Batch processed using the IECDB Web Reporting System on 02/15/2005 04:43:18 Schedule A

Contributions

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

Committee Name Committee ID 868 Statutory Due Date 11/1/2002
Jacobs Committee Adjusted Due Date
Filed Date 10/30/2002
Amended Date 10/30/2002
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

10/24/2002 Courter, Jeffrey W None $25.00

229 South 26th St

Check #
8 7129 West Des Moines, IA 50265

10/24/2002 Harmeyer Fisher, Cynthia None $100.00

125 56th Place

Check #
12 5368 West Des Moines, IA 50266

10/24/2002 Ryan, Joseph Jr B None $100.00

1065 Browns Woods Dr

Check #
6 3127 West Des Moines, IA 50265

10/24/2002 Sankey, Kathryn None $100.00

5703 Coachlight Ct
Check #
10 6511 West Des Moines, IA 50266

10/24/2002 Unitemized N/A $25.00

N/A
Check # N/A
7 N/A N/A, N/A N/A

10/24/2002 Unitemized N/A $25.00

N/A
Check # N/A
9 N/A N/A, N/A N/A

Batch processed using the IECDB Web Reporting System on 02/15/2005 04:43:18 Page 1 of 7

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 02/15/2005 04:43:18 Schedule A
Contributions

Committee Name Committee ID 868 Statutory Due Date 11/1/2002

Jacobs Committee Adjusted Due Date
Filed Date 10/30/2002
Amended Date 10/30/2002
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

10/24/2002 Unitemized N/A $25.00

N/A
Check # N/A
11 N/A N/A, N/A N/A

10/24/2002 Unitemized N/A $25.00

N/A
Check # N/A
14 N/A N/A, N/A N/A

10/24/2002 Vande Kamp, Jerry J None $50.00

5704 Aspen Drive

Check #
13 954 West Des Moines, IA 50266

10/24/2002 Vaudt, David A None $100.00

1715 South 42nd St

Check #
5 2342 West Des Moines, IA 50265

10/24/2002 6411 MCI Iowa PAC N/A $200.00

707 17th St.

Check # Suite 4200
4 1235 Denver, CO 80202

10/24/2002 6475 Casey's PAC N/A $200.00

One SE Convenience Boulevard

Check # PO Box 3001
3 2644 Ankeny, IA 50021

Batch processed using the IECDB Web Reporting System on 02/15/2005 04:43:18 Page 2 of 7

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 02/15/2005 04:43:18 Schedule A
Contributions

Committee Name Committee ID 868 Statutory Due Date 11/1/2002

Jacobs Committee Adjusted Due Date
Filed Date 10/30/2002
Amended Date 10/30/2002
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

Iowa Society of Anesthesiologists

10/24/2002 6484 N/A $500.00
Political Action Committee
2155 NW 137th Street
Check #
2 1562 Clive, IA 50325

10/24/2002 9664 SITIPAC N/A $100.00

812 52nd St
Check #
1 1509 West Des Moines, IA 50265

10/29/2002 Clark, Daniel J None $50.00

5701 Cody Drive

Check #
27 5234 West Des Moines, IA 50266

10/29/2002 Hill, Carolyn S None $100.00

3200 Valley Ridge Ct

Check #
25 1732 West Des Moines, IA 50265

10/29/2002 Johnson, Brian E None $100.00

6824 Panorama Dr
Check #
35 1043 Panora, IA 50216

10/29/2002 McNurlen, Robert K None $50.00

5515 Little Leaf Trail

Check #
34 7122 West Des Moines, IA 50266

Batch processed using the IECDB Web Reporting System on 02/15/2005 04:43:18 Page 3 of 7

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 02/15/2005 04:43:18 Schedule A
Contributions

Committee Name Committee ID 868 Statutory Due Date 11/1/2002

Jacobs Committee Adjusted Due Date
Filed Date 10/30/2002
Amended Date 10/30/2002
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

10/29/2002 Neilsen, Craig H None $150.00

8620 Titleist Circle

Check #
23 007808 Las Vegas, NV 89117

10/29/2002 Oakley, Brice None $150.00

418 38th Place

Check #
24 1828 Des Moines, IA 50312

10/29/2002 Sheriff, Linda None $50.00

813 58th St
Check #
31 1228 West Des Moines, IA 50266

10/29/2002 Smith, Kristin J None $50.00

5918 Coachlight Ct
Check #
28 7624 West Des Moines, IA 50266

10/29/2002 Unitemized N/A $15.00

N/A
Check # N/A
30 N/A N/A, N/A N/A

10/29/2002 Unitemized N/A $20.00

N/A
Check # N/A
26 N/A N/A, N/A N/A

Batch processed using the IECDB Web Reporting System on 02/15/2005 04:43:18 Page 4 of 7

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 02/15/2005 04:43:18 Schedule A
Contributions

Committee Name Committee ID 868 Statutory Due Date 11/1/2002

Jacobs Committee Adjusted Due Date
Filed Date 10/30/2002
Amended Date 10/30/2002
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

10/29/2002 Unitemized N/A $25.00

N/A
Check # N/A
29 N/A N/A, N/A N/A

10/29/2002 Unitemized N/A $25.00

N/A
Check # N/A
32 N/A N/A, N/A N/A

10/29/2002 Unitemized N/A $25.00

N/A
Check # N/A
33 N/A N/A, N/A N/A
Associated Builders & Contractors of
10/29/2002 6008 N/A $50.00
Iowa Political Action C
63 College Avenue
Check #
15 2027 Des Moines, IA 50314

10/29/2002 6058 Iowa Chiropractic Society Pac N/A $100.00

901 E. Charles St.

Check #
18 2183 Oelwein, IA 50662

10/29/2002 6064 Iowa Friends of Rural Electrification N/A $100.00

18286 170th Street

Check #
21 1781 Sumner, IA 50674-7549

Batch processed using the IECDB Web Reporting System on 02/15/2005 04:43:18 Page 5 of 7

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 02/15/2005 04:43:18 Schedule A
Contributions

Committee Name Committee ID 868 Statutory Due Date 11/1/2002

Jacobs Committee Adjusted Due Date
Filed Date 10/30/2002
Amended Date 10/30/2002
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

10/29/2002 6070 Iowa Lawpac N/A $200.00

123 First St. SE, Box 59

Check #
19 2866 Waverly, IA 506770059

10/29/2002 6077 Iowa Pharmacy PAC N/A $200.00

P.O. Box 299

Check #
17 1637 Waverly, IA 50677-

10/29/2002 6078 Iowa Physical Therapy PAC N/A $100.00

5355 Eastern Ave

Check #
20 1466 Davenport, IA 52807-

10/29/2002 6098 Iowa BEV PAC #6098 N/A $250.00

2106 East Third Street

Check #
16 3232 Sioux City, IA 51101

10/29/2002 6109 Wells Fargo State PAC - Iowa N/A $100.00

666 Walnut Street

Check # P. O. Box 837
22 1220 Des Moines, IA 50304-0834

10/30/2002 Unitemized N/A $25.00

N/A
Check # N/A
36 N/A N/A, N/A N/A

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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 02/15/2005 04:43:18 Schedule A
Contributions

Committee Name Committee ID 868 Statutory Due Date 11/1/2002

Jacobs Committee Adjusted Due Date
Filed Date 10/30/2002
Amended Date 10/30/2002
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

Total Regular Contributions $3,510.00

Total Fundraiser Contributions
Grand Total All Contributions $3,510.00

Batch processed using the IECDB Web Reporting System on 02/15/2005 04:43:18 Page 7 of 7

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