Batch processed using the IECDB Web Reporting System on 07/12/2005 04:43:14 Schedule A

Contributions

Schedule A: Contributions -- Money Taken In Sch-A

Committee Name Committee ID 1494 Statutory Due Date 10/29/2004
Citizens for Anderson Adjusted Due Date
Filed Date 10/28/2004
Amended Date 10/28/2004
Status Amended Committee Type State House Received Date

Contribution Contribution Relationship To Contribution Fund-

Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

10/18/2004 PAIGE, WALDEN None $100.00

209 W WASHINGTON

1 CLARINDA, IA 51632

10/19/2004 Unitemized N/A $15.00

N/A
Check # N/A
2 N/A N/A, N/A N/A

10/20/2004 SHELTON, BILL None $200.00

103 BROAD AVE

3 STANTON, IA 51573

10/20/2004 6078 Iowa Physical Therapy PAC N/A $500.00

5355 Eastern Ave

Check #
6 1592 Davenport, IA 52807-

Hy-Vee, Inc. Employees' Political

10/20/2004 6282 N/A $200.00
Action Committee
5820 Westown Parkway
Check #
4 001523 West Des Moines, IA 50266

10/20/2004 6300 Fareway Stores, Inc. PAC (FASPAC) N/A $0.00

Box 70
Check #
5 5093 Boone, IA 50036

Batch processed using the IECDB Web Reporting System on 07/12/2005 04:43:14 Page 1 of 2

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028
Batch processed using the IECDB Web Reporting System on 07/12/2005 04:43:14 Schedule A
Contributions

Committee Name Committee ID 1494 Statutory Due Date 10/29/2004

Citizens for Anderson Adjusted Due Date
Filed Date 10/28/2004
Amended Date 10/28/2004
Status Amended Committee Type State House Received Date

Contribution Contribution Relationship To Contribution Fund-

Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

10/20/2004 8338 FASPAC - Fareway Stores, Inc PAC N/A $100.00

2300 E. 8th Street

Check #
7 5093 Boone, IA 50036

Total Regular Contributions $1,115.00

Total Fundraiser Contributions
Grand Total All Contributions $1,115.00

Batch processed using the IECDB Web Reporting System on 07/12/2005 04:43:14 Page 2 of 2

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