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Transcript of ethics.ks.govethics.ks.gov/CFAScanned/House/2018ElecCycle/201801/H072TH_201801.pdf · Name and...
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Ki\NSAS (;()\fERN 1\1 EN'r AL El'H Ie's (~O \l~lISSI()N
RECL,:JPTS AND E~XPENDJ ..ruRI:s RI:::p()R'r RECEIVED OF A CANDIDA'rJ: FOR STAT!: ()FI:IC1: JAN '"
KS 10 fO 18 ,htnlHH) 10. 20 t 8 Gov6mms/< .,
14d; t,'i i',,~o r~"''-'9,,,ommisslon FILl: \\,'ITII SI:,CRl::TARY or: s'rATE
SEl~ REVI"~RS[: SJDF F:OR 11\iSTRLJCTIONS
Address: 2727 N Main Street
City and Zip Code: North Newton KS 67117 County' Harvey
()ffice Sought: State House of Representatives District: 72 ...............................-.................................... . .. _..- _-_ ..
Amended Filll1g .. Ienl1lnatlOJl Report
C'. Summary (co"cring the' period from JanmJI") 1. 2017 through D('ct'm[)(.'(" 31. 2(17)
('ash 011 hand at begll1nmg or pennd . 1953.23
j I ~)!al CUl1tnbullOns and CHher R.cccipts (USC Schedule /\) .. 20053.07
5585.374. Total Expenditures and Other [)Ishursemcnts (LIse Schedule C) ., ,.", .. ....__._-_._-,,~ -
16420.93:,-, Cash on hand at dose of period (SubtnKt l.me 4- Crom 3) ., ., ..
0.00() In-Kmd Conlnbul10l1S (Usc Schedule B) ..
4500.007 (Jther "rrans~Ktlons (Us\.' Schcdult' D) .....
D. "I declare that Ihb repurt. Indudmg any accompanying :--chedules and slatemcnb. has been cxalllll1cd by me and to the best of my kn(nv!l.:.'dge and belief IS true. correct and cnmplctc. I understand that the Il1tcntl\.mal l~lilure to rile thiS document or Intentionally filmg a false dl)('Ument IS a class A mlsdcmeanor.··
22006.30 ----_.--<<<...,--..'~" .."'<<<-~,.,.,-,-,_....,.-.-~.-
/- 9-/8 Dill\;'
G EC Form l{eY~ 2017
SCHEDt~LE A CON'I'H.I BUTI():\'S A;\D OTHER RECEIP'rS
Timothy C Hodge
(~allll;' of Candidate)
[late Name and Address
of Contributor
Occupfltion of Individual Giving \lore
Than S150
Check. :\ppl'opri1lte Bm,
~ Chech Looll ~ Otht'r
Amount of Cash, Check.
Loan or Other J~el'eipt
01/29/17 BEN FELDMAN 711 STANNAGE AVE ALBANY CA 94706
.; $23.97
04/04/17 JOHN (BEV) GILBERT 208 WINDWARD CT NEWTON K5 67114
~ $25.00
04/04/17 NATHAN (ESTHER) KOONTZ '1 JASPER CT NORTH NEWTON KS 67117
~ $25.00
04/04/17 PATRICrA RANDALL 705 S MERIDIAN RD NEWTON KS 67114
,f S25.00
04/04/17 PEGGY SOUDER 317 E 3RD 5T NEWTON KS 67114
I $25.00
04/04/17 DAVID (HEIDI) KREIDER PO BOX 116 NORTH NEWTON KS 67117
vi $25.00
04/04/17 LOREN (PEGGY) REUSSER 3001 IVY DR #412 NORTH NEWTON KS 67117
~ $25.00
04/04/17 CONRAD SNIDER 310 W 4TH STREET NEWTON KS 67114
.; S2500
04/04/17 THEODORE (SHIRLEY) GOERING - 301 BLUESTEM 5T NORTH NEWTON KS 67117
~ 530.00
