Generated On: 1/4/2010 4:15:07 PM

Schedule A: Contributions Sch-A

Wellmark, Inc. PAC or WellPAC Status: Amended
Committee Type: Iowa PAC Statutory Due Date 10/19/2008

County: NA Adjusted Due Date

District: 0 Filed Date 10/17/2008 1:28:06 PM

Committee Code: 6498 Postmark Date

Political Party: Not Available Amendment Date 7/20/2009 3:45:59 PM

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # Jorgensen, Kay S
7/17/2008 1621 1909 Stagebarn Cr. None $2,750.00
Spearfish, SD 57783
Check # Crim, Stephen
7/18/2008 1371 2704 E. Slaten Pk Circle None $1,000.00
Sioux Falls, SD 57103
Contribution
Check # Dreher, Melanie
7/22/2008 1406 5555 N Shridan Rd None $1,000.00
Chicago, IL 60640
Contribution
Check # Henze, Daryl
7/22/2008 6813 4325 75th None $2,750.00
Urbandale, IA 50322
Contribution
Check # Cink, Tom
7/24/2008 2609 605 Plum Creek Road None $650.00
Sioux Falls, SD 57105
Contribution
Check # Myers, Mary Lynn
8/4/2008 1341 2817 Ridgeview Way None $5,000.00
Sioux Falls, SD 57105
Contribution
Check # Roy, Denis
8/5/2008 5564 1872 NW 105th Court N/A $4,750.00
Clive, IA 50325
Contribution
Check # Kinsman, Katherine A.
8/14/2008 4758 5217 Pinedale Hts None $250.00
Rapid City, SD 57702
Contribution
Check # Moss, Kenton
8/14/2008 2163 1519 South Phillips None $2,750.00
Algona, IA 50511
Contribution
1131 Citizens For Kuhn
8/27/2008 Check # 2667 240th Street N/A $0.00
1748 Charles City, IA 50616
Return of contribution

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 6
 Generated On: 1/4/2010 4:15:07 PM

Schedule A: Contributions Sch-A

Wellmark, Inc. PAC or WellPAC Status: Amended
Committee Type: Iowa PAC Statutory Due Date 10/19/2008

County: NA Adjusted Due Date

District: 0 Filed Date 10/17/2008 1:28:06 PM

Committee Code: 6498 Postmark Date

Political Party: Not Available Amendment Date 7/20/2009 3:45:59 PM

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # Mulligan, Terrence
9/8/2008 1340 27211 Ridge Lake Ct None $2,750.00
Bonita Springs, FL 34134
Contribution
Check # Fay, Mike
9/10/2008 1218 2084 S. Avenue None $250.00
Dallas Center, IA 50063
Contribution
Check # Jackson, Laura
9/10/2008 3509 9202 Timberwood Dr None $4,750.00
Johnston, IA 50131
Contribution
1722 Isenhart Campaign for the Common
9/10/2008 Check # Good N/A $0.00
1826 1665 Kaufmann Ave
Dubuque, IA 52001
Return of contribution
Check # Anderson, Richard C
10/14/2008 2030 Ashworth Road None $346.20
West Des Moines, IA 50265
Payroll deduction $57.70 x 6 pay periods
Check # Besemer-Roberts, Susan
10/14/2008 2421 Franklin Avenue NE None $30.00
Cedar Rapids, IA 52402
Payroll contribution $5.00 x 6 pay periods
Check # Brown, Philip G
10/14/2008 1751 Rio Valley Drive None $12.00
Clive, IA 50325
Payroll contribution $2.00 x 6 pay periods
Check # Burr, Mary E
10/14/2008 4035 Ovid Avenue None $12.00
Waukee, IA 50263
Payroll deduction $2.00 x 6 pay periods
Check # Crowley, Michael
10/14/2008 2184 NW 133rd St None $288.48
Clive, IA 50325
Payroll deduction $48.08 x 6 pay periods

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 6
 Generated On: 1/4/2010 4:15:07 PM

Schedule A: Contributions Sch-A

Wellmark, Inc. PAC or WellPAC Status: Amended
Committee Type: Iowa PAC Statutory Due Date 10/19/2008

County: NA Adjusted Due Date

District: 0 Filed Date 10/17/2008 1:28:06 PM

Committee Code: 6498 Postmark Date

Political Party: Not Available Amendment Date 7/20/2009 3:45:59 PM

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # Davis, Philip M
10/14/2008 502 W Sweetbriar Place None $461.64
Sioux Falls, SD 57108
Payroll deduction $76.94 x 6 pay periods
Check # Dentlinger, Deanne
10/14/2008 211 Corning Street None $12.00
Arcadia, IA 51430
Payroll deduction $2.00 x 6 pay periods
Check # Druker, Michele A
10/14/2008 13601 Lake Shore Dr. None $300.00
Clive, IA 50325
Payroll deductin $50.00 x 6 pay periods
Check # Froyen, Scott
10/14/2008 2960 NW 73rd Lane None $240.00
Ankeny, IA 50023
Payroll deduction $40.00 x 6 pay periods
Check # Gaucher, Ellen J
10/14/2008 1438 Tulip Tree Lane None $1,226.10
West Des Moines, IA 50266
Payroll deduction $204.35 x 6 pay periods
Check # Griffin, Janet
10/14/2008 410 27th Street None $450.00
Des Moines, IA 50312
Payroll deduction $75.00 x 6 pay periods
Check # Hammers, Marcia L
10/14/2008 809 52nd Street None $30.00
West Des Moines, IA 50265
Payroll deduction $5.00 x 6 pay periods
Check # Hanna, George B
10/14/2008 1001 Briar Ridge None $1,205.88
West Des Moines, IA 50266
Payroll deduction $200.98 x 6 pay periods
Check # Huffman, Patricia L
10/14/2008 1501 Park Avenue None $300.00
Des Moines, IA 50263
Payroll deduction $50.00 x 6 pay periods

