iowa optometric association_6118_a_contributions
TRANSCRIPT
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Batch processed using the IECDB Web Reporting System on Schedule AContributions
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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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
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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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
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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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
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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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
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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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
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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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
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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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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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04/23/2005 04:41:55
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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04/23/2005 04:41:55
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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04/23/2005 04:41:55
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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Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/23/2005 04:41:55
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