04/04/17 ARNITA K HAURY 7913 SW 24TH HALSTEAD KS 67056
.( $50.00
04/04/17 ROBERT KECKLER 1200 E 7TH ST, APT 401 NEWTON KS 67114
~ $50.00
Subtotal This Page $328.97
Page of
SCI-IEDL LE A CO~TRIB{JTIONS AND OTHER RECEIPTS
Timothy C Hodge
('\lame of Candidate)
Date
Name and Address of Contributor
Occupation of Individual Giving \lon'
Than 5150
Chcl'k Appropriate Box
Amount of Cash. Check,
Loan OJ' Other Rereipt
Cash ( 11,"1, Lmm f. fUlHb O,h"r
04/04/17 DEBBIE PALACIOZ 513 E 1ST ST NEWTON KS 67114
.; $5000
04/04117 PAMELA McCULLOUGH 229 N MAIN ST NEWTON KS 67114
.; $5000
04/04/17 TIMOTHY (RACHEL) BULLER 217 W 9TH NEWTON KS 67114
.; $100.00
04/04/17 D MARK SHIFFLETT 3915 SROCK NEWTON KS 67114
.; $100.00
04/04/17 CHARLES (CYNTHIA) REGIER 205 E 11TH NEWTON KS 67114
.; $100.00
04/04/17 THOMAS (ANN) ADRIAN 1704 CYPRESS LANE NE\VTON KS 67114
ATTORNEY .; $250.00
04/04/17 JEAN FARRAR 210 W 9TH ST NEWTON KS 67114
RETIRED .; $500.00
04/04/17 TAr",1PA STATE BANKSHARES INC - 326 MAIN TAMPA KS 67483
.; $500,00
04/01/17 BARRY (SHARON) LEHMAN 5416 N MERI DIAN RD NEWTON KS 67114
SELF-EMPLOYED FOOD SERVICES .; $200.00
04/05/17 ROBERT (ELIZABETH) POMEROY· 8 INDIAN LN NEWTON KS 67114
,; $100.00
04/05/17 BEULAH (MERRilL) RABER 620 ROLLING HILLS CIR NEWTON KS 67114
I $50,00
Subtotal ThisP~lge $2,000.00
SCHEDl'LE A C'ONTRIBUTIONS AND OTHER RECEU)TS
Timothy C Hodge
(]\,anle of Candidate I
DUll'
i\ame and Address of Contrihutor
Ckcupation of Indhidual Gi\ing '\lo1't'
Thal1S150
Clteek Approprhlte Box
Amount of CHsh, Cited..,
Loan or Other Receipt
C;hih ( tll'd, LOlIl1 ~ (JIb",
04/29f17 GWENDOLYN CLAASSEN 2913 BLUESTEM CT NORTH NEWTON KS 67117
.; $25,00
04f30i17 B08 (DONNA) BECKER 921 SASH NEWTON KS 67114
.f $25,00
04/30/17 DENNIS (KATHRYN) CAMPBELL 25 REGAL CRESCENT 8T NORTH NEWTON KS 67117
.; $50,00
04/30/17 EVELYN ADAMS 2708 ACACIA AVE NORTH NEWTON KS 67117
.f $50,00
07'14/17 RAt SERVICES COMPANY PO BOX 464 WINSTOM-SALEM NC 27102
..; $250.00
07/31/17 RICHARD (FRANCES) SIEMENS 39 LAKEWOOD CI RCLE NORTH NEWTON KS 67117
.; $100.00
08/01!17 KARL ROHLICH 620 KS HWY 177 MATFIELD GREEN KS 66862
.; $100.00
07/26/17 STEVEN FULLER 1828 SWIFT AVE SUITE 103 N K.ANSAS CITY MO 64116
.f $50.00
07/01/17 SAHA HILL 610 E FIRST HILLSBORO KS 67063
.; $75.00
07/28/17 ANHEUSER BUSCH ONE BUSCH PLACE ST LOUIS 1'.10 63118
..; 5250.00
10/01/17 ROBIN METZLER 423 SW 6TH STREET NE\tVTON KS 67114
REAL ESTATE .; $250.00
Subtotal This Page $1,225.00
SCBEDL:LE A CONTRIBUTIONS AND OTHERRECEIPl'S
Timothy C Hodge
(t"ame of CandidaIe)
Date ~:mle and :\ddress
of Contributor
OccupMion of Individuul Giving More
Than $150
Check Appropriate Box
Amount of Cash. Check. L.oan or Other
