·-RECEIPTS AND EXPENDITURES REPORT t)F A CANDIDATE FOR...

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------ KANSAS GOVERNMENTAL ETHICS ·-RECEIPTS AND EXPENDITURES REPORT t)F A CANDIDATE FOR STATE OFFICE July 30, 2012 FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS A. Name of Candidate: _R_u_t_t1_T_e_ic_h_m_a_" _ Address: 434 E. Old Hwy 50 City and Zip Code: Stafford 67578 County: Stafford Office Sought: _S_e_"_a_te ---,- District: 33 B. Check only if appropriate: __ Amended Filing __ Termination Report C. Summary (covering the period from January 1, 2012 through July 26,2012) 1. Cash on hand at beginning of period . 81008.39 2. Total Contributions and Other Receipts (Use Schedule A) . 44532.50 3. Cash available this period (Add Lines 1 and 2) .. 125540.89 4. Total Expenditures and Other Disbursements (Use Schedule C) .. 100598.11 5. Cash on hand at close of period (Subtract Line 4 from 3) .. 24942.78 6. In-Kind Contributions (Use Schedule B) .. 250.00 7. Other Transactions (Use Schedule D) . 350.00 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. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." GEe Form Rev, 2001

Transcript of ·-RECEIPTS AND EXPENDITURES REPORT t)F A CANDIDATE FOR...

Page 1: ·-RECEIPTS AND EXPENDITURES REPORT t)F A CANDIDATE FOR …ethics.ks.gov/CFAScanned/Senate/2012ElecCycle/201207/S33... · 2016-09-27 · kansas governmental ethics commi~~ ·-receipts

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KANSAS GOVERNMENTAL ETHICS COMMI~~

·-RECEIPTS AND EXPENDITURES REPORT t)F A CANDIDATE FOR STATE OFFICE

July 30, 2012

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A. Name of Candidate: _R_u_t_t1_T_e_ic_h_m_a_" _

Address: 434 E. Old Hwy 50

City and Zip Code: Stafford 67578 County: Stafford

Office Sought: _S_e_"_a_te ---,- District: 33

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

C. Summary (covering the period from January 1, 2012 through July 26,2012)

1. Cash on hand at beginning ofperiod . 81008.39

2. Total Contributions and Other Receipts (Use Schedule A) . 44532.50

3. Cash available this period (Add Lines 1 and 2) .. 125540.89

4. Total Expenditures and Other Disbursements (Use Schedule C) .. 100598.11

5. Cash on hand at close ofperiod (Subtract Line 4 from 3) .. 24942.78

6. In-Kind Contributions (Use Schedule B) .. 250.00

7. Other Transactions (Use Schedule D) . 350.00

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. I understand that the intentional

failure to file this document or intentionally filing a false document is a class A misdemeanor."

GEe Form Rev, 2001

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name ofCandidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Tban $150

Cbeck Appropriate Box

Amount of Casb, Cbeck,

Loan or Otber Receipt

Cash CbKk Loan E fuDds 'Olber

01/07/12 Robert Wunch Box 473 Kingman, Ks. 67068

Attorney

.f $200.00

02109/12 James C. Klaver. 1535 N. Thoroughbred Ct. Wichita, Ks. 67235

Contractor

.f $500.00

02121/12 Kip Spray 5000 Timber Creek Rd. Great Bend, Ks. 67530

Contractor

.f $1,000.00

02121/12 Kelly Spray 5000 Timber Creek Rd. Great Bend, Ks. 67530

Housewife .f $1~~·Q'00.OO

03/27/12 Wakon &Brenda Fowler 20351 SE 20th Ave Pratt, Ks. 67124

Physician .; $500.00

04/24/12 Vickie Hurt 2771 SW Sagebrush Topeka, Ks. 66614

.f $150.00

04/30/12 Reggie &Sheila Fisher 110 N. Exchange Saint John, Ks. 67576

Farmer/Rancher

.f $500.00

06/05/12 Pamela Dietz 1220 E 5th St. Pratt, Ks. 67124

.f $100.00

06/05/12 Raymond H. Woods 1228 N. 5th St. Independence, Ks.

.f $100.00

06/18/12 Bonnie DUdrey 300 N. Buffalo Stafford,Ks. 67578

.; $100.00

06/18/12 Senate Republican Leadership Committee Box 1772, Topeka, KS.66601

PAC

.f $1,000.00

Subtotal Tbis Page .­ $5,150.00

. I

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name ofCandidate)

Date Name and Address . of Contributor

Ark Valley Education Employee PAC, 111 N. Main Lindsborg, ,Ks.

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other ReceiptCash Check Loan E ftmd.

