Generated On: 10/17/2010 2:15:08 PM

Schedule E: In Kind Contributions Sch-E

Elect Ambrose Status: Filed
Committee Type: State House Statutory Due Date 10/19/2010

County: Scott Adjusted Due Date

District: 86 Filed Date 10/17/2010 1:35:01 PM

Committee Code: 1926 Postmark Date

Political Party: Republican Amendment Date

Date Name & Address of Relationship to Description of in Estimated Fair "X" for
Contributor Candidate *(if Kind Market Value Fund-
applicable) Contribution Raiser
7/31/2010 Ambrose, ray Self Printing & $602.80
1721 fillmore St Reproduction
dav., IA 52804
brochures
8/13/2010 Ambrose, ray Self Postage, Shipping, $220.00
1721 fillmore St Delivery
dav., IA 52804
stamps
8/13/2010 Ambrose, ray Self Printing & $2,509.67
1721 fillmore St Reproduction
dav., IA 52804
mailer
8/19/2010 Ambrose, ray Self Office Supplies $75.40
1721 fillmore St
dav., IA 52804 labels
8/23/2010 Ambrose, ray Self Printing & $758.00
1721 fillmore St Reproduction
dav., IA 52804
mailer
8/25/2010 Ambrose, ray Self Postage, Shipping, $336.00
1721 fillmore St Delivery
dav., IA 52804
stamps
8/25/2010 Ambrose, ray Self Printing & $758.00
1721 fillmore St Reproduction
dav., IA 52804
self mailer
9/25/2010 Ambrose, ray Self Advertising $315.00
1721 fillmore St
dav., IA 52804 ad
9/25/2010 Ambrose, ray Self Printing & $608.02
1721 fillmore St Reproduction
dav., IA 52804
fundraiser letter
9/27/2010 Ambrose, ray Self Printing & $519.71
1721 fillmore St Reproduction
dav., IA 52804
flyer

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2
 Generated On: 10/17/2010 2:15:08 PM

Schedule E: In Kind Contributions Sch-E

Elect Ambrose Status: Filed
Committee Type: State House Statutory Due Date 10/19/2010

County: Scott Adjusted Due Date

District: 86 Filed Date 10/17/2010 1:35:01 PM

Committee Code: 1926 Postmark Date

Political Party: Republican Amendment Date

Date Name & Address of Relationship to Description of in Estimated Fair "X" for
Contributor Candidate *(if Kind Market Value Fund-
applicable) Contribution Raiser
9/28/2010 Ambrose, ray Self Miscellaneous or $271.78
1721 fillmore St Unitemized
dav., IA 52804
yard signs
10/6/2010 Ambrose, ray Self Postage, Shipping, $880.00
1721 fillmore St Delivery
dav., IA 52804

Total Estimated Fair

$7,854.38
Market Value

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 2