oct,17. 2006 3:14pm seiu local 199 forinstructions, ski= …€¦ · direct deposit bevclearman...

12
Oct,17 . 2006 3 :14PM SEIU LOCAL 199 FOR INSTRUCTIONS, Ski= BACA UF- i-UKM DISCLOSURE S UMMARY PAGE COMMITTEE NAME (Must be same as on Statement of Organization) SEIU(Service Employees IDt'1 Union)Local IMPORTANT . Indicate type of committee you are reporting for : 12-1 (1 )Statewlde/Legislalive Candidate (2 )Statewide PAC (3 )State Party (4 )County/Local Candldale (5 )County PAC (t3 )Ballot Issue/Franchise Committee (7 )County/City Central Committee (8 )Support Slate or Candidates ;Political Air . (319)-341-0112 10/17/06 SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED Routine Penalties Due For Late FIled Reports Range from $20 to $800 SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE : I AM FILING A 7/15/06 - 10/14/06 (report date) OCHECK IF AMENDMENT TO REPORT DATED [] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . (You must continue to file reports until a Notice of Dissolution is filed .) REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR . STATEMENT OF CASH ON HAND Indicate one CASH ON HAND at the beginning of the reporting period . (This is the total of all monies held by the committee . This amount MUST be the same as the cash on hand at the end of the last reporting period', or mustbe zero if this is first report filed .) . . ... . .......................... .$ 5 ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A : Cash Contributions total (Attach Schedule A) ('also see In-kind below) . ........ 2 97 2 " 00 Schedule F : Loans Received total (Attach. Schedule F) ..... . ..... . . . . . .... . . . ........................ . ... . ... Schedule H : Total Sales of Campaign Property (Attach Schedule H) ..... . ... . . . . . ..... . .... . . . ... . ... (Schedule H applies to Candidates' Committees Onlyl CASH ON HAND at the end of this reporting period (if final report, balance must be zero) (Attach DR-3) ..... . . . . . . ... . ....... . ..... . ........... . . . . . . . .......... . ..... . . . ............ . ..... . . . . . . . . . . . ..... .$ 208 .98 **UNPAID BILLS (From Schedule D - Attach Schedule D) .. . . . . . ............................... . ..... . . . .......... . ... . .. .$ *IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . ..... . .. . . . . . . . . . .................. $ "OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ....... . . . . . . . .... . ... . ....... . . . .......... . ... . .. .$ -P . 2 DISCLOSURE REPORT For Office Use Only Comm . qN ~ ~~'71 '''777 # Indeate~ Audited Computer Local Committees, enter Date of Election County & Local Committees, enter County in which Election is held CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) YES XX_ NO VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ --- SUB-TOTAL .... . . $ 8,011 .48 SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) .. . 7,802 .50 Schedule F : Loan Repayments total (Attach Schedule F) ................ . . . . . . ..... . . . . . ... .... ... . ... . .... _---

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Page 1: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

Oct,17 . 2006 3 :14PM

SEIU LOCAL 199FOR INSTRUCTIONS, Ski= BACA UF- i-UKM

DISCLOSURE SUMMARY PAGECOMMITTEE NAME (Must be same as on Statement of Organization)SEIU(Service Employees IDt'1 Union)Local

IMPORTANT . Indicate type of committee you are reporting for : 12-1

(1 )Statewlde/Legislalive Candidate (2 )Statewide PAC (3 )State Party (4 )County/Local Candldale(5 )County PAC (t3 )Ballot Issue/Franchise Committee (7 )County/City Central Committee(8 )Support Slate or Candidates

;Political Air . (319)-341-0112

10/17/06SIGNATURE OF TREASURER (or person filing this report)

TELEPHONE

DATE SIGNED

Routine Penalties Due For Late FIled Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:

I AM FILING A

7/15/06 -

10/14/06(report date)

OCHECK IF AMENDMENT TO REPORT DATED

[] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .(You must continue to file reports until a Notice of Dissolution is filed .)

REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .

STATEMENT OF CASH ON HAND

Indicate one

CASH ON HAND at the beginning of the reporting period . (This is the total of all monies heldby the committee . This amount MUST be the same as the cash on hand at the endof the last reporting period', or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

5

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A : Cash Contributions total (Attach Schedule A) ('also see In-kind below) . . . . . . . . .

2

972 " 00

Schedule F : Loans Received total (Attach. Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(Schedule H applies to Candidates' Committees Onlyl

