Generated On: 12/3/2010 10:10:36 AM

Verified Statement Registration VSR

(Out-of-State Committee)

8520
Walgreen Co PAC
104 Wilmot RoadMS #1444
Deerfield, IL 60015
847-315-6829
joel.baise@walgreens.com
to make contributions at all levels
Contact

Last Name: Baise First Name: G. Joel MI:

Address: 104 Wilmot Road MS #1444
City: Deerfield State: IL Zip Code: 60015 Phone: 847-315-6829
E-Mail: joel.baise@walgreens.com

Parent Entity

Name: Walgreen Co
Address: 200 Wilmot Rd
City: Deerfield State: IL Zip Code: 60015 Phone: 847-315-6829
E-Mail:

Jurisdiction

Name: Federal Election Commission

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

Iowa Resident Agent

Last Name: Hansel First Name: Jason MI:

Address: 4436 Brady #101
City: Davenport State: IA Zip Code: 52806 Phone: 563-386-2909
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: 12/3/2010 10:10:36 AM

2010 - Iowa Committees Receiving Contributions

Contribution
Date Committee Amount Check #
10/28/2010 McCarthy for State Representative/McCarthy for Iowa $200.00 1852 Filed Date:
(1385) 11/12/2010
5220 SE 31st Court
Des Moines, IA 50320
10/28/2010 Murphy for State Representative (564) $500.00 1850 Filed Date:
155 North Grandview Ave. 11/12/2010
Dubuque, IA 52001
10/28/2010 Citizens for Gronstal (1612) $500.00 1848 Filed Date:
220 Bennett Ave. 11/12/2010
Council Bluffs, IA 51503
10/28/2010 Danielson for Senate (1338) $300.00 1849 Filed Date:
3906 Monterey Dr. 11/12/2010
Waterloo, IA 50701-3527

2008 - Iowa Committees Receiving Contributions

Contribution
Date Committee Amount Check #
10/29/2008 Rants for State House (662) $200.00 1642 Filed Date:
2740 South Glass St. 10/30/2008
Sioux City, IA 51106
10/29/2008 Citizens for Gronstal (1612) $400.00 1641 Filed Date:
220 Bennett Ave. 10/30/2008
Council Bluffs, IA 51503
10/29/2008 Murphy for State Representative (564) $400.00 1640 Filed Date:
155 North Grandview Ave. 10/30/2008
Dubuque, IA 52001

2007 - Iowa Committees Receiving Contributions

Contribution
Date Committee Amount Check #
12/5/2007 Iowa Retail Political Action Committee (6404) $1,000.00 1517 Postmark:
10555 New York Ave, #102 12/5/2007
Urbandale, IA 50322

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