Other

06/10/12 PAC Education .f $1,000.00

06/18/12 Andrew Evans Box 58 Coldwater, Ks

.f $50.00

06/25/12 Kim & Susie Barnes 215 E.8th Lamed, Ks. 67550

.f $100.00

06/25/12 Troy Nelson 1566 210 Ave Lewis, Ks. 67552

.f $100.00

06/25/12 Connie Nelson 1339 180 Ave. Lewis, Ks. 67552

.f . $100.00

06/25/12 Ronald Lindberg Box 296 Lewis, Ks. 67552

.f $100.00

06/25/12 Ks. Livestock Assn. 6031 SW 37th St. Topeka, KS.66614

PAC .f $500.00

06/25/12· James & Kathleen Maag 1924 SW Indian Woods Topeka, Ks. 66611

Lobbyist

.f $200.00

06/25/12 Sheila Frahm Box 849 Colby, Ks. 67701

Farmer .f $250.00

07/02112 John Koepke 2936 SW Staffordshire Rd. Topeka, Ks. 66614

.f $50.00

07/02112 Charles Hyler 1112 N. Monroe Hutchinson, Ks. 67501

.f $50.00

Subtotal This Page $2,500.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date

07/02112

07/02112

07/02112

07/02112

07/02112

07/02112

07/02112

07/02112

07/02112

07/02112

07/02112

Name and Address of Contributor

Melody Davies 706 E. 7th Kinsley, Ks.67547

John & Diane Humphreys Box 683 Ashland, Ks. 67831

Mr. & Mrs. Byron Roenbaugh 1111 Mocha Ln. Kinsley, Ks. 67547

Fred & Nancy Kerr 144 SW 19th Ave Pratt, Ks. 67124

Higher Education Fund Greater Ks. Chamber of Commerce, 911 Main Kansas City, Mo. 64105 a Richardson Images LTD PO Box 106 Lindsborg, Ks. 67456

\

Gary Skaggs 542 Terrace Dr. Pratt, Ks. 67124

Alliance Well Service, Inc. 470 Yucca Ln. Pratt, Ks. 67124

Randy & Terryl Henderson 323 E 6th Pratt, Ks. 67124

David Monical 1400 SW Stratford Rd Topeka, Ks.66604

H.A. Smith Lamed, Ks. 67550

Subtotal Tbis Page

Occupation & Industry of Individual Giving More

Tban $150

Cbeck Appropriate Box

Amount of Casb, Cbeck,

Loan or Otber ReceiptCasb Cbec:k Loan !.f!!!!!!!

Other

~ $100.00

~ $100.00

Retired .f $200.00

Farmer ~ $500.00

PAC

t/ $500.00

.f $50.00

Retired .f $250.00

Oil Industry .~ $500.00

Retired/Education .f $200.00

t/ $100.00

.f $60.00

$2,560.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Tban $150

Cbeck Appropriate Box

Amount of Casb, Cbeck,

Loan or Otber Receipt

Cash Cbock LOaD EfnDds Other

07/02112 A.C. & Nancy Boland 505 Iowa Pratt, Ks. 67124

Retired

.f $300.00

07/02112 Whitney Damron 919 S. Kansas Ave Topeka, KS.66612

Lobbyist

.f $250.00

07/05/12 Bob & Janice Moore 100232 NW 40th Ave. luka, Ks. 67066

Fanner

.f $200.00

0;7/05/12 Thomas & Janice Crissman 276 NW 60th Ave Great Bend, Ks. 67530

.f $25.00

07/05/12 Michael & Rebecca McFall 618 Sunrise Ave Pratt, Ks. 67124

Fanner ..f $200.00

07/05/12 James & Cibyl Ronen 116 Centennial Ct. Saint John, Ks. 67576

RetiredlBanker . .{ $200.00

07/05/12 Beverly & Donald Komarek 315 Point Dr. Great Bend, Ks. 67530

.f $100.00

07/05/12 Perry & Nancy Schuetz 2800 Harrison St. Great Bend, Ks. 67530

.f $20.00

07/05/12 Mary Margaret Boyles 807 N Main Saint John, Ks. 67576

.f $25.00

07/05/12 ACEC of Kansas PAC 825 S. Kansas Ave. Suite 500 Topeka,Ks.66612

Engineering Companies

.f $1,000.00

07/05/12 Mr. & Mrs. Thad Henry 141 SW 19th Ave. Pratt, Ks. 67124

Retired .; $200.00

Subtotal 'Ibis Page $2,520.00

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SCHEDULEA' CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Cash Check Loan E funds Other

