8/7/2019 Iowa Providers PAC_6488_A_Contributions

1/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

7/16/2002 Rommes, Jean M None $105.00 X

310 East Fayette

Check #

1 1076 Osceola, IA 50213

7/16/2002 Smith, Linda None $100.00

1637 National Drive

Check #

2 5058 Fort Dodge, IA 50501-8644

7/18/2002 Lenaghan, Andrew None $150.00

630 Lincoln Court

Check #

3 2572 Davenport, IA 52804

7/25/2002 Clark, Sherri L None $125.00

2404 N. 8th NO. 45

Check #

4 2758 Red Oak, IA 51566

7/25/2002 Eachus, Thomas None $80.00 X

831 Fletcher Ave

Check #

5 5669 Waterloo, IA 50701

7/25/2002 Kellen, Linda None $80.00 X

4616 Nicollet Way

Check #

6 2236 Sioux City, IA 51106

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

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 Page 1 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

2/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

7/26/2002 Koch-Seehase, Susan E None $150.00

3045 Vanderbilt Ave

Check #

7 3325 Sumner, IA 50674

7/30/2002 Dannenbring, Jill None $80.00 X

609 - 32nd Street

Check #

8 1224 West Des Moines, IA 50265

8/8/2002 Zimmerman, Kenneth None $50.00

1627 - 77th Place SW

Check #

9 8941 Mason City, IA 50401

8/16/2002 Hanna, Patricia None $200.00 X

1640 Edgewood Drive

Check #

17 1602 Carroll, IA 51401

8/16/2002 Hermsen, Frank H None $150.00 X

521 E. Anthony

Check #15 4857 Carroll, IA 51401

8/16/2002 Jansen, Jodie None $40.00

103 Sue

Check #

21 473 Manning, IA 51455

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 Page 2 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

3/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

8/16/2002 Jobe, Irma None $100.00 X

503 E. 19th Street #10

Check #

22 1192 Spencer, IA 51301

8/16/2002 Jones, Richard None $160.00 X

535 Forest Dr

Check #

23 4173 Council Bluffs, IA 51503

8/16/2002 Koch-Seehase, Susan E None $80.00 X

3045 Vanderbilt Ave

Check #

24 3324 Sumner, IA 50674

8/16/2002 Lauver, Gordon None $50.00 X

2125 Pella Ave

Check #

25 1059 Manson, IA 50563

8/16/2002 Lees, Richard None $50.00

2236 Skyline Drive

Check #26 1169 Carroll, IA 51401

8/16/2002 Mart, Rhonda None $40.00

1608 Salinger

Check #

30 8782 Carroll, IA 51401

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 Page 3 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

4/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

8/16/2002 Nieland, Mrs. Walter None $30.00

1610 N. West

Check #

32 7110 Carroll, IA 51401

8/16/2002 Nielsen-Aronson, Laura None $150.00

221 - 3rd Street NW

Check #

10 1406 LeMars, IA 51031

8/16/2002 Rothmeyer, Mathias None $50.00

Box 2

Check #

35 2351 Glidden, IA 51443

8/16/2002 Unitemized N/A $10.00

N/A

Check # N/A

11 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $10.00

N/A

Check # N/A18 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $10.00

N/A

Check # N/A

19 N/A N/A, N/A N/A

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 Page 4 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

5/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

8/16/2002 Unitemized N/A $10.00

N/A

Check # N/A

20 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $10.00

N/A

Check # N/A

34 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $10.00

N/A

Check # N/A

37 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $20.00

N/A

Check # N/A

28 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $20.00

N/A

Check # N/A33 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A

12 N/A N/A, N/A N/A

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 Page 5 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

6/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A

13 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A

14 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A

16 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A

27 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A29 N/A N/A, N/A N/A

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A

31 N/A N/A, N/A N/A

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 Page 6 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

7/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

8/16/2002 Unitemized N/A $25.00

N/A

Check # N/A

36 N/A N/A, N/A N/A

8/16/2002 Wilson, Matthew D None $80.00 X

950 W. Price Street

Check #

38 10016 Eldridge, IA 52748

8/30/2002 Lenaghan, Andrew None $160.00 X

630 Lincoln Court

Check #

39 2585 Davenport, IA 52804

8/30/2002 McKeon, Michael None $80.00 X

2505 Racine Avenue

Check #

40 1523 Winthrop, IA 50682

9/2/2002 Gatton, Cathy None $80.00 X

801 N Minnesota Ave

Check #41 5106 Algona, IA 50511

9/2/2002 Menning, Jean None $80.00 X

302 Woodlyn Way

Check #

42 6055 Algona, IA 50511

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 Page 7 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

