Generated On: 10/28/2008 10:15:04 PM

Schedule A: Contributions Sch-A

Worthan for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/31/2008

County: NA Adjusted Due Date

District: 52 Filed Date 10/28/2008 9:32:28 PM

Committee Code: 1697 Postmark Date

Political Party: Republican Amendment Date

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
6282 Hy-Vee, Inc. Employees' Political Action
Check # Committee X
10/20/2008 N/A $100.00
001757 5820 Westown Parkway
West Des Moines, IA 50266
contribution
6162 Iowa Agribusiness PAC X
10/20/2008 Check # 900 Des Moines St. N/A $100.00
1451 Des Moines, IA 50309
contribution
6400 Iowa Restaurant Association Political
Check # Action Committee X
10/20/2008 N/A $150.00
647 8525 Douglas Avenue, Suite 47
Des Moines, IA 503222992
contribution
9743 Iowa Turkey Federation PAC X
10/20/2008 Check # PO Box 825 N/A $300.00
130 Ames, IA 50010
contribution
8531 Western Iowa Energy LLC PAC X
10/20/2008 Check # PO Box 399 N/A $250.00
1029 Wall Lake, IA 51466
contribution
Check # Blaser, Michael R X
10/21/2008 7590 5746 Coachlight Ct None $200.00
West Des Moines, IA 50266
contribution
Check # Brennenman, John Robert X
10/21/2008 5397 1551 Larch Av e None $200.00
Washington, IA 52353
contribution
Check # Eichelberger, Dave and Nancy X
10/21/2008 10789 PO Box 8 None $200.00
Wayland, IA 52654
contribution
Check # Moody, David X
10/21/2008 823 58404 200th St None $200.00
Nevada, IA 50201
contribution

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2
 Generated On: 10/28/2008 10:15:04 PM

Schedule A: Contributions Sch-A

Worthan for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/31/2008

County: NA Adjusted Due Date

District: 52 Filed Date 10/28/2008 9:32:28 PM

Committee Code: 1697 Postmark Date

Political Party: Republican Amendment Date

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # Williams, Steven A X
10/23/2008 1290 1611 610th St None $50.00
Storm Lake, IA 50588
contribution
Check # Richardson, Bruce D X
10/24/2008 5391 5882 140th Avenue None $50.00
Storm Lake, IA 50588
contribution
Check # Burnside, L.M. X
10/27/2008 4614 709 Walnut Lane None $50.00
Storm Lake, IA 50588
contribution

Total Regular Contributions $0.00

Total Fundraiser Contributions $1,850.00
Grand Total All Contributions $1,850.00

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