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Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Schedule A

Contributions

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


Committee Name Committee ID 9695 Statutory Due Date 10/19/2004
PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 Ankney, Robert None $15.00

312 E.Flagg st po box 40

1 Walcott, IA 52733

9/17/2004 arthur, steve None $15.00

2614 E. 28th ct

2 davenport, IA 52803

9/17/2004 atkinson, james None $15.00

115 w. spring st. box 101

3 eldridge, IA 52748

9/17/2004 baughman, matthew None $15.00

2125 w. dover ct

4 davenport, IA 52804

9/17/2004 beaston, randy None $15.00

2911 w. 63rd st

5 davenport, IA 52806

9/17/2004 berglund, gary None $15.00

122 s. park view dr

7 eldridge, IA 52748

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 1 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 blackburn, kurt None $40.00

2343 w. leclaire st

9 davenport, IA 52803

9/17/2004 black, craig None $15.00

306 w. leclaire rd

8 eldridge, IA 52748

9/17/2004 box, mark None $15.00

3213 brady st

10 davenport, IA 52803

9/17/2004 bradley, patrick None $9.00

1708 davenport ave

11 davenport, IA 52803

9/17/2004 Broihier-Bleuer, Carrie None $15.00

522 W. 30th st

12 Davenport, IA 52803

9/17/2004 brookhart, eric None $24.00

2717 east st

13 davenport, IA 52803

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 2 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 brown, rick None $15.00

13215 63rd ave

14 blue grass, IA 52726

9/17/2004 carrillo, jason None $15.00

1314 14th st

16 bettendorf, IA 52722

9/17/2004 cheek, justin None $15.00

4521 n. harrison st

17 davenport, IA 52806

9/17/2004 cook, douglas None $0.00

2236 w. columbia ave

71 davenport, IA 52806

9/17/2004 curran, joshua None $15.00

2704 esplanade

18 davenport, IA 52803

9/17/2004 davis, ron None $15.00

3811 n. linwood

19 davenport, IA 52806

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 3 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 day, ivan None $15.00

2739 e. high st

21 davenport, IA 52803

9/17/2004 deckert, thomas None $15.00

13450 119th ave

22 davenport, IA 52804

9/17/2004 dickey, larry None $15.00

3116 mt. joy ave

23 bettendort, IA 52722

9/17/2004 drish, joe None $15.00

1615 20th st

24 bettendorf, IA 52722

9/17/2004 eads, dennis None $15.00

17 n. kuehl ct

25 eldridge, IA 52748

9/17/2004 eberhart, bruce None $40.00

2159 frisco dr

26 davenport, IA 52804

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 4 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 gulash, garry None $15.00

5019 coventry ct

27 davenport, IA 52807

9/17/2004 harris, robbie None $9.00

2304 maplecrest rd

28 bettendorf, IA 52722

9/17/2004 heinrich, dennis None $25.00

2021 w. 53st

29 davenport, IA 52804

9/17/2004 iossi, ryan None $15.00

310 cheroke dr

30 park view, IA 52748

9/17/2004 jasper, mark None $30.00

2326 n. ripley st

31 davenport, IA 52803

9/17/2004 johnson, kelly None $15.00

23710 92nd ave

32 walcott, IA 52773

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 johnson, ryan None $9.00

3536 w. 31st

33 davenport, IA 52804

9/17/2004 kakert, mark None $15.00

1323 northlawn rd

34 davenport, IA 52804

9/17/2004 kilburg, brent None $15.00

14418 290th st

35 donahue, IA 52746

9/17/2004 kresin, dennis None $15.00

206 brownlie lane

36 long grove, IA 52756

9/17/2004 kresin, james None $30.00

435 19th st

37 bettendorf, IA 52722

9/17/2004 leslein, karl None $15.00

119 n. mississippi st

38 blue grass, IA 52756

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 6 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 mack, aaron None $15.00

