iowa chiropractic society pac _6058_a_contributions

8/7/2019 Iowa Chiropractic Society Pac _6058_A_Contributions

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Batch processed using the IECDB Web Reporting System on Schedule AContributions

01/13/2006 09:55:13

Committee Name

Iowa Chiropractic Society Pac

Amended Committee Type Iowa PAC

Committee ID 6058 Statutory Due Date

Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005

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

Status

ContributionDate

ContributionCommittee ID

Name and Address of ContributorRelationship ToCandidate

ContributionAmount

Fund-Raiser

1/2/2004 Bowman, Christine M None $500.00

4224 Sue Linda Cir. NE

Check #

1 1527 Iowa City, IA 52240

1/2/2004 Hunt, Howard None $250.00

120 S Main St.

Check #

2 15762 Fairfield, IA 52556-3301

1/2/2004 Sternberg, Melissa None $250.00

111 S. Oak St.

Check #

3 1815 Carson, IA 51525

1/6/2004 Phipps, Larry None $20.00

105 Westwood Dr.

Check # PO Box 1446

4 Auto bank with Marshalltown, IA 50158-1446

1/7/2004 Kauffman, Scott D None $250.00

203 S. Jackson St.

Check #

5 2032 Mount Pleasant, IA 52641

1/9/2004 Cornelius, Larry E None $100.00

216 S. Second Street W

Check #

6 2926 Mount Vernon, IA 52314

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

Batch processed using the IECDB Web Reporting System on Page 1 of 2301/13/2006 09:55:13


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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

1/9/2004 Hoogestraat, Tom B None $250.00

238 3rd St.

Check # Box 237

7 6181 Parkersburg, IA 50665-0237

1/12/2004 Cox, D.C., Russell J None $1,000.00

3223 Jewel Ave.

Check #

8 1471 Salem, IA 52649


105 Westwood Dr.

Check # PO Box 14469 auto bank with Marshalltown, IA 50158-1446

1/15/2004 Berry, Douglas None $20.83

4110 Center Point Rd., NE

Check #

10 auto bank with Cedar Rapids, IA 52402

1/15/2004 Borseth, Ann R None $62.50

4214 Fleur Dr. Ste 4

Check #

11 auto bank with Des Moines, IA 50321

1/15/2004 Conley, Maria None $125.00

1486 S. 1st Ave. Ste. B

Check #

12 auto bank with Iowa City, IA 52240




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01/13/2006 09:55:13

Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

1/15/2004 Fluent, Troy E None $125.00

4501-17 Southern Hills Dr

Check #

13 auto bank with Sioux City, IA 51106

1/15/2004 Miller, Richard E None $83.33

132 W. Gillet Street

Check # P.O. Box 220

14 Auto bank with Preston, IA 52069

1/15/2004 Nilles, Robert None $132.00

220 Plymouth St. SW

Check #15 auto bank with Le Mars, IA 51031-3535

1/15/2004 Powell, Michael None $20.83

4245 1st Ave. SE

Check #

16 Auto bank with Cedar Rapids, IA 52402

1/15/2004 Schiltz, Thomas None $100.00


Check #


1/15/2004 Shull, Matthew None $62.50

811 E. Washington St.

Check #

18 auto bank with Mount Pleasant, IA 52641-1946




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser


105 Westwood Dr.

Check # PO Box 1446

19 auto bank with Marshalltown, IA 50158-1446

1/22/2004 Carter, Sidney None $50.00

903 North 7th St.

Check #

20 12669 Burlington, IA 52601


105 Westwood Dr.


1/28/2004 Burt, Bradley None $500.00

790 N Main St.

Check # PO Box 790

34 mastercard Walcott, IA 52773

1/28/2004 Burt, Chad None $500.00

790 N Main St.

Check # PO Box 790


1/28/2004 Burt, Mickey None $500.00

790 N. Main St.

Check #





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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

