Generated On: 5/29/2009 3:15:09 PM

Schedule A: Contributions Sch-A

Koslow for Iowa's Health Status: Filed
Committee Type: State House Statutory Due Date 10/31/2008

County: NA Adjusted Due Date

District: 60 Filed Date 10/29/2008 2:38:14 PM

Committee Code: 1780 Postmark Date

Political Party: Democratic Amendment Date 5/29/2009 2:57:13 PM

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

Date Committee ID Candidate Amount
Check # Jacoby, Michael
10/15/2008 1314 558 South 34th Court None $100.00
West Des Moines, IA 50265
Check # Kuperman, Michael
10/16/2008 4081 4501 Pleasant St Apt 218 None $75.00
West Des Moines, IA 50266-5491
Check # Rosenberg, Kent and Janice
10/19/2008 6634 13908 Bryn Mawr Drive None $100.00
Urbandale, IA 50323
Check # Bookey, Harry and Pamela Bas
10/20/2008 005486 400 Locust Street None $250.00
Des Moines, IA 50309
Check # Lichtwardt, Ruth
10/20/2008 203005314 416 Michigan Street None $20.10
Lawrence, KS 66044
Earmarked From #9738 ActBlue Iowa, PO Box 382110 , Cambridge, MA, 02238
Donation made October 4th, 2008, Check dated October 5th, 2008, Check received October 20th, 2008
Check # Weinstock, Kenneth
10/20/2008 2030005314 P.O. Box 1690 None $36.00
Redlands, CA 92373
Earmarked From #9738 ActBlue Iowa, PO Box 382110 , Cambridge, MA, 02238
Donation made on October 3rd, 2008 Check dated October 6th, received October 20th
Check # Aten, Daniel and Harriett
10/21/2008 5226 5904 Dakota Drive None $100.00
West Des Moines, IA 50266
Check # Krewson, Lyle
10/24/2008 cash 1725 S. 50th Street Apt # 602 None $40.00
West Des Moines, IA 50266
Check # Mullin, Joseph and Rosemary
10/25/2008 11535 19 Liberty Bell Blvd None $50.00
Des Moines, IA 50317
Check # Feldman, Bernard and Ava
10/26/2008 7151 13422 Oak Brook Drive None $75.00
Urbandale, IA 50323
Check # Prasad, P.C. S.V. Advani
10/26/2008 5972 13961 South Shore Drive None $250.00
Clive, IA 50325

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2
 Generated On: 5/29/2009 3:15:09 PM

Schedule A: Contributions Sch-A

Koslow for Iowa's Health Status: Filed
Committee Type: State House Statutory Due Date 10/31/2008

County: NA Adjusted Due Date

District: 60 Filed Date 10/29/2008 2:38:14 PM

Committee Code: 1780 Postmark Date

Political Party: Democratic Amendment Date 5/29/2009 2:57:13 PM

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

Date Committee ID Candidate Amount
Check # Andres, Dale and Marie
10/27/2008 2628 1160 Glen Oaks Drive None $100.00
West Des Moines, IA 50266
Check # Daniels, Ronald L.
10/28/2008 13605 3101 Ingersoll Avenue None $700.00
Des Moines, IA 50312
Check # Light, Craig and Carol
10/28/2008 cash 6615 Oliver Smith Drive None $50.00
Urbandale, IA 50322
Check # Overton, Roy III
10/28/2008 cash 5927 Highland Court None $20.00
West Des Moines, IA 50266

Total Regular Contributions $1,966.10

Total Fundraiser Contributions $0.00
Grand Total All Contributions $1,966.10

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