Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Schedule A

Contributions

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

Committee Name Committee ID 6042 Statutory Due Date 10/19/2004
Grocers Political Action Committee Adjusted Due Date
Filed Date 10/18/2004
Amended Date
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

7/23/2004 Iowa Grocery Industry Association N/A $2,560.00 X

2540 106th Street, Suite 102

Check #
1 Cash Des Moines, IA 50322

7/28/2004 Auen, Jim None $50.00

215 Applewood Dr.

Check #
9 7681 Carroll, IA 51401

7/28/2004 Damm, Mitchel None $50.00

P.O. Box 61
Check #
8 5363 Cumming, IA 50061

7/28/2004 Dillenburg, John None $100.00

P.O. Box 46917

Check #
10 4502 St. Louis, MO 63146

7/28/2004 Dunn, Michael None $50.00

410 N.W. Bramble Rd.

Check #
6 12386 Ankeny, IA 50021

7/28/2004 Oakley, Brice None $50.00

418 38th Pl.

Check #
4 2035 Des Moines, IA 50312

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Page 1 of 7

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 01/13/2006 09:54:43 Schedule A
Contributions

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

Committee Name Committee ID 6042 Statutory Due Date 10/19/2004
Grocers Political Action Committee Adjusted Due Date
Filed Date 10/18/2004
Amended Date
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

7/28/2004 O'Brien, John None $100.00

3020 104th St.

Check #
2 8955 Des Moines, IA 50322

7/28/2004 Shepley, Craig A None $100.00

1096 240th St.

Check #
3 128 Boone, IA 50036

7/28/2004 Tetmeyer, Mike None $50.00

3529 S.W. 29th St.

Check #
7 7131 Des Moines, IA 50321

7/28/2004 Wood, Kent None $50.00

111 West Elm Avenue

Check #
5 3161 Pocahontas, IA 50574

7/31/2004 Unitemized N/A $5.23

N/A
Check # N/A
11 N/A N/A, N/A N/A

8/13/2004 Dillenburg, Jill None $100.00

7016 Washington Ave.

Check #
12 7158 Windsor Heights, IA 50311

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Page 2 of 7

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 01/13/2006 09:54:43 Schedule A
Contributions

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

Committee Name Committee ID 6042 Statutory Due Date 10/19/2004
Grocers Political Action Committee Adjusted Due Date
Filed Date 10/18/2004
Amended Date
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

8/13/2004 Mueller, Daniel J None $50.00

9436 Hammontree Dr.

Check #
14 8415 Urbandale, IA 50322

8/13/2004 Unitemized N/A $25.00

N/A
Check # N/A
13 N/A N/A, N/A N/A

8/27/2004 Dietrich, Dennis A None $500.00

1508 Palisades Rd.

Check #
19 2443 Mount Vernon, IA 52314

8/27/2004 Dietrich, Gary N None $250.00

212 Wesley Dr., N.W.

Check #
20 7125 Cedar Rapids, IA 52405

8/27/2004 Dietrich, Rebecca S None $250.00

1210 Palisades Road

Check #
16 7832 Mount Vernon, IA 52314

8/27/2004 Mueller, Bob None $50.00

9605 Hammontree
Check #
17 5823 Des Moines, IA 50322

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Page 3 of 7

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 01/13/2006 09:54:43 Schedule A
Contributions

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

Committee Name Committee ID 6042 Statutory Due Date 10/19/2004
Grocers Political Action Committee Adjusted Due Date
Filed Date 10/18/2004
Amended Date
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

8/27/2004 Schwab, Dennis None $100.00

604 17th St.

Check #
15 7478113643 Belle Plaine, IA 52208

8/27/2004 Unitemized N/A $25.00

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

8/31/2004 Midland Credit Union N/A $5.93

2891 106th Street

21 Des Moines, IA 50322

9/3/2004 Long, Craig A None $250.00

520 6th St., NW

Check #
22 2683 Altoona, IA 50009

9/10/2004 Brandt, James J None $100.00

12811 Timberline Dr.

Check #
33 2046 Urbandale, IA 50323

9/10/2004 Broderick, Cornelius J None $50.00

1226 Glen Oaks Drive

Check #
31 3794 West Des Moines, IA 50266

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Page 4 of 7

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 01/13/2006 09:54:43 Schedule A
Contributions

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

Committee Name Committee ID 6042 Statutory Due Date 10/19/2004
Grocers Political Action Committee Adjusted Due Date
Filed Date 10/18/2004
Amended Date
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

9/10/2004 Haisch, Mark D None $100.00

15085 Hawthorn Drive

Check #
30 8083 Clive, IA 50325

9/10/2004 Iowa Grocery Industry Association N/A $2,105.00 X

2540 106th Street, Suite 102

Check #
26 Cash Des Moines, IA 50322

9/10/2004 Madson, James None $100.00

P.O. Box 70
Check #
24 4489 Boone, IA 50036

9/10/2004 Meyer, Randall L None $100.00

7105 N.W. 95th Ct.

Check #
34 4096 Johnston, IA 50131

9/10/2004 Reiff, Joseph None $10.00

2709 Timber Ridge Rd. NW

Check # P.O. Box 99
25 8967 Swisher, IA 52338

9/10/2004 Stanley, Mark None $50.00

6400 Westown Pkwy.

Check #
29 4097 West Des Moines, IA 50266

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Page 5 of 7

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 01/13/2006 09:54:43 Schedule A
Contributions

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

Committee Name Committee ID 6042 Statutory Due Date 10/19/2004
Grocers Political Action Committee Adjusted Due Date
Filed Date 10/18/2004
Amended Date
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

9/10/2004 Thompson, Brian None $100.00

6400 Westown Pkwy.

Check #
28 4097 West Des Moines, IA 50266

9/10/2004 Thornberg, Greogory J None $100.00

15109 Wilden Drive

Check #
32 7060 Urbandale, IA 50323

9/10/2004 Unitemized N/A $10.00

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

9/10/2004 Unitemized N/A $25.00

N/A
Check # N/A
27 N/A N/A, N/A N/A

9/17/2004 Fisher, Matthew J None $50.00

1305 NW Wagner Blvd.

Check #
36 7829 Ankeny, IA 50021

9/17/2004 Huber, Donald F None $100.00

P.O. Box 8
Check #
35 3771 Fort Atkinson, IA 52144

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Page 6 of 7

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 01/13/2006 09:54:43 Schedule A
Contributions

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

Committee Name Committee ID 6042 Statutory Due Date 10/19/2004
Grocers Political Action Committee Adjusted Due Date
Filed Date 10/18/2004
Amended Date
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

9/17/2004 Thede, Ivan None $50.00

4965 Copper Creek Drive

Check #
37 3171 Pleasant Hill, IA 50327

9/30/2004 Midland Credit Union N/A $6.39

2891 106th Street

38 Des Moines, IA 50322

10/7/2004 Blomquist, Craig None $100.00

6570 S.E. 6th Ave.

Check #
39 2359 Pleasant Hill, IA 50327

10/7/2004 Unitemized N/A $25.00

N/A
Check # N/A
40 N/A N/A, N/A N/A

Total Regular Contributions $3,287.55

Total Fundraiser Contributions $4,665.00
Grand Total All Contributions $7,952.55

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:54:43 Page 7 of 7

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