({('('eiptCJl~h (heel. tmU! ~ Other
09/20/17 BARBARA BUNTING 1609 HILLCREST RD NEWTON KS 67114
.; $100.00
09/21/17 CLARENCE (GLADYS) NilES 16 LAKEWOOD CiRCLE NORTH NEWTON KS 67117
.; $100.00
08/18/17 SUE HARPER ICE 900 EMMALINE NEWTON KS 67114
RETIRED .; 5200.00
08/30/17 BNSF RAilWAY CO~\l1PANY
2500 LOU MENK DRIVE, AOB-2 FORT WORTH TX 76131
.; $500.00
09/19/17 KANSAS HOSPITAL ASSOC PAC 215 SE 8TH AVE TOPEKA KS 66603
.; $250.00
09/28/17 KS ST FARM INS AGENTSPAC 825 S KANSAS AVE, STE 500 TOPEKA KS 66612
.f 5250.00
10/24/17 ARNITA HAURY 7913 SVV' 24TH HALSTEAD KS 67056
.f $50.00
10/27/1'1 GWENDOLYN CLAASSEN 2913 BLUESTEM CT NORTH NEWTON KS 67117
.; $50.00
10/22/17 BOB BECKER 921 S ASH STREET NEWTON KS 67114
.; 596.80
10/23/17 VIRGINIA JOHNSON 619 EAST 4TH NEWTON KS 67114
.; $96.80
10/24/17 ROSALIND ANDREAS 36 LAKEWOOD CIRCLE NORTH NEVVTON KS 67117
.; 54825
Subtotal This Page $1,741.85
Pagt: of I b I
SCHEDlJL,E A CONTRIBUTIONS AND OTHER RJ::CEIP'rS
Timothy C Hodge
(i\arne of Candidate)
D.1tt' NlHue and Address
of Contributor
(kCuplllion of Individual Ching Morl'
nlHn $1;0
Ched, AppropritHe Bcn
Amount of Cash, Check.
Loan or Other Receipt
Ca~h ( her\>. L{)lo\lI E: funds ~
10/24/17 ROBERT KECKLER 1200 E 7TH 8T APT 401 NEWTON KS 67114
RETIRED .; $200.00
10/30/17 MARY COLLIER 1809 N MAIN NEWTON KS 67114
.; $50.00
11/07/17 CODY (MOLLY) CLAASSEN 1906 N MAIN STREET NEWTON KS 67114
ATTORNEY .; 5500.00
11109/17 SOMERSINVESTMENTS.KS PRTNSP - 110 E BROADWAY NEWTON KS 67114
.; $500.00
11/06/17 JOHN TORLINE 3'10 E 23RO ST PO BOX 392 NORTH NEWTON KS 67117
CITY ADMINISTRATOR
I $500.00
11/03/17 TAMPA STATE BANKSHARES INC - 326 N MAIN 8T TAMPA KS 67483
.; $500.00
11/13/17 KEVIN (CHRISTY) SEBES 7 EMERALD CT NORTH NEWTON KS 67117
FARMER .; $500.00
11/09/17 ROBERT (MARILYN) SJOGREN 1501 TERRACE OR NEWTON KS 67114
ACCOUNTANT .; $500.00
11/07/17 THOMAS (ANN) ADRIAN 1704 CYPRESS LANE NEVVTON KS 67114
ATTOF~NEY .; $500.00
10/13/17 CHIPP POLITICAL ACCOUNT 1401 HAMPTON AVE, 3RD FLOOR - 8T LOUIS MO 63139
~ $500.00
10/20/17 DEVAUGHN JAMES LLC 3241 N TOBEN RO WICHITA KS 67226
.; $500.00
Subtotal This Page $4.150.00
(Page
S(~II E I)l.' I.E :\ CON'('RIBl:'I'IONS ,\:\'D (]TIIERRECEIPTS
Timothy C Hodge
Dall' 1':1111\' and .\ddl'l~~"
of ( ont rihlltor
Ol'Cllpalion of hllli, idual C;h illg i\lol'{'
Ihiln~150 ~ ,I,ll
{ 'herl,
\pproprialt.' Bl!,
( la'd, I d·l'n ~ ( lilli"
\moullt of
Cash, theel" LOlln or ()thl'f'
Rt'{'{'ipl
11/06/17 ROBEFa BLAUFUSS 3523 RIVERVIEW CT LAWRENCE KS 66049
ATTORNEY .; $250,00
11104/17 TRAVIS ROSE 2008 DEPOT NEWTON KS 67 '114
SOCiAI_ SERViCES
.; $25000
11/09117 RANDALL PANKRATZ 720 E 7TH NEWTOr\l KS 67114
A,TTOHNEY .; 5250.00
