Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Schedule A

Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

1/2/2004 Bowman, Christine M None $500.00

4224 Sue Linda Cir. NE

Check #
1 1527 Iowa City, IA 52240

1/2/2004 Hunt, Howard None $250.00

120 S Main St.

Check #
2 15762 Fairfield, IA 52556-3301

1/2/2004 Sternberg, Melissa None $250.00

111 S. Oak St.

Check #
3 1815 Carson, IA 51525

1/6/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
4 Auto bank withdraw
Marshalltown, IA 50158-1446

1/7/2004 Kauffman, Scott D None $250.00

203 S. Jackson St.

Check #
5 2032 Mount Pleasant, IA 52641

1/9/2004 Cornelius, Larry E None $100.00

216 S. Second Street W

Check #
6 2926 Mount Vernon, IA 52314

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 1 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

1/9/2004 Hoogestraat, Tom B None $250.00

238 3rd St.

Check # Box 237
7 6181 Parkersburg, IA 50665-0237

1/12/2004 Cox, D.C., Russell J None $1,000.00

3223 Jewel Ave.

Check #
8 1471 Salem, IA 52649

1/12/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
9 auto bank withdraw
Marshalltown, IA 50158-1446

1/15/2004 Berry, Douglas None $20.83

4110 Center Point Rd., NE

Check #
10 auto bank withdraw
Cedar Rapids, IA 52402

1/15/2004 Borseth, Ann R None $62.50

4214 Fleur Dr. Ste 4

Check #
11 auto bank withdraw
Des Moines, IA 50321

1/15/2004 Conley, Maria None $125.00

1486 S. 1st Ave. Ste. B

Check #
12 auto bank withdraw
Iowa City, IA 52240

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 2 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

1/15/2004 Fluent, Troy E None $125.00

4501-17 Southern Hills Dr

Check #
13 auto bank withdraw
Sioux City, IA 51106

1/15/2004 Miller, Richard E None $83.33

132 W. Gillet Street

Check # P.O. Box 220
14 Auto bank withdraw
Preston, IA 52069

1/15/2004 Nilles, Robert None $132.00

220 Plymouth St. SW

Check #
15 auto bank withdraw
Le Mars, IA 51031-3535

1/15/2004 Powell, Michael None $20.83

4245 1st Ave. SE

Check #
16 Auto bank withdraw
Cedar Rapids, IA 52402

1/15/2004 Schiltz, Thomas None $100.00

4214 Fleur Dr. Ste 4

Check #
17 auto bank withdraw
Des Moines, IA 40321

1/15/2004 Shull, Matthew None $62.50

811 E. Washington St.

Check #
18 auto bank withdraw
Mount Pleasant, IA 52641-1946

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 3 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

1/20/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
19 auto bank withdraw
Marshalltown, IA 50158-1446

1/22/2004 Carter, Sidney None $50.00

903 North 7th St.

Check #
20 12669 Burlington, IA 52601

1/26/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
21 auto bank withdraw
Marshalltown, IA 50158-1446

1/28/2004 Burt, Bradley None $500.00

790 N Main St.

Check # PO Box 790
34 mastercard Walcott, IA 52773

1/28/2004 Burt, Chad None $500.00

790 N Main St.

Check # PO Box 790
35 mastercard Walcott, IA 52773

1/28/2004 Burt, Mickey None $500.00

790 N. Main St.

Check #
33 mastercard Walcott, IA 52773

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 4 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

1/28/2004 Chicoine, Bradley None $125.00

1501 Nebraska St.

Check #
22 mastercard Sioux City, IA 51105-1240

1/28/2004 Gaskell, Rodney None $250.00

2609 Gordon Dr.

Check #
23 visa Sioux City, IA 51107

1/28/2004 Haas, D.C., Richard W None $250.00

1403 S. Federal Ave.

Check #
24 visa Mason City, IA 50401

1/28/2004 Jones, Rex None $125.00

PO Box 800
Check #
25 mastercard Spencer, IA 51301-0800

1/28/2004 Martin, Aaron M None $125.00

114 NW 9th St, Ste. 3

Check #
26 mastercard Ankeny, IA 50021

1/28/2004 McLean, Ian D None $125.00

805 Brady St/Box 4672

Check #
27 visa Davenport, IA 52808-4672

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 5 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

