Amended Annual Year End Supplemental (2013) for DELTA DENTAL OF TENNESSEE PAC submitted on 07/08/2014

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ALLSBROOK , DAVID 1307 BONITO LANE CAROLINA BEACH , NC 28428 PRINCIPAL VOLKERT INC		09/30/2022	$173.05
ATKINS , ROBERT 7126 ASTELLA WAY LANCASTER , SC 29720 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$147.10
BAGWELL , WENDELL 555 CAVE SPRING RD DECATUR , AL 35603 CONST PROJ MGR VOLKERT INC		09/30/2022	$101.90
BARKAN , LEON 6884 OAK POINT LN FAIRHOPE , AL 36532 PRINCIPAL VOLKERT INC		09/30/2022	$353.90
BENNETT , SCOTT 2489 CASTELLON DRIVE JACKSONVILLE , FL 32217 PRINCIPAL VOLKERT INC		09/30/2022	$196.25
BOUTON , DENNIS 2312 GOLD POINT CIRCLE S HIXSON , TN 37343 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$115.53
BRIDGHAM , KEITH 4637 RIVERVIEW DRIVE HOOVER , AL 35244 CONST PROJ MGR VOLKERT INC		09/30/2022	$110.90
BROWN , FREDRICK 1200 MARSEILLE DRIVE MOBILE , AL 36693 MANAGER-PROF VOLKERT INC		09/30/2022	$129.65
BURNETT , KEITH 308 LOGOS TRACE ALABASTER , AL 35007 CONST PROJ MGR VOLKERT INC		09/30/2022	$108.20
BURNETT , MATTHEW 7027 CLOVERLEAF LANDING RD BAY MINETTE , AL 36507 PROJECT MANAGER VOLKERT INC		09/30/2022	$103.60
CARLISLE , PHILLIP 1200 DYKES ROAD N MOBILE , AL 36608 MANAGER-PROF VOLKERT INC		09/30/2022	$112.55
COCHERELL , ROBERT 12513 HEDGES RUN DR WOODBRIDGE , VA 22192 CONST MGR VOLKERT INC		09/30/2022	$157.80
CONRAD , AUSTIN 2426 LITTLE AVENUE NASHVILLE , TN 37206 MANAGER-PROF VOLKERT INC		09/30/2022	$124.08
DAVIS , DREW 821 MADELINE LANE AUBURN , AL 36832 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$137.30
DEKKER , DAWN 2111 N COURTHOUSE RD ARLINGTON , VA 22201 MARKETING REP VOLKERT INC		09/30/2022	$106.00
DICKSON , JAMES P.O. BOX 211 GULF SHORES , AL 36542 MARKETING SUPP VOLKERT INC		09/30/2022	$137.30
DOZIER , NATHAN 519 PARK AVENUE GILLESPIE , IL 62033 SURVEY MGR VOLKERT INC		09/30/2022	$101.90
EVANS , JANET 6155 WILDFLOWER ROAD BATON ROUGE , LA 70817 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$152.40
FALLS , KARL 158 RED RIVER CV AUSTIN , TX 78737 MANAGER-PROF VOLKERT INC		09/30/2022	$191.35
GOFFINET , JASON 1503B CAPTAIN O'NEAL DRIVE DAPHNE , AL 36526 PROJECT MANAGER VOLKERT INC		09/30/2022	$112.55
GONZALES , ARNOLD 1386 MERLOT NEW BRAUNFELS , TX 78132 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$153.95
GONZALEZ , MARCO 304 REDFERN ST HOMEWOOD , AL 35209 CONST MGR VOLKERT INC		09/30/2022	$132.26
GRAMMER , JONATHAN 4040 NICOL PARK ROAD TUSCALOOSA , AL 35406 CONST PROJ MGR VOLKERT INC		09/30/2022	$135.02
HAND , THOMAS 3930 YESTER PLACE MOBILE , AL 36608 PRINCIPAL VOLKERT INC		09/30/2022	$466.40
HICKMAN , NANETTE 10220 GAYFER RD EXTENSION FAIRHOPE , AL 36532 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$117.80
