3rd Quarter for EYE M.D.S PAC submitted on 10/11/2005
Beginning Balance
$20,394.94
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
FREEMAN
, JERRE
6485 POPLAR AVENUE MEMPHIS , TN 38119-4864 PHYSICIAN SELF |
12/22/2004 | $200.00 | |
|
WILLIAMS
, DARRELL
397 WALLACE ROAD - SUITE 310 NASHVILLE , TN 37211-8027 |
10/01/2004 | $750.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$1,033.33
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$5.43
TOTAL RECEIPTS
$1,038.76
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
BLACK
, DIANE
819 PLANTATION BLVD. GALLATIN , TN 37066 |
C | CONTRIBUTION | 11/10/2004 | $1,000.00 | |||
|
HENSLEY
, JOEY
855 SUMMERTOWN HWY. HOHENWALD , TN 38462 |
C | CONTRIBUTION | 10/18/2004 | $250.00 | |||
|
TRACY
, JIM
102 NORTHWOOD AVE SHELBYVILLE , TN 37160 |
C | CONTRIBUTION | 11/10/2004 | $1,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$10.51
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$10.51
Ending Balance
ENDING BALANCE
$21,423.19
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