1/28/2004 Meylor, Clifford None $62.50

2608 Hamilton Blvd.

Check #
28 mastercard Sioux City, IA 51104

1/28/2004 Meylor, D.C., Lee A None $125.00

1411 E. Lakeshore Dr.

Check # POB 334
29 visa Storm Lake, IA 50588

1/28/2004 Nielsen, Douglas None $125.00

1315 Golf Course Rd.

Check # PO Box 164
30 mastercard Rock Valley, IA 51247-0164

1/28/2004 Stickel, Jeff None $500.00

2925 Ingersoll Ave

Check #
36 mastercard Des Moines, IA 50312

1/28/2004 Tindall, D.C., Michael None $250.00

1527 Superior St.

Check #
37 visa Webster City, IA 50595-2922

1/28/2004 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #
31 mastercard Pella, IA 50219

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 6 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

1/28/2004 Wolfswinkel, Terryl None $250.00

211 North J St.

Check #
32 mastercard Oskaloosa, IA 52577

1/30/2004 Wells Fargo Bank, NA N/A $22.42

666 Walnut St
Check #
38 n/a Des Moines, IA 50309

1/31/2004 Heller, Jeffrey J None $500.00

2908 78th St.

Check #
40 1011 Urbandale, IA 50322-4452

1/31/2004 Rexroth, D.C., Thomas A None $250.00

2411 W. Mt. Pleasant St.

Check #
39 2392 West Burlington, IA 52655

2/2/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
41 auto bank withdraw
Marshalltown, IA 50158-1446

2/4/2004 Scheuermann, Troy None $250.00

103 S. 2nd St.

Check # PO Box 606
42 2574 Farmington, IA 52626

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 7 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

2/4/2004 Wehrspan, Kirk L None $500.00

924 Fourth St.

Check #
43 2076 West Des Moines, IA 50265

2/9/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
44 Auto bank withdraw
Marshalltown, IA 50158-1446

2/11/2004 Kleen, Carolyn None $37.50

1410 NW 2nd St.

Check #
46 1107 Ankeny, IA 50021

2/11/2004 Soppe, Michael None $250.00

1420 Highway 71 N
Check #
45 3252 Carroll, IA 51401

2/12/2004 Burt, Bradley None -$250.00

790 N Main St.

Check # PO Box 790
47 mastercard Walcott, IA 52773

2/12/2004 Burt, Chad None -$250.00

790 N Main St.

Check # PO Box 790
48 mastercard Walcott, IA 52773

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 8 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

2/12/2004 Burt, Mickey None -$250.00

790 N. Main St.

Check #
49 mastercard Walcott, IA 52773

2/17/2004 Berry, Douglas None $20.83

4110 Center Point Rd., NE

Check #
50 auto bank withdraw
Cedar Rapids, IA 52402

2/17/2004 Borseth, Ann R None $62.50

4214 Fleur Dr. Ste 4

Check #
51 auto bank withdraw
Des Moines, IA 50321

2/17/2004 Miller, Richard E None $83.33

132 W. Gillet Street

Check # P.O. Box 220
52 auto bank withdraw
Preston, IA 52069

2/17/2004 Nilles, Robert None $132.00

220 Plymouth St. SW

Check #
53 auto bank withdraw
Le Mars, IA 51031-3535

2/17/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
54 auto bank withdraw
Marshalltown, IA 50158-1446

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 9 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

