kansas - receipts and expenditures...

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16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS PAGE El1/21 GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT MAY 27 2014 OF A CANDIDATE FOR STATE OFFICE S Governmental Ethics Commission October 29, 2012 A. Name of Candidate: Phil Herrnansol'l Address: 5338 S Mosley ounty: Sedgwick _ City and Zip _ C Ofii.cc Sought: State Representative District _9_8 _ B. Check if appropriate: Amended Filing __ Termination Report C. Summary (covering tbe period from JlIly 27, 2012 October 25., 2012) L Cash on hand at begj.nning of period 2. Total Contribut.ion!! and Other Receipts (Use Schedule A) 3. Cash avail.abLe thie: period (Add Lines 1 and 2) 4. Total Expenditures and Other Disbursements (Usc Schedule C) " . . . . 14023.42 ). 0). 75'.00 11-( }.1'6· 4 19819.32 5. Ca ..h on hand at elo."Ie of period (Subtrnet .Line 4 from 3) . 6. In-J<:ind Contributi.ofls (Usc Schedule B) 170.26 7. OtheJ' Trar.t.snction.s (Use Schedule D) . D. "1 declare that this report, including Elnyaccompanying llchedu1t;s and hll$ beell. examined by me and to the best of my knowledge and belJefis true, correct complete. r unde:rstand that the intentioDllJ failure to file this dOCUmE:Ilt or intc . ling a false Cl.1ment is a class A misdcmean.or." GEe Form Rev, 2001

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Page 1: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS PAGE El1/21

~SAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT MAY 27 2014 OF A CANDIDATE FOR STATE OFFICE

S Governmental Ethics Commission October 29, 2012

A. Name ofCandidate: Phil Herrnansol'l --~--------------

Address: 5338 S Mosley

ounty: Sedgwick _City and Zip Code:._W_i~c_h'_·ta_S_7_2_16 ~_~ _ C

Ofii.cc Sought: State Representative District _9_8 _

B. Check ~nly if appropriate: .~ Amended Filing __ Termination Report

C. Summary (covering tbe period from JlIly 27, 2012 thr~ugh October 25., 2012)

L Cash on hand at begj.nning of period

2. Total Contribut.ion!! and Other Receipts (Use Schedule A)

3. Cash avail.abLe thie: period (Add Lines 1 and 2)

4. Total Expenditures and Other Disbursements (Usc Schedule C)

"

.

.

.

.

14023.42

). 0). 75'.00

11-( }.1'6· 4 19819.32

5. Ca..h on hand at elo."Ie of period (Subtrnet .Line 4 from 3) .

6. In-J<:ind Contributi.ofls (Usc Schedule B) 170.26

7. OtheJ' Trar.t.snction.s (Use Schedule D) .

D. "1 declare that this report, including Elnyaccompanying llchedu1t;s and ~tatetrl.cnts, hll$ beell. examined by me and to the best of my knowledge and belJefis true, correct complete. runde:rstand that the intentioDllJ failure to file this dOCUmE:Ilt or intc . ling a false Cl.1ment is a class A misdcmean.or."

GEe Form Rev, 2001

Page 2: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

__.1..0/29/2B12 15: 21 3155229454 TOMS WINE & SPIRITS PAGE 82/21

SCHEDULE A CONTRIBUTIONS AND OTHE:R RECJ,;IPTS

Phil Hermanson

(Nnmc ofCar.ldidole)

Dllte Nllll1e lind Addre5~

Df Contributor

Occupation & Il\duslry Df Indiviltual Givin~ More

Thl\n 5150 (;..11

Cbed:' Appropriate Bot.

ClINk J..o-. != fund> ()l\ol:r

AIl1oun10r Cash, Cheek.

Loa" or Other Receipt

7128112

UP Railroad Company 6455 E. Commerce Ave Kansas City, WlO 67120

Railroad Company

V 250

7/28/12 Builders Assoc. of Kansas PAC 212 SW 8th Ave" Ste. 201 Topeka, KS 66603

PAC

t/ 250

8/8/12­Blue Cross Blue Shield 1133 SWTopeka Blvd. Topeka, KS 66629-0001

health insurance

V' 250

I

I

818f12 Fanners Alliance Insurance Co. 1122 N. Main McPherson, KS 67460

insurance company t/ 250

8/8/12 Black Hills Energy Corp. PAC PO Box 1400 Rapid City, SD 57709

PAC

V 300

8(8/12 A. Scott Ritchie III 8100 E. 22nd St. N, tt700 Wichita. KS 67226·2328

individual

V 100

8121/12 Kansas Speedway 400 Speedway BlVd. Kansas City, KS 66111

racetrack .,., 250

6J21/12. Allstate Insurance Co. PAC 2775 Sanders Rd. Ste. A2W NorthbroOk, ILL 60062

insurance company t/ 300

9/6/12 Little Government Relations LLC 800 SW Jackson St. Ste. 914 Topl!ka, KS 56612-2214

V' 100

9/6/12­Spirit Aerosystems PO Box 780008 WichIta, KS 67278

aircraft

V 300

9/6/12

Kansas Independent Business PAC 200 E. 1st St. N Ste. 101'''n...... :~ ,,,,... "'''''''''''1'\

PAC

V' 500

Sub1Wi' Th~ PaJ!e 2850.DO

Page -L- of__.