CASH ON HAND at the end of this reporting period (if final report, balance must

be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

208 .98

**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

-P . 2

DISCLOSUREREPORT

For Office Use Only

Comm . qN

~~~'71 '''777#

Indeate~

Audited

Computer

Local Committees, enter Date of Election

County & Local Committees, enter County inwhich Election is held

CANDIDATE COMMITTEES ONLY:CONSULTANT BREAKDOWN (Schedule G Attached?)

YES XX_ NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)

$

---

SUB-TOTAL . . . . . . $ 8,011 .48

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . 7,802 .50Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . _---

Page 2: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

Oct .17 . 2006 3 :14PM

SEIU LOCAL 199 No . 3644 EP, 3uleASEIU Local 199

COPE Fund

Page 1 of 10

Date Check # Name Address Amount

07117/20 06_ Direct Deposit Charlotte A Leick 628 Enstrom Ct Dbq IA 52001 2 .5 0

Direct Deposit-

Lisa Flanagan 6790 Old Davenport Rd LaMotte IA 52054_ 5 .0007/21/2006 Direct Deposit Christopher D Bonfig 1010 W Benton #104 IC IA 52246 _

.2 .5 0

Direct Deposit Gentil-Archer, Anne C 1744-115th StW Liberty IA 52776 _ 5.00,Direct Deposit Glasson, Catherine Singer 1920-2nd Ave SE CR IA 52403 _ 1_6,00Direct Deposit Mehaffey, Devin P 200-1st Ave NE #608 CR IA 52401 2.50Direct Deposit Merfeld, Linda K 17656 Gardners Ln Dbq IA 52001 _ 2.50Direct Deposit Miller, Kim R 805 Spencer Dr IC IA 52246

_10.00

Direct Deposit Peters, Douglas L 70 E Chestnut St N Liberty IA $2317 2.50Direct Deposit Running, Kirsten A 3515Field StonePlaceSW CR IA 52404 ._ 15,00_

.__ Direct Deposi Swisher, Sarah C 917 Bowery St IC IA 52240 40.0 0

Direct Deposit VanWaus, Bradley J 348-20th St. SE OR IA 52403 _ 10.0007/31/2006 CRCommSchDst #128658 rRussell Clark 4045 ChickadeeLn Hiawatha IA 52233 5.00

CRCommSchD9t #128658_

Marshall Clemons 505-6th St SE CR IA 52401,

_6.00

CRCommSchDst #128658 Wm E Fiacco 305 N John Mechanicsville IA 52306 _ 3 .00CRCommSchDst #128658 Jeff L Foster 3209 Tamara Dr SW CR IA 52404 5.00CRCommSchDst #128658 Ken Grout 1037 Clifton St NE CR IA 52402 2.00CRComrnSchDst #128658 David L Mart 926-15th Ave SW CR IA 52404 5.00CRCommSchDst #128658 Chris McLees 411-27th St NE CR IA 52402 5.00CRCommSchDst #128658 Chas A Perry 1479 Miami Dr NE CR IA 52402 10 .00

.CRCommSchDst #128658 AI Pospisil 1619 Arizona Ave NE CR IA 52402 1.00.^CRCommSchDst #128658 Terry Slickly _ 1128 Brown Ave NE CR IA 52402 2.50

CRCommSchDst #128659 Lois J Bassett 1002 Eastern Dr SE CR IA 52403 3.00_CRCommSchDst #128659 Stephanie J Lewis 1601-30th St NW #12 CR IA 52405 5.00GrCommHosp #110272 Neal McElwain 2306 Poplar Ave Prescott IA 50859 10,00

.IACtyCommSchDst #8137 Donald E Binegar P O Box 373 N English IA 52316 3 .00

IACtyCommSchDst #8137 Kurth T Boyce 4876-120th St NE Solon IA 52333 3,00_

IACtyCommSchDst #8137 John Hoard Box 466 Hills IA 52235 _ 2.50_

w IACtyCommSchDst #8137 Ronald W Jensen 425-320th St W Liberty IA 52776 2,00IACtyCommSchDst #8137 Bradley J Kuester 2821 S Riverside Dr IC IA 52246 3,00IACtyCommSchDst #8137 Jon M Lalla 501 Oakland Ave IC IA 52240 5 .0 0IACtyCommSchDst #8137 Daryl Lewis 216 Dartmouth IC IA 52245 10 .0_0IACtyCommSchDst #8137 Randy Nguyen 48 Amber Ln I C IA 52240 3,00

__ IACtyCommSchDst #8137 Michael O'Connor 290 EImRidge Dr N Liberty IA 52317 _ _3.00IACtyCommSchDst #8137 Rodney F Pardus 603 W Prairie St W Liberty IA 52776 5.00

`IACtyCommSchDst#8137 Gerald G Vonstein 5048-210th St NE Solon IA 52333 5.00IACtyCommSchDst #8137 Dale L Weir 2145 Palmer Ct IC IA 52240 3.00

08/01 1_2006 Direct Deposit Lynn LeBlanc 2181 Orchard Dr Dbq IA 52001 2.50Direct Deposit Diane Barefoot 2320 Mineral St Dbq IA 52001 5 .00

08/04/2006 Direct Deposit Christopher D 6onflg 1010 W Benton #104 IC IA 52246 2.50

Direct Deposit Anne C Gentil_-Archer 1744-1151h St W Liberty IA 52776 5 .00Direct Deposit Catherine Singer Glasson 1920-2nd Ave SE CR IA 52403 16.00___Direct Deposit Davin P Mehaffey 200-1st Ave NE #606 CR IA 52401 2.50Direct Deposit

_Linda K Merfeld 17656 Gardners Ln Dbq IA 52001 2.50

" 1_

Direct Deposit Kim R Miller 805 Spencer Dr IC IA 52246 10.00Direct Deposit Douglas L Peters 70 E Chestnut St N Liberty IA 52317 2.50Direct Deposit Kirsten A Running 3515 FieldStonePlaceSWCR IA 52404 15.00Direct Deposit Sarah C Swisher 917 Bowery St IC IA 52240 40 .0 0__Direct Deposit Bradley J VanWaus 348-20th St SE CR IA 52403 10.00___

+_08/04/2006 Direct Deposit Shaundra Allbritton 1510-33rd St Rock Island IL 61201 1 .00

Direct Deposit Roxanne Altemeier 1438 Plum St IC IA 52240 1 .00Direct Deposit Sandra Anfinson 302 N 4th St West Branch IA 52358 2.00_Direct Deposit Matt Bahl 245 Hickory St N Llbeny IA 52317 5.00_

Direct Deposit Michelle Bargren 702 Hodge St N Llbety IA 52317 5.00

Direct Deposit Janice Barnes 1021-20th Ave CV IA 52241 5.00

Page 3: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

0ct . 11 . 2006

3 ;14PM

SEIU LOCAL 199

No . 3644

;P. 4iuleASEIU Local 199

COPE Fund

Page 2 of 10

Direct Deposit Rachael Barrow 3513 Dunham Dr SW CR IA 52404 10.00

Direct Deposit Jo Bell 1023 Marcy St IC IA 52240 3.00

Direct Deposit Deb Benfer 1683 Hemingway Ln IC IA 52240 3.00

Direct Deposit Deb Benfer-Hahn 1232 E College St IC IA 52245 5.00

Direct Deposit Martha Bradbury 1116 Wylde Green Rd IC IA 52246 2.00

Direct Deposit Heide Bursch 97 Oberline IC IA 52245 5.00

Direct Deposit Barry Buschelman 780 Fairview Ln N Liberty IA 52317 5.00

Direct Deposit Ann Byrne 302 Oak St Buffalo IA 52728 5.00-