2/17/2004 Powell, Michael None $20.83

4245 1st Ave. SE

Check #
55 auto bank withdraw
Cedar Rapids, IA 52402

2/17/2004 Schiltz, Thomas None $100.00

4214 Fleur Dr. Ste 4

Check #
56 auto bank withdraw
Des Moines, IA 40321

2/23/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
57 auto bank withdraw
Marshalltown, IA 50158-1446

2/27/2004 Gvist, Mark None $125.00

PO Box 133
Check #
61 visa Carlisle, IA 50047-0133

2/27/2004 Klein, Jennifer None $500.00

2254 Flint Hill Dr., #2

Check #
62 mastercard Dubuque, IA 52003

2/27/2004 Miller, Donald E None $125.00

4151 Blairs Ferry Road NE

Check #
63 mastercard Cedar Rapids, IA 52411

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 10 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

2/27/2004 Saunders, Jon None $500.00

1501 Nebraska St.

Check #
58 mastercard Sioux City, IA 51105-1240

2/27/2004 Slinger, Anthony G None $250.00

2987 Chestnut Place

Check #
59 visa Charles City, IA 50616-1316

2/27/2004 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #
60 mastercard Pella, IA 50219

2/27/2004 Wells Fargo Bank, NA N/A $23.48

666 Walnut St
Check #
64 n/a Des Moines, IA 50309

3/1/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
65 auto bank withdraw
Marshalltown, IA 50158-1446

3/2/2004 Rasmussen, Jennifer None $187.50

4614 University Ave.

Check #
66 2572 Cedar Falls, IA 50613

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 11 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

3/8/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
67 auto bank withdraw
Marshalltown, IA 50158-1446

3/10/2004 Harrington, William None $100.00

1706 Meiers Court NW

Check #
68 3227 Cedar Rapids, IA 52405

3/15/2004 Berry, Douglas None $20.83

4110 Center Point Rd., NE

Check #
70 auto bank withdraw
Cedar Rapids, IA 52402

3/15/2004 Borseth, Ann R None $62.50

4214 Fleur Dr. Ste 4

Check #
71 auto bank withdraw
Des Moines, IA 50321

3/15/2004 Koenen, Jack R None $43.33

209 S. Clark
Check #
72 auto bank withdraw
Forrest City, IA 50436-1810

3/15/2004 Miller, Richard E None $83.33

132 W. Gillet Street

Check # P.O. Box 220
73 auto bank withdraw
Preston, IA 52069

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 12 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

3/15/2004 Nilles, Robert None $132.00

220 Plymouth St. SW

Check #
74 auto bank withdraw
Le Mars, IA 51031-3535

3/15/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
69 auto bank withdraw
Marshalltown, IA 50158-1446

3/15/2004 Powell, Michael None $20.83

4245 1st Ave. SE

Check #
75 auto bank withdraw
Cedar Rapids, IA 52402

3/15/2004 Schiltz, Thomas None $100.00

4214 Fleur Dr. Ste 4

Check #
76 auto bank withdraw
Des Moines, IA 40321

3/22/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
77 auto bank withdraw
Marshalltown, IA 50158-1446

3/26/2004 Mueller, Steven None $100.00

112 S Dodge
Check #
78 22749 Algona, IA 50511

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 13 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

3/29/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
79 auto bank withdraw
Marshalltown, IA 50158-1446

3/30/2004 Bauer, Bonnie None $125.00

112 E Webster St.

Check # PO Box 50
80 mastercard Wyoming, IA 52362

3/30/2004 Olesen, Anna None $250.00

117 Gilman St.

Check # P.O. Box 520
83 mastercard Sheffield, IA 50475

3/30/2004 Shipman, Randy None $100.00

1850 E 53rd, Ste 2

Check #
82 visa Davenport, IA 52807

3/30/2004 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #
81 mastercard Pella, IA 50219

3/31/2004 Moore, John None $100.00

803 24th St.