HITT , JOHN PO BOX 421 TRINITY , AL 35673 CONST PROJ MGR VOLKERT INC		09/30/2022	$173.05
HOLLOWAY , DAVID 4905 BARNWOOD LANE MILLSTADT , IL 62260 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$126.55
HOLZMANN , FRANK 204 MECCA DRIVE SAN ANTONIO , TX 78232 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$158.15
HOOD , BRIAN 479 HARRISON SHIPMAN ROAD JASPER , AL 35503 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$108.20
HUTSON , AARON 14069 WOODLARK DR FISHERS , IN 46038 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$137.15
HUTSON , SARA 14069 WOODLARK DRIVE FISHERS , IN 46038 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$106.00
IMMEL , AARON 6399 VILLAGE POINT DR DAPHNE , AL 36526 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$141.70
IMMEL , MELINDA 6399 VILLAGE POINT DRIVE DAPHNE , AL 36526 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$100.10
KELLEY , JAMES 2800 PETTUS RD HOPE HULL , AL 36043 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$127.30
LANDIS , JERROLD 3412 HUNTCLIFF CIRCLE BIRMINGHAM , AL 35226 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$116.50
LEBAS , LUKE 5715 MISTY ISLAND CT KATY , TX 77494 MANAGER-PROF VOLKERT INC		09/30/2022	$173.05
LOE , RONALD 120 ROYAL RIDGE COVE CABOT , AR 72023 MANAGER-PROF VOLKERT INC		09/30/2022	$133.55
LOVE , LACY 116 POPPLEFORD PLACE CARY , NC 27518 MANAGER-PROF VOLKERT INC		09/30/2022	$145.60
MASON , MATTHEW 7892 TURKEL DRIVE FISHERS , IN 46038 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$124.80
MCCLURE , TERESA 418 JEFFERSON STREET STE GENEVIEVE , MO 63670 MANAGER-PROF VOLKERT INC		09/30/2022	$129.05
MCCONNELL , MARK 107 LAKEVIEW RD BRANDON , MS 39047 PRINCIPAL VOLKERT INC		09/30/2022	$161.45
MCDONALD , DAVID 6549 36TH STREET NORTH ARLINGTON , VA 22213 MANAGER-PROF VOLKERT INC		09/30/2022	$152.95
MCFARLIN , DAVID 7000 CIRCLE J DR TALLAHASSEE , FL 32312 PRINCIPAL VOLKERT INC		09/30/2022	$208.00
MILLER , RAYMOND 8294 WEATHERFORD COURT SPANISH FORT , AL 36527 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$126.35
MITCHELL , LOUIS 410 WEDNESBURY BOULEVARD CHARLOTTE , NC 28262 PRINCIPAL VOLKERT INC		09/30/2022	$185.60
MORGAN , ROBERT 4046 NOEL DRIVE VESTAVIA HILLS , AL 35243 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$173.05
MORGAN , VICTORIA 1233 EAST B STREET BELLEVILLE , IL 62221 STAFF 1-PROF VOLKERT INC		09/30/2022	$173.05
MUENTNICH , STEPHANIE 7434 SUNSET ACRES DRIVE COLLINSVILLE , IL 62234 MANAGER-PROF VOLKERT INC		09/30/2022	$129.20
NELSON , GORDON 13614 CYPRESS RIDGE AVE BATON ROUGE , LA 70817 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$133.55
PITTMAN , MAURICE 8963 COUNTY ROAD 313 TERRELL , TX 75161 PROJECT MANAGER VOLKERT INC		09/30/2022	$144.05