07/05/12 . Norman Cooper 668 NW 40th St. Saint John, Ks. 67576

.f $100.00

07/05/12 Ks. Committee Rural Electrification PO Box 790 Meade, Ks. 67864

Electric Cooperatives

.f $300.00

07/05/12 Ks. Contractors Assn. PAC PO Box 5061 Topeka, KS.66605

PAC Contractors .f $750.00

07/06/12 Marvin & Eunice Proctor 1326 E. 3rd. St. Pratt, Ks. 67124

.f $100.00

07/06/12 Sunflower Electric Power Corp. PO Box 1020 Hayes, Ks. 67601

Electric

.f $400.00

07/06/12 Thomas Vernon 5913 Rosewood Dr. Great Bend, Ks. 67530

.f $100.00

07/06/12 R.F. Graff 291 NW 70th Ave Pratt, Ks. 67124

Teaching

.f $200.00

07/06/12 Bert & Rochelle Chronister 17124 Bethel Rd. Neodesha,Ks.66757

.f $100.00

07/06/12 Larry L. Moyer 1118 Holly Pratt, Ks. 67124

Retired

.f $250.00

07/06/12 Kay & Rodney Lesh 1118 Holly Pratt, Ks. 67124

Retired

.f $250.00

07/06/12 Kansas Star Casino Employee 777 Kansas Star Dr. Mulvane, Ks. 67110

PAC Hotel/Casino .f $1,000.00

Subtotal This Page $3,550.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman.

(Name of Candidate)

Date . Name and Address

ofContributor

Occupation & Industry of . Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Cash­ Ch«:k Loan !l!!!!!!! Olb..

07/09/12 James Musgrove PO Box 215 Claflin, Ks. 67525

Oil & Gas Geologist

~ $250.00

07/09/12 Kansas Medical Society PAC 623 SW 10th Ave. Topeka, Ks.66612

PAC Medical. .~ $1,000.00

07/09/12 Kansas State Firefighters PAC do Mike Gunther, 817 W. 19th Hutchinson, Ks. 67502

PAC Firefighters

i

~ $1,000.00

07/09/12 Gerald D. Marlatt 17009 B. Rd Emmett, Ks. 66422

~ $50.00

07/09/12 Gary & Mary Fitzsimmons Farms 130210 NE 5th St Cunningham, Ks. 67035

.f $50.00

07/09/12 Roger &Virginia Russell 788 SE 10th Ave Saint John, Ks. 67576

.f $50.00

07/09/12 Kenneth & Barbara Sewing 635 E. Vickers Stafford, Ks. 67578

Farmer

.f $200.00

07/09/12 Charles &Anne Grigsby 10177 NW 90th Ave Pratt, Ks. 67124

Realty

~ $250.00

07/09/12 Edward & Bonnie Redmon 1148 Meadow Lane Topeka, Ks. 66604

~. $50.00

07/09/12 Carter & Ma~orie Barker· 118 SE 25th Ave Pratt, Ks. 67124

.f $100.00

07/10/12 Jack & Belinda Galle 610 Sunrise Ave Pratt, Ks. 67124

.f $100.00

Subtotal This Page $3,100.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date . Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Than $150

Check . Appropriate Box

Amount of Cash, Check,

Loan or Other ReceiptCash Check Loan E funds

Orb..

07/10/12 Gregg & Martha Wade 436 SW 50th Pratt, Ks. 67124

.{ $50.00

07/10/12 Cielo Grande 436 SW 50th Ave Pratt, Ks. 67124

..f $50.00

07/10/12 Keith Mull PO Box 8 Lamed, ks. 67550

.f $100.00

07/10/12 Daniel & Cathryn Latourell 5965 16th S1. Terr. Great Bend, Ks. 67530

.{ $100.00

07/10/12 Christopher Schuetze 18825 24 RD Cimmarron, Ks. 67835

.{ $50.00

07/10/12 Tommy & Ann Smith 2535 H Rd Garfield, Ks. 67529

.f $50.00

07/10/12 Glenn A. Mull Land & Cattle 553 R. Rd Pawnee Rock, Ks. 67567

.f $100.00

07/10/12 Edward H. Klima 917 S. Santa Fe Salina. Ks. 67401

.f $100.00

07110/12 Lindsay N. Walter 2804 Tejas Ave Fort Worth, Tx. 76116 Hoase.-flJ:fe

.f $200.00

07/10/12 Norma Gatterman 810 W 4th Lamed, Ks. 67550

Retired

.f $450.00

07/10/12 Kenneth & LeeAnn Brunson 40050 NE 10th S1. Pratt, Ks. 67124

.f $50.00

Subtotal This Page $1,300.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name ofCandidate)

Date Name and Address

ofContributor

Paul F. Hayse Rev. Trust Michael Hayse TTE 2065. Mound; Pratt, Ks. 67124

Occupation & Industry of Individual Giving More

Than $150

Check· Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Cash Ch..,k Loan E funds Orbr.

