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Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:02 Schedule A

Contributions

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


Committee Name Committee ID 6488 Statutory Due Date 10/19/2002
Iowa Providers PAC 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

7/16/2002 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

7/26/2002 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

8/16/2002 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

8/16/2002 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/A
18 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

8/16/2002 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/A
33 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

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:02 Page 5 of 13

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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

8/16/2002 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/A
29 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

8/16/2002 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

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:02 Page 7 of 13

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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

9/2/2002 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

9/5/2002 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

9/13/2002 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 443
60 4702 Clarksville, IA 506190443

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

7808 Goodman Drive


Check #
61 2799 Urbandale, IA 50322

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:02 Page 10 of 13

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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

9/17/2002 DeMuth, James None $80.00 X

PO Box 912
Check #
62 5666 Le Mars, IA 51031

9/17/2002 Duffield, Curt None $80.00 X

3149 - 13th Avenue North


Check #
63 8272 Fort Dodge, IA 50501

9/17/2002 Tjarks, David None $80.00 X

12201 - 288th Avenue


Check #
65 8541 Maquoketa, IA 52060

9/17/2002 Unitemized N/A $25.00

N/A
Check # N/A
64 N/A N/A, N/A N/A

9/17/2002 Unitemized N/A $25.00 X

N/A
Check # N/A
59 N/A N/A, N/A N/A

9/17/2002 Vanderkwaak, Lloyd C None $80.00 X

5797 S. Winwood Drive


Check #
66 4270 Johnston, IA 50131

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

9/17/2002 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

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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 04/23/2005 04:42:02 Schedule A
Contributions

Committee Name Committee ID 6488 Statutory Due Date 10/19/2002


Iowa Providers PAC 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

9/22/2002 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

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