fethics.ks.gov/cfascanned/pacs/2016eleccycle/201601/pac083_2016… · and 2) . 4. total...

KANSAS GOVERNMENTAL ETHICS COMM--ToT 1~~~~shy itDJ

RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMMITTEE JAN 062016

January 102016 KRIS W KOBACH SECRETARY OF STATE

FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS

A Name of Committee Kansas Insurance Agents Political Action Committee

Address 815 SW Topeka Blvd

City and Zip Code _T_o_p_e_k_a_6_6_6_1_2 ~_~__~ ~ _

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

B Check only if appropriate __ Amended Filing __ Termination Report

C Summary (covering the period from January 12015 through December 312015)

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)

6 In-Kind Contributions (Use Schedule B)

7 Other Transactions (Use Schedule D)

1254527

3310822

4565349

1517028

3048321

235 Date

GEe Form Rev 2015

ICommercial ~ Personal Ins i I I I I AgenCy 111503 W75th St Ste 200 IShawnee iKS 166214- I 152015 rmiddot-middot~-middot-middotW_-~~~------N--middot-~1m__m-bull~-~~~ N--W--~~wmiddotyen_-middot---fmiddotmiddot-middot-middotmiddot--~middot~-middot--- NN_vm-~i~N~ ~-w_ __N - ~=~IN __=A__--==_bullbullw~_~_

IKansas Builders Insurance 12101 SW 36th i I II i $ IiGroup 12101 SW 36th ITopeka I KS 166611- 1 5 2015 1 100001 1middotmiddotM~~I~~I~-s~~~middot~~~middotmiddotAgmiddot~middot~~ymiddotmiddot -middot-li23middot9-C~~t~~middotImiddotA~middotmiddotmiddot_middot-- middotmiddotmiddotmiddotmiddotmiddot~middotmiddot-middot-middotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddot-1K~~~~~middotmiddotcitymiddotmiddotmiddot--middotmiddotmiddotmiddotImiddotKSmiddot - middotl66102=5439middotmiddotmiddot-middotr-middotmiddotmiddotmiddotmiddot middotmiddotmiddot-1757201smiddotImiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot $25001 l---------middotmiddot------------~ - -----~- --------------------+-=-- --------+------1-----------+-__ ____ bullbull____wHeinze Insurance 1509 N Main Newton IKS 167114- i 1520151 $25001 [B~_~-z_eJ~~~~_-a_n-c_-e -_-_--__=~=~~J~~fN~=-Mai~- == -~Ji7-~-14-_-_-_-_ -l~-gt_52_~~L=-=-~_~-j_-~O_01-___-~==-_-~_-_-_=_--~-~-_e_t~~ 1~~=-=-----IAI Shank Insurance Inc IPO Box 2559 jLiberal jKS 167905-2559 I 1520151 $25001

I~Smiddoth~middot~kmiddoti~middot~~7~middot~~~~I~-~~middot_-middot---middot-middot-rpO B~~25S9-middotmiddot--middotmiddot-middotmiddotmiddotmiddotmiddot~middotmiddot_ middotmiddot_middot-middot middotmiddot-TLib~-~imiddot-middotmiddotmiddot----~-TKS--middotmiddot_middotmiddotmiddot-middotmiddotmiddot_-middot_middotmiddot[6790s-=25smiddot9--r---middotmiddot-ijs2Dismiddotmiddot_middot- middotmiddot middotmiddot-$25001

~~~~~~g~CY l~O~ing=-=-===W~~--~=--- [~~~~~ t -~7~~~~F--~~ - _ - ----_- -----fmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot-middot-----middotmiddotmiddotmiddot -- -- --------- ------IS~ -----1-- --- - -1--- --- ---- -

Quomation Insurance Services PO Box 982941 lPark City IUT 184098-2941 I 1820151 $100001 Inc I i I I I ~w WN~~~w_ __=~__ Y_~~~_~~N_~ =-~_--T---~~AW~N=~-----__--w~_-w-~ ~NW~-~v-v

~ad Noll Insurance IPO Box 1252 iHutchinson IKS

II~-~S-~~P~~t~-~-~_~=~==_middot-_-_middot JiO-1_i-1-~E~T-4-th-F-I~~~- - =~=j~~_nsa~SJ~ ~JM-~~~~~~~~=~=--

t~~-~~~~t-i~middot~~middotr~~middot~~middotmiddot middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddot--~iiimiddot~7~s~~~l~~ rr~~middotmiddot Rd middot-middotmiddotmiddotmiddotmiddot __ middotmiddottr~~~middot --middotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddot-jmiddot~~-middot middotmiddotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot ---=__~v__ _____y~_~_ _ ~ ___~ __~AN ---_-___+_----~~~-

jAgency West Insurance 111267 Strang Line Rd iLenexa r---~middotmiddot~middot~~middot_-----~_middot~~middot_middotHN _~~_yen~ __~v~ __---bull_w_~~~ ___ - shy

1_~l~_~~u_~lJ~~ranceC_~__~1189~~~4~~ Street [Olathe

L~~y~~Igt~~~r ~~_~]~~~L ____J~9_~cr~~ ~~r IWhitehead Insurance LLC 15112 E Central IWichita l=---~- yen-------r- ITeellnsurance Agency Inc 1132 E Maple IColumbus - -r--------------------

~~t ~~~~~sc~rf~~e~middot~~~--~~ ~ ~ci8--middot-middot-middot---middot-middot---middot-J~~~~n~-middot-middot--~~------middot---1 ~ ~~~i~~j ~~~~~i~~~ I-middot----middot-middot~ ------- ------------- -+- -- ---- ----- ---bull--- - middot---middot-middotmiddot--middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot-middot-rmiddotmiddot--middot------middotmiddot---middot------( __ W~r0~on~~_~~ ~~]~~--~iS~---~~---~~6W~366 IlU1~W1~ ICommunity Insurance I I I consultants LLC 112651 Hemlock Suite 5 [Overland Park IKS 166213- I 1152015 1 $83 r----- --------- -middotmiddot ----+--------------+------------middot---middot-middot-middot------- --rmiddotmiddot-middotmiddot----middot-middotmiddotmiddotmiddot-middot1---shypnsurance Specialist Group LLC 18415 E 21st St NSTE 210 iWichita IKS 167206-2954 I 11520151 $83

~~~~~~~~~o~~~s-r~~~-~~-~-t-middot~~-~middot-~~- _-~=t~n~==f[-=----middotmiddot-_middot-middotmiddot-middot-r~~~~li~7T--~~~~~_ ___ -_~---~ I--~_nn amp S~_~P~r~c _____9~pound~j2 ___ _+~~lIlngcn__I~~--------t~71520040 J_1l~2015 _ j~3~ IMO-KAN Chamber Services Inc I I I ij II

Iidb Th I 12694 Shawnee Mission Pkwy iShawnee KS 66216-1860 1152015 $8331 a e nsurance I jl- __ _ __ --bullbull ___ -L- __ _

1 of 28

__

[(middot~~_~middot~_middot~imiddot~~YI~S~~-~~~~~I-~~~=]~g~~~~~~~=~~ _-J~i~~~ ~=~~ ~S ~_ ~~ _~~0~~Q~i~~middot~~5(~q~~] ===--s ~3~ iSnell-Nelson Ins Agency Inc ipo Box 868 jAshland IKS 167831-0868 I 11520151 $833k-- ~_~~ bull__ bull __ ~------Nr~------~-----------W~~---~~i---------middot-----1

TWI amp Dietz Inc 120 North Main St IWaKeeney iKS 167672-0217 1 11520151 $8331 imiddot~middot_middot_middotmiddotmiddot~middot_m_ltNNmiddotmiddot middot~NNm~~ ___N-_N__~~=_~W__~_NN ~~_~_N_H_Nmiddot-~rmiddotN------_W~_hW~~-_middot~~tw-_ ~Nm-- __N-_~bull~--~~---~~=~~---~~-~---_~~middot_middotmiddot-_~middotr

i~~~I~1~lt~_~~_ert~~ _ __J~~~~~~~__ __ ____ _Lt~J1 son_ _JK~ _ ~__L~609_~=~~~2-~ _~1~t0~L js~ IRichey Health Benefits IpO Box 454 IWichita KS 167147- 1152015i $8331 ( _ - middotmiddot 1middot -- tmiddotmiddot _ + 1 IBilliard-Hammer- Hartman i I I I

IPO Box 509 I Fort Scott ImiddotKS 166701-05091 11520151 $8331Insurance Inc I I 1 --_ ~- _ _ -~ _- - _-_ middotmiddot---~ r middotmiddotmiddot-middotmiddot - -middotmiddot--Jmiddotmiddot-- ----_- - ----~ Fox Insurance Agency iPO Box 846 ArmaKS 166712-0846 I 1152015 $833) - _ _---__ _ __ _ __ _-_ _ _ -_ _-_ _ __---_ _-+---__-- _ _ - _ ( Brown Business Services Inc 11710 Republican Street iConcordia IKS 166901- I 11520151 $8331 --~_ _middotmiddotyen_middotmiddotmiddot__middotmiddot~~~_ _~~middotmiddot bullbull_middotmiddotNyen~_~~ ~_M~~~_~ __~~ __~_ __~ __ ~ __~ __N__ ~-~~--yen~_--_ ~--_-~-~---r--~~-_ -----~ --~ ~~~~___v~ bullbull ~_ bullbull_~ ~~ ~~_~__~ bull yy__~_yen_ __yen h __ ___~_~~bull__~ ~~~raquo~

Corporate Assurance Inc 6811 Shawnee Mission Parkway IOverland Park iKS 166202-0340 I 11520151 $833 ~~~~~___bullbull-__~~_ __~____-NooM V_h~=__ ~~ ____---_~____bull__~=_~__~M__ ~_wlt~~N ~~~ -~~~~ ~__ ___ ~___~~ __~__~~y

HW Sewing amp Co Inc IpO Box 171488 Kansas City KS 166117-0488 i 11520151 $833 --__~~ __~T__ ~_ -_T-v_-v--~-~-~_-~-------~ --~--V~-----C-----) ------~--_W-1

IUnitedAgency LLC iPO Box 817 lArkansasCity lKS 167005-0817 i 1152015 $833 r-middot---middotmiddotmiddot~ middotmiddot-__middot middot middotmiddot -middotmiddotmiddot-middotmiddot-middotmiddotmiddotmiddot middotmiddot middot- middot1middot middot middot middotmiddotmiddot- ---- -1-middotmiddot----middot middotmiddot middotmiddottmiddot -middot-middotmiddotmiddotmiddotmiddot----tmiddotmiddotmiddotmiddot-middot-middotmiddotmiddot middot --- -- - -IAccurate Insurance Agency Inc 16428 Vista Dr iShawnee IKS 166218-9239 I 1152015t_middot- middot middotmiddot- --- _- - - - j - -- --- ---- -- ---- 1- - - ~~I SC~~~~ ~ge~cy rt~_ _ J~Q~9~qsect ___ __ _ __ L~an~ __ J~_____tsect6deg]l-039~_L_lJ~L015i- _ ---middot_

W~ILO9-1~S~~~~~~YLce~_ __ ~ ~q ~ox ~_ _ _ _ _ j~~~~~ - t~- _ _67~50-999-~__L(~2 1~~~r~~~C~~~~~~~~~~~middot~C~~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotf ii6~amp~~imiddot~middotStmiddot - middotmiddotmiddotmiddotmiddotmiddot middotmiddot 1~~n~~~~ifG~middot~~middot~middotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotImiddotmiddot~~ middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot-middotmiddot middotmiddot__middot1middot~~~middot1~~~1~middotmiddot middot1middot middotmiddotmiddotmiddoti)i~~6-i~middotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot~~~jj1 1----_-__~~-~_----~---i-~~~~~_-__~-w_~ ~ __~ __~~~ ____~__~~__~--__~~~ ~ ~ l ~_~_

I I 1 ii

Charlsen Insurance Agency Inc IpO Box 206 Halstead IKS 167056-0352 11520151 $8331 t- --- middotmiddotmiddot__ _ _ - ---_ -~ _-_ ~ -- - --_ - - -- ~- -C _ - -_ __ ___ ___ L_ _ _

nsurance Solutions of Kansas 1 I I i LLC j220 South 200th IGirard IKS 166743- I 1152015 1 $8331

_ _-_ _ _--mmiddot - _- -middot-middotmiddotmiddot ~t -middotmiddot middotmiddot__middot---- -- - - -1------ +- 1---middot---1middotmiddot r--_--middot- middot_middotl ISSampG and Associates Ipo BOX 2628 IShawnee Mission IKS 66201- I 11520151 $8331 ~ - -_ --- - -- - ~ _~ - -_ -- - - - -~ --_ -- i-middotmiddot -- middotmiddot-middotmiddot~middot-middotmiddot-middot--middot middotmiddotmiddotmiddotmiddot --middotl-middot---middot-- ~ middot---- - middot middotj ~~ ~~rlder~ ~~rlltt -middot -middot-middot _middot_ll~9sect~ ~~~~9~~L_ _ _ _ _~E~()~~lt~on _J~~ - - I()~9sect~ I L~f~9~I -- ~~~~ Ii I IIIntegrity Insurance Agency Inc 2047 SWTopeka Blvd Ste C Topeka IKS 166612-1462 i 11520151 $8331

~a-lnsura~~~-- middotmiddot------rPO-BOX 37------ ISevery _~s--middot ~7137-0037T 11520151----$8331imiddot--middotmiddotmiddotmiddotmiddot-----~-middot middotT-middotmiddot ---middot--~-- middotmiddotmiddot--t-------l- middot- --middot-middot- I -----------

IBecker Lassen Ins Agency Inc 12220 SE 29th Street Suite A jTopeka KS 66605- I 11620151 $25001_ __-_ _ ~ middot middot_middot middot - ___middot- ~middotmiddot middotmiddot-middotmiddotmiddotmiddot middot r middot~ _ middot 1 - middot _middotmiddotmiddot1-middot _ middotmiddot _ bull middot middot middotmiddot _middot bullmiddotmiddotmiddot _ _ c

l~~~tas Municipal Insurance 16021 sw 29th St PMP 355 ITopeka KS 166614- I 1162015 $100001 fbull- - --- ---- ------bullbullmiddotmiddot____ - -middot----_middot middot-middotmiddot--middot--middot1 1-----~------- 1 --4

iHeartland Adjustment Inc ipO Box 2666 ISalina middotKS 167402- I 11920151 $100001 ------_-- --_ middotmiddot __ - middotl-middot _--_ _ _ middotmiddotmiddot-- -r--middotmiddot- -middotmiddotmiddotmiddot--l--------middotI------r-~ --middotmiddot--middot-- ----middotmiddotmiddotmiddot--1 hiladelphia Insurance Companyl4000 West 114th St Suite 250 lLenexa IKS 166211- I 12620151 $100001 -_____~___ ~_~_~ ~ ~ ~ _----1 __ __ l

2 of 28

ILiberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 IWichita IKS 67206- I 252015 $6251 - --middot-middotmiddotmiddot----middot-- middot ---middot-middot----middot---fmiddot--middotmiddotmiddot ----------- -----middot middotmiddotmiddot--middot middott---middot--middot---middot middot--t-----middot -tmiddotmiddotmiddotmiddot--------- -----~-- ----_- -

ILiberty Benefit Consultants Inc 240 N Rock Rd Suite 107 IWichita IKS 167206- I 252015 $625 Imiddotmiddotmiddotmiddotmiddotmiddotmiddot bull 1 _ __ _ J _ bullbullbullbullbull _-bull _ J- bullbull middot bull middot_-- middot-1- middotmiddot-middotmiddot -- 1 i l I Liberty Benefit Consultants Inc240 N Rock Rd Suite 107 Wichita KS 167206- If 252015l $625

bull I f--middot-~middot-- ---middot-middotmiddot---middotmiddot_middot----middot-middotmiddotmiddotmiddotmiddotmiddotrmiddot-------middotmiddotmiddotmiddot--- --------------------- ---~_ - middot_middot--middotmiddotmiddot1-middot--middotmiddotmiddot-middotmiddot I ---------

Liberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 jWichita IKS 167206- I 252015 1 $625 1r- - _ _ __ -_ - __ __ -- middot-middot_middot_middot-middot middotmiddot_middot)middotmiddotmiddot middot middot-middot middotmiddot-middot1- - __ -middotmiddot--_middotmiddot_middot middotmiddotmiddotmiddotmiddotmiddot middott middot middotmiddot middot-middotmiddot--_middot _1 iLiberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 IWichita IKS 167206- I 2520151 $6251 i i I 1 I rr- ------ -~ -- J----_----- ---------------+-------~ -- ----~ -- ~-~9~~ ~u~yper- __ _ __ ~Q~~~~sect _ __ ~_ __L~~~~rl ___J~__ _ ____I~gsect_QJ _2l~YO 15 ~- - -----$59-~QQI IBilliard-Hammer-Hartman ipOBox509 IFortScott IKS 166701-0509 I 2172015 1 $8331 Insurance Inc I 1 I I I I I -_ _- - - - -_ _+-- - _- - - _ - ----- 1-__ _ _ middot-middotmiddot middot 1- - middotmiddotmiddot middot middot ------middot-middotmiddot-

1~~~=~~~~~~t~middotI~~=~= ~j~~-~~~=iif~~~= =~~==~~=~i~~~~~~y =~J~~~=~ ~ -middot-~~it6~~~-middotmiddotmiddotj_j~t~~~=~=~=_~~t~2 I I I I i I I

ccurate Insurance Agency Inc 16428 Vista Dr IShawnee IKS 166218-9239 2172015 l $833lI j I

bull __ __ _ _bullM _ ___bull ~___bull ___ middot------f---middot------middot-l--middot l~--middot---I T------- ~_~porate A~sura nceJ~~__ ~ sect~l~~~a~ne~_~i~J~2 Par~war_ j9ve~land par~ __1KS 4sect620~-0340+-Y17 Ol~i ___-~~ 1C _hu~t~~g~~~y~ Inc_ _ J~2__~0~_~06 __ _ _ __ __L~_a rn~tt__ j~~- --- --1~6o2 -0306_i JiQ15 ~ __ ~_$831

rdinallnsurance Co Inc IpO Box 847 IJunction City IKS 166441-0847 21720151 $8331 - _- - - J -__ _- middot middot-middot middotmiddot middot- f middot _- _ _ --middotmiddot 1middot--- --middotmiddot-middotmiddot middot middot-1 middot middotmiddotmiddot middot-middotmiddotmiddotmiddot middotmiddot ~~~Jel~on Ins ~~~~cYL1~ _+P~-BOX86~ -_- -_-- i~~hl~1~_ K 167831-086~---Y1720151_ $83~l

~e_ Sanders Agency 1306 N Broadway__ __ J~rotection IKS Isect7g95~~ __t~_1201~ $~33l Richey Health Benefits ipOBox454 iWichita lKS t67147- I 21720151 $833---- -- --middotmiddot - 4---- -middot - middotmiddot- middotmiddotmiddotmiddotmiddot--middot - --------+-~- middotmiddot -middot---r ~- _middot+- --- --- -p -------I----- --

ITWI amp Dietz Inc 1120 North Main St iWaKeeney IKS 67672-0217 21720151 $8331r _middotmiddot -- __ - - -1 _--- - ------j- - ----- - -- - ----Tmiddot--middotmiddot----middot--middotmiddot- ----middotmiddotmiddot-T----middot---middot--middot middotmiddotmiddot-middotmiddotl i1ntegrity Insurance Agency Inc 12047 SWTopeka Blvd Ste C Topeka IKS 166612-1462 21720151 $833 1 f lt l I J J

lt---__ --------- +----- i ---+---h__~_-~----i ~~~~~~--------j

IEdie Insurance Group LLC 13109 W 6th Street Ste B jLawrence iKS 166409- 21720151 $833 iFi~tG ro~p~-~-r-~I~middot~middot -middot-jpo-B~67- middot_--middot__ middot middotrstiing-------rKS----T67579~0067-middot2F0pound015 r middot- _middot-sii 331 _ J __ middotmiddot middot middot----middot middot1middot middot middotmiddot middotmiddotmiddot middotmiddotmiddotmiddot middot middotmiddotmiddot -middotmiddotmiddot_middot_middotmiddot middot - middot-middot_jmiddot_middotmiddot-- middotmiddot middot middot-~middot-_middot tmiddot--_ - r- _ j lIyner~nsurance Group~__B6 W Main St ~~~uncJ Grove --+KS 16sect84~-0~~~ 2172015 ~8~~ 1I~~~~ra n~e Ag~2~tJ~~_~1~~2 E JY1_~le __ 1Colu~_bu~_~~~ ~ ~6725-18Q -I_2172015_ ~33 I I i I

1~~in~~~~~aA~~~~middotmiddotmiddot-middotmiddotmiddot--middotmiddot -~6~~ ~middot6middotmiddot-middotmiddotmiddot-_middot__- [~I~n~~~ ___~ ~~ii~6middot~~ 1-i~li61~1 - middotmiddotmiddotmiddot-middot_~~~middot ~6Jhmiddot~-~~J~~~~~Z~~~~~~~ ~~=r~~~2 E ~~t~~L ~~===~-~~~it~ ~~~~- --middot 1~s-~~===middotmiddot167o=-==--r-middot i7i2Z2~-15middot1 ~~_=~~ _--I~~i

3 of 28

( bullbull_ --- bull- bull_- --- ---- T --- - -- ---- - - -- --------- --_bull--- ---- -- middot--middot-middotmiddot-middot--fmiddotmiddot--middot-----middot--r--middotmiddot -- ----- ICitizens Insurance Services l122 N 6th Osage City KS L66523-1117 21720151 $8331 _ _ - - _- bull- -- _ _-_ j _-_ -- __ _ __ IHeinze Insurance [509 N Main Newton iKS 167114- I 2---------------_------i--bull---------------___ __J~---------J---_ ---_- shyi Insurance Solutions of Kansas 1 S h 2 h i LLC i220 out OOtGirard KS 166743shyI I 1~~ur~-~~middotsp~~i~li~t-G~~~-PLLc-middot184i5 ---middot-----middot Ks ---- ----- ---shyE-ii~tmiddotSt-NSTEil0------wichit~ -- shyImiddotmiddotmiddot - laquo ~laquo -~~ -- --~~~ - ~ - ~~V~_~_~gtV ylt~ middotbull wmiddotmiddotmiddotmiddot~ _ ~ ~_~~~y ~~~_gt~ ~ __ bullbull O~middot~middot bullbullm middot bullbullv_ ~ ~ bullbullbullbull~~~_~_ __ bullbull bullbull ____~l~ ~ bull_ ~ ~ ~~_~~yen_ ~~ middotvy __

jBrown Business Services Inc 1710 Republican Street iConcordia IKS ~ ~ ~ ~ r=----yenw---~- ---~~~--- - __-gt~~- vlmiddot~middot-middot~--middot------middot middot_~middot~N-_~~ _ t ----~_ --~

jJCT Insurance PO Box 37 Severy IKS67137-0037 21720151 $833 I-Lind-M-e~iii--~H~~~I~Z-----~16045-M~ rt~YSuit~io~--- iM-i~sio~-middot-------r-- --middot--middot--I-middotmiddot-middotmiddotmiddotmiddotmiddot----middot-middotmiddot--middot-1------middot-middot--

rED~-~-Rimiddot~~ymiddotin-s~~~-~~~I~~--TpOmiddotB~~-277-middotmiddotmiddot---middotmiddot----middotmiddotrUb~~I------ ~ _ __ - -- -_ _ -__bull- ---_ _ _- _ _ _ _ j_ -- _----- _--_ _ _ _--~_ _ _ _--_ -- _ TheClementsAgency PO Box 129 iAtchison KS 166002-n~-n -17-n1l1~~N _~_M=-=__bullbull_~mw~m~ __Nbull~_ ___middot_~~ ~__~~____-~ ~~--~_~~__~~A~~~--middotmiddot middotlw_----_~- -N~~

IFirst Ins Agency of Hoxie Inc ipO Box 108 iHoxie IKS 167740-0108 I~middot--middotmiddotmiddot_----_ _middot_middot_~----middotI---middot---_ _-------------- ---------j-------------_---~ --------j---bull-----

~ l ~ I f Charlsen Insurance Agency Inc ipO Box 206 Halstead IKS i67056-0352 2172015 - -- _ middot-middot---middot middotmiddot 1middotmiddot middot middotmiddot middot -middotmiddotmiddot -- --- - --- middotmiddot1 middot-middotmiddot--middotmiddot middot middotmiddot middotmiddotmiddot--middottmiddot--- middotmiddot middot-middotmiddotmiddotmiddot - middot----l- --middotmiddotmiddotmiddot middotmiddotmiddot middotmiddotmiddotmiddoti middotmiddotmiddotmiddot-- middotmiddot ----middotmiddotmiddot+-middotmiddotmiddotmiddotmiddot--middot middotmiddot SSampG and Associates Ipo BOX 2628 IShawnee Mission IKS 166201 2172015j $833i

iMO--=KANCha mb~r Ser~ice~~I~c I-------_middotmiddotmiddotmiddot-----middot-middot-T-----r---middot------T--middot-middotmiddotmiddot- middotmiddotmiddotl-_middot----j--------middotmiddot 1 (db Th I 112694 Shawnee Mission Pkwy lShawnee KS 166216-1860 2172015 $8331I a e nsurance J iii -- -- ---- - - - - - - - __ _1 - ------ ( middot middotmiddotmiddotbull middot r -middot -middotmiddot_-middot 1middotmiddot---middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot iWalrod Insurance Services IPO Box 2 jElkhart IKS 167950 0002 i 2172015 $8331 ~ --- -~--- ----- ----j--_--~ -~_-middotmiddotmiddot--middot---middot------r--middot--middot-----I-middot-------------1-middot---middot------------- ICommunity Insurance I I I I I I 1I I C 12651 Hemlock Suite 5 overland Park iKS 166213- I 2172015 $8331 IConsu tants LL I l I I t____ ____ __ __--__ ____~___ _____ ___l__ ~___ _ ~_ _ ~ ____ lt

iAssurance Partners LLC ipo Box 1213 iSalina IKS 167402-1213 21920151 $25001I i __~middot~_~ __v bullbull bull _~__middotbullbull ~bullbullbullbull__ ~v~_ bullbullbull ~~ ~_~-_~bull -~ - __bullbull __~bullbullybullbullbull~ bullbullbull bull __ ~~ _~M_~ _~~yen~_ bull~_ bull_ _ ~~ _~_~~_~bullbull_I_ _laquo~_~_~_~_~ __ ~ _~ _- ~ ~~w~y~ bullbull vv bullbullbullbullw_~_ ~yenAyen ~middot___~__bullbull_~middot~middotmiddot~bullbullbully_N _ ~ ~ _~_

IAgency West Insurance 111267 Strang Line Rd Lenexa IKS 166215-4040 I 22020151 $25001 r-- ~_NW_ __~~ ~~~ bull~_~~ __~_~--~--_----~~~-_w-~middoti~ gt~ ---------~--_----_J--~--~-- -~___~middot~~ --middot~middot~-_-tA -~--~--IPar~~_~aski~n ~~ance Inc IPO Box 176 _____-JDOdg~~~~_ __~~- _J67_~Q~017sect_1~~L~0151 ____25221 Bartellnsurance Agency 1114 S Main Street Hillsboro IKS 167063- I 22620151 $25001 ---middot---middotmiddot-middotmiddot-middot----------middotmiddotmiddot- -1---middot------~-- middot middot--- -r---middot ----middot---rmiddot-- -Lmiddot---- -i----------middotmiddot----middot------I iCommercial amp Personal Ins 1 I 1 I i 111503 W 75th St Ste 200 lShawnee KS 166214- I 332015 $25001 1Agency 1 i I ----middot-middot----middot-middot----middot---1----- _middotmiddotmiddotmiddotmiddot- -middot--middotmiddotmiddot middot -middot ~---middotmiddotmiddot------1-middot---middot-------middot-middot -middot-lL---~- --1 Tozier Parkway Housh Jones IPO Box 7787 IOverland Park iKS 166207- 332015 $25001 rmiddotmiddot----middot----- ---middot--middot----------middotmiddotmiddotmiddotmiddotmiddot-middot------middot---middoti-middot---middotmiddotf--middot---middotmiddotmiddot--l-----------------

~_~~~~~~~cdbaMR~ Ipa ~~~ 6~8_ __ _____jcha~_ JKS_ J66720~068~_I_ 33~1~li $25 ~01 IMcCune-Robinson Inc dba MRH I I I

t~~~~=_~~~__ ~~~~~li~~i Insurance Inc IpO Box 16020 Shawnee IKS 166203-6020 342015 $2500 _- __ _ --- _-- _~-_ __ ---_-+ _ - _-_ _--_ _ I _ [ _ _