Page 3: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

16/29/2612 15:21 3165229464 TOMS WINE & SPIRITS PAGE El3/21

SCREDULEA CONTRIBUTIONS ANJ) OTHER RECEIPTS

Phil Hermanson

(Name of Candidl\.te)

Date lliall1c lind AddI'CS5

of Contributor

OctllpatiDfl & Industry of hulividulIl G;ving More

Than $150

Check Appropriate Box

Amoant or Cssh., Check,

Loan or Other Receipt<:..11 Ch.... ~, £1""'"

Ol~"

9/6112

Kansas Farm Bureau Vote FBF Fund State Account 2627 KFB Plaza • ~ __ L.._.u.__ .,.t"" ~,..",,,,,,,,

insurance

t/ $500.00

9m12 Ronald Davis PO Box 781890 Wichita, KS 67278

oil industry

t/ $500.00

9/9/12 Kathy Dawson, Cox Comm. 901 S. George Washlnglon 8lvd. Wichita, KS 67211-3901

cable indu stry

V' 5250.00

9/18f12 Tom's Wine & Spirits 4720 S. Broaaway Wichita, KS 67216

liquor store

V' S2DO,OO

9/18112 NFfB-Kansas Safe Trust 1201 F. Street NW Ste. 200 Washington, DC 20004

banking

V I

$200.00

9/18'12 Kansas Cable PAC 900 S. Kansas Ave. Ste. 300 Topeka. KS 66612

PAC V $250.00

9/19112 Roadmap PAC Inc. 2436 SW Camelot PL Topeka. KS 66814

PAC

V $500,00

9/19/12 Krystal L. Rohr 510 Homestead Colwich, KS 57030

individual .,. :ji2fiO.OO

9/191t2 Dr. Wesley E. GortDI"I 14626 Sharon Ln. Wichita, KS 67230

t/ $100.00

9/19/12 Builders Assoc. of Kansas PAC 212 SW Bth Ave. Ste. 201 Tope~a, KS 66603

PAC

t/ $300.00

9/19/12 Kansas Banlters Assoc, PAC pO Box 4407 Topeka, KS 66604-0407

PAC

IV $500.00

Subtotal This l"ltee $3550.00

Page ._~ of _

Page 4: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

1B/29/2812 15:21 3165229464 TOMS WINE & SPIRITS PAGE 84/21

SCHEDULE A CONTRIBUTIONS AND OTHER RECED''fS

Phil Hermanson

(Name of CandidRte)

DlIte NaGle .nd Addres~

of CI)ntribl1tllr

Occupation & fndustry of IndiTldual mvillJ;; !\fl)Te

Than 5150

Check Appropriate Do.l;

AmoontDf CII,h.Chec~

LollI! or Other-RcrnptC,.h OW: LooIn £ 11IItII.

Oll"r I

09/24/12

KanSias Cooperative Council PO Box 1747 Hutchinson, KS 67504

lobbyist

v' $100.00

09124f12 Kansas Chamber of Commerce PAC 835 SW Topeka Blvd. T,.._~",", Ltc: Q~R","]

PAC

tI' $500.00

09127112 Kansas Optometric PAC Committee 1266SW Topeka Blvd. Topeka, KS 86612

PAC

V $250.00

09/27/12 Kansas Realtors PAC 3644 SIN Burlingame Rd. Topeks, KS 66611

PAC V $500.00

09127112 Wichita Realtors PAC 170 West Dewey St. Wichita, KS 67202

PAC y $500.00

09/27/12 Polsinelli Shughart 700 W. 47th 81. Ste. 1000 Kansas City, M064112

lawyer

v' $150.00

09/27/12 Kansas Contractors Assoc. PO Box 5061 Topel<a; KS 66605

contractors

V $250.00

1Df02112 Dan Hawkins 9406 HalVesll.ane Wichita, KS 67Z12

V $25.00

10/02112 Sedgwick County RepUblican Party Central Committee PO Box 47626'''",.''''It.... Vt: 5:7'JO"'!

