Amended Annual Year End Supplemental (2019) for TENNESSEE CHIROPRACTIC ASSN PAC submitted on 01/30/2020

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BLAKE , CANDICE 1360 DURWOOD RD KNOXVILLE , TN 37922 PYCHOLOGIST SELF		09/03/2010	$100.00
BLAKE , CANDICE 1360 DURWOOD RD KNOXVILLE , TN 37922 PYCHOLOGIST SELF		08/06/2010	$300.00
BOATWRIGHT , LYNN 812 BRYNWOOD DRIVE CHATTANOOGA , TN 37415 PSYCHOLOGIST SELF		08/06/2010	$150.00
BOYD , W R PO BOX 733 DAYTON , TN 37321 PSCHOLOGIST SELF		08/27/2010	$50.00
BRIETSTEIN , H ABRAHAM 8940 KELSEY LANE KNOXVILLE , TN 37922 CLINICAL PSYCHOLOGIST SELF		08/06/2010	$150.00
CAMP , CHARISSA 7540 NESHORO RD GERMANTOWN , TN 38138 PSYCHOLOGIST SELF		09/03/2010	$100.00
CAMP , CHARISSA 7540 NESHORO RD GERMANTOWN , TN 38138 PSYCHOLOGIST SELF		08/27/2010	$300.00
CARPENTER , SUSAN 14 ABBEYWOOD CT NASHVILLE , TN 37215 CLINICAL PSYCHOLOGIST SELF		08/27/2010	$100.00
CARTWRIGHT , STEPHEN P.O. BOX 367 ATHENS , TN 37371 SR PSYCHOLOGICAL EXAMINER SELF		08/27/2010	$150.00
CHANIN , PHILIP 2323 21ST AVE SOUTH, SUITE 401 NASHVILLE , TN 37212 PSYCHOLOGIST SELF		08/06/2010	$300.00
DULA , CHRIS 1925 JAMESTOWN RD. JOHNSON CITY , TN 37604 PSYCHOLOGIST SELF		08/06/2010	$50.00
ERICKSON , JEFFERY 6941 OLD KENT DRIVE KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		08/27/2010	$300.00
FOREMAN , GREGORY 835 MEADOWFIELD DR KNOXVILLE , TN 37923 PSYCHOLOGIST BEHAVIORAL MEDICINE INSTITUTE		09/03/2010	$100.00
HANAWAY , THOMAS PO BOX 50431 KNOXVILLE , TN 37950 CLINICAL PSYCHOLOGIST SELF		08/06/2010	$150.00
HANDLER , LEONARD 1800 KINGLET LANE KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		08/27/2010	$150.00
HAWTHORNE , MICHAEL 413 KITUWAH TRAIL KNOXVILLE , TN 37919 CINICAL PSYCHOLOGIST SELF		08/06/2010	$300.00
HULSE , KEITH 2607 KINGSTON PIKE, SUITE 250 KNOXVILLE , TN 37919 PSYCHOLOGIST BEHAVIORAL MEDICINE INSTITUTE P.C.		09/03/2010	$500.00
JAMES , MARK 2738 CAMDIS LANE CLEVELAND , TN 37311 PSYCHOLOGICAL EXAMINER SELF		09/03/2010	$30.00
JONES , TED 7536 DEANE HILL DR KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		08/27/2010	$150.00
LAVIN , PATRICK 612 VALLEY BRIDGE DR CHATTANOOGA , TN 37415 CLINICNAL PSYCHOLOGIST SELF		08/06/2010	$300.00
LEMAY , MARK 1597 GLEASON DRIVE JEFFERSON CITY , TN 37760 CLININCAL PSYCHOLOGIST SELF		08/06/2010	$50.00
LETT , NANCY 1411 LIMBAUGH LN KNOXVILLE , TN 37923 SCHOOL PSYCHOLOGIST SELF		08/06/2010	$50.00
LONG , PAUL 6400 LEE HIGHWAY STE 110 CHATTANOOGA , TN 37421 PSYCHOLOGIST SELF		08/27/2010	$50.00
MAZUR , FRANK 1715 KIRBY PKWY, SUITE 4 MEMPHIS , TN 38120 CLINICAL PSYCHOLOGIST SELF		08/27/2010	$300.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		09/03/2010	$100.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		08/27/2010	$25.00
MORGAN , ROGER 9301 CURLING POND LN. ARLINGTON , TN 38002 CLINICAL PSYCHOLOGIST SELF		09/03/2010	$100.00
MURPHY , DANIEL 4940 ALDEN COVE HORN LAKE , MS 38637 COUNSELING PSYCHOLOGIST SELF		08/27/2010	$50.00
MUSE , MARK 604 CROCUS DR. ROCKVILLE , MD 20850 PSYCHOLOGIST SELF		08/27/2010	$100.00
OGLESBY , LISA 5101 RIVERBRIAR ROAD KNOXVILLE , TN 37919 PSYCHOLOGIST SELF-EMPLOYED		08/27/2010	$100.00
OVERSTREET , TYLER PO BOX 966 KINGSTON , TN 37763 PSYCHOLOGICAL EXAMINER SOUTHER PROPERTIES		08/27/2010	$100.00
OZBEK , IRENE NICKY 4716 N FAIRMONT SIGNAL MOUNTAIN , TN 37377 PSYCHOLOGIST SELF		08/27/2010	$100.00
PAUL , CONNIE 4709 LYNN MEMPHIS , TN 38122 CLINICAL PSYCHOLOGIST SELF		08/27/2010	$200.00
PEARCE , REBECCA 1501 16TH AVENUE S. NASHVILLE , TN 37212 CLINICAL PSYCHOLOGIST SELF		08/27/2010	$100.00
PENEGAR , SARAH 3820 WOODHILL PLACE KNOXVILLE , TN 37919 CLINICAL PSCHOLOGIST SELF		08/27/2010	$100.00
PHILLIPS , MARK 7640 HWY 70 SOUTH, SUITE 209 NASHVILLE , TN 37221 PSYCHOLOGIST SELF-EMPLOYED		08/27/2010	$300.00
RYMER , BILL P.O. BOX 1341 GREENVILLE , TN 37744 PYSCHOLOGIST SELF		08/27/2010	$150.00
SHIELDS , PATRICIA 119 BRADBURY COURT TULLAHOMA , TN 37388 RN SR PSYCHOLOGICAL EXAMINER VA HOSPITAL		08/06/2010	$150.00
STEELE , KATHRYN 129 HAVEN ST. SUITE B KNOXVILLE , TN 37075 CLINICAL PSYCHOLOGIST SELF		08/27/2010	$100.00
STILLMAN , DENISE 4607 CHICKSAW RD. KNOXVILLE , TN 37919 CLINICAL PSYCHOLOGIST SELF		08/06/2010	$100.00
SWANDER , KAREN 1307 HICKORY OAK DR KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		08/06/2010	$100.00
TENCH , STEPHEN 4916 DARLINGTON DR NASHVILLE , TN 37211 PSYCHOLOGIST SELF		08/06/2010	$150.00
WAHLER , ROBERT 5209 GREEN VALLEY RD KNOXVILLE , TN 37914 CLINICAL PSYCHOLOGIST SELF		08/06/2010	$300.00
WISE , EDWARD 1027 S YATES RD MEMPHIS , TN 38119 CLINICAL PSYCHOLOGIST MENTAL HEALTH RESOURCES MEMPHIS		08/27/2010	$150.00
WISHART , GARY 601 VOLUNTEER PARKWAY, SUITE G BRISTOL , TN 37620 CLININCAL PSYCHOLOGIST SELF		08/06/2010	$150.00