~ns~~nce I~______ l~g Bo~sect9~Q _ 1awn~ J~ lsect6203-60~~L420~51 $3_~Q21

4 of 28

M~~~I~I~~~-~~~~Ag~-~~y---ri239-c~~tr~iA~~~--__ _-_ --~Ka~~~ City --- ---lKS ----- -- _- 66-io2-~5439-----375hoi5T~ - -$2500 f-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_middot bull- -- -------- -- -_ - -- _ _ __- - j bull ----- bullbullbull - -_ - -_ - bull

IWarticklnsurance Agency 6262 SW Spring Road EI Dorado KS 67042-9036 3520151 $2500 fimiddotI~-i~middot~~middotranc~~Imiddot~~~middot-_- ----1 PO Box-387middot----middot-middot-middot middot---middot-[lolamiddotmiddot--middot--middotmiddotmiddot---rKS-middotmiddot-----middot--T66749-3 148--I352Cl15 (-------$25-00_ww _~N__ N~~~w~~_~__~~VN middot~middot middot_middotmiddot--middot~middot--middot--imiddot_middot-middotmiddot_~-N-_ NNhN~=middotmiddot_NNN~NN ~~W --NN~-N~-r-------middot~~~~--_middoty-middot-I--~-M~-~~~~_-_-~~ MyenNmiddotmiddot_-middot---1-middotmiddotmiddot-----w~~~-1-~ ~N~ __N

Highland Insurance Services LLCI PO Box 38 IHighland KS 166035-0038 i 31120151 $2500 L 1 _ middot middot middot i -l --- _ J - L- -

~_~~su r~ ~~~ ~~~ncy_ _ -f9_~~x 8~~_ ___ ~_ _J~~~~__ ~~_ _ j 12~~~11~g ~~+-_~ 3C92J IMa rq ue~~n~ amp~~~~_~y_ I~Q~~~~_ __ _ __ __j~~~q uet~ ____L~~ _~~sect4-0218 I 3112015+ __ ~90middot2O

Accurate Insurance Agency Inc 16428 Vista Dr Shawnee KS 166218-9239 I 31420151 $833 - - - cmiddotmiddotmiddot middotmiddot_middotmiddot_- middot middotmiddotmiddot middotmiddot middotmiddot _ -~ _- - -_ +-- _ _ - middotmiddot tmiddot middot _

charlsen Insurance Agency Inc Ipo Box 206 lHalstead IKS 167056-0352 I 3142015 $833 I I i I I ~ ----- bull1- -- --- ---- ----- -- --- middot-l-middot--------rmiddot--- ----I--~middot-middot f--- I-----~-middotmiddot

SSampG and Associates IPO BOX 2628 [Shawnee Mission IKS 166201- I 31420151 $833

ISnell-Nelson Ins Agency Inc IPO Box 868 jAshland KS 167831-0868 I 31420151 $833middot -- ------ ------ --r----------- - ------ (___ ___ __ -~-------gt-----__ --~__--~ w~

iRichey Health Benefits PO Box 454 iWichita IKS 167147- i 3142015 1 $8331 rm_=_~~_~_~middot~ _w~_ v-~~m_~~N=~ __~_~_~+--~_w~~~_ ~~~~~~wow~~__middot_~~~t~middot~middotmiddotmiddot---middotmiddotmiddotmiddotmiddot--middot~middotmiddot-middot~middot-middotlmiddot --~ ~ -~~ -wmiddotmiddot~~~r~--~NNNMWN --~--~~~--~~ N~N1 i I I I IIntegrity Insurance Agency Inc 12047 SW Topeka Blvd Ste C [Topeka IKS 166612-1462 I 3142015 1 $8331 imiddotmiddot middot-_ middotmiddot middotmiddotmiddot middotmiddotmiddotmiddot middotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddottmiddot -- _ - - _ middotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot middot-middot middotmiddot------1middotmiddotmiddot - middotmiddot + - middot- 1 middotmiddotmiddot middot_middotmiddot- middot middotmiddot 1middot -

l~~~~ ns~~~~e Gr~~~~~~__~~~9Wsecth S~~S_t~~ ~~_~ence ~ _ ___1sect6409- _ L_~fl42~151-- j~ communlty Insurance i 1 I I I

I 112651 Hemlock SUite 5 Overland Park IKS 166213- 31420151~o~~~~~_~-=S__ + _ _ ---~-_---l-- L--- I --------- Insurance Specialist Group LLC i8415 E 21st St N STE 210 IWichita KS 167206-2954 I 31420151 $

bull~-_ middot_middot_middotmiddotwmiddot~middotmiddotmiddotAmiddotmiddot_middotmiddotmiddot middot~ ~middot~~middotmiddotmiddot~middotmiddot middot middot_- ~-~i ~~ middot~ bullbullyen bullbull ~_bullbullbull bull ~ bullbull w_~~middot~middotmiddotbull_~~middot middotmiddot_~_w_lt__middot middot$~~_middot bullbullv__~_middote ___ _-~~ --~v__~~_~middot~_~v~ bullmiddotmiddot_ middotmiddoty =ovov_v _lt_y_~ __~ ___bull_ _~_ VY N _yenV~~~bullbull ~lt_middot_ _v ~vmiddot middot _-- bullbull_~bull_~

nders Agency 1306 N Broadway Protection KS 167127-0566 I 31420151 $ _m _~ __ ~~NNhN_ W middot~_~~~=--W- --_ _~_m~ N-Wmiddot_~middot_v_w ~~ __~ ~~_ bull =) ~~ __ _ ~~_~ t - ~WNAbullW~

_ ~~~~_~~u ra~~~Jrl~ ~M _82~~~0~~_~is~io0_Pa rkway__~~_e ria n~ Pa rk IKS J_~202 -2340 1-- 31~L~015 ~ ~

~I~-n~~~~~~-~~servi~~---limiddot~i~~JY1~~middotmiddot- --- middotmiddotmiddot-- ---middotmiddot-middotmiddotr6S~~gi~~--i ~~ -middot-middot -~middott~middot~~~~~~i~ i-t-)~i6i~r---middot_wmiddotmiddot~-~~HI L - bullbull- - bull-- - - ------ --- ---- -- ----- - --bullbull---- ----- -- - --- - --middot---~- _- ---middotmiddot_middot--middotmiddot- -- middot-middotmiddotmiddot middot_i lUnitedAgency LLC Ipo Box 817 ArkansasCity IKS 167005-0817 I 31420151 $833 - --------middot-----middotmiddotmiddot-middotr--middot--middot-- middot--middotmiddot-middot-middotmiddot---~- -- ~ ---------~-_ ---_~- -j---------~

First Ins Agency of Hoxie Inc IPO Box 108 Hoxie IKS 167740-0108 i 31420151 $833 == middot____middot=~~ ~_w ----------~~-~---~w----r=_--yen~--------~--~~ --_~ Lind Merrill amp Honn Inc 16045 Martway Suite 101 lMission IKS 166202-3366 I 31420151 $8331

_ ltlt~_w~middot-~~middotN~_~ _~middot~~~~__ ~~N~_~~~1__~_~VU~~A__bull___bullbull ~M~__~~_~____-t-__~~ _ _=~ __~__~ n_-_r~_~_-~_ __) __~~~~_~_~ bullbull_~~~~ tmiddot

Insurance Solutions of Kansas I 1 I 1 i I I L~_ ~______~_t2~ sO~~a0t_h iGirar~__---+KS _m _J~~~~~ L~420151 $~~~

IllIard-Hammer- Hartman i --f I I IIPO Box 509 i Fort Scott KS 66701-0509 31420151 $833

surance Inc I I I I imiddotmiddot ---- middotmiddotmiddotmiddotmiddot middot -middotmiddotmiddot middotmiddot-----middot middotmiddotmiddot middot-middot-tmiddot ~- -gt - -- --- -- - - ----- _--1 middotimiddot--middot--middot-i--middot - --~middot--middot---- shy

D Schulte Agency Inc PO Box 306 lGarnett lt KS 66032-0306 i 31420151 $83316~~i~~~~middotmiddotmiddotmiddot =======jfOmiddotB~~~===~= ==-==middot-middot-rs~~~~y~~-=middotmiddotmiddot middotmiddotmiddotmiddotmiddot--IKs---middot== middotmiddot167i7middot~o37 -middot--3Z~~2oi5r====-=~~~J

50f28

vmiddot~middot-middotmiddotmiddotmiddotmiddot middot~middotmiddotmiddot_middot middotmiddotmiddotmiddotmiddotmiddot _ - ~ ~ - - ~- _bullbull_bull- ~~ middotmiddot-~ middotbullmiddotmiddotmiddotmiddot middot_middotmiddot~middot _-middot _middotmiddotmiddot-middot-l-middotmiddotmiddot middotmiddotmiddotmiddotmiddot _ - - -_-~ -~_ -_-_ ~ iTyner Insurance Group Inc 1226 W Main St iCouncil Grove KS 166846-0316 31420151 $8331 bull bullbull ~ bullbull __ - bullbull -- _ j __ _+ _- __ _ _

~~n~~~-~~l~488------==i~ascitY-middot ~~ -=-i~ 1--~~=~-~~ ~Vja 1r~9~~~r~~~~~~~r~ic~~ _J~O _~~lt_~ _ ____ ___Jsect~2-~~~ I~~ _ _ _~J sect~~50-0002 i_ 3~~2g151---- $~~l ITeellnsurance Agency Inc j132 E Maple lColumbus iKS 166725-1802 i 3142015 $83311 ~ _ - middot middotmiddot bull middot middotmiddot_ bull 1middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddot middot - _ _ j MO-KAN Chamber Services Inc I I I 1j

i h 12694 Shawnee Mission Pkwy Shawnee KS 66216-1860 3142015 1 $8331IdbaTe Insurance I I

I

I middot - ----middot-- bullmiddot - middot --middotmiddot imiddot middot bullmiddot-middot~middot ----- ---- - -+----middot --middot-t middot middot middot- -T- - middot --middot -r- middot _- iThe Clements Agency PO Box 129 lAtchison KS 166002-0129 3142015 1 $833 ~- - __- - - - --- - __ - -- -- - - --bullbull--- --~_ - - - - -l~--middot _- I--- _ _ J

r~~6~~~~i~~~~~~~ci~~-middot -i middot~middot6i~ ij7middotmiddotmiddotmiddotmiddot-middotmiddot -middotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddot middotmiddotmiddot middotmiddotmiddotmiddotmiddot imiddot~middot~~~~[middot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot~~middotmiddotmiddot middot-middotmiddotmiddotmiddot -middotmiddotmiddot middot-middotmiddotmiddotmiddot middotlmiddot~j~~~=~~i~-1-middot-middotmiddot~1i1)~~~ ~Imiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddot-middotmiddotmiddotmiddot ~~jji ----------------+----------------1- -l--------- l--middot-----middotmiddot--middotmiddotmiddot-middot---middot- n Business Services Inc 11710 Republican Street IConcordia IKS 166901- I 31420151 $8331)-- -~-~~- ~-~--_ _~-----l~ yen--_-~---~ __~------~-~j---7----~middot~~~-------~t_------1~----~l-middot_----~--~~-~ Renn amp Company Inc IpO Box 40 iWellington KS 67152-0040 I 31420151 $8331 --- - - ----------- -- -- ----- -- __ _-_----_- _-- - ----middot----middot------jmiddot---middot-middotmiddotmiddotmiddotmiddotmiddotmiddot - middot-middot-middot-- middotmiddot middot-middot 1 ICardinallnsurance Co Inc IpO Box 847 Junction City KS 166441-0847 I 31420151 $8331 imiddotmiddotmiddotmiddot_middotmiddot~middot~--_middot-middotmiddotmiddotmiddotmiddot middotmiddotcmiddotmiddotmiddotmiddotmiddot_~middotmiddotmiddotmiddot_~middotmiddotmiddotmiddot_middotmiddot~~middot_middot~middotmiddotmiddot~-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_ymiddot_~ ___ _bull__~ _(~bull ogt bullbullbull _ ---- __ bullbullbull ~ _~middotmiddotmiddotmiddot_~middotmiddotmiddot_wmiddotmiddot~__middot~_middot~~~middotmiddotw middot~middotmiddotmiddotmiddot~ __ _ v~_~=w~~ ~_~ ~~~~~_~_ bullbull- _ _ ~_W ~ bull v bullwimiddot~middot_middot~middotmiddotmiddot_middot~middot- __~~ bull_~~(~ ~ _ w laquo~ ~~middotmmiddots-~middotmiddotmiddot~-middotmiddotmiddot_~-middot~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot~-i

IWhitehead Insurance LLC 15112 E Central Wichita IKS 67208- i 3142015 $833 i-- _ --~~ - - ~--- ~ -_ - m-------___----r-_- -- --1M _ --_ ___middot___ w__w_ __ ~mwmiddotmiddot_ - i--- --------i

~~~~~~IE_~an~~sectToup I~~__~9~_~5 N Jr1~~~~9~ Dr Ste 301 ~~a 2~~~~iY __ ~2_w_ _jsect~~ 128~J_ _3620 1~~__ __100 l~r1~rJ~~ r~c~~ervice~_ I~2~~sect9J~ _L~~~n_~ _11~~_~_ 167_~_0-069J__3j18~QJ _~g~QQi I I I i I

Garry amp Associates Ins Agency 135 East 20th Avenue lNorth Kansas CitYMO 164116-3412 I 32020151 $10000 _w_____A~C_~~_bull_-A____middot4~___~~ wA-__bull ~~__bullWN_A~~_~_-t __+---_~middot-_--l _

t~~e~~te~_n~ C0rrE~_r1y~_J_~301 ~te Line_Road Ste ~f__J~~nsas City JMQ~ J~~114 1 325201~ _J_QQ00~

1middot~~~~~ ~~~~ielrn~~-~~ncyJ n~~i~~~ ~~i ~~~eseS~~~ ~middotmiddot~middot -1~~~~p~--~~-- --_I~~~~~~ -~- 3~7~7~t~i-----$f6~~~ 1 - _ _ _- 1 _ _ middot middot-~middotmiddotmiddotmiddot middot _middot -middot_middotmiddotmiddotmiddotmiddotmiddot_middot middot_1middotmiddot_middotmiddot_ middotmiddot-middot bullmiddotmiddot __ _ bullbull_L_ ___ __ _~_ __ _ - middotmiddot middotmiddot middot middot middot__ middot1middotmiddotmiddot middot middotmiddotmiddotmiddot middot ICommerciallnsurance I I i I I j 410-D SE 3rd Street Suite 104 iLees Summit IMO 164063- I 4132015 $100001 ~s~~clates ~~ _~_ ___ --1---------1------1------ - I ---- --------1 ne-S~~~~~~~~~~~--I~-~~ i~1- _middotmiddotmiddotmiddot--middotmiddot----middot---- middot1~~middot~~~-- --~~~ - - ---~j~~~~~~~~- - ~~~~~~i~~middot--- middotmiddot --~~~1

_ __ _ _L - - -- - --bull-- -1 - -------- - - - -+------- j - --- - f- j

Cor~~~~~Ss~rance In~ ___Isect_~~~~~_~ne~IYlission Parkw~Jsgtverland Park I~~__ ~~02-034Q_ 415201L ___ __$~3 ryner Insurance Group Inc 1226 W Main St ICouncil Grove IKS 66846-0316 i 41520151 $8331middot-middot-------middot-middot---middotmiddotr -middotmiddot -middot--- ----middot-~middotmiddot_middot-middot---~t- middoti---middot--middotmiddot middotmiddotmiddotrmiddot_ middot middot_middot- Citize~~IEsur~~~~er~~lt~ J~~ J sectb _ ___ I9~~ge_~~~y _l K~_------t L~152015 L_6~5~-11~L _ j8~~J

MO-KAN Chamber Services Inc i II I i The Insurance 12694 Shawnee Mission Pkwy Shawnee KS 166216-1860 I 4152015 $833dba ----- ---- --------+ ------ ------- - -- --+----middot-------------~----+------middot-middotmiddotmiddot_ -middotmiddotmiddot-middotmiddot-11

u~l~~__~~~lty_ LL~ __ ___ _~~Q~~~81 ~ _ _ jfA~kans~~Slt--j K~ _____j7005-0~L- 41520~-- 8331

IAccurate Insurance Agency Inc 16428 Vista Dr iShawnee IKS 166218-9239 41520151 $833 L _ ___ L - -- _ -- L middotmiddot middotmiddot middotmiddot ---Jmiddotmiddotmiddot --middot-~-middot - _- l-middot --_ _ L middotmiddot-middotmiddot-middot-middotmiddotmiddot--middotmiddotmiddotmiddotmiddotimiddotmiddotmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _ iWalrod Insurance Services IpO Box 2 jElkhart IKS 167950-0002 i 41520151 $8331~__ ___ ____ bull ___ __bullbullbull__~_ ___ __bull __bullL __ ___

6 of 28

__

Insura nce Sp~~i~Ti~tG~piicT84-i5-E--21stSt-N-STE-iio-----~-rwictit --~-----rKs------T67206=2-9 541---4isiolsr---- -ss3 - middotmiddotmiddotmiddotmiddot~middotyenmiddot_middotmiddot middot~middot_v_middotmiddotmiddot - ~ ~~~__mmiddotmiddot middotmiddotmiddotmiddot ~ _yen___ yen_Imiddotmiddot yen-bull bullbull bull~_ bull _V~~middot_N_middot bull ~middotmiddot_ bull ~yen~ ~~ bullbullbull ~~bullbullbullbullbull ~~~-- - _--_bull wtvyen~ ~~yen bullbullbull - bull yen bullbullbullbull _bullbullbull ~WA__ w bullbullbullbullbullbull_ bullbull ~~ ~ ~bullbull ~__~bullbull bullbull ~~~bull yen ( bullbull __ _bullbull ~bullbullbull_yen --_yen~_ middotlv~-~ -~ yen bullbullbullbullbull_ w ~ - ~ ~ ~yen ___~___middot__Vymiddot middotmiddotmiddotmiddotMvbullyenn middot

Whitehead Insurance LLC 15112 E Central (Wichita KS 67208- 1 41520151 $8331 -----------------1--- ----- middot-middot-----middot--------middot-----middot--middotmiddot------t- ---- -----_-~ IBrown Business Services Inc 11710 Republican Street Concordia IKS 166901- 41520151 $8331- ------- ---- - ----1 --- - --- ---- -- ------- -------4 - ---~ - ------__------ - iThe Clements Agency IPO Box 129 iAtchison iKS 166002-0129 I 41520151 $8331 ~ bull_____~ __ _~~~_~~__N ~___~~t_~ N_~~~ __ ~ _____-N_~~__V~~~~N~middot_ylt bull_~c_~~~ middot~_ gt__~ ~~_ __ ~_ _ _~ ~ ~ __~___ _ _-~~__~_ bull_~_ _VN_= ~_~

Ie Dean Riney Insurance Inc IPO Box 277 ILiberal IKS 167905-0277 4152015 $833 ---yen ~ bull _ bullbull -_ bullbull - bull~-bull ~ ~--~-_- _~--_~___~ -~~-~_-- bullbull ---~---_- bullbullbull -bull _-_ ~~-- ~-bullbullbullbullbull _~yen__ ~--7 y---- ~ ~~ -_~yen ~_ ~_ ~~~~yenyengt ~- r-~-A~ ~ _ _ _-_ ~__--- __ yenw __ bull ~_middot ~wmiddot~middot middotmiddotmiddotmiddotmiddotmiddotmiddot _ _

IFirst Ins Agency of Hoxie Inc Ipo Box 108 iHoxie KS 167740-0108 41520151 $833 r~middotmiddotmiddotmiddot--middot----middot- ------ ---j--~--- -----middot--_ _-~middot _-middot_middot_~middot---)---middot---middoti- lmiddot------i-middot--~middot ~-i

Icommunlty Insurance I I iii I

C 112651 Hemlock Suite 5 iOverland Park IKS 66213- I 41520151 $8331

i I I I i I Ionsu tants LLe

[B~~~_~~~~~~~~~i~c=~=~~]~2~~~~1~~~~(~middot~=~~==~~==~=~J~~~~~-~~y ~~~~~]~~~===_ =~~~Q~~I] __~0Z~g~I _~===I~~~J lLind Merrill amp Honn Inc 16045 Martway Suite 101 iMission KS 166202-3366 I 41520151 $833 1

t~~~dj~0~~s~~~~-C~ In~_=~lt~B~X 8pound=~==_~=__ = -middotmiddotll~~I~~-~Y ==k~_ -=---middott6644i-g84i L_ 47j~2~01jL~= __ ~~31 lBilliard-Hammer- Hartman I 1 I I I I liP0 Box 509 Fort Scott IKS 166701-0509 i 41520151 $833 iInsurance Inc I I 1 I - _ - _ - - _- _ ~ __ ---l --_ _ _bull- --

ICharlsen Insurance Agency Inc lpo Box 206 IHalstead KS 167056-0352 I 41520151 $833 ~-~middot_~~~ -~middotmiddotmiddotmiddot~middotmiddot~-_middot-middotmiddot_yen~middot_----~-l_~k~ - -___~ __~_____~ __ n_w~_~_~bullmiddot_middot ~~-+--- -~middot1 ~middot~middotmiddotmiddot_~v-~----t--~ __w--~~~-~ ____N~N~middot~~t

l~~I InSlJr~~~~~e npoundy~~ _J~~__E~~Jl~~ __~ _~~_lc~I~~~lJ ~_ __ _~~ __~_ _~Isectsect7_2~_~Q~J_4L15~Q] J_ -833 1 IJCTlnsurance IpOBox37 Severy IKS 167137-0037 I 4152015 1 - - -- --~ _ - _ -- - ---- middottmiddot-middot middotmiddotbullmiddotmiddot middotbullmiddot middotmiddot middotmiddotmiddotmiddotmiddotmiddotbullmiddotmiddot 1 - - middotmiddotmiddotbull__ middotmiddot--middot middot middot1 middot middotmiddotbullmiddotmiddotmiddotmiddot_ middotmiddot 1 I I 1 I I i

ISSampG and Associates IPO BOX 2628 IShawnee Mission IKS 66201- I 41520151 m~-__w_-__~~~~~ __~~~~_N _~__~_N~ _N___~__bullbull~bullbull ~ ~_----_~~~ _~~vA_+_~-w_~~ _L_--_N~middot~~~middot~~ __l_~__~_=_~~ __ _-~~

~~t_sectrpound~P_~~J~~~~_2~ I-Q~~~sect~L _ _-~---L~~r~~- -------l~~---_--lsect~~QQsect-l_-4L~Q~~L _ _ __ nsurance Solutions of Kansas I h h

i 220 Sout 200t $8331 ILLC I-middotmiddotmiddot__-__middot__middot__ __-middotmiddot~I-middotmiddot_middot-_ _middot_---middotmiddot_-------------~-_-- _------- _-~-

IIntegrity Insurance Agency Inc 12047 SWTopeka Blvd Ste C Topeka IlKS 166612-1462 I 41520151 $8331 I I I I I I---~ --------------j-- --~_-----_----4-----middotmiddot-middot--t--middot---middot-r----middot-----f-middotmiddot~- -----_-~-- IThe Sanders Agency 1306 N Broadway (Protection KS 167127-0566 I 41520151 $833 lmiddotv---~-~---~w ~-~bullbull_~---~v-_y_y-_-1~ yen~-A-__-~~yen-- middotmiddot--yenyen~-yen--~middotmiddot~~middotmiddot-----_middot--1middotmiddot~middotmiddot~middotmiddotmiddotmiddot~middotmiddot~------yenyen-~-_ -----~y-v~mmiddot~middot~~ middotmiddoti-middot~--~middot------ymiddot~- ~middot-1-- yen----~~ -~~---yen- w1_-v~--~ -~ ----~~~middot--1

I~lfh~Bfpound~-~-~~~~~i=_--isect~~~~~~j=-~~---- -----middot-t~~it~==~ I~_------- _~~i~~~046 t~~i~~~~t~=--~------H~ 1~~1 n amp~~~P~~Yn_~ __l~Q_~~~_~~ __ _ __jyve~~ng~2 ----l~S___ Isect-~~004Q-L~1~202L_ 3 3~ L~~~~_I n~~~~~~~_sectOuJ) ~_~~_ j_~Q~~(j~b ~~~L~~e _~___LL~~~poundE_~~--- -_J~sect~Q~~-_ -~_ 4~19~~L_ _~~~ lWJPi~~~~ ____ Lg2 Nortb~ain St _ IaKe_~~y ~-----~_6I2-017 _~121_251_-~-_~833~ ~~o~~~~~~-L~__--_I--~~x ___~Kans~ Ci~L __---+MO __~J 64141-6013 I 421201~ j 100middot02419013 ~s()~ell Ins ura~_~~~e rVJ~e~c J~_~5 Meado~ Ci rcle J_L~a~9_()~ _L~S __J(j(j~~ ~4580 _1_ 513j2Q2L__ 1099_QJ

i~~__~~9~rs~~~rlcY _____13g6~_~r~~~~~L __ __ _~~~~~~tL()-_ i~~ ___ _If)~7-956sect_I _ L~l~9_ _ __ ___$~~~j ISrl~)J~~~rl_~~~~~~_~cy~nc~~Q~ox 86~ ___Lpoundshl~n~ J KS _jsect7~31-0868 I 5j1l0~L l~middot3~l

7of28

bullbullbullbullbullbullbullbullbullbullbull bullbullbullbullbullbullbullbull - bullbull _ - bullbullbullbull-~_ bullbull--_ - ~ m bullbull-- bullbull middot_-~middot-middot_middot-~-~rmiddotmiddotmiddot_middotmiddotmiddot--- middotmiddot~middotmiddotmiddot-middot-middot r--middotmiddot--middotmiddotmiddot--middotmiddotmiddot-middotmiddotmiddotmiddot~middot-middotmiddot_middot-middotmiddot middotmiddotmiddotmiddot--r~-middotmiddotmiddot--_middot- middot-middotmiddotmiddotmiddot ~ ---~ --IWalrodlnsuranceServices IPOBox2 Elkhart IKS 167950-0002 51520151 $8331 ~ bullbull-bullbull wmiddot ~ ~ -__ ~ vmiddot_middot~middotmiddotmiddotmiddot__ middotmiddot_middotbull ~ __ lt___ middotmiddotmiddotmiddotmmiddotmiddotmiddotmiddotmiddotmiddot~middotmiddot_middotmiddot -rmiddotmiddotmiddotmiddot~~middot -~--- ~__~__ __~_ _ ~ _-- _ ~__ _ ~_~~~~__~ ~~ i - _Y_V -_ bullbullbullbull bullbullbull _ ~ bullbull bull bull -y __~ ~l - middotmiddotmiddotmiddot--vmiddotw-- ~-- _ - bull _~ bull ~-~ltltlt bullbullbullbullbullbullbullbull bullbull ~~yen bull lt_~bull _ - ~~ ___middotmiddoti ~~__ ~__bull ~~--~ ltmiddotmiddott middotmiddotmiddotvmiddotmiddotmiddotmiddot bull ~~ww __ w ~middotw bullbullmiddot_

1~~~~~~~9~panyL~_~_middot _ -----1PO ~ox 40 ___ _~~~l-r1_~t0r1__ KS ~ L~152-0040 1_2L~5~~~sL $~~~+1IFirst Group Insurance Inc IPO Box 67 ISterling KS i67579-0067 5152015 i $8331 ~m_m~_v__~_middotmiddot ~~~w_--_middot~middot~~~~~~ __~_~m~v~_v ~~~-_~~ ~~N~~~~middot bull ~~__h~_lt-middot ____~__~ = __ ~_w ~~_~~__~~___~~_lt~----V-N_-

jWhitehead Insurance LLC 15112 E Central iWichita KS 167208- i 5152015 $833l-middotmiddot ~~middot-middot_-~middot_~middot_middot_--lt_middotmiddot----~middotmiddot_middot_middot_-middot~--middot~middot __middotmiddot-~~i--- middotmiddotmiddot_-~~middot_middot_-_middot~~---middot~-~~-_middotr---~middot_ -- ~~___-t-v_-~_middot_~-~middot-1-middot-------~~+middot_-~~-_middot~~_V------i--~-------~-~~~----]

~_~i~~~r~h~i~r~Jlli~h~~~~f~~p~~~d~~~~~-j1c~--=--k~~~~7~i~t==3H~ ITeellnsurance Agency Inc 1132 E Maple iColumbus IKS 66725-1802 I 51520151 $833i- - ---------------- ----------middotmiddot~middotmiddot----middot-----i----middotmiddot-middot -~--~tI( ------~f664-- r-- middotmiddotmiddotmiddot~--middot-middotmiddot-r--middot-middot--middot-middotmiddot--middotmiddotmiddotmiddotmiddot---middot-