Republican Party

V $250.00

10/02/12 Wichita Area Business PAC 350 W. Douglas Ave, Wichita, KS 67202

PAC

V" $500.00

10/02112 Midlael J, Grbic 1445 N. Rock Rd Ste. 125 Wichita. KS 67206

realtor

V' $500.00

SubtotRt This "llgC $3,525.00

Page p~ of__

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10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE 65/21

SCHEDULE A CONTRIBUTIONS AND OTHE~ RECEU'TS

Phil Hermanson

(Name orCandid"~)

Date Name and Addre~~

ofContributor

Occupation & Inda~try of lodividual Giving More

Than $150 Ccub

Check ApproJJr.illte BilK:

clftd: L..." !k lmod' ()lher

Amll"lIt nf C.sh~ Cltrek,

I.lIan or Other Recapt

10/02/12

RAJ Services Company PO 8ox464 Winston-Salem, NC 27102

energy

V $250.00

10/05/12

10/05/12

10/05/12

IsectgpaC-Medical Society of Sedgwit:k County PAC 1102 S. Hillside \A",..hit... VQo ~7?1 'I

Kansas Med. Society PAC State Fund 623 SW 1Oth Ave. T--",t._ VC: 1';1:"" ') ~ """7 Stand Up for Kansas PAC 7234 E. Rocl<hlll St. Wichita, KS 67206·1015

PAC

PAC

PAC

V'

V

V

$250.00

$500.00

$100.00

10/Q5/12 Kansas livestock Assoc. PAC 6031 Sw 37th St. h'opelta. KS 66614·5129

PAC

t/ $500.00

10/10/12 Kansas Denlal PAC 520D SW Huntoon 51. Topeka, KS 66604

PAC V $500.00

10/10/12

10/10/12

KanS;Js Society od CPA's PAC 100 SE 9th S1. Ste. 502 Topeka, KS 66612-1213

BNSF Railway Co. 2500 Lou Menk Dr. AOB-3 Fort Worth, TX 76131

PAC

raaroad company I

V

.....

$250.00

.£"00.00

10/10/12

10/1D/12

Whitney B. Damron PA 919 S. Kansas Ave. Topeka, KS 66612-1210

AT&T Kansas 154 N. Broadway Room 60B Wichita. KS 67202

lobbyist

communication

V

t/

I $150.00

$500.00

10/10'12 KOCH Industries 4111 E. 37th St. N. Wichita. KS 67220

SubtotltJ Thi5 Plige

engineering It! i

5500.00

~ 370D.ul) -

PBge3-of__

Page 6: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

10/29/21312 15: 21 _ 31652294[,4 TOMS WINE &SPIRITS PAGE 136/21

SCIlEDULEA CONTJUBUfIONS AND OTflER RECEIPTS

Phil Hermanson

(Name ofCalldidatcl

Date Name alld Addraos

of CllotributOT

Occupation &. lnl1.u,try nf lBdivido81 Gi"ing More

Tban $150 Cod1

Check Appropriate Box

Chctk ...... E""'Ib Oil....

Amoulltof Cll!h, Cheek,

Lltan Of Other Rectipt

10(11(12

10/11112

Kansas State F"rrn Insurance Agents & Employe~s PAC 825 S. Kansas Ave. Sle. 500 T,.. "'6l,,, It'"~ ~c:u:t:.. .,

NAIFA Kansas PAC 825 S. Kansas Ave. 51e. 500 Topeka. KS 66612

PAC;

PAC

V

tI'

$300.00

$200.00

10/11/12 Sprint NelClel PO 60x63670 Pheonix. AZ 85082-3670

communications

V $200.00

10(11/12

10/11/12

Heartland Community Bankers Assoc. PAC 700 S. Kansas Ave. Ste. 512 T ........ _I .._ Vt:' ~e~,,?

KS Assoc. of Health Plans PAC 825 S. Kansas Ave. Sts. 502 Topeka, KS 66612

PAC

PAC

V"

V

S200.00

$250.00

10/11/12 Center'18 Management Co. lLC 7700 Forsyth Blvd. St. Louis, MO 63105

heelthcare

V $500.00

10/11(12 Swedish Match North American Inc 1021 E. Cary St. Ste. 1600 Richmond, VA 23219-4000

cigar company

V' S250.DO

10/f1/12 Loren T. & Katherine D. Elston 763 BrownthnJsh Wichita, KS 67212

individual

If' $500.00

10/13/12

10/13112

10113(12

KS Restaurant & HO$pltality PAC 3500 N. Rock Rd. Bldg. 1300 Wichita. KS 67226

Sedgwick County Rep. Party Central Committee PO Box 47626 'AI;",,,",.,,,,,, vc C::7'Jn~ 'Tc;: .... ~

Exxon Mobil Corpl>ration PO Box 2519 Houston. TX 77252-2519

PAC

RepUblican party

oil Industry

t/ I

tI'

Iv i

$250.00

$500.00

$300.00

Subtotal Tid. PRge S3,450.IlD

Page.6-.of__

Page 7: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

10/29/2812 15:21 3165229454 TOMS WINE & SPIRITS PAGE !:l7/21

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Phil Hermanson

(Nome of Candidate)

D"te Name lind Addrull

of ContribVior

Occupation & Tndllstry of Indi"iduill Givi"~ More

Than $150 CnM

Check Appropriate Box

ClIftk L..• t:r-t< l)d,c.

