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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

1/10/2008ID #

CK #

James Carney400 Homestead Bldg., 303 Locust St.Des Moines, IA 50309

1000.00 Y

1/10/2008ID #6017

CK #3202

Central Iowa Building and ConstructionTrades CouncilPO Box 7310Des Moines, IA 50309-7310

1000.00 Y

1/10/2008

ID #9663

CK #680

Citizens for Preservation of Racing

4837 NW 86th Street #30Urbandale, IA 50322

1000.00 Y

1/10/2008ID #6021

CK #2196

Credit Union PACP.O. Box 10409Des Moines, IA 50306

15000.00 Y

1/10/2008ID #9659

CK #1491

Federation of Iowa Insurers PACPO Box 1756Des Moines, IA 50306-1756

5000.00 Y

1/10/2008ID #

CK #

Martha Green815 18th Street

Des Moines, IA 50314

250.00

1/10/2008ID #0

CK #2592

Harrah's Entertainment, Inc. ImpactsPublic PolicyOne Harrah's CourtLas Vegas, NV 89119

1500.00 Y

1/10/2008ID #6429

CK #2124

Heavy Highway PAC2415 Ingersoll Ave.Des Moines, IA 50312

2500.00 Y

1/10/2008ID #6052

CK #3215

Independent Insurance Agents of IowaPAC4000 Westown Parkway

West Des Moines, IA 50266

1000.00 Y

1/10/2008ID #6234

CK #1013

Iowa Farm Bureau Federation PAC5400 University AvenueWest Des Moines, IA 50266

5000.00 Y

SUB-TOTAL $ 33,250

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 2 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

1/10/2008ID #6291

CK #2606

Iowa Hospital Assn. PAC100 E. Grand Avenue, Suite 100Des Moines, IA 50309

10000.00 Y

1/10/2008ID #6086

CK #13605

Iowa State Education Association PAC777 3rd St.Des Moines, IA 50309

1000.00 Y

1/10/2008

ID #0

CK #2333

Monsanto Citizenship Fund

3104 Bayberry Rd.Ames, IA 50014

5000.00 Y

1/10/2008ID #6351

CK #1160

Petroleum Marketers & ConvenienceStores of IA PAC1303 - 50thWest Des Moines, IA 50266

1000.00 Y

1/10/2008ID #

CK #

Mark TruesdellSuite 200 321 E WalnutDes Moines, IA 50309

500.00 Y

1/10/2008ID #

CK #

Kevin Vinchattle8515 Douglas Avenue

Urbandale, IA 50322

125.00 Y

1/10/2008ID #

CK #

William Wimmer3504 - 129th StreetUrbandale, IA 50323

2500.00 Y

1/11/2008ID #9716

CK #2214

IBEW Local 347 PAC Fund850 - 18th StreetDes Moines, IA 50314

5000.00 Y

1/11/2008ID #0

CK #2491

Internat. Assoc. of Fire FightersHarold SchaitbergerWashington, DC 20006-0000

4000.00 Y

1/11/2008ID #6089

CK #392

Operating Engineers Local #234 PAC4880 HubbellDes Moines, IA 50317

2500.00 Y

SUB-TOTAL $ 31,625.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 3 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

1/11/2008ID #0

CK #9880710

United Food and Commercial WorkersActive Ballot C1775 K Street NWWashington, DC 20006

25000.00 Y

1/16/2008ID #

CK #

Jeffrey Farrell9130 Tanglewood DriveUrbandale, IA 50322

100.00

1/30/2008

ID #

CK #

Matthew Howard

3976 Fawn Lane NEIowa City, IA 52240-7925

250.00

2/6/2008ID #

CK #

Michael Simonson3300 Elmwood DriveDes Moines, IA 50312

5000.00

2/6/2008ID #

CK #

Fred Weitz1245 Brown's Woods Dr.West Des Moines, IA 50265

2500.00

2/20/2008ID #

CK #

Jack Vetter5020 S 118th street

Omaha, NE 68137

1000.00

2/27/2008ID #

CK #

Jocille Weber1240 Arrowhead DriveDubuque, IA 52003

50.00

3/5/2008ID #

CK #

George Cataldo5554 NE 16th StreetDes Moines, IA 50313

5000.00

3/12/2008ID #

CK #

Chip Lowe4320 Woodland AveDes Moines, IA 50312

1000.00

3/17/2008ID #

CK #

Brad Brady1570 Shady Ct., NWSwisher, IA 52338

1000.00

SUB-TOTAL $ 40,900.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 4 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

3/21/2008ID #

CK #

Jerry Shellberg1206 North 8th StreetRed Oak, IA 51566

1000.00

3/24/2008ID #

CK #

Jeff Broin809 West 3rd StreetDell Rapids, SD 57022

5000.00

3/25/2008

ID #

CK #

William Eckhardt

1921 N. HudsonChicago, IL 60614

5000.00

3/25/2008ID #

CK #

Michael Liebbe111 East 3rd StreetDavenport, IA 52801

1000.00

3/25/2008ID #

CK #

Waldo Morris4512 Lakeside Rd.Marion, IA 52302

1000.00

3/25/2008ID #

CK #

Nancy Mowry4512 Lakeside Rd.

Marion, IA 52302

1000.00

5/9/2008ID #

CK #

Robert Anderson400 East Locust #205Des Moines, IA 50309

250.00

6/2/2008ID #

CK #

Christopher Cook5204 Aspen DriveWest Des Moines, IA 50265

1000.00 Y

6/2/2008ID #

CK #

Ward Rouse620 Ashworth RdWest Des Moines, IA 50265

500.00 Y

6/2/2008ID #

CK #

Dennis Schemmel8200 NW 114th StreetGrimes, IA 50111

1000.00 Y

SUB-TOTAL $ 16,750.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 5 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

6/2/2008ID #

CK #

Christopher Spaulding3521 - 133rd WayUrbandale, IA 50323

1000.00 Y

6/2/2008ID #

CK #

Sean Sweeney505 5th Avenue, Suite 320Des Moines, IA 50309

1000.00 Y

6/3/2008

ID #

CK #

Robert Blumberg

3458 N. Janssen Ave., Unit# I-1Chicago, IL 60657

500.00 Y

6/3/2008ID #

CK #

Dale Cochran15315 Monroe Ct.Urbandale, IA 50323

250.00 Y

6/6/2008ID #

CK #

David Erickson809 37th St.West Des Moines, IA 50265

500.00 Y

6/7/2008ID #

CK #

Ronald Ambrose7806 Pommel Pl.

West Des Moines, IA 50266

250.00 Y

6/7/2008ID #

CK #

Donald Beattie4300 Grand AvenueDes Moines, IA 50312

500.00 Y

6/7/2008ID #

CK #

Tom Berg2423 Ingersoll AvenueDes Moines, IA 50312

250.00 Y

6/7/2008ID #

CK #

A. Zane Blessum113 North John Wayne DriveWinterset, IA 50273

1000.00 Y

6/7/2008ID #

CK #

Matthew Boles7887 Cody DriveWest Des Moines, IA 50266

1000.00 Y

SUB-TOTAL $ 6,250.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 6 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

6/7/2008ID #

CK #

Brian Kohwles8640 54th Ave.Altoona, IA 50009

250.00 Y

6/7/2008ID #

CK #

Ronald Kuntz405 6th Avenue, Ste. 940Des Moines, IA 50309

1000.00 Y

6/7/2008

ID #

CK #

Ralph Marasco. Jr.