Direct Deposit Heather Carter 708 Sand Run Rd Fruitland IA 52749 3.00

Direct Deposit Marjorie Caruth 801 Alpine Or IC IA 52245 6.00

Direct Deposit Bev Clearman 1007-8th t CV IA 52241 -- 6.00

Direct Deposit Lynette Cooper 2401 Hwy 6 E #1210 IC IA 52240 2.50

Direct Deposit Rachel Creamer 121 Cedar St Fruitland IA 52749 5.00

Direct Deposit Stephen Cummings 304-6th St #C6 CV IA 52241 3.00

Direct Deposit Julie Davis 337 Normandy Or IC IA 52246 5.00

Direct Deposit Cathy Dostal 1509 Forest Rd CV IA 52241 3.00

Direct Deposit Angela Duwa 2519 J Ave Wburg IA 52361 5.00

Direct Deposit Carolyn Elllott 110 Florida Ave SW CR IA 52404 10.00

Direct Deposit Schael Engel 1207 W State St Wburg IA 52361 1 .00

Direct Deposit Shelley Engman 717 Rundell St IC IA 52240 5.00

Direct Deposit Liz Fisher 1307 Carroll St IC IA 52240 2.50

Direct Deposit Anita Fite 133 Hillside Or Eldridge IA 52748 5.00

direct Deposit Karlene Fuller 1611-13th St CV IA 52241 3 .00

Direct Deposit Cindy Funk 1231 Sandusky Ave IC IA 52240 3.00

Direct Deposit Nancy Genoar 1252 Coll Dr IC IA 52246 5.00

Direct Deposit Trisha Godard Shepherd 930-23rd Ave #C CV IA 52241 2.50

Direct Deposit Lynda Green 2075 Melrose Ave IC IA 52246 10.00

Direct Deposit Melissia Greiner 26436-305th Ave Keota IA 52248 5.00

Direct Deposit Joanne Grey 1221 Hollywood Blvd IC IA 52240 5.00

Direct Deposit Dan Grinstead 1218 Ash St IC IA,92240 8.50

Direct Deposit Marcia Hahn 2281 SugarBottomRdNE Solon IA 52333 5.00

Direct Deposit Terry Hamilton 715 N VanBuren St IC IA 52245 5.00

Direct Deposit Lynn Hanke 1001 Memorial Dr SE CR IA 52403 5.00

Direct Deposit Sarah Helle 1330 UpperCIdHwy6 Oxford IA 52322 5 .00

Direct Deposit Sharon Hicks 2639-140th St NW Swisher IA 52338 2 .00

Direct Deposit Melody Hobert-Mellecker 300 Main St Hills IA 52235 5,00

Direct Deposit Claire Hockley . 2647 Newport Rd NE IC IA 52240 7 .50

Direct Deposit Deb Hubbard 1468 ValleyVIewDr CV IA 52241 3.00

Direct Deposit Shari Huber 424 LakeVlewDrNE Salon IA 52333 1 .00-

Direct Deposit Wendy Hugh 1630 E: College St IC IA 52245 1 .00

Direct Deposit Shelley Jacobus 6507 Boxwood Lh NE CR IA 52402 2.00

Direct Deposit Vicki Johnson P0 Box 588 N Liberty IA 52317 3.00

Direct Deposit Jennifer Jungen 1204 Wylde Green lC IA 52246 5.00

Direct Deposit Diane Kaefring 1945 Park Ave SE CR IA 52403 - 1 .00

Direct Deposit Norman Kalvig 823 Bowery SL IC IA 52240 25.00`

Direct Deposit Christine Kapp 1109 Pfairle du Chien Rd IC IA 52245 1 .00

Direct Deposit Valerie Keffala 3333 Pheasant Ct NE N Liberty IA 52317 5.00

Direct Deposit Katherine Kleinow 1901 Earl Rd IC IA 52246 5.00

Direct Deposit Arlene Klesner 4138 Sunset Dr NE Solon IA 52333 I 1 .00

Direct Deposit Amy Kruse 2147 PIaenView Dr IC IA 52246 5.00

Direct Deposit Linda Krutsinger 5001 First Ave 5E OR IA 52403 11.00

Direct Deposit Renee Lemke 213 Broadway St W Branch IA 52358 1 .00

Direct Deposit Raelene Lenoch 2215 Hickory Ct IC IA 52240 1 .00

Direct Deposit Luanne Link 1495 Falcon Ave NW Swisher IA 52338 5.00

Direct Deposit Michael Loucks 1521 Westview Dr CV IA 52241 5 . 00_

Direct Deposit Kristi Lynch 828 Agusta Circle N Liberty IA 62317 5.00

Page 4: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

0ct,

17 .

2006

3 :15PM

SEIU

LOCAL

199

No . 3644

~'-- P,

5uleASEIU Local 199

COPE Fund

Page 3 of 10

Direct Deposit Wilma Macalalag 2387-340th St SW Tiffin IA 52340 5,00_ _Direct Deposit June Masbruch 1302 Oakorest St IC IA 52246 5.00__Direct Deposit Ann Mason 302 Walnut St Tipton IA 62772 3.00Direct Deposit Ruth McKeever 506 W 7th St Tipton IA 52772 5.00Dlrect Deposit .Mary McKinney 3371 Ozzie Dr NE Solon IA 52333 3.0 0

Direct Deposit Mary Jo Meggers 81-22nd Ave SW CR IA 52404 5,00_Direct Deposit Terrl Mengler 1303 . Ivy Ave Wellman IA 52356 .00_Direct Deposit Dee Miller 3755 CottageReserveRdNE Solon IA 52333 1 .00Direct Deposit Jean S Miller 333 Carter St NW CR IA 52405 5.00Direct Deposit Tara L Miller 417 Carter St NW CR IA 52405 2 .50

Direct Deposit Robert Wine 1116 A Ave NW CR IA 52405 3.00

Direct Deposit Melinda Myers 7274-151h Ave Keystone IA 52249 20.00Direct Deposlt Jan Niebes 117 W Rochester #32 Ottumwa IA 52501 5,00Direct Deposit Mark Orr 907 N Gilbert St IC IA 52245 5_,00Direct Deposit Tiffany Phillips 2150 JordanCreekRdNP Solon IA 52333 3,00Direct Deposit Margaret Plng 110 Sagert Dr W Branch IA 52358 3.00__Direct Deposit Becky Pottorff-Leave n 1149 Hunters Run IC IA 52246 7 .0 0_Direct Deposit Carolyn Poulakos 404-6th St #D6 CV IA 52241 6.00_Direct Deposit Sara Quartell 206 W Benton St IC IA 52246 5,00Direct Deposit Nancy Rahe 402-4th St SW Mt Vernon IA 52314 2.50Direct Deposit Jeff Rupe P 0 Box 218 N Liberty IA 52317 3.00_

. Direct Deposlt Nancy Sandstrom 60 Davi d Lee Ct N Liberty IA 52317 7.50Direct Deposit Dorothy Satariano 3222 Shasta Ct NE CR lA 52402 3 . 00_Dlrect Deposit Steven Schaefer 3946 Mehaffey Ln NE Solon IA 52333 20,00Direct Deposit Cheryl Schild 914-12th Ave CV IA 52241 3 .0 0Direct Deposit Joyce Schultz 3023 Radcliffe Ave IC IA 52245 3.00Direct Deposit Jeanne Sheetz 120 Tartan Dr N Liberty IA 52317 5.00Dlrect Deposit Karen Shlckell 827 Dover St IC IA 52245 10.00_

r . Direct Deposit Nicole Shilllngton 1115-7th Ave Wellman IA 52356 2.50Direct Deposlt Vicki Siefers 15 Brown Deer Knoll CV IA 52241 3 .0 0Direct Deposit

_Pam Simons 1310 Franklin St IC IA 52240 _ 5.00

Direct Deposit Terry Simons_

