/08 The Boeing Company POBox 7730 Wichita, KS 67277-7730
~ $200.00
Subtotal This Page $2,950.00
Page _1_ of__
Oct 27 08 04:21 p R Michael Beatty 7858252149 p.5
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Charles B. Roth
(Name of Candidatc)
Date
Name and Address of ContribulOr
occupation & Industry of Individual Giving More
Than 5150
Check Appropriate BOll
Amount of Cash, Check,
Loan or Qtber Receipt
Cub Ctl.rk 1.oaa Orber
9/8/08 Harold Eagleton 2525 Argonne Drive Salina, KS 67401
Retired
.f $25.00
9/8/08 AI and Doris Schwann 1312 Marymount Road Salina. KS 67401
Chairman of Board Schwann's ~ $500.00
9/8/08 A.Jay Andersen 455 Claremont Salina, KS 67401
funeral director - Ryan's .f $50.00.
9/8/08 Dr. David D. Robb POBox 941 Salina. KS 67401
Engineering consultant .f $20.00
9/8/08 Dick and Toni Renfro 2013 Starlight Salina, KS 67401
Investments and banking .f $25.00
9/8/0a Aaron Morrison POBox: 737 Salina, KS 67402-0737
Business Manager-Morrison Ventures .f $250.00
9/8/08 Mark and Ja ne Berkley 2031 Eastbank Lane Salina, KS 67401
Banker - Bank of Tescott
.f l~~· gO $~
9/8/08 Steve Bressler 2522 Flor De So Salina, KS 67401
management consul1ant
'" $50.00
9/8/08 Phil and Carman Guries 2047 Starlight Salina, Ks 67401
Director - YMCA
~ $50.00
9/8/08 Nancy Hampton 835A Fairdale Salina, KS 67401
homemaker
~ $100.00
9/8/08 Babette Freeman 1901 Iron Ave Salina. Ks 67401
homemaker
'" $25.00
Subtola'l This Page $1,~gS.OO
Page _2_ of__
p.6Oct 27 08 04:22p R Michael Beatty 7858252149
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Charles B. Roth
(Name of Candidate)
Date Name and Address
of CODtribu1or
Occup:ltion & Industry of Lndh'idual Giving J\olore
Than S150
Clleck Appropriate Box
Amoullt of Cash, Check,
Loan or Other Receipt
Cull Cl""k Loa. Otb.u
9/8/08 John and Kristin Gunn 2234 Edgetlill Rd Salina, KS 67401
.f $100.00
9/8/08 George Smolich 2107 Fairdale Ct Salina, KS 67401
~ $25.00
9/8/08 MikeSloo 770 Victoria Hts Terrace Salina, Ks 67401
.f $100.00
9/8/08 Bob and Pat Weber 628 Windsong Salina, KS 67401
retired .f $25.00
9/8/08 Tom and Katie Platten 220 S Country Estates Dr Salina, KS 67401
~ $100.00
9/8/08 Robert Hahn 141 Channel Dr Salina, KS 67401
-.f $100.00
9/8/08 SIeve and Lynne Ryan 405 East Park Lane Salina, KS 67401
Funeral Director - Ryan's
~ $250.00
918/08 Shari Caywood POBox 1515 Salina, Ks 67402-1515
Homemaker .f $250.00
9/8/08 Rex and Carol Romeiser 2521 Ror De Sol Salina, Ks 67401
retired
, .f $50.00
9/8/08 Jan and Ron WHeax: 302 Pine Rid Salimi, KS 67401
.f $50.00
9/8/08 Lila Berkley 2333 Melrose Lane Salina, KS 67401
Homemaker
.f $100.00
Subtotal Tbis Page $1,150.00
Page_3 _. of__
Oct 27 08 04:22p R Michael Beatty 7858252149 p.7
Charles B. Roth
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
:
(Name of Candid are)
Date
Name IIncl Address of Contributor
Occupation & Industry or Individual Giving More
Than $150
Cbeck
Approprillte Box Amount of
Cash, Check, Loan or
Othu ReceiptCash Cbock Lo.a Qlbcr