07/10/12 .f $100.00

07/10/12 Morgan & Deb Trinkle 80236 NE 70th Ave Preston, Ks. 67583

.f $100.00

07/10/12 Kansas Hospital Assn. PAC 215 SE 8th Ave Topeka, Ks.66603

PAC Medical .f $250.00

07/10/12 Architects PAC 700 5W Jackson St. Topeka, Ks.66603

PAC Architect .f $250.00

07/12112 ATT Kansas PAC 220 E 6th Rm.500 Topeka, Ks.66603

PAC Communications .f $500.00

07/12112 R.L. & T.M. Miller 306 SE 30th 5t Pratt, Ks. 67124

.f $25.00

07/12112 Midwest Energy Inc. Hays, Ks. 67601

Energy Co.

.f $200.00

07/12112 Century Link Inc. Employees PAC 1099 New York Ave. Suite 250 Washington, DC 20001 .

PAC Telecommunications .f $500.00

07/17/12 Phil Ruffin PO Box 17087 Wichita, Ks. 67217

Retired

.f $500.00

07/17/12 BNSF Railway Co. 2500 Lou Menk Dr. AOB-3 Fort Worth, Tx. 76131

Railway Industry

.f $500.00

07/17/12 The Kansas Realtors PAC 3644 SW Burlingame Rd Topeka, Ks. 66611

PAC Realty .f $1,000.00

Subtotal This Page $3,925.00

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SCHEDULE A . CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of ..

Cash, Check, Loan or Other

ReceiptCash Checok . LoaD E foods

Olbe.

07/17/12 The Flower Shoppe Lou Lynne Moss, 201 E 4th Pratt, Ks. 67124

.f $100.00

$100.00

$750.00

$50.00

$250.00

$20.00

$150.00

$250.00

$100.00

$50.00

$100.00

$1,920.00

07/17/12 Crystal Obee DDS, PA 609 Marsh, PO Box 96 Kinsley, Ks. 67547

.f

07/17/12 CHC of Kansas 8320 Ward Parkway Kansas City, Mo. 64114

Banking Industry

.f

07/17/12 Randy & Kim Fritzemeier 2802 Salt Marsh Rd Stafford, Ks. 67578

.f

07/17/12 Kansas Agri Business Council 816 SW Tyler St., Suite 100 Topeka,ks.66612

Grain & Agriculture

.f

07/17/12 . Eric Webb 348 NE SR61 Pratt, Ks. 67124

.f

07/17/12 James W. VanBlaricum III DDS 10481 Lake Rd Pratt, Ks. 67124

Q",~~ ...~ .f

07/17/12 C.L. Meigs 400 S. Main, Suite 106 Pratt, Ks. 67124

Insurance

.f

07/17/12 Phyllis & Michael Farney 10263 NW 10th Pratt, Ks. 67124

.f

07/17/12 R. Patrick & Carolyn Gaughan 1232 N Shefford Wichita, Ks. 67212

.f

07/17/12 Judith R. Brungardt 409 Saratoga Ct. Pratt, Ks. 67124

..f

Subtotal This Page

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

of Contributor

Occnpation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other . Receipt Cash Chec:k Loan E funds

Other

07/17/12 Tom Brungardt Jr. 409 Saratoga Ct. Pratt, Ks. 67124

.f $100.00

07/17/12 Daniel & Maria Suiter MD 207 Lake Rd Pratt, Ks. 67124

.f $150.00

07/17/12 Donald &Jeanne Peters 1435 E 6thST Pratt, Ks. 67124

.f $50.00

07/17/12 Gary &Lynnette Curtis 110085 NW 110th St Byers, Ks. 67021

Farmer .f $1,000.00

07/17/12 Kelly &Barbara Mason 1104 Sunny Land Pratt, Ks. 67124

Banker

.f $200.00

07/17/12 Robert &Teresa Blasi 453 SE Park Hills Dr. Pratt, Ks. 67124

.f $100.00

07/17/12 Darrell &Laurelann Stroda 362 Lake Rd. Pratt, Ks. 67124

.f $50.00

07/17/12 Dr.William&TheresaWojciechowski 615 Sunrise Ave Pratt, Ks. 67124

President Pratt County Jr. College .f $300.00

07/17/12 Kelly & Debbie Estes Lic. K02-46-Q781 Bucklin, Ks. 67834

Farm Equipment

.f $200.00

07/17/12 Bobbe Stanion 401 Rochester, Apt. 110 Pratt, Ks. 67124

.f $100.00

07/17/12 William &Cynthia Keller 302 Lake Rd. Pratt, Ks. 67124

Electrical Supply Co.