Check #
85 5332 Ames, IA 50010

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 14 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

3/31/2004 Wells Fargo Bank, NA N/A $27.89

666 Walnut St
Check #
84 n/a Des Moines, IA 50309

4/2/2004 Brechler, Marcella None $250.00

1110 Buckeye Ave.

Check #
87 6730 Ames, IA 50010

4/2/2004 Meyer, Jeff None $100.00

4819 Bovary Ct
Check #
86 3834 Cedar Rapids, IA 52411

4/5/2004 Dahlgaard, Roger None $62.50

126 E. Broadway, Ste. 2

Check #
88 16961 Council Bluffs, IA 51503

4/5/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
89 auto bank withdraw
Marshalltown, IA 50158-1446

4/6/2004 Breitbach, Norma None $100.00

904 Ferguson St.

Check #
90 9144 Charles City, IA 50616

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 15 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/9/2004 Bart, Anthony J None $250.00

806 Washington Ave.

Check #
92 2441 Sheldon, IA 51201

4/9/2004 Huseman, William None $100.00

920 1st Ave. N.

Check #
91 8219 Fort Dodge, IA 50501-3908

4/12/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
93 auto bank withdraw
Marshalltown, IA 50158-1446

4/15/2004 Berry, Douglas None $20.83

4110 Center Point Rd., NE

Check #
94 auto bank withdraw
Cedar Rapids, IA 52402

4/15/2004 Borseth, Ann R None $62.50

4214 Fleur Dr. Ste 4

Check #
95 auto bank withdraw
Des Moines, IA 50321

4/15/2004 Conley, Maria None $125.00

1486 S. 1st Ave. Ste. B

Check #
96 auto bank withdraw
Iowa City, IA 52240

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 16 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/15/2004 Fluent, Troy E None $125.00

4501-17 Southern Hills Dr

Check #
97 auto bank withdraw
Sioux City, IA 51106

4/15/2004 Koenen, Jack R None $43.33

209 S. Clark
Check #
99 auto bank withdraw
Forrest City, IA 50436-1810

4/15/2004 Miller, Richard E None $83.33

132 W. Gillet Street

Check # P.O. Box 220
100 auto bank withdraw
Preston, IA 52069

4/15/2004 Nilles, Robert None $132.00

220 Plymouth St. SW

Check #
101 auto bank withdraw
Le Mars, IA 51031-3535

4/15/2004 Powell, Michael None $20.83

4245 1st Ave. SE

Check #
102 auto bank withdraw
Cedar Rapids, IA 52402

4/15/2004 Schiltz, Thomas None $100.00

4214 Fleur Dr. Ste 4

Check #
103 auto bank withdraw
Des Moines, IA 40321

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 17 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/15/2004 Shull, Matthew None $62.50

811 E. Washington St.

Check #
104 auto bank withdraw
Mount Pleasant, IA 52641-1946

4/15/2004 Unitemized N/A $20.83

N/A
Check # N/A
98 N/A N/A, N/A N/A

4/19/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
105 auto bank withdraw
Marshalltown, IA 50158-1446

4/20/2004 Dierenfield, D.C., Randy None $100.00

110 NE Trilein
Check #
108 8873 Ankeny, IA 50021

4/20/2004 Rader, John T None $100.00

6035 Shadowbrook Dr.

Check #
107 6846 Bettendorf, IA 52722

4/20/2004 Sandberg, Gabrielle None $100.00

1200 Hansen Pl.

Check #
106 1656 Polk City, IA 50266

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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 01/13/2006 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/23/2004 Drown, D.C., Russell O None $100.00

Po Box 318
Check #
109 2626 West Bend, IA 50597

4/26/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
110 auto bank withdraw
Marshalltown, IA 50158-1446

4/30/2004 Bauer, Bonnie None $125.00

112 E Webster St.

Check # PO Box 50
111 mastercard Wyoming, IA 52362

4/30/2004 Burk, Terry L None $125.00

602 N. Main
Check # PO Box 370
112 mastercard Huxley, IA 50124

4/30/2004 Chicoine, Bradley None $125.00

1501 Nebraska St.

Check #
113 mastercard Sioux City, IA 51105-1240

4/30/2004 Formanek, D.C., Larry None $125.00

115 East Main Street

Check #
132 mastercard Knoxville, IA 50138

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 19 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/30/2004 Gaskell, Rodney None $250.00

2609 Gordon Dr.

Check #
114 visa Sioux City, IA 51107

4/30/2004 Geelan, D.C., Joseph None $250.00

360 7th Ave.

