receipts and expenditures report filed of...
TRANSCRIPT
KANSAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORT OF A CANDIDATE FOR STATE OFFICE
October 29,2012
FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTIONS
FILED
OCT 29 2012
KRIS W KOBACH SECRETARY O~ STATE
A. Name of Candidate: _B_r_ia_n_W_e_b_e_r _
Address: 11154 Kliesen St Ste 1
City and Zip Code: Dodge City, Ks. 67801 County: _F_o_r_d _
Office Sought: State House of Rep District: 119 -----
B. Check only if appropriate: __ Amended Filing __ Termination Report
C. Summary (covering the period from July 27, 2012 through October 25, 2012)
1. Cash on hand at beginning of period . 12782.19
2. Total Contributions and Other Receipts (Use Schedule A) .. 26785.00
3. Cash available this period (Add Lines 1 and 2) .. 39567.19
4. Total Expenditures and Other Disbursements (Use Schedule C) . 11782.39
5. Cash on hand at close ofperiod (Subtract Line 4 from 3) . 27784.80
6. In-Kind Contributions (Use Schedule B) 0.00
7. Other Transactions (Use Schedule D) 0.00
D. "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. 1understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."
/0 -;1-6 -/:J.... Date
GEe Form Rev, 2001
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Briian A. Weber
(Name ofCandidate)
Date
10/11/12
10/11/12
10/19/12
10/06/12
10/22112
10/25/12
10/23/12
10/23/12
10/16/12
10/18/12
10/17/12
Name and Address of Contributor
Ryan Ausmus 2800 Colleen Dodge City, Ks. 67801
Jeff Renner 512 Edgemore St Dodge City, Ks. 67801
Walgreens 104 Wilmont Rd MS #1444 Deerfield, IL. 60015
Free State PAC C00455717 PO Box 2712 Dodge City, KS. 67801
Seward County Republican Central Committee PO Box 761 Liberal, KS. 67905
Justin &Charla Swift 2408 W. Wyatt Earp Dodge City, KS. 67801
Tamara Davis 2008 Windsong Way Dodge City, KS. 678001
Travel Industry Assoc of KS PAC 825 S. Kansas Ave Ste 502 Topeka, Ks. 66612
Sunflower Electric Power Corp 310 W. 13th St Hays, KS. 67601
Wal-Mart Stores, Inc. PAC 702 SW8th St Bentonville, AR. 72716
VISA U.S.A., Inc PO Box 8999 San Francisco, CA 94128
'. C'·. ....: ........ .':
SubtotJIll'hisPage
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other ReceiptCash Cheek Loan E fuad.
Other
.f $40.00
.f $50.00
Chain Drug Store
.f $250.00
PAC .f $500.00
.; $50.00
HotelOnwer ,f $250.00
.f $100.00
PAC
.f $100.00
Energy .f $250.00
PAC .; $200.00
Credit Card Co .f $250.00
" .. "
$2,040.00
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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name ofCandidate)
Name and Address Date ofContributor
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Casb Cbeck Loao E mod. ""()the;"
Amount of Cash, Check,
Loan or Other Receipt
Double H. Cattle Co 10104/12 10424 114th Rd
Dodge City, KS. 67801
Cattle Co .f $500.00
Marvin Hampton 10103/12 .f $50.00
10101/12 Duane or Phyllis Ross 909 Clubview Dr Dodge City, Ks. 67801
Tim Comitius 10102112 10737115 rd
Dodge City, KS. 67801
Ks Livestock Assoc PAC 09/27/12 6031 SW 37th St
Topeka, Ks. 66614
Ks Manufactured Housing PAC 10101/12 3521 SW 5th St
Topeka, Ks. 66606
Milam Jones 10/04/12 1912 Barham
Dodge City, KS. 67801
Craig Mock 10/05/12 Box 513
Dodge City, KS. 67801
Jeff Lopp-Lopp Motors 09/28/12 305 S. 2nd Ave
Dodge City, KS. 67801
Exxon Mobil Corp 09/20/12 P.O. Box 2519
Houston, Tx. 77252
Sunflower Dairy PAC 09/30/12 1037 Hwy 39
Ft. Scott, Ks. . " ..-
.. .. ..
.. ..
S~btotalThisPage ..
Newsprint Publisher
Physician
PAC
PAC
Telecommunication Manager
Auto Dealer
Petroleum Producer
PAC
,
.f
.f
.f
.f
.f
.f
.f
.f
.f . ...
