2nd Quarter for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 07/06/2016

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ANAYA , ANTONIO 42 TROUT WAY MEDFORD LAKES , NJ 08055 DIR, GOVERNMENT RELATIONS COCA-COLA		09/18/2009	$138.48
AUSTIN , MARIO 1839 YORKTOWN RD CINCINNATI , OH 45237 MANAGER CUSTOMER DEVELOPMENT COCA COLA		09/18/2009	$138.48
BOYETTE , GARY 633 BRAIDWOOD DR ACWORTH , GA 30101 MARKET UNIT SUPPLY CHAIN MANAGER COCA-COLA ENTERPRISES INC.		12/31/2009	$161.56
BROCK , JOHN 781 CRANDON BLVD UNIT 604 KEY BISCAYNE , FL 33149 PRESIDENT AND CEO COCA-COLA		09/18/2009	$193.84
BROCK , JOHN 781 CRANDON BLVD UNIT 604 KEY BISCAYNE , FL 33149 PRESIDENT AND CEO COCA-COLA		12/31/2009	$193.84
BURGO , JULIE 2562 NE PARK DRIVE ISSAQUAH , WA 98029 MARKET UNIT ONPREMISE SLS DIR II COCA COLA ENTERPRISES INC.		09/18/2009	$138.48
BYNUM , JOHN 833 KEVIN DR WENTZVILLE , MO 63385 DIRECTOR, MARKET UNIT SALES COCA COLA REFRESHMENTS		09/18/2009	$196.92
CAHILLANE , STEVEN 1980 WEST PACES FERRY RD ATLANTA , GA 30327 PRESIDENT, COCA-COLA AMERICAS COCA-COLA COMPANY		09/18/2009	$138.46
CAHILLANE , STEVEN 1980 WEST PACES FERRY RD ATLANTA , GA 30327 PRESIDENT, COCA-COLA AMERICAS COCA-COLA COMPANY		12/31/2009	$138.46
CALLENDER , ROY 10 MANOR DR PO BOX 393 MILLBROOK , NY 12545 SAFETY SPECIALIST COCA COLA COMPANY		09/18/2009	$110.76
COTTRELL , GERARD 630 RAMAPO AVE POMPTON LAKES , NJ 07442 VP FIELD FINANCE COCA COLA		09/18/2009	$116.28
DEBORDE , ROBERT 5441 NORTH POWERS FERRY ROAD ATLANTA , GA 30327 SR VP, FIELD OPERATIONS, CCR COCA COLA CO		09/18/2009	$115.38
DE MARCO , KATHLEEN 112 WATEREDGE COURT SAFETY HARBOR , FL 34695 DIRECTOR CUSTOMER FINANCIAL SVCS FLORIDA COCA-COLA BOTTLING CO		12/31/2009	$129.22
ETHERLY , CURTIS 3205 RED ORCHID WAY KENSINGTON , MD 20895 DIRECTOR, PAC COCA COLA		09/18/2009	$138.48
FITCH , TERENCE 1820 SAN PASQUAL ST PASADENA , CA 91107 VP GENERAL MANAGER COCA COLA ENTERPRISES		09/18/2009	$207.72
FITCH , TERENCE 1820 SAN PASQUAL ST PASADENA , CA 91107 VP GENERAL MANAGER COCA COLA ENTERPRISES		11/30/2009	$103.86
FRANCIS , JULIE 139 INTERLOCHEN DR NW ATLANTA , GA 30342 CHIEF COMMERCIAL OFFICER, CCR COCA COLA		09/18/2009	$155.08
HARRIS , DAVID PO BOX 8387 ST THOMAS , VO 00801 SALES CENTER MANAGER COCA-COLA ENTERPORSES INC.		09/18/2009	$116.28
HARRIS , JOHN 933 CHECKERED W NW KENNESAW , GA 30152 DIR FIELD OPERATIONS FLORIDA COCA COLA BOTTLING CO.		12/31/2009	$117.20
HASELRIG , JOHN 6715 W STONEGATE DR ZIONSVILLE , IN 46077 VP REGION MANUFACTURING COCA-COLA REFRESHMENTS		11/30/2009	$103.83
