Amended Annual Year End Supplemental (2017) for TENNESSEE DENTAL PAC submitted on 04/11/2018

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ARMSTRONG , WILLIAM 1209 ERIE LN ELIZABETHTON , TN 37643 DENTIST SELF		10/02/2008	$150.00
BAKER , ELBERT 1914 CHARLOTTE AVE #104 NASHVILLE , TN 37203 DENTIST SELF		10/03/2008	$150.00
BRAKEBILL , PAUL 966 LAKESIDE ROAD MADISONVILLE , TN 37774 DENTIST SELF		10/09/2008	$250.00
BURGESS, JR. , WILBURN 8159 WALNUT GROVE RD CORDOVA , TN 38018 DENTIST SELF		10/22/2008	$150.00
DE WALD , ERNEST 847 RIVER RUN CLARKSVILLE , TN 37043 DENTIST CLARKSVILLE DENTAL CENTER		10/15/2008	$550.00
DIETZ , MICHAEL PO BOX 2496 COOKEVILLE , TN 38502 DENTIST SELF		10/17/2008	$200.00
DOUGLASS , J BURTON PO BOX 15 HARROGATE , TN 37752 DENTIST SELF		10/03/2008	$150.00
DYCUS , RICHARD 1005 E 6TH COOKEVILLE , TN 38501 DENTIST SELF		10/01/2008	$600.00
DYKES , DAVID 1015 TUSCULUM BLVD GREENEVILLE , TN 37745 DENTIST SELF		10/17/2008	$150.00
ELAM , ROBERT 2125 BLAKEMORE AVE NASHVILLE , TN 37212 DENTIST SELF		10/02/2008	$150.00
FIELDS , ROBERT 268 BREAKERS BEND DR BUCHANAN , TN 38222 DENTIST R M FIELDS DDS PC		10/06/2008	$150.00
GORHAM, III , MATT 124 30TH AVE N NASHVILLE , TN 37203 DENTIST MATT GORHAM, JR, DDS, PC		10/22/2008	$300.00
GOTCHER , JACK 1928 ALCOA HWY STE 305 KNOXVILLE , TN 37920 DENTIST UNIVERSITY ORAL SURGEONS		10/06/2008	$150.00
HEROS , FERNANDO 3594 COVINGTON PK MEMPHIS , TN 38128 DENTIST COVINGTON PIKE DENTAL CLINIC		10/02/2008	$300.00
HICKS , VINCENT 5111 MARYLAND WAY #209 BRENTWOOD , TN 37027 DENTIST SELF		10/02/2008	$200.00
HOLIFIELD , MARK 382 TENNESSEE AVE N PARSONS , TN 38363 DENTIST SELF		10/17/2008	$300.00
HUNTER , DOUGLAS 4905 NOLENSVILLE PK NASHVILLE , TN 37211 DENTIST SELF		10/09/2008	$150.00
JAFFREY , BRETT J. 420 LABORATORY RD OAK RIDGE , TN 37830 DENTIST SELF		10/08/2008	$150.00
JOHNSON , WARREN 1272 DOW ST MURFREESBORO , TN 37130 DENTIST SELF		10/22/2008	$200.00
JONES , H GLENN 528 HARTSVILLE PK GALLATIN , TN 37066 DENTIST SELF		10/01/2008	$150.00
KARR , GERALD R. 2301 RUDOLPHTOWN RD CLARKSVILLE , TN 37043 DENTIST SELF		10/01/2008	$150.00
KIMBALL , JAMES 951 RIVERFRONT PKY STE 303 CHATTANOOGA , TN 37402 DENTIST SELF		10/02/2008	$200.00
KING , MICHAEL 2000 GREYSTONE PARK JACKSON , TN 38305 DENTIST SELF		10/03/2008	$200.00
LEHMAN-GRIMES , SHAWN 324 NORTHCREST DR SPRINGFIELD , TN 37172 DENTIST ABOUT FACES AND BRACES		10/22/2008	$300.00
MCALLISTER , WILLIAM 150 E DIVISION RD #1 OAK RIDGE , TN 37830 DENTIST SELF		10/22/2008	$150.00
MCCAMISH , DEWAYNE 4610 BRAINERD RD STE 3 CHATTANOOGA , TN 37411 DENTIST DRS MCCAMISH, COOPER & DYER		10/22/2008	$150.00
MCCAWLEY , JAMES 218 MTCS ROAD MURFREESBORO , TN 37129 DENTIST SELF		10/08/2008	$150.00
MCCORD , PAUL 2222 CHAMBLISS AVE NW CLEVELAND , TN 37311 DENTIST SELF		10/06/2008	$150.00
MCCOY , J MICHAEL 1928 ALCOA HWY STE 305 KNOXVILLE , TN 37920 DENTIST UNIVERSITY ORAL & MAXILLOFACIAL SURGEONS		10/02/2008	$150.00
