Amended 1st Quarter for EYE M.D.S PAC submitted on 04/16/2012
Beginning Balance
$1,828.06
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
ARRINDELL
, EVERTON
345 23RD AVENUE N, SUITE 350 NASHVILLE , TN 37203 PHYSICIAN SELF |
03/17/2009 | $1,000.00 | |
|
GROOS, JR.
, ERICH
2400 PATTERSON STREET NASHVILLE , TN 37203 PHYSICIAN SELF |
03/17/2009 | $500.00 | |
|
STERNBURG, JR.
, PAUL
2311 PIERCE AVE NASHVILLE , TN 37232-0025 PHYSICIAN VANDERBILT EYE INSTITUTE |
03/17/2009 | $1,000.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$7,200.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$7,200.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
SUNTRUST BANK
HWY 96 MURFREESBORO ROAD FRANKLIN , TN 37064 |
BANK FEES | 03/17/2009 | $42.00 | ||||
|
TRANSFIRST HEALTH SERVICES MERCHANT CARD
7400 W. 110TH STREET, #500 OVERLAND PARK , KS 66210 |
CREDIT CARD PROCESS | 03/17/2009 | $211.04 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$62.62
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$62.62
Ending Balance
ENDING BALANCE
$8,965.44
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