510 Kimberlile St Tiffin IA 52340 _ 5.00_Direct Deposit Chris Slater 2750 TurkeyCraekLn NE IC IA 52240 5.00Direct Deposit Mary Stessman 3788 Sunaura Dr NE IC IA 52240 1 .00Direct Deposit Kathleen Strabala 1113 Dover St IC IA 52240 1 .00_ _Direct Deposit Sue Swearingen 422 Melrose Ct IC IA 52246 5.00Direct Deposit Angela Swick 305 Locust St Tipton IA 52772 5.00Direct Deposit Michaela Taylor 4505 Merganser Ct Marion IA 52302 2.50Direct Deposit Pauline Taylor 2128 S RiversideDr #81 IC IA 52246 1 .00Direct Deposit Wanda Thackery_ 604-1st Ave S Mt Vernon IA 52314 1 .00Direct Deposit K-Lyn Thompson 2624 Hickory Dr SW OR IA 52404 3 .00_Dlrect Deposit Angela Trenkamp 361 Camden Rd IC IA 52245 12.00Direct Deposit Trlsha Turnis 4519 Walker St NE CR IA 52402 5.00Direct Deposit Diane Van Ersvelde 3051 Meadow Rd NE N Llberty IA 52317 1 .00_Direct Deposit Eric Vigil 446 Galway Dr IC IA 52246 5.00Direct Deposit Lou Vogel 15 Video Ct IC IA 52240 3.00Direct Deposit Barb Wagner 1217 Friendly Ave IC IA 52240 1 .00Direct Deposit Leandra Walker 1131 Emily Ct IC IA $2246 1 .00Direct Deposit Deb Weiss 1538 Buresh Ave IC IA 52245 2.50Direct Deposit Patsy Wheeler 2761 RhineCreekWay Oxford IA 52322 7.50Direct Deposit Sherry Whetstone 110 Swlsherview Dr SW Swisher IA 52338 5.00Dlrect Deposit Abby White 211 S Todds FerryRd Conesville IA 52739 1 .00Direct Deposit Pam WIIllams P 0 Box 287 Newhall IA 52315 5100Direct Deposit Delores Wilson 1817-1st St SW CR IA 52404 3.00Direct Deposit Pat Wolf 1409 Western College CR IA 52404 1 .00Direct Deposit Tom Woods 50 David Lee CI N Liberty IA 52317 3.00

Page 5: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

0ct, 17 . 2006 3 :15PM

SEIU LOCAL 199

No . 3644

P, 6duleASEIU Local 199

COPE Fund

Page 4 of 10

Direct Deposit L Joan Wright 1659 Polk Ave NE Solon IA 52333 3.0008/15/2006 Direct Deposit Charlotte Leick 628 Enstrom Ct Dbq IA 52001 2.5008/16/2006 Direct Deposit Lisa Flanagan 6790 Old Davenport Rd LaMotte IA 52054 5.0008/18/2006 Direct Deposit Christopher D Bonfig 1010 W Benton #104 IC IA 52246 2.50

Direct Deposit Anne C Genlil-Archer 1744-115th St W Liberty IA 52776 5.00Direct Deposit Catherine Singer Glasson 1920-2nd Ave SE CR IA 52403 16 .00Direct Deposit Devin P Mehaffey 200-1st Ave NE #608 CR IA 52401 2,50Direct Deposit Linda K Merfel 17656 Gardners Ln Dbq IA 52001 2 .50_Direct Deposit KIM R Miller 806 Spencer Dr IC IA 52246 10,00Direct Deposit Sarah C Swisher 917 Bowery St IC IA 52240 40.00Direct Deposit Bradley J VanWaus 348-20th St SE CR IA 52403 10.00

08/23/2006 IACtyCommSchDst #8387 Don Binegar P O Box 373 N English IA 52316 1 .50IACtyCommSchDst #8387 Kurth Boyce 4878-120th St NE Solon IA 52333 1 .50IACtyCommSchDst #8387 John Hoard Box 466 Hills IA 52235 1 .25IACtyCommSchDst #8387 Ron Jensen 425-320th St W Liberty IA 52776 1 .00IACtyCommSchDst #8387 Brad Kuester 2821 S Riverside Dr IC IA 52246 1 .50IACtyCommSchDst #8387 Jon Lalla 601 Oakland Ave IC lA 52240 2.50IACtyCommSchDst #8387 Daryl Lewis 216 Dartmouth IC IA 52245 5.00IACtyCommSchDst #8387 Randy Nguyen 48 Amber Ln IC IA 52240 1 .50IACtyCommSchDst #8387 Mike O'Connor 290 EImRidge Dr N Liberty lA 52317 1 .50IACtyCommSchDst #8387 Rod Perdue 603 W Prairie St W Liberty IA 52776 2.50IACtyCommSchDst #8387 Gerald Vonstein 5048-210th St NE Solon IA 52333 2.60IACtyCommSchDst #8387 Dale Weir 2145 Palmer Ct IC IA 52240 1 .50

08128/2006 GrCommHosp #110648 Neal McElwain 2306 Poplar Ave Prescott IA 50859 10.00IACtyCommSchDst #8478 Don Binegar P 0 Box 373 N English IA 52316 1 .50IACtyCommSchDst #8478 Kurth Boyce 4876-120th St NE Solon IA 52333 1 .50IACtyCommSchDst #8478 John Hoard Box 466 Hills IA 52235 1 .25IACtyCommSchDst #8478 Ronald Jensen 425-320th St W Liberty IA 52776 1 .00IACtyCommSchDst #8478 Brad Kuester 2821 S Riverside Dr IC IA 52246 1 .50IACtyCommSchDst #8478 Jon Lalla 601 Oakland Ave IC IA 52240 2.50IACtyCommSchDst #8478 Daryl Lewis 216 Dartmouth IC IA 52245 5.00IACtyCommSchDst #8478 Randy Nguyen 48 Amber Ln IC IA 52240 1 .50IACtyCommSchDst #8478 Michael O'Connor 290 EImRidge Dr N Liberty IA 52317 1 .50IACtyCommSchDst #8478 Rod Perdue 603 W Prairie St W Liberty IA 52776 2.50IACtyCommSchDst #8478 Gerald Vonslein 5048-210th St NE Solon IA 52333 2.50IACtyCommSchDst #8478 Dale Weir 2145 Palmer Ct IC IA 52240 1 .50

09101/2006 Direct Deposit Bonfig, Christopher D 1010 W Benton #104 IC IA 52246 2.50Direct Deposit Genlil-Archer, Anne C - 1744-1151h St W Liberty IA 52776 5.00Direct Deposit Glasson, Catherine Singer 1920-2nd Ave SE CR IA 52403 16,00Direct Deposit Mehaffey, Devin P 200-1st Ave NE #608 CR IA 52401 2.50

_ Direct Deposit Merfeld, Linda K 17656 Gardners Ln Dbq IA 52001 2.50Direct Oeposit Miller, Kim R 805 Spencer Dr IC IA 52246 10.00Direct Deposit Swisher, Sarah C 917 Bowery St IC IA 52240 40.00Direct Deposit VanWaus, Bradley J 348-20th St SE CR IA 52403 10.00

09101/2006 Direct Deposit Lynn M LeBlanc 2181 Orchard Dr Dbq IA 52001 Z.50Direct Deposit Diane Barefoot 2320 Mineral St Dbq IA 52001 5.00

09/07/2006 Direct Deposit Shaundra Allbritton 1510-33rd St Rock Island I L 51201 1 .00Direct Deposit Roxanne Altemeier

_ _1438 Plum St IC IA 52240 1_.0_0

Direct Deposit Sandra Anfinson 302 N 4th St West Brancn IA 52358 2.00Direct Deposit

_Malt Bahl 245 Hickory St N Liberty IA 52317 5.00

Direct Deposit Michelle Bargren 702 Hodge St N Libety IA 52317 5,00Direct Deposit Janice Barnes 1021-20th Ave CV IA 52241 5.00Direct Deposit Rachael Barrow 3513 Dunham Dr SW CR IA 52404 10.00Direct Deposit Jo Bell 1023 Marcy St IC IA 52240 3.00Direct Deposit _ Deb Ben fer 1683 Hemingway Ln IC IA 52240 3.00Direct Deposit Deb Benner-Hahn 1232 E College St IC IA 52245 5.00

Page 6: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

Oct,17 . 2006 3 :16PM

SEIU LOCAL 199 No . 3644 `P . 7uleASEIU Local 199

COPE Fund

Page 5 of 10