Check #
129 mastercard Marion, IA 52302

4/30/2004 Gvist, Mark None $125.00

PO Box 133
Check #
115 visa Carlisle, IA 50047-0133

4/30/2004 Haas, D.C., Richard W None $250.00

1403 S. Federal Ave.

Check #
116 visa Mason City, IA 50401

4/30/2004 Martin, Aaron M None $125.00

114 NW 9th St, Ste. 3

Check #
117 mastercard Ankeny, IA 50021

4/30/2004 McLean, Ian D None $125.00

805 Brady St/Box 4672

Check #
118 visa Davenport, IA 52808-4672

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 20 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/30/2004 Meylor, Clifford None $62.50

2608 Hamilton Blvd.

Check #
120 mastercard Sioux City, IA 51104

4/30/2004 Meylor, D.C., Lee A None $125.00

1411 E. Lakeshore Dr.

Check # POB 334
119 visa Storm Lake, IA 50588

4/30/2004 Miller, Donald E None $125.00

4151 Blairs Ferry Road NE

Check #
121 mastercard Cedar Rapids, IA 52411

4/30/2004 Nelson, D.C., Scott None $62.50

1314 4th St. SW, Ste 112

Check #
130 mastercard Mason City, IA 50401

4/30/2004 Nielson, Douglas None $125.00

1315 Golf Course Rd.

Check # PO Box 164
122 mastercard Rock Valley, IA 51247-0164

4/30/2004 Shipman, Randy None $100.00

1850 E 53rd, Ste 2

Check #
123 visa Davenport, IA 52807

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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 01/13/2006 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/30/2004 Slinger, Anthony G None $250.00

2987 Chestnut Place

Check #
124 visa Charles City, IA 50616-1316

4/30/2004 Unitemized N/A $25.00

N/A
Check # N/A
126 N/A N/A, N/A N/A

4/30/2004 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #
125 mastercard Pella, IA 50219

4/30/2004 Veldman, D.C., Stephanie None $62.50

P.O. Box 158

Check # 222 Market St.
131 visa Lake Park, IA 51347-0158

4/30/2004 Wells Fargo Bank, NA N/A $28.68

666 Walnut St
Check #
133 n/a Des Moines, IA 50309

4/30/2004 Wolfswinkel, Terryl None $250.00

211 North J St.

Check #
127 mastercard Oskaloosa, IA 52577

Batch processed using the IECDB Web Reporting System on 01/13/2006 09:55:13 Page 22 of 23

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 09:55:13 Schedule A
Contributions

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

Committee Name Committee ID 6058 Statutory Due Date 5/19/2004
Iowa Chiropractic Society Pac Adjusted Due Date
Filed Date 5/18/2004
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

4/30/2004 Wurth, D.C., David None $250.00

416 N. Main St.

Check # PO Box 526
128 visa Marcus, IA 51035

5/4/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
134 auto withdraw Marshalltown, IA 50158-1446

5/7/2004 Merritt, D.C., Brad P None $50.00

2130 Cromwell Circle

Check #
135 8957 Davenport, IA 52807

5/10/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446
136 auto withdraw Marshalltown, IA 50158-1446

11/2/2005 Iowa Chiropractic Society N/A $1,931.18

1605 N. Ankeny Blvd, Ste 100

Check #
137 adjustment Ankeny, IA 50023-4163

Total Regular Contributions $19,361.60

Total Fundraiser Contributions
Grand Total All Contributions $19,361.60

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