Amoulltnr Cash, Cbetk,

Lo*n (lr OtheT Receipt

10117112

Next Era Energy Resources LLC 700 Universe BlVd. Juno Beach, FL 33408

energy

V' $250.00

10/19/12 Kansas Land Trtle Assoc. PAC 434 N. Main Wichita, KS 67202

PAC

V $200.00

10/19/12

10/19/12

, 0/19/12

Anderson Financial Services LLC Loan Max LM168 600 S. Broadway -Q.,U"" ve iC:"7An"1

Property Casualty Insurers Assoc. of America PAC 2600 S. River Rd. no.., .... CI ... :_~~ II I ann" 0. .,.,OQ

Ash Grove Cement Company PO Box 25900 Overlend Park, KS 66225

financial

PAC

cement industry

I

V

V

tI'

$250.00

$250.00

$200.00

10119/12 Jeff Dewey - Attomey at Law 727 N. Waco Ste. 565 Wichita, KS 67201

attomey

" $200.00

10/19/12 Blue Cross Blue Shield of Kansas 1133 SWTopeka Blvd Topeka. KS 66629-0001

health insurance

v' $250.00

10/21/1;2 Kansas Auto Dealers Elec_ PAC 731 S. Kansas AI/f:. Topeka, KS 56803

auto dealers

V $100.00

10/21/12 United Healthcare Servtces PO Box 1459 MNOOB-W235 Minneapolis. MN 55440-1459

heallh insurance

V $250.00

10/21/12 American Insurance Assoc. PAC 2101 l Street NW Ste, 400 Washington, DC 20037

health insurance

V $150.00

10/21/12

American Family Insurance PAC 1300 SW Arrowhead Rd. Topeka, KS 66604-4019

insurance

t/ $150.00

Subtotal Thj~ Pll~c $.2,250.0D

Page l-e-. of__

Page 8: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

16/29/2612 15:21 3165229464 TOMS WINE & SPIRITS PAGE 88/21

SCOEDULEA CONTlUBUTJ.ONS AND OTHER RECEIPTS

Phil Hermanson

(NamE: of CandidaIe)

• ! Am'luntofOccupatioh &. Tndustry of I Chcelt Cash. Check,. Individual Giving More Appropriate BoxlI/ome Rnd Addren

Loan or OtherDate Than $150of Contribtltor I,....C.,h Chdl e"Ill!, Rl:mPtOlh"

VISA USA Inc. credit card company PO Box 8999 $250.0010(25/12 VSan Francisco, CA 94128

NRA Political Victory Fund PAC 11250 Waples Mill Rd. 10/25/12 $250.00VFairfax. VA 22030-7400

Dondlinger & Sons Construction construction company PO Box 39810/25/12 $100.00V" Wichita, KS 67201-0398

Community Banke~ Assoc. PAC PAC 10/25112 13003 SW Van Suren Ste. A $100.00V

Topeka. KS 66611-2224 I

UP Railroad Co. railroad 600 Broadway Ste. 500 10/25(12 $250.00VKansas City, MO 64105

."

5950.00 Subtotal Thi!l :Page

Pap;clQJ:__

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!1I~/29/2BI2 15: 21 3165229454 TOMS WINE & SPIRITS PAGE 139/21

SC.HE»ULEA CONTRIBUTIONS AND OTIlER RECEJPTS

Phil Herm2lnson

(Name of Candidate)

Occupalion & IlldllJtry of N"me IIRd Addrc,~ Individual Gi"iAg More

])ute ofContribUll)r Thlln $\5IJ

Complete if last page of Schedule A

TotRlltelni7.ed R~uiptl: for Period

Sale of polit1cll1 Materials (Uniil:mi7.cd)

Total Contributions When Contrihutor Ntl( Knovm

Chll:ck Appropri,,*c Box

Amount of CsslI, Check.

Lmmor Other Ret"clpt

Page 10: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

I110/29/2012 15: 21 3165229464 TOMS WINE & SPIRITS PAGE 11:)/21

SCHEDULEB IN-KIND CONTlUBUnONS

Phil Hermanson

(Name: ofCundidntc)

,r.lIt<:

9/2B/12

10(12(12

NanlC and j\drlrc,t

of C"ntrihalor

BacurHy Firs! Tille 434 N. Main Wichita. KS 67202

Kansas Chamber Jobs PAC 835 SWTopeka Blvd. Topeka, KS 66612

List OC"'"I'atlon &< h,duSlry (fir Those G/"/,ng In' ,lA.Kind of ,~orc 'flull

$'50

De,enptlon of lD-Kind Colti1'IJ"di"n

Campaign PilAlic

1.360 Technology

V:ol_c or

In-Kind Cf)ntrU".t1nn

$120.85

$49.41

5170.26

Complete jfJast page of Schedule .8

TlIt"J. Ilcmi1.cd (liver $(00) Ln-Kind C"nlTibUli",".

