Amended Annual Year End Supplemental (2007) for EYE M.D.S PAC submitted on 02/20/2009
Beginning Balance
$8,624.22
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
CHAPMAN
, JOHN
135 W RAVINE ROAD KINGSPORT , TN 37660 PHYSICIAN SELF |
11/28/2008 | $300.00 | |
|
MAHAN
, BEN
926 N. JACKSON ST TULLAHOMA , TN 37388-2300 PHYSICIAN EYE MD OPHTHALMOLOGY |
11/28/2008 | $1,000.00 | |
|
NETLAND
, PETER
956 COURT STREET, SUITE D-228 MEMPHIS , TN 38163 Physician Self |
10/30/2008 | $1,000.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$5,815.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$2.36
TOTAL RECEIPTS
$5,817.36
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| BANK FEE FROM 1ST QUATER | $3.00 |
| BANK FEE FROM 9/30/20008 3RD QUARTER | $5.00 |
| BANK FEES | $47.00 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
HENRY
, DOUGLAS
226 CAPITOL BLVD., SUITE 200 NASHVILLE , TN 37219 |
C | CONTRIBUTION | 12/30/2008 | $250.00 | |||
|
RIMPAC
819 PLANTATION BLVD. GALLATIN , TN 37066 |
P | CONTRIBUTION | 01/15/2009 | $500.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$8,013.15
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$8,013.15
Ending Balance
ENDING BALANCE
$6,428.43
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