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KANSAS GOVERNMENTAL ETHICS COMMISSION RECEIPTS AND EXPENDITURES REPORT OF A POLITICAL OR PARTY COMMITTEE January 10,2012FILE WITH SECRETARY OF STATE SEE REVERSE SIDE FOR INSTRUCTION Name of Committee:

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The name of the committee kanacrnapa refers to a specific committee established for regulatory or administrative purposes.

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Individuals or organizations that are part of the committee or are directly involved in its activities are required to file the name of committee kanacrnapa.

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The purpose of the name of committee kanacrnapa is to oversee, regulate, or provide guidance on specific issues as determined by its mandate.

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Information that must be reported includes the committee's name, its members, objectives, activities, and any pertinent financial information.

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