Generated On: 10/18/2010 10:15:03 AM

Schedule A: Contributions Sch-A

Jeff Smith for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/19/2010

County: Dickinson Adjusted Due Date

District: 6 Filed Date 10/18/2010 9:44:35 AM

Committee Code: 1853 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 # Bush, Lorraine
7/23/2010 403 S 1st Street P O Box 126 None $50.00
Lake Park, IA 51347
Check # Jensen, Colin
7/23/2010 2404 Manhattan Blvd None $100.00
Spirit Lake, IA 51360
Check # Marten, Mike
7/23/2010 16939 256th Ave None $100.00
Spirit Lake, IA 51360
Check # Netsch, Paul
7/23/2010 2506 Jackson Circle None $50.00
Spirit Lake, IA 51360
Check # Lange, Rodney
7/27/2010 16854 258th Ave None $50.00
Spirit Lake, IA 51360
6069 Iowa Industry Political Action Committee
Check # or IIPAC
7/27/2010 2730 Iowa Assn. of Business and Industry 904 N/A $250.00
Walnut St. - Ste. 100
Des Moines, IA 50309-3503
6116 Political Action - Iowa Dealers #6116
7/27/2010 Check # IA/NEB Farm Equipment Assn. 1311 N/A $200.00
1908 50th St
West Des Moines, IA 50266-1782
Check # Hjelm, Susan
8/3/2010 1230 200th St None $150.00
Lake Park, IA 51347
6072 NAIFA-Iowa IFAPAC
8/3/2010 Check # 2302 W. 1st St. Suite 120 N/A $250.00
11485 Cedar Falls, IA 50613
Check # Christy, Tim
8/19/2010 4797 250th Ave None $25.00
Webb, IA 51366
Check # Currell, Gloria
8/19/2010 200 21st Street Mother-in-law $25.00
Spirit Lake, IA 51360

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 5
 Generated On: 10/18/2010 10:15:03 AM

Schedule A: Contributions Sch-A

Jeff Smith for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/19/2010

County: Dickinson Adjusted Due Date

District: 6 Filed Date 10/18/2010 9:44:35 AM

Committee Code: 1853 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 # Davenport, Josh
8/19/2010 332 E Third Street None $50.00
Spencer, IA 51301
Check # Fisher, Dawn
8/19/2010 P O Box 562 None $50.00
Spirit Lake, IA 51360
Check # Frank, Timothy
8/19/2010 1401 1st Ave West None $75.00
Spencer, IA 51301
Check # Gustafson, Bruce
8/19/2010 16860 255th Ave None $50.00
Spirit Lake, IA 51360
Check # Gustafson, Tom
8/19/2010 25885 169th Street None $25.00
Spirit Lake, IA 51360
Check # Halverson, Boyd
8/19/2010 412 E Olive St. None $50.00
Laurens, IA 50554
Check # Kimbell, David
8/19/2010 707 5th St. S. W. None $25.00
Spencer, IA 51301
Check # Latham, Justin
8/19/2010 3006 Pinewood Drive None $250.00
Spirit Lake, IA 51360
Check # Lutz, Fred
8/19/2010 323 East 9th St. None $50.00
Spencer, IA 51301
Check # Moriarty, George
8/19/2010 500 W 3rd St None $100.00
Spencer, IA 51301
Check # Rasdal, Dr. Harry
8/19/2010 1808 23rd Ave. W. None $25.00
Spencer, IA 51301
Check # Reit, Loren
8/19/2010 2507 W 13th St None $25.00
Spencer, IA 51301

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 5
 Generated On: 10/18/2010 10:15:03 AM

Schedule A: Contributions Sch-A

Jeff Smith for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/19/2010

County: Dickinson Adjusted Due Date

District: 6 Filed Date 10/18/2010 9:44:35 AM

Committee Code: 1853 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 # Smith, Marilynn
8/19/2010 806 26th St Mother $125.00
Spirit Lake, IA 51360
Check # Stein, David Jr
8/19/2010 P O Box 294 None $25.00
Milford, IA 51351
Check # Taylor, Dr. Dennis
8/19/2010 1122 18th Ave. W. None $25.00
Spencer, IA 51301
Check # Thiessen, Kristine
8/19/2010 3180 130th Ave. None $25.00
Everly, IA 51338
Check # Tiernan, Loren
8/19/2010 111 Prairie Estate Dr None $50.00
Pocahontas, IA 50574
Check # Ulring, Donald
8/19/2010 5100 John D Ryan Blvd Apt 216 None $100.00
San Antonio, TX 78245
Check # Parriott, W. J.
8/24/2010 15414 - 215th Ave None $25.00
Spirit Lake, IA 51360
6160 Community Bankers of Iowa Political
8/24/2010 Check # Action Committee N/A $250.00
2467 Suite 102 1603 22nd Street
West Des Moines, IA 50266-1410
Check # Dixon, Robert
9/13/2010 1411 Rainbow Dr. None $100.00
Sheldon, IA 51201
Check # Tritle, Merlin
9/13/2010 16791 255th Ave None $50.00
Spirit Lake, IA 51360
6052 Independent Insurance Agents of Iowa
9/13/2010 Check # PAC N/A $200.00
3498 IIAI 4000 Westown Parkway Suite #200
West Des Moines, IA 50266

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 3 of 5
 Generated On: 10/18/2010 10:15:03 AM

Schedule A: Contributions Sch-A

Jeff Smith for Iowa House Status: Filed
Committee Type: State House Statutory Due Date 10/19/2010

County: Dickinson Adjusted Due Date

District: 6 Filed Date 10/18/2010 9:44:35 AM

Committee Code: 1853 Postmark Date

Political Party: Republican Amendment Date

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

Date Committee ID Candidate Amount
6234 Iowa Farm Bureau Federation Political
9/13/2010 Check # Action Committee N/A $100.00
1169 811 SW Cohasset Dr
Ankeny, IA 50023
Check # Hoffman, Clarence
9/22/2010 616 Parkview Drive None $100.00
Denison, IA 51442
6059 Iowa Committee of Automotive Retailers
Check # (ICAR)
9/22/2010 3492 Iowa Committee of Automotive Retail N/A $150.00
1111 Office Park Road
West Des Moines, IA 50265-
6058 Iowa Chiropractic Society Pac
9/28/2010 Check # 100 E Grand Ave N/A $100.00
4805 Des Moines, IA 50309
6323 Master Builders of Iowa P.A.C.
9/28/2010 Check # 221 Park Street POB 695 N/A $1,000.00
3334 Des Moines, IA 50306
6282 Hy-Vee, Inc. Employees' Political Action
10/1/2010 Check # Committee N/A $100.00
001932 5820 Westown Parkway
West Des Moines, IA 50266
6004 Associated General Contractors of Iowa
10/5/2010 Check # PAC N/A $500.00
5040 P.O. Box 757
Des Moines, IA 50309
9705 Free and Strong America PAC-Iowa
10/5/2010 Check # 319 7th St, Ste 404 N/A $500.00
3359 Des Moines, IA 50309
Check # Dixon, Dr. Larry
10/13/2010 16440 Bayside Dr. None $100.00
Spirit Lake, IA 51360
8473 Black Hills Corporation PAC
10/14/2010 Check # Black Hills Corporation PO Box 1400, N/A $200.00
1875 625 Ninth Street
Rapid City, SD 57709

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 4 of 5
 Generated On: 10/18/2010 10:15:03 AM

Total Regular Contributions $5,850.00

Total Fundraiser Contributions $0.00
Grand Total All Contributions $5,850.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 5 of 5