2401 Emma Ave.Des Moines, IA 50321

250.00 Y

6/7/2008ID #

CK #

Kevin Moreland7876 Aspen DriveWest Des Moines, IA 50266

250.00 Y

6/7/2008ID #

CK #

Thomas Murphy6312 Center StreetWest Des Moines, IA 50266

250.00 Y

6/7/2008ID #

CK #

James Nelsen1001 Office Park Rd., Ste. 108

West Des Moines, IA 50265

250.00 Y

6/7/2008ID #

CK #

Tom Nelson904 48th StreetWest Des Moines, IA 50265

500.00 Y

6/7/2008ID #

CK #

Alfredo Parrish2910 GrandDes Moines, IA 50312

500.00 Y

6/7/2008ID #

CK #

John Peak, Jr.13310 Rocklyn Dr.Urbandale, IA 50323

500.00 Y

6/7/2008ID #

CK #

Shane Petersen5220 SE 9thDes Moines, IA 50315

500.00 Y

SUB-TOTAL $ 4,250.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 8 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

6/7/2008ID #

CK #

Richard Schmidt2423 Ingersoll Ave.Des Moines, IA 50312

500.00 Y

6/7/2008ID #

CK #

Jeff Taylor55850 170th StreetAmes, IA 50010

280.00 Y

6/7/2008

ID #

CK #

Chris Tribolet

15304 Winston Ave.Urbandale, IA 50323

500.00 Y

6/7/2008ID #

CK #

Jason Wolf7882 Aspen DriveWest Des Moines, IA 50266

250.00 Y

6/7/2008ID #

CK #

Brad Wyckoff, IA 500.00 Y

6/9/2008ID #

CK #

Charles Gribble2910 Grand Ave.

Des Moines, IA 50312

500.00 Y

6/25/2008ID #

CK #

Eric Parrish2910 Grand AvenueDes Moines, IA 50312

100.00 Y

6/25/2008ID #

CK #

Angela Parrish904 51st StreetWest Des Moines, IA 50265

400.00 Y

8/20/2008ID #

CK #

A. Zane Blessum113 North John Wayne DriveWinterset, IA 50273

250.00 Y

8/20/2008ID #

CK #

Brian Galligan4606 Kingsman BlvdDes Moines, IA 50311-4227

500.00 Y

SUB-TOTAL $ 3,780.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 9 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

8/20/2008ID #6449

CK #1457

Great Plains Laborers District CouncilIow PAC5806 Meredith Dr., Ste. BDes Moines, IA 50322

10000.00

8/20/2008ID #

CK #

Pressley Henningsen425 Second Street, S.E.Suite 1140Cedar Rapids, IA 52401

500.00 Y

8/20/2008

ID #0

CK #8364

Merck Employees PAC

436 East 58th StreetWesmont, IL 60559

1000.00

8/20/2008ID #

CK #

Willard Olesen204 NE GrantGreenfield, IA 50849

50.00 Y

8/20/2008ID #

CK #

Alan Olson3116 Ingersoll Ave.Des Moines, IA 50312

2000.00 Y

8/20/2008ID #

CK #

John Riccolo533 Knollwood Dr SE

Cedar Rapids, IA 52403

500.00 Y

8/20/2008ID #

CK #

Timothy Semelroth3604 Honey Hill Drive SECedar Rapids, IA 52403

500.00 Y

8/22/2008ID #

CK #

Joel Barrows1640 Perkins CourtBettendorf, IA 52722

250.00 Y

9/4/2008ID #

CK #

James Conlin2900 Southern Hills CircleDes Moines, IA 50321

25000.00

9/11/2008ID #

CK #

Robert Blumberg3458 N Janssen #I-1Chicago, IL 60657

250.00

SUB-TOTAL $40,050.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 10 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

9/12/2008ID #

CK #

Robert Anderson1305 NW Northwood DriveAnkeny, IA 50023

200.00

9/14/2008ID #

CK #

Toby ShineBox 737Spencer, IA 51301

25000.00

9/15/2008

ID #

CK #

David Wheeler

175 North Harbor DriveChicago, IL 60601

1000.00 Y

9/16/2008ID #

CK #

Sean Sweeney505 5th Avenue, Suite 320Des Moines, IA 50309

1000.00 Y

9/16/2008ID #

CK #

Timothy Charles529 Augusta Dr. SECedar Rapids, IA 52403

250.00 Y

9/16/2008ID #

CK #

Robert Downer122 South Linn Street

Iowa City, IA 52240

500.00 Y

9/16/2008ID #

CK #

Julie Drew712 - 50th StreetDes Moines, IA 50312

5000.00 Y

9/16/2008ID #

CK #

Tom Drew712 - 50th StreetDes Moines, IA 50312

5000.00 Y

9/16/2008ID #

CK #

Jack Evans2336 Linden Drive SECedar Rapids, IA 52403

500.00 Y

9/16/2008ID #

CK #

Charles Peters3229 260th StreetWilliamsburg, IA 52361

500.00 Y

SUB-TOTAL $38,950.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 11 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

9/16/2008ID #

CK #

John Riccolo533 Knollwood Dr SECedar Rapids, IA 52403

10000.00 Y

9/16/2008ID #

CK #

Greg Seyfer2007 First Avenue SECedar Rapids, IA 52402

500.00 Y

9/16/2008

ID #

CK #

Thomas Shankeshaft

827 W. Rosecoe Apt. 3Chicago, IL 60657

250.00 Y

9/16/2008ID #

CK #

Gary StreitP.O. Box 2107Ceda Rapids, IA 52401

500.00 Y

9/16/2008ID #

CK #

Steven Wandro2501 Grand AvenueDes Moines, IA 50312

10000.00 Y

9/16/2008ID #

CK #

William Wimmer3504 - 129th Street

Urbandale, IA 50323

2500.00 Y

9/26/2008ID #6484

CK #1047

Iowa Society of Anesthesiologists PAC525 SW 5th Street, Ste. ADes Moines, IA 50309

2500.00

9/26/2008ID #

CK #

Michael Lange70 Gray Cliff Rd.Newton, MA 02459

1250.00 Y

9/26/2008ID #

CK #

Patricia Schill1587 Princeton Dr.San Jose, CA 95118

1250.00 Y

10/8/2008ID #8398

CK #8598

Wyeth Good Government Fund3510 Old Dominion RoadLincoln, NE 68516

1000.00

SUB-TOTAL $ 29,750.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 12 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

10/13/2008ID #6084

CK #846

Iowa State UAW-PAC Committee5613 Gateway Drive Suite 800Grimes, IA 50111-6650

35000.00

10/17/2008ID #

CK #

James Hayes1142 East CourtIowa City, IA 52245

5000.00 Y

10/17/2008

ID #8548

CK #1258

ITC Holdings Corp. PAC - Michigan

201 Townend Street, Ste 900Lansing, MI 48933

2000.00

10/17/2008ID #

CK #

Tom Lane148 Waverly Way N.E.Atlanta, GA 30307-2562

650.00

10/17/2008ID #

CK #

Kyle Scogman4757 hickory Wind LaneMarion, IA 52302

500.00 Y

10/17/2008ID #

CK #

Michael VallaninghamP. O. Box 17428

Austin, TX 78760

1000.00 Y

10/19/2008ID #

CK #

Stephen Ringlee2325 Storm StreetAmes, IA 50014

100.00

11/7/2008ID #

CK #

James Carney400 Homestead Bldg., 303 Locust St.Des Moines, IA 50309

2500.00 Y

11/7/2008ID #

CK #

Cynthia Cox2508 200th StreetBedford, IA 50833

1000.00 Y

11/7/2008ID #

CK #

Larry Engman2919 SW 30th StreetDes Moines, IA 50321

1000.00 Y

SUB-TOTAL $ 48,750.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 13 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 14/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/7/2008ID #

