Generated On: 10/19/2010 4:02:07 PM

Verified Statement Registration VSR

(Out-of-State Committee)

8601
RGA Wisconsin 2010 PAC
1747 Penn Ave, NWSte 250
Washington, DC 20006
202-662-4162
madams@rga.org
to make contributions from Republican Governors Association
Contact

Last Name: Adams First Name: Michael MI: G

Address: 1747 Penn Ave, NW Ste 250
City: Washington State: DC Zip Code: 20006 Phone: 202-662-4162
E-Mail: madams@rga.org

Parent Entity

Name: Republican Governors Association

Address: 1747 Penn Ave NW Ste 250
City: Washington State: DC Zip Code: 20006 Phone: 202-662-4162
E-Mail:

Jurisdiction

Name: Federal Election Commission

Address: 999 E. Street, NW
City: Washington State: DC Zip Code: 20463 Phone: 800-424-9530
E-Mail:

Iowa Resident Agent

Last Name: Blythe First Name: Dustin MI:

Address: 12716 Valdez Drive
City: Urbandale State: IA Zip Code: 50323 Phone: 515-251-6998
E-Mail:

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2
 Generated On: 10/19/2010 4:02:07 PM

2010 - Iowa Committees Receiving Contributions

Contribution
Date Committee Amount Check #
10/14/2010 RGA Iowa PAC (9776) $75,000.00 wire Filed Date:
1747 Penn. Ave NW STE 250 10/19/2010
Washington, DC 20006
9/29/2010 RGA Iowa PAC (9776) $12,000.00 112 Filed Date:
1747 Penn. Ave NW STE 250 10/13/2010
Washington, DC 20006
8/11/2010 RGA Iowa PAC (9776) $1,000.00 0101 Filed Date:
1747 Penn. Ave NW STE 250 8/12/2010
Washington, DC 20006
8/11/2010 RGA Iowa PAC (9776) $2,000.00 wire Filed Date:
1747 Penn. Ave NW STE 250 8/12/2010
Washington, DC 20006

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