Generated On: 11/16/2016 3:15:07 PM Schedule B: Expenditures Sch-B

Iowa Society of Anesthesiologists Political Action Committee Status: Adjusted Committee Type: Iowa PAC Statutory Due Date 1/19/2015 County: _NA Adjusted Due Date 1/20/2015 District: 0 Filed Date 1/19/2015 1:32:42 PM Committee Code: 6484 Postmark Date Political Party: Not Available Amendment Date 11/16/2016 2:29:43 PM

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 1864 Baltimore for Iowa House 11/12/2014 Check # 1610 Boone St. P.O. Box 367 Political Contribution $150.00 1286 Boone, IA 50036 2082 Bearinger for House 11/12/2014 Check # 500 7th Ave SE Political Contribution $150.00 1303 Oelwein, IA 50662 2115 Bisignano for Senate Account 11/12/2014 Check # 2618 East Leach Avenue Political Contribution $200.00 1275 Des Moines, IA 50320 1961 Chapman For Senate 11/12/2014 Check # 25862 Fox Ridge Ln Political Contribution $200.00 1264 Adel, IA 50003 1604 Citizens for Ako Abdul-Samad 11/12/2014 Check # 1506 18th St. Political Contribution $100.00 1308 Des Moines, IA 50314 2124 Citizens For 11/12/2014 Check # 5417 SE 29th St. Political Contribution $150.00 1300 Des Moines, IA 50320 1747 Citizens for Sharon Steckman 11/12/2014 Check # 1038 15th St. NE Political Contribution $100.00 1321 Mason City, IA 50401-1420 376 Cohoon for Representative 11/12/2014 Check # 8151 138lth st Political Contribution $100.00 1307 Burlington, IA 52601 1586 Committee to Elect 11/12/2014 Check # 2141 Coldstream Ave. N.E. Political Contribution $100.00 1320 Cedar Rapids, IA 52402-3311 1488 Committee to Elect Bruce Hunter 11/12/2014 Check # 452 Wilmers Avenue Political Contribution $100.00 1313 Des Moines, IA 50315 863 Committee to Elect Mascher 11/12/2014 Check # 2012 Sherman Drive Political Contribution $150.00 1316 Iowa City, IA 52240 703 Committee to Elect Matt McCoy 11/12/2014 Check # 3808 River Oaks Drive Political Contribution $200.00 1279 Des Moines, IA 50312 Committee to Elect Rick Olson To House 1560 of Representatives 11/12/2014 Check # Political Contribution $100.00 3012 E. 31st Ave. 1318 Des Moines, IA 50317

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 5 Generated On: 11/16/2016 3:15:07 PM Schedule B: Expenditures Sch-B

Iowa Society of Anesthesiologists Political Action Committee Status: Adjusted Committee Type: Iowa PAC Statutory Due Date 1/19/2015 County: _NA Adjusted Due Date 1/20/2015 District: 0 Filed Date 1/19/2015 1:32:42 PM Committee Code: 6484 Postmark Date Political Party: Not Available Amendment Date 11/16/2016 2:29:43 PM

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 290 Committee to Elect Robert E. Dvorsky 11/12/2014 Check # 450 3rd Ave #3 Political Contribution $200.00 1277 Coralville, IA 52241 1946 Dan Kelley for State Representative 11/12/2014 Check # PO Box 333 Political Contribution $100.00 1314 Newton, IA 50208 1875 Dawson For Iowa House 11/12/2014 Check # 400 Essex Street Political Contribution $100.00 1310 Sioux City, IA 51103 1686 Deyoe for House 11/12/2014 Check # 911 Shagbark Drive Political Contribution $200.00 1283 Nevada, IA 50201 2055 Forbes for Iowa House 11/12/2014 Check # 12816 Cardinal Lane Political Contribution $150.00 1299 Urbandale, IA 50323 2030 Friends for Jake Highfill 11/12/2014 Check # 6660 NW 52nd ct Political Contribution $150.00 1288 Johnston, IA 50131 2151 Friends for Zach Nunn 11/12/2014 Check # PO Box 105 Political Contribution $150.00 1297 Altoona, IA 50009 1397 Friends of Jim Lykam 11/12/2014 Check # 2906 W. 35th St Political Contribution $100.00 1305 Davenport, IA 52806 2028 Friends of Nancy Dunkel 11/12/2014 Check # 11764 Hickory Lane Political Contribution $100.00 1311 Dyersville, IA 52040 1842 Friends of Rob Bacon 11/12/2014 Check # 302 3rd St PO Box 485 Political Contribution $150.00 1287 Slater, IA 50244 1874 Friends of Tod Bowman 11/12/2014 Check # 812 Grant Street Political Contribution $150.00 1276 Maquoketa, IA 52060 1849 Fry for Iowa House 11/12/2014 Check # 1473 195th Ave. Political Contribution $200.00 1282 Osceola, IA 50213 1654 Garrett for Statehouse Committee 11/12/2014 Check # 19978 - 115th Ave. Political Contribution $250.00 1268 Indianola, IA 50125