CK #

Elizabeth Garst1313 Fig AvenueCoon Rapids, IA 50058

250.00 Y

11/7/2008ID #

CK #

G. David Hurd300 Walnut #183Des Moines, IA 50309-3986

5000.00 Y

11/7/2008

ID #6099

CK #1186

Meredith Corp. Employees Fund for

Better Governmen1716 Locust StreetDes Moines, IA 50309-3023

1000.00 Y

11/7/2008ID #8551

CK #4225

Motorola Inc. PAC1455 Pennsylvania Ave., NWWashington, DC 20004

1000.00 Y

11/7/2008ID #

CK #

Sam Scheidler3121 Dean Ave.Des Moines, IA 50317

1000.00 Y

11/11/2008ID #

CK #

Cynthia Lapcheska15215 Alpine Drive

Urbandale, IA 50323

50.00 Y

11/11/2008ID #

CK #

Ron Stopak416 - 1st Avenue NELe Mars, IA 51031

70.00 Y

11/11/2008ID #

CK #

William Witt1006 W 9th StreetCedar Falls, IA 50613

100.00 Y

11/12/2008ID #

CK #

Betty Deberg826 Westwood DrCedar Falls, IA 50613

70.00 Y

11/13/2008ID #

CK #

Kari Dorovolny12265 253rd AvenueSpirit Lake, IA 51360

140.00 Y

SUB-TOTAL $ 8,680.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 14 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 15/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/13/2008ID #

CK #

Thomas Wolfe1905 Emerald Dr.Davenport, IA 52804

50.00 Y

11/14/2008ID #

CK #

Robert Anderson1305 NW Northwood DriveAnkeny, IA 50023

250.00 Y

11/14/2008

ID #

CK #

Daniel Garrett

110 - 35th StreetDes Moines, IA 50312

1000.00 Y

11/15/2008ID #

CK #

Surya Mallapragada1239 Idaho CourtAmes, IA 50014

50.00 Y

11/15/2008ID #

CK #

Gwendolyn McCarty536 South Summit StreetIowa City, IA 52240

250.00 Y

11/18/2008ID #

CK #

Greg AbelPO Box 657

Des Moines, IA 50303-0657

1000.00 Y

11/18/2008ID #

CK #

Robert Baudino2600 Grand Ave., Ste. 300Des Moines, IA 50312

12500.00 Y

11/18/2008ID #

CK #

Anthony Double604 North WalnutCreston, IA 50801

50.00 Y

11/18/2008ID #

CK #

John Flannery1024 - 21st StreetWest Des Moines, IA 50265

35.00 Y

11/18/2008ID #

CK #

William Knapp4949 Westown Parkway, Suite 200West Des Moines, IA 50266

25000.00 Y

SUB-TOTAL $ 40,185.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 15 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 16/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/18/2008ID #

CK #

Ronald Kuntz405 6th Avenue, Ste. 940Des Moines, IA 50309

100.00 Y

11/18/2008ID #

CK #

Sheldon Kurtz6 Glendale TerraceIowa City, IA 52245

50.00 Y

11/18/2008

ID #

CK #

Akshay Mahadevia

33 Briarwood ChaseBettendorf, IA 51722

50.00 Y

11/18/2008ID #

CK #

Steven RyanP.O. Box 282Le Grand, IA 50142

50.00 Y

11/18/2008ID #

CK #

Ruth Schaben1104 Ucon AvenueDunlap, IA 51529

50.00 Y

11/18/2008ID #

CK #

Eleanor Soseman510 E. 2nd, Box 470

Holstein, IA 51025

35.00 Y

11/18/2008ID #

CK #

Sean Sweeney505 5th Avenue, Suite 320Des Moines, IA 50309

70.00 Y

11/18/2008ID #

CK #

Mary Wettach2436 Iowa AvenueMt. Pleasaant, IA 52641

75.00 Y

11/19/2008ID #

CK #

Phyllis Allen616 Hearthside DrCedar Falls, IA 50613

25.00 Y

11/19/2008ID #8366

CK #7067

American Society of AnesthesiologistsPAC520 N. Northwest HighwayPark Ridge, IL 60068

12500.00 Y

SUB-TOTAL $ 13,005.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 16 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/19/2008ID #

CK #

Kathleen Bass7 Sylvin LaneCedar Rapids, IA 52403

1000.00 Y

11/19/2008ID #

CK #

Robert CasperPO Box 329Winterset, IA 50273

1000.00 Y

11/19/2008

ID #

CK #

Patrick Deluhery

629 Foster DriveDes Moines, IA 50312

500.00 Y

11/19/2008ID #

CK #

Steven DeVolder1228 Sunset Drive Suite CNorwalk, IA 50211

1000.00 Y

11/19/2008ID #

CK #

Rich EychanerP.O. Box 1797Des Moines, IA 50306

5000.00 Y

11/19/2008ID #

CK #

William Gannon205 E. Bluff St. Box 167

Mingo, IA 50168

100.00 Y

11/19/2008ID #

CK #

William Gluba2421 GainesDavenport, IA 52804

70.00 Y

11/19/2008ID #

CK #

Dale GoekePO Box 814Waverly, IA 50677

250.00 Y

11/19/2008ID #

CK #

Lileah Harris3626 Beaver Av SECedar Rapids, IA 52403

50.00 Y

11/19/2008ID #

CK #

Steve Hemingway5477 280th Street NEIowa City, IA 52240

1000.00 Y

SUB-TOTAL $ 9,970.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 17 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 18/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/19/2008ID #

CK #

Robert HumeP.O. Box 136Keota, OK 74941

500.00

11/19/2008ID #6478

CK #1196

Iowa Association of Nurse AnesthetistsPAC1704 Pike Ave.Carroll, IA 51401

1000.00 Y

11/19/2008

ID #6073

CK #1234

Iowa Medical PAC

1001 Grand AvenueWest Des Moines, IA 50265

15000.00 Y

11/19/2008ID #6484

CK #1049

Iowa Society of Anesthesiologists PAC525 SW 5th Street Suite ADes Moines, IA 50309

1000.00 Y

11/19/2008ID #

CK #

Robert Jobe208 East MapleCherokee, IA 51012

35.00 Y

11/19/2008ID #

CK #

Craig Kelinson5707 Woodland Rd.

