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Amended 4th Quarter for TENNESSEE ANESTHESIOLOGISTS PAC submitted on 10/11/2009

Beginning Balance

$20,503.03

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
DAVIS , C
1917 BELVEDERE COURT
MARYVILLE , TN 37803
DIV PRES II
APAC ATLANTIC
12/22/2004 $111.72
DENTON , GORDAN
1561 HIGHWAY 321
PARROTTSVILLE , TN 37843

12/22/2004 $226.86
HAYNES , NICKOLAS
773 RIVER PARK DRIVE
MEMPHIS , TN 38103
DIV PRES II
APAC-TN INC.
12/22/2004 $215.40
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$25,742.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$15.79
TOTAL RECEIPTS
$25,757.79

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
ASHLAND INC
PO BOX 391
ASHLAND , KY 41114
REIMBURSEMENT 12/31/2004 $1,629.90
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$5,100.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$5,100.00

Ending Balance

ENDING BALANCE
$41,160.82


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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