1/28/2004 Chicoine, Bradley None $125.00

1501 Nebraska St.

Check #

22 mastercard Sioux City, IA 51105-1240

1/28/2004 Gaskell, Rodney None $250.00

2609 Gordon Dr.

Check #

23 visa Sioux City, IA 51107

1/28/2004 Haas, D.C., Richard W None $250.00

1403 S. Federal Ave.

Check #24 visa Mason City, IA 50401

1/28/2004 Jones, Rex None $125.00

PO Box 800

Check #

25 mastercard Spencer, IA 51301-0800

1/28/2004 Martin, Aaron M None $125.00

114 NW 9th St, Ste. 3

Check #

26 mastercard Ankeny, IA 50021

1/28/2004 McLean, Ian D None $125.00

805 Brady St/Box 4672

Check #

27 visa Davenport, IA 52808-4672




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

1/28/2004 Meylor, Clifford None $62.50

2608 Hamilton Blvd.

Check #

28 mastercard Sioux City, IA 51104

1/28/2004 Meylor, D.C., Lee A None $125.00

1411 E. Lakeshore Dr.

Check # POB 334

29 visa Storm Lake, IA 50588

1/28/2004 Nielsen, Douglas None $125.00

1315 Golf Course Rd.

Check # PO Box 16430 mastercard Rock Valley, IA 51247-0164

1/28/2004 Stickel, Jeff None $500.00

2925 Ingersoll Ave

Check #

36 mastercard Des Moines, IA 50312

1/28/2004 Tindall, D.C., Michael None $250.00

1527 Superior St.

Check #

37 visa Webster City, IA 50595-2922

1/28/2004 Van Hemert, Russell None $50.00

1119 E 2nd St.

Check #

31 mastercard Pella, IA 50219




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

1/28/2004 Wolfswinkel, Terryl None $250.00

211 North J St.

Check #

32 mastercard Oskaloosa, IA 52577

1/30/2004 Wells Fargo Bank, NA N/A $22.42

666 Walnut St

Check #

38 n/a Des Moines, IA 50309

1/31/2004 Heller, Jeffrey J None $500.00

2908 78th St.

Check #40 1011 Urbandale, IA 50322-4452

1/31/2004 Rexroth, D.C., Thomas A None $250.00

2411 W. Mt. Pleasant St.

Check #

39 2392 West Burlington, IA 52655


105 Westwood Dr.

Check # PO Box 1446


2/4/2004 Scheuermann, Troy None $250.00

103 S. 2nd St.

Check # PO Box 606

42 2574 Farmington, IA 52626




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

2/4/2004 Wehrspan, Kirk L None $500.00

924 Fourth St.

Check #

43 2076 West Des Moines, IA 50265


105 Westwood Dr.

Check # PO Box 1446

44 Auto bank with Marshalltown, IA 50158-1446

2/11/2004 Kleen, Carolyn None $37.50

1410 NW 2nd St.

Check #46 1107 Ankeny, IA 50021

2/11/2004 Soppe, Michael None $250.00

1420 Highway 71 N

Check #

45 3252 Carroll, IA 51401

2/12/2004 Burt, Bradley None -$250.00

790 N Main St.

Check # PO Box 790


2/12/2004 Burt, Chad None -$250.00

790 N Main St.

Check # PO Box 790





9/23


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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

2/12/2004 Burt, Mickey None -$250.00

790 N. Main St.

Check #




Check #




Check #51 auto bank with Des Moines, IA 50321



Check # P.O. Box 220

52 auto bank with Preston, IA 52069


220 Plymouth St. SW

Check #

53 auto bank with Le Mars, IA 51031-3535


105 Westwood Dr.

Check # PO Box 1446





10/23


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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser


4245 1st Ave. SE

Check #




Check #



105 Westwood Dr.


2/27/2004 Gvist, Mark None $125.00

PO Box 133

Check #

61 visa Carlisle, IA 50047-0133

2/27/2004 Klein, Jennifer None $500.00

2254 Flint Hill Dr., #2

Check #

62 mastercard Dubuque, IA 52003

2/27/2004 Miller, Donald E None $125.00

4151 Blairs Ferry Road NE

Check #

63 mastercard Cedar Rapids, IA 52411




11/23


01/13/2006 09:55:13

Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

2/27/2004 Saunders, Jon None $500.00

1501 Nebraska St.

Check #


2/27/2004 Slinger, Anthony G None $250.00

2987 Chestnut Place

Check #

59 visa Charles City, IA 50616-1316


1119 E 2nd St.

Check #60 mastercard Pella, IA 50219


666 Walnut St

Check #



105 Westwood Dr.

Check # PO Box 1446


3/2/2004 Rasmussen, Jennifer None $187.50

4614 University Ave.

Check #

66 2572 Cedar Falls, IA 50613




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser


220 Plymouth St. SW

Check #



105 Westwood Dr.

Check # PO Box 1446



4245 1st Ave. SE

Check #75 auto bank with Cedar Rapids, IA 52402



Check #



105 Westwood Dr.

Check # PO Box 1446


3/26/2004 Mueller, Steven None $100.00

112 S Dodge

Check #

78 22749 Algona, IA 50511




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser


105 Westwood Dr.

Check # PO Box 1446


3/30/2004 Bauer, Bonnie None $125.00

112 E Webster St.

Check # PO Box 50

80 mastercard Wyoming, IA 52362

3/30/2004 Olesen, Anna None $250.00

117 Gilman St.

Check # P.O. Box 52083 mastercard Sheffield, IA 50475

3/30/2004 Shipman, Randy None $100.00

1850 E 53rd, Ste 2

Check #

82 visa Davenport, IA 52807


1119 E 2nd St.

Check #

81 mastercard Pella, IA 50219

3/31/2004 Moore, John None $100.00

803 24th St.

Check #

85 5332 Ames, IA 50010




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser


666 Walnut St

Check #


4/2/2004 Brechler, Marcella None $250.00

1110 Buckeye Ave.

Check #

87 6730 Ames, IA 50010

4/2/2004 Meyer, Jeff None $100.00

4819 Bovary Ct

Check #86 3834 Cedar Rapids, IA 52411

4/5/2004 Dahlgaard, Roger None $62.50

126 E. Broadway, Ste. 2

Check #

88 16961 Council Bluffs, IA 51503


105 Westwood Dr.

Check # PO Box 1446


4/6/2004 Breitbach, Norma None $100.00

904 Ferguson St.

Check #

90 9144 Charles City, IA 50616




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/9/2004 Bart, Anthony J None $250.00

806 Washington Ave.

Check #

92 2441 Sheldon, IA 51201

4/9/2004 Huseman, William None $100.00

920 1st Ave. N.

Check #

91 8219 Fort Dodge, IA 50501-3908


105 Westwood Dr.




Check #




Check #


4/15/2004 Conley, Maria None $125.00

1486 S. 1st Ave. Ste. B

Check #

96 auto bank with Iowa City, IA 52240




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/15/2004 Fluent, Troy E None $125.00

4501-17 Southern Hills Dr

Check #

97 auto bank with Sioux City, IA 51106

4/15/2004 Koenen, Jack R None $43.33

209 S. Clark

Check #

99 auto bank with Forrest City, IA 50436-1810



Check # P.O. Box 220100 auto bank with Preston, IA 52069


220 Plymouth St. SW

Check #



4245 1st Ave. SE

Check #




Check #





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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/15/2004 Shull, Matthew None $62.50

811 E. Washington St.

Check #

104 auto bank with Mount Pleasant, IA 52641-1946

4/15/2004 Unitemized N/A $20.83

N/A

Check # N/A

98 N/A N/A, N/A N/A


105 Westwood Dr.


4/20/2004 Dierenfield, D.C., Randy None $100.00

110 NE Trilein

Check #

108 8873 Ankeny, IA 50021

4/20/2004 Rader, John T None $100.00

6035 Shadowbrook Dr.

Check #

107 6846 Bettendorf, IA 52722

4/20/2004 Sandberg, Gabrielle None $100.00

1200 Hansen Pl.

Check #

106 1656 Polk City, IA 50266




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/23/2004 Drown, D.C., Russell O None $100.00