.f $200.00

Subtotal This Page $2,450.00

;,

Page ~ of-,L,f{··

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Cash Chec:k Loan E fund. Olb.,

07/17/12 Suzan Patton 10147 Lake Rd Pratt, Ks. 67124

.{ $50.00

07/17/12 Marvin & Nancy Schmidtberger PO Box 424, 410 N. Thompson Pratt, Ks. 67124

.{ $100.00

07/17/12 Judys Country Styling Judy Doolittle, 10349 Lake Rd Pratt, Ks. 67124

.f $50.00

07/17/12 Kent & Deb Goyen 281 NE 45th Ave Pratt, Ks. 67124

.{ $100.00

07/17/12 Helen F. Lake 619 S. Jackson Pratt, Ks. 67124

.f $100.00

07/17/12 Mildred G. Riley 815 W. 5th St Pratt, Ks.67124

.f $50.00

07/17/12 Barbara Shinkle 408 Haskell Pratt, Ks. 67124

.f $50.00

07/17/12 S. A. Lawton 507 Welton Pratt, Ks. 67124

.{ $50.00

07/17/12 Steven & Susan Parsons 205 N. Oak St. Pratt, Ks. 67124

.f $100.00

07/17/12 Marjorie Buck PO Box 204 luka, Ks. 67066

.f $50.00

. 07/17/12 DWight W. Adams 10135 NW 70th Ave Pratt, Ks. 67124

R 'Q. -\ i V"~ d... .f $150.00

Subtotal This Page $850.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

ofContributor

Occupation & Industry of .Individual Giving More

Than $150

Check Appropriate BOI

Amount of Cash, Check,

Loan or Other Receipt·Casb Cbec:k Loan E funds

Otber

07/17/12 Kathy Shrack 100226 NW 10th luka, Ks. 67066

t:"Cl ~ ,..t n~ .f $150.00

07/17/12 Thomas & Kay Schnittker 445 SE Park Hills Dr. Pratt, Ks. 67124

.f $100.00

07/17/12 Betty Onstott 521 Parklane St Pratt, Ks. 67124

~ $50.00

07/17/12 Jerry & Margaret Larson 914 W. 2nd St Lamed, Ks. 67550

.f $25.00

07/17/12 Carol & Shirley McNickle 256 NE 140th Ave Stafford, Ks. 67578

.f $50.00

07/17/12 Donald & Dorothy Trinkle 70030 NE 110th Ave Preston, Ks.67583

.; $50.00

07/17/12 Marilyn Kennedy 318 S. New St. Pratt, Ks. 67124

.; $25.00

07/17/12 Doug & Jan Meyer 1405 Riverview Rd Pratt, Ks. 67124

.f $25.00

07/18/12 Michael & Cynthia Moore 810 Loch Lommand Hutchinson, Ks. 67502

~ $100.00

07/18/12 Larry & Marlene Carr 615 Morris Lamed, Ks. 67550

.f $100.00

07/18/12 Jacob & Shirley Rosenbaugh 2949 S. Rd. Haviland, Ks. 67059 FC"-IfY\U

~ $200.00

Subtotal This Page $875.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

of Contributor

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check, Loan or Other

ReceiptCasb Cbeck Loan E funds

Other

07/18/12 Jim Schwertner PO Box 1 Schwertner, Tx. 76573

t/ $100.00

07/18/12 Phyllis & George Miller, Jr. 97 NE 110th Ave Ellinwood, Ks. 67526

't/ $100.00

07/18/12 Kansans For Quality MHS 11116 Sloan Ave Kansas City, Ks. 66109

PAC Mental Health t/ $250.00

07/18/12 Ks. Assn of Health Plans 825 S. Kansas Ave Suite 502 Topeka, Ks.66612

PAC Health Insurance t/ $450.00

07/18/12 DCP Midstream, LP 370 17th St Suite 2500 Denver, Co. 80202

Petroleum Industry

t/ $500.00

07/23/12 Bill Robbins Pratt, KS.67124 .f $50.00

07/23/12 Jenna Fincham clo Lisa Fincham Pratt, Ks. 67124

.f $30.00

07/23/12 Richard Robbins 5188 57th Ave Belvidere, Ks. 67028

Rancher

t/ $500.00

07/23/12 Stull Law Office, P.A. PO Box 345 Pratt, Ks. 67124

Attorney

t/ $500.00

07/23/12 Kathleen Holt· PO Box 633 Cimarron,Ks.67835

t/ $50.00

07/23/12 C.E. New, Sr. PO Box 325 Stafford, Ks. 67578

.f $100.00

Subtotal This Page $2,630.00

Page ~ ofJ1L.

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

ofContributor

Occupation & Industry of Individual Giving More

Than $150 Cash

Check Appropriate Box

Check Loan .!.f!!!!!!! Other

Amount of Cash, Check,

Loan or Other Receipt

07/23/12

07/23/12

07/23/12

07/23/12

07/23/12

07/23/12

07/23/12

07/23/12

07/23/12

07/23/12

07/23/12

Vickie Hurt 2771 SW Sagebrush Ct Topeka, Ks.66614

The Koger Agency, Inc. PO Box 4587 Topeka, Ks.66604

Kansas Health Care Assn. PAC 117 SW 6th Ave Topeka, Ks.66603

LT.C. Great Plains, LLC 27175 Energy Way Novi, Mi. 48377

Ks. WSW PAC 212 SW 8th Ave Topeka, Ks.66603

Gerald & Heidi Goodman 506 E. 39th Ct. Hutchinson, Ks. 67502

Kansas Cooperative Council PO Box 1747 Hutchinson, Ks. 67504

Kansas Assn. of Public Employees 1300 SW Topeka Blvd. Topeka, Ks.66612

KTLA Consumer Civil Justice 719 SW Van Buren Topeka,Ks.66603

Merle & Beth Rose 120199 W. FirstSt. Haviland, Ks. 67059

Security Benefit Life Insurance One Security Benefit Place Topeka, Ks. 66636

Cf"""-;; \..\n' 01'\

O~('H.''''

