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Amended 2nd Quarter for NEURO-SPINE COMMITTEE submitted on 11/03/2014

Beginning Balance

$28,054.37

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
CAUSEY , JIMMY
1997 HIGHWAY 51 SOUTH
COVINGTON , TN 38019
Executive Director
Professional Care Services
06/08/2009 $180.00
HENDRIX , REBECCA
1997 HWY 51 SOUTH
COVINGTON , TN 38019
outpatient
Professional Care Services
06/08/2009 $120.00
LEE , JOAN
1997 HWY 51 SOUTH
COVINGTON , TN 38019
outpatient
Professional Care Services
06/08/2009 $120.00
MEDLIN , MARLIN
10710 OLD HWY 64
BOLIVAR , TN 38008
EXECUTIVE DIRECTOR
QUINCO
06/05/2009 $120.00
STRACHAN , KATHLEEN
1997 HIGHWAY 51 SOUTH
COVINGTON , TN 38019
Registered Nurse
Professional Care Services
06/08/2009 $180.00
VAUGHN , ROBERT
408 VIRGINIA STREET
PARIS , TN 38242
Executive Director
Carey Counseling Center, Inc.
06/05/2009 $150.00
WILLIAMS , LARRY
1997 HWY 51 SOUTH
COVINGTON , TN 38019
Site Director
Professional Care Service
06/08/2009 $120.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$2,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$2,000.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
REGISTRY OF ELECTION FINANCE
404 JAMES ROBERTSON PARKWAY, SUITE 1614
NASHVILLE , TN 37243
ANNUAL FEE 01/23/2009 $100.00
UNIVERSITY OF TENNESSEE
605 AIRWAYS BLVD.
JACKSOM , TN 38301
ANNUAL MEETING ROOM RENTAL 03/03/2009 $300.00
WAL MART
2196 EMPORIUM DRIVE
JACKSON , TN 38305
FOOD / BEVERAGE 05/21/2009 $226.39
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$14,300.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$14,300.00

Ending Balance

ENDING BALANCE
$15,754.37


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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