8/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

9/2/2002 Shaw, Erin None $80.00 X

1221 E. Commercial Street

Check #

43 6178 Algona, IA 50511

9/4/2002 Schultz, Laura J None $50.00 X

347 Golden Oaks Drive

Check #

44 7984 Council Bluffs, IA 51503

9/5/2002 Berg, Reinhold V None $25.00 X

1418 McKinley Drive

Check #

45 7433 Ames, IA 50010

9/5/2002 Braun, Rod None $80.00 X

612 Brabant Laan

Check #

46 2557 Pella, IA 50219

9/5/2002 Davis, Jean None $80.00 X

516 South Avenue

Check #47 1680 Algona, IA 50511

9/5/2002 Gritters, Nancy None $60.00 X

1066 - 228th Avenue

Check #

48 3392 Pella, IA 50219

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 Page 8 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

9/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

9/5/2002 Hugley, Cornelius None $60.00 X

214 SW Park Ave

Check #

49 8576 Des Moines, IA 50315

9/5/2002 Hyndman, Ken None $60.00 X

101 Lowell Drive

Check #

50 2291 Eddyville, IA 52553

9/5/2002 Reefer, Grant None $80.00 X

1031 Harken Hills Dr

Check #

51 3219 Osceola, IA 50213

9/5/2002 Schilling, Mark None $60.00 X

937 202 Avenue

Check #

52 2670 Pella, IA 50219

9/5/2002 Williams, Robert None $250.00 X

4 Fair Meadows

Check #53 5462 Mason City, IA 50401

9/10/2002 Unitemized N/A $25.00

N/A

Check # N/A

54 N/A N/A, N/A N/A

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 Page 9 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

10/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

9/13/2002 Mann, Susan None $250.00 X

13508 Village Court

55 Clive, IA 50325

9/13/2002 Morris, Jeffrey None $75.00

1110 South F Street

Check #

57 2794 Oskaloosa, IA 52577

9/13/2002 Reno, Mark None $275.00 X

3662 Ingersoll, Apt. 411

Check #

58 1575 Des Moines, IA 50312

9/13/2002 Unitemized N/A $25.00 X

N/A

Check # N/A

56 N/A N/A, N/A N/A

9/17/2002 Becker, Ryan None $250.00 X

411 E. Poisal

Check # Box 44360 4702 Clarksville, IA 506190443

9/17/2002 Benbow, James None $320.00 X

7808 Goodman Drive

Check #

61 2799 Urbandale, IA 50322

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 Page 10 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

11/13

8/7/2019 Iowa Providers PAC_6488_A_Contributions

12/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

9/17/2002 Young-Streit, Linda None $80.00 X

1722 Harrison Street

Check #

67 2451 Boone, IA 50036

9/18/2002 Chandler, Shelly A None $80.00 X

8029 Delwood Drive

Check #

68 2246 Des Moines, IA 50322

9/18/2002 Hermsen, Frank H None $190.00

521 E. Anthony

Check #

69 4858 Carroll, IA 51401

9/18/2002 Lane, Clark None $50.00

102 N Taft

Check # PO Box 689

70 2042 Humboldt, IA 50546

9/18/2002 Syata, Craig None $40.00 X

2441 Patricia rive

Check #71 cash Urbandale, IA 50322

9/18/2002 Unitemized N/A $20.00

N/A

Check # N/A

72 N/A N/A, N/A N/A

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 Page 12 of 1304/23/2005 04:42:02

8/7/2019 Iowa Providers PAC_6488_A_Contributions

13/13

Batch processed using the IECDB Web Reporting System on Schedule AContributions

04/23/2005 04:42:02

Committee Name

Iowa Providers PAC

Amended Committee Type Iowa PAC

Committee ID 6488 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

10/19/2002

10/21/2002

10/15/2002

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

9/22/2002 Hermsen, Frank H None $7.15

521 E. Anthony

Check #

73 4859 Carroll, IA 51401

10/3/2002 Unitemized N/A $25.00

N/A

Check # N/A

74 N/A N/A, N/A N/A

10/4/2002 Hermsen, Frank H None $30.00

521 E. Anthony

Check #

75 4861 Carroll, IA 51401

10/4/2002 Syata, Craig None $20.00

2441 Patricia Drive

Check #

77 993 Des Moines, IA 50322

10/4/2002 Syata, Craig None $80.00 X

2441 Patricia Drive

Check #76 993 Des Moines, IA 50322

Total Regular Contributions $1,702.15

Total Fundraiser Contributions $4,195.00

Grand Total All Contributions $5,897.15

Batch processed using the IECDB Web Reporting System on Page 13 of 1304/23/2005 04:42:02