Contractors

PAC Medical Industry

Energy Corp.

PAC Wine Wholesales

Retired

v

PAC Professional Union

PAC Civil Justice System

PAC Insurance Industry

t/

t/

.f

t/

.f

.f

.f

t/

.f

.f

.f

$150.00

$1,000.00

$1,000.00

$250.00

$400.00

$300.00

$100.00

$800.00

$250.00

$75.00

$500.00

Subtotal This Page $4,825.00

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

of Contributor

Merck Sharp & Dohme Corp. One Merck Dr. Whitehouse Station, NJ. 08889

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Casb Cbec:k Loan E funds Other

07/23/12 Phannaceutical

t/ $500.00

07/23/12 Tug Hill Operating LLC 550 Bailey Ave. Suite 510 Fort Worth, Tx. 76107

Petroleum Industry

t/ $500.00

07/23/12 Ks. Independent Phannacy SVC 4125 SW Gage Center Topeka,Ks.66604

PAC Phannaceutical .f $500.00

07/25/12 Tom Jones ll~ N· ~a"",\Ho'l\.

\)'('C\~ \ "" S LOld'-j

Dr. Russell & Rachel McCaulley 181 NE 20 Rd Great Bend, KS.67530

.f $50.00

07/25/12 Optometries

t/ $200.00

07/25/12 Blake & Christine Himmelwright PO Box 851 Pratt, Ks. 67124

.f $100.00

07/25/12 Karen Schadel 2448 380th Ave Alexander, Ks. 67513

.f $25.00

07/25/12 Robert & Donna Schmisseur . 10327 Lakeroad Pratt, Ks. 37124

t/ $100.00

07/25/12 D. Wayne & Flo Parsons 307 S. High Pratt, Ks. 67124

.f $100.00

07/25/12 Velma Kraft 408 NE Overland Trail Great Bend, Ks. 67530

t/ $25.00

07/25/12 Lee Borck PO Box 1506 Great Bend, Ks. 67530

Cattle Co.

.f $1,000.00

Subtotal This Page $3,100.00

Page ~ofi'1~

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name of Candidate)

Date Name and Address

ofContributor

KAKElV \.500 .N. \,.-....h"'S\

\,....)( <. "" \ -\.c... \ f< s

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other Receipt

Cash Check Loan E funds Other

07/25/12 Reimbursement for overpayment .{ $997.50

07/26/12 Patrick Maloney 1740 N Spruce Kingman, Ks. 67068

.{ $100.00

07/26/12 Devine & Donley, LLC 534 S Kansas Ave., Suite 1420 Topeka, Ks.66603

Attorneys

.f $500.00

07/26/12 L. Crowe PO Box 622 Coldwater, Ks. 67029

.{ $30.00

07/26/12 William & Texanita Randle 11414 W. Texas St. Wichita, Ks. 67209

.{ $50.00

07/26/12 National Assn. Chain Drug Stores 413 N. Lee St AJexandria, Va. 22314

Pharmaceutical .f $250.00

07/26/12 Ks. Society Professional Engineers 825 S. Kansas Ave. Suite 500 Topeka,Ks.66612

PAC Professional Engineers .f $300.00

07/26/12 AAA Allied Group Inc. 15 W. Central Parkway Cincinnati, Oh. 45202

Road Safety Insurance .{ $200.00

07/26/12 Kansas Dental 5200 SW Huntoon St Topeka, Ks.66604

PAC Dentistry .f $500.00

07/26/12 Richard Rathburn II 215 E. Main Coldwater, Ks. 67029

Attorney

.f $200.00

07/26/12 Summit Strategies Group LLC 1211 SW Garfield Ave Topeka,Ks.66604

LObb~i4c .f $150.00

Subtotal This Page $3,277.50

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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth A. Teichman

(Name ofCandidate)

Date Name and Address

ofContributor -

Occupation & Industry of Individual Giving More

Than $150

Check Appropriate Box

Amount of Cash, Check,

Loan or Other ReceiptCash Check LoaD ~

Oth.r

Subtotal ThisPage $0.00

Complete if last page of Schedule A

Total Itemized Receipts for Period $44,532.50

Total Unitemized Contributions ($50 or less)