11 felt3! 1i' JO~U\THAN (SUE ANN) Jt,NTZ 304 W 24TH. PO BOX 508 NOf~TH NEVVTON KS 67117
DOCTOF<. .; $25000
111'13/17 ROBEF~T (EUZABET~'I)
POrv1EROY ~ 8 INDIAN LANE NEWTON KS 67114
CONTRACTOF<
I' 525000
11i01/17 SECURITY BENEFIT LIFE INS PAC - ONE SECURITY BENEFIT PLACE - TOPEKA KS 66636
.; 5250.00
'11/0'1/1 ! BEUU\H (MERRll.L) F~ABER
620 ROLliNG HILLS ClR NEVVTON KS 67114
RETIRED .; $200.00
10/24/17 ORLYN (JANiS) ZEHr~
6 AMBLESiDE LANE NEVVTON KS 57114
RETIRED
I 5200,00
11/03/17 JAMES JUr-·INKE 3045 iVY CT NORTH NEWTON KS 67117
PROFESSOR .; S200.00
11/O7!17
11/13/17
PHiliP (SONDF~A) KOONTZ 820 E 7TH STHEET NE\NTON K5 67114
HA.ROLD F SCHORN II 220 E 9TH 5T NEWTON KS 67114
RET~RED
-- __• ___,~___,_~,___u _____._.¥
I,TTORNEY
~
.;
5200.00
S200.00
Suhtot31 This Pag<' $2.500.00
! /
nl (~O
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIP1'S
Timothy C Hodge
(\arne or Candidate)
Date ~aml" and Address
of Contributor
Otl'upation of Individual Giving !\lore
Th:m $150
Check Appropriute Box
Amount of Cash. Check,
Loan or Other Reeript
('ll~h <.. heck Loal1 t. ftllllLs Oth!.'r
11/06/17 JIM (MARY) GILLMORE 11120 NE 24TH STREET NEWTON KS 67114
~ $100,00
11/06/17 ROBERT KECKLER 1200 E 7TH STREET APT 401 NEWTON KS 67'114
.; $'100,00
11/08/17 DUANE (ELIZABETH) FRiESEN PO BOX 31 NORTH NEWTON KS 67117
..; $100,00
11107/17 JANIS ZEHR REVOCABLE TRUST - 6 AMBLESIDE LN NEWTON KS 67114
.; $100.00
11/13/17 WILLIAM N SCHORN INC 200 3RO AVE N GREAT FALLS MT 59401
I 5100,00
11/14/17 NANCY ICE SCHL.UP 800 COUNTRY CLUB DR NEWTON KS 67114
.f $100,00
11/14/17 JOLENE RILEY MILLER 3309 SE TOMAHAWK CT TOPEKA KS 66609
I $100,00
11/13/17 MATIHEW (JENNIFER) KOONTZ 1800 FIREBOX NEWTON KS 67114
.; $100,00
11/08/17 PATRICK (PAMELA) DUFFY 715 W BROADVVAY NEWTON KS 67114
.; 5100,00
11/04/17 o MARK SHIFFLETI 3915 SROCK NEWTON KS 67114
I $10000
11/13/17 JONATHAN (HEATHER)ZERGER 717 BOBTAIL CT NEWTON KS 67114
..; $100.00
Subtotal This I)age $1 J 100.00
Page ito
SCHEDl'LE A CONTRI BOTIONS AND OTHER REf:EIP'rS
Timothy C Hodge
("~ame of Cand idate)
Halt> Name and Address
of Contt'ibutor
STEPHEN (LORRAINE) RICHARDS - 421 N WALNUT NEWTON KS 67114
ORLYN (JANIS) ZEHR 6 AMBLESIDE LANE NEWTON KS 67114
PATRICIA RANDALL 705 S MERIDIAN RD NEWTON KS 67114
VICTOR MILLER 510 SW 10TH AVE TOPEKA KS 66612
KANSAS INSURANCE PAC PO BOX 55 TOPEKA KS 66612
SUE HARPER ICE 1120 E BROADVv'AY NEWTON KS 67114
BOB (DONNA) BECKER 921 SASH NEWTON KS 67114
PAMELA McCULLOUGH 229 N MAIN 8T NEWTON KS 67114
J WENDELL WIENS 17 CIRCLE DR NEWTON KS 67114
GWENDOLYN CLAASSEN 2913 BLUESTEM CT NORTH NEWTON KS 67117
OCfupation of Individual Giving 'lore
Than St50
Cht'{'k Appropriate Bo\
Amount of Cllsh. Check.