TO!1I1Vnitcm;zcd (S lnO or le~s) In-J::ind Cunll'jblltion.

$120.85

$49.41

$170.26

Pa~c q pf

Page 11: Kansas - RECEIPTS AND EXPENDITURES REPORTethics.ks.gov/CFAScanned/House/2012ElecCycle/201210/H098... · 2016. 9. 27. · 16/29/2812 15:21 3165229464 TOMS WINE & SPIRITS . PAGE . El1/21

HI/29/2El12 15: 21 3165229464 TOMS WINE & SPIRITS PAGE 11/21r-- .'- -'­

SCHEDULEC EXPENDITURES AND OTHER D.lSBURSEMENTS

Phil Hermanson (N:lmc of CandidaIe)

J).t~ l'IlIml' pn(l AddreH

Purpose I1J Expenditllrc !If DI,huuemcnf A/lUlunl

7/30/12

8/1112

812112

8/3112

B/6/12

B/6/12

8/6/12

8/9112

8/10/12

DillQns 4747 S. Broadway Wichi1a, KS 67216

Diana Meyer 204 W. Kansas 51. liberty, MO 640S11

Steven Keamey 1200 SW 10th Ave. TOl)eke, KS 66604

US logo Inc. 1085 S. Washington WIChita, KS S7211

Applebee's 4760 S. BrDadway Wichita, KS 67216

Diana Meyer 204 W. Kansas St. Liberty. MO 64068

The Pumphouse 25 E, 2nd. Wichita, KS 67202

Braums 550 E. 4th St. Wichita, KS 67216

River Ctty Station Post Office Wichita. KS 61216

volunteer food and drink

website design

ethics fine

campaign materials - magnets

volunteer food ami drink

website design

volunteer food and drink

volunteer food and drink

stamps

14.85

500.00

500.00

157.62

54.50

35.00

23.54

6.15

114.10

6/10/12

6/10112

Larry Buds Sports Bar 6200 W. 215t 51. W1chila, KS 67205

McAlisters Deli 7130 W. Maple St. Wichita, KS 67209

SabtDtlIl This r"l:e

volunteer food and drink

volunteer food and drink

42.60

9.49

l'iSf).t5

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1B(29(2B12 15:21 3155229454 TOMS WINE & SPIRITS PAGE 12(21

SCHEDUJ...:E C EXPENOJTURES AND OTHER DlSBURSEM.ENTS

Phil Hermanson (Nune of-Call didate)

Oat. Nalne nnrl ,A."d"t'~5

Pllrpose nC Expenditure or Dbbune",rnl Amount

S/10/12 OT 5611 S, Broadway Wichita. KS &7216

volunteer food and drink 7,49

8113/12 US Logo Inc. 1OB5 S. Washington Wichita, KS 67211

campaign materials· banners. magnets 324,56

6/13/12 US Logo Inc. 10B5 S. Washington Wichita, KS 57211

campaign materials - car magnets 266.65

8/13/12

AT&T 2201 SW Wanamaker Dr Topeka, KS S6604

campaign phone bill 134,18

8/13/12 The UPS Store 8918 W. 21st St N Ste. ZOO Wichita, KS 67205

shipping materials 13.53

8(14/12 US Logo Inc. 1065 S. Washington Wichita. KS 67211

campaign materials· tshir1s 272.01

6116/12 Diana Meyer 204 W. Kansa~ St. Liberty, MO 64068

campaign treasurer eKpense

300,00

811B/12 Avivo Brie,", Oven Pius 244' N. Maize Rd. Wichita, KS 67Z05

volunteer food and drin~

78.30

8/20/12 Marchello's 3107 S. Seneca Wichita, KS 67217

volunteer food and drink: 41.53

8/22/12 Of'fice Max 6940 w. ~elloQQ Wichita, KS 67209

campaign office 5upplies 35.70

8/23/12 W rt9D~ M'l :>ter's' PO 60X /lo~ lJ) it.J'd+ ~/ K5 (7),~ I

Ghl'JI I ' LooK()·ff 250.00

Subtolll/ This .f'agt " ,

.. lrI13/'S>­

page_!L of__

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10/29/2012 15:21 3155229464 TOMS WINE & SPIRITS PAGE 13/21

SCHEDULEC E}.:P:ENDlTURES AND OTHER D.l.SBURSEl\fENTS

Phil Hermanson

(Name ofC~ndidatt:)

D:rte Name and Addnn

rurpD~e of Expe"diturc or DisbUf"semtnt Amount

8129/12

8/30/12

8131/12 .

