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Verified Statement Registration VSR (Out-Of-State Committee) Generated On: 8/5/2021 1:15:04 PM Verified Statement Registration VSR (Out-of-State Committee) 8647 Lumen Technologies, Inc. Political Action Committee 1099 New York Ave., NWSuite 250 Washington, DC 20001 202-429-3110 [email protected] Separate segregated fund related to Lumen Technologies, Inc., making contributions to state and federal candidates. Contact Last Name: Adkins First Name: Richard MI: B Address: 1099 New York Ave., NW Suite 250 City: Washington State: DC Zip Code: 20001 Phone: 202-429-3110 E-Mail: [email protected] Parent Entity Name: Lumen Technologies, Inc. Address: 1099 New York Avenue, NW Suite 250 City: Washington State: DC Zip Code: 20001 Phone: 202-429-3110 E-Mail: [email protected] Jurisdiction Name: Federal Election Commission Address: 999 E. Street, NW City: Washington State: DC Zip Code: 20463 Phone: 800-424-9530 E-Mail: Iowa Resident Agent Last Name: White First Name: Tim MI: Address: 925 HIGH ST 9TH ST BLDG City: DES MOINES State: IA Zip Code: 50309 Phone: 515-286-6606 E-Mail: [email protected] IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 18 Generated On: 8/5/2021 1:15:04 PM 2021 - Iowa Committees Receiving Contributions Contribution Date Committee Amount Check # 8/5/2021 Sinclair for Iowa (2002) $350.00 20552 Filed Date: 1255 King Rd. 8/5/2021 Allerton, IA 50008 8/5/2021 Lundgren for House (2294) $500.00 20550 Filed Date: 916 HEATHER DR 8/5/2021 PEOSTA, IA 52068 8/5/2021 Jennifer Konfrst for Iowa (2231) $250.00 20555 Filed Date: 6518 Northwest Drive 8/5/2021 Windsor Heights, IA 50324 8/5/2021 Phil Thompson for Iowa (2448) $200.00 20551 Filed Date: 1475 265th St 8/5/2021 Jefferson, IA 50129 8/5/2021 Sorensen For Iowa (2408) $200.00 20553 Filed Date: 2476 Monroe Ave 8/5/2021 Greenfield, IA 50849 8/5/2021 Koelker for Iowa Senate (2387) $250.00 20549 Filed Date: 807 3rd St NW 8/5/2021 Dyersville, IA 52040 8/5/2021 Dan Dawson for State Senate (2256) $500.00 20546 Filed Date: 213 Upland Drive 8/5/2021 Council Bluffs, IA 51503 8/5/2021 Friends For Brian Lohse (2497) $500.00 20547 Filed Date: 1500 NE Morgan Dr 8/5/2021 Bondurant, IA 50035 8/5/2021 Chapman For Senate (1961) $750.00 20545 Filed Date: 25862 Fox Ridge Ln 8/5/2021 Adel, IA 50003 8/5/2021 Friends of Jason Schultz (1715) $500.00 20548 Filed Date: Box 70, 611 Cedar St 8/5/2021 Schleswig, IA 51461 8/5/2021 Win With Windschitl (1639) $1,000.00 20554 Filed Date: 2912 Light Breeze Ln. 8/5/2021 Missouri Valley, IA 51555 IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 18 Generated On: 8/5/2021 1:15:04 PM 2020 - Iowa Committees Receiving Contributions Contribution Date Committee Amount Check # 10/13/2020 Sorensen For Iowa (2408) $200.00 20190 Filed Date: 2476 Monroe Ave 10/13/2020 Greenfield, IA 50849 10/6/2020 Dan Dawson for State Senate (2256) $500.00 20173 Filed Date: 213 Upland Drive 10/6/2020 Council Bluffs, IA 51503 10/6/2020 Citizens for Pat Grassley (1605) $1,500.00 20179 Filed Date: 30601 Deer