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Batch processed using the IECDB Web Reporting System on 04/22/2005 04:51:22 Schedule A

Contributions

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


Committee Name Committee ID 6073 Statutory Due Date 10/19/2002
IOWA MEDICAL POLITICAL ACTION COMMITTEE Adjusted Due Date 10/21/2002
Filed Date 10/15/2002
Amended Date
Status Amended Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

7/22/2002 El-Khoury, George Y None $125.00

U/I Hospitals & Clinics


Dept of Radiology JPP3898
3 Iowa City, IA 52242

7/22/2002 Kammermeyer, John K None $125.00

404 E Bloomington Street

4 Iowa City, IA 52245

7/22/2002 McGinness, Dorothy None $125.00

2713 Hickory Ridge Drive

1 West Des Moines, IA 50265

7/22/2002 Peppin, John None $250.00

1235 8th Street

2 West Des Moines, IA 50265

8/6/2002 Maschka, Donald A None $125.00

250 S Crescent Drive

5 Mason City, IA 50401

8/30/2002 Cole, James D None $125.00

4405 Hamilton Blvd


Box 3246
6 Sioux City, IA 51102

Batch processed using the IECDB Web Reporting System on 04/22/2005 04:51:22 Page 1 of 4

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 04/22/2005 04:51:22 Schedule A
Contributions

Committee Name Committee ID 6073 Statutory Due Date 10/19/2002


IOWA MEDICAL POLITICAL ACTION COMMITTEE Adjusted Due Date 10/21/2002
Filed Date 10/15/2002
Amended Date
Status Amended Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

8/30/2002 Forney, Stephen M None $125.00

1215 Pleasant Street


Suite 400
7 Des Moines, IA 50309

8/30/2002 Lewis, J Randolph None $125.00

1236 E Rusholme Street


Suite 300
8 Davenport, IA 52803

8/30/2002 Moran, Brian D None $125.00

1515 Delhi Street


Suite 100
10 Dubuque, IA 52001

8/30/2002 Pfohl, Bruce M None $250.00

U/I Hospitals & Clinics


Dept of Psychiatry JPP1700
9 Iowa City, IA 52242
American Medical Political Action
9/25/2002 N/A $75.00
Committee
1101 Vermont NW

21 Washington, DC 20005

9/25/2002 Blair, William F None $166.00

2403 Towncrest Drive

16 Iowa City, IA 52240

Batch processed using the IECDB Web Reporting System on 04/22/2005 04:51:22 Page 2 of 4

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 04/22/2005 04:51:22 Schedule A
Contributions

Committee Name Committee ID 6073 Statutory Due Date 10/19/2002


IOWA MEDICAL POLITICAL ACTION COMMITTEE Adjusted Due Date 10/21/2002
Filed Date 10/15/2002
Amended Date
Status Amended Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

9/25/2002 Brown Jr, Addison None $250.00

3121 4th Street, SW

17 Mason City, IA 50401

9/25/2002 Durkee, Michael M None $167.00

2403 Towncrest Drive

12 Iowa City, IA 52240

9/25/2002 Dykstra, Edward A None $167.00

2751 Northgate Drive

11 Iowa City, IA 52245

9/25/2002 Kobliska, David R None $100.00

1790 Blairs Ferry Road

18 Hiawatha, IA 52233

9/25/2002 Kobliska, Sarah None $100.00

1125 Indian Creek Circle

19 Marion, IA 52302

9/25/2002 Lash, Edward G None $166.00

2403 Towncrest Drive

15 Iowa City, IA 52240

Batch processed using the IECDB Web Reporting System on 04/22/2005 04:51:22 Page 3 of 4

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 04/22/2005 04:51:22 Schedule A
Contributions

Committee Name Committee ID 6073 Statutory Due Date 10/19/2002


IOWA MEDICAL POLITICAL ACTION COMMITTEE Adjusted Due Date 10/21/2002
Filed Date 10/15/2002
Amended Date
Status Amended Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

9/25/2002 Law, Edward G None $167.00

2403 Towncrest Drive

13 Iowa City, IA 52240

9/25/2002 Mysnyk, Mark C None $167.00

2403 Towncrest Drive

14 Iowa City, IA 52240

9/25/2002 Roberts, Elizabeth None $125.00

27 Quail Court

20 Sioux City, IA 51104

10/14/2002 Merrill Lynch N/A $216.44

400 Locust Street


Suite 600
22 Des Moines, IA 50309

Total Regular Contributions $3,366.44


Total Fundraiser Contributions
Grand Total All Contributions $3,366.44

Batch processed using the IECDB Web Reporting System on 04/22/2005 04:51:22 Page 4 of 4

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

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