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Batch processed using the IECDB Web Reporting System on 04/26/2005 04:44:52 Schedule A

Contributions

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


Committee Name Committee ID 9687 Statutory Due Date 1/19/2003
Grinnell Mutual Reinsurance Company PAC Adjusted Due Date 1/21/2003
Filed Date 12/31/2002
Amended Date 9/2/2003
Status Audited Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

10/2/2002 Heinen, Stacy None $250.00

1872 510th Avenue

1 Montezuma, IA 50171

10/2/2002 Kelling, Carla None $260.00

1827 Spencer Street

2 Grinnell, IA 50112

12/27/2002 Agnew, Dan None $90.00

1935 Reed Street

4 Grinnell, IA 50112

12/27/2002 Amsbaugh, Tammie None $30.00

7308 SW 17th

15 Des Moines, IA 50315

12/27/2002 Bachmann, Tom None $60.00

14834 Hwy 6

11 Grinnell, IA 50112

12/27/2002 Chittick, Dana None $30.00

402 West Street

20 Victor, IA 52347

Batch processed using the IECDB Web Reporting System on 04/26/2005 04:44:52 Page 1 of 5

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 04/26/2005 04:44:52 Schedule A
Contributions

Committee Name Committee ID 9687 Statutory Due Date 1/19/2003


Grinnell Mutual Reinsurance Company PAC Adjusted Due Date 1/21/2003
Filed Date 12/31/2002
Amended Date 9/2/2003
Status Audited Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

12/27/2002 Connelly, Gary None $30.00

604 VanHorne Circle

10 Grinnell, IA 50112

12/27/2002 Day, Dennis None $90.00

507 N. 16th Street

22 Marshalltown, IA 50158

12/27/2002 Henderkott, Janice None $60.00

1403 West Street

21 Grinnell, IA 50112

12/27/2002 Larsen, Brent None $30.00

479 390th Street

7 Grinnell, IA 50112

12/27/2002 McDonald, Mac None $50.00

115 Crabtree Road

19 Montezuma, IA 50171

12/27/2002 McDonald, Teri None $48.00

115 Crabtree Road

8 Montezuma, IA 50171

Batch processed using the IECDB Web Reporting System on 04/26/2005 04:44:52 Page 2 of 5

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 04/26/2005 04:44:52 Schedule A
Contributions

Committee Name Committee ID 9687 Statutory Due Date 1/19/2003


Grinnell Mutual Reinsurance Company PAC Adjusted Due Date 1/21/2003
Filed Date 12/31/2002
Amended Date 9/2/2003
Status Audited Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

12/27/2002 McKay, Shawn None $60.00

1413 Ann Street

25 Grinnell, IA 50112

12/27/2002 Menary, Jeff None $50.00

701 East Dallas Street

17 Montezuma, IA 50171

12/27/2002 Mugge, Mark None $60.00

1102 W 16th Street S

16 Newton, IA 50208

12/27/2002 Schultz, Diane None $60.00

329 Main Street

5 Grinnell, IA 50112

12/27/2002 Shell, Rich None $30.00

2120 Country Club Drive

6 Grinnell, IA 50112

12/27/2002 Sheridan, Hugh None $50.00

307 East Street

24 Grinnell, IA 50112

Batch processed using the IECDB Web Reporting System on 04/26/2005 04:44:52 Page 3 of 5

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 04/26/2005 04:44:52 Schedule A
Contributions

Committee Name Committee ID 9687 Statutory Due Date 1/19/2003


Grinnell Mutual Reinsurance Company PAC Adjusted Due Date 1/21/2003
Filed Date 12/31/2002
Amended Date 9/2/2003
Status Audited Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

12/27/2002 Smith, Denise None $60.00

301 1st Avenue

14 Laurel, IA 50141

12/27/2002 Smith, Todd None $60.00

1527 Reed Street

12 Grinnell, IA 50112

12/27/2002 Steffen, Phyllis None $60.00

4020 100th Street

3 Malcom, IA 50157

12/27/2002 Tjarks, Rick None $60.00

109 E. High Street

13 New Sharon, IA 50207

12/27/2002 Unitemized N/A $12.00

N/A
Check # N/A
23 N/A N/A, N/A N/A

12/27/2002 Unitemized N/A $15.00

N/A
Check # N/A
18 N/A N/A, N/A N/A

Batch processed using the IECDB Web Reporting System on 04/26/2005 04:44:52 Page 4 of 5

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 04/26/2005 04:44:52 Schedule A
Contributions

Committee Name Committee ID 9687 Statutory Due Date 1/19/2003


Grinnell Mutual Reinsurance Company PAC Adjusted Due Date 1/21/2003
Filed Date 12/31/2002
Amended Date 9/2/2003
Status Audited Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-


Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

12/27/2002 Ward, Mike None $60.00

301 N Main

9 Gilman, IA 50106

Total Regular Contributions $1,665.00


Total Fundraiser Contributions
Grand Total All Contributions $1,665.00

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