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2004 Pre-General for JIM HACKWORTH submitted on 10/24/2004

Beginning Balance

$40,558.68

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Rec'd For Date Amount Aggregate
ABBOTT LABORATORIES EMPLOYEE PAC
100 ABBOTT PARK ROAD, D312 AP6D-2
ABBOTT PARK , IL 60064
P General 09/07/2004 $125.00 $125.00
BLUE CROSS BLUE SHIELD OF TN PAC
3200 WEST END AVE SUITE 102
NASHVILLE , TN 37201
P General 10/11/2004 $100.00 $100.00
GREEN & ASSOCIATES
507 BELAIR WAY
NASHVILLE , TN 37215
General 10/01/2004 $120.00 $120.00
LAWYERS INVOLVED FOR TN
1903 DIVISION ST.
NASHVILLE , TN 37203
P General 10/05/2004 $1,000.00 $1,000.00
PAC-ABLE TENNESSEE
611 COMMERCE STREET, STE. 2706
NASHVILLE , TN 37203
P General 10/12/2004 $100.00 $100.00
TENNESSEE HOTEL & LODGING PAC
500 INTERSTATE BLVD., S., SUITE 304
NASHVILLE , TN 37210
P General 10/07/2004 $300.00 $300.00
TENNESSEE PHARMACEUTICAL PAC
P.O. BOX 190067
NASHVILLE , TN 37219
P General 10/19/2004 $250.00 $500.00
TENNESSEE PHARMACEUTICAL PAC
P.O. BOX 190067
NASHVILLE , TN 37219
P General 09/09/2004 $250.00 $500.00
TENNESSEE PROFESSIONAL ENGINEERS PAC
800 FORT NEGLEY BLVD
NASHVILLE , TN 37203
P General 09/01/2004 $150.00 $150.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$2,395.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$2,395.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
$0.00
Loan Payments
Loan Source Payment
Self-Endorsed $4,300.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$4,300.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$4,300.00

Ending Balance

ENDING BALANCE
$38,653.68


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$16,000.00
Loans Beg Balance Paid End Balance*
Self-Endorsed $20,300.00 $4,300.00 $16,000.00

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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