E

mission

NOV 01 2018

PAC AND PARTY COMMI EE REPOR I KS Governmental Ethics Co LAST MINUTE CONTRIBUTIONS, IN EPENDENTiEXPENDlTURES

IN EXCESS OF $3 0 I (Covering the Period from October 26, 2 18 through O~tober 31, 20 (8)

I November 1, 2 18 j

This is a (check one): g: Party Committee ~ olitical Committee

Name of Committee:

Address:

City and Zip Code:

This report must be filed by 5:00 p.m. Thursday, No mber 1,20 18/showing any contribution received from a single source in excess of $300, as w II as any inde~endent expenditure made in ex~ess of$J?O, which is intended to,expressly adv cate the electr"n or defeat ofa clearly Identified candIdate for state or local otfiee.

The «po,' may be med by hand dehvery, e,p'"" del very, elec"On~aIlY w;!h the Se«e'ary of state (must already have an electronic account), Or b fax at 785-291-3051 or 785-296-2548.

All information included on this report must also be i eluded on th January 10,2019 Receipts and Expenditures Report

Summary: 1. Total Contributions gSot -s..c;\.) 2. Totallndependent Expendi ures JD,llil~

"1 declare that this report, including any accompanying sche utes and state ents, has been examined by me and to the best of my knowledge and belief is true, co rect and comp ete, 1understand that the intentional failure to file this document or intentionally filin a false docurqent is a class A misdemeanor." I

-1 !

GEC Form 2018

SCHEDULE OF INDEPENDENT OXPENDIT1;RES IN EXCESS OF $

Date Name and Add ress List llndidatc Nllm and

Produc or Services P ovided Amount

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Subtot:lJ This Pag~ ­

Page _1_OfJ­

SCHEDULE OF CONTRI UTIONS IN EXCESS OF $3 0

53

Amount

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scoO?')

ccupation of Indi1(dual Contrib~tor

Name and Address of Contributor

Date

Subtotal This Page . Zz.,q qS ... 5 i,

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