iowa optometric association_6118_a_contributions

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  • 8/7/2019 Iowa Optometric Association_6118_A_Contributions

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    7/19/2002 Aljets, O.D., Steve None $150.00

    1001 73rd St.

    6 Des Moines, IA 50311

    7/19/2002 Altfillisch, O.D., Brent None $500.00

    224 E. Main Street

    PO Box 994

    3 Ottumwa, IA 52501

    7/19/2002 Hayden, O.D., Thomas None $150.00

    1715 N. 10th Ave. N.

    4 Newton, IA 50208

    7/19/2002 Klepper, O.D., Alan None $600.00

    115 E. Call Street

    7 Algona, IA 50511

    7/19/2002 Korthals, O.D., Mike None $300.00

    3581 19th St. S.W.

    5 Mason City, IA 50401

    7/19/2002 Kruger, O.D., John None $300.00

    1001 Douglas

    P.O. Box 903

    2 Ames, IA 50010

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

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    7/19/2002 Petersma, O.D., Jay None $200.00

    8150 Wellington Blvd

    1 Johnston, IA 50131

    7/20/2002 Driesen, O.D., Peggy None $300.00

    20 3rd St. NE

    10 Sioux Center, IA 51250

    7/20/2002 Jacobson, O.D., Richard None $150.00

    1428 2nd Ave. N

    8 Fort Dodge, IA 50501

    7/20/2002 Swanger, O.D., Larry None $150.00

    1131 19th Street

    11 West Des Moines, IA 50265

    7/20/2002 Thompson, O.D., Dennis None $150.00

    213 W. Mills

    9 Lake Mills, IA 50450

    7/21/2002 Crouch, O.D., Donovan None $500.00

    600 Ontario

    PO Box 1407

    14 Storm Lake, IA 50588

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    7/21/2002 Sloan, O.D., Steve None $150.00

    1723 Carriage Hill Court

    16 Dubuque, IA 52003

    7/21/2002 Thomsen, O.D., John None $300.00

    815 Dogwood

    12 Creston, IA 50801

    7/21/2002 Triebel, O.D., Beth None $150.00

    2229 Grand Ave. #3

    15 West Des Moines, IA 50265

    7/21/2002 Van Daalen, O.D., Larry None $300.00

    1513 Knoll Ridge Road

    13 Waverly, IA 50677

    7/22/2002 Skotowski, O.D., Rich None $150.00

    PO Box 262

    17 Mt. Vernon, IA 52314

    7/23/2002 Brownmiller, O.D., Steve None $40.00

    1004 Ridge Road

    Check #

    19 2245 Denison, IA 51442

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    7/23/2002 Gazaway, O.D., John None $500.00

    300 W. Broadway.

    Check # PO Box 459

    24 26723 Eagle Grove, IA 50533

    7/23/2002 Mentzer, O.D., Mark None $100.00

    5504 Old River Road

    Check #

    21 4167 Ely, IA 52227

    7/23/2002 Muller, O.D., Wendy None $150.00

    14309 Oak Brook Dr.

    Check #

    20 1094 Urbandale, IA 51023

    7/23/2002 Rock, O.D., Craig None $300.00

    1341 W Main Street

    Check #

    23 1500 Lake City, IA 51449

    7/23/2002 Schroeder, O.D., Paul None $20.00

    616 12th Street

    Check #18 8877 Le Mars, IA 51031

    7/23/2002 Smith, O.D., Richard None $150.00

    113 W. 1st Street

    Check # PO Box 126

    25 13102 Sumner, IA 50674

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    7/23/2002 Unitemized N/A $10.00

    N/A

    Check # N/A

    26 N/A N/A, N/A N/A

    7/23/2002 Westphal, O.D., William None $400.00

    P.O. Box 70

    Check #

    22 5399 Washington, IA 52353

    8/12/2002 Anderson, O.D., Jeff None $60.00

    416 5th Street

    27 Boone, IA 50036

    8/12/2002 Atteberry, O.D., Duane None $20.00

    1034 Sherman Avenue

    28 Manchester, IA 52057

    8/12/2002 Bailey, O.D., Anthony None $20.00

    3207 Cedar Heights Dr.

    P. O. Box 21729 Cedar Falls, IA 50613

    8/12/2002 Boeke, O.D., Steve None $10.00

    622 Progress Ave.

    30 Waterloo, IA 50701

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    8/12/2002 Bowker, O.D., Scott None $10.00