JIGA , JOHN 1368 NORTH SHOREWOOD LANE CARYVILLE , TN 37714 VICE PRESIDENT SALES OPERATIONS FLORIDA COCA-COLA BOTTLING CO		12/31/2009	$227.22
JOHNSON , WILLIAM 8812 HEATHER GLEN CRT TAMPA , FL 33647 VP FINANCE SHARED SVCS, CCR COCA COLA CO		09/18/2009	$101.54
JOHNSON , WILLIAM 8812 HEATHER GLEN CRT TAMPA , FL 33647 VP FINANCE SHARED SVCS, CCR COCA COLA CO		12/31/2009	$101.54
KIMMET , PAMELA 2500 WINDY RIDGE PARKWAY ATLANTA , GA 30339 SENIOR VP HUMAN RESOURCES COCA COLA ENTERPRISES INC.		12/31/2009	$184.62
KIRKLAND , DARRYL 1915 NORTHSIDE HILLS BLVD KNOXVILLE , TN 37922 SR ACCOUNTING MANAGER KXDIV COCA-COLA ENTERPRISES INC		12/31/2009	$129.22
KLUG , TODD 840 SOUTH PERALTA HILL DRIVE ANAHEIM , CA 92807 VP CONVENIENCE RETAIL SALES COCA COLA ENTERPRISES		09/18/2009	$138.48
LEONARD , JONATHAN 25097 BUTTERWOOD DRIVE MENIFEE , CA 92584 MGR OPERATIONS COCA COLA ENTERPRISES INC.		09/18/2009	$116.28
LEROUX , CARL 62 SILVER PINE LN DANVILLE , CA 94506 VP SALES OPERATIONS COCA COLA REFRESHMENTS		09/18/2009	$138.48
LEROUX , CARL 62 SILVER PINE LN DANVILLE , CA 94506 VP SALES OPERATIONS COCA COLA REFRESHMENTS		12/31/2009	$115.40
LOPEZ , EDWARD 1727 VALDEZ DR NE ALBUQUERQUE , NM 87112 VICE PRESIDENT PUBLIC AFFAIRS COCA-COLA ENTERPRISES INC.		09/18/2009	$540.00
LOPEZ , EDWARD 1727 VALDEZ DR NE ALBUQUERQUE , NM 87112 VICE PRESIDENT PUBLIC AFFAIRS COCA-COLA ENTERPRISES INC.		12/31/2009	$982.68
LOPEZ , EMMAUEL 1097 MILL FIELD COURT GREAT FALLS , VA 22066 VP MARKET UNIT THE MID-ATLANTIC COCA COLA CO		09/18/2009	$110.76
LYNCH , TIMOTHY 6515 MINOLA HUSTON , TX 77007 VICE PRESIDENT COCA COLA		11/30/2009	$115.40
MCKILLIP , MICHELE 10827 NE 108TH ST KIRKLAND , WA 98033 VP REGIONAL PAC- NORTH WEST COCA COLA CO		12/31/2009	$161.56
MOODY , DEBBIE 1104 RIVERWALK CT COLLEYVILLE , TX 76034 VP REGIONAL PAC- SOUTH COCA COLA CO		09/18/2009	$189.24
MOODY , DEBBIE 1104 RIVERWALK CT COLLEYVILLE , TX 76034 VP REGIONAL PAC- SOUTH COCA COLA CO		12/31/2009	$189.24
MORRIS , KEVIN 1060 COVENTRY DR LAKE FOREST , IL 60045 VP REGIONAL PAC- MID WEST COCA COLA CO		09/18/2009	$156.92
OLIVER , HAROLD 4407 WINSTED WAY MARIETTA , GA 30062 VP TAX COCA COLA		09/18/2009	$115.38
OLIVER , HAROLD 4407 WINSTED WAY MARIETTA , GA 30062 VP TAX COCA COLA		12/31/2009	$115.38
PATRICK , BRADLEY 4500 WILDGROVE CT FLOWER MOUND , TX 75022 MGR CUSTOMER SOLUTIONS COCA COLA BOTTLING		09/18/2009	$138.48
PATRICK , BRADLEY 4500 WILDGROVE CT FLOWER MOUND , TX 75022 MGR CUSTOMER SOLUTIONS COCA COLA BOTTLING		12/31/2009	$115.40
PHILLIPS , ROBERT 24452 VIA SECRETO LAKE FOREST , CA 92630 VP PUBLIC AFFAIRS COCA COLA BOTTLING CO. OF SOUTHERN CAL		09/18/2009	$235.38