Office Max 6940 W. Kellogg Wichita, KS 67209

YEK 4111 E. 37th 81. N. Sle 0101 Wichita, KS 67220

The UPS Store 6918 W, 21 st St. Wichita. KS 67205

campaign office supplies

donation

mailing expenses

I

10.92

225.00

14,85

9/4(12

8f7112

9/7(12­

917/12

9fTO/12

9/10/12

9110112

Dillons 4747 S. Broadway Wichita, KS 67216

Wichita Paceydrm 100 N. Broadway Wichita, KS 67201

UPrinting 8000 Haskell Ave. Van Nuys, CA 91406

Crawford Liquor 14255 S. Seneca Wichita, KS

US Logo Inc. 1085 S. Washington Wichita, KS 67211

FedEx 240 S. West St. Wichita, KS 67213

OT 51>11 S. Broadway Wichita, KS 67216

volunteer food and drin~

donation

car magnets

Ivolunteer food and drink

campaign shirts

campaign banners

1stamps

56.74

20.00

321.70

46.67

212.45

167.39

153.001

9110f12 City of Wichita Park Admin 455 N. Main Wich~a. KS 67202

campaign picnic - pavillion rentel 65.00

Sultt"ta I Thi& VA~c 1. :l. <i3.' ~~

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10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE 14/21

SCREDULEC EXP.ENDITURES AND OTHER. DISBURSEMENTS

Phil Hermanson (Nnme I)f Candidate)

Purp,,_c of .£xpCDditure t\rnoun tnr DlsblluementPSlte Name UIId Address

volunteer food and drink Pizza Hut 12.88333 E. 47th Sl S9/10/12

Wichita, KS 67216

Applebee's volunteer food and drink 4760 S. Broadway 55.569/11/12 Wichita, KS 67216

UPrinting fridge magnets BODO Haskell Ave. 9113112 78.54 Van Nuys, CA 91406

Pizza Hut volunteer food and drink 333 E. 47th 81. s9/13/12 47.77 WIchita, KS67216

Dillons candy for parade . 200 W. Greenway 9/14/12 44.63 Derby. KS 67030

I WidJita Paceydrm Paceydrm club entrance fee 100 N. Broadway9/17112 20.00 Wichita, KS 67201

Mikes Steakhouse volunteer food and drink 2131 S. Broadway St. 9/17112 93.67 Wichita, KS 67211

Diana Meyer treasurer cost 204 W. Kansas 5t.9/18/12 400.00 Liberty. MO 64068

Pizza Hut volunteer food and drink 333 E, 47th 51. S9120f12 1B.56 Wichita, KS 67216

FIKlEIt printing costs 240 S. We9t SI.9/21112 181.32Wichita. KS 67213

AT&T campaign phone bill 9121f12 12201 SW Wanamaker Dr 134.16

Topeka, KS 86604

..

(087.; )Subtotal Thts flilge

l'age ~_ t1f__

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1alZ9/ZIH 2 15: 21 3165229464 TOMS WINE & SPIRITS PAGE 15/21

SCIfEDULEC EXPENDITURES AND OTHER DlSBURSEMENl'S

Phil Hermanson (Name of Candidate)

Bite )\lame n"d Alldre~'

PU(PO,,, olEXI'''l\dlture or Di~bursl!fIIe"t "rnuu"t

9/21/12

Applebee's 4760 S. Broadway Wichita, KS 67216

volunteer food and c1nnk. 59.32

9124/12 US Logo Inc. 1085 S, Washington Wichita, KS 61211

campaign shirts 144,88

9124/12

KFC 611 E. 475\ St. S. Wichita, KS 57216

volunteer tood and drink 37.54

9/24/12 Pizza Hut 333 E. 47th 51. S Wichtta, KS 67215

volunteer food and drink 26.31

9126'12 Diana Meyer 204 W, Kansas St. Uberty, MO 64068

website costs . 30.00

9/26'12

McDonalds 4810 S, Broadway Wichita, KS 67216

volunteer foed and drink

18.95

9/26112 McAlisters D@!i 7130 W. Maple St, Wichita, K5 67209

volunteer food and drink 16.19

9/27/12 City Print 235 S, Ellis Wichita, KS 67211

palm cards 643.80

9127/12 Hog Wild S8Q 662 E. 47th Street Wichila, "S 67216

volunteer food and drin K 41.64­

9'27'12

Dollar Genen!1 3660 E. 47th St Wichita, KS 67210

picnic supplies - kid activities 14.97

9'28'12

Sams Club 6200 W. Kellogg Wichita, KS 67209

picnic supplies 73.91

Subtob!·Thlp ,..ge 1/D7,1tfl.,

Page Ro(__

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10/29/2812 15:21 3155229464 TOMS WINE & SPIRITS PAGE 16/21

SCHEDULEC EXPEND'TURES AND OTHER DISBURSEMENTS

Phil Hermansol'l

(Name ofCsndidm:)

[l ate Nllme .. nll Addrp~r.