~~~clir1a~r1~~C~~~~S_~~~ Ipound-lt2~~~~~--_ __~__~~~r1~~9n-gty--~Sgt-- -- --t~~~~Jq84_I--51sL~q-I----- --$~~~~ IThe Clements Agency iPO Box 129 iAtchison KS 166002-0129 5152015 $833 f q___~ wm ~yen __yenmiddot~_~w_~ bull___gt_gt~_bullbull bullbull N__~-----~w__tmiddot-middotmiddotmiddot-yenmiddot -yen --w--ww--~-~~v ---w-_yen_bull _~wvv~ __~~~_ ~t~-_wmiddot _v~middot~_~_ ~v_ ----vt~_middotmiddotmiddot~middot~~_middotmiddotmiddot __middot ~w__ tvw _~~~vw~_ _yen bull_~bullbull~v~- --A_-~ middotfw---~-~w-~bull-bullbull bull ~_wyen~~~~__~

IMO-KAN Chamber Services Inc I i I I I 1 ldb h 112694 Shawnee Mission Pkwy Shawnee IKS 166216-1860 5152015j $833

1 aTe Insurance bull __ __bull__ iiii J____ J __~---- __bull ~ ~ __ __I_~

Ie Dean Riney Insurance Inc iPO Box 277 ILiberal iKS j67905-0277 i 51520151 $83 I----middot---middot-----middot-----middot ---middotmiddot---middot~lmiddot-middot-middot-----middot--middotmiddot--- ---------middotT--middot-middotmiddotmiddot----middot-~- middot------middot-l--------middot-1~-middotmiddotmiddot --1-----middotmiddot--middot Charlsen Insurance Agency Inc jPO Box 206 Halstead KS 167056-0352 51520151 $833

~Nw_~-~~=v-~w- -~ bullbull~=-----yen--~-~~nM~v~----~ _=m~~ __~ J- ~ i _j~- __~~ ___j---~ h~ bull_ M~---L_-nNlt~_gt __j

iHW Sewing amp Co Inc IPO Box 171488 iKansas City jKS 166117-0488 I 51520151 $8331 l--middot-----~-----middot----middot middot--middot----Imiddotmiddotmiddotmiddot-middotmiddotmiddot---middot-------------~----_-~--------------r----------~-- ---~---- ------I W~~~~middot~~i~~i~~~fK~-~_--t2-~C~~~ - -middot---~_middotmiddotmiddot middotmiddot-- -i~lc~~~ ---- --~~ ---middot------1middot~214--- ---1- L22I--middot-middot---middot~~middotmiddot~~j ILLC 1220 South 200th Girard IKS 166743- I 5152015 1 $8331

~lnsu~n~~e~-~-~1p5i~~~~-~----~m~-~~s---~16671~OM6 I ~Bn015r~----1~~ ~__~_~~ _~~ __~~~_~_m___ _v_bull__~~~ ~~_t_-~~~_-~ t~_~_~__~__~---~ ____-----J__ l _~A --i

~~i~~~~~~~~~~-~middotC~eE~~~middotmiddot--middotmiddot-1-~~2 ~~~7middot~----middotmiddotmiddot_-middot_middotmiddot-~- -middotmiddotmiddotmiddot---middotI~~s~~tiity~ ~------ _-~ I~~66t~~~-t-~j~~j~~~~ --middot-----~middot~~~ ~~ __middot_~_bullbull~~~_~middot_middot~gt_ w_A~v~__~ w yen bull ~~ -_~_middot _middot__~_~yen~~__middotbullM~~W_ middotmiddot ~middot __ ~~_~__ __ ~ A__yen~wmiddot_w J _ v-- _~_~ _v__m~~_m_~ __~~ __ ~_v ~~ ~~~~ w~__ ~~~Wlt~_yen______~gt_~uNyen~~~_ w~_~ ~$bull ~~~_middotI---_~ bull___~ ~~__gt OA

ILind Merrill amp Honn Inc 16045 Martway Suite 101 IMission IKS 166202-3366 I 51520151 $8331r-middot----middot---~----middot-----j--middot--middot __----middot-middot _~ ___+_ ~ L_ r--middot--middotmiddotmiddotmiddot--middot) II Integrity Insurance Agency Inc 12047 SW Topeka Blvd Ste C jTopeka KS 166612-1462 I 51520151 $8331 I I I I r---- -- -------~_- -~--j--_------ ------ ----~-- bull~_- ------------- ---r ~-----~-------- --- ---- IBilliard-Hammer- Hartman I Iii I I

~~~~r~n~~~~~~p ~LC--~~~~ ~~ Si~eel-SleB-~~~~ I _~~osO-~~f--~~~IIYr1~c~~~l~~sect ro~p- ~~--J~~-Mai0_~ _~_ b---~ lsect~~-=g~-f --L~2~ ~~iiCouncil Grove 1~Q ~~-~~~-~~~ - _- - ---- J~g_~~~_~L__ ____ __~ __ ~~~~~f __ L~~ ___ _~_ __Jsect~_~g03 t f15~g_1J _s~~J ~ir~I~S A~~_ny fl~~~~~~~~J P~~~x 1q8 _~ J~~--_~- Jsect7740-010~L 51520~~~_S~~~ ~~~~Q~~g~ncmiddot----------_12o~o~th Ma~~ S_t Iw~~eeeL _~_------j67672-0217-L515~01~l-_~__S3~J i~u~n~~dal~~~~~i~15~~~yen~~--~~~--~---~20~~~ll ~~3~~0151

I l I I Ir~=~ and~~~~ciate_s_ J~~~Ox 26~~ ~Sh~nee MiS~~___ 16~01-__J 51520151 $833j

80f28

~ -_ - - bull - -- - middotmiddot~middotmiddotmiddot--middot-middotmiddotmiddotmiddot-middotmiddot---middotmiddotmiddotmiddotmiddotmiddotmiddotr-middot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddot--middot-middot ~-- -----~ - - middotmiddotmiddotmiddotmiddotmiddotmiddotbull middot middotmiddot middotmiddotmiddotmiddot-middot--middotmiddotmiddotmiddotmiddot--middot_middotmiddotr-middotmiddot ---_-- ---- - - ~_- -_ - -1--- -- -

IAccurate Insurance Agency Inc 16428 Vista Dr IShawnee IKS 166218-9239 I 51520151 $833 I If Ifr-middot-middotmiddot---__w~w~__~_~~~ ~_~_--~~--- - ~_-~--~~-~-~---~---- - _--------1---~-- --_ yen~~ __~___~~~~_bull~~N___J~_~bull_-- y_

Community Insurance i I I i I I I 1112651 Hemlock Suite 5 Overland Park IKS 166213- 51520151 $833Consu tants LLe i I I 1 1-- - ------ ------ --- --bull--- ---- ---- __ _ --1 _ _ __---1--middot-----middotmiddotmiddotmiddot----middot1-------middot--middotmiddot middotmiddotmiddotmiddot-Ie D Schulte Agency Inc ipo Box 306 IGarnett IKS j66032-0306 I 5152015 1 $8331( _ - - - - -- _ - - - + - - middotmiddotmiddotmiddotmiddotmiddot1middot _middot middot-middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot~middot-middotmiddotmiddot middotmiddot middotmiddotmiddotmiddotmiddot middotmiddot r middotmiddot - --_ I~a Ir_~~s~E~IE~ Ser-vices__J~lt2 B~~~ ~ ___JEI kha r_ IKS ----l6J50-0002 _L_sect152015 $8~~

i~g~middotI~~~~~_~~L middot middot1 ~~~~-~~~~ ~~ay -~-middot-- lr~i9~- middot_middot_middot~middotmiddot--_middotmiddot 1~~=6~~ -+- ~)1~i~~~-------1~~~i TY~~~middot~~~ra~~G~-~plnc -1226middotw~M~TrSt-middot--_ _middot-middotmiddotmiddot-middot-Tc~-~Cil-G-v--middotmiddot KS------ --166846-03 i6--r615201Smiddot-middotmiddot------s8331I

- - - bullbull- -_bull- middotmiddotmiddotmiddotmiddot-4middotmiddotmiddot--middot __--- bull - ---bull-_ _---- _-j-_bullbullbull middotbullmiddotmiddotmiddot-middotmiddot--rmiddot middotmiddotmiddotmiddot middotmiddot-middot middotmiddot middotmiddot Lind Merrill amp Honn Inc 16045 Martway Suite 101 Mission KS 166202middot3366 1 61520151 $8331

~_-_ -------------~---(--- --t middotI------middot--r---middot~--r --) SSampG and Associates Ipo BOX 2628 Shawnee Mission KS 166201 61520151 $833 f-middot-middot----middotmiddotmiddot middotmiddotmiddot middot-middot--middotmiddot--middot-middot---+- - -- - --- - - _ -- --1-- --- ---+ middot__ --middot---middoti-middot-middot_middotmiddot middotmiddotmiddotmiddot--_middot----middotmiddot-middotmiddot --- 1---- --_ ~ i I I Liberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 iWichita IKS 67206- 61520151 $625 1

1middotmiddot-middot--middotmiddotmiddot middotbullmiddot-middotmiddot--- middot---middotmiddot middotmiddotmiddot-middot -middot -middot1middot---middot middotmiddotmiddotmiddot-middot---------middot-middotmiddot-middot~---j--middot--middot --- --t----middot-----middotmiddot----r---middot--middot-1-- -- The Clements Agency IPO Box 129 iAtchison iKS 166002-0129 I 6152015 $833~------__~--~~_ --NM_---= m~--r ymiddot~ ~~~middot~~N=_~~ =~middot ~middot~l-~ middot--middot_-middot_middot~~middot~--_ __middotwm_~---- ~v-~- __Nr-U_-~~~__~ _-YN---~-- I

II Integrity Insurance Agency Inc 12047 SWTopeka Blvd Ste C iTopeka IlKS 1166612-1462 I 61520151 $833 I ~ w bullbullbull _~_bull__ u ~w middotmiddotmiddot~_~wmiddot~middotmiddotmiddot~middot~middotmiddotmiddotmiddotmiddotmiddot __ __middot __middotmiddotmiddot~middot_middot_Wmiddotmiddotmiddotmiddotmiddotmiddot Ayen_~~~middot-gt bull~_middot_middot~_ ~middot_~ bullbullyenmiddot~middot-fmiddotmiddotmiddotw ~w~_-~ _ __yen ~~_~v~middot~middotlt-----_middotmiddotmiddotmiddotmiddotmiddotmiddot~~-~middot----l~---middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_middotmiddotvv~ ~ w~ __ w - -~middotmiddotr-middot~middotmiddot n_ ~~~~ ~~ ~ -~1__ middot~ _~yen __ bull Ie Dean Riney Insurance Inc tI PO Box 277 iLlberal IKS 67905-0277 i 6152015 1 $833 middot____middot- --~_~_~N_N_~N_ ~_~__~~ ____o ~_ NN __M_~-___ 0

Insurance Specialist Group LLC 18415 E 21st St NSTE 210 Wichita KS 167206-2954 I 61520151 $833 --- --bull- I middotmiddot--~middot-middot_----_middotmiddotmiddotmiddot----r-------middot-Imiddotmiddot--middot_-middot--r------- _---_--

lCommunity Insurance I II i I I112651 Hemlock Suite 5

JiOverland Park KS 66213- I 6152015 $833I I iii Consu tants LLe I

rFi~~ti~~ Ag~~~yfH~imiddot~ imiddot~~middot-Tp-DB~~lo8 middotmiddotmiddot__middot-middot_middotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot_---_middotmiddotmiddotmiddotIH~imiddotmiddot----middotmiddot-tKsmiddot_middot- middotmiddot--middot167740~oio8middotmiddotl-67152oi5rmiddot-middotmiddotmiddot middotmiddotmiddotmiddotmiddot-$833 fC~iZ~U~~ ~~o~~e City__~ -===r6652Nl-i7[ S1520iSt -=--=SS3~ lnsurance Solutions of Kansas 220 South 200th Girard ~KS 166743- I 61520151 $833

mm _ _ _ _ bullbullbullbull__l~L~ __ -- ----- -- t=_ J_ _- _-- ------- --[ - ------ --1 _- ---~_ __ __ - _~ I~cardinallnsurance Co Inc PO Box 847 Junction City KS 166441-0847 i 61520151 $8331 T~~IJ-~~~i~~~e Agency 1I2c_middot__132 E M~p(_ ___~=lc~~~_~b~s__ KSmiddot 166~80d~-6i1520i5-middot-middot middot-middot-$middot833j

~~~~~~I~~~~-~~i~~--- I~~ ~~~~ ---~------I7i~~i~--middot-middot~ --middotmiddot--middotmiddot~ ~~~~j~0846-+-middot~~~~7~~-----t~~f~jmiddot_1Imiddot _- bullbull - - __ m -----j _ ___ _ 1 __ __ 1 ___ --- -- _ _ MO-KAN Chamber SerVices Inc I i I I I 1 dba The Insurance 112694 Shawnee Mission Pkwy iShawnee IKS 166216-1860 I 6152015 1 $833 (---- --middot-middot-middotmiddot--middot-middot-~-t-middotmiddotM --------~---- _-- --_---~__-=l1--- _+__---g-_-~--~- ~---

1~~~~C~~e~~CZe~ 1~~=lR~~e~~~~~~et=-~~~~~~~ia -i~~_~ _==r~3~6~ft~~~~b~lf~ t~l~~~els0lJI~_ Agency Inc ~9_~ox _~~___ -lAshland IK__ 67831-0868 L 61520~J $8~

9 of28

r~_~m __~_N N ~ltWN~Wmiddot-__ ~ bull_middot~=middothN__middot~Mlt_~_UA~_____A~bullbullmiddot-middotwm_M~ ~_~~ bullbull - bullmiddot bullbull~middotmiddot ltNN~___middotmiddot bull bull~ bull~~ ~v~middot~_W~~middotmiddotmiddotmiddotmiddotmiddot~T-middotmiddot VW~__X__ __YNU~~==~~_~__m w~_~middot__-~ bull-~N_-~middot-middot~---middotmiddotmiddotmiddotmiddotmiddotImiddotmiddotmiddotmiddotmiddotmiddotNlt-~-~~-W_-~~~-~HlN~-~~_~-~~-_ middot~middot~~middot=e ~_~_ _~ ~NW~_~

iUnited Agency LLC i PO Box 817 [Arkansas City l KS 67005-0817 i 61520151 $833 R~~~amp comiddot~P~~Y~imiddot~middot~~middotmiddotmiddotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddotmiddottpOB~~40middotmiddotmiddot-middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotw~lii~gt~middot~_middot_middotmiddot--Kmiddotsmiddotmiddotmiddot --_middot-middotmiddotmiddotmiddotmiddot--T67i52~oo46middotmiddotmiddot1middot middotmiddot67i57ioi5middotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddot_middotmiddot$833 [~~~~~~t~middot~~~~-~nc~~~~~==-_middotmiddotmiddotmiddotI~~ii Sh~nee ~sSiO~ p~rk~ay ~(Qy-~I~middotdmiddotmiddotpa ~- K~ __~ _==~6-202=03iq~J=-i~52gL =__~Jmiddot(i3middoti Billiard-Hammer- Hartman i I I I bullI ipo Box 509 Fort Scott IlKS 66701-0509 i 6152015i $833Insurance Inc 1 i j 1 l~~- lt~ ~~~~ - bullbullbullbullbullbullbull ~ -~ bullbullbullbullbull middotvyenmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot w_ ~middot-~middotmiddotmiddot_middotmiddot~middotmiddoti middotmiddotmiddotmiddotmiddot _middotmiddotmiddot__v~middot ~lt ~yen- middot_middotmiddot__~_~wmiddot_~ _~~ bull ~~ bull- - --- _- bullbull- ~ +-lt yen~~ bull --- ~middotmiddotmiddotwmiddotymiddot~ _ - -t~_middotmiddot~middot Y~ bullbull _ ~ bullbullbull~ bullbullbull bull bullbullbull- - ~ ~bullbull-~~bullbullbullbull _bull_~ middotwmiddotmiddotmiddotwmiddotlaquo_ gtbull~ bullbull bullbullyen~ y~ _~ ~ _middotw _bullvgtbull -__ ~ _ bullbull w~ bullbullbull~bullbullbullbull ~ - bullbullbull-bullbullbullbullbullbullbull - - jmiddotw

1~~~_~~~ 1~~~ ~__ __ 1120~~~~~Ll_~_ __ I~~~e~~~y ~~____J7sect7~Q]2L __~~L-9_~~~ w_w~~J bull bullbull__bull~L~_sect~oleI~sl~l~~~~ l~O ~~~sect_ ______ l_te rl irlJLw- -I~--- I 6757_9-00~ ~sectL~2015 I ~~~

I I I Accurate Insurance Agency Inc 16428 Vista Dr iShawnee IKS 166218-9239 I 6152015 i $833 Imiddot-~ -yen~~-~ middotv ~-bull- _~ __~~v_~~yen_ ~ ~ ~_~ __~_u~l _v__~_ __v__~~ bull _ bull_~wbullbull_~w~_uyen__ bull_~_~~middot~v_ bull_ _vmiddot middotmiddotmiddot~~~ _middotmiddotl -_ __~ ___-v~~v=~ __middot __~yen_ __yen~_~~-~~yen_~_ bullbull~~~__ bullbull _V__~ __ __~_ _~ Mmiddoti_middot__middot ~middot __ ~ __ v~~_yen __~~~~bullbully~~vv-_bull ~vv_ bullbullbull~v_ v~~_ bullbull v~__~

LEdie~~~~~~~~_~rouJl_~~C 109 W~~~ee~e B__-lLawre~~_e_---lJS~__ Lsectsect40~~--J-sect15(015l--- ~_~~~~i i i1ICharlsen Insurance Agency Inc IpO Box 206 Halstead KS 167056-0352 $8331 Lw~y_ ~ bull~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot~_w=~~middotmiddot~ __~~middotmiddot__ bull~~ _~=~m~ t_~middotAmiddot~middotmiddot~lt_middot=_ __w_ __~e~~=~~w_~M_~~J~w_ lt~ ~~ ~~_~_ _~~~Jw_ __~ __~W~M__ ~~==~ ~~w~~~

~0~~~~~~~~~~~~~hc-- -1~i~~t~i~~--_ +~~~~~~iY-~i~~ _ j~ji6I~Q~~~ I_~~-i~~-6H _ -~~~~1+middotmiddot---middotmiddot---- i~----imiddot--middotmiddot-middotmiddot~-middotmiddotmiddot---middotmiddotmiddotmiddot-middot~middot-middotmiddot-Imiddotmiddotmiddot--middot-middotmiddot ~ - -_bullmiddot ----- middot-_ -- -t _ bull-- _-imiddotmiddot- _-_middot ---j

llJ_~Sal Ag~Icy ___ I~~E-~~~ ~___ _ __ __~a irie Vi II~ge_L~ __ _~Lsectsect_~= ____sectP(20151 $10000

ICommunity Insurance I IiIC I C 112651 Hemlock SUite 5 Overland Park IKS 166213- I 71520151 $833 I onsu tants LL 1 iii I iL bull _ bull__ _ _ _ __ _ _bullbull_ __ _ _ __ _ bull_

t~j~~~_erriL~Jl_~nn In~__J60~5 Ma rtINaY~uie 10_~_ __L~is~~n _-Jlt~_ 1~sect~02-3366 1~~52015J $~~~1 I I i I i I bullI I I I

IAccurate Insurance Agency Inc 16428 Vista Dr Shawnee IKS 166218-9239 i 71520151 $833b-middotmiddotmiddotmiddot_middot_middotmiddot-middot-~middot_- middot-~-middot_middot_ middot-l------- --_ --- --J--- ----J---- -- - ----l -_ J- _-- - iThe Clements Agency jpo Box 129 IAtchison iKS 166002-0129 I 7152015 1 $833~ y~ ymiddotmiddot~middotwmiddotmiddot_middot~_~middotmiddot middot_middotmiddotmiddot__~y~~~ymiddot_vvmiddotmiddot _~~~middotYV bull~~ltw~y vy_ ~~~ __ ~_~~ __~ v~~middotmiddotmiddotmiddotmiddot middotmiddot_gt_middotmiddotmiddot_middot_~~middot~middot_middotmiddotmiddotmiddot middot __y~ ~=__y_~y bullbull~ _wv bull _ ____middot_~l-~middotmiddot_~middotmiddot~~~~~- ~~middotwmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _ ~w_~_~_~ ~ y_~ _ _middotvwmiddot__ middot_~middotmiddot_middotmiddot_wmiddotmiddotmiddot~~~ ~~m ~ bull umiddoti-w~ bull ~~-~ ~ _

iFox Insurance Agency IpO Box 846 Arma lKS 166712-0846 I 71520151 $8331 ~_lt __~WNff~bullbullN _A ~~- ~_~~_~~~ _~~-___~__ ---- w___-__ ~bull j_--AWMW_~ _

IToilie Insurance Services LLC 18700 Monrovia Suite 214 Lenexa IKS 166215- I 71520151 $10000 ITyn-lnsura~ce Group Inc 1226W MainSt c~uncil Grove -1~Ks-------middotr66846-0316 ~r7 152015- $8331

l~~~~I~~~~~_~~e- ~~~~~~~L~~-~~~=l~_~g~~~~=~~~~Si~~~~=~i=~_ =~~re~~~ =~ __~J~~~=====~=_~~~~~~==~middot=]~==Z~7)-01 t~~~=_~~~~~~~~] IFirst Ins Agency of Hoxie Inc PO Box 108 jHoxie KS 167740-0108 J 71520151 $833--~-_ - ------ -~--~-- - ~---_-- _------------ - -=m -------_-~--- --0 middotmiddotmiddotmiddotmiddot iHW Sewing amp Co Inc IpO Box 171488 Kansas City iKS 66117-0488 i 71520151 $833 --------- -----------r----------------------------1-------- ----r- _ _- ---IWilliams Insurance Agency lPO Box 377 iBasehor KS 66007-0307 71520151 $100001 1--middot--middotmiddot------middotmiddot-------middot-middot-middot---middotmiddot-------middot--middotmiddotmiddotmiddotmiddot- bull- ----------j-----------r- --l-middot-middot---+~--middot---middotr--middotmiddot-middot-middot - middot-middot-Ie D Schulte Agency Inc IPO Box 306 IGarnett iKS 166032-0306 I 71520151 $8lh~~ ~ --- -~-~-- _vyenbullbull_~-~~~~middot~_middotmiddot __middot__Vgtmiddot_middot_~~1middot~- middotmiddot-lt-M_~ __~~~--~_ _- ~~~~ ~- ~~-__ ~_-_r-~ _--~---~-~- ~~-~-M~~ -~~~ middot~middotmiddotmiddotmiddotmiddot_middotmiddotmiddot-middotmiddotmiddotmiddotmiddot~~middot middotr -~~middot_middot~middot~~middotmiddot~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotgt~middotmiddotmiddotmiddotmiddot--~middotgt ~~middotmiddotmiddotmiddot~middot-middot--~ -middot-~l~middot~middot~middot ~~vmiddot_~_~middotmiddot~middot~middot bullmiddotmiddot~~~

Teellnsurance Agency Inc 1132 E Maple iColumbus KS 166725-1802 I 71520151 $8hmiddot-middot----middotmiddot-------middot---jmiddot-middotmiddot-middot-middot-~---middot-- middot--middot-middot--~----_cmiddot-middotmiddot~middot- -middot-~----r I r---middot--middot_middotmiddot--middot ~nsur~~poundt_~e~~_alist Gr~p_~~~8j-~~~~lst_-~STE~Q IWichJ~ _ -l~~ _ 67206-29~~LZl152015 f-----3 1~_i~~sectE~~E_~~~_l~~c~~_ __l~9~ox 67 __ _ __ __~ __~e r~ nfL Is __Jsect7579-QQsect~J __7~j_O]_L _ _ ~_ IBilliard-Hammer- Hartman I 1 I I I II bull II IPO Box 509 Fort Scott KS 166701-0509 i 7152015 $83 L~s~~~~_~rl~middot __1_______~ __L _ L__ J ___1_ _

10 of 28

i f i I 1 jCharlsen InsuranceAgencYlnc iPO Box 206 jHalstead IKS 167056-0352 1 71520151 $833 t-~-_middot_middot~~~--v~~_~-__--~~~--_~~~~----~-~____M_~t~-~~_~ ~_~-~_N__ ~_~~~m~middotmiddot~_~_~_middot~_I~ middotmiddotmiddot~ ~~-y __-__middot[middot~_~~middotmiddotmiddoty vmA_~

