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Annual Year End Supplemental (2011) for MID-SOUTH PAIN MANAGEMENT, P.C. submitted on 01/20/2012

Beginning Balance

$0.00

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$3,400.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,400.00

Disbursements

Expenditures, Unitemized
Purpose Amount
CONTRIBUTION $200.00
TELEPHONE $59.11
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
ATOM ENERGY
2843 W MARKET ST
JOHNSON CITY , TN 37601
UTILITIES 10/19/2006 $151.00
ELIZABETHTON STAR
300 N. SCYMORE ST
ELIZABETHTON , TN 37643
ADVERTISING 10/20/2006 $347.80
FOOD CITY
920 BROAD ST
ELIZABETHTON , TN 37643
FOOD / BEVERAGE 10/10/2006 $118.10
MOODY , RICHARD
PO BOX 24
BUTLER , TN 37640
RENT 10/13/2006 $350.00
NIDIFFER , BETTY
140 GRANDSTAFF RD
ELIZABETHTON , TN 37643
PROFESSIONAL SERVICES 10/03/2006 $200.00
PHILLIPS , W A
1270 VOLUNTER PKWY
BRISTOL , TN 37620
ADVERTISING 10/16/2006 $150.00
YOUNG PRITING
1348 KILLIGAN HWY
JOHNSON CITY , TN 37601
PRINTING 10/02/2006 $124.11
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$3,400.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$3,400.00

Ending Balance

ENDING BALANCE
$0.00


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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