Des Moines, IA 50312

100.00 Y

11/19/2008ID #

CK #

Charlotte Kelley3943 Welker Ave.Des Moines, IA 50312

50.00 Y

11/19/2008ID #

CK #

Jerry Krafka931 West MaryOttumwa, IA 52501

35.00 Y

11/19/2008ID #

CK #

Dean Lerner5220 ShriverDes Moines, IA 50312

100.00 Y

11/19/2008ID #

CK #

Keith Luchtel10521 Sunset Ter.Clive, IA 50325

50.00 Y

SUB-TOTAL $ 17,870.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 18 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 19/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/19/2008ID #

CK #

Krista Mattson114 SW 52nd StreetDes Moines, IA 50312

100.00 Y

11/19/2008ID #

CK #

Doris Mc Cready1 Asbury CourtMason City, IA 50401

35.00 Y

11/19/2008

ID #

CK #

Margery McCardell

310 Willis DriveIowa City, IA 52246

20.00 Y

11/19/2008ID #

CK #

Dana McCarthy1400 Locust StWest Des Moines, IA 50265

20.00 Y

11/19/2008ID #

CK #

Shahbaz Ahmed Merchant2130 Mccarthy RdAmes, IA 50014-7824

1000.00 Y

11/19/2008ID #

CK #

Christine Milligan-Ciha14787 Woodcrest Drive

Clive, IA 50325

100.00 Y

11/19/2008ID #

CK #

Robyn Mills5360 NW Burr Oak DriveJohnston, IA 50131

100.00 Y

11/19/2008ID #

CK #

CCC Miscellaneous Donation1.00

11/19/2008ID #

CK #

Jane Nagy104 Sunland CourtForest City, IA 50436

35.00 Y

11/19/2008ID #

CK #

Arthur Neis1575 NW 106th St.Clive, IA 50325

250.00 Y

SUB-TOTAL $ 1,661.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 19 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 20/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/19/2008ID #

CK #

Brice Oakley418 38th PlaceDes Moines, IA 50312

100.00 Y

11/19/2008ID #6112

CK #1556

PACEG-PAC for Effective GovtPO Box 855Des Moines, IA 50304

1000.00 Y

11/19/2008

ID #

CK #

Lucinda Raabe

3011 Ingersoll AvenueDes Moines, IA 50312

500.00 Y

11/19/2008ID #

CK #

Dr. Dori Rammelsberg-Dvorak2937 240th St.Clutier, IA 52217

50.00 Y

11/19/2008ID #

CK #

Bruce Rogers2100 Four Winds DriveCedar Falls, IA 50613

5.00 Y

11/19/2008ID #

CK #

Beth Schnell19210 HackamoreRoad

Hamel, MN 55340

100.00 Y

11/19/2008ID #

CK #

Jerry Shellberg1206 North 8th StreetRed Oak, IA 51566

35.00 Y

11/19/2008ID #

CK #

Siroos Shirazi234 Lexington AveIowa City, IA 52246

1000.00 Y

11/19/2008ID #

CK #

Faye Strayer1504 First AvenueCoralville, IA 52241

25.00 Y

11/19/2008ID #vsr

CK #2491

United Transportation Union PAC14600 Detroit AvenueCleveland, OH 44107

1000.00 Y

SUB-TOTAL $ 3,815.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 20 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/19/2008ID #

CK #

Martha VinerP.O. Box 353Albia, IA 52531

50.00 Y

11/19/2008ID #

CK #

Timothy Walker317 6th Ave., Suite 1200Des Moines, IA 50309

70.00 Y

11/19/2008

ID #

CK #

Leta Wall

156 Cherry Hill Road, NWCedar Rapids, IA 52405

20.00 Y

11/19/2008ID #

CK #

Brent Wynja1012 Hunziker DriveAmes, IA 50010

500.00 Y

11/20/2008ID #

CK #

Alicia Claypool5754 Gallery CourtWest Des Moines, IA 50266

100.00 Y

11/20/2008ID #

CK #

Kathleen Halloran825 17th Street SE

Cedar Rapids, IA 52403

50.00 Y

11/20/2008ID #6087

CK #1603

Iowa Telecommunications Assn IndustryPAC2987 100th StreetUrbandale, IA 50322-5501

1000.00 Y

11/20/2008ID #

CK #

Constance Miller816 Filmore StreetOttumwa, IA 52501

50.00 Y

11/20/2008ID #6107

CK #3647

Qwest IPAC925 High Street 9S9Des Moines, IA 50309

250.00 Y

11/20/2008ID #

CK #

Sean Sweeney505 5th Avenue, Suite 320Des Moines, IA 50309

70.00 Y

SUB-TOTAL $ 2,160.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 21 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/21/2008ID #

CK #

Greg AbelPO Box 657Des Moines, IA 50303-0657

20000.00 Y

11/21/2008ID #

CK #

Dennis Albaugh1325 NE Tuscany BlvdAnkeny, IA 50021

25000.00 Y

11/21/2008

ID #

CK #

Richard Allbee

PO Box 436Hampton, IA 50441

2500.00 Y

11/21/2008ID #

CK #

Dale Andres1160 Glen Oaks DriveWest Des Moines, IA 50266

2500.00 Y

11/21/2008ID #6004

CK #4852

Assoc General Contractors of Ia PAC701 E. Court AvenueDes Moines, IA 50309

10000.00 Y

11/21/2008ID #

CK #

Vince Barland2333 Lark Road

Abilene, KS 67410

500.00 Y

11/21/2008ID #

CK #

Jim Blanchard27748 Rosewood Rd.Neola, IA 51159

500.00 Y

11/21/2008ID #

CK #

Kurt Blankenhorn7545 28th Ave.Watkins, IA 52354

150.00 Y

11/21/2008ID #

CK #

Brad Boeckenstedt31400 Bellevue Dr.Bellevue, IA 52031

2500.00 Y

11/21/2008ID #

CK #

Kathy Boeckenstedt31400 Bellevue Dr.Bellevue, IA 52031

2500.00 Y

SUB-TOTAL $ 66,150.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 22 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/21/2008ID #

CK #

Bonnie Campbell3131 Fleur Drive #702Des Moines, IA 50321

12500.00 Y

11/21/2008ID #

CK #

George Cataldo5554 NE 16th StreetDes Moines, IA 50313

5000.00 Y

11/21/2008

ID #

CK #

Lenora Collins

10141 Weld County rd. 13Longmont, CO 80504

500.00 Y

11/21/2008ID #

CK #

Gerald Crawford2900 SW 18thDes Moines, IA 50315

25000.00 Y

11/21/2008ID #

CK #

James Feller334 E. Gillet StreetPreston, IA 52069

500.00 Y

11/21/2008ID #

CK #

John Forsyth2433 Jordan Trail

West Des Moines, IA 50265

2500.00 Y

11/21/2008ID #

CK #

Teri Lynn Hasty21026 E. Cr.155Altus, OK 73521

250.00 Y

11/21/2008ID #6067

CK #3969

Iowa Health PAC6750 Westown Pkwy #100West Des Moines, IA 50266

1000.00 Y

11/21/2008ID #6067

CK #3968

Iowa Health PAC6750 Westown Pkwy #100West Des Moines, IA 50266

2500.00 Y

11/21/2008ID #6118

CK #2626

Iowa Optometric Association621 Story StreetBoone, IA 50036

5000.00 Y

SUB-TOTAL $ 54,750.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 23 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 24/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/21/2008ID #

