4th Quarter for UNITED SURGICAL PARTNERS INTL., INC. PAC submitted on 01/27/2011

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ANDERSON , R.G. 800 12TH AVE 100 FORTH WORT , TX 76104 MD FT. WORTH HOSPITAL		10/28/2010	$250.00
BACON , GEOFFREY 23 RILEY'S WAY HAMPTON , VA 23666 MD SENTARA CARPLEX HOSPITAL		10/28/2010	$500.00
BOLLINGER , BRUCE 4401 RIDGEHAVE RD FORTH WORTH , TX 76116 MD FT. WORTH HOSPITAL		12/07/2010	$500.00
CHAMBERS , KRYSTAL 525 TROWBROOK RD ATLANTA , GA 30350 MD RESURGENS ORTHOPAEDICS		10/28/2010	$100.00
CHAVDA , DEEPAK 4525 CATINA LANE DALLAS , TX 75229 MD TEXAS BONE & JOINT CENTER		11/05/2010	$100.00
COFFMAN , AVON 11117 ALHAMBRA ST. LEAWOOD , KS 66211 D.O. MIDWEST MEDICAL SPECIALIST		12/07/2010	$100.00
DICKSON , MITCHELL 5315 BENT RIVER BLVD KNOXVILLE , TN 37919 MD ANESTHESIA MEDICAL ALLIANCE		10/28/2010	$100.00
FOGLE , EVANDER 4162 N. STRATFORD RD. ATLANTA , GA 30342 MD RESURGENS ORTHOPEDICS		10/28/2010	$100.00
GLEASON , JOHN 5675 LONG ISLAND DR. ATLANTA , GA 30327 MD RESURGENS ORTHOPAEDICS		10/28/2010	$250.00
KANT , ANDREW 17270 RED OAK DR SUITE 200 HOUSTON , TX 77090 MD TOPS		10/28/2010	$500.00
KAPLAN , MARSHALL 3536 COCO LAKE DR. COCONUT CREEK , FL 33073 MD UROLOGY CONSULTANTS		10/28/2010	$100.00
KENT , ALLEN 6358 LANSDALE ROAD FORTH WORTH , TX 76116 MD BAYLOR SURGICAL HOSPITAL		11/02/2010	$500.00
LANE , DALE 14890 E. BLUFF ROAD ALPHARETTA , GA 30004 MD RESURGENS ORTHOPAEDICS		11/05/2010	$100.00
LOVETT , ROBERT 4972 WESTBRIAR DR FORTH WORTH , TX 76109 M.D. LOVETT AND RUTLEDGE MDS		12/07/2010	$100.00
MARTIN , RANDALL P 6105 WOODLAKE DR ARLINGTON , TX 76016 D.O. FT. WORTH HOSPITAL		12/07/2010	$200.00
MOORE FOOT AND ANKLE SPECIALIST 411 LANTERN BEND DR. SUITE 240 HOUSTON , TX 77090		10/28/2010	$100.00
MULCAHY , GREGORY 8500 N. SYCAMORE DR KANSAS CITY , MO 64157 MD NORTHLAND EAR, NOSE & THROAT		10/28/2010	$100.00
NEWLAND , ZACHARY 4585 WASHINGTON ST A2 FLORISSANT , MO 63033 MD ZACHARY NEWLAND PODIATRY		11/05/2010	$100.00
OSBORN , KEITH 1840 RIDGEFIELD DR ROSWELL , GA 30075 MD ATLANTA RESURGENS		10/28/2010	$250.00
PANDYA , PULIN 515 W. LITTLE YORK RD SUITE E HOUSTON , TX 77091 MEDICAL DOCTOR TOPS		10/28/2010	$250.00
REESE , BRADLEY 1640 LEGION DR WINTER PARK , FL 32789 MD FLORDIA OTOLARYNGOLOGY GROUP		10/28/2010	$100.00
ROSEN , ALAN 17270 RED OAK DR SUITE 200 HOUSTON , TX 77090 MD TOPS		12/20/2010	$250.00
RUIZ , RICHARD 6400 FANNIN 18TH FLOOR HOUSTON , TX 77030 MD THE ROBERT CIZIK CLINIC		11/05/2010	$100.00
SEPULVEDA , RAUL 829 PEAKWOOD DR SUITE 101 HOUSTON , TX 77090 MEDICAL DOCTOR TOPS		12/07/2010	$200.00
SHARI LEWIS KAMINSKY DPM PC 1224 GRAHAM RD. STE 3010 FLORISSANT , MO 63031		10/28/2010	$100.00
WERTHEIM , STEVEN 70 OLD STATTON CHASE NW ATLANTA , GA 30328 MD ATLANTA RESURGENS		10/28/2010	$500.00
WILLIAM B. HEYERMAN MD A MEDICAL COR 2160 COURT ST REDDING , CA 96099		10/28/2010	$100.00
WOMACK , MICHAEL 440 OAKMONT CIR MARIETTA , GA 30067 MD RESURGENS ORTHOPAEDICS		10/28/2010	$250.00

Disbursements

Purpose	Amount
NON-TENN. DISBURSMENTS	$367.27

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BLACK (CONGRESS) , DIANE PO BOX 1437 GALLATIN , TN 37066		CONTRIBUTION				11/19/2010	$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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