Generated On: 1/16/2008 2:15:09 PM

Schedule A: Contributions Sch-A

Jacobs Committee Status: Filed
Committee Type: State House Statutory Due Date 1/19/2008

County: NA Adjusted Due Date 1/22/2008

District: 60 Filed Date 1/16/2008 1:51:57 PM

Committee Code: 868 Postmark Date

Political Party: Republican Amendment Date

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

Date Committee ID Candidate Amount
2/13/2007 Check # Jordahl, Donald H None $100.00
6797 2110 Army Post Rd
West Des Moines, IA 50265
5/7/2007 8061 Citigroup Inc. Political Action Committee- N/A $250.00
Check # Federal State
7126 Two Court Square 4th Floor/Zone 13
Long Island City, NY 11120
5/15/2007 6027 Deere & Company PAC - Iowa (Deere N/A $250.00
Check # PAC-Iowa)
2567 1808 Eye Street 8th Floor
Washington, DC 20001
6/30/2007 Check # Davis, David and Tracy None $750.00
9490 8125 Brill Road
Cincinnati, OH 45243
7/2/2007 Check # Johnson, Douglas D None $100.00
1111 13416 Ridgeview Dr
Urbandale, IA 50323
7/2/2007 Check # Bartness, Heath None $20.00
1117 216 23rd St
West Des Moines, IA 50265
7/2/2007 Check # Tiemeyer, Gary A None $50.00
7620 3236 Hunter Hollow Rd
Waukee, IA 50263
7/2/2007 Check # Cahill, Maureen M None $25.00
2590 815 59th St
West Des Moines, IA 50266
7/2/2007 6067 Iowa Health PAC N/A $250.00
Check # 6750 Westown Prky, Suite 100
229-3655-2 West Des Moines, IA 50266
7/12/2007 6400 Iowa Restaurant Association Political N/A $100.00
Check # Action Committee
584 8525 Douglas Avenue, Suite 47
Des Moines, IA 503222992
7/16/2007 6059 Iowa Committee of Automotive Retailers N/A $100.00
Check # Iowa Committee of Automotive Retail
2988 1111 Office Park Road
West Des Moines, IA 50265-
7/17/2007 6070 Iowa Lawpac N/A $100.00
Check # 521 E. Locust, 3rd Floor
3521 Des Moines, IA 50309

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2
 Generated On: 1/16/2008 2:15:09 PM

Schedule A: Contributions Sch-A

Jacobs Committee Status: Filed
Committee Type: State House Statutory Due Date 1/19/2008

County: NA Adjusted Due Date 1/22/2008

District: 60 Filed Date 1/16/2008 1:51:57 PM

Committee Code: 868 Postmark Date

Political Party: Republican Amendment Date

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

Date Committee ID Candidate Amount
7/19/2007 6052 Independent Insurance Agents of Iowa N/A $250.00
Check # PAC
3149 IIAI 4000 Westown Parkway Suite #200
West Des Moines, IA 50266
7/19/2007 6125 Iowa Realtors PAC N/A $250.00
Check # 1370 NW 114th Street, Ste 100
002669 Clive, IA 50325
7/19/2007 6004 Associated General Contractors of Iowa N/A $250.00
Check # PAC
4606 P.O. Box 757
Des Moines, IA 50309
9/19/2007 6098 Iowa BEV PAC #6098 N/A $300.00
Check # 321 East Walnut
3523 Des Moines, IA 50309

Total Regular Contributions $3,145.00

Total Fundraiser Contributions $0.00
Grand Total All Contributions $3,145.00

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