Batch processed using the IECDB Web Reporting System on 01/10/2006 05:47:03 Schedule A

Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

7/14/2003 Stange, Randall None $0.00

721 8th St., SE

Check #
1 3688 Orange City, IA 51041

7/17/2003 Nilles, Robert None $165.00

220 Plymouth St. SW

Check #
2 8018 Le Mars, IA 51031-3535

7/21/2003 Conley, Maria None $125.00

1486 S. 1st Ave. Ste. B

Check #
3 1333 Iowa City, IA 52240

7/26/2003 Storjohann, Kenneth R None $250.00

423 Main St.

Check #
4 1528 Reinbeck, IA 50669

7/28/2003 Bauer, Bonnie None $120.00

112 E Webster St.

Check # PO Box 50
5 Credit card Wyoming, IA 52362

7/28/2003 Chicoine, Bradley None $125.00

1501 Nebraska St.

Check #
7 Credit card Sioux City, IA 51105-1240

Batch processed using the IECDB Web Reporting System on 01/10/2006 05:47:03 Page 1 of 11

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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

7/28/2003 Formanek, D.C., Larry None $125.00

115 East Main Street

Check #
8 Credit Card Knoxville, IA 50138

7/28/2003 Jones, Rex None $125.00

PO Box 800
Check #
9 Credit card Spencer, IA 51301-0800

7/28/2003 Meyer, Kenneth None $165.00

1707 Washington St.

Check #
10 Credit Card Davenport, IA 52804

7/28/2003 Meylor, D.C., Lee A None $125.00

1411 E. Lakeshore Dr.

Check # POB 334
6 Credit card Storm Lake, IA 50588

7/28/2003 Wolfswinkel, Terryl None $250.00

211 North J St.

Check #
11 Credit Card Oskaloosa, IA 52577

7/29/2003 Keune, Arden None $100.00

320 Hwy 71
Check # PO Box 151
13 6753 Sioux Rapids, IA 50585-0151

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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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

7/29/2003 Moore, John None $100.00

803 24th St.

Check #
12 4072 Ames, IA 50010

7/31/2003 Haas, D.C., Richard W None $250.00

1403 S. Federal Ave.

Check #
15 Creditcard Mason City, IA 50401

7/31/2003 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #
14 Credit card Pella, IA 50219

7/31/2003 Wells Fargo Bank, NA N/A $19.73

666 Walnut St

16 Des Moines, IA 50309

8/4/2003 Christy, Rex None $250.00

415 C Ave.
Check #
17 Credit card Venton, IA 52349

8/4/2003 Kruse, Mark None $500.00

4716 Morningside Ave

Check #
18 Credit card Sioux City, IA 51106-3020

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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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

8/4/2003 Miller, Kevin None $250.00

1903 EP True Parkway Ste. 306

Check #
20 Creditcard West Des Moines, IA 50265

8/4/2003 Saunders, Jon None $500.00

1501 Nebraska St.

Check #
19 credit card Sioux City, IA 51105-1240

8/8/2003 Unitemized N/A $20.00

N/A
Check # N/A
21 N/A N/A, N/A N/A

8/11/2003 Slinger, Anthony G None $50.00

2987 Chestnut Place

Check #
22 5746 Charles City, IA 50616-1316

8/15/2003 Borseth, Ann R None $62.50

4214 Fleur Dr. Ste 4

Check #
26 ACH Des Moines, IA 50321

8/15/2003 Conley, Maria None $125.00

1486 S. 1st Ave. Ste. B

Check #
23 ACH Iowa City, IA 52240

Batch processed using the IECDB Web Reporting System on 01/10/2006 05:47:03 Page 4 of 11

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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

8/15/2003 Nilles, Robert None $132.00

220 Plymouth St. SW

Check #
25 ACH Le Mars, IA 51031-3535

8/15/2003 Schiltz, Thomas None $100.00

4214 Fleur Dr. Ste 4

Check #
24 ACH Des Moines, IA 40321

8/18/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
27 ACH Marshalltown, IA 50158-1446

8/22/2003 Rasmussen, Jennifer None $62.50

4614 University Ave.

Check #
28 2380 Cedar Falls, IA 50613

8/25/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
29 ACH Marshalltown, IA 50158-1446

8/28/2003 Bauer, Bonnie None $96.00

112 E Webster St.

Check # PO Box 50
30 Credit card Wyoming, IA 52362

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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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