CK #

Nicole Jackson607 N 2nd StBellevue, IA 52031

400.00 Y

11/21/2008ID #

CK #

Mark Junk36543 Bellevue Cascade Rd.Bellevue, IA 52031

100.00 Y

11/21/2008

ID #6046

CK #4526

Justice for All PAC

218 Sixth Avenue, Ste. 526Des Moines, IA 50309-4091

25000.00 Y

11/21/2008ID #

CK #

Dan Kehl3184 Highway 22Riverside, IA 52327

25000.00 Y

11/21/2008ID #

CK #

William Leaver8409 G24 HwyIndianola, IA 50125

2500.00 Y

11/21/2008ID #

CK #

Donna Lefebvre11577 State Hwy 141

Mapleton, IA 51034

1000.00 Y

11/21/2008ID #6419

CK #1467

MidAmerican Energy CompanyExecutive PAC666 Grand AvenueDes Moines, IA 503030657

5000.00 Y

11/21/2008ID #

CK #

Michael Miller1401 Emerald Dr.Marshalltown, IA 50158

5000.00 Y

11/21/2008ID #

CK #

Lee Mundus1743 Green Ln.Winerset, IA 50273

50.00 Y

11/21/2008ID #6089

CK #465

Operating Engineers Local #234 PAC4880 HubbellDes Moines, IA 50317

25000.00 Y

SUB-TOTAL $ 89,050.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 24 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 25/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/21/2008ID #

CK #

Shelly RangelP. O. Box 113Abilene, KS 67410

500.00 Y

11/21/2008ID #

CK #

Victor Rangel2233 Deer RdAbilene, KS 67410

500.00 Y

11/21/2008

ID #

CK #

Joseph Recker

3144 235th StreetEarlville, IA 52041

200.00 Y

11/21/2008ID #

CK #

John Roeder306 N 3rd StreetBellevue, IA 52031-1239

200.00 Y

11/21/2008ID #

CK #

Janet Rosenbury938 Glen Oaks TerWest Des Moines, IA 50266

5000.00 Y

11/21/2008ID #

CK #

Gary Sandquist8009 Heather Bow

Johnston, IA 50131

25000.00 Y

11/21/2008ID #

CK #

Jon Stidham600 4th StreetMc Clelland, IA 51548

500.00 Y

11/21/2008ID #

CK #

Brant Taplin1510 NW 2ndAbilene, KS 67410

50.00 Y

11/21/2008ID #

CK #

Tom Taplin1931 Hawk Rd.Abilene, KS 67410

100.00 Y

11/21/2008ID #

CK #

David Ungs22397 Asbury Rd.Holy Cross, IA 52053

300.00 Y

SUB-TOTAL $ 32,350.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 25 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 26/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/21/2008ID #6498

CK #1890

Well PAC636 Grand Avenue, Station 13Des Moines, IA 50309

2500.00 Y

11/23/2008ID #

CK #

Christa Addy301 East Bell AvenueDes Moines, IA 50315

1000.00 Y

11/23/2008

ID #0

CK #1428

Black Hills Corporation PAC

1701 48th Street, Suite 260West Des Moines, IA 50266

500.00 Y

11/23/2008ID #

CK #

Erica Bonkosky-Montefusco446 Harrison StreetThompspon, IA 50478

50.00 Y

11/23/2008ID #

CK #

Hon. Polly Bukta604 S. 32nd StreetClinton, IA 52732

35.00 Y

11/23/2008ID #

CK #

Terry Fox9648 Quail Rdg

Urbandale, IA 50322

50.00 Y

11/23/2008ID #

CK #

Frank Gallardo2340 Station AvenueDes Moines, IA 50321

135.00 Y

11/23/2008ID #

CK #

Brent Green7 - 34th StreetDes Moines, IA 50312

1000.00 Y

11/23/2008ID #

CK #

Charles Hanson300 Walnut #45Des Moines, IA 50309

200.00 Y

11/23/2008ID #

CK #

Marvin Hedgecoth3127 Coral LN SWCedar Rapids, IA 52404

50.00 Y

SUB-TOTAL $ 5,520.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 26 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 27/49

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/23/2008ID #

CK #

E.A. Westfall425 4th Ave. Box 183Van Meter, IA 50261

250.00 Y

11/23/2008ID #

CK #

Karolee Wirt27821 - 150th StreetColumbus Junction, IA 52738

50.00 Y

11/23/2008

ID #

CK #

Carolyn Woods

108 E. Hillside DriveOelwein, IA 50662

100.00 Y

11/24/2008ID #

CK #

Doug Bailey923 1st StWebster City, IA 50595

60.00 Y

11/24/2008ID #

CK #

Ann-Marie Baughman692 Polk BlvdDes Moines, IA 50317

50.00 Y

11/24/2008ID #

CK #

Somer Besch300-A W. North Street

Prairie City, IA 50228

20.00 Y

11/24/2008ID #

CK #

Lynne Bishop2609 EisenhowerAmes, IA 50010

25.00 Y

11/24/2008ID #

CK #

Allan Bode1303 First AvenueCharles City, IA 50616

100.00 Y

11/24/2008ID #

CK #

William Knapp II4949 Westown ParkwayWest Des Moines, IA 50266

6250.00 Y

11/24/2008ID #

CK #

Debra Moore9725 Aurora AvenueUrbandale, IA 50322

1000.00 Y

SUB-TOTAL $ 7,905.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 28 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 29/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/24/2008ID #

CK #

Gerard Neugent2410 Park AveDes Moines, IA 50321

6250.00 Y

11/24/2008ID #

CK #

Kurt RasmussenPO Box 3345Des Moines, IA 50316

50.00 Y

11/24/2008

ID #

CK #

Ralph Rosenberg

811 Ridgewood AvenueAmes, IA 50010

100.00 Y

11/24/2008ID #

CK #

Doug Vail4121 SE Powers DriveRunnells, IA 50237

50.00 Y

11/28/2008ID #

CK #

Steve Chasse3223 Cottage Grove AvenueDes Moines, IA 50311

50.00 Y

11/28/2008ID #

CK #

Ray Walton1027 Angela Drive

Indianola, IA 50125

500.00 Y

11/29/2008ID #

CK #

Carol VanAernam411 W Madison PlaceIndianola, IA 50125

70.00 Y

11/30/2008ID #

CK #

Robert Brammer1717 Marella TrailDes Moines, IA 50310

50.00 Y

11/30/2008ID #6017

CK #3234

Central Iowa Building and ConstructionTrades Council PACPO Box 7310

Des Moines, IA 50309-7310

1000.00 Y

11/30/2008ID #

CK #

Abdul Chughtai, M.D.3562 Timberline DriveWest Des Moines, IA 50265

100.00 Y

SUB-TOTAL $ 8,220.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 29 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 30/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/30/2008ID #

CK #

Barry Cleaveland1435 McPherson Ave.Council Bluffs, IA 51503

500.00 Y

11/30/2008ID #

CK #

Betty Cooper1826 River StreetBurlington, IA 52601

50.00 Y

11/30/2008

ID #

CK #

Preston Daniels

1345 Burlington TerraceDes Moines, IA 50314

100.00 Y

11/30/2008ID #

CK #

Walter Felker2701 NE DelawareAnkeny, IA 50021

50.00 Y

11/30/2008ID #

CK #

Joyce Ann Ferguson368 - 20th Street S.E.Cedar Rapids, IA 52403

50.00 Y

11/30/2008ID #0

CK #3404

Florida Power & Light PAC700 University Blvd.

