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3rd Quarter for TENNESSEE PHYSICAL THERAPY PAC submitted on 10/11/2004

Beginning Balance

$1,394.15

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
GAFFNEY , SHELIA
1210 CEDAR LANE
NASHVILLE , TN 37212
Physical Therapist
Vanderbilt Medical Center
08/12/2004 $25.00
INGRAM , DEBBIE
8337 MITCHELL MILL RD
OOTLEWAH , TN 37363

09/14/2004 $50.00
MEADE , ALAN
1305 WHITE STREET
KINGSPORT , TN 37664
PHYSICAL THERAPIST
HMG REHABILITATION SERVICES
08/15/2004 $45.00
WHITE , PAM
5559 BAYBERRY CV
MEMPHIS , TN 38120
PHYSICAL THERAPIST
CHURCH HEALTH CENTER
08/04/2004 $100.00
ZITZMANN , SUSAN
1209 FORT MORGAN PL.
BRENTWOOD , TN 37027
Physical Therapist
Innovative Senior Care
08/14/2004 $20.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$240.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$240.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $16.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
ARMSTRONG , JOE
4708 HILLDALE DRIVE
KNOXVILLE , TN 37914
C CONTRIBUTION 07/05/2004 $200.00
DEBERRY , LOIS
2429 VERDUN STREET
MEMPHIS , TN 38114
C CONTRIBUTION 07/13/2004 $200.00
FERGUSON , DENNIS
102 CLINCH CREST DRIVE
KINGSTON , TN 37763
C CONTRIBUTION 07/12/2004 $125.00
HERRON , ROY
142 WEST MAIN
DRESDEN , TN 38225
C CONTRIBUTION 07/08/2004 $150.00
KILBY , TOMMY
P.O. BOX 656
WARTBURG , TN 37887
C CONTRIBUTION 09/05/2004 $100.00
KURITA , ROSALIND
211 DEERWOOD
CLARKSVILLE , TN 37043
C CONTRIBUTION 07/02/2004 $200.00
PATTON , ROBERT D. (BOB)
1117 COLLEGE HEIGHTS DRIVE
JOHNSON CITY , TN 37604
C CONTRIBUTION 07/12/2004 $150.00
WATSON , FOY W. (BO)
1607 GUNSTON HALL ROAD
HIXSON , TN 37343
C CONTRIBUTION 07/16/2004 $150.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$1,291.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$1,291.00

Ending Balance

ENDING BALANCE
$343.15


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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