Direct Deposit Martha Bradbury 1116 Wylde Green Rd IC IA 52246 2.00

Direct Deposit Wm Bures 2124-10th St PI CV IA 52241 5.00_Direct Deposit Heide Bursch 97 Obarline IC IA 52245 5.00__Direct Deposit Barry Buschelman 780 Fairview Ln N Liberty IA 52317 5.00Direct Deposit Ann Byrne 302 Oak St Buffalo IA 52728 5.00Direct Deposit Heather Carter 208 Sand Run Rd Fruitland IA 52749 3.00Direct Deposit Marjorie Caruth 801 Alpine Dr IC IA 52245

_6.00

Direct Deposit Bev Clearman 1007-8th St CV IA 52241 _6_.00Direct Deposit Lynette Cooper 2401 Hwy 6 E #1210 IC IA 52240 2.50Direct Deposit Rachel Creamer 121 Cedar St Fruitland IA 52749_Direct Deposit Stephen Cummings 304-6th St. #C6 CV IA 52241 3 .00_ __Direct Deposit Julie Davis 337 Normandy Dr IC IA 52246 _ 5 .00Direct Deposit Cathy Dostal 1509 Forest Rd CV IA 52241 _ 3 .00.Direct Deposit Angela Duwa 2519 J Ave W'burg IA 52361 5.00Direct Deposit Carolyn Elliott 110 Florida Ave SW CR IA 52404 10.00Direct Deposit Schael Engel 1207 W State St W'burg IA 52361 1 .00

.Direct Deposit Shelley Engm an 717 Rundell St IC IA 52240 5.00Direct Deposit Liz Fisher

,~1307 CarrolI St 1C IA 52240 2.50

Direct Deposit Anlta Fite 133 Hillside Dr Eldridge IA 52748 5.00Direct Deposit Karlene Fuller 1611 "13th St CV IA 52241 3.00___Direct Deposit Cindy Funk 1231 Sandusky Ave IC IA $2240 3.00_Direct Deposit Nancy Genoar 1252 Coll Dr IC IA 52246 ._ 5 .00Direct Deposit Trisha Godard Shepherd 930-23rd Ave #C CV IA 52241 2.50

__ Direct Deposit Lynda Green 2075 Melrose Ave IC IA 52246 10.00Direct Deposit Melissla Grainer 26436-305th Ave Keota IA 52248 5.0 0Direct Deposit Joanne Grey 1Z21 Hollywood Blvd IC IA 52240 _ 5.00Direct Deposit Dan Grinstead 1218 Ash St IC IA 52240 8.50_Direct Deposit Marcia Hahn 2281 SugarBottomRdNE Solon IA 52333 5.00_Direct Deposit Terry Hamilton 715 N VanBuren St IC IA 52245 5.00Direct Deposit Lynn Hanke 1001 Memorial Dr SE CR IA 52403 5,00_Direct Deposit Sarah Helle 1330 Upper0ldHwy6 Oxford IA 52322 5.00Direct Deposit Sharon Hicks 2639-140th St NW Swisher IA 52338 2.00Direct Deposit Melody Hobert-Mellecker 300 Main St Hills IA 52235 5.00

Direct Deposit Claire Hockley 2647 Newport Rd NE IC IA 52240 6.00-

Direct Deposit Deb Hubbard 1468 ValleyViewDr CV IA 52241 3.00Direct Deposit Shari Huber 424 LakeViewDrNE Solon IA 52333 1 .00Direct Deposit Wendy Hugh 1630 E College St IC IA 52245 1 .00__Direct Deposit Shiley acobus 6507 Boxwood Ln NE CR IA 52402 2_00

Direct Deposit_

Vick i Johnson P 0 Box 588 N Liberty IA 52317 3.00__Direct Deposit Jen Jungen 1204 Wylde Green IC IA 52246 5.00.-Direct Deposit Diane Kaefring 1945 Park Ave SE CR IA 52403 1_.00Direct Deposit Norman Kalvig 823 Bowery St IC IA 52240 25.00Direct Deposit Chris Kapp 1109 Prairie du Chien Rd IC IA 52245 1 .00Direct Deposit Valerie Keffala 3333 Pheasant Ct NE N Liberty IA 52317 5.00

Direct Deposit Katherine Kleinow, 1901 Earl Rd IC IA 52246 5.00

Direct Deposit Arlene Klesner 4138 Sunset Dr NE Solon IA 52333 1 .00_ .Direct Deposit Amy Kruse 2147 PIaenVlew Dr IC IA 52246 5.00_Direct Deposit Linda Krutsinger 5001 First Ave SE CR IA 52403

.11 .00__

Direct Depo sit Rneee Lemke 213 Broadway St W Branch IA 52358 1 .00_Direct Deposit Raelene Lenoch 2215 Hickory Ct IC IA 52240 1 .00Direct Deposit Luanne Link 1495 Falcon Ave NW Swisher IA 52338 5.00Direct Deposit Michael Loucks 1521 Westview Dr CV IA 52241 5.00Direct Deposit Krisli Lynch 828 Agusla Circle N Liberty IA 52317 5.00

Direct Deposit Wilma Macalalag 2387-340th St SW Tiffin IA 52340 6.00Direct Deposit June Masbruch 1302 Oakcrest St IC IA 52246 5.00

Direct Deposit Ann Mason 302 Walnut St Tipton IA 52772 3.00

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Oct . 11 . 2006 3 :16PM1

SEIU LOCAL 199

No . 3644

P . 8 ;duleA

SEW Local 199COPE Fund

Page 6 of 10

Direct Deposit Ruth McKeever 506 W 71h St Tipton IA 52772 6.00Direct Deposit Mary McKinney 3371 Ozzle Or NE Solon IA 52333 3 .00Direct Deposit Mary Jo Meggers 81-22nd Ave SW CR IA 52404 5.00Direct Deposit Terri Mengler 1303 Ivy Ave Wellman IA 52356 9.00Direct Deposit Dee E Miller 3755 CottageReserveRcINE Solon IA 52333 1 .00Direct Deposit Jean S Miller 333 Carter St NW CR IA 52405 5.00Direct Deposit Tara L Miller 417 Carter St NW CR IA 52405 2.50Direct Deposit Robert Milne 1116 A Ave NW CR IA 52405 3.00Direct Deposit Melinda Myers 7274-15th Ave Keystone IA 52249 20.00Direct Deposit Jan Niebes 117 W Rochester #32 Otlumwa IA 52501 5.00Direct Deposit Mark Orr 907 N Gllbert St IC IA 52245 5.00Direct Deposit Tiffany Phillips 2150 JordanCreekRdNE Solon IA 52333 3 .00Direct Deposit Margaret Ping 110 Sager/ Dr W Branch IA 52356 3.00Direct Deposit Becky Pottorff-Leaven 1149 Hunters Run IC IA 62245 7.00Direct Deposit Carolyn Poulakos 404-6th St #D6 CV IA 52241 6 .00Direct Deposit Sara Quartell 206 W Benton St IC IA 52246 5.00Direct Deposit Nancy Rahe 402-4th St SW Mt Vernon IA 52314 2.50Direct Deposit Jeff Rupe P O Box 218 N Liberty IA 52317 3,00Direct Deposit Nancy Sandstrom 60 David Lee Ct N Liberty_ IA 52317 7,50Direct Deposit Dbrothy Satariano 3222 Shasta Ct NE CR IA 52402 3.00Direct Deposit Steve Schaefer 3946 Mehaffey Ln NE Solo n IA 52333 20.00Direct Deposit Cheryl Schlld

_914-12th Ave CV IA 52241 3.00