Pllrpose of Expencliture or DbiJlJrse.II~Y1t Amount

I I

9128/12

9128/12

9/26112

1011/12

TJ's Burger House 1003 W. Douglas Wichita, KS 67213

Bams Club 620[) W. Kellogg Wichita, KS 67209

Mc:Oonalds 4810 S. Broadway Wichita, KS 67216

Piz:za Hut 333 E. 47th St. S Wichita, KS 67216

volunteer food and drink

campaign supplies

volunteer food and drink

lIolunteer food and drink

21.49

21.31

18.95

27.90

10/1/12 BJ's Restaurant 7960 E. Kellogg Wichita, KS 67207

volunteer food and drink 37.61

1011/12 Club liquor 3415 N Rock Rd Wichita, KS 67226

volunteer food and drink

206.22

10(1/12 Pizza Hut 333 E. 47th St. S WiChita, KS 57216

volunteer food and drink 29.75

10/1/12 A:ohley Goodrich 5333 S. Mosley Sf. Wichita, KS 6721B

campaign manager payment 75.00

I 10/1112

Ashley Goodrich 5333 S. Mosley Sf. Wichita. KS 67216

campaign manager payment 315.00

10/1/12

Ashley Goodrich 5333 S. Mosley 51. WIchita, 1(S 67216

campaign manager payment 292.50

10!1/12 Kansa& Health Care PAC B25 S. Kansas A-ve, Ste. 502, Topeka. KS 66612

campaign overpayment

250.00

Sub~hlll'hi5 PlIg_ l,2etS !!

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10/29/2012 15: 21 3155229454 TOMS WINE & SPIRITS PAGE 17/21

SCHEJ>ULEC EXPENDITURES AND OTHER .OlSBURSEMENTS

Phil HeITf\anson

(NamG llfC3ndid~tc)

Dllte Namc nnd Addre~~

f'urpftJC of ll:xpeddlt\lre l\r Dlsbur~rment Amount

10/1112

1011112

1011/12

Ashley Goodrich 5333 S, Mosley 51. Wichita, KS 67216

LV '1.901} ,tVJq 5ter yo BoX lIob

411'C,J,:f.'lj K5 ,fJ 7).0 I Ashley Goodrich 5333 S. Mosley 5t. Wichita, KS 67216

------­

campaign manager payment

~5 Fooj I/()~~I}

\lo/V., r f!e/5 ~_._--

campaign manager payment

.-for

262.50

125.00

532.60

10/2/12 McDonalds 4810 S. Broadway Wichita, KS 67216

vollJnteer food and drink 17.64

10/2112 RHCC 14206 Eby Overland Park, KS 66221

donation. 500.00

10/4/12

10/4/12

10'5112

Taco Bell 422 E. 47th Street Wichita, KS 67216

--­

\.A1.:cX)... 35 w. ).~.rJ F1<:1 NeL../ Yo1'1( I 1/'1 leol) Taco Bell 422 E. 47th Street Wichita, KS 67216

volunteer food and drink

website design

\/oluntQQr food and drink. I

20,56

74.50

23.S5

10/9112

10/9112

US Logo Inc. 1065 S. Washington Wichita, KS 8721 1

Oi/lons 4747 S, Broaltway Wichita. KS 67216

campaign malerials - shirts

volunteer food and drink I

212.45

50.57

10110112 Dillol'\s 4747 S. Broadway Wichita, KS67216

\/olunteer fOOd and drink i7.7B

Subtot.' Thi5 P:lge

..

.. 1,9/f1,3f5

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10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE 18/2:

SCREDULEC EXPENDHURES AND OT9ER DISBURSEMENTS

Phil Hermanson

(N arne of Candidate)

DlIle NAme gild Addren Purpose of ElpendilllT!

Dr Di,buflUllent Aml>uat

10(10/12

10(11/12

10112J12

East Y Men's Crub 9333 E. Douglas Ave. Wichita, KS 67207

DiUons 4747 S. Broadway Wichita. KS 67216

DiUans 4747 S. Broadway Wichita. K567216

~r~ volunte@r food and drink

volunteer food arid drink

125.00

23.60

57.60

10/15/12 US Logo Inc. 10B5 S. Washington Wichita. KS 67211

campaign materials - shirts 299.37

10115/12 Marchello's 3107 S. Seneca Wichita. KS 67217

volunteer food and drink

31.90

10/15/12

Subway 7201 S. Broadway Wichita. KS 67067

volunteer food and drink 7.7B

10/15/12

10/15/12

10/15(12.