Loan or Other Receipt
('ash C1wck [l)lIn ~ Otht>r
11/12/17 .; $100 00
11/07/17 .; $100,00
11/02/17 .; $100.00
11/13/17 .; $100,00
10128/17 ~ $10000
11/13/17 .; $25,00
11/13/17 .; $2500
10/28/17 .; $50,00
11 iO 1; 17 .; $100.00
11/13/17 .; $50.00
11/13/17 ARNITA HAURY 7913 SW 24TH HALSTEAD KS 67056
.; 550.00
Subtotal This I)age $800.00
Page off 0
S('IIE[)('I,E /\ CONTIUBI THJNS ,\,'\1) ()TlIER RI::CI,:JPTS
TJrnothy C Hodge
('iame oj Candtdalt'!
. ...
Date i'.anlt.' and :\ddn'"''
of f onlriblll(Ir
(h'rupalion of hltlh idual Gh jng :\lon'
'('han $1:'0 ( ,"iJ
CIH~d"
Appnlpriatt' Bo\
I 1f"J. t lIun ~ IHh.-r
Amount of Cash. ( hl'cl...
Loan or Other l{ec('ipl
i 1/'i 3/17
BI~E TT T PAm\ER 10019 rv1ASTIN ST, /\PT C OVEr~LAND PARK K.S 66212
.; $50.00
11i05/17 JESS (SHELLEY) DUNCAN 1550 WOODRIDGE DH WICHITA KS 67206
.; $50.00
11/03/17 f~ONALD (VIRGINIA) BENNINGHOFF· 1405 GRANDVIEW AVE, NEWTON KS
.; $50.00
11/15/17 RiCHAF;;ZO (R}~CHEL) Jj-\rvIES 13005 E f::<EEDS COVE CT WICHIT/\ KS 67230
ATTORNEY .; $500.00
1?/13i 17 DUSTIN ,SUSAN) DEV/\UGHN 1118 N m~ACKEN
WICHiTA KS 67206
ATTORNEY .; $500.00
11 i16/17 STEPHANIE SEt'H-.J 521 STONE CREEK CT NEWTON KS 67114
DOCTOI~
I $4[3520
11/16/17 EVEL YN ADAMS 2708 ACACIA AVE NORTH NEWTON J<:S 67117
,f $25.00
11/11/17 I~ICHARD (DOROTHY) FRIESEN 11 00 GRA~~DVIEW AVE NEWTON KS 67114
.; $50,00
11/19/17 STEVEN (pATRICIA) KELL Y PO BOX 325 NEWTON KS 67114
.; $100.00
11/17/17
11 f2/"li 17
THEODOFZE (SH!RLEY) GOERING - 301 BLUESTEtv18T NORTH NEVVTON KS 67117
KS BEVEFV\GE P,SSOC PP,C 5845 SVV 29TH STFZE.ET TOPE~\A KS 66614
I
.; -
$100.00
$200.00
Subtohll 'ntis [)uge $2.110.20
"(1 IPage 01 i P
SCI".IEDl LE A CONTRIBLTIONS AND errHER RECEIPTS
Timothy C Hodge
(\lame of CandidaI..:)
Date Name and Add ress
of Contributor
()(:<:upat;on of
Individual Gi\ing .\Iore 1'I1anS150
Check Appropriate Box
Amount of Cash. Check. L()~Hl or OttH'r
Receipt( ash ( ht'{'k Lnlln [ rund~
~
09/19/17 COX COMMUNICATIONS INC 901 S GEORGE WASHINGTON BLVD - WICHITA KS 67211
.; $200.00
10105/17 KANSAS CABLE PAC 900 S KANSAS AVE, STE 300 TOPEKA KS 66612
.; $20000
09/15/17 COMCAST FINANCIAL AGENCY 1701 JFK BOULEVARD PHILADELPHlA PA 19103
.; $200.00
12i06/17 KS AUTO DEALERS PAC 731 SOUTH KANSAS AVE TOPEKA KS 66603
.; 5200.00
11/14/17 MICHAEL (LINDA) DAVIS 1412 TERRACE DRIVE NEWTON KS 67114
SELF EMPLOYED CONSTRUCTION .; $250 00
11/09/17 WADE (JOAN) BRUBACHER 38 REGAL CRESCENT ST NORTH NEWTON KS 671'17
REALTY .; $250,00
10/28/17 CREDIT UNION PAC OF KS 901 SW TOPEKA BLVD TOPEKA KS 66612
.; $250.00
11/22/17 BLUE CROSS BLUE SHIELD OF KANSAS - 1133 SW TOPEKA BLVD - TOPEKA KS 66629
.; 5250.00
12/15/17 ARNITA HAURY 7913 SW 24TH HALSTEAD KS 67056
.; 520.00
12/26/17 LEADINGAGE KANSAS 217 SE 8TH AVE TOPEKA KS 66603
v' $200.00
12i22/17 UP RAILROAD COMPANY 1400 DOUGLAS STREET OMAHA NE 68179
.; $250.00
Subtotnl This Page $2,270.00
Page
SC'IIED(iL.E A CONTR1Bt;'rIONS Al\'() O'fIlER REf'EIPTS
Timothy C Hodge
('Jamt' ofCandidalt:l
DaH'
!'lame and Addre"., of COIllTihutor
Occupation of
Ind" itlual Giving More Than S150
Chedi ;\ppropriale Bo\
·\mount of Cash, ChceK.
