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8/7/2019 Grinnell Mutual Reinsurance Company PAC_9687_A_Contributions
http://slidepdf.com/reader/full/grinnell-mutual-reinsurance-company-pac9687acontributions 1/5
Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/26/2005 04:44:52
Committee Name
Grinnell Mutual Reinsurance Company PAC
Audited Committee Type Iowa PAC
Committee ID 9687 Statutory Due Date
Adjusted Due Date
Filed Date
Amended Date
Received Date
1/19/2003
1/21/2003
12/31/2002
9/2/2003Status
ContributionDate
ContributionCommittee ID
Name and Address of ContributorRelationship ToCandidate
ContributionAmount
Fund-Raiser
10/2/2002 Heinen, Stacy None $250.00
1872 510th Avenue
1 Montezuma, IA 50171
10/2/2002 Kelling, Carla None $260.00
1827 Spencer Street
2 Grinnell, IA 50112
12/27/2002 Agnew, Dan None $90.00
1935 Reed Street
4 Grinnell, IA 50112
12/27/2002 Amsbaugh, Tammie None $30.00
7308 SW 17th
15 Des Moines, IA 50315
12/27/2002 Bachmann, Tom None $60.00
14834 Hwy 6
11 Grinnell, IA 50112
12/27/2002 Chittick, Dana None $30.00
402 West Street
20 Victor, IA 52347
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
Batch processed using the IECDB Web Reporting System on Page 1 of 504/26/2005 04:44:52
8/7/2019 Grinnell Mutual Reinsurance Company PAC_9687_A_Contributions
http://slidepdf.com/reader/full/grinnell-mutual-reinsurance-company-pac9687acontributions 2/5
Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/26/2005 04:44:52
Committee Name
Grinnell Mutual Reinsurance Company PAC
Audited Committee Type Iowa PAC
Committee ID 9687 Statutory Due Date
Adjusted Due Date
Filed Date
Amended Date
Received Date
1/19/2003
1/21/2003
12/31/2002
9/2/2003Status
ContributionDate
ContributionCommittee ID
Name and Address of ContributorRelationship ToCandidate
ContributionAmount
Fund-Raiser
12/27/2002 Connelly, Gary None $30.00
604 VanHorne Circle
10 Grinnell, IA 50112
12/27/2002 Day, Dennis None $90.00
507 N. 16th Street
22 Marshalltown, IA 50158
12/27/2002 Henderkott, Janice None $60.00
1403 West Street
21 Grinnell, IA 50112
12/27/2002 Larsen, Brent None $30.00
479 390th Street
7 Grinnell, IA 50112
12/27/2002 McDonald, Mac None $50.00
115 Crabtree Road
19 Montezuma, IA 50171
12/27/2002 McDonald, Teri None $48.00
115 Crabtree Road
8 Montezuma, IA 50171
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 2 of 504/26/2005 04:44:52
8/7/2019 Grinnell Mutual Reinsurance Company PAC_9687_A_Contributions
http://slidepdf.com/reader/full/grinnell-mutual-reinsurance-company-pac9687acontributions 3/5
Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/26/2005 04:44:52
Committee Name
Grinnell Mutual Reinsurance Company PAC
Audited Committee Type Iowa PAC
Committee ID 9687 Statutory Due Date
Adjusted Due Date
Filed Date
Amended Date
Received Date
1/19/2003
1/21/2003
12/31/2002
9/2/2003Status
ContributionDate
ContributionCommittee ID
Name and Address of ContributorRelationship ToCandidate
ContributionAmount
Fund-Raiser
12/27/2002 McKay, Shawn None $60.00
1413 Ann Street
25 Grinnell, IA 50112
12/27/2002 Menary, Jeff None $50.00
701 East Dallas Street
17 Montezuma, IA 50171
12/27/2002 Mugge, Mark None $60.00
1102 W 16th Street S
16 Newton, IA 50208
12/27/2002 Schultz, Diane None $60.00
329 Main Street
5 Grinnell, IA 50112
12/27/2002 Shell, Rich None $30.00
2120 Country Club Drive
6 Grinnell, IA 50112
12/27/2002 Sheridan, Hugh None $50.00
307 East Street
24 Grinnell, IA 50112
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 3 of 504/26/2005 04:44:52
8/7/2019 Grinnell Mutual Reinsurance Company PAC_9687_A_Contributions
http://slidepdf.com/reader/full/grinnell-mutual-reinsurance-company-pac9687acontributions 4/5
Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/26/2005 04:44:52
Committee Name
Grinnell Mutual Reinsurance Company PAC
Audited Committee Type Iowa PAC
Committee ID 9687 Statutory Due Date
Adjusted Due Date
Filed Date
Amended Date
Received Date
1/19/2003
1/21/2003
12/31/2002
9/2/2003Status
ContributionDate
ContributionCommittee ID
Name and Address of ContributorRelationship ToCandidate
ContributionAmount
Fund-Raiser
12/27/2002 Smith, Denise None $60.00
301 1st Avenue
14 Laurel, IA 50141
12/27/2002 Smith, Todd None $60.00
1527 Reed Street
12 Grinnell, IA 50112
12/27/2002 Steffen, Phyllis None $60.00
4020 100th Street
3 Malcom, IA 50157
12/27/2002 Tjarks, Rick None $60.00
109 E. High Street
13 New Sharon, IA 50207
12/27/2002 Unitemized N/A $12.00
N/A
Check # N/A23 N/A N/A, N/A N/A
12/27/2002 Unitemized N/A $15.00
N/A
Check # N/A
18 N/A N/A, N/A N/A
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 4 of 504/26/2005 04:44:52
8/7/2019 Grinnell Mutual Reinsurance Company PAC_9687_A_Contributions
http://slidepdf.com/reader/full/grinnell-mutual-reinsurance-company-pac9687acontributions 5/5
Batch processed using the IECDB Web Reporting System on Schedule AContributions
04/26/2005 04:44:52
Committee Name
Grinnell Mutual Reinsurance Company PAC
Audited Committee Type Iowa PAC
Committee ID 9687 Statutory Due Date
Adjusted Due Date
Filed Date
Amended Date
Received Date
1/19/2003
1/21/2003
12/31/2002
9/2/2003Status
ContributionDate
ContributionCommittee ID
Name and Address of ContributorRelationship ToCandidate
ContributionAmount
Fund-Raiser
12/27/2002 Ward, Mike None $60.00
301 N Main
9 Gilman, IA 50106
Total Regular Contributions $1,665.00
Total Fundraiser Contributions
Grand Total All Contributions $1,665.00
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 5 of 504/26/2005 04:44:52