PROMER , SCOTT 2209 COMER PLACE VESTAVIA HILLS , AL 35216 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$346.15
REDMOND , RANDALL 323 HICKORY ST. VAN , TX 75790 PRINCIPAL VOLKERT INC		09/30/2022	$192.25
REED , TREVOR 777 BORDEAUX DRIVE ROCKWALL , TX 75087 PROJECT MANAGER VOLKERT INC		09/30/2022	$155.60
REITZ , PAUL PO BOX 93 6686 US HWY 59 NORTH GOLIAD , TX 77963 MANAGER-PROF VOLKERT INC		09/30/2022	$149.75
ROBERSON , JAMES 2808 ASTER LAKE ROAD HELENA , AL 35022 MARKETING REP VOLKERT INC		09/30/2022	$128.95
ROBERTS , KEITH 1021 N. 14TH STREET MURPHYSBORO , IL 62966 CONST PROJ MGR VOLKERT INC		09/30/2022	$133.15
RUSSELL , PHILIP 3968 WIMBLEDON PARK MOBILE , AL 36608 MARKETING REP VOLKERT INC		09/30/2022	$150.35
RUTLAND , JUSTIN 1401 SWALLOW LANE BIRMINGHAM , AL 35213 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$104.85
SCREEN , JAMES 6007 FRONT ROYAL DRIVE AUSTIN , TX 78746 MANAGER-PROF VOLKERT INC		09/30/2022	$173.05
SEAGLE , EDWARD 149 SHORE FRONT LN WILSONVILLE , AL 35186 SUPERVISOR-PROF VOLKERT INC		09/30/2022	$121.50
SLATER , GLENN 2837 VESTAVIA FOREST DRIVE BIRMINGHAM , AL 35216 CONST MGR VOLKERT INC		09/30/2022	$134.63
TALBOT , GEORGE 22731 SIBLEY SQUARE FAIRHOPE , AL 36532 MANAGER-PROF VOLKERT INC		09/30/2022	$155.60
THOMAS , JAMES 3901 10TH AVENUE SOUTH BIRMINGHAM , AL 35222 MANAGER-PROF VOLKERT INC		09/30/2022	$120.65
THRASHER , STANLEY 609 TONBRIDGE CIRCLE FRANKLIN , TN 37069 MARKETING REP VOLKERT INC		09/30/2022	$123.15
WALKER , JUSTIN 1606 JACKSON LIBERTY DR. NW BROOKHAVEN , MS 39601 MANAGER-PROF VOLKERT INC		09/30/2022	$135.40
WALKER , WARREN 825 CEDAR DRIVE KILL DEVIL HILLS , NC 27948 MANAGER-PROF VOLKERT INC		09/30/2022	$142.30
WARNKE , MICHAEL 5119 KEYSTONE DR GULF BREEZE , FL 32563 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$164.35
WATTERS , JASON 3355 PIAZZA LN EDWARDSVILLE , IL 62025 PRINCIPAL VOLKERT INC		09/30/2022	$147.10
WEAKLEY , KEITH 124 MEADOW LANE STANLEY , VA 22851 PRINCIPAL VOLKERT INC		09/30/2022	$183.25
WICKHAM , CHRISTOPHER 1607 MILL SPRINGS DR AUSTIN , TX 78746 PROJECT MGR-PROF VOLKERT INC		09/30/2022	$110.05
YOUNG , DAVID 4112 SANDERS DR. CELINA , TX 75009 PRINCIPAL VOLKERT INC		09/30/2022	$204.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
HULLET , ROBERT 1310 GENERAL MACARTHUR DR BRENTWOOD , TN 37027		CONTRIBUTION				09/15/2022	$2,000.00
NON-TENNESSEE EXPENDITURES P. O. BOX 7434 MOBILE , AL 36670		CONTRIBUTION				09/21/2022	$68,000.00

Ending Balance

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Outstanding Loans

In-Kind Contributions

In-Kind Contributions are not included in the report ending balance.

Obligations

Obligations are not included in the report ending balance.

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