3260 parkwild dr. #2c

39 bettendorf, IA 52722

9/17/2004 mcgee, pat None $15.00

2204 w. 58th st

40 davenport, IA 52806

9/17/2004 mckittrick, darrell None $15.00

2307 w. 57th st

41 davenport, IA 52806

9/17/2004 mehner, james None $15.00

4713 w. 60th st

42 davenport, IA 52806

9/17/2004 metzger, myles None $15.00

2230 western ave

43 davenport, IA 52803

9/17/2004 miller, david None $30.00

115 valley heights rd

44 blue grass, IA 52726

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 minnaert, robbie None $6.75

2216 pershing ave

45 davenport, IA 52803

9/17/2004 mohr, brain None $30.00

2509 east st

46 davenport, IA 52803

9/17/2004 moore, gary None $30.00

207 parkway dr

47 blue grass, IA 52726

9/17/2004 moore, kurt None $15.00

3311 n. elmwood ave

48 davenport, IA 52806

9/17/2004 morse, kenneth None $15.00

3706 s. concord st

49 davenport, IA 52807

9/17/2004 norin, les None $15.00

3531 ridge ct

50 davenoort, IA 52806

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 8 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 ossowski, scott None $30.00

3110 grand ave

51 davenport, IA 52803

9/17/2004 palczynski, ray None $19.00

2363 kingsway dr

52 bettendorf, IA 52722

9/17/2004 parrick, dave None $7.50

12846 coonhunters rd

53 blue grass, IA 52726

9/17/2004 plummer, jerry None $6.75

2742 sunset beach

54 montpelier, IA 52759

9/17/2004 quick jr., donald None $15.00

1626 w. 46th st

55 davenport, IA 52806

9/17/2004 ripperger, douglas None $30.00

128 hillside

56 park view, IA 52748

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 9 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 roth, jason None $15.00

621 oak st

57 eldridge, IA 52748

9/17/2004 samuels, ronald None $15.00

895 260th st

58 stockton, IA 52769

9/17/2004 sass, bob None $15.00

2236 w. central park ave

59 davenport, IA 52804

9/17/2004 Schmidt, Thomas None $15.00

551 W. Price st

61 Eldridge, IA 52748

9/17/2004 schmidt, tyler None $15.00

612 n. 5th pl

60 eldridge, IA 52748

9/17/2004 schulz, gerald None $30.00

14 e. timberline

62 blue grass, IA 52726

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 smith, joseph None $15.00

2412 w. 46th st

63 davenport, IA 52806

9/17/2004 Soliz, Zachary None $15.00

2810 Bellevue Ave

64 Bettendorf, IA 52722

9/17/2004 terrell, sean None $15.00

304 forest rd

65 davenport, IA 52803

9/17/2004 thomas, david None $30.00

10817 159th st

66 davenport, IA 52804

9/17/2004 Unitemized N/A $0.00

N/A
Check # N/A
6 N/A N/A, N/A N/A

9/17/2004 Unitemized N/A $3.00

N/A
Check # N/A
15 N/A N/A, N/A N/A

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 11 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

9/17/2004 Unitemized N/A $3.00

N/A
Check # N/A
20 N/A N/A, N/A N/A

9/17/2004 Unitemized N/A $15.00

N/A
Check # N/A
72 N/A N/A, N/A N/A

9/17/2004 voss, elijah None $15.00

3138 mckinley ave

67 davenport, IA 52803

9/17/2004 wilson, nate None $15.00

3663 29th st

68 bettendorf, IA 52722

9/17/2004 wilson, ron None $15.00

21310 230th ave

69 leclaire, IA 52753

9/17/2004 wood, brian None $18.00

210 1st ave

70 donahue, IA 52746

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 12 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 06/29/2005 04:44:43 Schedule A
Contributions

Committee Name Committee ID 9695 Statutory Due Date 10/19/2004


PAC 17 Davenport Assn of Professional Fire Fighters Adjusted Due Date
Filed Date 10/18/2004
Amended Date 6/28/2005
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

Total Regular Contributions $1,195.00


Total Fundraiser Contributions
Grand Total All Contributions $1,195.00

Batch processed using the IECDB Web Reporting System on 06/29/2005 04:44:43 Page 13 of 13

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

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