Direct Deposit Joyce Schultz 3023 Radcliffe Ave IC IA 52245 3.00Direct Deposit Jeanne Sheelz 120 Tartan Dr N Liberty IA 52317 5.00Direct Deposit Karen Shlckell 827 Dover St IC IA 52245 10 .00Direct Deposit Nicole Shillington 1115-7th Ave Wellman IA 52356 2. 50Direct Deposit Vicki Siefers 15 Brown Deer Knoll CV IA 52241 3.00Direct Deposit Pam Simons 1310 Franklin St IC IA 52240 5,00Direct Deposit Terry Simons 510 Kimberlite St Tiffin IA 52340 5.00Direct Deposit Chris Staler 2760 TurkeyCreekLn NE IC IA 52240 5,00Direct Deposit Mary Stessman 3788 Sunaura Dr NE IC IA 52240 1 .00Direct Deposit Kathleen Strabala 1113 Dover St IC IA 52240 1 .00Direct Deposit Sue Swearingen 422 Melrose Ct IC IA 52246 5.00Direct Deposit Angela Swick 305 Locust St Tipton IA 52772 5.00Direct Deposit Michaela Taylor 4505 Merganser Ct Marion IA 52302 2.50Direct Deposit Pauline Taylor 2128 S RlversideDr #81 IC IA 52246 1 .00Direct Deposit Wands Thackery 604-1st Ave S Mt Vernon IA 52314 1.00Direct Deposit K-Lyn Thompson 2624 Hickory Dr SW CR IA 52404 3.00Direct Deposit Angela Trenkamp 361 Camden Rd IC IA 52245 12.00Direct Deposit Trisha Turnls 4519 Walker St NE CR IA 52402 5.00Direct Deposit Diane VanErsvelde 3051 Meadow Rd NE N Liberty IA 52317 1 .00Direct Deposit Eric Vigil 445 Galway Or IC IA 52246 5.00Direct Deposit Lou Vogel 15 Video Ct IC IA 52240 3.00Direct Deposit Barb Wagner 1217 Friendly Ave IC IA 52240 1 .00Direct Deposit Leandra Walker 1131 Emily Ct IC IA 52246 1 .00Direct Deposit Deb Weiss 1538 Buresh Ave IC IA 52245 2.50Direct Deposit Patsy Wheeler 2761 RhineCreekWay Oxford IA 52322

_7,50

Direct DepositDirect Deposit

Sherry WhetstoneAbby White

110 Swisherview Dr SW Swisher IA 52338211 S Todds FerryRd Conesvllle IA 52739

5_.0_01 .00

Direct Deposit Pam Williams P O Box 287 Newhall IA 52315 _ __ 5_.00Direct Deposit Delores Wilson 1817-1st St SW CR IA 52404 3,00Direct Deposit Pat Wolf 1409 Western College CR IA 52404 1,00Direct Deposit Tom Woods 50 David Lee Ct N Liberty IA 52317 3.00Direct Deposit Joan Wright 1659 Polk Ave NE Solon lA 52333 3.00Direct Deposit Deb Wilson Morrissey Akers 360 CountryCIubDr Mt Vernon IA 52314 5.00

09/14/2006 #4889 Welt Knapper 3497-292nd St Camanche IA 52730 313.50

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Oct, 17 . 2006 3 :17PM

SEIU LOCAL 199

No, 3644

=P . gluleASEIU Local 199

COPE Fund

Page 7 of 10

CRCommSchDet #129550 Russell A Clark 4045 ChlckadeeLn Hiawatha IA 62233 5.00

CRCommSchDet #129550 Marshall R Clemons 505-6th St SE CR IA 52401 5.00

CRCommSchDet #129550 Wm E Fiacco 305 N John Mechanicsville IA 52306 3.00

CRCommSchDet #129550 Jeff L Foster 3209 Tamara Dr SW OR IA 52404 __5_.00

CRCommSchDet #129550 Ken D Grout 1037 Clifton St NE OR IA 52402 - _1' . .. 2.00

CRCommSchDet #129550 Dave L Mart 926-15th Ave SW OR IA 52404 5.00

CRCommSchDet #129550 Chris P McLees 411-27th St NE CR IA 52402 5.00

CRCommSchDet #129550 Chas A Perry -.~-_ 1479 Miami Dr NE OR IA 52402 ,_ _-.- . . .-- 10.00__CRCommSchDet #129550 Al J_Pospisil _ 1619 Arizona Ave NE OR IA 52402 1 .00

CRCommSchDet #129550 Terry A Slickty 1128 Brown Ave NE OR IA 52402 2.50

CRCommSchDet #129551 Lois J Bassett 1002 Eastern Dr SE CR IA 52403 3.00CRCommSchDet #129551 Steph J Lewis 1601-30th St NW #12 OR IA 52405 5.00

09/15/2006 IACtyCommSchDst #8784 Donald Binegar P O Box 373 N English IA 52316 1 .50

_IACtyCommSchDst #8784 Bradley Kuester 2821 S Riverside Dr IC IA 52246 1 .50

IACtyCommSchDst #8784 Daryl Lewis 216 Dartmouth IC IA 52245 5.00

IACtyCommSchDst #8784 Randy Nguyen 48 Amber Ln IC IA 52240 1 .50

IACtyCommSchDst #8784 Rodney Perdue 603 W Prairie St W Lib erty IA 52776 _--__2_.50

IACtyCommSchDst #8784 Dale Weir 2145 Palmer Ct IC IA 52240 1 .50

09/15/_2005 Direct Deposit Christopher D Bonfig 1010 W Benton #104 IC IA 52246Direct Deposit Anne C Gentil-Archer 1744-115th St W Liberty IA 52776 5.00

r

Direct Deposit Catherine Singer Glasson 1920-2nd Ave SE OR IA 52403 16.00_Direct Deposit Oevin P Mehaffey 200-1st Ave NE #608 OR IA 52401 2.50__Direct Deposit Linda K Merfeld 17656 Gardners Ln Dbq IA 52001 ~2._50

Direct Deposlt Kim R Miller 805 Spencer Dr IC IA 52246 10.00

Direct Deposit Sarah C Swisher 917 Bowery St IC IA 52240 40.00_Direct Deposit Bradley J VanWaus 348-20th St SE OR IA 52403 10.00

._09/15/2006 Direct Deposit Charlotte A Lelck 628 Enstrom Ct Dbq IA 52001 2.50

09/18/2005 Direct Deposit Lisa Flanagan 6790 Old Davenport Rd LaMotte IA 52054 5.00

09/28/2006 #4933 David Morris 2145 Trenton Rd Dbq IA 52002 10.00

GrCommHosp #111155 Neal E McElwain 2306 Poplar Ave Prescott IA 50859 10.00

__09/29/2006 IACtyCommSchDst #8873 Don E Binegar P O Box 373 N English IA 52316 1 .50

IACtyCommSchDst #8873 Brad J Kuester 2821 S Riverside Dr IC IA 52246 ~---1 .50IACtyCommSchDst #8873 Daryl Lewis 216 Dartmouth IC IA 52245 5.00_IACtyCommSchDst #8873 Rod Perdue 603 W Pralrle St W Liberty IA 52776 2.50

IACtyCommSchDst #8873 Dale L Weir 2145 Palmer Ct IC IA 52240 -- ._1 .50

09/29/2006 Direct Deposit Chrlstopher D Bonflg 1010 W Benton #104 IC IA 52246 2.50

09/29/2006 Direct Deposit Anne C Gentil-Archer 1744-115th St W Liberty IA 52776 5.00

Direct Deposit Catherine Singer Glasson 1920-2nd Ave SE CR IA 52403

Direct Deposit Devin P Mehaffey 200-1st Ave NE #608 CR IA 52401 2.50

Direct Deposit Linda K Merfeld 17656 Gardners l,n Dbq IA 52001 2.50

Dlrect Deposit Kim R Miller 805 Spencer Dr IC IA 52246 10.00

Direct Deposit_

._

Sarah C Swisher 917 Bowery St IC IA 52240 40.00

Direct Deposlt Bradley J VanWaus 348-20th St SE OR IA 52403 10.00

10/02/2006 CRCommSchDet #130678 Russell A Clark 4045 ChlckadeeLn Hiawatha IA 52233 5.00

CRCommSchDet #130678 Marshall Clemons 505-6th St SE CR IA 52401 5.00

CRCommSchDet #130678 Wm E Fiacco 3209 Tamara Or SW CR IA 52404 3 .00_CRCommSchDet #130678 Ken Grout 1037 Cliton St NE CR IA 52402 2 .00_CRCommSchDet #130678 David Mart 926-15th AVe SW CR IA 52404 5 .00

CRCommSchDet #130678 Chris McLees 411-27th St NE OR IA 52402 5.00_CRCommSchDet #130678 Chas A Perry 1479 Miami Dr NE OR IA 52402 10.00