Loan or ()ttH'r I{cl'l'ipt
( ,I,h ClIn\. IlHIIl I' fll"d~
0111"
12/10/17 K5 CONTRACTORS ft.SSOC PAC 800 SW JACKSON 5T #100 TOPEKA KS 66612
~ $500.00
12/26/17 SEAN MCGIVERN 1227 PATRICIA 5T WICHITA KS 67208
ATTORNEY
.f S193.90
12/28/17 JOHN BIRD PO BOX 727 H.AYS KS 6I6el1
ATTORNEY
.f $193.90
'12/28/17 rv1ATT BIRCH 1900 W 56TH STREET MISSION HILLS KS 66208
I-\TTORl'JEY
.f 596.80
12/21/17 GERALD LEE CROSS JR 8430 TOMAHAWK ROAD OVERLAND PARK KS 66207
ATTORNEY
.f $24245
-
Subtotat This I>age $1.227.05
Com plete if last page of Schedu Ie A
ILltal IlI.'rnizl:?d Receipts fur PCrlc)d $20,0530'7
loral L:nitemized Contributlol1:, (S:'(I Uf less) SO,OO
Sale (If PolitH:a! \lafl'rial.; (l iJ1ltt'llll/cd l $0.00
TOlal CuntribUi;Of1:, WIlt:ll C\lntriblltur ~'\lt 1\.0,'\\1\ $000
TOTAL REC£H1TS THIS PERIOD (to line 2 ofSummllry) $20,053.07
SCII EIlUI,E C EXPE!"DI'rliHES AND O'rllEI{ DISBlrRSI1,:'IE~TS
Ttrnothy C. Hodge
D.th' "1l11H: a II d ,\ d d rn,
4/30/17 FIRST BANK OF NEVVTON 128 E BROADWAY NEVVTON KS 67114
5/31/17 FIRST BANK OF NE\NTON 128 E BROADWAY NEWTON KS 67114
5/5/17 US POSTAL SERVICE 400 N POPLAR STREET NE'IvTON KS 67114
6/30/17
--f-
FIRST BANK OF NEWTOr.J 128 E BROADWAY NEWTON KS 67114
-
7131/17 FIRST BANK OF NEVVTON 128 E BROADWAY NEWTON KS 67114
8/31/17 FIF<ST BANK OF NEVJT()~'J
128 E BROADVV/\Y NEWTON KS 67114
8/14/17 POST f~OCK PARTNERS INC 1349 SVENSK RD LINDSBORG KS 67456
9/30/17 FIRST BANK OF NEWTON 128 E BROADWAY NEWTON KS 67i 14
--",,,,,,,,-
10/31/17 FIRST BAN K OF NEWTO~~
128 E BROADWAY NEWTON KS 67114
10/16/17
JAI<OB SENN 521 STONE CREEK CT NEWTON KS 67114
11/30/17 FIRST BANK OF NE\NTON 128 E BROADVV;\Y NEWTON KS 67114
Subtotal Thi~ Page
f'\HJH)'~' ot E,pcoditurl' or Oi.,hul''i('m('IIT "Ill Ill! II t
SERVICE CHAr-ZGE - A,Pf~IL 2017 $508
SERVICE CHARGE - ~1i'AY 2017 $4,00
ANNUAL BOX FEES
$112.00 I -
SE:RVICE CHAf~GE - JUNE 2017 $4.00
SERVICE CHP,RGE - JULY 2017 $4 no
SERViCE CHf-\HGE - /\UGUST 2017 $4.00
CONSULTING FEES ADVERTISING $3,320,00 JAN - AUG 2017
SERVICE CHARGE· SEPTEMBEH 2017 $4,00
SERVICE CHARGE - OCTOBER 2017 $4,00
4H AUCTION S525.00
SEF;;VICE CHARGE· NOVEMBER 2017 S7 1b
S3,9B3.23
r:lg~ /-:-3
SCllEDl I,E C EXPEl\DITlfRES Al\D OTllE R DISBtJRSE.\l El\'I'S
Timothy C, Hoclge
(N :1 111(' () r <. 'and I d ~lll.' 1
Datt· i'iaIlH' alld Addn"~,
PtJrpV'''' oj Expcnditur ...