Juno Beach, FL 33408

25000.00 Y

11/30/2008ID #

CK #

Deborah Gitchell2513 Northwood DriveAmes, IA 50010

100.00 Y

11/30/2008ID #

CK #

John Gray3801 Orchard St.Sioux City, IA 51104

25.00 Y

11/30/2008ID #

CK #

Rebecca Greenwald14265 F AvePerry, IA 50220

50.00 Y

11/30/2008ID #

CK #

Wayne Halbur4801 Woodland Avenue, #4West Des Moines, IA 50266

50.00 Y

SUB-TOTAL $ 25,975.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 30 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 31/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/30/2008ID #

CK #

Mark Haverland3852 NW 90th PlacePolk City, IA 50226

50.00 Y

11/30/2008ID #

CK #

Kari Holth620 42nd StreetDes Moines, IA 50312

50.00 Y

11/30/2008

ID #

CK #

Catherine Lillehoj

1511 Center StreetDes Moines, IA 50314

50.00 Y

11/30/2008ID #

CK #

Robert Mulqueen2305 Glenwood DriveDes Moines, IA 50321

50.00 Y

11/30/2008ID #

CK #

Phyllis Peters210 South KelloggAmes, IA 50010

125.00 Y

11/30/2008ID #

CK #

Sylvia Piper406 NE Sherman Dr.

Ankeny, IA 50021

70.00 Y

11/30/2008ID #

CK #

Clark Rasmussen524- 32nd StWest Des Moines, IA 50265

100.00 Y

11/30/2008ID #

CK #

Jim Schaben, Jr3819 Highway 37Dunlap, IA 51529

100.00 Y

11/30/2008ID #

CK #

David Schmidt1036 - 66th PlaceWest Des Moines, IA 50266

50.00 Y

11/30/2008ID #

CK #

Richard Schmidt2423 Ingersoll Ave.Des Moines, IA 50312

70.00 Y

SUB-TOTAL $ 715.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 31 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 32/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

11/30/2008ID #

CK #

Brad Schroeder608 Locust StreetDes Moines, IA 50309

500.00 Y

11/30/2008ID #

CK #

Thomas Shakeshaft827 West Roscoe - Apt 3Chicago, IL 60657

35.00 Y

11/30/2008

ID #

CK #

Linda Steensland

19351 Monument Rd.Council Bluffs, IA 51503

35.00 Y

11/30/2008ID #vsr

CK #2560

West Central PACP.O. Box 68Ralston, IA 51459

1000.00 Y

12/1/2008ID #

CK #

Michael Carberry2029 Friendship StreetIowa City, IA 52245

100.00 Y

12/1/2008ID #

CK #

Shari Fitzgerald726 - 3rd Street

Fort Dodge, IA 50501

500.00 Y

12/1/2008ID #

CK #

Scott Harrington1312 Loomis Ave.Des Moines, IA 50315

100.00 Y

12/1/2008ID #

CK #

Gary Kendell3217 SW 35th StreetDes Moines, IA 50321-1827

500.00 Y

12/1/2008ID #

CK #

Khurram Latif MianPO Box 108Ames, IA 50010

100.00 Y

12/1/2008ID #

CK #

Krista Tanner1654 NW 129th StClive, IA 50325

500.00 Y

SUB-TOTAL $ 3,370.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 32 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/2/2008ID #

CK #

Marlene Alberigo524 SixthWest Des Moines, IA 50265

50.00 Y

12/2/2008ID #

CK #

Katherine Baier500 N. Valley Dr. #801Des Moines, IA 50312

20.00 Y

12/2/2008

ID #

CK #

Marlys Breon-Drish

205 W. Golf AvenueOttumwa, IA 52501

35.00 Y

12/2/2008ID #

CK #

Lisa Dawood-Hogan5550 NW 55th AvenueJohnston, IA 50131

50.00 Y

12/2/2008ID #

CK #

Lynn Heuss752 16th StreetDes Moines, IA 50314

50.00 Y

12/2/2008ID #

CK #

Denise Hocraffer118 -14th Ave SW

Clarion, IA 50525

35.00 Y

12/2/2008ID #6063

CK #2266

Iowa Dental Association PAC5530 West Parkway Suite 100Johnston, IA 50131

1000.00 Y

12/2/2008ID #

CK #

Thomas McBride III718 Polk BlvdDes Moines, IA 50312

35.00 Y

12/2/2008ID #

CK #

Andrea McGuire100 37th StreetDes Moines, IA 50312

100.00 Y

12/2/2008ID #

CK #

Fahim RahmaniP.O. Box 1014Ames, IA 50010

250.00 Y

SUB-TOTAL $ 1,625.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 33 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 34/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/2/2008ID #

CK #

J. Patrick White2034 Rochester CtIowa City, IA 52245

25.00 Y

12/3/2008ID #

CK #

A. Zane Blessum113 North John Wayne DriveWinterset, IA 50273

100.00 Y

12/3/2008

ID #

CK #

Susan Cameron

600 Brentwood DriveWaukee, IA 50263

500.00 Y

12/3/2008ID #

CK #

Elizabeth Coyte3274 Delta Circle Box CRedfield, IA 50233

1000.00 Y

12/3/2008ID #

CK #

Richard Deming300 Walnut St., Unit 148Des Moines, IA 50309

2500.00 Y

12/3/2008ID #

CK #

Robert Douglas, Jr.1443 NW 93rd Court

Clive, IA 50325-6227

2500.00 Y

12/3/2008ID #

CK #

Valentina Fominykh118 Northwood RdDes Moines, IA 50312

250.00 Y

12/3/2008ID #

CK #

Jon Garnaas13492 Lake Shore Dr.Clive, IA 50325

2500.00 Y

12/3/2008ID #

CK #

Vincent Lintz7114 Franklin AveWindsor Heights, IA 50322

250.00 Y

12/3/2008ID #

CK #

Andrew McDowell5241 Dakota DriveWest Des Moines, IA 50265

35.00 Y

SUB-TOTAL $ 9,660.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 34 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 35/49

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 36/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/4/2008ID #

CK #

Kevin Moreland7876 Aspen DriveWest Des Moines, IA 50266

100.00 Y

12/4/2008ID #

CK #

Glen RammelsbergPO Box 13Blairstown, IA 52209

50.00 Y

12/4/2008

ID #

CK #

John Sachs

5028 70th St.Urbandale, IA 50322

50.00 Y

12/4/2008ID #

CK #

Mary Tyler200 66th Ave., Apt. 7Cedar Rapids, IA 52404

50.00 Y

12/4/2008ID #

CK #

Andrew Wenthe101 East MainHawkeye, IA 52147

100.00 Y

12/5/2008ID #

CK #

Janet Adams1102 Division Street

Webster City, IA 50595

50.00 Y

12/5/2008ID #

CK #

Matt Gillette1616 68th St.Windsor Heights, IA 50322

100.00 Y

12/5/2008ID #

CK #

John McCalley2405 40th St.Des Moines, IA 50310

50.00 Y

12/5/2008ID #

CK #

Mark Wandro8128 Wilden DrUrbandale, IA 50322

500.00 Y

12/5/2008ID #

CK #

Steven Wandro2501 Grand AvenueDes Moines, IA 50312

500.00 Y

SUB-TOTAL $ 1,550.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 36 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 37/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/6/2008ID #