$500.00
$250.00
$500.00
$100.00
$100.00
$250.00
$250.00
$300.00
$200.00
$3,000.00
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SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name ofCandidate)
Date
09/14/12
09/14/12
09/25/12
09/24/12
09/21/12
09/24/12
09121/12
09/06/12
09/18/12
09/13/12
09/20/12
Name and Address of Contributor
KCRE P.O Box 4267 Topeka, Ks. 66604
Ks Optometric Assoc PAC 1266 SW Topeka Blvd Topeka, Ks. 66612
Polsjnelli & Shughart 555 S. Ks. Ave Ste 101 Topeka, Ks. 66603
William Sneed 555 S. Ks. Ave Ste 301 Topeka, Ks. 66603
Ks. Cooperative Council PAC P.O. Box 1747 Hutchinson, Ks. 67504
Hollywood Casino 777 Hollywood Casino Bvd K.C., Ks. 66111
Tug Hill Operating LLC 550 Bailey Ave Ste 510 Ft. Worth, Tx. 76107 0
MERCK 7826 SE Ratner Rd Berryton, Ks. 66409
OCP Midstream 155 N. Market Wichita, Ks. 67202
Ks. Physical Therapy Assoc PAC 2900 SW Plass Ct Ste 202 Topeka, KS. 66611
Ks. Contractors Assoc PAC 316 SW 33rd St Topkea, Ks. 66605
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cash Chec:.k LoaD E funds Other
Energy
.f $250.00
PAC
.f $250.00
.f $150.00
.f $100.00
,f $100.00
.f $150.00
Oil & Gas Exploration .f $500.00
Research & Oevelopmen ofVaceines & Pharmaceuticals
.f $200.00
Natural Gas gathering & processing .f $300.00,,'
PAC ,f $500.00
PAC
.f $200.00
.'.
$2,700.00.'.. ·.... ·S~bt()iaITbis Page
Page ~of-1/
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name ofCandidate)
Date
08/29/12
08/28/12
08/23/12
08/31/12
09/01/12
08/28/12
08/28/12
08/28/12
08/01/12
08/28/12
08/28/12
....
Name and Address ofContributor
Ks Farm Bureau 2627 KFB Plaza Manhattan, Ks. 66503
Security Benefit Life Ins PAC One Security Benefit Place Topeka, KS. 66636
EDP Renewables North America 15050 Antioch Rd Ste 103 Overland Park, Ks. 66221 a Ks. Bankers Assoc PAC 610 SW Corp View Topeka Ks. 66604
COX Communications 931 SW Henderson RD topeka, Ks. 66615
Anheuser-Busch One Busch Place S1. Louis, Mo. 63118
Little Government Relations LLC 800 SW Jackson St Ste 914 Topeka, Ks. 66612
Cerner Corp PAC 2800 Rockcreek Parkway K.C., Mo. 64117
HCA Ks Good Government Fund 550 N. Hillside ~chna,Ks. 67214
UP Railroad Co 1400 Douglas St Omaha, NE. 68179 a RAI Services Co PO Box 464 ~nston-Salem, NC 27102
. . . ... .
SUbtotitlThis Page
Occupation & Industry of Individual Giving More
Than $150 Cash
Check Appropriate Box
Check LoaII E fund. Other
Amount of Cash, Check,
Loan or Other Receipt
Insurance
~ $500.00
PAC
~ $200.00
Energy
~ $200.00
PAC ~ $500.00
Cable & Communication
t/ $500.00
Beverage Producer .f $200.00
.f $100.00
PAC
~ $250.00
PAC .{ $250.00
Railroad Co
t/ $250.00
Medical Staffing .f $150.00
..... .
. ". :.:..: .... :
$3,100.00
page~oflL-
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name of Candidate)
Date Name and Address
of Contributor
Ulices Perez & Aixell Mercedes 2023 Cactus Rd Dodge City, KS.
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Cub Cbeck LoIID E fund. Other
10/08/12 Physicians
.f $250.00
09/12112 Cemer Corp PAC 2800 Rockcreek Pkwy K.C., Mo. 64117
PAC
.f $250.00
10/08112 Ed Stewart Jr Box 938 Dodge City, KS.