    1618 Northwood Dr.

    31 Denison, IA 51442

    8/12/2002 Brownmiller, O.D., Steve None $15.00

    1004 Ridge Road

    32 Denison, IA 51442

    8/12/2002 Clark, O.D., Charles None $20.00

    307 N Main

    33 Chariton, IA 50049

    8/12/2002 Cloepfil, O.D., James None $25.00

    505 West Sheridan

    34 Shenandoah, IA 51601

    8/12/2002 DeCook, O.D., Larry None $35.00

    100 N. 4th Ave. W

    PO Box 100735 Newton, IA 50208

    8/12/2002 Dubes, O.D., Brian None $10.00

    1108 Hightower Lane

    36 Lenoir City, TN 37771

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    8/12/2002 Dye, O.D., Dan None $10.00

    1317 12th Street

    63 Eldora, IA 50627

    8/12/2002 Furman, O.D., Don None $40.00

    455 State Street

    PO Box 147

    37 Garner, IA 50438

    8/12/2002 Gould, O.D., Steven None $10.00

    123 E. Main

    38 Knoxville, IA 50138

    8/12/2002 Greteman, O.D., Frank None $20.00

    501 N. Adams

    39 Carroll, IA 51401

    8/12/2002 Hansen, O.D., Mark None $25.00

    315 Parham St., Ste. B

    40 Muscatine, IA 52761

    8/12/2002 Hillery, O.D., Kent None $10.00

    3343 Center Grove Dr., #D

    41 Dubuque, IA 52003

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    8/12/2002 Lenane, O.D., Patrick None $25.00

    2210 Nw Parkridge Dr.

    47 Ankeny, IA 50021

    8/12/2002 Maasdam, O.D., Jason None $12.50

    1414 S 11th Apt 313

    48 Oskaloosa, IA 52577

    8/12/2002 McCutchan, O.D., Howard None $10.00

    2306 12th Street

    PO Box 715

    49 Harlan, IA 51537

    8/12/2002 Mentzer, O.D., Mark None $20.00

    5504 Old River Road

    50 Ely, IA 52227

    8/12/2002 Negrete, O.D., Robert None $10.00

    301 S. Iowa Avenue

    PO Box 7051 Washington, IA 52353

    8/12/2002 Noyes, O.D., Richard None $100.00

    1065 E Post Road

    52 Marion, IA 52302

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    8/12/2002 Pollastrini, O.D., Matthew None $15.00

    124 2nd Street NE

    PO Box 808

    53 Waverly, IA 50677

    8/12/2002 Roelfs, O.D., Ron None $20.00

    124 2nd St. NE

    P.O. Box 808

    54 Waverly, IA 50677

    8/12/2002 Rupp, O.D., Dan None $10.00

    21 Park Plaza Med. Bldg.

    55 Mt.Pleasant, IA 52641

    8/12/2002 Uglum, O.D., Riley None $30.00

    8 E Spring Street

    PO Box 470

    56 New Hampton, IA 50659

    8/12/2002 Vannatta, O.D., Dennis None $25.00

    3701 Woodbine Road

    57 Sioux City, IA 51106

    8/12/2002 Verdon, O.D., Todd None $20.00

    P.O. Box 854

    2020 3rd Ave. West

    58 Waverly, IA 50677

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    8/12/2002 Weihe, O.D., John None $10.00