Loan Source	Election Rec'd For	Date	Amount
LAURENCE , LANCE 2360 WILD PEAR TRAIL DANDRIDGE , TN 37725 PSYCHOLOGIST SELF-EMPLOYED		09/30/2010	$406.15

Disbursements

Purpose	Amount
FOOD / BEVERAGE	$85.47

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
HERRON , ROY P.O. BOX 5 DRESDEN , TN 38225	C	CONTRIBUTION				08/30/2010	$750.10
OVERBEY , DOUG 1105 N. HERITAGE DR. MARYVILLE , TN 37803	C	CONTRIBUTION				09/07/2010	$2,500.00
RUTH CHRIS 950 VOLUNTEER LANDING LANE KNOXVILLE , TN 37915		DINNER WITH SEN YAGER AND REP SHIPLEY				09/30/2010	$220.68
SHIPLEY , TONY P. O. BOX 6173 KINGSPORT , TN 37663	C	CONTRIBUTION				09/07/2010	$2,500.00
WEST TOWN WINE AND SPIRITS 7319 KINGSTON PIKE KNOXVILLE , TN 37919		FOOD / BEVERAGE				09/30/2010	$100.00
YAGER , KEN P. O. BOX 684 KINGSTON , TN 37763	C	CONTRIBUTION				09/13/2010	$1,000.00

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
LAURENCE , LANCE 2360 WILD PEAR TRAIL DANDRIDGE , TN 37725	$0.00	$0.00	$406.15

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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