Sale ofPolitical Materials (Unitemized)

Total Contributions When Contributor Not Known

TOTAL RECEIPTS THIS PERIOD (to line 2 of Summary) $44,532.50

Pagei!Lof~

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-SCHEDULEB IN-KIND CONTRIBUTIONS

(N arne of Candidate)

Date Name and Address of Contributor

List Occupation & Industry for Those Giving an In-Kind of More Than

$150

Description of In-Kind Contribution

Value of In-Kind

Contribution

7/1/12 Don & Susan Young 3701 22nd Street Great Bend, KS

teachers Barton County Fair Booth Fee $175.00

7/10/12 Kim Barnes 215 E. 8th Lamed, KS

Coffee & Rolls - Lamed meet & greet $75.00

$250.00

Complete if last page of Schedule B

Total Itemized (over $100) In-Kind Contributions

Total Unitemized ($100 or less) In-Kind Contributions

$175.00

$75.00

$250.00

Page _1_ of-L

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(Name of Candidate)

Purpose of Expenditure

Date Name and Address or Disbursement Amount

Stafford Courier Renew subscription 1/14/12 Box 276 $27.00

Stafford, KS

Anthony Republic Renew subscription 1/14/12 Box 31 $40.00

Anthony, KS

Gyp Hills Premiere Renew subscription 1/14/12 Box 27 $45.00

Medicine Lodge, KS

Harper Advocate Renew subscription 1/14/12 Box 36 $40.00

Harper, KS

Harper Advocare Christmas Ad 1/14/12 Box 36 $25.00

Harper, KS

Attica Independent Christmas Ad 1/14/12 Box413 $20.00

Attica, KS

Hawver Capitol Report Subscription 1/14/12 300 SW 10th Ave $180.00

Topeka, KS

Kiowa News Subscription 1/22/12 614 Main $30.00

Kiowa, KS

Protection Press Subscription 1/26/12 Box 567 $30.00

Protection, KS

Pratt Tribune Subscription 2/11/12 Box 909 $123.93

Pratt, KS

Cunningham Courier Subscription 3/18/12 Box 416 $30.00

Cunningham, KS

$590.93

Page~of~

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SCHEDULEC EXPENDITURES AND OTHER DISBlJRSEMENTS

Q \&.:\'" =rt. \ s.h rngO (Name of Candidate)

Purpose of Expenditure

Date Name and Address or Disbursement Amount

Great Bend Tribune Subscription 4/9/12 Box 228 $150.75

Great Bend, KS

SignTec lettering on car 5/13/12 301 W. 2nd $239.18

S1. John, KS

Golden Belt Printing Lobbist Letter & mailing 6/16/12 1125 US Hwy 281 ByPass $794.07

Great Bend, KS

Tiller & Toiler Subscription 6/19/12 115W.5th $62.52

Lamed, KS

Eagle Radio Radio Ads 6/22/12 1200 Baker Ave $4,381.30

Great Bend, KS

Hoisington Dispatch Subscription 6/26/12 104 N. Main $25.25

Hoisington, KS

Pratt Tribune Poitical Ads 6/26/12 Box 909 $1,773.00

Pratt, KS

KMMM Radio Ads 6/26/12 30129 E. Hwy 54 $2,802.00

Pratt, KS

My Town Media Radio Ads 6/26/12 Box 383 $1,872.00

Pittsburg, KS

Post Rock Radio Radio Ads 6/26/12 108 W.8th $1,200.00

LaCrosse, KS

Pratt Craft Fair Fair Booth 6/12/12 403 S. High $35.00

Pratt, KS

$13,335.07

Page ~ of.-!L

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

(N ame of Candidate)

Purpose of Expenditure

Date Name and Address or Disbursement Amount

Hoisington Dispatch Newspaper Ads 6/27/12 104 N. Mai $556.20

Hoisington, KS

Ness City News Newspaper Ads 6/27/12 BoxC $168.00

Ness City, KS

Dighton Herald Newspaper Ads 6/27112 Box 426 $420.00

Dighton, KS

Scott County Record Subscription 6/28/12 Box 237 $27.20

Scott City, KS

Great Bend Tribune Newspaper Ads 6/29/12 Box 228 $788.00

Great Bend, KS

Merchanfs Directory Political Ads 6/29/12 Box 5 $75.00

Mullinville, KS

Edwards Co. Sentinel Newspaper Ads 6/29/12 Box 528 $240.00

Cimarron, KS

Scott City Record Newspaper Ads 6/29/12 Box 337 $331.20

Scott City, KS

Glden Bell Printing Yard Signs & Post it Notes 711/12 Box 997 $4,622.38

Great Bend, KS

Golden Belt Printing Palm Cards 711/12 Box 997 $733.29

Great Bend, KS

Stafford Courier Newspaper Ads 7/2112 Box 276 $210.00

Stafford, KS

$8,171.27

Page~of1l-

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Ruth Teichman

(Name of Candidate)

