Generated On: 1/25/2011 7:56:07 PM

Schedule A: Contributions Sch-A

STAND Status: Filed
Committee Type: Iowa PAC Statutory Due Date 1/19/2011

County: _NA Adjusted Due Date

District: 0 Filed Date 1/18/2011 11:29:55 PM

Committee Code: 9815 Postmark Date

Political Party: Other Amendment Date

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

Date Committee ID Candidate Amount
Criss, Richard
10/23/2010 Check # 3130 Pierce Street None $20.00
Cash Sioux City, IA 51104
Donation
Carlson, Kaye
10/26/2010 Check # 4579 Pierce Ave. None $50.00
7641 Paullina, IA 51046
Donation
Krage, Jack
10/27/2010 Check # 4555 Talbot Road None $200.00
8256 Sioux City, IA 51103
Donation
Beardshear, Ryan
10/28/2010 Check # 107 Westcott Street None $50.00
Cash Sioux City, IA 51106
Donation
Wells Fargo
11/1/2010 Check # 4360 Sergeant Road None $100.00
n/a Sioux City, IA 51106
Monthly recurring transfer from checking to savings
8622 Eagle Forum PAC
11/4/2010 Check # PO Box 618 N/A $1,000.00
? Alton, IL 62002
I failed to notate the check number, but if you need one, I can contact the bank. RDB (Treasurer)
Wells Fargo
11/30/2010 Check # 4360 Sergeant Road None $0.01
Sioux City, IA 51106
Nov. Savings Interest
9759 PeaceMakers Political Action Committee
12/1/2010 Check # 2930 Glen Ellen Road N/A $400.00
1027 Sioux City, IA 51106
Donation
Wells Fargo
12/31/2010 Check # 4360 Sergeant Road None $0.01
n/a Sioux City, IA 51106
Dec. Savings Interest

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2
 Generated On: 1/25/2011 7:56:07 PM

Total Regular Contributions $1,820.02

Total Fundraiser Contributions $0.00
Grand Total All Contributions $1,820.02

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