Batch processed using the IECDB Web Reporting System on 04/23/2005 04:41:53 Schedule A

Contributions

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

Committee Name Committee ID 6279 Statutory Due Date 10/19/2002
Iowa Ophthalmology P.A.C. Adjusted Due Date 10/21/2002
Filed Date 10/15/2002
Amended Date
Status Amended Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-

Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

8/11/2002 Arbisser, MD, Amir None $250.00

1351 West Central Park

Suite 1200
1 Davenport, IA 52804

8/11/2002 Arbisser, MD, Lisa B None $250.00

1351 W. Central Park

Suite 1200
2 Davenport, IA 52804

8/11/2002 Blodi, MD, Christopher None $365.00

1501 50th St.,

Suite 133
3 West Des Moines, IA 50266

8/11/2002 Heilskov, MD, Todd M None $365.00

1501 50th St
Suite 133
4 West Des Moines, IA 50266

8/11/2002 Saetre, MD, Siv Brit None $100.00

1228 E. Rusholme
Suite 206
5 Davenport, IA 52803

8/11/2002 Stone, MD, Edwin M None $175.00

Dept of Ophthalmology
200 Hawkins Dr.
6 Iowa City, IA 522421091

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:41:53 Page 1 of 3

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 04/23/2005 04:41:53 Schedule A
Contributions

Committee Name Committee ID 6279 Statutory Due Date 10/19/2002

Iowa Ophthalmology P.A.C. Adjusted Due Date 10/21/2002
Filed Date 10/15/2002
Amended Date
Status Amended Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-

Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

8/11/2002 Thorgaard, MD, Gregory L None $365.00

1005 E. Pennsylvania Ave.

7 Ottumwa, IA 52501

8/12/2002 Muller, MD, David B None $175.00

1650 First Ave., NE

8 Cedar Rapids, IA 52402

8/25/2002 Shah, MD, Sanjay None $350.00

1650 First Avenue NE

9 Cedar Rapids, IA 52402

8/25/2002 Spencer, MD, Jean B None $365.00

6000 University Ave.

Suite 475
10 West Des Moines, IA 50266

9/14/2002 Boldt, MD, H. Culver None $365.00

Dept of Ophthalmology
200 Hawkins
13 Iowa City, IA 522421091

9/14/2002 Fuerste, MD, Gretchen None $365.00

2140 John F. Kennedy Rd.

11 Dubuque, IA 52002

Batch processed using the IECDB Web Reporting System on 04/23/2005 04:41:53 Page 2 of 3

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 04/23/2005 04:41:53 Schedule A
Contributions

Committee Name Committee ID 6279 Statutory Due Date 10/19/2002

Iowa Ophthalmology P.A.C. Adjusted Due Date 10/21/2002
Filed Date 10/15/2002
Amended Date
Status Amended Committee Type Iowa PAC Received Date

Contribution Contribution Relationship To Contribution Fund-

Name and Address of Contributor
Date Committee ID Candidate Amount Raiser

9/14/2002 Sarno, MD, E. Michael None $175.00

974 73rd St.

12 Des Moines, IA 50312

10/11/2002 Miller-Meeks, MD, Mariannette None $365.00

1005 E. Pennsylvania Ave.

14 Ottumwa, IA 52501

Total Regular Contributions $4,030.00

Total Fundraiser Contributions
Grand Total All Contributions $4,030.00

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