Date Name aud Address

Rush Co. News 7/2112 112W.8th

LaCrosse, KS

Pratt Fair Booth 7/2112 824 W. 1st

Pratt, KS

Postmaster 712112 2100 16th

Great Bend, KS

Golden Belt Printing 7/2112 Box 997

Great Bend, KS

Eagle Radio 7/5/12 Box 609

Great Bend, KS

My Town Media 7/5112 Box 353

Pittsburg, KS

Golden Belt Printing 7/6/12 Box 997

Great Bend, KS

Cox Media 7/9/12 807 E Douglas

Wichita, Ks

Golden Belt Printing 7/10/12 Box 997

Great Bend, KS

Postmaster 7110/12 2100 16th

Great Bend, KS

Cox Media 7/11/12 807 E. Douglas

Wichita, KS

Purpose of Expeuditure or Disbursemeut Amouut

Newspaper Ads $270.00

Booth $80.00

Postage $2,416.27

Introductory Letterl big signs/ postcards $8,352.04

Tapes for Radio Ads $340.80

Tapes for Radio Ads $96.00

Bumper Stickers $137.22

Produdion &Schedule $25,00

Printing & Mailing $3,263.11

Postage $2,502.45

Produdion tapes for TV $2,925.00

$20,407.89

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Ruth Teichman

(Name of Candidate)

Purpose of Expenditure

Date Name and Address or Disbursement Amount

KSN TV ads 7/12/12 833 N. Main $3,493.50

Wichita, KS

KAKE TV ads 7/12/12 1500 N. West $6,650.00

Wichita, KS

KWCH nlads 7/13/12 2815 E. 37th St. N $4,070.00

Wichita, KS

Postmaster postage 7/17/12 2100 16th $2,916.90

Great Bend, KS

Golden Belt Printing printing postcards 7/17/12 Box 997 $3,263.11

Great Bend, KS

Ruth Teichman Reimbursement for credit card payment to 7/17/12 434 E. Old Hwy 50 Recordnews 14690 Parallel Basehor, KS $1,255.01

Staftord,KS printing & postage

American View Point Polling 7/22/12 300 N. Lee St, Suite 400 $3,500.00

Alexander, VA

Design & Print Solutions Post-it-notes in newspapers 7/24/12 4021 SW 10th #264 $4,891.93

Topeka,KS

Visa - FNB Golden Belt Printing for postage 7/24/12 Box 4512 $2,270.57

Carol Stream, IL

Postmaster Postage 7/25/12 2100 16th $2,918.58

Great Bend, KS

Golden Belt Printing Postcard Printing 7/25/12 Box 997 $3,591.58

Great Bend, KS

$38,821.18

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Ruth Teichman

(Name of Candidate)

Pnrpose of Expenditnre

Date AmonntName and Address or Disbnrsement

Recordnews Advance voting letter 7/25/12 $1,732.8914690 Parallel

Basehor, KS

Design & Print Solutions Front page ads - newspapers 7/25/12 $4,891.93

Topeka,KS

Wheat State Strategies Advance Voting Mailings 7/26/12

4021 SW 10th #264

$73.35 Topeka, KS

Rocket Newspaper Ad 7/23/12

Box 2482

$424.00 Lamed, KS

Scott City Record Advertising - Meet & greet 7/25/12

115 W 5th

$94.50 Scott City, KS Box 377

KWCH TV Ads 7/25/12 $3,020.00

Wichita, KS 2815 E, 37th St. N

Cox Media TV Ads 7/26/12 $3,000.00

Wichita. KS

KSN TV Ads

807 E Douglas

7/26/12 $3,060.00 Wichita, KS 833 N. Main

KAKE TV Ads 7/26/12 $2,975.00

Wichita, KS 1500 N. West

$19,271.67

Page -I.e- oCfl:

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SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Ruth Teichman

( Name of Candidate)

Date Name and Address Purpose of Expenditure

or Disbursement Amount

$0.00

Complete if last page of Schedule c

Totalltemized Expenditures This Period

Total Unitemized Expenditures of $50 or less

$100,598.01

$100,598.01

Page ~ of-!L­

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SCHEDULED OTHER TRANSACTIONS

Ruth Teichman

(Name of Candidate)

Date

7/13/12

7/13/12

Name and Address

Exon Mobil 800 SW Jackson, Sutie 808 Topeka,KS

Polsenilli/ Shugart 555 S Kansas Ave Topeka,KS

Nature of Account or Loan Payable or Loan Receivable

Contirbution over limit Monies returned

Contribution over limit Monies returned

Balance at Close of Period

$100.00

$250.00

$350.00

Complete if last page of Schedule D

$350,DD

. Page ----l- of-l­