9/8108 Karl F. Ryan 331 Seitz Dr Salina, KS 67401
~ $100.00
9/9/OB Elizabeth Duckers 147 Overhill Rd Salina, KS 67401
.; $25.00
9/9/08 Jack arid Shirley Howard a90 Barlow Ct Salina, KS 67401
~ $50.00
9/9108 James and Eleanore Sullivan 1B3 Foxtail Drive Salina, KS 67401
~ $100.00
919/08 Lawrence and JoAnn Stoskopf 4408 Eas1 Country Estates Circle Salina. KS 67401
~ $100.00
9/9/08 Tom and Maggie Hemmer 214 Greenway Rd Salina, KS 67401
Owner/manager Solomon Corp ~ $500.00
9/9/08 David & Heidi Hendric:l< 300 West Park Lane Salina, KS 67401 ./ $25.00
9/10/08 Dauane Briggs 505 Pine Ridge Drive Salina, KS 67401
~ $50.00
9/10108 Jim and Becky Cram 485 Upper Mill Hts. Drive Salina, Ks 67401
.; $50.00
9/10/08 Kenneth C. Stephenson 143 S. 8th Salina, KS 67401
.{ $50.00
9/10/08 Pete and Rosie Brungardt 522 Fairdale Salina, KS 67401
~ $50.00
Subtotal This Page $1,100.00
Page 4 of
Oct 27 08 04:22p R Michael Beatty 7858252149 p.8
SCHEDULE A CONTRIBUTIONS AJ.~ OTHER RECEIPTS
Charles B. Roth (Name of Candidate)
Date Name and Address
of Contribulor
Occupation & IDdustry of [ndtvidual Ching More
Than $150
Check Appropdate Box
c.,,~ C'.ck Loal! Ol~cr
Amolmt or Casb, Cbeck,
Loan or Other Re(:eipt
9/10/08
9/10108
9/10/08
9110/08
9/10/08
9/1 {)/08
9/10108
John and Karen Mize 21 Crestview Dr Salina, Ks 67401
Suzie Kastner 129 Ovemill Dr Salina, Ks 67401
Ben Vidricksen 1314 Sunrise Dr. Salina, Ks 67401
Julia and Aaron Forrester 1425 Douglas Dr Salina, Ks 67401
Dr. Charles Werhan 835 Fairdale Rd #E salina, Ks 67401
Tom and Tamara Jones 2005 Starlight Dr. Salina, Ks 67401
Rob Pickrell 360 S. Morris Dr. Salina, Ks 67401
I
~
~
.f
.f
.f
.f
./
$50.00
$50.00
$100.00
$20.00
$50.00
$100.00
$75.00
9/1 {)/08
9/10/08
9/10/08
9/11/08
Marcia and Bob Anderson 1914 Springer Ct Salina, Ks 67401
Connie Stevens 1905 Springer Court Salina. Ks 67401
Frank C. Norton 2524 East Magnolia salina, Ks 67401
Phil Coleman 2532 Colonia[ Lane Salina, Ks 67401
.f
.f
.f
.f
$25.00
$100.00
$100.00
$35.00
Subtotal This Page $705.00
Pagc_5 _ oC__
I
Oct 27 08 04:23p R Michael Beatty 7858252149 p.9
SCHEDULE A CONTRlBUTIONS AND OTHER RECEIPTS
Charles B. Roth
(Name ofCandidat~)
Date
Name and AlIdre:l's
of Contributor
OccupatiDD & Industry of Individual Giving More
Than SISU
Check Appropriate 801t
Amount of Cash. Check,
LO:lln or Other Receipt
Cu:' Ch,d: loan Otber
9/11108 Howard Dodge Engleman 43 Rogers Wood San Antinio, 1)( 78248-1643
.f $50.00
9/11108 Paul Webb 28 Crestview Dr. Salina, KS 67401
.f $100.00
9/11/0B James C. Maes 415 Upper Mill Heights Dr .Salina, KS 67401
Comercial Real Estate
.f $250.00
9/11/08 Bob and Mary Exline 208 Greenway Rd Salina, KS 67401
.f $50.00
9/11108 Martha Rhea 1900 Springer Ct Salina, KS 67401
Retired
.f $250.00
9111/08 Darlene Harris 2304 Village Lane Salina, KS 67401
~ $25.00
9/11/08 Matt and Rita Shaffer :23 Crestview Dr. Salina, KS 67401
Physician
./ $100.00
9/11/08 Phyllis Wilbur 2330 Melrose Ln Salina, KS 67401
./ $50.00
9/11/08 Bob and Paula Haworth .913 Twin Oaks Dr Salina, KS 67401
