Expenditures Sch-B

Generated On: 9/16/2019 2:15:25 PM Schedule B: Expenditures Sch-B

Hy-Vee, Inc. Employees' Political Action Committee Status: Adjusted Committee Type: Iowa PAC Statutory Due Date 10/19/2016 County: _NA Adjusted Due Date District: Filed Date 10/17/2016 2:33:01 PM Committee Code: 6282 Postmark Date Political Party: Not Available Amendment Date 9/16/2019 1:58:28 PM

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 8690 Young for Iowa, Inc. 7/18/2016 Check # PO Box 162 Political Contribution $1,000.00 2959 Van Meter, IA 50261 1737 Hagenow for Iowa House 7/20/2016 Check # 15115 Prairie Avenue Political Contribution $1,000.00 2960 Urbandale, IA 50323 1612 Citizens for Gronstal 7/22/2016 Check # 220 Bennett Ave. Political Contribution $1,000.00 2962 Council Bluffs, IA 51503 2233 Boulton for Senate 7/26/2016 Check # 2670 Wisconsin Avenue Political Contribution $500.00 002963 Des Moines, IA 50317 Fortenberry, Jeff 7/27/2016 Check # 1610 N Street Political Contribution $1,000.00 2961 Lincoln, NE 68508 Congressman Jeff Fortenberry- NE 731 People for Pam Jochum 8/5/2016 Check # 2368 Jackson St. Political Contribution $1,000.00 002968 Dubuque, IA 52001 6042 Grocers Political Action Committee 8/11/2016 Check # 2540 106th, Suite 102 Political Contribution $10,000.00 2964 Des Moines, IA 50322 Loebsack, Dave 8/16/2016 Check # PO Box 3013 Political Contribution $2,500.00 2966 Iowa City, IA 52244 1247 Mark Smith for Iowa House 8/16/2016 Check # 816 Roberts Terrace Political Contribution $1,000.00 002965 Marshalltown, IA 50158 8690 Young for Iowa, Inc. 8/17/2016 Check # PO Box 162 Political Contribution $4,000.00 2969 Van Meter, IA 50261 1400 Upmeyer for House 8/23/2016 Check # 1811 N. 8th St. Political Contribution $1,000.00 002971 Clear Lake, IA 50428 Madigan, Michael 8/29/2016 Check # 1201 S Veteran Pkwy Ste C Political Contribution $1,000.00 2975 Springfield, IL 62704 FRIENDS OF MICHAEL J. MADIGAN- IL

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 6 Generated On: 9/16/2019 2:15:25 PM Schedule B: Expenditures Sch-B

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount Illinois Retail Merchants PAC 8/29/2016 Check # 36 W Randolph St Political Contribution $1,000.00 2973 Chicago, IL 60601 1849 Fry for Iowa House 8/30/2016 Check # 1473 195th Ave. Political Contribution $500.00 3000 Osceola, IA 50213 930 Citizens for Heaton 8/31/2016 Check # 510 E. Washington St. Political Contribution $500.00 3001 Mt. Pleasant, IA 52641-1939 2055 Forbes for Iowa House 8/31/2016 Check # 12816 Cardinal Lane Political Contribution $500.00 3002 Urbandale, IA 50323 2165 Wills for Iowa 8/31/2016 Check # 15732 Tradewind Dr. Political Contribution $500.00 3003 Spirit Lake, IA 51360 Cierpiot, Mike 9/1/2016 Check # 214 NE Landings Cir Political Contribution $1,000.00 3007 Lee's Summit, MO 64064 MISSOURIANS FOR MIKE CIERPIOT- MO Engler, Kevin 9/1/2016 Check # 201 West Capitol Ave Political Contribution $500.00 3009 Jefferson City, MO 65101 ENGLER FOR MISSOURI- MO Richardson, Todd 9/1/2016 Check # PO Box 310 Political Contribution $2,500.00 3006 Poplar Bluff, MO 63902 FRIENDS OF TODD RICHARDSON- MO Shaul, Dan 9/1/2016 Check # 925 Falcon Drive Political Contribution $500.00 3008 Imperial, MO 63052 FRIENDS OF SHAUL- MO 2030 Friends for Jake Highfill 9/2/2016 Check # 6660 NW 52nd ct Political Contribution $500.00 3011 Johnston, IA 50131 1735 Kevin Koester for House 9/2/2016 Check # 4207 SW Walnut St. Political Contribution $500.00 3013 Ankeny, IA 50023 1777 Randy Feenstra Iowa Senate Committee 9/2/2016 Check # 641 2nd St Political Contribution $500.00 3014 Hull, IA 51239