.f $60.00
10/08/12 Blackjacks Liquor, LLC 307 S. 2nd Dodge City, KS
Liquor co .f $250.00
10/04/12 BNSF 2500 Lou Menk Dr, AOB-3 Ft. Woth, Tx. 76131
Railroad co
.f $200.00'
09/26/12 CenturyLink P.O. Box 4065 Monroe, LA. 71211
Telecommunications
.f $500.00
07/05112 Ks. Cable PAC 900 S. Ks. Ave Topeka, Ks. 6661
PAC
.f $250.00
10/04/12 AT&TKsPAC 220 E. 6th Rm 500 Topeka, Ks. 66603
Ks. Medical Sotiety PAC 623 SW 10th Ave Topeka,Ks.66612
PAC
.f $250.00
10/01/12 PAC
.f $500.00
09/26/12 Ks. Credit Union Legislative Action committee 610 SW 10th St Ste 201 Topeka, Ks. 66612
Credit UnionAction Committee .f $250.00
09/14/12 NFIB-Ks. Safe Trust 1201 F St NW Ste 200 Washington, DC 20004
AlJ VOCI715' .f $200.00
. ........... ". .
'.
. Subt~tal This Page
'.'
Y, >. ..:,: $2,960.00
Page ~ ofJ..L
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name of Candidate)
Date Name and Address
ofContributor
Occupation & Industry of Individual Giving More
Than $150 Casb
Check Appropriate Box
Cbeek Lou E fuads ~
Amount of Cash, Check,
Loan or Other Receipt
10/01/12 Altria Client Svc Inc 1005 Congress Ave Ste 850 Austin, Tx. 78701
Medical
.f $250.00
10/08/12 HyVee, Inc 5820 Westown Pkwy West Des Moines, IA. 50266
Grocery Stores
.f $250.00
10/04/12
10/05/12
Acciona Wind Energy USA LLC 333 W. Wacker Dr. te 1500 Chicago, II. 60606
Centene Management Co, LLC 900 S. Kansas Ave Ste 403 Topeka, Ks. 66612
Energy
Health Plans
.f
.f
$200.00
$500.00
09/28/12 ITC Great Plains LLC 27175 Energy WAy Novi, MI. 48377
Energy
.f $150.00
10/04/12 Ks Restaurant & Hospitality PAC 3500 N. Rock Rd Bldg 1300 Wichita, Ks. 67226
PAC
.f $250.00
09/13/12
09/17/12
Michael Weber 11154 K1iesen Dodge City, KS.
Marian Blakely
n
HVAC Store Owner .f
.f
$500.00
$25.00
09/18/12
09/14/12
10/05/12
Ks Chamber of commerce PAC 835 SW Topeka Blvd Topeka, Ks. 66612
Pinegar, Smith & Assoc 513 SW Van Buren St Topeka, Ks. 66603
Ks Assoc of Realtors 3644 SW Burlingame Rd Topeka, Ks. 66611 ..
Subtotal This Page
PAC
Lobyist
Gov Affairs for KAR
.f
.f
.f
. ..
...
$500.00
$250.00
$500.00
$3,375.00
'
page~ofL
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name of Candidate)
Date Name and Address
of Contributor
Occupation & Industry of Individual Giving More
Than $150 Cash
Check Appropriate Box
Check Loan E funds Oth....
Amount of Cash, Check,
Loan or Other Receipt
09/20/12 United Health Care Svc PO Box 1459 Minneapolis, MN. 55440
Health Insurance
.f $150.00
09/19/12 Ks. Independent Pharmacy PAC 4125 SW Gage Center Dr Ste 203 Topeka, Ks. 66604
PAC
.f $200.00
10104/12
10103/12
PMCAGasPAC P.O. Box 678 Topeka, Ks. 66603
Whiitney B. Damron, PA 919 S. Ks. Ave Topeka, Ks. 66612
PAC
GtJ VJJ"'RtJm~#1 t?,r"It r/(J,J.s
.f
.f
$250.00
$150.00
10/15/12
09/21/12
KS WSW PAC 212 SW 8th Ave Ste 202 Topeka, Ks. 66603
QuickTrip Corp 4705 S. 129th EAve Tulsa, Ks. 74101
PAC
Grocery &Conv Stores
.f
.f
$200.00
$200.00
09/06/12 Ks. Healthcare Assoc PAC 117 SW 6th Ave Ste 200 Toeka, Ks. 66603
PAC
.f $250.00
10/04/12
10105/12
John &Traci Wentling 2004 Circle Lake Dr Dodge City, KS 67801
Western Beverage P.O. Box 124 Dodge City, KS. 67801
D
Auto Dealer
Beverage Distributor
.f
.f
$250.00
$500.00
10105/12 Bucklin Tractor & Implement P.O. Box 127 Bucklin, Ks. 67834
Farm Implement Dealer
.f $250.00
10103/12 Mrs. Gary Chaffin 510 Clover Dodge City, KS. 67801
...• ':".