CRCommSchDet #130678 Albert PoSplsll 1619 Arizona Ave NE OR IA 52402 1 .00

CRCommSchDet #130678 Terry Slickty 1128 Brown Ave NE OR IA 52402 2.50

CRCommSchDet #130679 Lois J Bassett 1002 Eastern Dr SE OR IA 52403 3.00

CRCommSchDet #130679 Stephanie J Lewis 1601-30th St NW #12 OR fA 52405 5.00

10/02/2006 Direct Deposit Lynn LeBlanc 2181 Orchard Dr Dbq IA 52001 2.50

Direct Deposit Diane Barefoot 2320 Mineral St Dbq IA 52001 5.00

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0Ct, 17 . 2006 3 :17PM

SEIU LOCAL 199

No, 3644

P, 1OuleASEIU Local 199

COPE Fund

Page 8 of 10

10/0512006 Direct Deposit Deb Wilson Morrissey Akers 360 CountryCIubDr Mt Vernon IA 52314 5.00Direct Deposit Shaundra Allbritton 1510-33rd St Rock Island IL 61201 1 .00Direct Deposit Roxanne Altemeier 1438 Plum St IC IA 52240 1,00Direct Deposit Sandra Anfinson 302 N 4th St West Branch IA 52358 2.00Direct Deposit Matt Bahl 245 Hickory St N Liberty IA 52317 5.00Direct Deposit Michelle Bargren 702 Hodge St N Libety IA 52317 5.00.Direct Deposit Janice Barnes 1021-20th Ave CV IA 52241 5.00Direct Deposit Rachael Barrow 3513 Dunham Dr SW CR IA 52404 10.00Direct Deposit Jo Bell 1023 Marcy St IC IA 52240 3.00Direct Deposit Deb Benfer 1683 Hemingway Ln IC IA 52240 3.00Direct Deposit Deb Benner-Hahn 1232 E College St IC IA 52245 5.00_Direct Deposit Deb Bothell 508 E 7th St W Liberty IA 52776 5.00Direct Deposit Martha Bradbury 1116 Wylde Green Rd IC IA 52246 2.00Direct Deposit Wm Bures 2124-10th St PI CV IA 52241 5.00Direct Deposit Heide Bursch 97 Oberline IC IA 52245 5.00Direct Deposit Barry Buschelman 780 Fairview Ln N Liberty IA 52317 5,00Direct Depos it Ann Byrne 302 Oak St Buffalo IA 52728 5,00Direct Deposit Heather Carter 208 Sand Run Rd Fruitland IA 52749 3,00Direct Deposit Marjie Caruth 801 Alpine Dr IC IA 52245 5.00Direct Deposit Bev Clearman 1007-8th St CV IA 52241 6.00Direct Deposit Lynette Cooper 2401 Hwy 6 E #1210 IC IA 52240 2.50Direct Deposit Rachel Creamer 121 Cedar St Fruitland IA 52749 5.00Direct Deposit Stephen Cummings 304-6th St #C6 CV IA 52241 3 .00Direct Deposit Julie Davis 337 Normandy Dr IC IA 52246 5.00Direct Deposit Cathy Dostal 1509 Forest Rd CV IA 52241 3 .00Direct Deposit Angela Duwa 2519 J Ave W'burg IA 52361 5.00Direct Deposit Carolyn Elliott 110 Florida Ave SW CR IA 52404 10.00Direct Deposit Schael Engel 1207 W State St W'burg IA 52361 1,00Direct Deposit Shelley Engman 717 Rundell St IC IA 52240 5.00Direct Deposit Liz Fisher 1307 Carroll St IC 1752240 2.50Direct Deposit Anita Fite 133 Hillside Dr Eldridga IA 52748 5.00Direct Deposit Karlene Fuller 1611-13th St CV IA 52241 3.00Direct Deposit Cindy Funk - 1231 Sandusky Ave IC IA 52240 3 .00Direct Deposit " Nancy Genoar 1252 Coll Dr IC IA 52246 5.00Direct Deposit Anne Genlil-Archer 1744-115th St W Liberty IA 52776 10 .00Direct Deposit Trlsha Godard Shepherd 930-23rd Ave #C CV IA 52241 2 .50Direct Deposit Lynda Green 2075 Melrose Ave IC IA 52246 10 .00Di rect Depos it Melissia Greiner 26436-305th Ave Keota IA 52248 5 .00Direct Deposit Joanne Grey 1221 Hollywood Blvd IC IA 52240 5.00Direct Deposit Dan Grinstead 1218 Ash St IC IA 52240 8.50Direct Deposit Marcia Hahn 2281 SugarBottomRdNE Solon IA 52333 5.00Direct Deposit Terry Hamilton 715 N VanBuren St IC IA 52.245 5.00Direct Deposit Lynn Hanke 1001 Memorial Dr SE CR IA 52403 5.00Direct Deposit Sarah Helle 1330 UpperOIdHwy6 Oxford IA 52322 5.00Direct Deposit Sharon Hicks 2639-140th St NW Swisher IA 52338 2.00Direct Deposit Melody Hobert-Mellecker 300 Main St Hills IA 52235 5.00Direct Deposit Clalre Hocklay 2647 Newport Rd NE IC IA 52240 5.00Direct Deposit Deb Hubbard 1468 ValleyViewDr CV IA 52241 3.00__Direct Deposit Shari Huber 424 LakeViewDrNE Solon IA 52333 1 .00Direct Deposit Wendy Hugh 1630 E College St IC IA 52245 1 .00Direct Deposit Shelley Jacobus 6507 Boxwood Ln NE CR IA 52402 2.00Direct Deposit Vicki Johnson 3300 PrairieCreakRdSW CR IA 52404 3.00Direct Deposit Jennifer Jungen P O Box 588 N Liberty IA 52317 5.00Direct Deposit Diane Keefring 1204 Wylde Green IC IA 52246 1 .00Direct Deposit Norman Kalvig 1945 Park Ave SE CR IA 52403 25,00_Direct Deposit Chris Kapp 823 Bowery St IC IA 52240 1 .00

Page 10: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

0ct . 17 . 2006 3 ;18PM

SEIU LOCAL 199

No, 3644

=P . 11lleASEW Local 199

COPE Fund

Page 9 of 10

Direct Deposit Valerie Keffala 1109 Prairie du Chien Rd IC IA 52245 5.00Direct Deposit Katherine Kieinow 3333 Pheasan t Ct NE N Liberty IA 52317 5.00Direct Deposit Arlene Klesner 1901 Earl Rd IC IA 52246 . 1 .00_Direct Deposit Amy Kruse

_4138 Sunset Dr NE Solon IA 52333 5.00

. Direct Deposit Linda Krutsinger__

2147 PIaenView Dr IC IA 52246 11 .00Direct Deposit Renee Lemke _

_5001 First Ave SE CR IA 52403 1 .0_0

Direct Deposit Raelene Lenoch 213 Broadway St W Branch IA 52358 . 1 .00Direct Deposit Luanne Link 2215 Hickory Ct IC IA 52240 5.00Direct Deposit Michael Loucks 1495 Falcon Ave NW Swisher IA 52338 5.00Direct Deposit Kristi Lynch 1521 Weslview Dr CV IA 52241 5.00

_ Direct Deposit Wilma Macalalag 828 Agusta Circle N Liberty IA 52317_

5.00_ Direct Deposit June Masbruch

_2387-340th St SW Tiffin IA 52340 5 .00

_ Direct Deposit Ann Maso 1302 Oakcrest St IC IA 52246 3 .00Direct Deposit Ruth McKeever 302 Walnu t St Tipton IA 52772 5.00Direct Deposit

__Mary McKinney 506 W 7th St Tipton IA 52772 . ~ 3 .00

Direct Deposit Mary Jo Meggers 3371 Ozzie Dr NE Solon IA 52333 5.00_ Direct Deposit Terri Mengler 81-22nd Ave SW CR IA 52404 __9 .00

Direct Deposit Dee E Miller 1303 Ivy Ave Wellman IA 52356 1 .00Direct Deposit Jean S Mille r