~J a~ rod_~~~~~~_~~e rv~ ce~~ __ jJgt_~~~~ ___~lto_ _ __~_ I~kha __-+~~ __~~95Q~~~g2 I 71~20 1_~_ ____ _~~~l nmiddot-~~~~~E~~_~~~l~1 _ 13Q6~_Br~~~~~L _ _JPr~teC~~l___LI~~ Isect~~~g~~J_ _11520151 ___ _8 3~j

~~~urance Solutions of Kansas 1220 South 200th lGirard IKS 66743- I 7152015 $833 l-----middot-middot middot---middot_middot_~middotmiddot---middot_middot--middotmiddot-t-middot middotmiddotmiddotmiddot__middotmiddot---middotmiddotmiddot-middotmiddotmiddot-middotmiddotmiddot_--___________ l bull---------------------1--- --- - - hey Health Benefits IPO Box 454 iWichita KS 167147- 7152015 1 $833_ _______omiddotwmiddot __- _ __ _ __ -_ ______ _ _ )_ bullbull __

TWI amp Dietz Inc 120 North Main St WaKeeney iKS 167672-0217 1 71520151 $8331 lt-~-__~~-~~v~~~middot~-~~~middotmiddotmiddot-~-=~~-l---~~middotmiddot-middot---middot-middot---middot----~Tmiddot_middot-_~n- ---~-lmiddotmiddot-middot~~w~--~-middot--r~---~~-~middotmiddot-~~~~middot~middot~~-~-~--rmiddotmiddotmiddotM~ _-~middot=-~-~--middotmiddotmiddot-~-middot-1

SSampG and Associates IPO BOX 2628 Shawnee Mission IKS 66201- I 7152015 1 $833 -w ~bullbull -w--_--_-bull--- i_- - _ --- _-~------middotmiddot middotmiddot-middot-middotmiddotmiddot--middot--middot----4-middotmiddot--middotmiddot----------+---middot~--j- __ __ 1

Whitehead Insurance LLC 15112 E Central [Wichita IKS 167208- I 71520151 $833j-~__=~~_- ---T---------~-----~ ~middot~~--middot-~---I - 1 ~-~- I --~t----~~--middot-l

ilntegrity Insurance Agency Inc 12047 SWTopeka Blvd Ste C ITopeka IKS i66612-1462 I 7152015 1 $8331 - middot middotw bull _ j _ __ _ - middot middot_ _ _ 1- _ middot _middot_i _ - bull _

IMO-KAN Chamber Services Inc I i I II Idb h 12694 Shawnee MISSion Pkwy iShawnee IKS 166216-1860 Ii 71520151 $8331 aTe Insurance I i I I i ~~w___w_-~-~-w-w middotmmiddot-~middot~ -~middot_~~~w-~ ~-woltgt-~~vmiddotmiddot~_o middot__middotmiddot_middot__ ~middotmiddotH_middot ~ w-----~ ~~v- bullbull_---r~---~ w-t------ ~---r-

IUnited Agency LLC Ipo Box 817 iArkansas City KS 167005-0817 I 71520151 1-~--_middot_middotmiddotmiddot------~-- ~middotr~~--~-_middotmiddot-~~middotmiddotmiddotmiddot_--~---middot~middotw-~-wmiddot-~tmiddotmiddot--~middot~~~--~---middot----l--middotmiddot~-----r ------t--~~~w~--w ~l~~- -~ ~ -bullbull~-~=

ICorporate Assurance Inc i6811 Shawnee Mission Parkway Overland Park IKS 66202-0340 715 - _ - _ _ middotmiddot ---_ _ - 1 middot - -_ - __ - - shyiCardinallnsurance Co Inc iPO Box 847 Junction City KS 66441-0847 I 715LUl=i gt~ --~ - I ~-~------~-_--_~=~~-~~_--~ ~~~----_- ~-~ _-- t~w-w-~-----~

tizens I~llrance Service~__~_2~ 6th____ ~Os~~e City__-+~____ ---lsect6523-1117 J_715~0~L_ $J Insurance IPO Box 37 Severy jKS 167137-0037 I 7152015--- middotmiddotmiddotmiddotmiddot-middot~- --middot_--_-middot--middot-l-middot-middot-middotmiddot-middot--middot----------- ~---------------l---------

ILiberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 Wichita KS 167206- I 71520151 L~-_~_N-~~~middot---middot-~--middot_~middotmiddot tmiddot-~--middot-_N-lt~ bull__---y~~ middot_~~middot_~_ __ H_=_~ _WA_~_y ~-w-~_------4_~VN bull~_-l __~~- ~_~-- vt~~--~-_~~-- Renn amp Company Inc IPO Box 40 lWellington IKS 167152-0040 71520151 $833 ---- ---- --~- ----------- -------~--_-- _ II rmiddot-middot -middotmiddot-__-_------lt- -_--

I~nell=~~~~~~~~~~~~ 11~~~middotmiddotmiddot~~~middot~~~---- -middot--middot_-----middot-1~~~a~d --middotmiddot-middot-i~--middot --1middot~-i~~~~~~~ T-~~~)6~~ r---~~~~~ - ---- -- - ---- -- --c - -- - - _-_-_ _ - - - __-_-_- - - - _ - ------ - - - -- --- - --

Brw~ BU~ires~_~~~ices Inc 11710 R~eub~can S~reet __4concordia _~~~~--_-----66~E-~---715~g15L~~ $833 fGoodman Gravley Insurance l I I I i 114812 W 117th St Olathe IKS 166062-9304 8320151 $10000)ISource i j 1 ~ ) - -middot--middotmiddotmiddotmiddot-------middotmiddot--i --middotmiddot middot middot-middot----_- ---__--____---_1--- middot----Tmiddotmiddotmiddot---middot-- middotmiddot middotmiddot middotj I~~ll~~~~~~~~~l~~~-_middotmiddot --middotmiddotmiddot---i~~middot---1~-------middot-11~~--~r -_middot_-~~~~~~I

1 i I I I 1

rS~middot~ty~pp~t-Servi~~Iz-lmiddotPO middotB~i2i6middot8- --------1ov~-lanmiddotd--p~-KS--- middot_middot-middot~~6282-2368--t -8i6720-i51-----$100061

r8~~~~0~~~~~i~-I~~~ =~~~=~Q~i3cmiddot~Qmiddot~=~=~~~==~~= ~~Lsectt~9~r~====~ Qg~ggJ ~=~_ ]E~~ y-===___ J~~~-~=~===~i~q~9_~gsectL

11 of 28

r-~-----~A------- ~~~~ Nlt_~_ _-middot~middot---middotmiddotr~~---~middot~~-middotmiddotmiddotO~~~~--yen_~-~M~M---~~l~---------~~AN-~~- --~~~-~~-------~-~-----y__middot-AYmiddotltmiddotmiddot-~rmiddot~-_A_-~~--~-------(-- ~_~ ~-mT-middot-~_~~_~_~~_M~~

Communlty Insurance Service I I IIKSllnc jPO Box 500 [Overbrook 166524-0500 f 862015 1 $10000 i~m~~~A_middotm~_~hN~mm_ __~_middot-w_ middotm_~_-_--~~ __~ _____m_N__7-_Y_ __ ____~_h f---~---- _~ ~~~k _____1___ ICorns amp Ballard Agency 1240 S Main IGreensburg jKS 167054-1726 8620151 $10000 1middotmiddot-middot---middotmiddotmiddot--~middotmiddot--middot--middotmiddoti-middotmiddot------~- middot-middot-middot------middot-i-----middot---t--middot--middot--middot---middot-middotmiddot-middot-middot--------------t-- I~~rkley_~~rkl ey~J5~~ i1Q_~o~J~ _ _j~esc~__ __~~ ___Jsect7~84~92~J 8L~L~9~1 _10~99J

I~~ flP~~Imiddotmiddottg~1~ymiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddot__ middot ___middotmiddotIp C _~9~~~_ _ _ _ _ J~ed~r_~I_~ _ _~K~~ __ __ 1~92-4--9~~middotmiddotmiddot 1_ lsectl~9~I ~~99~99middot1 ~Strongs Insurance Inc- I i ~ i I I i IN h 11 PO Drawer 160 iNashville KS 167112- 1 862015 1 $10000 1 as VI e I I I 1 i tmiddot----middot----middot--middotmiddot-~middot----middot-i ------ middot--middot--middot-middotr-----+--middot----middot-r---middot--middot--shymiddot---middot------middotmiddotmiddot-middot---------- middot-------~

ill~~_~~()~ r_~lIra_~c~~L~ ___lsect7-~~r~-~et __ ~~~O~ ~~-_-------16645~~~49_L__~lsect~Q15_~-- ---$19009J _~~__t~e_~~y~I~c ____ __J~g ~()~~~_ __ _ _ ~()J~~~ ______J~ ___ ____ _sect~_sect9t _Q~ J__~Lsectl~9_1 -_middotmiddot-middot-middot middot~middot9P9-9J

Grain Be ~1~u ra nce LLC_____J0Box ___ _LL_ __~~ ___~~sect087 _-J__86~0 lsL Qoool ~y~~suranceJLC__JlO~-~ Ridge Road __---l~lpound~i~__~__ ~7209_- I ~L1~01~L---$100 90j

L1A-ConcordiaLLC dba Peoples I I I ilnsurance 1409 Lincoln St jConcordia KS 66901-4828 I 862015 1 $10000i fW-~-~- middotmiddotwmiddotmiddot~middotmiddotmiddotmiddotA ~- ~~ ~~ -- ~~ ~-~~~ bull _v~~_ bull bull_bull_~~ ~ _ ~-~~ yenbull ~-~--_~_~~ _-~-~-~~~- bullbullyen-i~-~~~yen~- ~yen bullbullbull-- middotmiddotmiddot_-tmiddot~~middot--middot~middot~middotmiddot~~-middot-middot~_~~middot~A~- ~~-~~_ bull _ _ _ltVwmiddotmiddotlymiddotmiddot~middot-middot~middotmiddotyen-~-middotmiddot--middot~middotmiddotmiddot-~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot--middotyenmiddotmiddotmiddotmiddotmiddotmiddotmiddot~middoti_ v~middotmiddotimiddotmiddotmiddotmiddotmiddotmiddot_-_middotmiddotmiddotmiddot~middotmiddotmiddotmiddot~middot-middotmiddotmiddotmiddot-middotmiddot~middot-middotyenmiddot_middotmiddotmiddotmiddotmiddotmiddot-tmiddotmiddot

IAll I_ns_u~~~~~-_c_c_es_s ~S ~_7_06_~_~9E~_ka_B_lvd__S_ui_te__4_1 __lTopeka ___~~ J-6-66-0-9--1-239 L_~LsectL~9~~----_~~ 9290l son Insurance Agency IPO Box 350 iCourtland IKS 166939- 862015 1 $10000

-~ -------~-------__ - --------+-~--~ ~ -_-- ---~ -r--~--lmiddot-middot-middot--middotmiddotmiddot-middotmiddotl-middot-middot--~-middotmiddotmiddot- Northeast Kansas Insurance i Ii I PO Box 328 iNortonville IKS 166060-0328 I 862015 $10000JIAgency I 1I r middot middot - - _ _-bull_ -__ _ __ _ - - -1 -1~r middotmiddot middot l~idwest~~slI~anc~~~~ncy Inc i 12~middotLyJerte 100 ~Wichjta __-t~Isect722-~2-I_~f~94 ~~_9 ~erson~J2~~iceInyura nce~n~ __I~C Bo~06 -----------lI~~-- ~ 2Q1-_-~~--~--l~sect]~~--~-~~~~~Selcy-~~~- ----- tf0 Box 32 _ -LC~~~i~ -+~_ l_~_Q2Q93~--+_~1~+----_~_

l~~~ li~I~~f~~middot~ ~ymiddotmiddot~~-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotImiddot~6~middotj77-middotmiddot middot -middot---middot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddot-middot--t~~J~~~ middotmiddot -middotmiddotmiddotmiddotmiddot-t~~middot middot middotmiddot-_middot_-middotmiddotmiddotmiddotmiddotmiddotjmiddot~j-6~middot~~6fj~-middotmiddot-_rmiddotmiddotmiddotmiddot-- middotmiddot~~j~i6FImiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot-_middotmiddot-middot_-~middot~q ~middot~iri~~~~~r~n-~~~g~~~~_BO 67=~=middot=~~===lwi~9n~_ --=-_~=r~s---=_l67764 0Q71- 8l~~oiJ $~

~-~~~~~~~gcyLLc middotmiddot_-_ -middot~middot6 ~~middot~~~middotmiddot--middotmiddotmiddotmiddotmiddot -------- j~~~~~~d~---middotl~---middot-- middot-r~it~~j~-I- ~~~~~~ 1- --middotmiddot-middot~~~6~661 ~ middot_middot_middotmiddot~yen_lt __Nmiddotyen~middotmiddot N_A_V_~~~_~_o-+---_yen ~_ _~ ~ bullbull_~bull~~q~_~~ bull __~ ~_yen_ _ _~~vyen~__ __v~_~bullbull~ __middotmiddot_lt~~_~ __~~ _~__~bull v_vv~ __ __~~~~f~_~A ~_~middot~~~middot ~bull___~__yenmiddot~~middot~middot~__~middotmiddotv ~~yen_~ __ ~~vv~_yen~--_yenyen_middot~TV~yenWmiddot yen__~~~

IOMailey Group LLC dba OMG I I i I i i 1226 S Kansas Ave SUite 102 IOlathe KS 166061- I 8720151 $10000 Ilnsu_r_a~_em__ -------------j---- JI ------+----------- 1-1--------

L~~r~~1~~_~~~poundTE~~y~~ ~~~q1 St~e_~~e Ro~d te G-t__j5~~~~~poundity _ _ ~2 4sect41 ~~~ Jr__8L12_0~~ _~90091 1M amp M Insurance IPO Box 2639 lWichita IKS 167201-2639 81020151 $10000 - - -- --_ -t - --- - ---_ _----bull - - __ __J __~ ______ bull _ bull_ _ bull----bull-----bullbull---

~~~~s~o~I~~m~--------I~~-~~----I~t121~~t~~t~1 ~~~i ~-_--_--_---_-_------ _--_-______+__ _L- ___ bull _- _1 _

IKeller RE amp Insurance Agency IPO Box 945 IGreat Bend IKS 11167530-0945 I 8102015middot $100001 Inc I 1 I j

rB~I~I~-~ ~~~~~Imiddot~~ -- 1 PQB~486 -------rCy-~d~~------ middot-middotmiddotIKsmiddotmiddotmiddot-middotmiddot---ll-664-5middoti~middoto486middotmiddotmiddotTmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot8lio2(jis-I middot-middot middotmiddotmiddotmiddot$166middot~omiddot ___~~__bull middot~middot~~NN~__~~~__==___~~_-~_~v~_middotm _ ~Nmiddot __~ ~ wmiddot_~_N wmiddot~w_~ ~~J__~~_ ~-_ ~ gt _

12 of 28

__

i

~ ltmiddot_A____v_~~N_~~ bull ~_~ W-N~middot __~_~__~~~ middotmiddot____ _~~ _ __OW~~~~~~~~_~~~~__~~~_~_~ h~ --~-~---middot~~t-----u~~= __bull=~_~ __ _~~_--~~~_~__~~~___-_V_~r___~~ bull~- --~~nimiddot~

Pike Insurance IPO Box 347 iMinneola IKS 167865- I 8102015 $10000 lt middotmiddotvmiddotmiddotmiddotmiddotmiddot_~middotmiddot~~_middotmiddot__middot_vltT_middotmiddotmiddotmiddotmiddot_middot~middotmiddot_middotmiddotmiddot_middot_~~middotmiddot-gtmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_ middotmiddotmiddotmiddotmiddotmiddot~vmiddotmiddot __laquo ~ middotmiddotmiddotmiddotmiddotv middotmiddotymiddotwmiddotv_~- __middot~~~_~middot_middot middotmiddot~middot-~middot~_~ _~_~ -~ 9~~middot~middot0middot~_ _middotmiddotmiddotmiddotlmiddot--middot~middotmiddot~ _~ _~ ~_~ __ v___ __ ~~ _____ __~_v~ middott~_V9~__ ~=_ltO~WW~~~~middotmiddotmiddotmiddot-middot~~middotmiddotmiddot-middot~middotmiddot~~middotf-middotV---~- ~_~

Hoxie State Insurance Inc PO Box 378 Hoxie IKS 67740-0840 I 81020151 $10000

l~~~~~~~~g~~y~J~~~~~~-~_w~JE9~~~~~~lI=~~===~~_~=~ LB~Y~~middot=~~~_~-1KS==~===1sect7-601~q15~I=-110(2015[-=$100JlEj jSaylor Insurance Service Inc Ipo Box 209 Sabetha KS 166534-0209 I 81020151 $10000

middotmiddot_middot_middotmiddot~------_-~-middotmiddot~middot-Imiddot __ _ _ __ __ _--j- __ __ __ -- _ _ _-_ _ middotmiddot middotmiddot _middotmiddot ___~-+middot_middot--- -------- TrustPoint Services Inc DBA I I I

I 1800 N 4th St Suite 101 [Burlington iKS 166839-2617 I 81020151 $10000TrustPOlnt nsurance I I 11 I -------------- - -- ----- - --- _~w_ -- - ------t--------t--- -- t-- shyStephensChapin Insurance 2711 W 6th St Suite A [Lawrence IKS -66049-4306 i 81020151 $10000r- middotmiddot-middot middotmiddotmiddotmiddot-middot-middotmiddot middot-middotmiddot-- middotmiddotmiddot-middot-middot-middot-middot1------middotmiddotmiddotmiddot_-- ----middot-middotmiddotmiddotmiddot-middot-middotmiddotmiddot-----middot middot1~~-middot--- middotmiddotmiddotmiddot-J-middotmiddot -----t-~_-~- ~------ ---

ISunflower Insurance Services lipo Box 100 iClifton IKS 166937-0100 I 81020151 $10000 tine I 1 j- - _- middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotlmiddotmiddotmiddot_middot~middotmiddotmiddotmiddot -- - - -__ + - - + middotrmiddotmiddot~middotmiddot middotmiddot middot-middot middotmiddot middot

~~~~r F~~~~~imiddot~~~~p i~Z--middot~7i9~~4~~y --- I~ _-_middotmiddotmiddotmiddotmiddot-~~~~~~g --H66~~-middotmiddot-middotmiddotmiddotl~f~~~~-- - ~-Lmiddot~i~~~~~~ 1~_ _ _ _~ _ _~ _ _+ __ _

24___ ~__ __ __ __E_ I - --- 4--------

Baer Crop Insurance 13672 Sage Rd Wakefield IKS 167487- I 81020151 $10000 middotmiddotmiddotmiddotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddot--_middotmiddot-middotmiddotmiddot---T~middotmiddot - -middot--middot-~-middot- -middot_middot-middoti-middot-middot-middot-middot-----j--_middot middotmiddot_ middot middot-1- middot-middot--middotmiddotmiddotmiddot1middotmiddotmiddotmiddot- middotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddot4--middotmiddotmiddotmiddot_middotmiddot_middotmiddotmiddot IGross Insurance Agency Inc 118 S National Ave [Fort Scott IKS 166701-1309 ~ 8102015 i $1000mImiddotmiddot middotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot -- -- - - - - _j- bull middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotimiddotmiddotmiddotmiddotmiddot middotmiddotmiddotbullmiddotmiddotmiddot parker Haskins Insurance Inc Ipo Box 176 Dodge City IKS 167801-0176 81020151 $2500rmiddotmiddotmiddotmiddot middot_ _middot middotmiddotmiddot~middot--_ _---- -middot - - ----- ------ - -- - -- ---11-- middotmiddot--------middot----+--middot middot----4---------middot middotmiddotmiddotmiddot-- Insurance StoreEdwards I [ I I PO Box 584 Chapman iKS 167431-0584 I 81020151 $10000 ~~~1cy _ ____ _ _ L__ _~_____ _~_ L_ -+ _ _j__ ~---+-- - _~----- - J Iscribner Insurance Agency LLC iCottonwood FallslKs 66845-0256 81120151 $100001lpo Box I ~-----_- __+__ _ __ ~_w __ L _ _ +-- __ ___1 +-__ ----1----- IGrinnelilnsurance Agency LLC iPO Box 365 iGrinneli KS 167738-0365 I 81120151 $100001 ~~~v__ ~~~_v__~m_N~ ~bull ~NW~ __-_ middotA-_~~--middotmiddotmiddot=_WM___v~_~middotmiddot ~ __VAmiddoth1 ltv------~----~_~~_=~ _~ _~_-- ~_ ~yen_~_gt_ bull_____~m=___~~L- _- ----- ---J~~~~ ~~~~~ _ __ __ ~IQ~ ~9deg IKS _ _ ~6042 -_ - _-J-- 8~_1l~~____ gg_q00j jAlmena State Bank IPO Box 127 Almena IKS 167622-0127 i 81120151 $1

IHundley Insurance Services LLC 11401 Main Street IAtchison IKS 166002-2605 I 8112015 f-----middot---middot-----middot-middotmiddot---------------imiddotmiddot---- Imiddot-middot------L 1----middot_--( middot--i

942 SW 29th St Ste C )Topeka KS 66614- 8112015 $10000 _ __w_ __ - --1-- -----i---~- ~ - ~--_~ shy

rey~~~~r~~~g~~~y-~middot~~ -middot--t~~ ~~-~i~- middotmiddotmiddot-_-middot-middot-middotmiddot--middotmiddotmiddotmiddotmiddot middotj~~~~~~ --l~-middot-middot middotmiddotmiddot--middotmiddotmiddot middot-rffii~~o416 middotmiddotmiddotmiddotjmiddot-middot H7~middot~iImiddotmiddot--middot middot_middotmiddotmiddotmiddot~middoti~ci~-cil -----------T------~ - ------~--- __w~_~w-_--~_---_w_-f-- --w

IThe Davidson Agency Inc IPO Box 307 Delphos IKS 67436- I 812201t middot--------N-- +~------~~~ shy~~ __~_---~ __N~_-_N---Nt_=__--------t~_-_--

itizens Insurance Agency iPO Box 10 Waterville IKS 166548-0010 I 81220151 $10000 w_ _wmiddotwmiddotmiddot middotmiddotmiddot _ ~_-w- rmiddot_w _ ~_w_w_ _ __ __ __w~middotb_middot___w__----i---w- - ~~---_ w -----

middotmiddot ~~~i~~middot~~~~~~fg~~~Lc-middotmiddot jmiddot~oo186~~=~~~==middotmiddotmiddotmiddotmiddotmiddot=~I~w~~~ ~ity---I~~middotmiddotmiddotmiddotmiddot middot=_~~==J~j~middot~~~~~-middotmiddotmiddotI-middotmiddot~1ii7~~i~ l-~ middotmiddotmiddot_middotmiddot ~i-6middot6~6~j eo~9~~~ce ~4Q~~~~Q--_ _-- Gacden City _~_ ~~~~1=81320151 --~QgQI

~~rl~l~~~l~~l2ce Agercy __JPO_BO~62L __ __ __w+~~~ ce~_~s __67432-0~~L_~1132q5 ~ ~OqOOl amp D Insurance Incdba Karl A I j

Scholz Ins PO Box 135 iLancaster KS 166041-0135 I 8132015 1 $10000 w_-L __ _ __w_ ____~ _ __ _ ___~_~ L_w __

13 of 28

fje-ps~~ amp Ass~~i~t~~-----------I-po-B~~4D------ -- - ------- ------- V~I-I-~y-F~II~---- TKS -~---~-~-166088-0040 --r -87132015 i -- ---SiDelao f - bull-------- ----- --middot--- -middotT~middot - - ---------------- --- --- ---- ---- - ~--- --- _ ---- -- -r- -- --- - -- - - -----1 -- - --- - ----- --- ---- ---- ---shyL_ -- -

IcaPitol Agency IPO Box 678 IShawnee Mission KS 166201-0678 i 8132015 I $10000 t-middot----middot-----middot--middot-~--middot----------middot--middot-t--~~middot------middot --~------ ----------------- --~ -----~+_------ ---- ---~-- l~~~~_JE_~~~lt_~_Ir~_ance j_~~9_yvmiddot ~~_I_Su ite J _~_i-iC~i~~ L~~----+sect-~2~=~~9g--L8~-~L_Q~_I ~~2gmiddot 09 BancolnsuranceAgency POBox348 Haviland IKS 67059-0348 i 81320151 $10000 ILi~~-C~~~tyi~~~~~~~~-Ag~~~y-ll------------- ----------- - -------- - - -------- --- - middotl middotmiddotmiddotmiddot - _-- middotmiddot ---middotrmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddot middotmiddotmiddotmiddot middot--r---- -middot -middotmiddot---rmiddotmiddot -middotmiddot -middotmiddotmiddot--middotmiddot l 1 PO Box 510 iLaCygne KS 166040-0599 I 81320151 $10000i Iinc i 1 j I ------ -- -_--~----__---_---_-__ -_---_---------l--------- ------+-- -- I---middot~-t ---------~middot

~~~~~~~~1~~jl=====-~~~c==t~~--~i~m~~J~~~=_---~~~i IRenn amp Company Inc PO Box 40 Wellington iKS 67152-0040 8142015) $8331 f---- --- -----~--------- 4----------------------w---------~1--middotmiddot - --------+------- ----)

LThe S~~d~~ ~ ~genC_L __~___l~-Qsect~_~ro~dway--_--- __ -~127-0~~~1~lg_~I---___~rec~~----J~~----_- _---~~3~J Iinsurance Solutions of Kansas I i I I I I 220 South 200th iGirard KS 166743- I 8142015 1 $8331

IILLCmiddot - ~ - Iii-- _ _ - ------ t ------- - --- - - L _-------_- shyI - - -- - - _ - - - ~ I j j ~ 1 i j

ISSampG and Associates IPO BOX 2628 Shawnee Mission IKS 166201- 81420151 $8331II

I - I ~_bullbullbull N~vww=bull _~~_wN _____~_A_~~- ~middot~~-- 1 -~----~1= ~-~ ~l-~~_middot_---r--_middot---~-rmiddot-~--gt1_~~~---~-_w--WMmiddot-~~~~-- --~

IWood-Dulohery Insurance Inc 11725 Washington parsons IKS 67357-0933 I 81420151 $10000 - - - -- --- -- - _ ~ -_ - _ - +_ 1- __ 1 -- ~__ - -- +_ - - - 1 Isen Insurance Agency Inc 1PO Box 206 IHalstead IKS 167056-0352 I 8142015 I $8331

- _-middotmiddotmiddotmiddot middot---_middot-_middotmiddot- ---f-- middot----middot--middot middot-middot-middot middotmiddot----middotmiddot--+--middot-----middot ~-t---- -----i----middot middot-- ----- bull +__--- _ _ rJ~~_~~~~fl~_~S~~_L~ _J_q-~~~ 64~__ __ __ _ ___~JYinfield _ __ J~S_ __ _J 6-~~~=Qsect~ql _J314~915j~ $lg~021

Teellnsurance Agency Inc 1132 E Maple iColumbus KS 166725-1802 8142015 I $833- - middotmiddotmiddotmiddot middot middotf - -middot_-_middotmiddot_- _middot --i -- ------ - + - - -- _ -_ 1- __ _--_- --j- _- _- - _ -

_ard~~ns_urance Co ~ncmiddot__--2BOX ~~z Junction C1L_USS ~~~1-0847 1 81420~ ~833

~die Insur~~pound~~oup LLC J~99 W ~th Str~et St~~ ILawrenc~ JKS_ 66~Q~_------l~4201~L ~$~33 Xr(LI~~~pound~~~~~P_L~r~ J~sect_~~a i1 St ---JSlt~~i-sect~~~_J ~S ___Jsect~_~~6-0~~sect-L_ L14_~5 L__ _$~33r I I I j

ILiberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 IWichita KS 167206- ~I 8142015 I $6251 L-middot-middotmiddot--middotmiddotmiddotmiddot-middot ----middot----- --lT--middot-middot---middotmiddotmiddot-middot~_middot----- --+---_--- fmiddot---~--~--- ----- --middot-middotJmiddot----middot---middot---middot4 First Group Insurance Inc PO Box 67 ISterling lKS 167579-0067 81420151 $833~_---~~-~_--~-_---_~ --~-w---~ ~_vmiddot~~middotmiddot-~----i-----middot_~~-v_~i~~----------~~ ~~ -~__~_ ~

~J-e~LE~~-s~ge ncy__ ___1J2_~~xJ29_ __ __ _ J~~~ iso~__ _t~ __~___I_~~9_Q~-0 1~U~PdJ~20_~l _ J_8~~

~jl~~f~~~~2-~5~=l~~~~~e-D~--~-middotmiddot---1fit~~-=J~~-----l~H~5~~0iyenolli=---$-o~~ I Ii I jIIAccurate Insurance Agency Inc 16428 Vista Dr iShawnee IKS 166218-9239 81420151 $8331

t~~~ bullbull~~~~~~c~~~~_~~_==~=~=~~t9~~x ~~sect==~~ =__~_~~==~~=jK~_ ~=[~secti ~=9~~sect_~ _~L~~g_~_ ~=~~= _==$~~~j

14 of 28

r~~ ~ - - - __v bullbullbullbull- __-bullbullbullbullbullbull _middot_v___middot middot_ _ ----------- - ------- ------- ---- - ---shy~ - bullbull- _-~

1MO-KAN Chamber Services Inc I I I db Th i12694 Shawnee MIssion Pkwy iShawnee KS middot66216-1860I 1 I 81420151 $833 a e nsurance 1

tK~~~rn~~~~~~ ~~~488~____ ~~sJY - r---=--fffi~~~~-H~~~~~f----$1~666f~~__ __ ~__ ___ _ w_ ~___~~_ _M ~ -----~---- bullbullbull -___bullbullbull _ ~_ ___bullbullbull ______ bull ~~__bull~~~_~ bullbull _~ bullbull ~ 4--_________L_~_~__~_~ _v--~-- t_=_~~__gt __ ~ __~_~

IFirst Ins Agency of Hoxie Inc iPO Box 108 iHoxie IKS 167740-0108 I 81420151 $833 mImiddotmiddotmiddotmiddotmiddot bull --_ - _bull - bullmiddotmiddotbullbull middot-1middot middotmiddotmiddot -- -_ ~-- _~ _ - ~ -~ ---- --j -_-_ ------- bullbull----- ------ mmmiddot middot--fm --- --1 - --- -- middotmiddotcmiddot m bullmiddot bull middot m bullbullmiddot )

~I~~_~_ra nc~ SPe~ia list Gr~p~~~C ~_--~i~~~ 8~~01~ _2~~~~j184~~ls~~~ ~~219__ __t~--------l~~~0~-292~_~__jCitizens Insurance Services 1122 N 6th Osage City IKS 166523-1117 81420151 $833 rNN--~ ----_~=--- _--~---~~-~----~Mrmiddot~=_~middot ~middot middot middotmiddot_gt_middot~middotmiddot __nmiddotN~~_~---~~bullbull~----= --~w--=~~-~_-m_-middotr~-middot-~~~middot-~~middot~-~-0- middotlmiddot_N_gt_=~_ ~_ N~NN= -My

I~~~P~E~~_~~s~E_~~c~~~_ __J681~ ~~~~ne~~~~~~~~~k~cy __J9~~~ nd~_~~ __L~__ _Jsectii--~02 -03_~0__L~[~20_~~__ __ __~_~8~

f~middotpound~E~~~~~ymiddot~~~~~middot~middotn~~~~cmiddotmiddot--middottj~ipoundi~J~middot~middot~middotimiddot~~~middotsT-sTEmiddotl ----middotmiddot---Imiddoti~g~~~middotmiddotmiddotmiddot-middotmiddot- -middot--middotj~middotmiddot middotmiddotmiddot_ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_middotmiddot-fmiddot~middot~middot~middotimiddoti-=-~~middotmiddot_middotmiddotI-middot_middotmiddot~)-i-17~6middotimiddot~middotrmiddotmiddotmiddotmiddotmiddot- middotmiddot-middotmiddotmiddotmiddotmiddot-middotmiddot$it6middot~6t iB-r-~middotmiddotBusi~~~middot ServiZ~I~~ - -1i710-Re~middotblic~~St~eetmiddotmiddot------middotlE~~c-dia IKS middot-------66901-middot ----T-81420lSr-------middot--Smiddotgmiddot33

--------------t-------------- --------~ --- ----~- -----~---~-----------__ ad Insurance LLC 15112 E Central IWichita iKS 67208- I 81420151 $833 - ----- --------- - -- - -- ------- -----------t- -- --- --pound - -----r------ ------- ---- - -

alr~y~-~~[~~~~~~~i~middotemiddot~ --middot-middot-1~middotcimiddotmiddot~~~~54middotmiddotmiddotmiddotmiddotmiddotmiddot--middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 1~~~~i~- middotmiddotmiddot__middotmiddotmiddotmiddot-middotmiddot--_middottmiddot~middot~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot_middot--middotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotI~ji~qQ~~ -middot-Imiddotmiddot-middotmiddot-~middoti~7i5i~middott middot-middot middot_middotmiddot __ middotmiddotmiddotmiddotmiddotmiddotmiddot~~middotji1 --middot---middot--middot---middot----------middot-1--middot--~---- _middotmiddot------middotmiddot---middot -middot--middot-----c--middot------middotmiddotmiddotmiddot----middot-r---middotmiddot----middotmiddot--F --middotmiddot--middot-middot-middot-middot-middot----middot-4---middotmiddot-----middotmiddotmiddotmiddot---4

van Hercke Insurance Agency 111807 College Blvd loveriand Park KS 166210-1314 I 8142015 $100001 il~-lt--- ---------~ -- _ _ L_ ____ ______ 3__ __1_ __ -_ - --i- ------------i------------J_ _ ---1 IJCT Insurance Ipo Box 37 Severy IKS 167137-0037 i 81420151 $83311---- - - middot middot-middotmiddotmiddot middotmiddot-middot middot-- middot1 - middot middot-_ -- -- - ---- -1-- - - _ -- -- + -_ middot middot-middotmiddotrmiddotmiddot middot - - -middotmiddot_-- _-- - middot middotr-middot- - ----- - Lind Merrill amp Honn Inc 16045 Martway SUIte 101 iMlsslon iKS 66202-3366 j 81420151 $833 ~~middot_~__~_~~_~~_--~ N_~ l~~ __N gt ~ ~4-~~-~-~--~-)_middot_-- _ _w--~_~_~_w __~ ~w m