CK #

Robyn Ambrose7806 Pommel Pl.West Des Moines, IA 50266

50.00 Y

12/6/2008ID #0

CK #1087

American Enterprise Mutual HoldingCompany PAC601 - 6th AvenueDes Moines, IA 50334

100.00 Y

12/6/2008

ID #

CK #

Brad Anderson

1525 Beaver Ave.Des Moines, IA 50310

50.00 Y

12/6/2008ID #

CK #

Adele Bates3706 East 28thDes Moines, IA 50317

100.00 Y

12/6/2008ID #

CK #

Michelle Bauer1529 Merle Hay Rd.Des Moines, IA 50311

50.00 Y

12/6/2008ID #

CK #

James Bemrich2766 18th Ave. N

Fort Dodge, IA 50501

250.00 Y

12/6/2008ID #

CK #

Robert BockenPO Box 1313Ft. Dodge, IA 50501

250.00 Y

12/6/2008ID #

CK #

James Bocken1385 North 14th St.Fort Dodge, IA 50501

250.00 Y

12/6/2008ID #

CK #

Matthew Boles7887 Cody DriveWest Des Moines, IA 50266

1000.00 Y

12/6/2008ID #

CK #

William Brauch3313- 38th StreetDes Moines, IA 50310

50.00 Y

SUB-TOTAL $ 2,150.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 37 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 38/49

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 39/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/6/2008ID #

CK #

Mike Delaney1112 45th StreetDes Moines, IA 50311

50.00 Y

12/6/2008ID #

CK #

Rex McClafin14282 Lakeview Dr.Des Moines, IA 50325

50.00 Y

12/6/2008

ID #

CK #

Kathleen O'Leary

2880 Grand Ave. #400Des Moines, IA 50312

50.00 Y

12/6/2008ID #

CK #

Fred Stark816 S. Marion Ave.Washington, IA 52353

50.00 Y

12/6/2008ID #

CK #

Justin Makaruse1002 12th St. SEWaverly, IA 50677

100.00 Y

12/6/2008ID #

CK #

Gary Chamness2255 Little Wall Lake Road

Blairsburg, IA 50034

1000.00 Y

12/6/2008ID #0

CK #3977

Chicago Regional Council of Carpenters505 E. Ridge StreetMt. Carroll, IL 61053

12500.00 Y

12/6/2008ID #

CK #

Molly Clause1684 Mueller LaneWinterset, IA 50273

50.00 Y

12/6/2008ID #

CK #

Pamela Conner2715 East 40th StreetDes Moines, IA 50317

100.00 Y

12/6/2008ID #6021

CK #2356

Credit Union PACP.O. Box 10409Des Moines, IA 50306

1000.00 Y

SUB-TOTAL $ 14,950.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 39 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 40/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/6/2008ID #

CK #

Robert Cunningham3929 - 124th StreetUrbandale, IA 50323

100.00 Y

12/6/2008ID #

CK #

Steve Daniel520 1st Ave. SFt. Dodge, IA 50501

1000.00 Y

12/6/2008

ID #

CK #

Mark Davitt

611 W AshlandIndianola, IA 50125

100.00 Y

12/6/2008ID #

CK #

MJ Dolan624 45th StreetDes Moines, IA 50312

100.00 Y

12/6/2008ID #

CK #

Wes Ehrecke13350 Cedarwood AvenueClive, IA 50325

35.00 Y

12/6/2008ID #

CK #

John FramptonP. O. Box 1681

Clinton, IA 52733

50.00 Y

12/6/2008ID #

CK #

Syeta Glanton1262 Office Park Road #12West Des Moines, IA 50265

35.00 Y

12/6/2008ID #

CK #

Linda Goeldner4038 Kingman Blvd.Des Moines, IA 50311

35.00 Y

12/6/2008ID #

CK #

Thomas Grau2122 - 590th StreetNewell, IA 50263

50.00 Y

12/6/2008ID #

CK #

Melanie Gross933 - 12th AvenueCoralville, IA 52241

50.00 Y

SUB-TOTAL $ 1,555.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 40 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 41/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/6/2008ID #

CK #

Rodney Halvorson66 9th St. East #1312St. Paul, MN 55101

35.00 Y

12/6/2008ID #

CK #

Diane HamiltonPO Box 188Storm Lake, IA 50588-0188

250.00 Y

12/6/2008

ID #

CK #

David Hoffman

3820 Quebec StAmes, IA 50014

50.00 Y

12/6/2008ID #

CK #

Connie Hornbeck2736 292nd LaneLogan, IA 51546

50.00 Y

12/6/2008ID #9736

CK #3040

Iowans for a Skilled Workforce707 East Locust StreetDes Moines, IA 50309

4550.00 Y

12/6/2008ID #

CK #

Tom Jochum1137 - 36th Street

Des Moines, IA 50311

100.00 Y

12/6/2008ID #

CK #

James Kesterson160 Parkwood CourtFort Dodge, IA 50501

1000.00 Y

12/6/2008ID #

CK #

Nicholas Klinefeldt1561 Nine Iron Dr.West Des Moines, IA 50266

50.00 Y

12/6/2008ID #

CK #

Joy Lane3971 Maple StreetNewton, IA 50208

50.00 Y

12/6/2008ID #

CK #

James Larew228 Woolf AveIowa City, IA 52246

100.00 Y

SUB-TOTAL $ 6,235.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 41 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 42/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/6/2008ID #

CK #

Merrill Leffler420 Loomis AvenueFort Dodge, IA 50501

500.00 Y

12/6/2008ID #

CK #

Denny Mauser1940 190th StreetEarly, IA 50535

35.00 Y

12/6/2008

ID #

CK #

Arlinda McKeen

13110 Greenbelt Dr.Urbandale, IA 50323

500.00 Y

12/6/2008ID #

CK #

James Moench704 Crest AveFort Dodge, IA 50501

500.00 Y

12/6/2008ID #

CK #

Karen Muelhaupt5890 S.W. Woodridge DriveWest Des Moines, IA 50265

100.00 Y

12/6/2008ID #

CK #

Jonathon Neiderbach642 Polk Blvd.

Des Moines, IA 50312

35.00 Y

12/6/2008ID #

CK #

Judy Newell12459 Douglas ParkwayUrbandale, IA 50323

50.00 Y

12/6/2008ID #

CK #

Nancy Nichols6200 E.P. True Pkwy. #505West Des Moines, IA 50266

50.00 Y

12/6/2008ID #

CK #

David Palmer213 SW Flynn Dr.Ankeny, IA 50021

250.00 Y

12/6/2008ID #

CK #

Herman Quirmbach1002 Jarrett CirAmes, IA 50014

50.00 Y

SUB-TOTAL $ 2,070.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 42 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 43/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/6/2008ID #

