Generated On: 12/3/2010 9:40:41 AM

Schedule A: Contributions Sch-A

Hagenow for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/29/2010

County: Polk Adjusted Due Date

District: 59 Filed Date 10/29/2010 9:16:06 AM

Committee Code: 1737 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 # Bakker, Mark A. X
10/16/2010 9617 Alpine Dr None $25.00
Urbandale, IA 50322
Check # Schroedel, Herman and Hazel X
10/16/2010 5212 Cody Drive None $25.00
West Des Moines, IA 50265
Check # Steele, Donald and Glenda X
10/16/2010 1805 76th St None $25.00
Windsor Heights, IA 50324
6107 Qwest Iowa Political Action Committee X
10/16/2010 Check # Qwest 2103 E University N/A $125.00
2483 Des Moines, IA 50317
Check # Brooks, Nan Seay X
10/18/2010 1440 20th St. Apt. 5 None $10.00
West Des Moines, IA 50265
Check # Cummings, Richard X
10/18/2010 4704 Cody Dr. None $25.00
West Des Moines, IA 50265
Check # Rogers, Richard and Cathy X
10/18/2010 2417 Fuller Rd. None $125.00
West Des Moines, IA 50265
Check # Seid, Bill X
10/18/2010 7122 Del Matro None $25.00
Windsor Heights, IA 50265
Check # Conley, Tom and Karen X
10/19/2010 4813 Cedar Drive None $125.00
West Des Moines, IA 50266
Check # Mealiff, Marie X
10/19/2010 4101 Ashworth Road None $50.00
West Des Moines, IA 50265
Check # Whisenand, Mary X
10/19/2010 685 34th St. None $50.00
Des Moines, IA 50312
6063 Iowa Dental Political Action Committee
10/19/2010 Check # P.O. Box 31088 N/A $250.00
unk Johnston, IA 50131

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 3
 Generated On: 12/3/2010 9:40:41 AM

Schedule A: Contributions Sch-A

Hagenow for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/29/2010

County: Polk Adjusted Due Date

District: 59 Filed Date 10/29/2010 9:16:06 AM

Committee Code: 1737 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 # Malloy, Robert
10/20/2010 PO Box 128 None $100.00
Goldfield, IA 50542
Check # Toale, Mark R.
10/20/2010 1597 240th St None $100.00
Independence, IA 50644
0 Wal-Mart Stores Inc. PAC for
10/20/2010 Check # Responsible Government N/A $500.00
unk 701 8th Street NW
Washington, DC 20001
Check # Giovanetti, E.J. X
10/21/2010 3004 Melanie Dr. None $125.00
Urbandale, IA 50322
9659 Federation of Iowa Insurers PAC
10/22/2010 Check # P. O. Box 1756 N/A $250.00
1694 Des Moines, IA 50306-1756
6218 National Federation of Independent
10/22/2010 Check # Business Iowa SAFE Trust N/A $250.00
12196 1201 F Street NW, Suite 200
Washington, DC 20004
8032 NRA Political Victory Fund
10/22/2010 Check # 11250 Waples Mill Road N/A $250.00
24423 Fairfax, VA 22030
Check # Baker, Jeffrey and Pamela X
10/25/2010 917 52nd St None $75.00
Des Moines, IA 50265
Check # Butz, Keith and Charlene X
10/25/2010 7114 Washington St. None $75.00
Des Moines, IA 50311
Check # Carney, James X
10/25/2010 303 Locust St. None $100.00
Des Moines, IA 50309
Check # Cope, Tom X
10/25/2010 8532 Newbury Ct None $125.00
Johnston, IA 50131

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 3
 Generated On: 12/3/2010 9:40:41 AM

Schedule A: Contributions Sch-A

Hagenow for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/29/2010

County: Polk Adjusted Due Date

District: 59 Filed Date 10/29/2010 9:16:06 AM

Committee Code: 1737 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 # Lange, Randall and Sherri X
10/25/2010 13040 Woodlands Pkwy. None $500.00
Clive, IA 50325
Check # Mudlaff, Michael and Sasha X
10/25/2010 1292 NW 90th St None $50.00
Clive, IA 50325
Check # Yentes, Kirk and Mona X
10/25/2010 1747 NW 102nd St. None $150.00
Clive, IA 50325
9805 Educational Opportunities PAC X
10/25/2010 Check # 7400 Jersey Ridge Road N/A $500.00
unk Davenport, IA 52807
9807 Iowa Keystone Political Action
Check # Committee X
10/25/2010 N/A $250.00
117 315 Foxtail Lane
Spring City, PA 19475
6498 Wellmark, Inc. PAC or WellPAC X
10/25/2010 Check # 636 Grand Avenue Station 13 N/A $250.00
unk Des Moines, IA 50309

Total Regular Contributions $1,700.00

Total Fundraiser Contributions $2,810.00
Grand Total All Contributions $4,510.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 3 of 3