./ $30.00
9/11/08 Aubrey and Nancy linville PO Box 2047 Salina, KS 67402-2047 .f $100.00
9/11/0B Donna Fitzgerald 627 Arrowhead Ln Salina, KS 67401
.f $50.00
Subtotal This Page . $1,055.00
Page _6__ of__
Oct 27 08 04:23p R Michael Beatty 7858252149 p.10
Charles B. Roth
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & ludustr)' of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loao or Other Receipt
c~.tl. Clllcck LDaa Ollcl"
91.12108 Richard Tilgner 2234 Hillside Drive Salina, KS 67401
.f $100.00
9/12108 Karl and Connie Stutterheim 1624 Overlook Dr Salina, KS 67401
Retired
.f $250.00
911210B Les and Lou Appleby 403 East Park Lane Salina, KS 67401
.f $25.00
9112108 Jerry and Linda Simpson 639 Gypsum Ave B3 Salina, KS 67401
.f $25.00
9/12/OB Mike Berkley 837 A Fairdale Salina, KS 67401
Banker· Bennington State Bank .f $300.00
9/12/08 Frank Roth B Red Fox Ln Salina, KS 67401 " $100.00
9/12108 Dave Huff 10458 Caenen Lake Rd Salina, KS 67401 /'
~ $50.00
9/12/08 Norm and Kristy Yenkey 2233 Markley Rd Salina, KS 67401 " $100.00
9/12108 Kansas Manufactured Housing Industry PAC 3521 SW 6th Topeka, Ks 66606
.f $50.00
9/12/08 BNSF Railway Company 2500 Lou Menk Drive R Worth, TX 76131 .f S200.00
9/12/08 George and Margaret Yamevich 1514 S. Marymount Rd Salina, KS 67401
.f $50.00
I
Subtotal This rage $1,250.00
Page _7_ of _
Oct 27 08 04:23p R Mi~hael Beatty 7858252149 p.11
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Charles B. Roth
(Name of Candidate)
Date
Name and Address of Contribotor
Occupation & Iadustry of lodividual Giving More
Than S150
Check Appropriate Box
AmouDtof ClIsh, Check,
Loan or Other Receipt
Cub Ch«k Loaa. Otlar
9/12108 Joel and Lori Parriott 1718 Upper Mill Terrace Salina, KS 67401
~ $25.00
9/12/08 Janet Denning '137 Overhill Rd Salina, KS 67401
.; $25.00
9/12108 Ken Jorgensen 2202 Kensington Salina, KS 67401
vf $100.00
9/12/08 Norman and Sherrie Kelly 2233 Markley Rd Salina, KS 67401
./ $50.00
9/12108 John K Vanier PO Box 1393 Salina, KS 67402-1393
Investments .; $250.00
9/12/08 Kansas Bankers Association PAC PO Box 4407 Topeka, KS 66604-0407
vi $200.00
9/16/08 Mike Ramage 902 Twin Oaks Drive Salina, KS 67401 ~ $100.00
9/16/08 Mona and Terry Eisenhauer 130 Mt. Barbara Salina. KS 67401
,f $100.00
9f16/08 Carol and Jerry Exline One Crestview Drive Salina, KS 67401
.f $50.00
9f16/08 Bruce and Margaret Wyatt 122 North Santa Fe Salina, KS 67401
.; $50.00
9/16/0B Gary Hunter 927 E. Kirwin Salina, KS 67401
- .f $100.00
Sllblotal This Page $1,050.00
Page_8 _ of__
Oct 27 08 04:24p R Michael Beatty 7858252149 p.12
Charles B. Roth
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate)
Date Name and Address
ofContl'ibutor
Occupation & Industry of Individual Giving More
Tban $150
Check Appropriate Box
Amount of Cub, Check,
Loan or a tber Receipt
Cub CJlct'k L.an Othu
9/17108 Sam and Jim Angell 880 Barlow Ct Salina, KS 67401
~ $25.00
9/17108 Don and Mary Laura Lamb 2227 Hillside Drive Salina, KS 67401
.f $50.00 . 9/17108