~~otz Ag~ncy nc_ -1 PltBox ~ ____ i~eav~~_worth I~_S _~~048-0208 L__~114z~015 L---$ lD9QQI Billiard-Hammer- Hartman I I i JPO Box 509 IFort Scott IKS 166701-0509 I 81420151 $833Iinsurance Inc I I I I i - - -- - middotmiddot l middot middot-middot -middot middot middot middot---middotmiddotmiddotmiddot middot -middotmiddot-middotmiddotmiddot_ _- -j - - _-_- - - - + ----- -- +bull- -- _ Snell-Nelson Ins Agency Inc PO Box 868 iAshland IKS 167831-0868 i 81420151 $8331~ -------------------+---------------------------r--- -r------t------T------middotmiddot- IIntegrity Insurance Agency Inc 2047SWTopekaBlvdSteC lTopeka IKS 166612-1462 I 8142015 $833 i middotmiddotmiddot--- middot --- middot-middotmiddotmiddot -middotmiddot--middotmiddotmiddotmiddotmiddot-- middot---imiddot-----middot - -_-- - _-_-_ _ -middot -middotmiddot- -middot--middot-middotmiddotmiddot-1-----middotmiddot-middot--middot-~middot ----middot---lL - - _- --i--- _-- - ~ _ - -i iCommunity Insurance i I I iI I 112651 Hemlock SUite 5 iOverland Park iKS 166213- I 81420151 $833

~G~~LC _=-J~Box ~17~ ]kansa-Cty-ks----jGi~817= 18jl4201Sr--$83~ L~~L~pie~_lnc J~Q NOr~lai~~ Wa~ee~~L__J K~__ ____-tsect767~021-r~4~-L--------_ ~~ 1Ry~~_~~middotSmiddot~E~~~~~~~~ _ _ __ -Imiddot~9 ~~q~-- - -_ ---- ____l~Jg~~~] ~~~ Jsectsect~~-07 sect__Imiddotmiddotmiddot_middottQ_~J -- -_ --gqqg Frewen Insurance Agency Inc iPO Box 987 1St Francis IKS i67756-0987 I 8172015 1 $100001r----~-~-_v-w -~_v--_---ow~~w- bully-_~m_~__~_N~~__ _ ~---~---NV--f t--~---~--4--------~middot~middot

MAX Insurance Agency Inc 14400 College Boulevard Suite 250 overland Park KS 66211- I 81720151 $10000 i- __- ---------- -------1-----------------------middott---middot----middot--j----middot------------middot ---- -_-__-- IFarmers amp Merchants Ins iii Iii 1~~encJ_ _J~_~~ox 38 iArgonia 1~~____ 1 ~~4-00~~_L 81~~20151 ~~o~~_)

15 of 28

~_~ _ bull -~ bull - _~-_~- - bullbull_ -~bullbull_-bull _ bullbullbull~ --- -~-_~bullbull- ------- - ---1--------~~-

1~clI~~~_~~ur~~c_e~S~~~ __ _tl~g_3cl~l_ _ J~~~~~~~n~_I~_~ _ J6~g5-~~~ __ J__81L~~~~L~ _$~g99 I I i I I IGarry amp Associates Ins Agency 1135 East 20th Avenue INorth Kansas CitYMO 164116-3412 I 8172015 1 $100001 ----- - - -----~-+---------~-_ --_---~---- ---------------------- -~---------l~----~---IKellerman Insurance Inc Ipo Box 1025 [Holton IKS 166436-1025 I 81720151 $looooi --~ bull----------------- ---gt--- ------r--middot-middot-~-middotmiddot_middotmiddot- -middot--middotmiddot ----------_--+------------------C -IBeasley Insurance Inc i2336 Ridge Court Lawrence KS 166046-3983 8172015 i $10000Imiddotmiddotmiddot - middotmiddot--middot-middot middotmiddotmiddotmiddot middotimiddot - _- - --_-bull 1---middotmiddot middotmiddotmiddotmiddotmiddot1 -- bullbullbull+ i i

ICampbelllnsurance Agency i220 Center Oakley IKS 167748-1714 I 81720151 $10000i r~----~~~~~~~__ __~~-~__~__~_~_~ __=__ ____~_--~-~-middot~--~rmo---middot--l~----~~-middotmiddot~middot~----~--A-~------~--~- __M~ _NmNmiddot~gtmiddot

inville Insurance LLC IPO Box 10 IPlainvilie IKS ]67663-0010 81720151 $10000 Ngt_Nmmiddot__~~~middothNAwm~~middotlt~middot_~_=~~_~_ ~~-~----~-~ ~ v_~v~_~~ __~~_~_~-N ____~_WN~~~-----~----0-t-~~---~--~_==Nm--

Central Insurance iPO Box 99 ICoffeyville KS 167337-0099 81720151 $10000

1middot~~~~~~~i~~~~~~~~~~Y~~-~~=l~Q~~~~~~~~~~=~=~=middot~~~~=~=~~middot==I~_~I~=~ ~~===J~~~~_-~-~~-~~~~JsectI~~=Q-~q~l- ~Zi2~~i[~~~~~middot~Jsectq~Q9 SBB Inc dba Biggs Insurance i I ~ Ii 1466 State St iPhillipsburg IKS 67661-0386 I 81720151 $10000IAgency i i I-----~--_ -----____t-----_ --~gt----- _--~~-_ i bullbull--------- bull--l-~----__+--_

IHanston Insurance Agency Inc IPO Box 189 iHanston iKS 167849-0189 I 8192015 $l0000l Imiddot - middotmiddotmiddot _ middot-middot--l middotmiddot_middot gt- -gt ------~- --_J- - middotmiddotmiddotmiddotmiddotmiddot-1 middotmiddotmiddot middot1middotmiddotmiddot-middot i i

SBS Insurance Agency PO Box 148 jSeneca iKS 166538-0148 I 81920151 $10000 ~~_WN_~y_~-__~N__A_m~ N__ middot__N~middotmiddot=w_-~_middotmiddotmiddot_~__ middot___~_~h_middot_ middot~W~ middot -_~middoty_~ J_ __~ -~A~bull~w~~~=-=_~~ __i

Conrade Insurance Group Inc IPO Box 547 INewton IKS 167114-0547 I 8192015[ $10000----------- ---------- middot--~----middoti-middot----middot-_middotmiddot-----middot--middot- i --------middot---------t--------middot 11st__S~91~~L~E~~~~pound~g~1 cy Jpound~Y_~~l~__ ____ __j_N o~Crt J~~ --~ -1676~--_----lL_-~~~ Q~_ _ 9QQQr- I C f IiThe nsurance enter 0 Kansas I ill i LL 12212 1st Street IDodge City IKS 167801-0699 82120151 $100001

i I I I C m~_--~__NlaquoN-bully~-- ~_-~_~~m-y--yi-_middot---- _~~middot __~_ __~ _~_~_~~ t_M~_ ____~_~~~ ~~__~--~~~=~~----w-_-~-=--~

r1st Choice Insurance Agency 1105 W Main INorton IKS 67654- I 82120151 $650001 r---------------------~- ------middotmiddotmiddot-middot---middot----TI----------------1--------+------~~- --iReilly Company The Ipo Box 9 lLeavenworth KS i66048-0009 i 8212015 $10000ir- ~_middotmiddotN_~N___ ~V ~ __ ~__~~-~-~ middot--~tmiddot~~~--~_middot-middot~-middot~-~- -yen---~---~~~~ bulllt------~lt~~----~---r___--~~--- _=~~~- bull__-yen~ IWin Hill Insurance Associates 1 1 jII

lIne 1110 W Main Street iHill City iKS 167642- I 82120151 $10000 rmiddot-w--------------t---- ---------~-middot---I-middot -middot--middot---I-middotmiddot-----i---- I I

$10000 I IAffordable Ins Services 17800 Shawnee Mission Pkwy 12

I

82120151 --__ $10000 Fairview Insurance Agency IPO Box 8 -- bull----middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot --middotmiddotmiddot---- 1middot-__middotmiddot___ _~ _wbullbullbull_ _bullbullbull~_

yen---~yen_-~--~----~--yen~~~~~~~yen~--~-----_i-_-_ _middot~ _-lt_middotyen_-~yen~----middot~_middotmiddot-middot -=~~~-----~middot4

Double Eagle iPO Box 26266 +1___Jsect_212_~~(~0151__ _i10000i----- - w--- ---t-

16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------

166212shy------ shy166215shymiddotmiddot_middotImiddotmiddot middot_middot 660~~~2793__L~26201~L____ $lQg~

-~~~--~_rm _ft_ -lt bullbullbullbull ~- ~middotN~_~m~ __middot __bull ~ r=~~_middot_~~~middot~~~~ middot_----~~~~-~~~~~V_ ~=~mh-rmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotgt~~N_~ bull_~w~~ ~~W ~middot~middotN_Wmiddot~bull ~ =_~~~_ ___h_ middot_N~bull~middotmiddotlt~W_y~_~ middot W~_middot~middotmiddot_ __ wl~~--~~~-~~middot-~~-middotr~----

1PlatinumOne Insurance Agency I i __

I I Ii __

ILLC 111020 King St Ste 108 lOverand Park KS 66210- I 82520151 $10000 -------------------- ------------- ------------------- ---~--- I -----Iz Insurance Group LLC l16 W Douglas Ave Wichita iKS 167203- i 8252015 $10000 --- ---- -bull-----------_--- ---------------------------------------1--middot_middotmiddot--middotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-1---middot-middotmiddot---+----=------1---middot-----------IBlue Valley Ins Agencies- I i I I I i I IPOBox336 Hanover iKS 166945-0336 I 82520151 $100001 IHanover Ins I I I j i __~__-_~_~_ bullv_ _c ~_~ bull - Nlt~~~_~--~- ~ -v~-~- i~ _yenyen~middotmiddot __middotmiddotyenmiddot__middotmiddot ~NmiddotUmiddotmiddot~middot=middot~middot vmiddotmiddotmiddotmiddotmiddotmiddot__ ~middot _~~~ ____yen~ _ ~ v bull-bullbullbullw ~~ __M ___bullbull ~----_ ~ ~u_~ -- middot--middot~-middot-middotmiddot ~middotmiddotmiddot middotmiddotmiddotmiddotlmiddot~middotyen~lt-middotmiddot_middot middotmiddotmiddotmiddot-- ~~w1_ ~~~~ ~-_v -r-- bull ~~ Mmiddot ~~ - ~_ ~~ ~~ ~ w~~middotl

tklns Insurance Agency 13 East Wall St iFort Scott IKS 166701-1476 i 82520151 $10000___~ bullbullbull _ _ww ___ _____~ bullbullw__ -___bull bull ___L____ ------~ + __ h Insurance Agency Inc IpO Box 337 iLittle River KS 167457-0337 I 82520151 $100001 __-__~ ~~~yenN~-__~~_~-~~-~N-~_-~ -W-~N_~~_W_ -~~-~~~~--~----- ----~-~~--_O-WNi~_-~ __~~~~~- ~~ __w~

sas Central Services Inc IPO Box 66 ILyons IKS 167554- i 82520151 $10000 w_ ~_~~~~~middotmiddot ~_~-~-~Amiddot_=middot-- TA_~N__N~___-_~ h~~h~-- ~_-_~--~_~ bullbull __ ____~~~ __~~-- ~-bull -_~~y_ ___+_~~ ~-_-~ ~ ~-L_-M _~~_ ~~-___~~~~~~ __-__ __ --~-----~_~__ __ ~w __

phenson amp Meyer Ins I i I I i 1 i PO Box 6255 Shawnee Mission IKS 166206-0255 I 82520151 $10000

r~_ncyJn_~~ ~w bullbull ~_ bull -----------l-------~--------I- 1------_L middot_

iRush County Ins Services Inc IPO Box 459 iLa Crosse KS 167548-0459 I 82520151 $100001 r-middot--middot----middot-middotmiddot-----middotmiddot------middot-i----middot----middot- ----middot----middotmiddotmiddotmiddot-middot---------middot-----middotmiddot--gt-----1--middot-middotmiddot-- -------j Heritage Ins Group IncLogan PO Box 218 iLOgan iKS I 67646-0218 82520151 $100001 Imiddot middotmiddot_ middot middotmiddotmiddotmiddotmiddotmiddotmiddot- middotmiddotmiddot_middotmiddotmiddotmiddot _ - j I - -__ I --_ I - - middotmiddotmiddotmiddotmiddotmiddotmiddot1middotmiddotmiddot-middot middotmiddotmiddot -_middot -middotmiddotmiddot-middotbullmiddotbullmiddotmiddot bullmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot tI middotmiddotmiddotmiddot_middotmiddot middotmiddotmiddotmiddotmiddotmiddot_middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotI

1pound~_~~_~~-f~fl~2~r_a1c~-LLC _ sect_1E In~~stria 11~~ficYJ~y S~~_~-l~~_~svi~le l5 _____J~sect33_-___L_82520_~~ $J29OOJ IRaymond Bauer Agency Inc Ipo Box 85 IBurdett KS 167523-0085 I 82520151 $10000

~~~r~a~~~7B~=~~v-=_=_I~~ JL-==E720Cl~2~OOO 1middotmiddot-middotmiddot middotmiddotmiddotmiddot _ _ _ middotmiddot1middot _middotmiddot middotmiddotmiddot - middotbull_middot- middotmiddot middotmiddotmiddot_ middotmiddot middot middot -- _- W-~A~~~ _--_ _-- --i POI_ox~~~_ ______ Wic~ita ~5~_____INewkirk Dennis amp Buckles Inc PO Box 547 independence IKS L ____ ______1_ __ _ __L_ L____ IConrad Insurance Agency IPO Box 40007

iBuringtc

-~_ ~ ~ ~ _ _ v ~-_vyenmiddot_~yen ~~-~~_bull ~~~w~ ~~laquomiddotmiddot bullbullyen -1 ___middotmiddot_~middot_middot~~middot_=~ middot__~ ~~~~ middotmiddot middot~~ _W_ bullbulllt _ ~~~ j ~~~yen-~yen-_~-

ey County Insurance LLC 1PO Box F wa~~u~~middot-~--~~ox~3i----middot-------~~~middot--~~-~--~oou~u-u~~o ------------------y--------------------------r-----1 IRob Walton 19200 Glenwood St Suite 105 lOverand Park IKSi-- _- - - --- - -- - --- -1--middot-middot-middot--------------middot-middot-----t---middot---------l______I IMartin-Tines Agency LLC 13600 Santa Fe Trail Drive lLenexa IKSr---middotmiddot-middotmiddotmiddot_middot _-middotmiddotmiddotmiddot -- - - -------- -- -+- ------ middot middot-----middotmiddot--middotmiddot-middot--middot--middot----middotmiddotmiddot-imiddot-middot-middot--- -----__ __Lmiddot_ middotbull

LF~~~cial~_~E~~~~~~_I~c___ __L~g2~_ 4t~t_ ILeavenw~~J~ _

~~~ln~~~--~_-----_--~enec_a_-~-I~-_- 6~3~1~~~2WW1~ __~0~ ~~_~pi_~_~~panL_ _ ___~_~~x 19sect_ _ __ __ ~9v~~~ d Park__~~__ ~6207-0106__l_826015L_____$~Q0 QQ

1-~~~~~~i~~~~-~-~ middot--middotmiddotmiddot-middotmiddotmiddoti~5~XJg~_middot middotmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddot -middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddot - ~~~ig~~middotimiddotmiddot-middotmiddotmiddotmiddot---lmiddotk~middotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middot-middotmiddotmiddotmiddotmiddotmiddotmiddot- -tmiddot~i~-j~H~jmiddotmiddot -I---middotmiddot~)~~6middoti~i-- ----middot-H~middot666middot1 -------- ------1------------------------------1------_---r--------r----------r---middot--------middot

Lin~~~~~~~-~~ ~------~~~----~ ~~1628~ ~~I ~~~~ ---------- --- - -- - - -- -------- ---- --- ---------------1- middotmiddotmiddotmiddot--middot--middot---middotr-------middot--i--------L---- ---~----jIKansas Farmers Service I I I I i j IpO Box 1747 Hutchinson E-S 67504-1747 I 82720151 $100001IAssoclatlon middot~ I __bull ~ I ~N_middotgt~~ __ __N~ __ bull bull __~ ~I__~___~~_ i

17 of 28

__ __

---- -- ___ ---------1- -- _ --- _ -_ -- _--_--_ [-- ---- - - _-~middot-middot-~middotmiddot-middotmiddot-middot-middotmiddotmiddotmiddotmiddot-~~middot--fmiddotmiddot-middot--------~-~--

IMidwest Ag Professionals Inc PO Box 307 iJetmore IKS 167854- I 8282015 $10000- - ---- bullbull - _ + - -- - ---- -- _ -_- _ _ - -- _ - - _--- -middotmiddot middot-i-middot middot middotmiddotmiddot_- bull - -_middotmiddot

oZIer~rk~~y H~u~~~1~~ J PO~2]Z~_ ~ J~v~rland Pa r~ ~~ -lsect62_qZ-__-t__~282015 L $10000

t~~f~T~~ ~~-d~jmiddot~middotmiddot~~~~~~~~~middot~~-ii~i~~~~fdi~Rd~middot------middot~middot--+f~o~~n~~r---l~~ --------- ~~~-~~~~~-middotl- ~j~~~6~~+~ -- middot- -$~~~~~j 1-- middotmiddot- - -middotmiddotmiddot----middotmiddot--1- ~- -middot----_-_-----middot--- ---- ---------- -- --- - ----j---~-_ shy _--IDouble CAgency PO Box 305 IMoline iKS 167353-0305 8282015 ( $100001

- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

Creative Planning Property amp I I i I I II

111350TomahawkCreekPkwy iLeawood lKS 166211- 1 8282015 1 $10000Casua ty LLC I bull I I I I t-middotw_~ __

I --~ __~~v_middot~_nWH_~yenmiddot---~bull v~v~ -_middoti ~-middotw bullbull~~-__- bull_bullw __ ~~wvv~__ ~_~~ __yen__ __+~v~ yyen~_w -~ _~-~~-~H4--yen~middot~~-_middot_-~------_yen~--i+_middot~~middotmiddot~- _~yen-- ~=vmiddotmiddot1ymiddot--~~~--_middotmiddot __ middotmiddot~middotmiddotmiddotmiddot _W~~~_N~ ~_~ A-_~~~~_y~~lt_~ __A_ ~y bull~

Jim Gill Agency Inc 1215 W Main iCherryvale lKS 167335-1332 I 82820151 $10000~~~~~_y__~ _~__ _~_~~_=~_ ~~_~--+ _----~_ __ __~_NU~=~~-_~middot__~~ ~ _~ v~~~_m~~__~=~_middot~~middot~_~__~h_~_~_yen L~ ~w~-middotmiddot~ middot_~A

IWhitmer Ins amp Financial I I I I i

I 1308 N Douglas Ave Ellsworth jKS 167439- I 83120151I~~~1~~L_ ____ _ L~_ __ __ --_ _-__ _-- __L -_ __- ~_ -___~L_ _____l~__ ~ __ __J_ __ _ ICBIZ Insurance Services ]700 West 47th Street Suite 1100 Kansas City IMO 64112- I 83120 t middot middotmiddot - _ -- ---- - - imiddot - middot - __ - _ bull r- -- I I iSouth i I

IBergkamp Insurance Center Inc1300 North Main St h IKS 167505- I I IHutc Inson I ~___~_~ __ ~___~~~~~~~~__~ bull vJ_~_~~~_ ---_ __J_ __bull_~)

jlnsurance Center Ipo Box 127 [Hillsboro IKS 167063-1525 I 83120151 $10000

~~~~~~~~~~y~I~c=~~middot~middot~===~~]~Q=~~middot~q2====~==~==~~~=-=middot -middot=lf~~yJ~~=~- ~~=lQ~ ~=~==~==]~~~ ==_ I==~L~1~q~~1 ~=middot==_~Q9~~~sect1 ~fsurance_~~~ ___ __--t_O Bo~ 3~____~ _j Lir~~_ln ~~ Jsect455-0~_~+~~12Q15 L $10000~ AI~~~ j~w~1 Ins~Cl~e__t-C~~x 6~ ____ _ IA~~~~~9__ ~S_____~7831~~_-I __~L3101~__~00001

i-~~be ~_~~~I~Lsect~o ~e __ i~~~_S~lle~~~Y~te 00_ _ _ __ Qy~~~~~~a r~~_ __ __isectsect~ ~__s3 ~t~Q~l _-_-J]99qQI

IQi~~- ~I1~u~~~~~_~~I1_~)Jl~ __jsect~2_S9J~~~~~ly~~30__ _ _1QV~~~~9~~~~_ _l~~ ~ - sectsect~~~~~~~~ lL _~~~l~g~5J __ ~20QQI 13~~~2clnsurance A~ency JOBoX_p~ _ __ IBe~gena --J KS __Isect60089]~_J~8i312015+-- _J00oql 19l~~lnsurance Agency J118 S Main St~ff~rd ~KS-_--~75~~~14~l 83120~1 J]OoO~l ~_~~LI1~~~r~_~fg~~9 __J~~~~_~ ~_~rp[ 407 ___ __J~lchIta _~K5_ _ __ tsect-Q_~5Qj __~~li20 J____ J_-Q92Q iBackman-Bishop Agency 12632 Tumbleweed Road IVermillion KS 166544- I 9820151 $100001 j - - bullbull- _ __ middot-----middot middot - bull -middotmiddotmiddot---- ---middot--middot middot-middotmiddot bullmiddotmiddotmiddotr--- --- - - _ __ f _ - ---lt ---- middot middotmiddot middot middot middotrmiddot-middotmiddot middotmiddotmiddot middotmiddot middot

rters-1_~~~~ral1ce~~ gg~gJ~-O RO_~d jpoundecgtni~ ~_S_ ~~~ sect=_ j~~~L015 r--- $100 021 Bec~t~~~~1J~ Agency J_~~_~20 SE~~h Stree~ Suite A__---iTo2eka KS _~ fsect605-_ J - 982015 ~____-OOOO

r IFerree C~I~~~~~~~~-middot---lmiddoti~j~~W~h ingt~~-middotmiddot-middotmiddot---i~~~~~e~~-t~~middot--- -middotmiddotmiddot~~i~~~--middot~-t-middot_~~~~~iirmiddot~-middotmiddot-i666611middot-middot---middot--middotmiddotmiddotmiddot middotmiddot middotmiddotmiddot middot - middotmiddot middotmiddotmiddot ---middotmiddot1 - _ bull_ -_bull -- -1 _ middotmiddotmiddotmiddot --- middot- bullmiddotmiddot -middotmiddotmiddot-i-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot - - _ _ -- _

r~~~i~~~~~~Z~r~~~ce I6~B~x87- ------------i~r~t~r -J~~~----~-jit0007 ~--~~j~6i~+middotmiddot-~~566~1j---~----~--~ --~-_________l _--- _ - ---- ----_-------_ JJ__ J--__ l i _~

l~~s~s~~~~aen~~L~~lt~P-----middot-t~~B~-~i~~ i~~e~ -- ----- i~~I~~~~ty I~o------+~~H~~iH---middot ~~i~~~--middot middotmiddot-- ~~~~6-6i _ __ _ __ _ middot_middotmiddot~middot-_ __middot~ middot_middotmiddot- middot_middot middotmiddotmiddotmiddotmiddotmiddot--t-_middot--middotmiddotmiddot--middot1--middot_ __middot- middotmiddotmiddotmiddotfmiddot _middotmiddotmiddotmiddotmiddot __ middotmiddotmiddotmiddotmiddot-middot-1

_~ __ ~_~~~~L~~__L~lt2~~~ 70 _ l~i~une _ _ _ ~ __J~879-Qg29-L_~8~015 L_ J~EQ90

18 of 28

__- -~---- - bull- - - - -- --- - ---~---r- - middot-------1middotmiddotmiddot _-_- ~_ - - -bull-------- -~_--_ ~ -~

ISouthern Kansas Agency Inc PO Box 1249 iHoward IKS 167349- i 98201511 $10000j--- -~--~- -~~- ~~~ ~- -bull ~ -v-~~middotmiddotmiddot~ middot--middot-middotmiddotmiddot_~middot~middot--middot-middot~middotmiddoti ~ middotmiddotvmiddotmiddot__middotmiddotmiddot_middot __ middotmiddot__middot_middotmiddotmiddot=~middot~~_middot __~_~middotmiddotmiddot~wmiddot_middotmiddotmiddot-middoty_middot~~laquo~_middotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddot~middotmiddotv_~wlt~middot -bull __middot~_middotmiddot~middot _ __ _ _middot~middotmiddotmiddot~~ ~w~ ~~ltgt__ _bullbull _ bullbullbull__ bull ~ bull ~_~~n _ -_ _~~~~~ _ww~~~_ ~ ~__ bull _ imiddotmiddotmiddotmiddot__ -~_~middot~~middot~ middot~middot~middotmiddot~-middot~~middot~middotmiddot_middot_middot~

lstChoice Insurance LLC IPO Box 397 jTribune IKS 67879-0397 I 9820151 $100001 t~-y-~middot_~_middot~--~-ylaquo~-middot_-------~1-middotmiddot-middot~y~~~~middot_-_middot--~~~ ___~~~N _~m J~__~~ i__middot_~middot__--t ~ middot_---~--------i

Rodgers and Associates Ins Inc PO Box 249 IPhilliPSbUrg KS 167661- I 9820151 $10000l 1- middot--middot---middot- - -middot------- - ---1----- - -middotmiddot-middot---~~ -~-middot middotimiddot ------------ - --j- ~--4-------+--------Rich amp Cartmill-MidwestLLC i13025 S Mur-Len Rd Ste 200 iOlathe IKS J66062-5440 982015 $looooif -middotmiddot middotmiddot - _ _-_ - -- ---- - - bull_bull- - + --- - _- ~ -_-- middot middotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddot_ middotmiddot-middot1middotmiddot -middotmiddot-middotmiddot middotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot1middotmiddotmiddotmiddotmiddotmiddotmiddot--middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot1 iii I I The Chapman Insurance Agency 430 Walnut ILeavenworth IKS 166048-2731 9820151 $100001 Lm~_-~mN~~_N =~Mmp_Y ___-~___ l_~ _ m ~~__ ~~~~-_L ____-~__-J-~_- 1__- JN y_~~

IHerndon Insurance Agency Inclpo Box 158 lHerndon IKS 167739-0158 982015 l $100001 ~--- _- - --- - _-_ _ i middotmiddotmiddotmiddot-middot-middot middot-_middotmiddotmiddot - -middot~middotmiddotmiddotmiddot-middot-middot_middot-middot_ middotmiddot__-middot-middot-1 - - middot - ----[- - -- -1 _ _ _L ~_ - --- -_ Fee Insurance Group Inc IPO Box 976 iHutchinson KS 167504-0976 I 982015 $10000 -------- -----------------------~- _- - ------j------- j-~-middotmiddot-middot---L~~--- ---l-----~----__r_ --middot---middotmiddotmiddot -----shy~~~anc~~annin~~_~~_ ~o BOOO___ j~~~ 1KS_____~_ Jsect~901~2 J__98L~Q1~+_---~~2QQQ l~~ans~~~~_~~~~~omiddot~~__ i~9-BOX ~~ _~_ ~_ ____~~~r~xi~ ----4--- _--J 66Q~~Q24 L__~j~jQ~~_ J~29oq iCoryeliinsurors Inc I PO Box 580 Junction City IKS 166441-0580 I 9820151 $100001i-- - ) - bull- _bullbull_ - _- 1 - -- middotmiddotmiddotmiddot_ middot- - middot middotImiddot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot~ middotmiddotmiddotmiddot ~yre~ I~~urance Agency ~~C__~~w Box8___ ~_ _ ~Miltonv~~__~~ _ 1sect466-0413 l 9182015~__~_J00poundQ1 l~-~-~~~ ma~Isu ~nce A~~~~y-~~Q~~rt_~~ ~03 J9~~th~ J~9sect~-1660__ 99~q~5 ~ $lO~2pound

f~~~~~~~ ~~~~~~middotn~middot~Z-- -t6~~~i~middotmiddot middot_----middotmiddotmiddotmiddot -_ middotmiddot-middot~middot--middotmiddotf~~~- -~middotmiddot_- --~middotmiddotmiddotmiddotmiddot --middot middotmiddot-1middot~~ ~i-~=9~~~ +-middotmiddot~~~5~6i~-r middot-middot-~~~6~6~J i --- _ _ - _ _ __ middot middoti Jean A Joyce Agency 1567 Diamond Springs Road Denton IKS 166017- i 9102015 $100001 --_-~- __----_---_---_-1-__-~_ _------------4------- ---L-----~-----_r---~---l - ----~-- bull

