Amended 3rd Quarter for TENNESSEE SOCIETY OF ORAL AND MAXILLOFACIAL SURGEONS PAC submitted on 01/19/2005

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BICO ASSOCIATES 100 PEABODY PLACE, STE1400 MEMPHIS , TN 38103	P	07/29/2004	$300.00
DUPONT GOOD GOVERNMENT FUND 1007 MARKET STREET RM D11078 WILMINGTON , DE 19898	P	08/09/2004	$500.00
R PAC PO BOX 121149 NASHVILLE , TN 37212		08/30/2004	$500.00
TENNESSEE BANKERS ASSN PAC 211 ATHENS WAY, SUITE 100 NASHVILLE , TN 37228-1603	P	08/19/2004	$750.00
TENNESSEE HEALTH CARE ASSN PAC 2809 FOSTER AVE., P.O. BOX 100129 NASHVILLE , TN 37224	P	09/27/2004	$500.00
TENNESSEE PAC FOR EDUCATION 801 2ND AVE. NO. NASHVILLE , TN 37201	P	08/30/2004	$250.00

Disbursements

Purpose	Amount
ADVERTISING	$100.00
AUTO RENTAL	$150.36
CHARITABLE CONTRI.	$575.00
CONTRIBUTION	$350.00
FUNDRAISING EXPENSES	$225.00
GAS	$150.00
OFFICE SUPPLIES	$126.23
STORAGE	$37.00
TELEPHONE	$188.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
B.A. FRAMER 1501 UNION AVENUE MEMPHIS , TN 38104		PICTURE FRAME					$252.07
CLEAR CHANNELL PO BOX 402646 ATLANTA , GA 30384		ADVERTISING					$400.00
EXXON P. O. BOX 4555 CRLSTRM , IL 60197		GAS					$200.00
EXXON P. O. BOX 4555 CRLSTRM , IL 60197		GAS					$300.00
GRIZZLIES P. O. BOX 3463 MEMPHIS , TN 38173		NBA TICKETS					$1,153.50
NEW AGE PAGENT 6826 MARTHA POINT MEMPHIS , TN 38141		CHARITABLE CONTRI.					$150.00
POSTMASTER 3850 THIRD AND CALHOUN MEMPHIS , TN 38101		POSTAGE					$111.00
PROGRESSIVE MB CHURCH 394 VANCE AVENUE MEMPHIS , TN 38103		CHARITABLE CONTRI.					$586.41
WALKER , FELIX 937 PEABODY MEMPHIS , TN 38105		ADVERTISING					$450.00

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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