Generated On: 6/28/2021 1:15:05 PM Schedule B: Expenditures Sch-B

Delta Dental of Iowa PAC Status: Filed Committee Type: Iowa PAC Statutory Due Date 1/19/2020 County: _NA Adjusted Due Date 1/21/2020 District: 0 Filed Date 1/16/2020 9:11:10 AM Committee Code: 9764 Postmark Date Political Party: Not Available Amendment Date

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 1964 Jones for Iowa 8/13/2019 Check # 4470 Highway 71 Political Contribution $200.00 1406 Sioux Rapids, IA 50585 2352 Ann Meyer for Statehouse 8/14/2019 Check # 1948 Stadium Drive Political Contribution $250.00 1407 Fort Dodge, IA 50501 2426 Citizens for Holly Brink 8/14/2019 Check # 2199 Oxford Ave Political Contribution $250.00 1408 Oskaloosa, IA 52577 2256 Dan Dawson for State Senate 8/20/2019 Check # 213 Upland Drive Political Contribution $200.00 1412 Council Bluffs, IA 51503 2231 Jennifer Konfrst for Iowa 8/20/2019 Check # 6518 Northwest Drive Political Contribution $200.00 1409 Windsor Heights, IA 50324 2368 for Iowa 8/21/2019 Check # 6689 River Bend Drive Political Contribution $200.00 1410 Johnston, IA 50131 2225 for Iowa House 8/30/2019 Check # 1802 SW Prairie Trail Parkway Political Contribution $200.00 1415 Ankeny, IA 50023 2396 for Iowa House 8/30/2019 Check # 1629 S. 50th Pl Political Contribution $200.00 1413 West Des Moines, IA 50265 9659 Federation of Iowa Insurers PAC 9/2/2019 Check # 1331 Grand Avenue Station 5W528 Political Contribution $1,500.00 1414 Des Moines, IA 50309 1326 Oldson for State Representative 9/11/2019 Check # 4004 Grand Ave Apt 302 Political Contribution $200.00 1416 Des Moines, IA 50312 1849 Fry for Iowa House 9/19/2019 Check # 1473 195th Ave. Political Contribution $250.00 1418 Osceola, IA 50213 2109 Iowans For Prichard 9/19/2019 Check # 107 Ferguson St Political Contribution $1,000.00 1419 Charles City, IA 50616 2294 Lundgren for House 9/19/2019 Check # 916 HEATHER DR Political Contribution $250.00 1417 PEOSTA, IA 52068

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 3 Generated On: 6/28/2021 1:15:05 PM Schedule B: Expenditures Sch-B

Delta Dental of Iowa PAC Status: Filed Committee Type: Iowa PAC Statutory Due Date 1/19/2020 County: _NA Adjusted Due Date 1/21/2020 District: 0 Filed Date 1/16/2020 9:11:10 AM Committee Code: 9764 Postmark Date Political Party: Not Available Amendment Date

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 2014 Costello for 10/8/2019 Check # 37265 Rains Ave Political Contribution $250.00 1421 Imogene, IA 51645 9098 10/13/2019 Check # 5661 Fleur Drive Political Contribution $250.00 1423 Des Moines, IA 50321 1838 Friends For Breitbach 10/16/2019 Check # 301 W. Mission St. Political Contribution $250.00 1425 Strawberry Point, IA 52076 2159 Johnson for Iowa 10/16/2019 Check # 413 13th Avenue NE Political Contribution $200.00 1424 Independence, IA 50644 2271 for Iowa 10/23/2019 Check # 168 Lockmoor Cr Political Contribution $200.00 1426 North Liberty, IA 52317 5196 Ras Smith for Governor 10/23/2019 Check # 324 Madison St Political Contribution $250.00 1422 Waterloo, IA 50703 1605 Citizens for 10/30/2019 Check # 30601 Deer Trail Drive Political Contribution $1,000.00 1428 New Hartford, IA 50660 1639 Win With Windschitl 10/30/2019 Check # 2912 Light Breeze Ln. Political Contribution $750.00 1427 Missouri Valley, IA 51555 2055 Forbes for Iowa House 11/5/2019 Check # 12816 Cardinal Lane Political Contribution $250.00 1430 Urbandale, IA 50323 1979 Mathis for State Senate 11/5/2019 Check # 320 Blairs Ferry Crossing Political Contribution $250.00 1429 Hiawtha, IA 52233 2387 Koelker for Iowa Senate 11/14/2019 Check # 807 3rd St NW Political Contribution $200.00 1431 Dyersville, IA 52040 1953 Friends of Whitver 12/3/2019 Check # 4019 NE Bellagio Circle Political Contribution $1,000.00 1432 Ankeny, IA 50021 2107 Schneider for State Senate 12/3/2019 Check # 7887 Cody Drive Political Contribution $750.00 1433 West Des Moines, IA 50266

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 3 Generated On: 6/28/2021 1:15:05 PM Schedule B: Expenditures Sch-B

Delta Dental of Iowa PAC Status: Filed Committee Type: Iowa PAC Statutory Due Date 1/19/2020 County: _NA Adjusted Due Date 1/21/2020 District: 0 Filed Date 1/16/2020 9:11:10 AM Committee Code: 9764 Postmark Date Political Party: Not Available Amendment Date

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 731 People for Pam Jochum 12/9/2019 Check # 2368 Jackson St. Political Contribution $250.00 1435 Dubuque, IA 52001 2002 Sinclair for Iowa 12/9/2019 Check # 1255 King Rd. Political Contribution $250.00 1434 Allerton, IA 50008 1526 Citizens for Wessel-Kroeschell 12/11/2019 Check # 518 Ash Ave Political Contribution $250.00 1441 Ames, IA 50014 2252 for State House 12/12/2019 Check # 4755 School House Road Political Contribution $250.00 1442 Bettendorf, IA 52722 2402 Kenan Judge for Iowans 12/12/2019 Check # P.O. Box 594 Political Contribution $200.00 1436 Waukee, IA 50263 2133 Committee to Elect Gary Carlson 12/17/2019 Check # 104 Deerpath Lane Political Contribution $250.00 1438 Muscatine, IA 52761 1206 Petersen for State Senate 12/17/2019 Check # 4300 Beaver Hills Drive Political Contribution $1,000.00 1437 Des Moines, IA 50310 5173 Kim Reynolds for Iowa 12/18/2019 Check # 1010 A Park Lane Political Contribution $2,000.00 1439 Osceola, IA 50213 1776 Sweeney for Senate 12/18/2019 Check # 21547 Hwy S27 Political Contribution $250.00 1443 Alden, IA 50006 2469 Jeneary for House District 5 Committee 12/19/2019 Check # 1501 schaefer Ave Political Contribution $200.00 1440 Le Mars, IA 51031

Total Amount $15,400.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 3 of 3