PHILLIPS , ROBERT 24452 VIA SECRETO LAKE FOREST , CA 92630 VP PUBLIC AFFAIRS COCA COLA BOTTLING CO. OF SOUTHERN CAL		11/30/2009	$117.69
PHY , GARY 240 CATTLEMANS TRAIL ROYSE CITY , TX 75189 DIRECTOR COCA COLA		11/30/2009	$115.40
PLYBON , WILLIAM 3955 VERMONT RD ATLANTA , GA 30319 VP & DEPUTY GEN COUNSEL COCA COLA ENTERPRISES INC.		12/31/2009	$115.38
POARCH , MICHAEL 425 BILL MANDEVILLE , LA 70448 SALES MANAGER THE LOUISIANA COCA-COLA BOTTLING CO		12/31/2009	$161.49
POLLARD , DAVID 5305 PROMONTORY COURT ROGER , AR 72758 VP HOUSTON COCA COLA		12/31/2009	$145.39
RUMBAUGH , KATHERINE 11508 COLLEGE VIEW DR WHEATON , MD 20902 VP PAC FIELD OPERATIONS, CCR COCA COLA CO		09/18/2009	$235.38
RUMBAUGH , KATHERINE 11508 COLLEGE VIEW DR WHEATON , MD 20902 VP PAC FIELD OPERATIONS, CCR COCA COLA CO		12/31/2009	$156.92
SMITH , DEBORAH 54300 MERRIMAC AVE DALLAS , TX 75206 CATEGORY PLANNING MANAGER COCA COLA		12/31/2009	$113.05
SORDS , DAVID 1605 MILL SPRINGS DR AUSTIN , TX 78746 VP PUBLIC AFFAIRS COCA COLA		09/18/2009	$153.88
SORDS , DAVID 1605 MILL SPRINGS DR AUSTIN , TX 78746 VP PUBLIC AFFAIRS COCA COLA		11/30/2009	$192.35
SUTTON , JOHN 317 MORGAN PL ATLANTA , GA 30317 MGR REVENUE MGMT SOLUTIONS COCA COLA ENTERPRISES INC.		12/31/2009	$116.30
TERMINIELLO , JEAN 2135 MONHEGAN WAY SE SMYRNA , GA 30080 VP ON PREMISE SALES OPERATIONS COCA COLA ENTERPRISES INC.		09/18/2009	$124.56
THOMSON , MARK 3948 LOWER ROSWELL RD MARIETTA , GA 30068 VP SPARKLING BUS UNIT COCO COLA		12/31/2009	$161.56
WYNKOOP , JEFFREY 4211 EAST AVE Q-12 PALMDALE , CA 93552 DISTRIBUTION SUPV COCA COLA BOTTLING CO. OF SOUTHERN CAL		09/18/2009	$207.72
WYNKOOP , JEFFREY 4211 EAST AVE Q-12 PALMDALE , CA 93552 DISTRIBUTION SUPV COCA COLA BOTTLING CO. OF SOUTHERN CAL		11/30/2009	$103.86

Disbursements

Purpose	Amount
NON-TENN. EXPENSES	$91,250.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BURCHETT (MAYOR) , TIM 6401 AIRTREE LN. KNOXVILLE , TN 37931		CONTRIBUTION				09/18/2009	$500.00
KPAC 126 S. MAIN STREET ELIZABETHTON , TN 37643	P	CONTRIBUTION				12/07/2009	$250.00
YAGER , KEN P. O. BOX 684 KINGSTON , TN 37763	C	CONTRIBUTION				12/18/2009	$1,000.00
YAGER , KEN P. O. BOX 684 KINGSTON , TN 37763	C	CONTRIBUTION				10/20/2009	$500.00

Ending Balance

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Outstanding Loans

In-Kind Contributions

In-Kind Contributions are not included in the report ending balance.

Obligations

Obligations are not included in the report ending balance.

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