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 5 Generated On: 11/16/2016 3:15:07 PM Schedule B: Expenditures Sch-B

Iowa Society of Anesthesiologists Political Action Committee Status: Adjusted Committee Type: Iowa PAC Statutory Due Date 1/19/2015 County: _NA Adjusted Due Date 1/20/2015 District: 0 Filed Date 1/19/2015 1:32:42 PM Committee Code: 6484 Postmark Date Political Party: Not Available Amendment Date 11/16/2016 2:29:43 PM

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 1376 Gaskill for State Representative 11/12/2014 Check # 509 E. 4th St. Political Contribution $150.00 1304 Ottumwa, IA 52501 2137 Gustafson for Iowa House 11/12/2014 Check # 3139 Cumming Rd Political Contribution $100.00 1295 Cumming, IA 50061 1737 Hagenow for Iowa House 11/12/2014 Check # 1915 69th St. Political Contribution $100.00 1285 Windsor Heights, IA 50324 1893 Hall for Iowa 11/12/2014 Check # PO Box 4579 Political Contribution $150.00 1301 Sioux City, IA 51104 1968 Iowans for Taylor 11/12/2014 Check # PO Box 337 Political Contribution $250.00 1293 Waukee, IA 50263 1491 Jacoby for House 11/12/2014 Check # 2308 Northridge Drive Political Contribution $100.00 1306 Coralville, IA 52241 1855 Jorgensen for Iowa House 11/12/2014 Check # 5921 Pine View DR Political Contribution $250.00 1289 Sioux City, IA 51106 2047 Kaufmann for State House 11/12/2014 Check # 1527 330th St. Political Contribution $250.00 1284 Wilton, IA 52778 2142 Kevin Kinney for State Senate 11/12/2014 Check # 4321 Calkins Ave SW Political Contribution $200.00 1278 Oxford, IA 52322 1705 Klein for Statehouse 11/12/2014 Check # 1744 Keokuk Washington Rd Political Contribution $250.00 1290 Keota, IA 52248 1504 Kressig for Iowa House 59 11/12/2014 Check # 3523 Veralta Dr. Political Contribution $150.00 1315 Cedar Falls, IA 50613 2056 Mark Segebart for Senate 11/12/2014 Check # 1820 350th Street Political Contribution $200.00 1267 Vail, IA 51465 1967 for Iowa 11/12/2014 Check # 1717 Mar Ella Trail Political Contribution $100.00 1309 Des Moines, IA 50310-3823

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 3 of 5 Generated On: 11/16/2016 3:15:07 PM Schedule B: Expenditures Sch-B

Iowa Society of Anesthesiologists Political Action Committee Status: Adjusted Committee Type: Iowa PAC Statutory Due Date 1/19/2015 County: _NA Adjusted Due Date 1/20/2015 District: 0 Filed Date 1/19/2015 1:32:42 PM Committee Code: 6484 Postmark Date Political Party: Not Available Amendment Date 11/16/2016 2:29:43 PM