~~~sr~~~~~~~ ~c~7 ndy ~~--l~~ ~~~~~~ -~-~--M-middot---_middot- -~16~~~~_-- ----Jmiddot~--- --~middot~~=~~~+ middot~middot~~~i6-i~ t_~- ~~-6~middot~~ - - ~ ------ - -+-~ --~-middot middot - middotmiddotmiddotmiddotmiddot-middot middot -middot -middot -middotmiddotl------ --middotmiddotmiddot--~-- ----- - 1 middotmiddotmiddotmiddot- _-----middot-tmiddot-middot-middot- --middotmiddotmiddotj-- -middot -- ---j

Iinsurance Resources Group Inc 11310 E Park IOlathe KS 166061- 9112015l $100001 i I I j i ~----~ltU _~ m__ middot-~-v middot~~u~-w---~-wmiddot~~~--~---~~_imiddotmiddot-middot----middot_-l~-gt--~__middotLmiddotmiddot~Y- ~_ M_ ---~W-~Nr--- ~~=Mmiddot~w-~imiddot-------~~~1- __

Brier Payne Meade Insurance I I I I 11

I IPO Box 5637 I Topeka KS 166605-0637 I 9112015 $100001inc I t middotmiddot~_~wA~~WN__ - -~~~~-N ~---~-_ m--middotl~ -~~N~~--u_-~~~- --~w~-m_--~~~--t----Y---~~-~-i~~-- __WA_~~ ~h+~_W_ __ bull_ _~wA_1__v_~~ lt_~~~_~~__-_-mgtN

Bev~rly In~l r~~e~~~~~L __ ~Q~-x~- -- ~ --- ~- ~Y~~L~---~- -----_-J~~~~~J~J - ~L~~Q-~L -- __ --Qg-Qgi ~E~uP~~ _ 1899_VY158t~t ___ J9~_~~____J~ __l6~068014J-9L142J5L-___1~99_~qJ

I i i I IAIlen Insurance Associates Inc 12153 SE California ITopeka IKS 166605-1753 I 9142015 $10000

rmiddot~~~~C~Ei~I-~~~~~-~middot=~==~=~=~l~Q~~~I~~~~[~~~~~i~~~~=~~=l~~ ~~~~~~~~~~]~ __=~_~-_==Jsect~~Q f=~~~~=_1_~L~~~9_1_~r=~==I~Q29q IAAS ~~~ur~tlc~L~pound __~___L82Q_~3~~ __~ ~~ka lKS 166605-2263 1 91420_5____~100qgl BJl~_~~J~y_I~~ran~e A~ncy _~311 w 13nd itlOO ~o~erland paE~~ _--+~6213-1163 I 91420~5_~ ~_~9000 ~~~~en-~~~~~~ate~J~-------Q~~~~-- ----__~~Cl~ ~s t~Z26-~~~~~~14291-~- ~-~00-=-qQ IMaximum Insurance LLC IPO Box 167 Horton KS 166439-0167 I 91420151 $10000imiddotmiddotmiddotmiddotmiddot -middotmiddotmiddotmiddot-middotmiddotmiddot_--middotmiddotmiddotmiddot - -----~ _ middotmiddotmiddot__ middott- -middot-middot_--_ middotmiddot_middotmiddot middotmiddotmiddot middotmiddotmiddot middot middot-middot middotmiddotmiddot-- -middot--middotmiddotmiddot~middot- middot_middotmiddotmiddotmiddot middotmiddotmiddot_middot_---middot-middot1--middotmiddotmiddot-middot------ ------ --- - _ ( - bullbull- ---___ t-------- --- -j

~m~~~~~~~E~nce Agency Inc ~O Box23____ I~elhngton IKS Lsect7152-0723 I 914201L $10_Q_~QJ

19 of 28

~6~~6~~~~~~~~~~~~~=_~~~--~Pg~~~ 3~f _~ =~-~ = ~ =~ -r~ng~ ~-~~i~ ~---T~~middot ~-~- -- 6~~~6~03~9J~~Zi~[i~~ _-~~ o(iq~ i Larry Knox Agency Inc dba I I I l I Is r IS 1157 N9th lSalina jKS 167401- I 91420151 $100001

l~~~ei~~~~~~~ Age~~y--+i23-9-CntraA~~-------~lK~~~~ Cit-y~-middottKs--middotmiddot--~-i-66i02-54391 91420151middot ~ $100001 ~~~~ ~_~~~~~_ bull w ~_N_yen_ bull ____A bullbullbullbullmiddot~ bull ~~=_lt~~_____ ~~y bull ~_~~~_~_bullbull_ o~mbullbullbull~~_ J _~_~_~lt _~~~V __~ _~__~_N~T __A~__N __~ __L--- ~_middot ~ _____h IHeinze ampAssociates Ins Inc Ii PO Box 278 iLuray IKS 167649-0278 I 91420151 $100001rmiddotmiddotmiddotmiddotmiddot _ - _ bull_ ~ -_ -- - ~ j _ _ - _ ( middot middotmiddot middotmiddotmiddot1middotmiddotmiddot ~--c~~~~~~ nsu~nc~ ~lQ~~_~~ ____ --f~_~~~ ~C J~~~_ _~I~s0~ ___~2l~~20~ $10Q9-2l

~~I~J ~n~~~7aacci~~~_middot_-middot-- _middot---1~6Qio 3ie7~~middotILJ3Jdg~~1 -middot---I~~~~-~----~~~ --_middot-t~~~~~~3148-n1~~~i~I------~~~~~Imiddot --middot_middotmiddot __middot_middotmiddotmiddot_middot_--_middot__middot_middotmiddot__middotmiddot_-+_middot__-~middotmiddot_middot middot----~ middot_--middotj-middotmiddot-middotmiddot-middot_middot---middotmiddot -middot--I--_-middot-I--- _--__-_- ~------- - Charlson-Wilson Insurance II Iij

Agency IpO Box 1989 Manhattan i KS 166505-1989 9142015 1 $10000 fmiddot -__middot__=middotmiddot_middotm =~~_ ~_ m -~v bullmiddot_~~ __middotN bullbullgt~~~middotbullmiddot_~_m~~~_ middot~~ _ ~~~~ middot__v__ -middot_middot_-~=middot~~----~r--middot- _~ ~middotmiddotN~_ N_Wmlaquo bull -=1~---~-~~middot_~__middot_middot_WM~rmiddotA~~_~~_ _wbull ~~ bull j

lFirst Ins Agency of Hoxie Inc IpO Box 108 iHoxie IKS 167740-0108 I 91520151 $8331 ~- ------ 1----_--- J middot--middot-middot-middot-middot--middot--r--middot---middot---rmiddotmiddotmiddotmiddotmiddot-middot------j-middot------t-- ------

~ i i f ill

Liberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 IWichita lKS 67206- I 9152015 1 $8331

~~~~f~s~~~~~~~~2~1 n~~-~~~~1~middot-middotmiddotmiddotmiddotmiddot-- --middot-middot_-_ middot_middot~~~i~~-City --+~~ middot-middot-middot --middot---t~~Ri=6~f ~j~~gt~~~~w~_---w_ ~i~~~j [i~~~i~~~~~w~~~e rvi~~w~ middot1~~~~=lIf9-~e~~~T~~1-middotst~e~t -=~~ w _ =_t~i5720 ~iImiddotmiddot==~8middoti~J~5~C~~~-~_=_~~~~~ -~~~w~690~~ fmiddot~-~~middot~~~w~~middot~middot~~i~~~-middot~~middot----middotmiddotf~-~middot~~middot~middot~~ w__w_ wmiddotmiddotmiddotmiddotmiddotmiddot _middotmiddotmiddotmiddot_middotmiddotlmiddoti~l~i~~ _ -middotmiddotmiddot middotmiddoti-~~-middot_middotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddoti~ jiji~08 68middotmiddotmiddotmiddotimiddot--middot~)i~)i~i~middotfmiddotw-- _-~i~~l t~~~middotmiddotmiddot~middot __~r-V~_N~~ w--t middotw--~--~~~~_ __-~~ --~ _-----v---r~--v_w-7 middot_~-middot----~r--=~---middotmiddotmiddot_~ ~Imiddotmiddot~-_middot---~middot-----l--~--~--~---~-=i

fIhe ~~~~ents_Agency__~__ IPO Box l~_u~_ w bullbull I~~~~~~C~___ 1~~__ __ 166002-0129 ~9~l2015 ~-- -_-- i~~~ __ w

I_Y~ rt~~~~~~Ea nce ~~enCL j~62_~~~PL~rl~~~~9 ___ ___L~~~ado__ _~~~_--- - ---- __l-sectQ~-9~~~_I--~ 1l~9-~-I_- - _--~~~i Ie Dean Riney Insurance Inc IPO Box 277 Liberal IKS 167905-0277 9152015 1 $833cmiddotmiddotmiddotmiddot middotmiddot-_middotmiddot-middotmiddotmiddot middotmiddot--_middot-_middotmiddot-middotmiddotmiddotmiddotmiddotmiddot ---middotmiddot_-rmiddotmiddotmiddotmiddotmiddotmiddotwmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotbullmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotbull middotmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot__middotmiddotmiddotmiddotmiddotmiddotmiddot __middotmiddot~-middoti middot-middotmiddotmiddot _j- - __ - [-_ - ] __ 0

I)CT Insurance IPO Box 37 iSevery IKS 167137-0037 i 9152015 $833 1 - -~-- - __ ~ __~________ ___ ---L__---------- I -------

Whitehead Ins~rance LLC 151~_~S_entral --lWichita IKS_~67208- 1 915201~L_ ~~331 ISullivan Insurance Inc 123 W Central Ste A jUlysses KS 167880-2505 I 91520151 $833)--middot--middotmiddotmiddot-middot middotmiddot--middotmiddot-------middotmiddotmiddot--middot--middot- -middot--middotmiddotmiddot-- -~---_r__------+------------~--------rMO-KAN Chamber Services Inc I i iii jI

Idba The Insurance 112694 Shawnee Mission Pkwy Shawnee KS 166216-1860 I 9152015 $8331

t~~ D~~~[te Ag~ncy I~c _--==~~~x 306middot~=~ middot-_middotmiddot-middot-----~~~~t--middot--tKS i66032-0306 [ 9i5201SC=-=8331

I~~~~~~ nl~~~---~-----~y ~~--I~~~~ t~~~r----~~ ----------- -------- ---------r--------l---------f-----J------IEdie Insurance Group LLC 13109 W 6th Street Ste B iLawrence KS i66409- I 91520151 $833 r-middotmiddot----~middot middot---middotmiddotmiddotmiddot--~---middot-l--middot----middot--- M_-------r-middot----middotmiddot-L middott-----middot---r------- ----j-middot-middot--w-~

ISSampG and Associates IPO BOX 2628 Shawnee Mission KS 166201- I 91520151 $833 Imiddotmiddotmiddotmiddot middotmiddot middotmiddotmiddotmiddotmiddot _ J_ _- _- -- __ --1middotmiddotmiddotmiddot_- - - - L - _-__J iTeellnsurance Agency Inc 1132 E Maple Columbus IKS 166725-1802 1 91520151 $833_ _~_ _ _____ __ _- ___ I__ I _ m~ ~

20 of 28

[R~~~-amp-c-mp~y-I~~- --- - IFoi~-~40--- --~-- --lwelli~gto~- bull- iKS --- _- r6i152~o4o-r--915i2oi5r - ----- $833 ~__~ middotvmiddoty middotvmiddotltmiddotmiddotmiddotmiddot __ yen_ __~~_ ~~ ~_~ yen bullbullbullbullbull ~_bullbullbull ~_ bullbull_ bullbull ~_~ bullbull - yen~ middotmiddot~lt4~~middot~middotmiddotmiddotmiddotbull _~bull_ bull~ ~ ~_yen~gt __ __ bull__yen_-bull gtO~ w~ bull __ _~ _~_ bull _ _ bull bull____bullbullbull~vyenmiddotraquo_ _lt W -_ _ _middotV v~ _ _ yen__~ __~~~ _~_~ bull __ ~ _ _ _ __ ~yen_ _ _ ~ ~_~

IThe Clements Agency IPO Box 129 IAtchison IKS i66002-0129 I 91520151 $833 r-~----_middot~--~-middot-_yen~middotmiddot __ ~~ __~ ---~--r~ f~-middot--middot~middot-~~--middot~middotr---~~--t---_-_-------_middotmiddot-middotmiddot~---1~~middot v__~~ ~

I Insurance Solutions of Kansas I j I I I ILLC 1220 South 200th Girard IKS 66743- 91520151 $8331 -- -- ---- _- - -middotmiddotmiddot-middotmiddot-middotmiddot---------middot-----1middotmiddot - -middot-middot _middot-1--middotmiddot_-middot_----middot---middotmiddot middotmiddotmiddot---rmiddot-middot------1middot- middotmiddot- ----_ ~

Island Insurance Inc IPO Box 36 ILong Island KS 167647-0036 91520151 $100001 _ _ - -- _ _ __ - bull ) - +_ _ --_ -bull

ICommercial amp Personal Ins Iii I I IIA 11503 W 75th St Ste 200 iShawnee iKS 166214- i 91520151 $833

gency I i I I ___----- - - j ----------- ---------middotmiddot-----+middot-----middot--imiddot-middotmiddotmiddot--middot---t----middot---middotibullmiddot -_--- -1 na~e Insu r~1ceJ~~_ _ +0_9~ ~5 t~S 20~ __ __J~~l~~a~ _--1KS w_ ~sect~Q L__~lL~g15J_ _ ____ ~~~~_~J

Billiard-Hammer- Hartman I Ii IPO Box 509 IFort Scott IKS 166701-0509 I 9152015 $8331 surance Inc 1 i I i 1 j

iTY~~~fs~ LLC~~=~t ===~ -====t~0217+~~-- ~~~i --middot-middot-middot----------middot-middotmiddot--1middotmiddot---middotmiddot-middot---middot-- -middotmiddotmiddot--middot middot---1-------middot--1middot------1middot---middot--middot---middot-I-------T- -----middotmiddot-middot~

Brethren Mutual Aid Agency j3094 Jeep Road IAbilene IKS 67410-6064 91520151 $8331Ij - -- middot middot middot-middotmiddotmiddotmiddotmiddotimiddot middotmiddotmiddotmiddotmiddot middotmiddot middotmiddotmiddotmiddot- middotbull middotmiddotbullmiddot bullbull - _ bull-- middotmiddot middot -middotmiddotmiddot middotrmiddot middotmiddotmiddot __middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddot middotmiddotmiddott _middotmiddotmiddot _middotmiddotmiddotmiddot- -_r- middot middotmiddot middotmiddotmiddotmiddot middot middot r middot middot--middotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middot1 middotmiddotmiddotmiddot middotmiddot middotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot 1

IIntegrity Insurance Agency Inc 12047 SW Topeka Blvd Ste C Topeka IKS666121462 I 91520151 $8331

~E~~sect~~~EX~~~_r~~]~~~ middotmiddot==~2 ~~~secti~~=~==~~~ ~middot~middot= ~TI-~~~i~~-~middot~~~~ ffi =~_=rsect2middot5i9~omiddot67 -lmiddot-middotTi~s2 20i~1 =~==~~--=~=j~~~1 Icharlsen Insurance Agency Inc Ipo Box 206 Halstead IKS 167056-0352 I 91520151 $8331 I 1 I I I 1---middot--- ----middot------- --1~_middotmiddot ---------- - - - - j ---1 t--middot-~-----_r__--middot----middot-----1 IHeinze Insurance 1509 N Main INewton KS 167114- I 91520151 $8331--- - ----bullbull- --- -- - ---- --- -middot - -middot_----- -_ - -__middot_--1--- _- _rq__ _l__ _

11 nit~9~~~~~y~~~__ _J~Q~o~_~]- _ _ ___ _ __J~~~1sas ~~ty _ _ilt_ __ C2g981~_1~52Q~f___ _ _ ~~~3i ITyner Insurance Group Inc 226 W Main St ICouncii Grove IKS 166846-0316 i 9152015 $8331

fE~~-~~i~~ ~~~yl~ middot ---jmiddot~6~~0i~~L---middot -middot--middot-middot-i ~~~~6~y -_~~~-_-- -i~~~~~~~~+-~~~1~~middot~ I----middot~~~H1 r-middot---middot-- --middot-middot-- -r-middotmiddot------- ---middot-----tz---- -+-- ----I -J--_--r _ ~Y ~I ~ltq~~~~ r~~~~ Se ~~~~_ JpoundgtQ~~lt_ _ _ lEIkhart _ J~ _ Jsect950~g02 J_ 9L20_12L _~middot33

1~P~~~~~s~~~~t~~middot~-- _ middot_ ici~~~~fr~~middot~middot~ ~Lon~~~~~~y I~~~~I~~~~~~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot I~middot~-middotmiddotmiddot middot--middot--middotmiddotmiddot+~~~~~=6-~1 imiddotmiddotmiddotmiddotmiddotj~1l-~~~H I-_middot--_middot$i~6661 --- ----- - - - + -- - --- --_-_---i--__ - ~-_-- ---+-- ---_j--__-y _w

lUnd Merrill amp Honn Inc _~sect945 Mart~~y Suite 101 Mission __L~S ~620-3366 j~1~2015 __~~33

I~~~~~ ~e Speci~ Iis5~ltu p LL~ j~~~ ~ 21s S~~I~g__ _ _1~i_0 ita_____~~ J~72qsect95~_I _9~520L ___ j~~i ICommunity Insurance I iii I I I I C 112651 Hemlock Suite 5 IOverland Park IKS 66213- j 9152015 1 $8331 consu tants LL I Ii______~~_middot~__~w_~~___~~_~ __A~_w__~~_n~w middot _A_~_=_~middotm_~ ~=yen~_ml--_ J~~~ _ _w ~___-J______ ~_~_~_l

~~_1~[~2~~Lof Bourbo~pound _J~Q~ox Z9- ___ Jpound~rt Scot l~ J66291-0070 I 9162015 t--_ jQ~middotOO ~C_ent~~JI ~~a~ce Agen~Y _J~2 Bo~sect~~ _ __ JEson _ __ ~-- -- j~-i~--__-2-~L201S __-- 1~QQ9 1 IHier Insurance Services Inc IBox 250 Maple Hill KS 166507- 9182015 $10000j _- - _ --bullbull-_ middotmiddotmiddotmiddotmiddot -middotmiddotmiddotmiddot1middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_middot_middot_-middot middotmiddotmiddotmiddotmiddotmiddotmiddotbull -- - - --------- -- - - - -_- -r-middot middot_middotmiddot_middotmiddotmiddotmiddotmiddot- middot_-middotmiddot jmiddot--middotmiddot__middotmiddot middot --- _ - - - -

lpound~~drilt~onlnsurance A~ency i~5 Box 168 __ ___ l~~erlin l~~ Jsect7749- L9~y2015L __~0000

21 of 28

rM~-d rig~~TampA~~~ci~t~~-I~ ~--T43iS~thi~I~--- -w~---TWi~hit~----J-KS---- 6721i=i716-r --g]21j2oisr-----sloooo 1 bull bullbull bullbull - ~ - ~ bullbull bull bullbullbullbullbullbullbullbullbullbullbullbullbullbullbullbullbull- bull ~ __ bullbull _ bullbullbullbullbullbullbull lt L ~ ~__ middot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotA

Fuqua Ruth Typer PO Box 726 IHesston KS 167062middot0726 I 9222015 $10000 c-middot--middot--middot---------middot-middot-----------middotmiddotmiddot-middotmiddotmiddot----- bullbullbullbull------------------+----------------r------------ iCowelllnsurance Services Inc i13955 Meadow Circle Leawood iKS 166224-4580 I 92320151 $100001----- ----~----- --r------_-----~-----~---- ----------~~_-~--_ ------~-___--_____ 0

1Lewis Insurance Agency Inc 1411 N 4th St Burlington iKS 166839-1906 I 92320151 $833 -_ -~- ~ -- ---- ----~ --- ---- - - _ - - -- __ __L=_ - __ __ - ----middot-middot 1 middot-middot-middot------- ICy Wiggans Insurance Agency 12575 Hillside IWichita IKS 167211- i 92420151 $100001 _- - -- - ( -1- - middotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddot middotmiddot middotmiddot1-

The Agency Inc iPO Box 27 Lakin i KS 67860-0027 9282015 $10000

T~lj~~n~~~~~ ~~middotA~~~Y~~~=~=j~~~ ~~~~~ _~i~~~6 =I~~~~~~poundI~y I~Q~ ~~~411i~ - __~] 9i~o~Q~J===~O~ shyi I

~E_I~~E~nce ~E-~c~~ __ _1~2 Bo~ sect~ ___ _ _k~~~~~~ j KS_ Isect41g-06~L+_~-~9201 _ _9 IgturancePlanningCenterlnc jPOBox589 Eureka IKS 167045-1304 I 10120151 $10 ~-- _ ------ -- --+ -- - --- -- -- _ -- - - -- -- - --- ----- - -- - middotmiddot--------rmiddotmiddotgt---middotmiddot middot---middot-middotmiddotmiddotmiddotmiddotmiddot~middotmiddotmiddotmiddot middotmiddot_ - Insurance Professionals Inc 6606W Central Bldg 101 IWichita KS 16721233151 1012015 i $10

i~~f~~~middotmiddotI~~~~~~i==~= ~~ ~~=Ci2i8Sh~~~t -- -- ----~~~ I~~Imiddot~I~~_ ~=~-=Es-==~~==J~6935- ---middot --]-middotmiddot~052~oisL=~ middot-middotmiddot3j6~09 IMilleramp Midyett Real Estate i1031VermontStSuiteC Lawrence IKS 166044- 10520151 $10000rmiddot - - --middot_middotmiddot middot middot - -- - - _ - _-_-_ - --- middot ---_middot-middotI --middotmiddotmiddot -middotmiddotmiddot---middotmiddot middotmiddot-middot i~ - _--middot-middot-tmiddot --middot middot middotmiddot _ middot--middot middoty -middotmiddotmiddot 1

iCowelllnsurance Group Inc 110525 N Ambassador Dr Ste 301 IKansas City MO 64153-1284 1 10520151 $100001t- ~ -- -_ --_ 1 -- _-- -_-- -_ - middotmiddot T middot-_ - _ -- middotmiddot middotmiddotmiddot middotmiddotmiddotmiddot middot-middot 1- middot middotmiddotmiddotmiddotmiddot middot middot ~Asset Insurance Consultants iPO Box 7714444 Wichita KS 167277- I 1052015 $100001

IE~Y~~~ic A~i~__r~E~J- 1~~ __=rs947 SW29thSt--=---=Ii2~~~ KS -~~~ _~J~sectfJ~~ --_J~~_10~l~51=--= --~iQQ-oq] ===e 1 i I I Steve Pore Insurance Agency Incl6700 W Central Suite 114 IWichita KS 167212- I 10820151 $100001 middot_--middotmiddot middotmiddotmiddot ---middotmiddotmiddot --middot-middot middot middotmiddotmiddot middot 1 - - __ _ - - _- -- + 1 - middotmiddotmiddotmiddot1 middotmiddotmiddot bullmiddot middotmiddot middotmiddot middot middotmiddot 1 -middotbullmiddot middot middotmiddotmiddot-f--middot 1JampE Dragastin Inc dba The I I I I I II IPO Box 196 I Washington IlKS 166968-0196 I 101320151 $10000Dragastln Ins Agency I I I I I

fmiddot~_ __middotM~_~----~~----~~-~~---~~-~=~ _-~_~ ~~~~ ~~lt~_~~~-----_lt-~~ bull_-~~ A~_~- bull~-_~~-~_--~Wmiddot~_-t-_middot~---~~_~T- middotmiddot~~~ _--~~ltmiddot~ltmiddotmiddot~ middot -~_~~middot i

[Brad Noll Insurance PO Box 1252 Hutchinson iKS 167504-1252 I 101320151 $10000

~t12~~~k InSlJa ~~~ ~~~ __~__V~QBO~S9 _____ IJi~~E~ -+~__ Jsect7905-~5 9-L~QL~~Q1--- --_~8middot~~1

llntegrity Insurance Agency Inc 2047 SW Topeka Blvd Ste C ITopeka IKS 166612-1462 I 101520151 $833 1

ri~~~~~~~-s~~tknscl-ilt~middot~~~-i-middot_--_middotmiddot_-middotmiddot--_--middotmiddot--- rmiddot-middotmiddotmiddot_middot--middotmiddot middot~middot middot-1------rmiddot-- middotmiddot- -i-middot--middot---l gt_-----middot--1 I 1220 South 200th IGirard jKS 166743- i 101520151 $833i ILLC 1 I I I I ~-- -_middot_-- middot_ middot------ - -1middotmiddotmiddotmiddotbullmiddot- _---_middot _- - ---- - --- - ---1--- -+ ---j---middot -middot-- -- lmiddot~middot--- - --middot- --iIBrs5~~EuP -Isur~Ipound~~~ __ _)PC Bo~_sect__ _ J~~~ng ____clt5 _ 167579-D06ti 10152011 ~331

t~~~~i0~~~~~~~~~~~=~ j~~~~~~~~~~~~=middot ~_~~=~~==~~~=_=l~~~~_~~~-C~ty ==l~ ~==_~~J~I~~~~~~~_t __~~ll~~~ ======~J~J ~~~~e~y~--l~~~-- --_-~-~~u~~ ~s 16~7~-1802 I 1015201~ _1~~ I I I I i I I jICharlsen Insurance Agency Inc IPO Box 206 iHalstead IKS 67056-0352 I 101520151 $8331 ~-- middotmiddot--middotmiddotmiddot------middotmiddot---middot --middot-t-middot----middot---- - - -----Imiddot-middot--middot---middot~ ~------middot-middotL- -------1--------1- ------1 1~~laquo~T~I J1lJ1~I ~~~~~_~cy __ I3g2~J~laquoP_~~~_ ~ _ _ V~~ilE~~_ _l_~_ _ __ _I~_~~Q696~J_ 2~9I __ _J ITY~~Insura~~~~ roup Inc_ J226 ~~~~i0_~~middot _1~~~nci1 Gr~-JKS J 6~8-6-0316 91520]_L__ -1

22 of 28

--- -~~~_ ~---~----~~---------- __middotmiddot_middotmiddot~-_middotmiddotmiddotmiddotmiddotmiddotmiddot_middot__middotmiddot_middotmiddot_-middot--Imiddot-middotmiddotmiddotmiddot_middot_middot-- - - - _---- IFox Insurance Agency IpO Box 846 iArma KS 166712-0846 I 101520151 $8331 middotw __bullbull j bullbullbullbull _ bullbullbull_ bull ITaylor Insurance Services

LLC 8998 US 59 Hwy iOskaloosa IKS 166066- I 10152015 ~

$8331middotmiddotmiddot-middotmiddot-middot--middot-middot---middot-middotmiddotmiddot----t--middotmiddot-middot-middot-middotmiddotmiddotmiddot-middot--middotmiddotmiddot-middot---_~---middot---middotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddot----I--middot-middotmiddot--middot--middot--l---middot-~middotmiddot--t-- j------The Sanders Agency 1306 N Broadway JProtection KS 67127-0566 I 101520151 $8331 middot--- --middot middot -middot middotmiddot---middotmiddot -1-middot middot---- -- -- - - --4 - - ~-_-- j -- _ --j--- - -I-----t -- -- ICorporate Assurance Inc 16811 Shawnee Mission Parkway iOverland Park iKS 166202-0340 I 101520151 $8331rmiddotmiddot--middot__middot_middot __middotmiddotmiddot- middot~-middotmiddotmiddot --middot middotmiddotmiddotI- middotmiddot _- middotmiddot-middot__middotmiddot middot_-middot-middot middot-- --middotmiddot-T--middot middotmiddot-~_ middot middot-r---middotmiddot--_middotmiddot --- rmiddot -middot- --middot--r---middot---middotr--middot--- middotmiddot --middot -middot iLiberty Benefit Consultants Inc240 N Rock Rd Suite 107 Wichita IKS 167206- i 10152015 $833i I I I I i ~ r-- - ------------------t--------------------- I--~-~--- -~--middot--middot--middoti-middotmiddotmiddotmiddot-- middot-middot------middotmiddot -~

ICommunity Insurance iii I I 12651 Hemlock Suite 5 IOverland Park IKS 166213- 101520151 $833Consu tants LLC I i i -- _-- - - --- - -~- ---- -_--- - ---- ~-middot-- --middot---1middot middot middot--middotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot----middot---4------ )- ---------

bull

~~ii~~kc~~~~~_=i~t~=-~=-==~~~~CitYi-----~~~a~+lli~~fscent=--e -- -- ---- -- -j------ --- -------_w-- ------ --- ------p------i---- - --j

bull

rance Specialist Group LLC i8415 E 21st St NSTE 210 IWichita iKS 167206-2954 I 101520151 $8331 --- ~- - ~ - ---_ - -+ - -~ _ ~ -_ - - - ~ _ middot _lKSmiddotmiddot middot ~middot-middot-middotmiddot- -middot - middot-middot -+ -middot~middot-_ middotmiddotmiddot i middot--middotmiddot~- middot -middotmiddot ~

imiddot~~iilgi-~f~I~~~~~~~y)~~middotmiddot- -1i~6~~~~~~i~st middot-middot middotmiddot- Imiddot~~middot~~~~~middotmiddot middot-T~~ - middot middot I~i~ji~cii~i fi67i~7~~i~middot middot middot~t~~1 r--- - - - ------r--- ---------~--- -~- --_- - 1--middot--middot -middot-51--~- --middot- -----i_shy1s1sur~~~ _ __ ___J~_Q Bo~2_ __ J~eve1 ~S- -J 6713-00~J 12jl~2Q__ $83 i tsect~L~Jns~~~t~~~e~ ~ __ j~ 10~_W ~~h ~~_eet Ste3~ ____~awE~~~~__J KS _____Jsectsect40~_ __L~015l~QlL--- ~~~~i IWartick Insurance Agency 16262 SW Spring Road lEI Dorado IKS 167042-9036 101520151 $833 1- _- - _ _ _ - - _ bull middotmiddotmiddot bull bull middot middotmiddotmiddotmiddot_middot bullbullt- middotmiddot bullmiddot middotmiddotmiddot -middot middot middot-middotmiddot middot1middot middotmiddotmiddotmiddot-middotmiddotmiddot middot - ~II-Nelson Ins Agency Inc Ipo Box 868 iAshland KS 167831-0868 10152015 ( $833i --_-------~---- ----~-__-------~-- I -----~-j- -------

O-KAN Chamber Services Inc I 1 I IiI12694 Shawnee Mission Pkwy iShawnee KS 166216-1860 i 101520151 $8331

b h 1 I -l- I I Ia T e Insurance i

hite ~t~~ I~~~~~~~~~~~~ middot~~=~rS~i3=i=~~middot6~~~[- middotmiddot==lmiddot~)~~i~~- =middot I~~===middotmiddotmiddot middotmiddotr~~2E-=j9Zis7~middotQim= ===middot=I~3-~i erclal amp Personal Ins I I I I I

J11503W 75th St Ste 200 jShawneeKS 166214- I 10152015 $833

eyie~~~ B~~_~fit===U~ middotBo~~___~=_~ __l~Tchi~ = _ __r~~4 7-_t_01S29~~f==_ ~f3middot3 ifliard-Hammer- Hartman i i II I I I

IPO Box 509 FortScott KS 166701-0509 I 101520151 $833

I~i~cl~~~~~~~s~~~i~~~--middot -lu2N~6th -middot-middot--middot--~middot middot__ ----middotio~~gemiddot Oty---ImiddotKS- -------h~6523~11iimiddot-r-iOl52015~------- $8331 ~ ----amp Co~I-~~~----lPO Bo-171488---~- Ka~as City ~66-i 17-o4881-101520is-middot--middot----$833j - ---- -- -~ - _ --_-+-_- - --- ----------1 -------- ~ -- i- - - ---- -

Accurate Insurance Agency Inc 16428 Vista Dr IShawnee KS 166218-9239 I 10152015 $8331 ~ ----- -- ----~ ----_--- -- ---j--- ------1 Jr-middot----middot--j-------I------middot -middot j SSampG and Associates IPO BOX 2628 IShawnee Mission KS 166201- I 101520151 $833

- i-middot---- ~ -_ ~ - - J---- - --- ----------- - I ------l---~-- - middot--~middot-middotmiddot bull _middotmiddot--middot_middot_--middotmiddotmiddotmiddot middot1

n~~~ I~s~a n~~_J~c _ I~99~~~ ~~QQ ~_ J ~~~i~Le yiIIat~ _ ~~__ _ __lsectsect~q ____I ~ql~l~Q~ sL- $~~l LBartel fnsuranc~ A~en~L _l114 ~ M~in Street JHillsb~r IS 167063-l0l152Q~1 j

23 of 28

rB~~~~B-~-h~~~~s~~i~~~i~~ 11710 R~~bli~~-St~~t-~---Tc~~~~di~----lKS~-----~-T66901~-- - ~ ~middotmiddotmiddotmiddotA_middotmiddotmiddotmiddot~middot_middot_~middotmiddotmiddot_middotmiddot bull yen bullbullbullyen_yen_ bull~ v~ _ ~ _~ yen_ bullbull -_~~~~__bullbull _ ~ ~ bullbull yen~_ __ middotmiddot~_middot middot_--~middotmiddotmiddot-middot-1middotmiddotmiddotmiddotmiddotmiddot_middot--middot--middot-~middot-middotmiddotmiddotmiddot middot~-_middotmiddot_-middot~lt~~~middot-1middot--middotmiddot_middotmiddot_ltmiddot middotmiddot~--~~middot_middot_middot_middotmiddot~~ ---tv ~-v ~wmiddotmiddot_-_middotmiddot---~_middottmiddot_~middotmiddot-middotmiddot_middotmiddot~middotmiddotmiddotmiddotv _-_ _ bull~_~~ _~ _~yen

Renn amp Company Inc PO Box 40 Wellington IKS 167152-0040I- -----------~--middot-middot-middot___l-middot_--middotmiddot-middot----------middot ~-----------imiddot- r-~----- IAI Shank Insurance Inc pO Box 2559 jLiberal IKS 167905-2559

wr~-------~ --t -------------------------------------___-1____ 1 ___ Ie Dean Riney Insurance Inc IPO Box 277 iLiberal IKS 167905-0277 1 10152015 $8331--------~~-----~~_~_---~-----~~~-~---- ____ h_~__~ ~ __~~~__ ------~-gt~_ ----=~-- -~middot~middot~--~---_middot-_middot~middotmiddot-~~-f~middot--middot--~-----t--middot--------middot--t~middot-~--_middotmiddot_---_middot--~f

D Schulte Agency Inc PO Box 306 lGarnett IKS 166032-0306 i 10152015 i $833 - --- _ + -- -- __ -----middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddot --t-middotmiddotmiddot middot middotmiddotmiddotmiddot--middot middot 1 middotbullbull middot-_middotmiddot middotmiddotmiddotmiddotmiddoti----middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _middot--middot -_ _ Ilivan Insurance Inc 1123 W Central Ste AIUlysses IKS 167880-2505 I 101520151 $8331 ~ _------_-_----~_----l-- _-_-__--------~- ~--_--~-- _----~-_ ~_-- - +------ ------1

~ott ~~~L~~Ee Ag~~_~~_1nc----1E9_~ox32_ __~_ __-l_~~Phe rson~ __i~____ _J~~60-03~10162015-L _~ 1090Qj MJH Insurance and Financial II I I 1

345 N Moonlight Gardner KS 166030-1943 I 102820151 $10000Servlces Ii I i

_~~_v~ ~_y _lt ~_~yen~vv~~ ~v~v~__~y_V_~~_middot_v~Vyy _ bullbullbull ~middot__~ __~v_YV_~_yenw~_~_v~~_~v bull _ __ __v~_ _~_ ~v~~~ __ ~~~v_ltmamp __bull_4~_yen __u ~v _~_4 _ ~~middot~~_~~_ bullbullbull __yen yen~~__ ~ _middotV-~vv__vv_~middotW~middot~middot~middot~ ~_v_~ bullv bullyen_bullbullbullbullbull __~~~bullbull_~~~gt~_ _gt_~_~ __bull _

IKansas Builders Insurance 2101 SW 36th iTopeka 166611- I 1122015 1 $100001I KS~sectLOUe __ ~____ Jf12~~ 36~ __ _~_L______J-__~__j~ __~__t___---L--------j PhiiadelPhia Insurance company l4000 West 114th St Suite 250 Lenexa IKS 66211- 1111320151 $10000 - --- j _ _ _ j bullbull 1middotmiddot - j _Lbullbullbull_ -- - 1

ICommerciallns Underwriters i i I I I I Inc (CIU) 1901 E Saint LoUIS Street Ste 205 Springfield IMO 168506-2540 I 11162015 1 $10000i - ---------------1-------~- - - - -j---------- - _- -- --I-middot-----middot--middotmiddotmiddotmiddotmiddot~middot-middotmiddot-- i---~

i~~middot~~~~~~~middot~~~-Agen~Y---l~-i6iM~~~~~g-Rmiddot~~middotd-middotmiddotmiddotmiddotmiddot--- - ---t~~6~~~d~-middot-~l~middot---_ -middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotI~j~~~~~~~middot+-Hij~~ i~----~middot~~~jjjL - - middot middot-fmiddot - - _- - __ - bullbull middotmiddotmiddotrmiddot middot middot middot middot--fmiddot middot_-middotmiddot middotmiddot middot middot middot Jmiddot middotmiddot- _middot-middot_middott-middot _ -middot middot middot~ f -- middotmiddotmiddot middot- -

ivan Insurance Inc 1123 W Central Ste A Ulysses KS 167880-2505 I 111720151 $

h~_sle_~-e nt~Ag~~Cy__=~- ~~~x 129====_=~-=- ~~_~iSOn IKS~~__r~60-0~=0129 1_l~l17 2~__~~-$ ~~~~_s~_~e~nyL Inco -----l~9~C_~~9 ----_----------_J~ e~Ii nJ[ton _ IKS 1_~~152-004Q_1_ 1110L ~_$_83~ ILewis Insurance Agency Inc 1411 N 4th St 1Burlington KS 66839-1906 I 111720151 $833

I~~ial 8 Pe~~I~i- --r~-~~~~t~S~~~-~I~~~-=---~-----I~~~~---r~~~~~I------

~r I~~~o~ In~6_W iia2ii==_-=--~u ci1 Gr~~S__ -~68~031rrll~Z1sr---==i~ ~~~~~~~~~~~~~npound_____i~~~~~ 25~ ___ ___-i~~~~ ______~~~-- -_1sect~92~-~~ ~-1-J 117L2~J~ _____J_~~~ iUnited A~en~~ ~LC ~_ J~~~x 81- l~_~~~as City__J~__ _Jsect0Q~Q~~J 111722~~1-~ ~~~ ls~~allns~ra~e Co Inc Ipo Box 84_ j1uneti~~ IKS _--L6644H847 1 1117201SI $8~~ ~~~~91~~Ur~~~~ ~E~ices __I~9_~~~3 _ _____j~khalt _ KS 1679S0-0002 ~7201i- _2B~