Kansas Medical Society Political Action Council 23 SW 10th Ave.Topeka, Ks
~ $250.00
9/19/08 Patrick Putzier 249 S. Santa Fe Salina, KS 67401
.f $50.00
9/19/08 Sissy and Roger Morrison POBox 737 Salina, KS 67402-0737
Business Manage Morrison Ventures .f $200.00
9/19/08 Boyd and Heather Smith POBox 1365 Salina, KS 67402-1365
.f $50.00
9/19/08 Kansas Livestock Association PAC 6031 SW 37th Street Topeka, KS 6614-5115
.f $250.00
9/19/08 Kenton Driver and Stacy Clark 1601 East Iron Salina, KS 67401
./ $50.00
9/23/08 Dean and Betty Groves 155 Aspen Rd. Salina, KS 67401
~ $25.00
9/23/08 Lloyd Davidson 235 S. Santa Fe Salina, KS 67401
./ $100.00
9/23/08 Kansas Agribusiness Council 816 SWTyier Suite 100 Topeka. KS 66612
.f $250.00
Subtotal This Page $1,300.00
Page _9_ of _
Oct 27 08 04:24p R Michael Beatty 7858252149 p.13
Charles B. Roth
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Na.me of Candidate)
Date Name and Address
of CDntributor
Occupation & Industry of
Indi"Vidnal Giviag More Than $150
Cbeck Appropriate Box
Amount of ClI.sh, Check,
Loan or Other ReceiptellS" C"t~ La•• Olbcr
9/231OB Kansas Automobile Dealers Association 731 S. Kansas Ave. Topeka, KS 66603-3807 ..
.f $150.00
9/24/08 8il[ Knox. 1946 Ridgeview Rd Salina, Ks 67401
Retired .; $200.00
9/24/08 Roy and Donice Applequist 1934 Ridgeview Rd Salina, Ks 67401
.f $50.00
9124/08 John Jones POBox 1665 Salina, Ks 67402-1665
.f $50.00
9/24/08 Kansas Beverage Association 5845 SW 29th St. Topeka. KS 66614
.f $150.00
Sf25/0B Gary and Mary Anne Weiner 18 Crestview Salina, Ks 67401
Physician
.f $300.00
9/25/OB TornWeis 2322 Edgehill Rd Salina, Ks 67401 ./ $25.00
9129/08 Home Builders Associatlon of Salina. INC 2125 Crawford Place Salina, Ks 6
.f $500.00
9/29/08 Enterprise Rent A Car Company PAC 600 Corporate Park Drive St Louis, Mo 631{)5
.f $250.00
9/29/08 Darrell and CarOl Wilson 613 Oakdale Dr Salina, Ks 67401
,f $100.00
101210B NJa Allied Group 3545 SW 6th St Topeka, KS 66606
,f $150.00
Subtotal This Page .$1,925.00
Page~of__
Oct 27 08 04:25p R Michael Beatty 7858252149 p.14
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Charles B. Roth
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving M orc
Than 5150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
C.,h Chck LOIllD arbor
I 10/2108
Wal Mart 702 SW 8th Street Bentonville, AR 72716
-I $300.00
1012108 Jim and Martha Foley 211 W. Prescott Salina, KS 67401
.f $15.00
10/6/08 Koch Industries, Inc. POBox 2256 Wichita, KS 67201
,f $500.00
10/6108 Builders' Association Political Action Committee (BAPAC) K C Ch637 West 39th Street KCMO 6
,f $250.00
10/6/08 N. Royce and Linda Nelson 112 Aspen Road Salina, KS 67401
,f $100.00
1016/08 John Jarvis 37 Crestview Dr Salina, KS 67401
.f $30.00
10/6/08
.. Jane and Charley Weathers 1914 Foxtail Dr. Salina, KS 67401 .f $50.00
1016/08 Pfizer Inc 7300 W. 1101h Street 7th Floor Overland Park KS 6621 .f $200.00
10/6/08 Higher Education Fund of Greater Kansas City Chamber of Commerce 911 Main Street STE