10/15/12

10(15112

Oillons 4747 S. Broadway Wichita, K567216

Diana Meyer 204 W. Kansas Sf. Uberty, MO 6406B

L&S Homebuyers 7200 W. 13th St. Ste. 5 Wichita, KS 67211

RHCC 14206 Ebl' Overland Perrk, KS 66221

Singuleris PO Box 9265 Shawnee Mission, KS 66201

volunteer food and drink

website design

printing services

b 'ft CAmp;t~1)

:LrVlces. yarn signs

114.77

200.00

536.50

2500.00

2350.70

S..btnt.' Thb Pa~e .' ~, ~41 /12

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10/29/2012 15:21 3165229464 TOMS WINE & SPIRITS PAGE

SCHEDULEC .£XPENDlTUR'tS AND OTHER DISBURSEMENTS

Phil Hermanson

(N~"'c of C~J1didnle)

DlItt

10/16/12

10(16112

10/17/12

10/16112

10/18112

10/16/12

10/16/12

10119/12

10/19112

10/19/12

10/19112

N:llll. IIl1d Add~cn

TPS 1325 E. Douglas IMcllita, KS 67216

Handy Mailing 3839 Dora Wichita, KS 67213

Dillons 4747 S. Broadway Wichita. KS 6;216

McDona/ds 4810 S. Broadway Wichita, KS 67216

Tom's Wine and Spirits 133 E. 47th street Wichita, KS 6;216

Dillans 4747 S. Broadway Wichita, KS 67216

Oil/ons 4747 S, Broaoway Wichita, KS 67216

Donovans Sleamin Weenie 41a W. Grand HaYSVille, KS 67060

Bionic Burger 243 South Seneca Street Haysville, KS 67060

Dllions 200 W. Greenway Derby, KS 67030

Dollar Tree 4866 S. Broadway Wichita, KS 67216

Subtotal Thb hlZc ,

Purpp"., Q'r E""eltditu~e

1" Di,l>ur'ement

picnic mailer

advanced voting mailers

volumeer food and drink

volunteer food and drink

volunteer food and drink

volunteer food and drink

volunteer food and drink

volunteer food and drink

volunteer food ancl drinr.

parade candy

parade supplies

:

Amourll

1171.47

1406.25

56.94

i

2.14

73.62

86.15

135,41

14.02

27.43

43.07

11.80

3,OI~ ~~

p~ge...8_ of_~_

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10/29/2012 15:21 3155229454 TOMS WINE & SPIRITS PAGE 2B/21

SCHEDULEC EXPENDITURES AND OTHER DISBURSE1\mNTS

Phil Hermaf'lson

(Name ofCandld&l!:)

Date NlIme .. lid Addre's Pllrpn~e of .tx~cllditurc

M lJi~b.rn",,,nt AmQunt

10122112 Tom's VVine and Spirits '33 E. 47th Street Wichita, KS 6721 S

volunteer food and drink 66.34

10122/12 Marchello's 3107 S. Seneca Wichita, KS 67217

volunteer food and drink 37.B6

10/22112 Mikes Stealt;house 2131 S. Broadway St. Wichita, KS 67211

volunteer food and drink . 56.50

'01Z2/12

Pizza Hot 333 E. 47th Sl. S Wichita, KS 672.16

volunteer food and drink 34.97

10122/12

QT 561' S. Broadway Wichita, KS 67216

stamps 47.34

10/22112 Oillans 4747 S. Broadway Wichita. KS 67216

volunteer Food and drink 109.54

10124/12 Tom's 'Wine and Spirits 133 E. 47ttJ Street Wichita, KS 67216

volunteer food and drinjt; 124.73

10/24/12 AT&T 2201 SW Wanamaker Dr Topeka, I'\S 66604

campaign phone bill 134,1B

10r;25112 Pizza Hut 333 E. 47th 51. S WichIta, KS 67216

volunteer food and drink

67.94

Subtotal 'This fllgl: ..

rJlge 11- ot'_~_

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__lB129/2B12 15: 21 3155229454 TOMS WINE & SPIRITS PAGE 21/21

SCHEDULEC :EXPENDITURES AND OTHER DlSBURSEMENTS

Phil Herml1lnson

Purpo,e oC Expendltare O,IIt~ or .JJ;~~n:l'I~lOCJlt AmountNemr. and Addru~

$0.00

Complete iJ hast page of Schedule (:

Tota) ltemi7.cd Ell!'endilun:::> This .Period

Tow] Unit~·lDjzeri E);pcnditv1'Cs ofSSO QT less

t.1~~l1Z~-, ,...~""

$19.819,32

$19,619.32