8/28/2003 Meyer, Kenneth None $132.00

1707 Washington St.

Check #
31 Credit card Davenport, IA 52804

8/28/2003 Nielsen, Douglas None $125.00

1315 Golf Course Rd.

Check # PO Box 164
32 Credit card Rock Valley, IA 51247-0164

8/28/2003 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #
33 Credit card Pella, IA 50219

8/29/2003 Wells Fargo Bank, NA N/A $18.41

666 Walnut St

34 Des Moines, IA 50309

9/2/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
35 ACH Marshalltown, IA 50158-1446

9/3/2003 Borseth, Ann R None -$102.50

4214 Fleur Dr. Ste 4

Check #
36 2291 Des Moines, IA 50321

Batch processed using the IECDB Web Reporting System on 01/10/2006 05:47:03 Page 6 of 11

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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

9/4/2003 Rasmussen, Jennifer None $62.50

4614 University Ave.

Check #
37 2399 Cedar Falls, IA 50613

9/8/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
38 ACH Marshalltown, IA 50158-1446

9/9/2003 Slinger, Anthony G None $50.00

2987 Chestnut Place

Check #
39 5787 Charles City, IA 50616-1316

9/11/2003 Bauer, Bonnie None $96.00

112 E Webster St.

Check # PO Box 50
40 Credit card Wyoming, IA 52362

9/11/2003 Meyer, Kenneth None $165.00

1707 Washington St.

Check #
41 Credit card Davenport, IA 52804

9/11/2003 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #
42 Credit card Pella, IA 50219

Batch processed using the IECDB Web Reporting System on 01/10/2006 05:47:03 Page 7 of 11

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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

9/15/2003 Borseth, Ann R None $62.50

4214 Fleur Dr. Ste 4

Check #
44 ACH Des Moines, IA 50321

9/15/2003 Conley, Maria None $125.00

1486 S. 1st Ave. Ste. B

Check #
45 ACH Iowa City, IA 52240

9/15/2003 Nilles, Robert None $132.00

220 Plymouth St. SW

Check #
46 ACH Le Mars, IA 51031-3535

9/15/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
43 ACH Marshalltown, IA 50158-1446

9/15/2003 Schiltz, Thomas None $100.00

4214 Fleur Dr. Ste 4

Check #
47 ACH Des Moines, IA 40321

9/22/2003 Mueller, Steven None $100.00

112 S Dodge
Check #
49 22206 Algona, IA 50511

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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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

9/22/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
48 ACH Marshalltown, IA 50158-1446

9/25/2003 Hunt, Howard None $250.00

120 S Main St.

Check #
50 15561 Fairfield, IA 52556-3301

9/29/2003 Handley, E. Eugene None $500.00

8844 Oxley Place

Check #
52 4058 Johnston, IA 50131

9/29/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
51 ACH Marshalltown, IA 50158-1446

9/30/2003 Wells Fargo Bank, NA N/A $17.58

666 Walnut St

53 Des Moines, IA 50309

10/2/2003 Rasmussen, Jennifer None $62.50

4614 University Ave.

Check #
55 2434 Cedar Falls, IA 50613

Batch processed using the IECDB Web Reporting System on 01/10/2006 05:47:03 Page 9 of 11

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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

10/2/2003 Schwendemann, Don R None $250.00

1438 12th Ave. North

Check #
54 4136 Fort Dodge, IA 50501

10/6/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
56 ACH Marshalltown, IA 50158-1446

10/6/2003 Unitemized N/A $25.00

N/A
Check # N/A
58 N/A N/A, N/A N/A

10/6/2003 Valentine, G. Douglas None $250.00

1520 First Ave. NW

Check #
57 19469 Cedar Rapids, IA 52405

10/10/2003 Unitemized N/A $25.00

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

10/14/2003 Kressin, Elizabeth C None $500.00

Hwy. 18 E.
Check # PO Box 800
61 8897 Spencer, IA 51301

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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 01/10/2006 05:47:03 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 10/19/2003
Iowa Chiropractic Society Pac Adjusted Due Date 10/20/2003
Filed Date 10/20/2003
Amended Date 11/2/2005
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

10/14/2003 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
60 ACH Marshalltown, IA 50158-1446

Total Regular Contributions $7,468.72

Total Fundraiser Contributions
Grand Total All Contributions $7,468.72

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