./ $250.00
10/7/0B Ralph and Carolyn Bennett 650 Marymount Road Salina, KS 67401 .f $100.00
10mOB Jack and Patty Hilyard 2032 Queens Rd. Salina, KS 67401
.f $25.00
Subtohl This Page $1,820.00
Pagc~_of__
Oct 27 08 04:25p R Michael Beatty 7858252149 p.15
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Charles B. Roth
(N"mt: of Candidate)
Date
Name and Addrus
of Contributor
Occupation & Industry of Individoal Giving More
Than S150
Check Appro p riah: Box
Amount of
Cuh, Check. LOJin or
Other REceiptCalb C'ock Loan Otbn
10/7/08 Kansas Association of Insurance Agents PAC 815 SW Topeka Slv Topeka, KS 66612
.; $350.00
10/7/08 Associated General Contractors of Kansas PAC 200 West 33rd Street Tp[ela. KS66811
vi $250.00
1018108. Ted Harder 2041 Starlight Salina, KS 67401
,f $100.00
10lBl08 Phillip Monis USA, Inc. 1005 Congress Avenue, Suite 85 Austin, TX 78701
,f I
$300.00
10/8/08 Kansas Cable PAC PO Box 3027 Wichita, KS 67201-3027 " $200.00
10/8/08 American Council of Engineering Companies PAC 825 S. Kansas Avenue, Suite 50 Topeka, KS 66
,f $250.00
10/10/08 John Wood POBox 340B Salina, KS 67402-3408 .f $50.00
10/10/08 Kansas Optometric Political Action Committee 1266 SW Topeka Blvd., Topeka, KS 66612
.; $250.00
10/10/08 Community Bankers Association PAC 3003 SW Van Buren, Suite A Topeka, KS 66614
-.f $100.00
10114/08 Kansas Con1ractors Association PO Box 5061 Topeka. KS 66605 ~ $500.00
10/14/08 Union Pacific Railroad 1400 Douglas Street, Stop 1560 Omaha, NE 68179-1560
~ $200.00
Subtotal Tbis .Page $2,550.00
Page~oC__
Oct 27 08 04:25p R Michael Beatty 7858252149 p.16
)
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Charles 8. Roth
(N am.: of Candidate)
Date
Name and Addnss of COD tributor
Occupation & Industry of Indi"hloal Giving More
ThaD SISO
Check Appropriate Box
Amount of Cuh, Check,
loan or Other Receipt
C.,D C'r:c" Lo... Other
10/17/08 Rebecca Morrison POBox 737 Salina, KS 67402-0737
.; $50.00
10/17/08 Richard and Sallie Morrison PO Box 737 Salina, KS 57402-0737
./ $100.00
10/17/08 Jack and Mary Kindlesparger 100 River Place #1 Salina, KS 67401
.f $100.00
10/17108 Frank H Griffith, MD 1401 E. Iron, Suite 2 Salina, KS 67401
Physician
.f $150.00
10/17/0B American Family Insurance PAC 1300 Southwest Arrowhead Road Topeka. KS 66604
./ $200.00
10/17108 Kansas BankerS Association PAC PO Box: 4407 610 SW Corporate View Topeka
.f $200.00
10/17/08 Blue Cross Blue Shield of Kansas 1133 SWTopeka Boulevard Topeka. Ks 1133 SW Topeka Boulev .f $100.00
10/21/08 Lewis and Luci LaPierre 924 Barlow Drive Salina, KS 67401
Dentist
.f $150.00
10/21 lOB HcA Kansas Good Government Fund Wesley Medical Center 501 N. Hillside Wichita, KS 6721
.f $200.00
10/22108 Black Hills Corp P AC
,P 0 Box 1400 Rapid City SD 55709
.f $200.00
-10/22/08
Anderson Financial Services 600 S Broadway Salina, KS 67401
.f S150.00
Subtotal This Page $1,600.00
Pagc~or__
Oct 27 08 04:26p R Michael Beatty 7858252149 p.17
Charles B. Roth