    1101 5th St., Ste.103

    60 Coralville, IA 52241

    8/12/2002 Wilkinson, O.D., Mark None $20.00

    14 Oak Park Drive

    61 Bettendorf, IA 52722

    8/12/2002 Young, O.D., Jacque D None $25.00

    2723 Glenview Dr.

    59 Glenwood, IA 51534

    8/15/2002 Chadderdon, O.D., Abie None $10.00

    501 E Main Street

    PO Box 773

    64 Marshalltown, IA 50158

    8/15/2002 Lenane, O.D., Patrick None $60.00

    2210 Nw Parkridge Dr.

    65 Ankeny, IA 50021

    9/6/2002 Anderson, O.D., Jeff None $60.00

    416 5th Street

    66 Boone, IA 50036

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    9/6/2002 Atteberry, O.D., Duane None $20.00

    1034 Sherman Avenue

    67 Manchester, IA 52057

    9/6/2002 Bailey, O.D., Anthony None $20.00

    3207 Cedar Heights Dr.

    P. O. Box 217

    68 Cedar Falls, IA 50613

    9/6/2002 Boeke, O.D., Steve None $10.00

    622 Progress Ave.

    69 Waterloo, IA 50701

    9/6/2002 Bowker, O.D., Scott None $10.00

    1618 Northwood Dr.

    70 Denison, IA 51442

    9/6/2002 Brownmiller, O.D. Steven None $15.00

    201 N. Main Street

    P.O. Box 39971 Denison, IA 51442

    9/6/2002 Christensen, O.D., Jay None $10.00

    620 Market

    PO 712

    72 Harlan, IA 51537

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    9/6/2002 Clark, O.D., Charles None $20.00

    307 N Main

    73 Chariton, IA 50049

    9/6/2002 Cloepfil, O.D., James None $25.00

    505 West Sheridan

    74 Shenandoah, IA 51601

    9/6/2002 DeCook, O.D., Larry None $35.00

    100 N. 4th Ave. W

    PO Box 1007

    75 Newton, IA 50208

    9/6/2002 Dubes, O.D., Brian None $10.00

    1108 Hightower Lane

    76 Lenoir City, TN 37771

    9/6/2002 Dye, O.D., Dan None $10.00

    1317 12th Street

    77 Eldora, IA 50627

    9/6/2002 Furman, O.D., Don None $40.00

    455 State Street

    PO Box 147

    78 Garner, IA 50438

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    9/6/2002 Gould, O.D., Steven None $10.00

    123 E. Main

    79 Knoxville, IA 50138

    9/6/2002 Greteman, O.D., Frank None $20.00

    501 N Adasms

    80 Carroll, IA 51401

    9/6/2002 Hansen, O. D., Mark None $25.00

    315 Parham Street Suite B

    PO Box 77

    81 Muscatine, IA 52761

    9/6/2002 Hillery, O.D., Kent None $10.00

    3343 Center Grove Dr., #D

    82 Dubuque, IA 52003

    9/6/2002 Jensen, O.D., David None $100.00

    601 Hollywood Blvd.

    83 Iowa City, IA 52240

    9/6/2002 Kingfield, O.D., Don None $10.00

    222 N. Dodge Street

    84 Algona, IA 50511

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    9/6/2002 Koch, O.D., James None $25.00

    1313 2nd St.

    85 Perry, IA 50220

    9/6/2002 Landis, O.D., Bruce None $10.00

    202 S. Main

    P.O. Box 100

    86 Elkader, IA 52043

    9/6/2002 Lee, O.D., Bernard None $20.00

    4870 Augusta Lane

    87 Pleasant Hill, IA 50317

    9/6/2002 Lenane, O.D., Patrick None $25.00

    2210 Nw Parkridge Dr.

    88 Ankeny, IA 50021

    9/6/2002 Maasdam, O.D., Jason None $12.50

    1414 S 11th Apt 313

    89 Oskaloosa, IA 52577

    9/6/2002 McCutchan, O.D., Howard None $10.00

    2306 12th Street

    PO Box 715

    90 Harlan, IA 51537

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    9/6/2002 Uglum, O.D., Riley None $30.00