MCNUTT , TIMOTHY 945 EDMONDSON PK BRENTWOOD , TN 37027 DENTIST SELF		10/10/2008	$150.00
MONTEE , STANLEY 32 ERWIN CT NASHVILLE , TN 37205 DENTIST SELF		10/22/08	$250.00
MOYE , THOMAS 7714 CONNER RD STE 103 POWELL , TN 37849 DENTIST SELF		10/14/2008	$150.00
MYSINGER , MIKE 120 CAPITAL DRIVE #101 KNOXVILLE , TN 37922 DENTIST SELF		10/03/2008	$150.00
POWELL , WILLIAM 8029 RAY MEARS BLVD STE 101 KNOXVILLE , TN 37919 DENTIST RETIRED		10/22/2008	$150.00
PRIESTER III , WILLIAM 5866 RIDGE BEND RD MEMPHIS , TN 38120 DENTIST SELF		10/22/2008	$250.00
PRINCE , RANDALL 427 TROY AVE DYERSBURG , TN 38024 DENTIST SELF		10/22/2008	$300.00
ROBBINS , MORRIS 585 S GREER ST UNIT 303 MEMPHIS , TN 38111 DENTIST SELF		10/02/2008	$150.00
ROBINSON , GERALD 2710 SANDERSON RD KNOXVILLE , TN 37921 DENTIST SELF		10/22/08	$1,000.00
SAIN , DAVID 1849 MEMORIAL BLVD MURFREESBORO , TN 37129 DENTIST SELF		10/03/2008	$150.00
SAWRIE , STEPHEN 3635 KINGS RD CHATTANOOGA , TN 37416 DENTIST RETIRED		10/03/2008	$200.00
SHERMAN , PHILLIP 6209 POPLAR AVE #220 MEMPHIS , TN 38119 DENTIST SELF		10/17/2008	$150.00
SISK , STANLEY 1808 MAPLE SEED RD KNOXVILLE , TN 37922 DENTIST ORAL CARE PARTNERS		10/01/2008	$150.00
STANISLAV , LEON 1827 MEMORIAL DR CLARKSVILLE , TN 37043 DENTIST LEON E. STANISLAV, DDS PLLC		10/10/2008	$300.00
STORIE , DAVID 801 SUNSET DR E STE 5 JOHNSON CITY , TN 37604 DENTIST ORTHODONTICS ASSOCIATES, PLC		10/06/2008	$150.00
SULLIVAN , JOHN H. PO BOX 496 LEXINGTON , TN 38351 DENTIST SELF		10/08/2008	$150.00
SWANG , RONALD A. 4301 HILLSBORO RD #221 NASHVILLE , TN 37215 DENTIST SELF		10/03/2008	$150.00
TUCKER JR , JOHN PO BOX 506 MILAN , TN 38358 DENTIST DRS. HARISON AND TUCKER		10/22/2008	$300.00
VADEN , JAMES 308 E 1ST ST COOKEVILLE , TN 38501 DENTIST SELF		10/01/2008	$150.00
VANCE , GLENN 400 6TH STREET BRISTOL , TN 37620 DENTIST SELF		10/03/2008	$300.00
WALLACE , DEBBIE PO BOX 435 DOVER , TN 37058 DENTIST SELF		10/02/2008	$150.00
WERNER , SCOTT 6425 QUAIL HOLLOW RD STE 201 MEMPHIS , TN 38120 DENTIST WERNER ORTHODONTICS		10/22/2008	$300.00
WITKOWSKI , CHARLES PO BOX 5549 JOHNSON CITY , TN 37602 DENTIST CENTER FOR ORAL AND MAXILLOFACIAL SRGY		10/10/2008	$150.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BERKE , ANDREW P. O. BOX 4747 CHATTANOOGA , TN 37405	C	CONTRIBUTION				10/09/2008	$300.00
MCCORD , JOE 4504 MONTVALE ROAD MARYVILLE , TN 37803	C	CONTRIBUTION				10/09/2008	$500.00

Vendor	C/P	Purpose	In-Kind	Independent	Date	Amount
BERKE , ANDREW P. O. BOX 4747 CHATTANOOGA , TN 37405	C	CONTRIBUTION			06/12/2008	[ $300.00 ]
FAULK , MIKE P. O. BOX 2080 CHURCH HILL , TN 37642	C	CONTRIBUTION			09/12/2008	[ $500.00 ]
MCCORD , JOE 4504 MONTVALE ROAD MARYVILLE , TN 37803	C	CONTRIBUTION			06/12/2008	[ $500.00 ]

Ending Balance

---

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.

Back to Search Results