. . Subtotal This Page
:'. :.... : , .'
.f
:.- ....-. ..... .'
,:
$100.00
$2,500.00
Page LoflL
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name ofCandidate)
Check Name and Address
Occupation & Industry of Appropriate Box
Date Individual Giving More
Than $150of Contributor Cub Cbeck Loan E funds
Other
Kevin Salzman $30.0010/11/12
Dr & Mrs. Scott Fisher 10/11/12 $30.00
Kent A Stehlik 10/11/12 $50.00
Mark Fisher Ag 10/11/12 2102 E. Crescent $500.00
Dodge City, Ks.
Kirk or Terri Larson 10/07/12 $50.00
Diana Weber HVAC Store owner 10/11/12 1200 W Plains St $500.00
Dodge City, Ks.
Shawn or Kelly Tasset Trucking 10/11/12 12736 Marshall Rd $250.00
Spearville, Ks. 67876
Ks. Dental PAC PAC 10/03/12 5200 SW Huntoon St $250.00
Topeka. Ks. 66604
Dane Barclay Business Owner 10/09/12 545 Beaver Ln $150.00
Scansia, Ks. 66966
Koch Industries Energy 09/21/12 4111 E. 37th St N $500.00
Wichita, Ks. 67220
BrianlDarci Winter 10/09/12 1414 E. Trail $100.00
Dodge City, Ks. ,'.. ....
$2,410.00, Subtotal TIusPage .•.....
Page ---K-of~
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name of Candidate)
Date Name and Address
ofContributor
Ks Auto Dealers PAC 731 S. Ks. Ave. Topeka, Ks. 66603
Occupation & Industry of Individual Giving More
Than $150
Check Appropriate Box
Amount of Cash, Check,
Loan or Other Receipt
Casb Check Loan E funds Other
10/15/12 PAC
.f $200.00
10/19/12 Southwestem Assoc PAC 638 W. 39th St K.C., Mo. 64111
PAC
.f $150.00
10/09/12 American Family Ins PAC 1300 SW Arrowhead Rd Topeka, Ks. 66604
PAC .f $150.00
10/12112 Ash Grove Cement Co PO Box 25900 Overland Park, Ks. 66225
Concrete Co .f $250.00
09128/12 Blue Cross Blue Shield 1133 SW Topeka Blvd Topeka, Ks. 66629
Insurance
.f $150.00
10103/12 Builder's Assoc PAC 720 Oak St K.C., Mo. 64106
PAC
.f $250.00
10/08/12 Phillips 66 Co 201 N.W. 63rd St, Ste 300 Okla. city, Ok. 73116
Petroleum Co
.f $250.00
08/31/01 Ks. Hospital Assoc PAC 215 S E 8th ave Topeka. Ks. 66603
PAC .f $250.00
09/18/12 Black Hills Corp PAC PO Box 1400 Rapid City, SO. 57709
Energy .f $250.00
10/12112 Betty Viers 101 Juneau dodge city, Ks.
.f $50.00
10/11/12 Shane & Kirstin Bangerter PO Box 1147 Dodge City, KS.
attomeylTeacher .f $250.00
. . . .
' .. . .
S~btobtl;ThiS Page
". ,.....
$2,200.00
Page -1-ofJL
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name ofCandidate)
Date Name and Address
ofContributor
Occupation & Industry of Individual Giving More
Than 5150 Casb
Check Appropriate Box
Cbeck Lou E fuDd. Olher
Amount of Cash, Check, Loan or Other
Receipt
09/28/12 Wal-Mart Stores 702 SW 8th St Bentonville, Ar 72716 a
Retail Store
.f $300.00
09/14/12 Ks State Farm Ins Agents PAC 825 S. Ks. Ave, Ste 500 Topeka, Ks. 66612
PAC
.f $100.00
10/09/12 Coffeyville Resources 10 E. Cambridge Circle Dr #250 Kansas City, Ks. 66103
Energy
.f $250.00
10/15/12 L & L Enterprises 901 S.2nd Dodge City, Ks. 67801
Auto Dealer .f $250.00
10/16/12 Ks Assoc For Responsible Liquor Laws 919 S. Ks. Ave Topeka, Ks. 66612
Represents Retail Liquor Dealers .f $200.00
10/08/12 NextEra Energy Resources LLC 700 Universe Blvd Juno Beach, FI. 33408
Energy .; $250.0tl'
10/02112 Microsoft One Lone Tree Rd Fargo, ND 58104
Computer Software .; $200.00
10/21/12 Gary Harshberger 10905 Wildfire Rd Minneola, Ks. 67865
Farmer
.f $500.00
10/10/12 Anderson Financial Svc, LLC Loan Max lM168 600 S. Broadway Salina, Ks. 67401
Financial Services .f $150.00
10/10/12 Leadingage Kansas 217 SE 8th Ave Topeka, Ks. 66603
Not for Profit Aging Services .f $150.00
10/04/12 Casey's General Store PO Box 3001 Ankeny, IA 50021
Grocery & Convenience Stores .f $150.00
.