    8 E Spring Street

    PO Box 470

    97 New Hampton, IA 50659

    9/6/2002 Vannatta, O.D., Dennis None $25.00

    3701 Woodbine Road

    98 Sioux City, IA 51106

    9/6/2002 Verdon, O.D., Todd None $20.00

    P.O. Box 854

    2020 3rd Ave. West

    99 Waverly, IA 50677

    9/6/2002 Weihe, O.D., John None $10.00

    1101 5th Street

    Suite 103

    101 Coralville, IA 52241

    9/6/2002 Wilkinson, O.D, Mark None $20.00

    200 Hawkins Drive

    11164PFP102 Iowa City, IA 52242

    9/6/2002 Young, O.D., Jacque None $25.00

    406 1st Street

    100 Glenwood, IA 51534

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    9/24/2002 Portz, O.D., Michael None $300.00

    1801 218th st

    Check #

    103 8944 Red Oak, IA 51566

    9/24/2002 Richardson, O.D., Scott None $300.00

    142 Randall Rd.

    Check #

    105 2991 Carroll, IA 51401

    9/24/2002 Unitemized Cash N/A $641.00

    dm-nodata

    104 dm-nodata, IA dm-nodata

    10/7/2002 Anderson, O.D., Jeff None $60.00

    416 5th Street

    106 Boone, IA 50036

    10/7/2002 Atteberry, O.D., Duane None $20.00

    1034 Sherman Avenue

    107 Manchester, IA 52057

    10/7/2002 Bailey, O.D., Anthony None $20.00

    3207 Cedar Heights Dr.

    P. O. Box 217

    108 Cedar Falls, IA 50613

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/7/2002 Beecher, O.D., Scott None $20.00

    4760 Old Lake Port Road

    109 Sioux City, IA 51106

    10/7/2002 Benson, O.D., Mark None $20.00

    800 6th Avenue

    110 De Witt, IA 52742

    10/7/2002 Boeke, O.D., Steve None $10.00

    622 Progress Ave.

    111 Waterloo, IA 50701

    10/7/2002 Bowker, O.D., Scott None $10.00

    1618 Northwood Dr.

    112 Denison, IA 51442

    10/7/2002 Brooks, O.D., Kevin None $10.00

    3842 Hyde Ave.

    113 Ames, IA 50010

    10/7/2002 Brownmiller, O.D. Steven None $15.00

    201 N. Main Street

    P.O. Box 399

    114 Denison, IA 51442

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/7/2002 Chadderdon, O.D., Abie None $75.00

    501 E Main Street

    PO Box 773

    115 Marshalltown, IA 50158

    10/7/2002 Cloepfil, O.D., James None $25.00

    505 West Sheridan

    116 Shenandoah, IA 51601

    10/7/2002 DeCook, O.D., Larry None $35.00

    100 N. 4th Ave. W

    PO Box 1007

    117 Newton, IA 50208

    10/7/2002 Dubes, O.D., Brian None $10.00

    1108 Hightower Lane

    118 Lenoir City, TN 37771

    10/7/2002 Dye, O.D., Dan None $10.00

    1317 12th Street

    119 Eldora, IA 50627

    10/7/2002 Furman, O.D., Don None $40.00

    455 State Street

    PO Box 147

    120 Garner, IA 50438

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/7/2002 Gould, O.D., Steven None $10.00

    123 E. Main

    121 Knoxville, IA 50138

    10/7/2002 Greteman, O.D., Frank None $20.00

    501 N. Adams

    122 Carroll, IA 51401

    10/7/2002 Hanisch, O.D., Dan None $200.00

    725 E 16th Street N

    150 Newton, IA 50208

    10/7/2002 Hansen, O. D., Mark None $25.00

    315 Parham Street Suite B

    PO Box 77

    123 Muscatine, IA 52761

    10/7/2002 Hillery, O.D., Kent None $10.00

    3343 Center Grove Dr., #D

    124 Dubuque, IA 52003

    10/7/2002 Jensen, O.D., Clark None $50.00

    935 Broad Street

    PO Box 687

    125 Grinnell, IA 50112

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/7/2002 Jensen, O.D., David None $100.00

    601 Hollywood Blvd.

    126 Iowa City, IA 52240

    10/7/2002 Jensen, Scott, O.D. None $50.00

    515 9th Avenue

    127 Grinnell, IA 50112

    10/7/2002 Kingfield, O.D., Don None $10.00

    222 N. Dodge Street

    128 Algona, IA 50511

    10/7/2002 Koch, O.D., James None $25.00

    1313 2nd St.

