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Amended Annual Year End Supplemental (2011) for TENNESSEE SPINE & NERVE INSTITUTE, INC. submitted on 04/02/2012

Beginning Balance

$0.00

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
HOSPITALITY EDUCATION FUND
7730 GOSHAWK COVE
CORDOVA , TN 38016
02/27/2008 $10,000.00
MADISON HOTEL
79 MADISON AVE.
MEMPHIS , TN 38103
03/20/2008 $100.00
OWINGS , DOUG
996 REDDOCH COVE
MEMPHIS , TN 38119
HOTEL OWNER
OWINGS PROPERTIES
02/20/2008 $100.00
RUCKER , JOHN
PO BOX 111266
MEMPHIS , TN 38111
OWNER
KEY MAGAZINE OF MEMPHIS
02/20/2008 $100.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$18,950.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$18,950.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK CHARGES $11.90
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
CHARLES CARPENTER
386 BEALE STREET
MEMPHIS , TN 38103
LEGAL FEES 03/05/2008 $1,720.00
FULLILOVE , JANIS
1810 FOSTER AVE.
MEMPHIS , TN 38114
CAMPAIGN CONTRIBUTIO 02/04/2008 $2,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$18,950.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$18,950.00

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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