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2006 4th Quarter for DOUGLAS HENRY submitted on 01/23/2007

Beginning Balance

$74,323.43

Receipts

Monetary Contributions, Unitemized
$1,745.00
Monetary Contributions, Itemized
Contributor C/P Rec'd For Date Amount Aggregate
CHERRY , PHYLLIS
7520 WHITES CREEK PIKE
JOELTON , TN 37080
COMPLIANCE CONSULTANT
CORNERSTONE HEALTH SERVICES GROUP, INC.
10/16/2006 $250.00 $0.00
DAVIS , MARK
184 FISHER DRIVE
PARSONS , TN 38363
NURSING HOME MANAGEMENT
TENNESSEE HEALTH MANAGEMENT
10/19/2006 $250.00 $0.00
MCBRIDE , DAVID
1099 ADAMS ROAD
GREENFIELD , TN 38230
ADMINISTRATOR
WEAKLEY COUNTY NURSING HOME
10/19/2006 $125.00 $0.00
SPARKMAN , SANDI
382 BUCKINGHAM BLVD.
GALLATIN , TN 37066
ASST ADMINSTRATOR
GALLATIN HEALTH CARE CENTER
10/16/2006 $700.00 $0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$11,555.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$10,555.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose Date Amount
BREDESEN , PHIL
P. O. BOX 331173
NASHVILLE , TN 37203
C CONTRIBUTION 10/18/2006 $2,500.00
FORD , OPHELIA
P. O. BOX 462
MEMPHIS , TN 38101
C CONTRIBUTION 10/18/2006 $1,000.00
GILMORE , BRENDA
3009 VISTA VALLEY CT.
NASHVILLE , TN 37218
C CONTRIBUTION 10/18/2006 $300.00
HARLAND CHECK COMPANY
2511 NOLENSVILLE RD
NASHVILLE , TN 37211
BANK FEES 10/24/2006 $150.21
HENRY , DOUGLAS
408 WILSONIA AVENUE
NASHVILLE , TN 37205
C CONTRIBUTION 10/18/2006 $1,000.00
JOHNSON , JACK
5858 CLOVERLAND DRIVE
BRENTWOOD , TN 37027
C CONTRIBUTION 10/18/2006 $1,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$81,561.77

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$80,457.84

Ending Balance

ENDING BALANCE
$4,420.59


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$0.00

In-Kind Contributions

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

Unitemized
$0.00
Itemized
$0.00
TOTAL IN-KIND CONTRIBUTIONS
$0.00

Obligations

Obligations are not included in the report ending balance.

Unitemized
$0.00
Itemized
$0.00
Obligations, Outstanding from Previous Reports
$0.00
TOTAL OBLIGATIONS OUTSTANDING
$0.00

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