Trail Drive 10/6/2020 New Hartford, IA 50660 10/6/2020 Chapman For Senate (1961) $500.00 20171 Filed Date: 25862 Fox Ridge Ln 8/5/2021 Adel, IA 50003 10/6/2020 Hein for State House (1886) $500.00 20184 Filed Date: 17358 County Road E-16 10/6/2020 Monticello, IA 52310 10/6/2020 Friends of Whitver (1953) $1,500.00 20178 Filed Date: 4019 NE Bellagio Circle 10/6/2020 Ankeny, IA 50021 10/6/2020 Iowans For Miller (5064) $500.00 20180 Filed Date: 213 28th St 10/6/2020 Des Moines, IA 50312 10/6/2020 Kim Reynolds for Iowa (5173) $2,500.00 20183 Filed Date: 1010 A Park Lane 10/6/2020 Osceola, IA 50213 10/6/2020 Sinclair for Iowa (2002) $400.00 20175 Filed Date: 1255 King Rd. 10/6/2020 Allerton, IA 50008 10/6/2020 Iowans For Prichard (2109) $750.00 20174 Filed Date: 107 Ferguson St 10/6/2020 Charles City, IA 50616 10/6/2020 Wills for Iowa (2165) $400.00 20176 Filed Date: 15732 Tradewind Dr. 10/6/2020 Spirit Lake, IA 51360 10/6/2020 Win With Windschitl (1639) $1,000.00 20177 Filed Date: 2912 Light Breeze Ln. 10/6/2020 Missouri Valley, IA 51555 6/17/2020 Dan Dawson for State Senate (2256) $500.00 20057 Filed Date: 213 Upland Drive 6/17/2020 Council Bluffs, IA 51503 6/17/2020 Amy Nielsen for Iowa (2271) $250.00 20058 Filed Date: 168 Lockmoor Cr 6/17/2020 North Liberty, IA 52317 IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 3 of 18 Generated On: 8/5/2021 1:15:04 PM 2019 - Iowa Committees Receiving Contributions Contribution Date Committee Amount Check # 11/22/2019 Hein for State House (1886) $500.00 13962 Filed Date: 17358 County Road E-16 11/22/2019 Monticello, IA 52310 11/22/2019 Committee to Elect Gary Carlson (2133) $500.00 13963 Filed Date: 104 Deerpath Lane 11/22/2019 Muscatine, IA 52761 10/22/2019 Citizens for Pat Grassley (1605) $1,250.00 13887 Filed Date: 30601 Deer Trail Drive 10/23/2019 New Hartford, IA 50660 10/22/2019 Win With Windschitl (1639) $1,000.00 13891 Filed Date: 2912 Light Breeze Ln. 10/23/2019 Missouri Valley, IA 51555 10/22/2019 Vote Bloomingdale (2312) $250.00 13894 Filed Date: 501 2nd Ave North 10/23/2019 Northwood, IA 50459 10/22/2019 Iowans For Prichard (2109) $750.00 13895 Filed Date: 107 Ferguson St 10/23/2019 Charles City, IA 50616 10/22/2019 Kim Reynolds for Iowa (5173) $1,500.00 13885 Filed Date: 1010 A Park Lane 10/23/2019 Osceola, IA 50213 10/22/2019 Chapman For Senate (1961) $500.00 13898 Filed Date: 25862 Fox Ridge Ln 10/23/2019 Adel, IA 50003 10/22/2019 Wills for Iowa (2165) $500.00 13892 Filed Date: 15732 Tradewind Dr. 10/23/2019 Spirit Lake, IA 51360 10/22/2019 Hagenow for Iowa House (1737) $500.00 13889 Filed Date: 15115 Prairie Avenue 10/23/2019 Urbandale, IA 50323 10/22/2019 Sinclair for Iowa (2002) $300.00 13893 Filed Date: 1255 King Rd. 10/23/2019 Allerton, IA 50008 10/22/2019 Schneider for State Senate (2107) $1,000.00 13888 Filed Date: 7887 Cody Drive 10/23/2019 West Des Moines, IA 50266 10/22/2019 Iowans For Miller (5064) $500.00 13886 Filed Date: 213 28th St 10/23/2019 Des Moines, IA 50312 10/22/2019 Friends of Whitver (1953) $1,250.00 13890 Filed Date: 4019 