exp report main - Kansas

1 Campaign Finance Receipts and Expenditures report Page 1 of 1 Print this form or Go Back Campaign Finance Receipts Governmental Ethics Commission & Expenditures report 109 W. 9th, Suite 504 111012017 Topeka, KS 66612 Phone (785) 296-4219 Fax (785) 296-2548 ' Check only if appropriate Amended Filing Termination report Campaign Finance Candidate Name:Larry A Miller Filing report Address: 6300 W 156th Street Address2: City: Overland Park Zip: 66223 County: Johnson Home Phone: (913) 685-4755 Business Phone: Office Sought: State Representative District: 27 SUMMARY (covering the period from 10/28/2016 through 12/31/2016) 1 CASH ON HAND AT BEGINNING OF PERIOD '2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS ( schedule A) view/print $ 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $ 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS ( schedule C) view/print $ 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $ 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS ( schedule B) view/print $ 7 OTHER TRANSACTIONS ( schedule D) view/print $ "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.

2 I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." Electronically filed on: 1/5/20172:08:12 PM Signature of Candidate or Treasurer: Daniel Forgy Print this form or Go Back 115/2017 Campaign Finance schedule A report Page I of I Print this fonn or Go Back schedule A CONTRIBUTIONS AND OTHER RECEIPTS Candidate: Larry A Miller Date Name and Address of Contributor Type of Payment Cash, Check, Loan, Other Occupation And Industry of Individual Giving More Than $150 Amount 11/03/J6 Larry Miller 6300 W 156th Street Overland Park KS 66223 Check retired $ Total Itemized Receipts for Period $ Total Unitemized Contributions ($50 or less) $0 Sale of Political Materials (Unitemized) $0 Total Contributions When Contributor Not Known $0 TOTAL RECEIPTS THIS PERIOD $ Print this form or Go Back 1/5/2017 Campaign Finance schedule C report Page 1 of 1 Print this form or Go Back schedule C EXPENDITURES AND OTHER DISBURSEMENTS Candidate.

3 Larry A Miller Date Name and Address Purpose of Expenditure or Disbursement Amount 01/09/17 Facebook Not Available Not Available NA Electronic/Website Advertising Facebook fees $ 01/07/17 Facebook Not Available Not Available NA Electronic/Website Advertising Facebook fees $ 11/01/16 Bank of America Not Available Not Available NA Miscellaneous Bank charge $ 10/28/16 Sir Speedy Not Available Not Available NA Printing Campaign Sign $ Total Itemized Expenditures This Period Total Unitemized Expenditures of $50 or less TOTAL EXPENDITURES &OTHER DISBURSEMENTS THIS PERIOD $ $0 $ Print this form or Go Back 1/5/2017