Po Box 318

Check #

109 2626 West Bend, IA 50597


105 Westwood Dr.

Check # PO Box 1446


4/30/2004 Bauer, Bonnie None $125.00

112 E Webster St.

Check # PO Box 50111 mastercard Wyoming, IA 52362

4/30/2004 Burk, Terry L None $125.00

602 N. Main

Check # PO Box 370

112 mastercard Huxley, IA 50124

4/30/2004 Chicoine, Bradley None $125.00

1501 Nebraska St.

Check #


4/30/2004 Formanek, D.C., Larry None $125.00

115 East Main Street

Check #

132 mastercard Knoxville, IA 50138




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01/13/2006 09:55:13

Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/30/2004 Gaskell, Rodney None $250.00

2609 Gordon Dr.

Check #

114 visa Sioux City, IA 51107

4/30/2004 Geelan, D.C., Joseph None $250.00

360 7th Ave.

Check #

129 mastercard Marion, IA 52302

4/30/2004 Gvist, Mark None $125.00

PO Box 133

Check #115 visa Carlisle, IA 50047-0133

4/30/2004 Haas, D.C., Richard W None $250.00

1403 S. Federal Ave.

Check #

116 visa Mason City, IA 50401

4/30/2004 Martin, Aaron M None $125.00

114 NW 9th St, Ste. 3

Check #

117 mastercard Ankeny, IA 50021

4/30/2004 McLean, Ian D None $125.00

805 Brady St/Box 4672

Check #

118 visa Davenport, IA 52808-4672




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Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/30/2004 Meylor, Clifford None $62.50

2608 Hamilton Blvd.

Check #

120 mastercard Sioux City, IA 51104

4/30/2004 Meylor, D.C., Lee A None $125.00

1411 E. Lakeshore Dr.

Check # POB 334

119 visa Storm Lake, IA 50588

4/30/2004 Miller, Donald E None $125.00

4151 Blairs Ferry Road NE

Check #121 mastercard Cedar Rapids, IA 52411

4/30/2004 Nelson, D.C., Scott None $62.50

1314 4th St. SW, Ste 112

Check #

130 mastercard Mason City, IA 50401

4/30/2004 Nielson, Douglas None $125.00

1315 Golf Course Rd.

Check # PO Box 164

122 mastercard Rock Valley, IA 51247-0164

4/30/2004 Shipman, Randy None $100.00

1850 E 53rd, Ste 2

Check #

123 visa Davenport, IA 52807




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01/13/2006 09:55:13

Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/30/2004 Slinger, Anthony G None $250.00

2987 Chestnut Place

Check #

124 visa Charles City, IA 50616-1316

4/30/2004 Unitemized N/A $25.00

N/A

Check # N/A

126 N/A N/A, N/A N/A


1119 E 2nd St.

Check #125 mastercard Pella, IA 50219

4/30/2004 Veldman, D.C., Stephanie None $62.50

P.O. Box 158

Check # 222 Market St.

131 visa Lake Park, IA 51347-0158


666 Walnut St

Check #


4/30/2004 Wolfswinkel, Terryl None $250.00

211 North J St.

Check #

127 mastercard Oskaloosa, IA 52577




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01/13/2006 09:55:13

Committee Name




Adjusted Due Date

Filed Date

Amended Date

Received Date

5/19/2004

5/18/2004

11/2/2005


Status

ContributionDate



ContributionAmount

Fund-Raiser

4/30/2004 Wurth, D.C., David None $250.00

416 N. Main St.

Check # PO Box 526

128 visa Marcus, IA 51035


105 Westwood Dr.

Check # PO Box 1446

134 auto withdraw Marshalltown, IA 50158-1446

5/7/2004 Merritt, D.C., Brad P None $50.00

2130 Cromwell Circle

Check #135 8957 Davenport, IA 52807


105 Westwood Dr.

Check # PO Box 1446

136 auto withdraw Marshalltown, IA 50158-1446

11/2/2005 Iowa Chiropractic Society N/A $1,931.18

1605 N. Ankeny Blvd, Ste 100

Check #

137 adjustment Ankeny, IA 50023-4163

Total Regular Contributions $19,361.60

Total Fundraiser Contributions

Grand Total All Contributions $19,361.60

iowa chiropractic society pac _6058_a_contributions

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