~~~~~~~~~=~l~~~===J~~H~------1llQ067tNf~i-=--1H~1 ~~eth~~ltu~I-~i9_~ge~~yQ~~ep _~~~~_ _ ~_-0~~~1e ~~ _ __W~41 0-6Q64 _117l301_~----- -~~32J Fox Insurance Agency

~middotmiddot j PO Box 846 Arma i KS 166712-0846 I 111720151 $833 _ _-- _ middotmiddotmiddot_middot middot__middotmiddotmiddotmiddot -Imiddot_ _ _-- -----~ - - -_- -- --1----- - -~_ _------_---- _ - __--_- _

l~~own ~usin~~~~~ices In_c_LO Rep~~lican Street l~o~_cordia__JKS _Lsect69ql- I 111729~ $83~

24 of 28

____ __~_ $833)---_- _

-_ 0 ~_middotmiddot_middotmiddot~ ~Amiddotm ~w_-T-~w _a-~u~middotmiddot~middot~middot~middot~middot--~~Tmiddotmiddot--middotmiddot~ ___ ~middotmiddotmiddot __~_v lt-~middot~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot~~-~-~-~-~--=~~-middotmiddot~middot==~r _N_ -~_w m~rt-~middot--~-~-~rW-----~~~--middotmiddot-~~r- -----~--~w--~lmiddotmiddotmiddot--~~~~-~-middot-middotmiddotmiddotr-middotmiddot~~~~_~_~ v~~~__~~

IAccurate Insurance Agency Inc 16428 Vista Dr jShawnee IKS 166218-9239 I 11172015j $833

Twiamp--Di~t~--I--~~~-------------li2-0-N~~th-r~ii--St IWK~eney-----1KS--------------1-67-672 -021i-t-li17lio151L ----------S8j-31

1-- ------ ----~-------------bull---- ------~--~--------------------~--------------------- ----------------~--------- ------I-------------+------------------------- iRichey Health Benefits PO Box 454 iWichita KS i67147- 111720151 $833l1- ~--~--_~ - - - -----_- -~-~-_---~-~---~_-----i_ __ __ -middot---middott~-middot ~-~-middotmiddot-middot--_middot---- ~~--~~- I __middot_~~ -~A i _~~~__ _~vA Amiddot-~~~---middot_~-middot--middot--- -~-~~ ----r-middot---~middot~middot--middot~-middot-f-middot-- __middoti MO-KAN Chamber Services IncIi I II I Th I j12694 Shawnee Mission Pkwy tShawnee iKS 166216-1860 I 111720151 $833Idba e nsurance I i I I ir-m-- - -- ---~--- -- -__r_ --_----------------- -middot-~-----middot-I-------middotmiddotmiddotmiddot---~r -----------~---~ ---t------ --shy

ri~~ ~~~~~~ ~i~~~LnCc---+i~~~E~~~~Te S~~ Ste B lt~f~~~----+~~-------~~i~~ 1802-+-~~~~j7~~-H+_--middot-----~-~ji( ~ ----- - ~-------_--- ------~-_------~--~-----+------------------+---------------------1-------------r------ ------ ISnell-Nelson Ins Agency Inc jPO Box 868 iAshland IKS 67831-0868 I 11172015 $833j

- -- -0-- --- --- -- bullbull- ----- -- bullbull __ - bullbullbull---- ------------- - -_ --- 1- _--- --- ------- --- --- -------- -shy---- shyWhitehead Insurance LLC 15112 E Central iWichita IKS J 67208- I 111720151 $8331 -- --~-__ bull wbullbull~_____bull ___~ ~__~______---- _ __ ---~---l--- -~----middot----middot------i e D Schulte Agency Inc Ipo Box 306 (Garnett KS 166032-0306 I 111720151 $833-----------------~middott~-------- -_middot---------~--~~------------middot--r----middotmiddot ---i------middot___----middot-r-middot----------1

SSampG and Associates Ipo BOX 2628 IShawnee Mission KS 66201- I 111720151 $8331 yen ~ __ ~ __ _ ~~~ ~ ~~ ~ bullbullbull _~ ~ _ ~_ _- ~ bullbullbullbull_ bull _ _ Y_rmiddot~middot~_ ~_~_~__ bullbullgt_ -~yen---~-~--- 1 ~~ middoth~bullmiddotmiddotc~middotmiddot~ ~ __~ ~~ __ bullbullt~ v ~middot ~~ __laquol ~_ Y _ __ ~~ bullbull _~~ l bull_ _ yen~~_ ~1~ _OYyen~vO bullbullbull bull middotbull ~_ _ bullbull A

~~~~~~~__ 1~~37 _~__ S~~ ~~ ~~13~~~~1~ $8331 Insurance Specialist Group LLC 18415 E 21st St N STE 210 jWichita IKS 167206-2954 I 11172015

~J~~~ins-Ag~~~~y~~-xie Inc~rpl B~~]g~__=_=~= __~~_ [8~~I~__=_--=JKs===_==--r~7-7~0-~io8 __l-__~~[~i2015L Ie Dean Riney Insurance Inc lpo Box 277 ILiberal iKS 167905-0277 1 11172015 [

-__ ---_--- ---- -- middotmiddot middotmiddotmiddotmiddot-+middotmiddotmiddot-middotmiddot middot -------middot middot1middot middotmiddot_-- ---_ -_ middot--middot-----~middot-middot-middot---middotmiddotmiddotmiddotmiddotmiddotmiddot-middotmiddotmiddot-imiddot-middot-middotmiddot-- - nd Merrill amp Honn Inc 16045 Martway Suite 101 jMission IKS 166202-3366 I 111720151 $833(----------~~-~-------- ------_---_~~--~- -----_------------1-__ -------------l-~---_- ----

Corporate Assurance Inc 16811 Shawnee Mission Parkway jOverland Park lKS 166202-0340 i 111720151 $83~------- -- ---j------------~--_------------tmiddotmiddot-------middot+----------~-----~~-~middot--- middot- ~-~~~~~~-~S~I~------ -J po_~ox 1~~~~ l~~~~~~L---_1K~--- --_-J~61 ~7Q4~ I_~L~ 72Q~I _~_~~~j Community Insurance I I I Ii I j consultants LLe 12651 Hemlock SUIte 5 lOverland Park IKS 166213- 111720151 $833 f---------middot~----- --------- -middot I -----~-----ll i --I

t I 1 ~ ICharlsen Insurance Agency Inc 1PO Box 206 iHalstead IKS 167056-0352 I 111720151 $833 ~---------_------------I~-- _------~- j__~_____J L_~__ +___----I---~----- middot-middot--middotl i Insurance Solutions of Kansas I I I I i C 1220 South 200th Girard IKS 166743-

I

111720151 $8331 ILL 1 1 i I_--- _-__-__-_-__---__--- --------____~-~ _-----___-j__---_-__-~------_ ----iBilliard-Hammer- Hartman I I I I I II IPO Box 509 IFort Scott IKS 66701-0509 i 11172015 $8331 ~I~~~r~ nc~~~_ ___ __~~~___ __ _~_ ------~- --_1--_- --~-I--- ----~-L-- __I ~__ - ---_ ----~

li~~~~~~~~~~~~~ery~~~-- --middot1~6~~-~~-d~y ---middotmiddot----middot-I~~t~~~~~-----+~~-------middot-i-~~iii6~~~--+middoti~-01~~~~ _-middot __middot~-~~j~ -~--~ --~-I--------------------- ~_---_-~ ------~

integrity Insurance Agency Inc 12047 SWTopeka Blvd Ste C iTopeka IKS 166612-1462 I 111720151 $833 ~-------------__-------t--------------middot -----------l- -~----t ~-middot---- -~I---middot------ _~- _-------J--- _ _ _-~ --j lLiberty Benefit Consultants Inc )240 N Rock Rd Suite 107 jWichita IKS 167206- I 111720151 $8331 L ~_~~_-N N_~_ ~m___bull _-N~- ~_M~_ L~_~~ ___ ___~~_ ~v~~~~ ~__J__~~___~ __~-J-~~__~_~~~~~~L~__~_~_N_ ~_~~___~~-__~~~~__J

25 of 28

~ -_ --~- - ----- - bull -------------- _ --_---~------- ------ ----------------- -middotmiddot----middotTmiddotmiddot -middot-middot--_middotmiddot--middotmiddotmiddot-1--middot------middotmiddot--middot-_middot----------------middot-1 IKnabe Insurance Inc 15100 W 95th St 200 lPrairie Village IKS 166207- I 11172015 $833 rmiddotmiddot-~~-middot-middotmiddotmiddotmiddotmiddot--~-~-~middot-~middotmiddot middotmiddotmiddotmiddotMmiddot - -bull _middot_w_middotmiddot~vmiddotv~middotQmiddot ~~_ ~_ - _ -_ _~_ bullAmiddot__~~~ middot __ middotmiddot_middot___~middot_~wmiddotv__ __~ middotmiddotmiddotmiddotmiddotmiddot_middotmiddot_middot (~- ~ bullyen- -~h ~-~wyv~~~~ wmiddotlmiddotmiddot __ laquo olaquo~~~w ~v~gt _v(yen~ __~__middotmiddot-~lt_middot_middot~middot-~~l--~middot middot----~~middotmiddotmiddot yen~ bullbull ~v_yen __bull__wyen_ _~_ _~w~

iOkeson Insurance LLC IPO Box 155 IWeskan iKS 67762- 11182015 $10000 ~_----~~ -- ~-~-~--NM~~--- ~-~~z-~~=~~middotw~~~-_ ~~ ______m _ l~__~_~~ i __~~= ~J bullbull __~~_v--~v~_~_~+------l--~~~-_---~

LampW-Andristlnsurance Iii I I i il IPO Box 995 iGoodland KS 167735-0995 I 11232015 $100001 Agency I iii I I 1---middot--middot--middotmiddot-middotmiddot-middotmiddotmiddot--middot--middot----middot------1middot--middot----middot-middotmiddot----------------I L_ --middot~---j-------middot-middotmiddot------t-middot--------middot-----middot---middotmiddotmiddotmiddot__ _--_--

1Raleigh Insurance Agency Inc iPO Box 337 ILittle River IKS i67457-0337 i 112420151 $100001 lmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot--middot-middotmiddotmiddotmiddot~middot---- _middot-middot~~D bull -~--- bull-~-~~_~~----~_bull t-_ - ~- --- _- -~--~~~ ~~-_~----_-~ -~ --~~-_ middotmiddot~middotmiddot~middotmiddotmiddotmiddot middot middotmiddot_middot middot~~- ----middotmiddot~~middotr-middotmiddotv yen ~-- lt-gt-_ gt_ ~ov-tmiddot_middot-~middotmiddot- -- middotmiddot~ _~v~middot_middot middot~middot_middotr_ middotmiddot ~ov_~_~ bull ~mv~ gt bullbullbullj ___- _v v v ~ ~_ - bull ~

i McCune-Robinson Inc dba MRH I I i

I I PO Box 688 IChanute IlKS 166720-0688 I 12720151 $10000Iinsurance Group Inc I i i r-~_~~~--_ middotmiddot___u-_--- -_---~~-~l ~__~ __NM_~-ltNNV_~~~y __~ -A_ _~__ ~ bull_~=~_~ ~~~ ~ _~j _ _~w ~=~_amp __middotMmiddot_middot_middot___middot~~ ___middot~_-bull~~==NNNM~~ IHedges Insurance Agency 1035 Vermont St A Lawrence IKS 166044-3072 I 1272015 $10000

w middotI--------------~---l----------~-----T------~~T-~-------r------middotmiddot-r---middotbull middotmiddotmiddot-r-middot-middot------l

Smith County Insurance Services PO Box 312 iSmith Center IKS 166967-0312 12820151 $100001 i I I i I I I IMid~e~-i~~~ra nce A~~- I---------~----middot--- middot-I-middot----_--middot--r--1 ----l --r middot-----middot-middot1 IAlliance Inc g y jPo Box 29319 jLincoln jNE 68529- 121O2015 $100001 L----~---middot -middot---middot--_- --l---middot-----~---- middot-middot-middot-------- ----L-------l-------middot-1-~----middot middot----middot-middot-------middot- Bartel Insurance Agency 11114 S Main Street IHillsboro IKS 67063- I 12102015l $2500

_~_~ _ _ ~~~~ _~__~~~~__ ~~_ N__~middotmiddot_ ~~ ___~ ~v_bull ~_lt_~middot~ _~v _~middot ~ _ bullbull~___yenmiddotmiddot__ ymiddot_w~ ~~P~mv bull _~~middot_ ~ ______ middotmiddotmiddot ~~~~~_M_V bull_ v ~~_~ yenp bullbull ~~bullbull ~ bull~ybull__~~~ bullbull _ bullbull~_bull bullbull i ~ v n~middotmiddotmiddotmiddotmiddot bullbullw bullbull bull ~middotmiddotmiddot_ bullmiddotmiddotmiddot

I Insurance Agency 114SMainStreet lHillsboro IKS 167063- I 121020151 $2500 -~---------~----------- _ ______~___ _j------w_--------------r-------~---_--- -----middotj-----------

IGreat American Insurance I I I I 1 I II 14910 Corporate Centre Drive ILawrence IKS 166044- i 12102015 $10000 Group iii I ii-middotmiddot---middotmiddotmiddotmiddotmiddotmiddot-middot---middot--middotmiddot----middotmiddot---1-middot - -- ---- ------- middotmiddot1---middotmiddotmiddotmiddot-- - --middotmiddot---middot--l----~---- r---middotmiddot--~-imiddot- --middot-middot~_-- i--- ----middotmiddot--middot--I IHighland Insurance Services LLCi PO Box 38 jHighland IKS 166035-0038 I 12102015 $10000I---------middotmiddot-----middot~-----middot-----middot- --middot--middot---middot middot--+----middotmiddot-middot--------------------l-----~t----middot----middotI_middot---middot----1 ~~e~~~ lJ~ns--company-l-po _~ 39sect 1~~~~wood LKS-_~---167526-0396 1 1211g~~~-- $lo00Qj iChubb Group of Insurance Co 11100 Walnut Suite 1800 Kansas City IMO 164106- TI2112015I $10000-- ---------------- ------------------------~------- ~------_ --t=_-~- - --------middot-middot ----middot----4 iStrategic Comp IpO Box 6960 Metairie ILA 7009 - 121420151 $100001-- -- -- - _- - - - - -- middotmiddot middotmiddotmiddot---middotmiddotmiddot-middot ----rmiddot middotmiddot _ 1 -- ___ __ L __

IPFS Corporation 1301 W 11th St 4th Floor iKansas City IMO 164105-2289 I 121420151 $10000 ____ __ 1bull -middot ------middotmiddot--i----middot-----middot---y - I Imiddot--middotmiddot--middotmiddot-middot--r------middot-l Oklahoma Agents Alliance (OAAl16303 N Portland Ave Ste 305 IOklahoma City 10K 173112- 1 121420151 $100001 --- - - ------ ---------------------------------middot----T----- ---middotn--~-_tmiddot------- -middot ------ -----1--------middot---1 ~~~~L~~~~trL --_-----_---------~~(j~-~~pound~e~l~g B~ ----------l-e~~ - _----+~~ -_- [(j2~=_ I__~L~g1~- ----~5~g~9Qj IKas Mun~~~allnsurance 1~02~~ 29th St_~~p 355 iToP~ka JKS 166614- I 1214201=L $10~_OOJ

I~~~~~~~-=~if~~~io~~=-tpound~~~~ i-~=-~[ii~i~fa~ middot____~ I-_-- _~_ ~_ 1_ ___~_ _ Corp~at~2rance Inc ~Sh~e M155~arkwav _j9veend PaUs ~62l3-0340 12152015

dina~l~~rce Co Incmiddot__l~_g_~~~~Z_w_ _ I~~~io~ity ----lKS------- 6_~~41-0847 121~2~~l __~~~

r~middotmiddotmiddotg_esectlmiddot~middot~middot~~middotEYlt]~~~~~_~~) ll_ J~C~~ ---middotmiddotmiddot-middotmiddot--------middot-middot---~l~~---middotmiddotmiddotmiddot-----l~ ____I_~~Q~~ __yJL~glSt ~ __~~J L2~S_e_~~~[ amp CO_~c _lQBox_1~~~ 1Kansas Ci~L_~ ~~nZ~_488 i 12152q151_ $833]

26 of 28

------ -------- ----- ---_- --- --1 ------ ---- -- ----- --- --~--- --- ------------_j --------------middotrmiddot----- --middotmiddot---middotmiddot---r----middot-----middot-middotmiddotmiddot----middotr---- - --middot --- IUnited Agency LLC iPO Box 817 Arkansas City KS 167005-0817 1 12152015 $8331 lmiddot~ltmiddot~_middot_middotmiddotmiddotmiddot_ middot_o~ bull ~_ bull_v ~ _ _~~_ -middot_middotmiddotmiddotmiddotv_middot middotmiddot_v_middotv_middot~middot _ bullbull ltbullbull bullbullbullbull__ _bullbull_lt ~ ~ __ _ _~~__~ bullbull ~ bull ~ bullbull~~_~_~_~_lt ~~~~~ ____=V__~~_~_ v~middot~~~_ ~~~_m bull~_w~~~~N_ bull ~middotbull ~ ~ - _ bull bull ~ __ v-wv~gt _ bullbullbullbullmiddot~_middotmiddotmiddotmiddotMWmiddotyenmiddotmiddotmiddotmiddot ylt lt~ ~~ _ _~ __~yenlt~~_~~~ _bull _~~~_~_ bull __

Community Insurance I I I consultants LLC 112651 Hemlock Suite 5 IOverland Park iKS 66213- I 12152015 $833j ---~_------ ---~~ _-~---- ----~-~-------- middot--------r---------------I _L-- _

IFirst Ins Agency of Hoxie Inc IpO Box 108 Hoxie KS 167740-0108 I 121520151 $833 ~~__ ~ ~_~-_~lt~- -~-~ ~-- ----__- ~- m_ ~~ ~ __~ __~_ _bull~_~__ __ _middot~V __v__~___v__lt _bull_~~__~middot ___~~~_-__~ ~o___~___~ M_~__~___~_m~~u ~

IFirst Group Insurance Inc iPO Box 67 iSterling IKS 67579-0067 I 121520151 $833- --- - -_ _-- - _ -- - __ _ ____ _ _ +-- -- - ___ --l IInsurance Solutions of Kansas II I I )ILLC

220South200th iGirard IKS 66743- 12152015 1 $8331 --------- ------~+---- ---- -middot--f-------------T --+---- -----------0------- IBilliard-Hammer- Hartman I I I I IPO Box 509 FortScott IKS 166701-0509 I 12152015 $833 IlnsuranceInc Ii I

laquo r -middotmiddot_middot--_middot- middot middot- -------------- --- ---- -- ---middot- bullmiddotbull_middot--middot1middotmiddotmiddot _ -- ----- ----middot--- middotmiddotmiddot-middotmiddot----1-- middot--middot - ---+-- - _- _--_ ___- ~

I ill l ~ I IMeadowbrook Insurance Group 111880 College Blvd Suite 500 iOveriand Park IKS 166210- I 121520151 $10000 L_~__ ___ ___-+__ _ __~__--+-middot-middot ------middotmiddot-l----middot-~-- --middotmiddotmiddotmiddot--- lmiddot-----i-----middot-middotmiddot--j

TWI amp Dietz Inc 120 North Main St IWaKeeney IKS i67672-0217 I 121520151 $8331rmiddotmiddotmiddotmiddotmiddotmiddot--middotmiddot-_middotmiddot------middotmiddotmiddotmiddot --- middotmiddot-T----middot-middot------------middotmiddotmiddot-middot---r middot-middotmiddotmiddot-middotmiddotmiddot---middot-middot- --------middot1_---middot--t--- --=--r---middot ---middotmiddot---middot-- -1 ICharlsen Insurance Agency Inc iPO Box 206 (Halstead KS j67056-0352 121520151 $833 ---------- -- -- - -------- ---- ----------middot--4- middotmiddot---middotmiddot---1-----middot ~----middot-----~---middot-middotmiddot-middot1---- ------ bullbullbull-

IIntegrity Insurance Agency Inc 12047 SW Topeka Blvd Ste C Topeka IKS (66612-1462 1121520151 $833

~--~j~~~I~~~~~~~XJ~~middot~~=~~~=I~~~~~~~9~_ ~-=middot=--~~~middot=~=~=~~~=1~~~ 6~ii~~-==~-=j~~~=-=-=middot~~~=[sect ~~~~9iQsect~l-iJX~Jj~~t~-==~~=~-middot~~~~] ~~th r~~_~~~JiJd_~~encv __IQ~~Jeep-~oa~-------------_~_~~~e~~- ~--------l-sect 4~~-sect064 J_~2L~5201~- $~33 Bron__Busin_~~~_~~~~~sL~~ ___I71_9_ Repu b~~~~sreet _J~9~~9L~-ia-_--~~S _ --l6~0 1-____I__~L1520 151_ ~~31

I i l ~

Liberty Benefit Consultants Inc 1240 N Rock Rd Suite 107 Wichita IKS 167206- IJ

121520151 $8331 ---- --- - - middot middotmiddot middot -middot middot-middot1middot--middotmiddot-_- middot_middotmiddotmiddot - -- --_ -- --- _- --~ middotmiddotmiddot-middot -- - --middotmiddot-1middot----middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot _middotmiddot- middotImiddotmiddot- middot middotmiddot-~_ middotmiddot--middotl_ middot-middotmiddotmiddot middotmiddotmiddotmiddot_ __ 1

Renn amp Company Inc IPO Box 40 iWeliington IKS 167152-0040 121520151 $833 -------------- I ------- ----------~ --0- --+---~----------)IayloJnsu~anceSer~ice~~C ~998 US_~iwy_ OS~_199~_ ~S ~66066- I 12152015j $8~

Richey Health Benefits IpO Box 454 jWichita IKS 167147- I 12152015 $833 - ----- ---- -- ~---_r_-----_ - ------~----- -- I ----------------------lt-----------gt-------- -------