CK #

Donald Ruby318 Nevada StSt Charles, IA 50240

35.00 Y

12/6/2008ID #

CK #

Debra Salowitz708 36th StreetWest Des Moines, IA 50265

100.00 Y

12/6/2008

ID #

CK #

Saima Shahid

1453 Tulip Tree LaneWest Des Moines, IA 50266

50.00 Y

12/6/2008ID #

CK #

Tricia Thinnes185 Parkview DriveWaukee, IA 50263

Sister-in-law 50.00 Y

12/6/2008ID #

CK #

Miriam Tyson4350 Hoff RoadWaterloo, IA 50701

50.00 Y

12/6/2008ID #

CK #

Alison Walding5820 Kingman

Des Moines, IA 50311

100.00 Y

12/6/2008ID #

CK #

Rick Wanamaker710 SouthforkWaukee, IA 50263

50.00 Y

12/6/2008ID #

CK #

Eric Wilson100 Market St., Unit 217Des Moines, IA 50309

50.00 Y

12/6/2008ID #

CK #

Grant Woodard930 Burns St.Stratford, IA 50249

35.00 Y

12/9/2008ID #

CK #

Henry Scott Wallace6901 Mountain Gate DriveBethesda, MD 20817

1000.00 Y

SUB-TOTAL $ 1,520.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 43 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 44/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/10/2008ID #

CK #

Fred Hubbell2300 Terace Rd.Des Moines, IA 50312

10000.00 Y

12/10/2008ID #

CK #

Doris Jungmann501 N. 13th StreetAdel, IA 50003

75.00 Y

12/10/2008

ID #

CK #

Saima Shahid

1453 Tulip Tree LaneWest Des Moines, IA 50266

100.00 Y

12/10/2008ID #

CK #

Brent Wynja1012 Hunziker DriveAmes, IA 50010

250.00 Y

12/12/2008ID #

CK #

Rebecca Dublinske12223 Oak BrookUrbandale, IA 50323

250.00 Y

12/12/2008ID #

CK #

Gerald Kuehn31 Mockingbird

Hackettstown, NJ 07840

250.00 Y

12/12/2008ID #0

CK #2469

Monsanto Citizenship Fund3104 Bayberry Rd.Ames, IA 50014

1000.00 Y

12/16/2008ID #

CK #

Tom Henderson6239 N. Winwood DriveJohnston, IA 50131

2000.00 Y

12/16/2008ID #

CK #

Loree Miles1402 Tulip Tree Ln.West Des Moines, IA 50266

10000.00 Y

12/16/2008ID #

CK #

Connie Wimer300 Walnut StreetDes Moines, IA 50309

2500.00 Y

SUB-TOTAL $ 26,425.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 44 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 45/49

8/7/2019 Culver Chet__5083__A Contributions

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CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/18/2008ID #6021

CK #2362

Credit Union PACP.O. Box 10409Des Moines, IA 50306

15000.00 Y

12/18/2008ID #9659

CK #1582

Federation of Iowa Insurers PAC #9659PO Box 1756Des Moines, IA 50306-1756

5000.00 Y

12/18/2008

ID #

CK #

Jerry Hustlin

9512 E. CR 7900Slanton, TX 79364

833.00 Y

12/18/2008ID #6052

CK #3343

Independent Insurance Agents of IowaPAC4000 Westown ParkwayWest Des Moines, IA 50266

1000.00 Y

12/18/2008ID #6291

CK #2725

Iowa Hospital Assn. PAC100 E. Grand Avenue, Suite 100Des Moines, IA 50309

25000.00 Y

12/18/2008ID #6160

CK #2356

Iowa Independent Bankers PAC1603 - 22nd Street, Ste. 1495

West Des Moines, IA 50266

500.00 Y

12/18/2008ID #6084

CK #852

Iowa State UAW-PAC Committee5613 Gateway Drive Suite 800Grimes, IA 50111-6650

12500.00 Y

12/18/2008ID #6486

CK #1792

Iowa Telecom PAC321 East Walnut StreetDes Moines, IA 50309

1000.00 Y

12/18/2008ID #6087

CK #1604

Iowa Telecommunications Assn IndustryPAC2987 100th Street

Urbandale, IA 50322-5501

2000.00 Y

12/18/2008ID #

CK #

Gerald Kirke5465 Mills Civic ParkwayWest Des Moines, IA 50266

25000.00 Y

SUB-TOTAL $ 87,833.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 47 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 48/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/18/2008ID #

CK #

Steve Larson5959 Centry Way WestJohnston, IA 50131

380.00 Y

12/18/2008ID #

CK #

Marilyn Monroe6125 Pinewood CourtJohnston, IA 50131

250.00 Y

12/18/2008

ID #

CK #

Laurie Phelan

13121 NE 104th St.Maxwell, IA 50161

120.00 Y

12/18/2008ID #6334

CK #1271

Plumbers and Steamfitters Local Union#332501 Bell Ave.Des Moines, IA 50321

5000.00 Y

12/18/2008ID #8251

CK #2082

PRINPAC711 High St.Des Moines, IA 50392

5000.00 Y

12/18/2008ID #

CK #

Brian Smith10 Linberg Ter

Dubuque, IA 52001

1000.00 Y

12/22/2008ID #

CK #

Atul Gupta1601 48th StreetWest Des Moines, IA 50266

1000.00 Y

12/29/2008ID #

CK #

Bette Dilley106 Geneva DriveOskaloosa, IA 52577

100.00

12/29/2008ID #

CK #

Joni Klaassen2454 Glenwood DriveDes Moines, IA 50321

200.00

12/30/2008ID #

CK #

Holmes Foster13621 Bay Hill DriveDes Moines, IA 50325

2500.00

SUB-TOTAL $ 15,550.00

TOTAL (if last page of $______________ this schedule)

*Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationships must be shown to the third degree of consanguinity (blood relative) and affinity (relatives by

marriage) (See Page 2 of forms packet). If surname of contributor is the same as candidate, but there is no familial Page 48 of 49relationship, enter “not applicable” in the relationship column. (for Schedule A)

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form 

8/7/2019 Culver Chet__5083__A Contributions

http://slidepdf.com/reader/full/culver-chet5083a-contributions 49/49

CONTRIBUTIONS – MONEY TAKEN IN(Including candidate’s personal funds)

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSUREBOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions for any commercial purpose by any

person other than statutory political committees.

DateReceived(MM/DD/YR)

PAC ID numberif applicable)and PAC Checknumber

Name and Address of Contributor Relationshipto Candidate*(if applicable)

AmountReceived

Y if for Fund-raiserIncome

12/30/2008ID #6449

CK #1517

Great Plains Laborers District CouncilIow PAC5806 Meredith Dr., Ste. BDes Moines, IA 50322

60000.00

12/31/2008ID #

CK #

James Davis50 E Adams AveFairfield, IA 52556

100.00

12/31/2008

ID #

CK #

M. Patrick Dillon

650 17th StreetDes Moines, IA 50314

250.00

12/31/2008ID #

CK #

David Erickson809 - 37th StreetDes Moines, IA 50312

12500.00

12/31/2008ID #

CK #

David Lubbers5420 Coachlight DriveWest Des Moines, IA 50266

150.00

12/31/2008ID #

CK #

Gregg Oden2021 Laurence Ct. NE

Iowa City, IA 52240

100.00

12/31/2008ID #

CK #

Sara Royer4603 North Eddy DriveTampa, FL 33603

1000.00

12/31/2008ID #

CK #

Richard Salem101 East Kennedy Blvd.Tampa, FL 33602

2500.00

12/31/2008ID #

CK #

Rajendra Sinha4925 Ashley Park DrWest Des Moines, IA 50265

100.00

ID #

CK #

COMMITTEE NAME (Must be same as on Statement of Organization) 

Chet Culver Committee

SCHEDULE

A Monetary (Rev. 06/97) Receipts 

t Check this box ifamending form