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 6 Generated On: 9/16/2019 2:15:25 PM Schedule B: Expenditures Sch-B

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 2114 Rizer for House 9/2/2016 Check # 2535 Prairie Hill Drive #12 Political Contribution $500.00 3012 Marion, IA 52302 1831 Scott Ourth for State Representative 9/2/2016 Check # P.O. Box 395 Political Contribution $500.00 3010 Indianola, IA 50125 Smith, Adrian 9/12/2016 Check # 1811 W 2nd St Political Contribution $2,500.00 3015 Grand Island, NE 68803 ADRIAN SMITH FOR CONGRESS- NE Kraus, Wil 9/13/2016 Check # 201 W Capitol Ave Rm 418 Political Contribution $750.00 3020 Jefferson City, MO 65101 CITIZENS FOR WILL KRAUS- MO ROMINE, GARY 9/13/2016 Check # 201 W CAPITOL AVE, RM 429 Political Contribution $500.00 3019 JEFFERSON CITY, MO 65101 ROMINE FOR STATE- MO 1336 Amanda Ragan for Iowa Senate 9/14/2016 Check # 361 S. Penn. 1D Political Contribution $500.00 3018 Mason City, IA 50401 1400 Upmeyer for House 9/14/2016 Check # 1811 N. 8th St. Political Contribution $4,000.00 3016 Clear Lake, IA 50428 1887 VANDER LINDEN FOR IOWA 9/14/2016 Check # 1610 CARBONADO ROAD Political Contribution $1,000.00 3017 OSKALOOSA, IA 52577 FITZPATRICK, SCOTT 9/15/2016 Check # P.O. Box 701 Political Contribution $250.00 3023 SHELL KNOB, MO 65747 FITZPATRICK FOR HOUSE- MO REHDER, HOLLY 9/15/2016 Check # PO BOX 1868 336 S INTERSTATE DR Political Contribution $500.00 3022 SIKESTON, MO 63801 FRIENDS OF HOLLY REHDER- MO Sater, David 9/15/2016 Check # 1735 Cedar Political Contribution $1,000.00 3021 Cassville, MO 65625 SATER FOR SENATE- MO

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 3 of 6 Generated On: 9/16/2019 2:15:25 PM Schedule B: Expenditures Sch-B

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 2151 Friends for Zach Nunn 9/16/2016 Check # PO Box 105 Political Contribution $500.00 3024 Altoona, IA 50009 FRIENDS FOR ZACH NUNN BROWN, DAN 9/21/2016 Check # 201 W Capitol Ave Rm 419 Political Contribution $500.00 3026 Jefferson City, MO 65101 DAN BROWN FOR SENATE- MO Kehoe, Mike 9/21/2016 Check # PO Box 105527 Political Contribution $1,000.00 3025 Jefferson City, MO 65110 CITIZENS TO ELECT MIKE KEHOE- MO Austin, Kevin 9/22/2016 Check # PO Box 11223 Political Contribution $500.00 3029 Springfield, MO 65808 KEVIN AUSTIN FOR STATE REPRESENTATIVE- MO Corlew, Kevin 9/22/2016 Check # PO Box 28443 Political Contribution $500.00 3027 Kansas City,, MO 64188 CITIZENS FOR KEVIN CORLEW- MO CORNEJO, ROBERT 9/22/2016 Check # P.O. Box 346 Political Contribution $250.00 3030 ST PETERS, MO 63376 FRIENDS OF ROBERT CORNEJO- MO Jones, Caleb 9/22/2016 Check # PO Box 5 Political Contribution $750.00 3028 California, MO 65018 FRIENDS OF CALEB JONES- MO MCGAUGH, JOE DON 9/22/2016 Check # 201 W CAPITOL AVE ROM 236-A Political Contribution $250.00 3032 JEFFERSON CITY, MO 65101 FRIENDS OF JOE DON MCGAUGH- MO Miller, Rocky 9/22/2016 Check # PO Box 393 Political Contribution $250.00 3031 Osage Beach, MO 65065 CITIZENS FOR ROCKY MILLER- MO 1964 Jones for Iowa 9/30/2016 Check # 4470 Highway 71 Reverse Transaction ($500.00) 2945 Sioux Rapids, IA 50585 Check was voided