~~~~es~~t~-~~~~Si~~~--~~~~~~~---_F~~~~t~~~I----~~ r~~J~~~rI~~~~~~inc_ ___ _~~~ W~e~_C_Ste~__ ~~Jy~ses ~------_J~-~~Q2sQ-I-Y~Q~-N------~-=331IEdie Insurance Group LLC j3109 W 6th Street Ste B ILawrence IKS 166409- I 12152015middot $8331 - ----- -- -- - - - bull- - ----- ----bull-- --- --- - - - ------____ __1___ middot _ ___ _J _ (

Te~~~ur~_~e A~t~~ylnc_~_2_~Map~__ IC9tJm~~s IK _~~25-1802 I _2152015L ~83~ artick Insurance Agency 16262 SW Spring Road lEI Dorado KS 67042-9Ci36 121520151 $833

middot-------------middot-middot~middot---_middot--middot_---_middot-----_middot-middot----t---middot----i-- ~------~------_L

-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~

ISSampG and Associates Ipo BOX 2628 Shawnee Mission IKS 166201- I 121520151 $833 l_NVhW_ yen~bullbullbull___ ~~~gtbullbullbullbull_~N -~-~_ =~_~ __J_~~~N~ ~y__ = __I _~__ L _~ __~ J

27 of 28

r _ _middot~middot_middotmiddot~W_middot_A~ ~~middot~W~_~V _middot~V bull~middot_middot bull __~~~~~~_ - -~_ _middot_~~~ ~~middot __middot_Nmiddot__- __~middotmiddotmiddotmiddot_middotmiddotmiddot_middotN ~middot~_ ___~_middot~Y_---ltmiddot~~middotmiddot~middotmiddotmiddot middotmiddotmiddotmiddot__ middotAgtltmiddot__middot_middot_middot_Agt~middotmiddotlmiddotmiddotmiddotWNMMgt~_-middot _~middot~~U _ middot __ bull

I 1 I I i

Accurate Insurance Agency Inc 16428 Vista Dr Shawnee KS 166218-9239 I 121520151 $833i ~ ____ J____ L __-~ ___I-----_+_---------i Snell-Nelson Ins Agency Inc IPO Box 868 Ashland IKS 167831-0868 I 121520151 $833

~ - --- --_ --- --middotmiddot-----middot-middot----r--- o-- ---- -middot middot--middotmiddot--middot--middot-middotmiddotmiddot---middot--middot------middotmiddot--middotmiddotmiddotmiddot--middot----1-----------t--------t-------- -- IWhitehead Insurance LLC 15112 E Central Wichita iKS 167208- 12152015 $8331 --- _- - - ----_--_-- _ - --- ---_ -_ -- ---i--- middot__middot_ middot_I_middot_middotmiddot middotmiddot_middotmiddotmiddotmiddotmiddot_ middotmiddot--------bull--1----=---------1----------- -- - ICitizens Insurance Services 122 N 6th IOsage City lKS 166523-1117 I 121520151 $8331I _ - _ - -j-- - - - _--1- -- _- _- _ _ -+~ _ middot 1middot middot

p ~su r~~~~E~E~~~~lt rouP~~S-i84 ~_~ 2~~ N STE 210~ I~~~h it~_ ____ _J~~_ __J67306-294 I 121152~5)___ _$~~

~~~~~~~~~~~~~=~~~~~i~g~ -==~29+llii~~i~-===J~1~ H~f~~~~~~~~~~C~~middotmiddot~1middot~ middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot_-I~~9~~~~~~ ___ _ middotj~~~middotmiddotmiddot_- middot_middotmiddotmiddot imiddotmiddot~middot~middot_middotmiddotmiddotmiddot middot----middotmiddotmiddotmiddotf~iii~=_ S~~_j middotmiddotiimiddot~middoti-~7~middot6t~ Imiddotmiddotmiddotmiddotmiddotmiddot_middot_-middotmiddot-_middotmiddot ~~~jjl IC-~-~-rci~i amp-Pe~~nal I~ middotTmiddot--~--_middot i middotr---------T-middot----- -middot-r------~-middot--- middotmiddot--l I 11503 W 75th St Ste 200 I Shawnee IKS 166214- I 121520151 $8331 Agency ~I _ - _ ~-_ _-- _-gt -- --- _ ---___ _~---- - ---- -middot -- -middotmiddot-middotmiddot Emiddot----middot middot--~middot~middotmiddot--middot-__middotmiddot- ~-- - - - IFox Insurance Agency ipO Box 846 iArma KS 66712-0846 1 12152015 1 $8331 --- - - _j ~_ __bull_bull- __ _ _ middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot- bullmiddotmiddotmiddotmiddot-1--middot---middot middot- middotmiddot_--middott middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot --- - - [ -- -t- middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddot middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddot middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot Lewls Insurance Agency Inc 1411 N 4th St Burllngton KS 166839-1906 121520151 $833t---middot middotmiddotbullmiddot -~-_ _ --- - - __ _- - _-- - - - ---+-_- _-- -1 middot--middot-bull ---r-middot-middotmiddotmiddotmiddotmiddot-middotmiddotmiddot middotmiddot~ -middot~-_middot_middot-middot-- middot-middot TRUSS 14551 West 107 Street Third floor IOverland Park KS 66207- I 121620151 $10000 ~_NN~-~WN~Wbull=_~_~ N~_ bullbull_N_bull=~~N~~_=~~~J__N __ ~ middotmiddot_middotmiddotNmiddot_~~_C~Amiddot~~__~middot_~middotmiddot=middot~middotmiddot~~middot__ ~~~~~_~ t~w__ __~-_l ~A_~__-A----~~middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddott--~-middot_middot----N~~t~=N ~~---~-=middot middoti

1~~~~c~I-J~~e~Ha~kampl~~1~~~~~----------t~~~itLl~----I~ ----j~~~~~I~---~~~~ ~~~~NN-V__~~~ ~~ bullA_~_~~ ~ A=_~ __bullw_~~~w_WV~~N~ ~~ NJ_____~~~-~-_ _ L~A~=-__~_~j=~~u= ~_~~ bullw_v _~_ __

Isect re~~I~~~A~e nct_~~~____ ~~Q~~~ ~_ ____~~~____ j_~_t~~ton L~S_ __~__lsect~-_ _- I-~f3f~g~I --9929J I 16811 Shawnee Mission Parkway i INason ASSOCiates Inc i IShawnee MISSion IKS 166202- 12282015 $10000

_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

KANSAS INSURANCE AGENTS POLITICAL ACTION COMMITTEE

(Name of Party Committee or Political Committee)

Purpose of Expenditure Name and Address

Date To Whom Expenditure is Made If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

ELAINE BOWERS DONATION 100115 1326 N 150TH RD

CONCORDIA KS 66901

JIM DENNING DONATION 100115 8416 W 115TH ST

OVERLAND PARK KS 66210

TOM HAWK DONATION 100115 2600 WOODHAVEN COURT

MANHATTAN KS 66502

ANTHONY HENSLEY DONATION 100115 2226 SE VIRGINA AVENUE

TOPEKA KS 66605

LAURA KELLY DONATION 100115 234 SW GREENWOOD AVE

TOPEKA KS 66606

JEFF KING DONATION 100115 1212 N SECOND ST

INDEPENDENCE KS 67301

JACOB LATURNER DONATION 100115 204 E EUCLID ST

PITTSBURG KS 66762

JEFF LONGBINE DONATION 100115 2801 LAKERIDGE RD

EMPORIA KS 66801

JULIA LYNN DONATION 100115 18837 W 115TH TERR

OLATHE KS 66061

TY MASTERSON DONATION 100115 1539 PHYLLIS LANE

ANDOVER KS 67002

ROBERT OLSON DONATION 100115 15944 S CLAIRBORNE STREET

OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~



(Name ofParty Committee or Political Committee)

Purpose of Expenditure Name and Address Amount


MARY PILCHER-COOK DONATIOII 1010115 13910 W 58TH PL $25000

SHAWNEE KS 66216

VICKI L SCHMIDT DONATION 1010115 5906 SW 43RD CT $25000

TOPEKA KS 66610

GREG ASMITH DONATION 1010115 8605 ROBINSOII $25000


SUSAN WAGLE DONATION 1010115 4 11 SAGEBRUSH ST $25000

WICHITA KS 67230

RICK WILBORN DONATION 1010115 1504 HERITAGE PLACE $25000

MCPHERSON KS 67460

STEVEN ANTHIMIDES DONATION 1010115 2725 S MASON TERRACE $25000

WICHITA KS 67216

JOHN BARKER DONATION 1010115 103 WASSINGER AVE $25000

ABILENE KS 67410

TONY BARTON DONATION 1010115 1402 FRAIIKLlN ST $25000

LEAVENWORTH KS 66048

STEVEN BECKER DONATION 1010115 PO BOX 384 $25000

BUHLER KS 67522

RICK BILLINGER DONATION 1010115 310 ACACIA $25000

GOODLAND KS 67735

TOM BURROUGHS DONATION 1010115 3131 SOUTH 73RD TERR $25000

KANSAS CITY KS 66106

$275000

Page )- oC~






WILL CARPENTER DONATION 100115 6965 SW 18TH ST

EL DORADO KS 67042

SUSAN L CONCANNOIJ DONATION 100115 BOPOX65

BELOIT KS 67420

TRAVIS COUTURE-LOVELADY DONATION 100115 26803 RD

PALCO KS 67657

ERIN DAVIS DONATION 100115 12018 S CLINTON

OLATHE KS 66061

PETE DEGRAAF DONATION 100115 1545 E 119TH

MULVANE KS 67110

BLAINE FINCH DONATION 100115 5 SW FAIRVIEW DR

OnAWA KS 66067

STAN FROWNFELTER DONATION 100115 4527 GIBBS ROAD


MARIO GOICO DONATION 100115 1254 N PINE GROVE COURT

WICHITA KS 67212

AMANDA GROSSERODE DONATION 100115 12601 W 99TH ST

LENEXA KS 66215

DENNIS HEDKE DONATION 100115 1669 N SAGEBRUSH ST

WICHITA KS 67230

LANE HEMSLEY DONATION 100115 2909 SW 33RD CIRCLE

TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r




Date Name and Address

To Whom Expenditure is Made

Purpose of Expenditure

If independent or in-kind expenditure in excess of $300 is made for a candidate list candidate name amp address

Amount

1010115 BRODERICK HENDERSON 2710 NORTH 8TH STREET KANSAS CITY KS 66101

DONATION $25000

1010115 DON HILL 1720 LUTHER ST EMPORIA KS 66801

DONATION $25000

1010115 RODERICK A HOUSTON 4902 LOOMAN WICHITA KS 67220

DONATION $25000

1010115 MARK HUTTON 7118 W CLEARMEADOW COURT WICHITA KS 67205

DONATION $25000

1010115 RUSS JENNINGS PO BOX 295 LAKIN KS 67860

DONATION $25000

1010115 STEVEN JOHNSON S10197 S HOPKINS RD ASSARIA KS 67416

DONATION $25000

1010115 MARVIN KLEEB 14206 EBY OVERLAND PARK KS 66221

DONATION $25000

1010115 GREG LEWIS 910 NE 30TH AVE ST JOHN KS 67576

DONATION $25000

1010115 LES MASON 108 ARCADIAN COURT MCPHERSON KS 67460

DONATION $25000

1010115 PEGGY MAST 765 ROAD 110 EMPORIA KS 66801

DONATION $25000

1010115 RAY MERRICK 6874 W 164TH TERR STILWELL KS 66085

DONATION $25000

$275000

Page1-of --=tshy






TOM MOXLEY DONATION 100115 1852 S 200 RD $25000

COUNCIL GROVE KS 66846

FRED C PATTON DONATION 100115 339 NW 46TH $250 00

TOPEKA KS 66617

VIRGIL PECK DONATION 100115 PO BOX 277 $25000

TYRO KS 67364

RANDY POWELL DONATION 100115 14481 W 122ND ST $25000

OLATHE KS 66062

RICHARD PROEHL DONATION 100115 510 PINE RIDGE RD $25000

PARSONS KS 67357

MELISSA ROOKER DONATION 100115 4124 BROOKRIDGE DRIVE $25000

FAIRWAY KS 66205

RON RYCKMAN JR DONATION 100115 14234 W 158TH ST $25000

OLATHE KS 66062

RONALD RYCKMAN SR DONATION 100115 PO BOX 192 $25000

MEADE KS 67864

SCOTT SCHWAB DONATION 100115 14953 W 140TH TERR $25000

OLATHE KS 66062

GENE M SUELLENTROP DONATION 100115 6813 W NORTHWIND CIR $25000

WICHITA KS 67205

JAMES TODD DONATION 100115 9812 W 118TH $25000


$275000

page~Of ~








Amount

1010115 JENE VICKREY 502 S COUNTRYSIDE DR LOUISBURG KS 66053

DONATION $25000

1010115 TROY WAYMASTER PO BOX 283 LURAY KS 67649

DONATION $25000

I

1010115 BRANDON WHIPPLE 4455 S WASHINGTON CT WICHITA KS 67216

DONATION $25000

1010115 KRISTEY S WILLIAMS 506 STONE LAKE COURT AUGUSTA KS 67010

DONATION $25000

1010115 JOHN WILSON 1923 OHIO ST LAWRENCE KS 66046

DONATION $25000

1010115 WILLIE DOVE 14715 TIMBER LANE BONNER SPRINGS KS 66012

DONATION $25000

1010115 DANIEL HAWKINS 9406 HARVEST LAN E WICHITA KS 67212

DONATION $25000

1010115 KS REPUBLICAN SENATORIAL PO BOX 2663 TOPEKA KS 66601

DONATION $100000

1010115 KANSAS SENATE DEMOCRATS PO BOX 1811 TOPEKA KS 66601

DONATION $100000

111715 SELZER FOR INSURANCE COMMISSIONER

REFUND - OVER DONATION -$25000

GOVERNMENTAL ETHICS 061215 COMMISSION

109 W 9TH ST SUITE 504

7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t




Purpose of Expenditure Date

Name and Address Amount


MIZE HOUSER amp COMPANY


ACCOUNTING FEES $30000

TOPEKA KS 66603-3465

KAlA

030615 534 S KANSAS AVE SUITE 700

CREDIT CARD FEES FOR TRANSACTIONS PAID ON 815 SW TOPEKA BLVD $13028 TOPEKA KS 66612

KAlA CREDIT CARD MACHINE

$43028

Complete if last page of Schedule C

Total Itemized Expenditures This Period

Total Unitemized Expenditures of $50 or less

$1474000

$1517028

Page __ of__

ICommercial ~ Personal Ins i I I I I AgenCy 111503 W75th St Ste 200 IShawnee iKS 166214- I 152015 rmiddot-middot~-middot-middotW_-~~~------N--middot-~1m__m-bull~-~~~ N--W--~~wmiddotyen_-middot---fmiddotmiddot-middot-middotmiddot--~middot~-middot--- NN_vm-~i~N~ ~-w_ __N - ~=~IN __=A__--==_bullbullw~_~_

IKansas Builders Insurance 12101 SW 36th i I II i $ IiGroup 12101 SW 36th ITopeka I KS 166611- 1 5 2015 1 100001 1middotmiddotM~~I~~I~-s~~~middot~~~middotmiddotAgmiddot~middot~~ymiddotmiddot -middot-li23middot9-C~~t~~middotImiddotA~middotmiddotmiddot_middot-- middotmiddotmiddotmiddotmiddotmiddot~middotmiddot-middot-middotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddotmiddotmiddot-1K~~~~~middotmiddotcitymiddotmiddotmiddot--middotmiddotmiddotmiddotImiddotKSmiddot - middotl66102=5439middotmiddotmiddot-middotr-middotmiddotmiddotmiddotmiddot middotmiddotmiddot-1757201smiddotImiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot $25001 l---------middotmiddot------------~ - -----~- --------------------+-=-- --------+------1-----------+-__ ____ bullbull____wHeinze Insurance 1509 N Main Newton IKS 167114- i 1520151 $25001 [B~_~-z_eJ~~~~_-a_n-c_-e -_-_--__=~=~~J~~fN~=-Mai~- == -~Ji7-~-14-_-_-_-_ -l~-gt_52_~~L=-=-~_~-j_-~O_01-___-~==-_-~_-_-_=_--~-~-_e_t~~ 1~~=-=-----IAI Shank Insurance Inc IPO Box 2559 jLiberal jKS 167905-2559 I 1520151 $25001

I~Smiddoth~middot~kmiddoti~middot~~7~middot~~~~I~-~~middot_-middot---middot-middot-rpO B~~25S9-middotmiddot--middotmiddot-middotmiddotmiddotmiddotmiddot~middotmiddot_ middotmiddot_middot-middot middotmiddot-TLib~-~imiddot-middotmiddotmiddot----~-TKS--middotmiddot_middotmiddotmiddot-middotmiddotmiddot_-middot_middotmiddot[6790s-=25smiddot9--r---middotmiddot-ijs2Dismiddotmiddot_middot- middotmiddot middotmiddot-$25001

~~~~~~g~CY l~O~ing=-=-===W~~--~=--- [~~~~~ t -~7~~~~F--~~ - _ - ----_- -----fmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddot-middot-----middotmiddotmiddotmiddot -- -- --------- ------IS~ -----1-- --- - -1--- --- ---- -

Quomation Insurance Services PO Box 982941 lPark City IUT 184098-2941 I 1820151 $100001 Inc I i I I I ~w WN~~~w_ __=~__ Y_~~~_~~N_~ =-~_--T---~~AW~N=~-----__--w~_-w-~ ~NW~-~v-v

~ad Noll Insurance IPO Box 1252 iHutchinson IKS

II~-~S-~~P~~t~-~-~_~=~==_middot-_-_middot JiO-1_i-1-~E~T-4-th-F-I~~~- - =~=j~~_nsa~SJ~ ~JM-~~~~~~~~=~=--

t~~-~~~~t-i~middot~~middotr~~middot~~middotmiddot middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddot--~iiimiddot~7~s~~~l~~ rr~~middotmiddot Rd middot-middotmiddotmiddotmiddotmiddot __ middotmiddottr~~~middot --middotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddot-jmiddot~~-middot middotmiddotmiddotmiddotmiddot_middotmiddotmiddotmiddotmiddot-middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot ---=__~v__ _____y~_~_ _ ~ ___~ __~AN ---_-___+_----~~~-

jAgency West Insurance 111267 Strang Line Rd iLenexa r---~middotmiddot~middot~~middot_-----~_middot~~middot_middotHN _~~_yen~ __~v~ __---bull_w_~~~ ___ - shy

1_~l~_~~u_~lJ~~ranceC_~__~1189~~~4~~ Street [Olathe

L~~y~~Igt~~~r ~~_~]~~~L ____J~9_~cr~~ ~~r IWhitehead Insurance LLC 15112 E Central IWichita l=---~- yen-------r- ITeellnsurance Agency Inc 1132 E Maple IColumbus - -r--------------------

~~t ~~~~~sc~rf~~e~middot~~~--~~ ~ ~ci8--middot-middot-middot---middot-middot---middot-J~~~~n~-middot-middot--~~------middot---1 ~ ~~~i~~j ~~~~~i~~~ I-middot----middot-middot~ ------- ------------- -+- -- ---- ----- ---bull--- - middot---middot-middotmiddot--middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot-middot-rmiddotmiddot--middot------middotmiddot---middot------( __ W~r0~on~~_~~ ~~]~~--~iS~---~~---~~6W~366 IlU1~W1~ ICommunity Insurance I I I consultants LLC 112651 Hemlock Suite 5 [Overland Park IKS 166213- I 1152015 1 $83 r----- --------- -middotmiddot ----+--------------+------------middot---middot-middot-middot------- --rmiddotmiddot-middotmiddot----middot-middotmiddotmiddotmiddot-middot1---shypnsurance Specialist Group LLC 18415 E 21st St NSTE 210 iWichita IKS 167206-2954 I 11520151 $83

~~~~~~~~~o~~~s-r~~~-~~-~-t-middot~~-~middot-~~- _-~=t~n~==f[-=----middotmiddot-_middot-middotmiddot-middot-r~~~~li~7T--~~~~~_ ___ -_~---~ I--~_nn amp S~_~P~r~c _____9~pound~j2 ___ _+~~lIlngcn__I~~--------t~71520040 J_1l~2015 _ j~3~ IMO-KAN Chamber Services Inc I I I ij II

Iidb Th I 12694 Shawnee Mission Pkwy iShawnee KS 66216-1860 1152015 $8331 a e nsurance I jl- __ _ __ --bullbull ___ -L- __ _

1 of 28

__









I I 1 ii








2 of 28











lt---__ --------- +----- i ---+---h__~_-~----i ~~~~~~--------j



3 of 28













4 of 28






















50f28




I








_ __ _ _L - - -- - --bull-- -1 - -------- - - - -+------- j - --- - f- j





6 of 28

__


















7of28
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__

__









I I 1 ii








2 of 28











lt---__ --------- +----- i ---+---h__~_-~----i ~~~~~~--------j



3 of 28













4 of 28






















50f28




I








_ __ _ _L - - -- - --bull-- -1 - -------- - - - -+------- j - --- - f- j





6 of 28

__


















7of28
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__











lt---__ --------- +----- i ---+---h__~_-~----i ~~~~~~--------j



3 of 28













4 of 28






















50f28




I








_ __ _ _L - - -- - --bull-- -1 - -------- - - - -+------- j - --- - f- j





6 of 28

__


















7of28
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__













4 of 28






















50f28




I








_ __ _ _L - - -- - --bull-- -1 - -------- - - - -+------- j - --- - f- j





6 of 28

__


















7of28
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__






















50f28




I








_ __ _ _L - - -- - --bull-- -1 - -------- - - - -+------- j - --- - f- j





6 of 28

__


















7of28
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__




I








_ __ _ _L - - -- - --bull-- -1 - -------- - - - -+------- j - --- - f- j





6 of 28

__


















7of28
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__

__


















7of28
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__
















80f28
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__
















9 of28















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__















10 of 28















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__















1 i I I I 1



11 of 28
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__
















12 of 28

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__

__

i









24___ ~__ __ __ __E_ I - --- 4--------










13 of 28

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__

















14 of 28














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__














15 of 28














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__














I




16 of 28

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__

167201--2992 I 8252015 $10000

167301-0547 82520151 $100L ---L ___-l__ __

I OIL~LU~~1 ~~UuUU --r----r-------




I I Ii __









iBuringtc







17 of 28

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__

__ __





- -__- -~- __ +_ _ _ __ __ __ __ __ __~ __- -- --_ ~J- -- ~L-_- ___ ---

















18 of 28















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__















19 of 28






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__






~ i i f ill











20 of 28



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__



















21 of 28
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__
















22 of 28





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__





bull


bull













23 of 28


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__


















24 of 28

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__

____ __~_ $833)---_- _













I




25 of 28
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__
















26 of 28











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__











I i l ~








-__I~~~r c~ __ --Jr- __ ~~~~~L--_----j KS_ _ __~7137-003-J 121L~915Pq~9~~ _~~~


27 of 28


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__


I 1 I I i







_Lwo_~ _ _ ~ __~_ _~_j~i ____~_ __ __ ___L____ J _~_ _J~ _

Total $3310822

28 of 28







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__







CONCORDIA KS 66901




MANHATTAN KS 66502


TOPEKA KS 66605


TOPEKA KS 66606




PITTSBURG KS 66762


EMPORIA KS 66801


OLATHE KS 66061


ANDOVER KS 67002


OLATHE KS 66062

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page l of~







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__







SHAWNEE KS 66216


TOPEKA KS 66610




WICHITA KS 67230


MCPHERSON KS 67460


WICHITA KS 67216


ABILENE KS 67410




BUHLER KS 67522


GOODLAND KS 67735



$275000

Page )- oC~







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__







EL DORADO KS 67042


BELOIT KS 67420


PALCO KS 67657


OLATHE KS 66061


MULVANE KS 67110


OnAWA KS 66067




WICHITA KS 67212


LENEXA KS 66215


WICHITA KS 67230


TOPEKA KS 66614

Amount

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$25000

$275000

Page~ of--r








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__








Amount


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000

$275000

Page1-of --=tshy









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__









TOPEKA KS 66617


TYRO KS 67364


OLATHE KS 66062


PARSONS KS 67357


FAIRWAY KS 66205


OLATHE KS 66062


MEADE KS 67864


OLATHE KS 66062


WICHITA KS 67205



$275000

page~Of ~








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__








Amount


DONATION $25000


DONATION $25000

I


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $25000


DONATION $100000


DONATION $100000





7113 W 135TH STREET 353

$24000

$374000

Page -W- of--=t











KAlA




$43028




$1474000

$1517028

Page __ of__











KAlA




$43028




$1474000

$1517028

Page __ of__

fethics.ks.gov/cfascanned/pacs/2016eleccycle/201601/pac083_2016… · and 2) . 4. total...

Documents