    129 Perry, IA 50220

    10/7/2002 Kulhmann, O.D., Morris None $15.00

    20 N 14th Street

    130 Denison, IA 51442

    10/7/2002 Landis, O.D., Bruce None $10.00

    202 S. Main

    P.O. Box 100

    131 Elkader, IA 52043

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/7/2002 Noyes, O.D., Richard None $100.00

    1065 E Post Road

    138 Marion, IA 52302

    10/7/2002 Parsons, O.D., Bradley None $25.00

    16 S. Clinton Street

    139 Iowa City, IA 52240

    10/7/2002 Pollastrini, O.D., Matthew None $15.00

    124 2nd Street NE

    PO Box 808

    140 Waverly, IA 50677

    10/7/2002 Roelfs, O.D., Ron None $20.00

    124 2nd Street NE

    PO Box 808

    141 Waverly, IA 50677

    10/7/2002 Rupp, O.D., Dan None $10.00

    21 Park Plaza Medical Bldg.

    142 Mount Pleasant, IA 52641

    10/7/2002 Schroeder, O.D., Paul None $50.00

    616 12th Street

    144 Le Mars, IA 51031

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/7/2002 Uglum, O.D., Riley None $30.00

    8 E Spring Street

    PO Box 470

    143 New Hampton, IA 50659

    10/7/2002 Vannatta, O.D., Dennis None $25.00

    3701 Woodbine Road

    145 Sioux City, IA 51106

    10/7/2002 Verdon, O.D., Todd None $20.00

    P.O. Box 854

    2020 3rd Ave. West

    146 Waverly, IA 50677

    10/7/2002 Weihe, O.D., John None $10.00

    1101 5th St., Ste.103

    148 Coralville, IA 52241

    10/7/2002 Wilkinson, O.D., Mark None $20.00

    14 Oak Park Drive

    149 Bettendorf, IA 52722

    10/7/2002 Young, O.D., Jacque D None $25.00

    2723 Glenview Dr.

    147 Glenwood, IA 51534

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/10/2002 Blasco, O.D., James None $250.00

    8141 Heather Bow

    152 Johnston, IA 50131

    10/10/2002 Dick, David None $150.00

    10216 14th Street West

    156 Milan, IL 61264

    10/10/2002 Korpi, O.D., Peter None $300.00

    1111 Oakland Drive

    155 Muscatine, IA 52761

    10/10/2002 Peck, O.D., Larry None $200.00

    716 Avenue G

    154 Fort Madison, IA 52627

    10/10/2002 Vander Griend, O. D., Harlan None $300.00

    1341 Kahler Court

    153 Sheldon, IA 51201

    10/10/2002 Williams, Kip None $75.00

    2007 London Rd.

    151 Greenbay, WI 54311

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

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    Committee Name

    Iowa Optometric Association

    Amended Committee Type Iowa PAC

    Committee ID 6118 Statutory Due Date

    Adjusted Due Date

    Filed Date

    Amended Date

    Received Date

    10/19/2002

    10/21/2002

    10/15/2002

    Status

    ContributionDate

    ContributionCommittee ID

    Name and Address of ContributorRelationship ToCandidate

    ContributionAmount

    Fund-Raiser

    10/11/2002 Altfillisch, O.D., Mark or Heidi None $250.00

    48 Schiwartz Dr.

    157 Ottumwa, IA 52501

    10/11/2002 Neill, O.D., David None $200.00

    3125 Pleasant Dr.

    158 Cedar Falls, IA 50613-

    Total Regular Contributions $12,298.50

    Total Fundraiser Contributions

    Grand Total All Contributions $12,298.50