NE Bellagio Circle 10/23/2019 Ankeny, IA 50021 6/20/2019 Kim Reynolds for Iowa (5173) $1,000.00 13839 Filed Date: 1010 A Park Lane 6/20/2019 Osceola, IA 50213 IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 4 of 18 Generated On: 8/5/2021 1:15:04 PM 2019 - Iowa Committees Receiving Contributions Contribution Date Committee Amount Check # 3/7/2019 Walt Rogers for Iowa (1751) $300.00 13796 Filed Date: 4209 South Main 3/7/2019 Cedar Falls, IA 50613 2018 - Iowa Committees Receiving Contributions Contribution Date Committee Amount Check # 8/27/2018 Oldson for State Representative (1326) $500.00 13564 Filed Date: 4004 Grand Ave Apt 302 9/11/2018 Des Moines, IA 50312 8/27/2018 Schneider for State Senate (2107) $1,250.00 13561 Filed Date: 7887 Cody Drive 9/11/2018 West Des Moines, IA 50266 8/27/2018 Hagenow for Iowa House (1737) $500.00 13558 Filed Date: 15115 Prairie Avenue 9/11/2018 Urbandale, IA 50323 8/27/2018 Upmeyer for House (1400) $1,000.00 13556 Filed Date: 1811 N. 8th St. 9/11/2018 Clear Lake, IA 50428 8/27/2018 Committee to Elect Gary Carlson (2133) $500.00 13554 Filed Date: 104 Deerpath Lane 9/11/2018 Muscatine, IA 52761 8/27/2018 Jacoby for House (1491) $500.00 13546 Filed Date: 2308 Northridge Drive 9/11/2018 Coralville, IA 52241 8/27/2018 Kim Reynolds for Iowa (5173) $1,400.00 13551 Filed Date: 1010 A Park Lane 9/11/2018 Osceola, IA 50213 8/27/2018 Cownie for Statehouse (1711) $1,000.00 13549 Filed Date: 4109 Timberwood Drive 9/11/2018 West Des Moines, IA 50265 8/27/2018 Petersen for State Senate (1206) $1,000.00 13560 Filed Date: 4300 Beaver Hills Drive 9/11/2018 Des Moines, IA 50310 8/27/2018 Mark Smith for Iowa House (1247) $1,000.00 13568 Filed Date: 816 Roberts Terrace 9/11/2018 Marshalltown, IA 50158 8/27/2018 Friends of Whitver (1953) $1,250.00 13548 Filed Date: 4019 NE Bellagio Circle 9/11/2018 Ankeny, IA 50021 8/27/2018 People for Pam Jochum (731) $500.00 13559 Filed Date: 2368 Jackson St. 9/11/2018 Dubuque, IA 52001 6/13/2018 Kim Reynolds for Iowa (5173) $1,000.00 13456 Filed Date: 1010 A Park Lane 6/25/2018 Osceola, IA 50213 IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 5 of 18 Generated On: 8/5/2021 1:15:04 PM 2018 - Iowa Committees Receiving Contributions Contribution Date Committee Amount Check # 6/4/2018 Chapman For Senate (1961) $500.00 13455 Filed Date: 25862 Fox Ridge Ln 6/19/2018 Adel, IA 50003 6/4/2018 Schneider for State Senate (2107) $250.00 13454 Filed Date: 7887 Cody Drive 9/18/2018 West Des Moines, IA 50266 5/23/2018 Randy Feenstra Iowa Senate Committee (1777) $750.00 13449 Filed Date: 641 2nd St 5/25/2018 Hull, IA 51239 5/23/2018 Joe Bolkcom for Iowa Senate (1120) $100.00 13448 Filed Date: 1235 Oakes Drive 5/25/2018 Iowa City, IA 52245 2017 - Iowa Committees Receiving Contributions Contribution Date Committee Amount Check # 11/9/2017 Vote Bloomingdale (2312) $500.00 13011 Filed Date: 501 2nd Ave North 11/16/2017 Northwood, IA 50459 11/9/2017 Friends of Jim Lykam (1397) $250.00 13010 Filed Date: 2906 W.
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