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidate)
Date N::Ime ::IDd Address
of Contributor
Occupation & Industry of Individual Giving More
Thn Sl50
Check Apprupriate Box
Amount of Casb. Che~k,
Loan or Other Receipt
Cuh Check Loa. Giber
10122/08 Patrick and Stephanie Beatty 14 Crestview Dr Salina, KS 67401
.f $30.00
10/22108 Joyce Tonne 1207 Fredrich Salina, KS 67401
.f $15.00
10/23/08 Kansas State Farm Insurance Agents PAC 815 SW Topeka Blvd Topeka. Ks 66612
..f $100.00
10/23/08 Kansas Motor Carriers Truck PAC PO Box 2458 Topeka, KS 66601-2458
.f S200.00
10/23108 American Insurance Association's PAC 1130 Connecticut Ave, NW Suite 1000 Washington, DC 2003
.f $100.00
'10/23/08 Entertainment Software Association 575 7th Street NW Suite 300 Washington DC 20004
.f $200.00
Subtotal This Page $645.00
Pllge~of__
/
Jct 27 08 04:26p R Michael Beatty 7858252149 p.18
Charles B. Roth
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
(Name of Candidatc)
Date Name and Address
of Con trib Dtor
Occupation & ]nrlustry of Individual Giving More
Than S150
Check Appropriate Box
Amountof Cash, Check,
Loan or Other RecEipt
ClUb Chock Lo.a Ollaier
(
Subtotal This Page $0.00
Complete if last page of Schedule A
Total Itemized Receipts for Period $20,295.00
Total Unitcmized Contributions ($50 or less) $0.00
Sale of Political Materials (Unitemized) $0.00
Total Contributions When ConlJibutor Not Known $0.00
TOTAL RECEIPTS THIS PERIOD (to line 2 or SummarJ) $20,295.00
Page.~of__
Oct 27 08 04:20p R Michael Beatty 7858252149 p.2
SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS
Charles B. Roth
(Name of Candidare) (
Date Name and Address
Purpose of EI.penditure or Disb ursemen t Amount
8/13/08 Marketaide POBox 500 Salina, Ks 67402-0500
Campaign Promotion $4,835.64
9/12/0B Marketaide POBox 500 Salina, Ks 67402-0500
Campaign Promotion $3,685.42
10/10108 Saline County Clerk 300 WeslAsh Salina, KS 67401f
Campaign Promotion $65.00
10/14/08 Marketaide P 0 Box 500 Salina, Ks 67402-0500
Campaign Promotion $3,727.65
10123/08 Charlie Roth 3 Crestview Drive Salina, Ks 67401
Car Expense $797.12
10/23J08 Charlie Roth 3 Crestview Drive Salina, Ks 67401
Phone $210.44
10/23J08 Charlie Rolh 3 Crestview Drive Salina. Ks 67401
Supplies $165.94
10/23/08 Charlie Roth 3 Crestview Drive Salina, Ks 67401
Donations $10.00 I
10/23J08 Charlie Roth 3 Crestview Drive Salina, Ks 67401
Postage $84.00
10/23J08 Salina Area Chamber Of Commerce 120W.Ash Salina, KS 67401
Meals for Banquet $20.00
Subtotal This Page $13,601.21
.
Page _1_ of__
Oct 27 08 04:21 p R Michael Beatty 7858252149 p.3
SCHEDULE C EXPENDITURES AND OTHERDISBURSE:MENTS'
Charles B. Roth
(Kame ofCandid:l.te)
DlIte
.
Name :lind Address Purpose of Expenditure
or Disbursement Amount
Subtotal Thill Page $0.00
Complete if last page of Schedule c
Total ltemized Expenditures This Period $13,601.21
Total Unitemizcd Expendirures of $50 or less $0.00
TOT AL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line :2 of Summary)
$13,601.21
Page _2_ of__