_3755 CottageReserveRdNE Solon IA 52333 5.00

Direct Deposit Tara Leighl Miller 333 Carter St NW CR IA 52405.,

2.50Direct Deposit Robert Milne 417 Carter St NW CR IA 52405

_3.00

Direct Deposit Melinda Myers 1116 A Ave NW CR IA 52405 ` 20.00

-_Direct Deposit Jan Niebes 7274-15th Ave Keystone IA 52249 5.00Direct Deposit Mark Orr 117 W Rochester #32 Ottumwa IA 52501 5.00Direct Deposit

__Tiffany Phillips 907 N Gilbert St IC IA 52245 3.00

Direct Deposit Mary Ping 2_150 JordanCreekRdNE Solon IA 52333 3.00Direct Deposit Becky Pottorff-Leave 110 Sagert Dr W Branch IA 52358

_7 .00_

Direct Deposit Carolyn Poulakos 1149 Hunters Run IC IA 52246 6.00Direct Deposit Sara Quartell 404-6th St #D6 CV IA 52241 5.00Direct Deposit Nancy Rahe 206 W Benton St IC IA 52246 2.50Direc t Deposit Jodi Renner 609 W Hickory St Sigourney IA 52591 2.50Direct Deposit Jeff Rupe P O Box 218 N Liberty IA 52317

_3 .00

_D irect Deposit _ Nancy Sandstrom 60 David Lee Ct N Liberty IA 52317 7 .50_ _ Direct Deposit Dorothy Satariano

_3222 Shasta C t NE CR IA 52402 3.00

---.Direct Deposit Steven Schaefer 3946 Mehaffey Ln NE Salon IA 52333 20.00Direct Deposit Cheryl $chlld 914-12th Ave CV IA 52241 3.00Direct Deposit Joyce Schultz 3023 Radcliffe Ave IC IA 52245 3.00Direct Deposit Jeanne Sheetz 120 Tartan Dr N Liberty IA 52317

__5.00

Direct Deposit Karen Shickell 827 Dover St IC IA 52245 10.00Direct Deposit Nicole Shlllington 1115-7th Ave Wellman IA 52356 2.50Direct Deposit

_Vicki Siefers 15 brown Deer Knoll CV IA 52241 3.00

Direct Deposit Pam Simons 1310 Franklin St IC IA 52240 y 6.00_ Direct Deposit Terry Simons 510 Kimberlite St Tiffn IA 52340 5.00

Direct Deposit Chris Slater 2760 TurkeyCreekLn NE IC IA 52240 5.00_ Direct Deposit

_Mary Stessman 3788 Sunaura Dr NE IC IA 52240 1 .00

Direct Deposit Kathleen Strabala 1113 Dover St IC IA 5224.0 1 .00Direct Deposit Sue Swearingen 422 Melrose Ct IC IA 52246 5.00Direct Deposit Angela Swick 305 Locust St Tipton IA 52772 5.00Direct Deposit Michaela Taylor 4505 Merganser Ct Marion IA 52302 2.50Direct Deposit Pauline Taylor 2128 S RlversideDr #81 IC IA 52246 1 .00Direct Deposit

_Wanda Thackery 604-1st Ave S Mt Vernon IA 52314 1 .00

Direct Deposit Malissa Thomas 1024-6th Ave IC IA 52240 2.50Direct Deposit K-Lyn Thompson 2624 Hickory Dr SW CR IA 52404 . 3 .00Direct Deposit Angela Trenkamp 361 Camden Rd IC IA 52245 12.00Direct Deposit Trisha Turnis 4519 Walker St NE CR IA 52402 5.00Direct Deposit Diane VanFrsvelde 3051 Meadow Rd NE N Liberty IA 52317 1 .00

Page 11: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

Oct,17 . 2006 3 :18PM

SEIU LOCAL 199 No, 3644

P, 12luleASEIU Local 199

COPE FundDirect Deposit Eric Vigil 445 Galway Dr IC IA 52246 5.00Direct Deposit Lou Vogel 15 Video Ct IC IA 52240 3 .00Direct Deposit Barb Wagner 1217 Friendly Ave IC IA 52240 1,00Direct Deposit Leandra Walker 1131 Emily Ct IC IA 52246 1 .00Direct DeDOSit Deb Weiss 1538 Buresh Ave IC IA 52245 2.50Direct Deposit Palsy Wheeler 2761 RhineCreekWay Oxford IA 52322 7.50Direct Deposit Sherry Whetstone 110 Swlsherview Dr SW Swisher IA 52338 5,00Direct Deposit Abby White 211 S Todds FerryRd Conesvllle IA 52739 1 .00Direct Deposit Pam Williams P O Box 287 Newhall IA 52315 5,00Direct Deposit Dolores Wilson 1817-1st St SW OR IA 52404 3,00Direct Deposit Pat Wolf 1409 Western College CR IA 52404 1.00Direct Deposit Tom Woods 50 David Lee Ct N Liberty IA 52317 3.00Direct Deposit Joan Wright 1559 Polk Ave NE Solon IA 52333 3.00

10113/2006 Direct Deposit Christopher 0 Bonfg 1010 W Benton #104 IC IA 52246 2,50Direct Deposit Anne C Gentil-Archer 1744-11Sth St W Liberty IA 52776 5.00

10/13/2006 Direct Deposit Catherine Singer Glasson 1920-2nd Ave SE OR IA 52403 16.00Direct Deposit Devln P Mehaffey 200-1st Ave NE #608 CR IA 62401 2.50Direct Deposit Linda K Merfeld 17656 Gardners Ln obq IA 52001 2.50Direct Deposit Kim R Miller 805 Spencer Dr IC IA 52246 10.00Direct'Deposit Sarah C Swisher 917 Bowery St IC IA 52740 40.00Direct Deposit Bradley J VanWaus 348-20th St SE OR IA 52403 10.00

Grand Total - Schedule A 2,972 .00

Page 12: Oct,17. 2006 3:14PM SEIU LOCAL 199 FORINSTRUCTIONS, Ski= …€¦ · Direct Deposit BevClearman 1007-8th t CV IA 52241 -- 6.00 DirectDeposit Lynette Cooper 2401 Hwy6 E#1210IC IA 52240

Oct, 17 . 2006 3 :18PM

SEIU LOCAL 199

No, 3644

P . 13

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions,)

Expenditures to personslentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized onSchedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's committee . (Refer toSchedule G instructions and Iowa Code 56 .6 (3)(i) .)

(for Schedule B)

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES B MONETARY-- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09/97) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IFPAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

SEIU(Service Employees Int'1 Union) Local 199 COPE andCANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (if applicable) (Disbursemen(J WAS MADE(MM/DDIYR) AND PAC

CHECKNUMBER

7/15/0 ID# SEIU (Int'7. Office) Monthly Contribuiton 9*21 .50CK# 1088 Washington DC 20005 $

8/08/0 , 5 1D* SEIU (Int'1 Office) Monthly contribution 874 .00CK# 1089 Washington DC 20005

9/22./015 1D# SEIU (Int'1 Office) Monthly contribution 1,173 .50

CK# 1090 Washington DC 20005

10/05/01510# SEIU Voter Education funds transfer 4,000 .00CK# ACH Fund Coralville IA 52241

10/31/01300 SEIU (Int'1 Office) Monthly contribution 833 .50

CK# 1091 Washington DC 20005

ID#

C K#

JD# ,

CK#

ID#

CK#

SUB-TOTAL $7,802 .50TOTAL (if last page of this schedule) $7,802 .50