Date Name & Address of Relationship to Description of in Estimated Fair "X" for
Contributor Candidate *(if Kind Market Value Fund-
applicable) Contribution Raiser
9/1/2010 Acela, Joan Self Loans Forgiven $0.00
1602 Hwy 169
Winterset, IA 50273 Monetary loan
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1