or Dbbun('UH'nt \mounl
10/27/17 Erv1Mf\ CLAASSEN 313 E 9TH NEWTON KS 67114
4H AUCTION $350.00
~,
12/31,117 FIRST BANK OF NEWTON 128 E BROADWAY NEWTON KS 67114
SEHVICE CHAf~GE - [)ECE~\i18ER 2017 $5,08
1/4/1H TAMPA STATE B/\NKSHARES INC 326 MAIN TAMPA KS 67483
REFUND CONTF<IBUTION 5500.00
>-.--"
Subtotal This Page S855.08
i
sell EDtI Ll'= (' EXPE:\DITlJRES Ai\IJ OTHER DISBtatSElvlE:\,TS
Timothy C Hodge
[) it It' :'\aJlll' unci Addre'"
1/31/17 STRIPE.COM
-
1()i3'lfI7 STRlPE.COM
STRIPE COtv" 11/30117
12/31/17 STRIPE.COM
1/26/17 701 CAFE 701 N MAIN 8T NEWTON KS 6'1114
1 1/17 FIRST BANK OF NEWTON 128 E BROAOVVA Y NEVVTON KS 67114
2/28/17 FIRST BANK OF NEWTON '128 E BROADWAY NEWTON KS 671'1'4
3/31/'17 FIRST BANK OF NEV\/TON 128 E BROADWAY NE'NTON KS 67114
Subtotal This Page
Purp(I'\\' of Expenditure Of" [)jo,hu nt:IlH'nl
-STRIPE.Corvl PROCESSING FEE JANU.ARY 2017
STRIPE.COfvl PROCESSJN(3 FEE· OCTOBEr.< 2017
I
I STRiPE,COM PROCESSING FEE· NOVEMBER 2017
..
STRIPE.COM PROCESSING FEE DECEMBER 2017
FOOD AND BEVERAGE RENTAL FEE
SERVICE CHAF~GE - .JANUARY 2017
SERVICE CHARGE· FEBRUARY 2017
SERVICE CHAf~(3E - MARCH 2017
\moulll
$1.03
S8,15
$14.80
$22,95
5678 13
$400
$400
5737.06
Complete if last pag(' of Schedule c
$5,585.37
$000
TOTAL EXPI;:NDITURES & OTHEJt nlS1HJRSEMENTS HilS PEllIOD (to line 4 of SUr'Illnary)
$5,58537
54.00
SCHEDUI.E D f)'I'IIER TRA~SACT()NS
Timothy C,
Ba I.) Ill' tat
(lo'\l' of
Period
$1,000.00
S3,500,00
$4,500,00
(hilt' "lIlIIt and '\ lid rl:"~
TIMOTHY C HODGE LOf'\N . INITll\L STARTUP 4/19/16 2727 N MAIN STREET
NORTH NE\/VTON KS 67117
TIr\,10THY C HODGE LOAN· WEBSITE DESIGN AND DEVELOPMENT 4/21/16 FEES
NORTH NE\NTON KS 67117 2727 N MAIN STREET
-,
I
Subtotal This Page
':111H(' of :\(,(,OUlll or Loan l'a~ a It It' or Loan Hf[('i, abl,'
Complett· if last page of Sch('dule [)
'1'()TAL OTHER THANSACTlONS (to Iinl' 1 of SummItry) $4.500.00