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 1866 Campaign 11/12/2014 Check # 337 4th Ave South Political Contribution $100.00 1324 Clinton, IA 52732 1979 Mathis for State Senate 11/12/2014 Check # 1725 Mackenzie Drive Political Contribution $200.00 1272 Cedar Rapids, IA 52411 1326 Oldson for State Representative 11/12/2014 Check # 4004 Grand Ave Apt 302 Political Contribution $100.00 1317 Des Moines, IA 50312 1708 Paustian for State House 11/12/2014 Check # 389 West Parkview Drive PO Box 63 Political Contribution $100.00 1298 Walcott, IA 52773 1206 Petersen for State Senate 11/12/2014 Check # 4300 Beaver Hills Drive Political Contribution $200.00 1273 Des Moines, IA 50310 1356 Quirmbach for Senate 11/12/2014 Check # 1002 Jarrett Cir. Political Contribution $150.00 1280 Ames, IA 50014 1777 Randy Feenstra Committee 11/12/2014 Check # 641 2nd St Political Contribution $150.00 1265 Hull, IA 51239 2009 Rita R. Hart for State Senate 11/12/2014 Check # 2764 130th Ave Political Contribution $200.00 1270 Wheatland, IA 52777 2042 RUFF for IOWA HOUSE DIST. 56 11/12/2014 Check # 13331 Jade Ave Political Contribution $150.00 1302 Mc Gregor, IA 52157 for State 1924 Representative 11/12/2014 Check # Political Contribution $100.00 3501 Oxford St. 1312 Des Moines, IA 50313 Never Cashed 2107 Schneider for State Senate 11/12/2014 Check # 7887 Cody Drive Political Contribution $200.00 1266 West Des Moines, IA 50266 1831 Scott Ourth for State Representative 11/12/2014 Check # P.O. Box 395 Political Contribution $100.00 1319 Indianola, IA 50125

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 4 of 5 Generated On: 11/16/2016 3:15:07 PM Schedule B: Expenditures Sch-B

Iowa Society of Anesthesiologists Political Action Committee Status: Adjusted Committee Type: Iowa PAC Statutory Due Date 1/19/2015 County: _NA Adjusted Due Date 1/20/2015 District: 0 Filed Date 1/19/2015 1:32:42 PM Committee Code: 6484 Postmark Date Political Party: Not Available Amendment Date 11/16/2016 2:29:43 PM

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 1647 Smith for Senate 11/12/2014 Check # 2036 E 48th Street Political Contribution $250.00 1269 Davenport, IA 52807 1702 Sodders for State Senate 11/12/2014 Check # Box 723, 202 5th Ave SE Political Contribution $200.00 1271 State Center, IA 50247 1492 Soderberg for House 11/12/2014 Check # 631 3rd Ave. SE Political Contribution $250.00 1292 LeMars, IA 51031 1992 Stanerson For State House 11/12/2014 Check # 624 E. Terrace Dr Political Contribution $150.00 1281 Center Point, IA 52213 1994 Stutsman for State House 11/12/2014 Check # 3754 500 St SW Political Contribution $100.00 1322 Riverside, IA 52327 1755 Team Bertrand 11/12/2014 Check # 1501 Peavey Street Political Contribution $250.00 1263 Sioux City, IA 51105 1887 VANDER LINDEN FOR IOWA 11/12/2014 Check # 1610 CARBONADO ROAD Political Contribution $150.00 1296 OSKALOOSA, IA 52577 1751 Walt Rogers for Iowa 11/12/2014 Check # 4209 South Main Political Contribution $150.00 1291 Cedar Falls, IA 50613 1334 Watts for House 11/12/2014 Check # 28232 Prospect Ave. Political Contribution $250.00 1294 Adel, IA 50003 1717 Wilhelm for Iowa Senate 11/12/2014 Check # 414 North Elm Political Contribution $200.00 1274 Cresco, IA 52136 1229 Winckler for State House 11/12/2014 Check # 6 Thode Court Political Contribution $100.00 1323 Davenport, IA 52802 Harland Check Co 11/18/2014 Check # 15955 La Centra Parkway Office Supplies $68.29 0 San Antonio, TX 78256 checks ordered and withdrawn from bank account

Total Amount $9,918.29

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 5 of 5