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 3 of 6
 Generated On: 1/4/2010 4:15:07 PM

Schedule A: Contributions Sch-A

Wellmark, Inc. PAC or WellPAC Status: Amended
Committee Type: Iowa PAC Statutory Due Date 10/19/2008

County: NA Adjusted Due Date

District: 0 Filed Date 10/17/2008 1:28:06 PM

Committee Code: 6498 Postmark Date

Political Party: Not Available Amendment Date 7/20/2009 3:45:59 PM

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # James, Valerie J
10/14/2008 5901 SW 3rd None $30.00
Des Moines, IA 50315
Payroll deduction $5.00 x 6 pay periods
Check # Leavell, Garry J
10/14/2008 13771 Bay Hill Drive None $12.00
Clive, IA 50325
Payroll deduction $2.00 x 6 pay periods
Check # McCullough, Cheryl
10/14/2008 4011 38th St None $288.00
Urbandale, IA 50323
Payroll deduction $48.00 x 6 pay periods
Check # McNeill, Dana W
10/14/2008 1365 Tulip Tree Lane None $300.00
West Des Moines, IA 50266
Payroll deduction $50.00 x 6 pay periods
Check # Mendelson, Elizabeth
10/14/2008 3200 Marson Drive None $30.00
Sioux Falls, SD 57103
Payroll deduction $5.00 x 6 pay periods
Check # Miner, Debra L
10/14/2008 6924 Donahey None $307.74
Panora, IA 50216
Payroll deduction $51.29 x 6 pay periods
Check # Noecker, Cathy R
10/14/2008 2184 NW 133rd St None $288.48
Clive, IA 50325
Payroll deduction $48.08 x 6 pay periods
Check # Ortner, John H
10/14/2008 7916 Rosland None $18.00
Des Moines, IA 50322
Payroll deduction $3.00 x 6 pay periods
Check # Peterson, Lyndon T
10/14/2008 4609 Ashwood Drive None $60.00
Urbandale, IA 50322
Payroll deduction $10.00 x 6 pay periods

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 4 of 6
 Generated On: 1/4/2010 4:15:07 PM

Schedule A: Contributions Sch-A

Wellmark, Inc. PAC or WellPAC Status: Amended
Committee Type: Iowa PAC Statutory Due Date 10/19/2008

County: NA Adjusted Due Date

District: 0 Filed Date 10/17/2008 1:28:06 PM

Committee Code: 6498 Postmark Date

Political Party: Not Available Amendment Date 7/20/2009 3:45:59 PM

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # Riley, Richard R
10/14/2008 161 58th Court None $312.00
West Des Moines, IA 50266
Payroll deduction $52.00 x 6 pay periods
Check # Roberts, Peter W
10/14/2008 4315 Timberwood Drive None $1,096.20
West Des Moines, IA 50265
Payroll deduction $182.70 x 6 pay periods
Check # Shaffer, Matthew M
10/14/2008 1454 50th Avenue None $1,826.90
Prole, IA 50229
Payroll deduction $365.38 x 6 pay periods
Check # Sheehy, Janet L
10/14/2008 2307 Heatherwood Drive None $24.00
West Des Moines, IA 50265
Payroll deduction $4.00 x 6 pay periods
Check # Southwell, David N
10/14/2008 13111 Woodland Parkway None $1,421.34
Clive, IA 50325
Payroll deduction $154.00 x 3 pay periods
Payroll deduction $319.78 x 3 pay periods
Check # Sullivan, James E
10/14/2008 3607 SW 31st Street None $6.00
Des Moines, IA 50321
Payroll deduction $1.00 x 6 pay periods
Check # Van Dyke, Kevin D
10/14/2008 709 39th Street None $60.00
West Des Moines, IA 50265
Payroll deduction $10.00 x 6 pay periods
Check # Wampler, Rebecca
10/14/2008 3774 University Avenue None $60.00
Des Moines, IA 50311
Payroll deduction $10.00 x 6 pay periods
Check # Weber, Timothy
10/14/2008 2055 Creekview Ct None $288.48
Waukee, IA 50263
Payroll deduction $48.08 x 6 pay periods

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 5 of 6
 Generated On: 1/4/2010 4:15:07 PM

Schedule A: Contributions Sch-A

Wellmark, Inc. PAC or WellPAC Status: Amended
Committee Type: Iowa PAC Statutory Due Date 10/19/2008

County: NA Adjusted Due Date

District: 0 Filed Date 10/17/2008 1:28:06 PM

Committee Code: 6498 Postmark Date

Political Party: Not Available Amendment Date 7/20/2009 3:45:59 PM

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser

Date Committee ID Candidate Amount
Check # Welp, Polly
10/14/2008 1123 Clinton Avenue None $12.00
Des Moines, IA 50313
Payroll deduction $2.00 x 6 pay periods

Total Regular Contributions $40,005.44

Total Fundraiser Contributions $0.00
Grand Total All Contributions $40,005.44

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