.. .. . . .. :'. .. . . .. Subtotal This Page . , .
$2,500.00
pagelLofJL
SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS
Brian A. Weber
(Name ofCandidate)
Amount of Name and Address
CheckOccupation & Industry of Appropriate Box Cash, Check,
Date Individual Giving More
Loan or Otherof Contributor Than 5150 E fund.Casb Check LoaD Receipt()ihe;"
n/a
':.; . . ..... ....... .:'i:. .
, . '. . . '. . .'".. . $0.00
SUbtOtlllJ11is Page . "i.: . '..:.': .. ' ..... '. ,.:
Complete if last page of Schedule A
Total Itemized Receipts for Period $26,785.00
Total Unitemized Contributions ($50 or less)
Sale ofPolitical Materials (Unitemized)
Total Contributions When Contributor Not Known
TOTAI,.REC~IPTSTiriSP~~():I>(tolili~2ofSuJilmary) $26,785.00
pagelLofJL
-- --
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Brian A. Weber
(Name of Candidate)
Date Name and Address Purpose of Expenditure
or Disbursement Amount
7/27/12 Singularis Group PO Box 9265 Shawnee Mission, Ks. 66201
Campaign Mailing $1,039.09
7/27/12 Brian Weber - Reimbursement PO Box 804 Dodge City, Ks. 67801
RHCC contrbution $500; RHCC event food $590; KLEAR sponsor contribution $310; Dodge City Chamber dues/event $292;
$1,692.00
7/27/12 Brian Weber - Reimbursement PO Box 804 Dodge City, KS. 67801
Liberal Ks Chamber $105; Depot Theatre sponsor $250; United Way sponsor $100; Special Olympics sponsor $100;
$555.00
7/27/12 Brian Weber - Reimbursement PO Box 804 Dodge City, KS. 67801
Liberty event sponsor $50; Cellphone Jan-June $750; 2012 Filing fee $105 $905.00
7/31/12 Michael Pimer 10229 Millstone Dr Apt 3102 Lenexa,Ks.66220
Website design & consulting $300.00
8/24/12 Brian Weber - Reimbursement PO Box 804 Dodge City, Ks. 67801
Dodge City Daily Globe Ad $465.30
8/24/12 Kansas Ag & Rural Leadership 101 Umberger Hall Manhattan, Ks. 66506
Donation $250.00
9/24/12 Brian Weber - Reimbursement PO Box 804 Dodge City, Ks. 67801
Signage parts, posts, fastenrs & misc installation items $445.28
9/28/12 Tim Gallagher 700 5th Dodge City, KS. 67801
Labor to install signs $137.50
10/5/12 Hawver News Co, LLC 3823 SW Wood Valley Dr Topeka, KS. 66610
Subscription $200.00
10/19/12 RHCC 14206 Eby Overland Park, Ks. 66221
Republican House Campaign Committee $3,400.00
Subtotal This Page $9,389.17
.
Page 1 of 2
SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS
Brian A. Weber
(Name of Candidate)
Date Name and Address Purpose of Expenditure
or Disbursement Amount
10/15/12 Brian Weber - Reimbursement PO Box 804 Dodge City, KS. 67801
Material &fuel for signs $83.48; October fundraiser postage /labels/food $1126.50; Oct Topeka meeting hotel/mileage $565.12
$1,775.10
10/15/12 Brian Weber - Reimbursement PO Box 804 Dodge City, KS. 67801
April/Aug/Sept mileage for meetings in Topeka and SW Ks $618.12
Subtotal 'Ibis Page $2,393.22
Complete if last page of Schedule c
Total Itemized Expenditures This Period $11,782.39
Total Unitemized Expenditures of $50 or less $0.00
TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD (to line 4 of Summary)
$11,782.39
Page_2_of~