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 4 of 6 Generated On: 9/16/2019 2:15:25 PM Schedule B: Expenditures Sch-B

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount Marshall, Roger 10/5/2016 Check # 200 E Iron Ave Political Contribution $1,000.00 3034 Salina, KS 67401 Kansans for Marshall- KS Ward, Jim 10/7/2016 Check # 3100 East Clark Political Contribution $500.00 3048 Wichita, KS 67211 Ward for House- KS 1864 Baltimore for Iowa House 10/7/2016 Check # 1610 Boone St. P.O. Box 367 Political Contribution $250.00 3042 Boone, IA 50036 2139 Brian Best for House 10/7/2016 Check # 600 Vermont St. Box 491 Political Contribution $250.00 3044 Glidden, IA 51443 1115 Johnson 4 Senate 1 10/7/2016 Check # P.O. Box 279 Political Contribution $500.00 3033 Ocheyedan, IA 51354 1964 Jones for Iowa 10/7/2016 Check # 4470 Highway 71 Political Contribution $1,500.00 3046 Sioux Rapids, IA 50585 Kansas Democratic Party 10/7/2016 Check # 501 SE Jefferson St. #30 Political Contribution $5,000.00 3049 Topeka, KS 66607 KS 1708 Paustian for State House 10/7/2016 Check # 389 West Parkview Drive PO Box 63 Political Contribution $500.00 3045 Walcott, IA 52773 2009 Rita R. Hart for State Senate 10/7/2016 Check # 2764 130th Ave Political Contribution $1,500.00 3047 Wheatland, IA 52777 1647 Smith for Senate 10/7/2016 Check # 2036 E 48th Street Political Contribution $500.00 3043 Davenport, IA 52807 1605 Citizens for Pat Grassley 10/10/2016 Check # 30601 Deer Trail Drive Political Contribution $500.00 3051 New Hartford, IA 50660 6077 Iowa Pharmacy PAC 10/10/2016 Check # 8515 Douglas Ave, Ste.16 Political Contribution $1,500.00 3050 Urbandale, IA 50322

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 5 of 6 Generated On: 9/16/2019 2:15:25 PM Schedule B: Expenditures Sch-B

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure Date Committee ID Amount 2115 Bisignano for Senate Account 10/11/2016 Check # 2618 East Leach Avenue Political Contribution $500.00 3052 Des Moines, IA 50320 1961 Chapman For Senate 10/11/2016 Check # 25862 Fox Ridge Ln Political Contribution $1,000.00 3036 Adel, IA 50003 1639 Win With Windschitl 10/12/2016 Check # 2912 Light Breeze Ln. Political Contribution $1,500.00 3037 Missouri Valley, IA 51555 Koster, Chris 10/13/2016 Check # PO Box 440173 Political Contribution $1,000.00 3060 St. Louis, MO 63144 Koster for Missouri- MO 1737 Hagenow for Iowa House 10/13/2016 Check # 15115 Prairie Avenue Political Contribution $5,000.00 3055 Urbandale, IA 50323 1400 Upmeyer for House 10/13/2016 Check # 1811 N. 8th St. Political Contribution $5,000.00 3054 Clear Lake, IA 50428 1339 Committee to Elect Lisa Heddens 10/14/2016 Check # 2401 Westwind Drive Political Contribution $500.00 3061 Ames, IA 50010 1846 Friends for Dix 10/14/2016 Check # 317 S Walnut Political Contribution $2,500.00 3058 Shell Rock, IA 50670 9098 Iowa Democratic Party 10/14/2016 Check # 5661 Fleur Drive Political Contribution $1,000.00 3059 Des Moines, IA 50321 1120 Joe Bolkcom for Iowa Senate 10/14/2016 Check # 1235 Oakes Drive Political Contribution $1,500.00 3038 Iowa City, IA 52245 1247 Mark Smith for Iowa House 10/14/2016 Check # 816 Roberts Terrace Political Contribution $2,500.00 3056 Marshalltown, IA 50158 731 People for Pam Jochum 10/14/2016 Check # 2368 Jackson St. Political Contribution $2,500.00 3057 Dubuque, IA 52001

Total Amount $88,000.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 6 of 6