Transcription of ll-~-/b - Kansas
1 PAC AND PARTY COMMITTEE REPORT LAST MINUTE CONTRIBUTIONS! INDEPENDENT EXPENDITURES IN EXCESS OF $300 (Covering the Period from October 28, 2016 through November 2, 2016) l';ovember 3, 2016 Name of Committee: Address: City and Zip Code: This is a (check one): r-~llitical Committee This report must be filed by 5:00 Thursday, November 3, 2016 showing any contribution received from a single source in excess of $300, as well as any independent expenditure made in excess of $300, which is intended to expressly advocate the election or defeat of a clearly identified candidate for state or local office. The report may be filed by hand delivery, express delivery, electronically with the Secretary of State (must already have an electronic account), or by fax at 785~29J -3051 or 785-296-2548. All infonnation included on this report must also be included on the January 10,2017 Receipts and Expenditures Report. Summary: 1. Total Contributions 2. Total Independent Expenditures "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." ll-~-/b Date GEC Fonn 2016 SCHEDULE OF CONTRIBUTIONS IN EXCESS OF $300 -h:. c. 't< t 5iim1 iftA 2 ; (Name of Party Committee or Political ommlllce) Name and Address Occupation of Amount ofDate of Contributor Individual Contributor Contributions IDil t'b Stt,~1<.Q S ~ .d( ~!zJv t~oaJ,tO1Jt'~ s jfJ.:S!<;:. L/,/(J 5I*~ GflMWc~ /+~-tu ?Wf-1I'50t/,(Jds:'ci:/&. ,t. ?~:'Ol ""~(SJ!%~/6 ' l/J.,A 4 Nt5: 6'~1/ tI .4/W~~ k;; (! /I 13~llL.;~ (r9'~ (!tJ-)~CtL(k~!I{J~ -;), 71'tA t './ ..> , :f-,; ~b ~:1 a '.12r "ia-:rv<..,f?-, #1t::l, 6Lf0;<:. I 0:: f ~5 VtJ, tJ ()Total Contributions jPage .. / or))))))}
