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Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Schedule A

Contributions

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


Committee Name Committee ID 6498 Statutory Due Date 10/19/2002
Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

9/6/2002 Unitemized N/A $25.00

N/A
Check # N/A
1 N/A N/A, N/A N/A

10/11/2002 Anderson, Richard C None $280.00

2030 Ashworth Road

2 West Des Moines, IA 50265

10/11/2002 Besemer-Roberts, Susan None $35.00

2421 Franklin Avenue NE

3 Cedar Rapids, IA 52402

10/11/2002 Brown, Philip G None $14.00

1751 Rio Valley Drive

5 Clive, IA 50325

10/11/2002 Burr, Mary E None $14.00

4035 Ovid Avenue

6 Waukee, IA 50263

10/11/2002 Crumm (Osmann), Susan K None $70.00

3907 SE 26th Street

32 Des Moines, IA 50320

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 1 of 8

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 04/23/2005 04:42:51 Schedule A
Contributions

Committee Name Committee ID 6498 Statutory Due Date 10/19/2002


Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

10/11/2002 Davis, Mary P None $134.75

16 34th Street

7 Des Moines, IA 50312

10/11/2002 Davis, Philip M None $538.44

502 W Sweetbriar Place

8 Sioux Falls, SD 57108

10/11/2002 Dentlinger, Deanne None $14.00

211 Corning Street

9 Arcadia, IA 51430

10/11/2002 Druker, Michele A None $140.00

13601 Lake Shore Dr.

10 Clive, IA 50325

10/11/2002 Gardner-Goos, Linda None $35.00

1443 17th Street

11 West Des Moines, IA 50265

10/11/2002 Gaucher, Ellen J None $1,346.10

1438 Tulip Tree Lane

12 West Des Moines, IA 50266

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 2 of 8

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 04/23/2005 04:42:51 Schedule A
Contributions

Committee Name Committee ID 6498 Statutory Due Date 10/19/2002


Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

10/11/2002 Gold, Clifford D None $875.00

13190 Cedar Crest Lane

13 Clive, IA 50325

10/11/2002 Grewell, Dean R None $140.00

924 44th Street

14 West Des Moines, IA 50265

10/11/2002 Griffin, Janet None $525.00

410 27th Street

15 Des Moines, IA 50312

10/11/2002 Hammers, Marcia L None $35.00

809 52nd Street

16 West Des Moines, IA 50265

10/11/2002 Harper III, William H None $136.50

3526 Timberline Drive

17 West Des Moines, IA 50265

10/11/2002 Huffman, Patricia L None $140.00

1501 Park Avenue

18 Des Moines, IA 50263

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 3 of 8

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 04/23/2005 04:42:51 Schedule A
Contributions

Committee Name Committee ID 6498 Statutory Due Date 10/19/2002


Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

10/11/2002 James, Valerie J None $35.00

5901 SW 3rd

19 Des Moines, IA 50315

10/11/2002 Johnson, Jana D None $21.00

7039 Oak Brook

20 Urbandale, IA 50322

10/11/2002 Leavell, Garry J None $14.00

13771 Bay Hill Drive

21 Clive, IA 50325

10/11/2002 Lents, Joan M None $280.00

2326 150th Street

22 Menlo, IA 50164

10/11/2002 Lentz, Gerald G None $245.00

913 NE 24th Court

23 Ankeny, IA 50021

10/11/2002 Livers, Robert W None $21.00

2346 E 29th Street

24 Des Moines, IA 50317

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 4 of 8

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 04/23/2005 04:42:51 Schedule A
Contributions

Committee Name Committee ID 6498 Statutory Due Date 10/19/2002


Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

10/11/2002 McNeill, Dana W None $280.00

5501 Boulder Drive

25 West Des Moines, IA 50266

10/11/2002 Mendelson, Elizabeth None $35.00

3200 Marson Drive

26 Sioux Falls, SD 57103

10/11/2002 Miner, Debra L None $263.90

6924 Donahey

28 Panora, IA 50216

10/11/2002 Nickerson, Don None $245.00

3416 SWRose

27 Des Moines, IA 50321

10/11/2002 O'Bryan, Debra D None $35.00

8918 Townsend

30 Urbandale, IA 50322

10/11/2002 Ortner, John H None $21.00

7916 Rosland

31 Des Moines, IA 50322

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 5 of 8

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 04/23/2005 04:42:51 Schedule A
Contributions

Committee Name Committee ID 6498 Statutory Due Date 10/19/2002


Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

10/11/2002 Riggs, Sheila M None $525.00

405 S Wilmoth

33 Ames, IA 50014

10/11/2002 Riley, Richard R None $280.00

161 58th Court

34 West Des Moines, IA 50266

10/11/2002 Roberts, Peter W None $538.51

4315 Timberwood Drive

35 West Des Moines, IA 50265

10/11/2002 Shaffer, Matthew M None $437.50

1454 50th Avenue

36 Prole, IA 50229

10/11/2002 Sheehy, Janet L None $28.00

2307 Heatherwood Drive

37 West Des Moines, IA 50265

10/11/2002 Siemonsma, Mike None $14.00

5201 S. Lewis Avenue

38 Sioux Falls, SD 57108

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 6 of 8

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 04/23/2005 04:42:51 Schedule A
Contributions

Committee Name Committee ID 6498 Statutory Due Date 10/19/2002


Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

10/11/2002 Southwell, David N None $1,078.00

13111 Woodland Parkway

39 Clive, IA 50325

10/11/2002 Unitemized N/A $7.00

N/A
Check # N/A
4 N/A N/A, N/A N/A

10/11/2002 Unitemized N/A $7.00

N/A
Check # N/A
29 N/A N/A, N/A N/A

10/11/2002 Unitemized N/A $7.00

N/A
Check # N/A
40 N/A N/A, N/A N/A

10/11/2002 Van Dyke, Kevin D None $70.00

709 39th Street

41 West Des Moines, IA 50265

10/11/2002 Wampler, Rebecca None $70.00

3774 University Avenue

42 Des Moines, IA 50311

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 7 of 8

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 04/23/2005 04:42:51 Schedule A
Contributions

Committee Name Committee ID 6498 Statutory Due Date 10/19/2002


Wellmark, Inc. PAC (WellPAC) Adjusted Due Date 10/21/2002
Filed Date 10/18/2002
Amended Date 10/18/2002
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

10/11/2002 Welp, Polly None $14.00

1123 Clinton Avenue

43 Des Moines, IA 50313

10/11/2002 Whitesell, Sonja None $105.00

731 56th Street

44 Des Moines, IA 50312

10/11/2002 Wilcke, Debra None $14.00

4567 250th Street

45 Danbury, IA 51019

Total Regular Contributions $9,188.70


Total Fundraiser Contributions
Grand Total All Contributions $9,188.70

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:42:51 Page 8 of 8

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