Campaign Finance Receipts by okk10033

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									Campaign Finance Receipts and Expenditures Report                                                               Page 1 of 1



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                       Campaign Finance Receipts                                   Governmental Ethics Commission
                       & Expenditures Report                                            109 W. 9th, Suite 504
                       January 10 2010                                                   Topeka, KS 66612
                                                                                       Phone (785) 296-4219
                                                                                         Fax (785) 296-2548
                                                                                       www.kansas.gov/ethics


                          Check only if appropriate    Amended Filing        .Termination Report
   Campaign Finance      Candidate Name: Svaty Don
       Filing Report     Address: 1355 Highway 156
                         City: Ellsworth Zip: 67439 County: Ellsworth
                         Home Phone: 7854724847 Business Phone:
                         Office Sought: State Representative District: 108
SUMMARY (covering the period from January 01 2009 through December 31 2009)
 1 CASH ON HAND AT BEGINNING OF PERIOD                                                                                 $0.00
 2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS                                           (Schedule A) view             $5,220.00
 3 CASH AVAILABLE THIS PERIOD                                                       (Add Lines 1 and 2)           $5,220.00
 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS                                       (Schedule C) view                  $0.00
 5 CASH ON HAND AT CLOSE OF PERIOD                                                  Subtract Line 4 from 3)       $5,220.00
 6 IN-KIND CONTRIBUTIONS                                                            (Schedule B) view                  $0.00
 7 OTHER TRANSACTIONS                                              i                (Schedule D) view                  $0.00
"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. I understand that the intentional failure to file this document or
intentionally filing a false document is a class A misdemeanor."
Electronically filed on: 1/3/20102:22:30 PM
Signature of Candidate or Treasurer: Don Svaty


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http://www.kssos.org/elections/cfr_viewer/reports/exp_report-:main.aspx                                           1/5/2010
 Campaign Finance Schedule A Report                                                           Page 1 of3


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                                                SCHEDULE A


                              CONTRIBUTIONS AND OTHER RECEIPTS


     Candidate: Don Svaty

                                             Type of Payment      Occupation And
              Name and Address                                    Industry of Individual
 Date                                        Cash, Check, Loan,                            Amount
              of Contributor                 Other
                                                                  Giving
                                                                  More Than $150
              Kansas Dental
 12/28/09     5200 SW Huntoon ST             Check                                            $250.00
              Topeka KS 66604
              Thomas Wiggans
                                                                   CEO Pharmaceutical
 12/18/09     10981 S Parish                 Check                                            $250.00
                                                                  Industry
              Olathe KS 66061
              Josh Svaty
                                                                  Acting Secretary State
 12/29/09     1606 Ave. JJ                   Check                                            $250.00
                                                                  Government
              Ellsworth KS 67439
              United Transportation
              Union
 12/15/09                                    Check                                            $500.00
              14600 Detroit AVE
              Cleveland OH 44107
              Derril Gwinner
 12/09/09     801 E Third                    Check                Optometrist Optometry       $200.00
              Ellsworth KS 67439
              Edward Mock
 12/16/09     1031 Merrily CIR               Check                                             $50.00
              Salina KS 67401
               Kansas Restaurant and
              Hospitality Association
 12/09/09                                    Check                                            $150.00
              3500 N Rock RD
              Wichita KS 67226
               Altria Client Services Inc.
 09/21109     6601 W Broad ST                Check                                            $250.00
              Richmond VA 23230
               Keenan Law Firm
 12/15/09     2200 Lakin                     Check                                            $100.00
              Great Bend KS 67530
               CSB Bancshares
.
 12/l8/09   203 N Douglas                  Check                                            $250.00
              Ellsworth K~ 67439
              Judy Dunn
 12/15/09     101 N Skyline DR               Check                                             $15.00
              Salina KS 67401




http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx                         1/5/2010
Campaign Finance Schedule A Report                                           Page 20f3


            George Jester
 12/14/09   1838 Glendale RD            Check                                 $15.00
            Salina KS 67401
            Ivan or Margaret Hulstine
 12/15/09   824 S Santa Fe              Check                                 $30.00
            Salina KS 67401
            Janet Kloster
 12/15/09   2523 Kasyn LN               Check                                 $20.00
            Salina KS 67401
            Rick or RitaJohnson
 12/15/09   133 N Highland ST           Check                                 $50.00
            Assaria KS 67416
            George Jerkovich
            539 Upper Mill Heights
 12/15/09                               Check                                $100.00
            RD
            Salina KS 67401
            Shirley Jacques
 12/14/09   509 W Republic              Check                                $100.00
            Salina KS 67401
            Alan Jilka
 12/15/09   847 S 9th ST                Check                                 $15.00
            Salina KS 67401
            Patrick or
            Virginia Hoffman
12/15/09                                Check                                 $50.00
            607 N Washington
            Ellsworth KS 67439
            Janice Morris
12/15/09    1229 W Falun RD             Check                                 $25.00
            Assaria KS 67416
            David Norlin
12/15/09    608 E Republic              Check                                 $15.00
            Salina KS 67401
            Patricia Svaty
12/15/09    403 N Court                 Check                Retired Nurse   $500.00
            Ellsworth KS 67439
            Marty Keenan
12/15/09    3600 23rd                   Check                                $100.00
            Great Bend KS 67530
            Kenneth or Cara Johnston
08/02/09    940 New Jersey ST           Check                                 $25.00
            Lawrence KS 66044
             KS SF Insurance Agents
            and Employees
11/04/09                                Check                                $250.00
            555 S Kansas AVE
            Topeka KS 66603
            Bill Brady



http)/www.kssos.org/elections/cfr_viewer/reports/schedule_a_report. aspx      1/5/2010
Campaign Finance Schedule A Report                                         Page 3 of3


             1235 Stone Creek DR
 12/08/09                                      Check                       $100.00
             Lawrence KS 66049
             Allan White
 12/08/09    112 Neal CT                       Check                       $100.00
             Salina KS 67401
             Mary Frances Hogg
 12/11/09    710 Carriage CT                   Check                         $15.00
             Salina KS 67401
             Sally Siegrist
 12/11/09    7073 E Cloud                      Check                         $50.00
             Salina KS 67401
             Lew McAtee
 12/11/09    506 Novak                         Check                         $30.00
             Ellsworth KS 67439
             HCA Good Government
             Fund
 12/04/09                                      Check                       $200.00
             550 N Hillside
             Wichita KS 67214
             Anheuser Busch
 12/04/09    1 Busch PL                        Check                       $200.00
             St. Louis MO 63118                                                   ,



             Aaron Otto
 12/15/09    5200 Catalina                     Check                       $100.00
             Roeland Park KS 66205
              Twin Valley Telephone
 12/1 0/09   22 Spruce                         Check                       $500.00
             MIltonvale KS 67466
             McPherson County
             Democrats
 12/30/09                                      Check                       $250.00
             1349 Svensk RD
             Lindsborg KS 67456
Total Itemized Receipts for Period                                        $5,105.00
Total Unitemized Contributions ($50 or less)                               $115.00
Sale of Political Materials (Unitemized)                                      $0.00
Total Contributions When Contributor Not Known                                $0.00
TOTAL RECEIPTS THIS PERIOD                                                $5,220.00

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http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx      1/5/2010

								
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