Annual Mid Year Supplemental (2011) for UNITED SURGICAL PARTNERS INTL., INC. PAC submitted on 07/14/2011
Beginning Balance
$93,517.74
Receipts
Monetary Contributions, Unitemized
$275.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
ALICE
, PATRICIA K.
11054 N. 111TH STREET SCOTTSDALE , AZ 85259 ADMINISTRATOR USPI |
06/01/2011 | $100.00 | |
|
ALLISON
, BLAKE
4423 EXPLORER DRIVE FRISCO , TX 75034 VICE PRESIDENT USPI |
06/06/2011 | $500.00 | |
|
ANDERSON
, DECARLA A.
2744 WHITEWOOD DRIVE DALLAS , TX 75233 REGIONAL DIRECTOR, MANAGED CARE USPI |
06/01/2011 | $100.00 | |
|
BASS, M.D.
, MICHAEL D.
1706 W. BURNSIDE TRAIL PHOENIX , AZ 85085 REGIONAL VICE PRESIDENT USPI |
06/01/2011 | $100.00 | |
|
BECK
, ALLAN S.
2204 DELAFORD DRIVE ARLINGTON , TX 76002 CEO USPI |
06/08/2011 | $250.00 | |
|
BLEWETT
, KRISTIN
5514 MORNINGSIDE AVENUE DALLAS , TX 75206 SENIOR VICE PRESIDENT USPI |
06/07/2011 | $500.00 | |
|
BOND
, JONATHAN R.
3513 WENTWOOD DRIVE DALLAS , TX 75225 SENIOR VICE PRESIDENT USPI |
06/06/2011 | $1,500.00 | |
|
BRANON
, JAMES
1620 EAST RIVERSIDE DRIVE, APT. 1073 AUSTIN , TX 78741 ADMINISTRATOR USPI |
05/25/2011 | $250.00 | |
|
BRODNAX
, BRETT
6607 NORWAY DALLAS , TX 75230 PRESIDENT AND CDO USPI |
06/07/2011 | $500.00 | |
|
BURGESS
, WADE
1415 FALL WOOD DRIVE SUGAR LAND , TX 77479 ADMINISTRATOR USPI |
06/06/2011 | $100.00 | |
|
CAGLE
, JASON B.
6533 WOODLAND DR. DALLAS , TX 75225 CFO USPI |
05/31/2011 | $1,500.00 | |
|
CHANCE
, MATTHEW S.
2200 KINGS PASS HEATH , TX 75032 CEO - BAYLOR MED CENTER AT UPTOWN USPI |
06/01/2011 | $250.00 | |
|
CHICK
, MELANIE
5309 COVENTRY PLACE COLLEYVILLE , TX 76034 ADMINISTRATOR USPI |
06/01/2011 | $250.00 | |
|
CINTADO-SCOKIN
, MONICA
216 OLIVE BRANCH ROAD NASHVILLE , TN 37205 VICE PRESIDENT USPI |
06/15/2011 | $800.00 | |
|
CLAUNCH
, KATHLEEN J. (KATHY)
1055 PEBBLE BEACH DRIVE CASEYVILLE , IL 62232 REGIONAL VICE PRESIDENT USPI |
06/06/2011 | $300.00 | |
|
COLLINS
, KIMBERLY A.
112 PATTON DRIVE BETHALTO , IL 62010 ADMINISTRATOR USPI |
06/07/2011 | $100.00 | |
|
DANNA
, TERESA R.
17506 OXHILL COURT SPRING , TX 77388 REGIONAL VICE PRESIDENT USPI |
06/07/2011 | $250.00 | |
|
DEBONA
, PAUL C.
1450 MT. ZION ROAD MIDLOTHIAN , TX 76065 ADMINISTRATOR USPI |
06/06/2011 | $200.00 | |
|
DI DOMIZIO
, ROBERT
4098 CHEVY CHASE LANE FRISCO , TX 75033 VICE PRESIDENT USPI |
06/08/2011 | $250.00 | |
|
ELLISON
, SONAL
1115 SHADTREE LANE ALLEN , TX 75013 ADMINISTRATOR USPI |
06/01/2011 | $250.00 | |
|
ELMORE
, DIANE M.
3218 W. WALTER WAY PHOENIX , AZ 85027 ADMINISTRATOR USPI |
05/25/2011 | $250.00 | |
|
ERASMUS
, REBECCA S.
628 FOX CREEK CT. ST. LOUIS , MO 63126 ADMINISTRATOR USPI |
06/15/2011 | $100.00 | |
|
ESCHENBACH
, MARK
418 FORBY ESTATES DRIVE EUREKA , MO 63025 REGIONAL VICE PRESIDENT USPI |
06/07/2011 | $500.00 | |
|
EXLEY
, CAROLYN J.
15503 TRAILS END DRIVE DALLAS , TX 75248 REGIONAL VICE PRESIDENT USPI |
06/06/2011 | $500.00 | |
|
FINCH
, VIVIAN L.
4120 HOLLOW OAK DALLAS , TX 75287 ADMINISTRATOR USPI |
06/06/2011 | $125.00 | |
|
FINLAY
, PAMELA
1401 HILLSIDE PLACE LAS VEGAS , NV 89104 ADMINISTRATOR USPI |
06/01/2011 | $250.00 | |
|
FREYER
, DALLAS L.
917 ST. TIMOTHY STREET CORPUS CHRISTI , TX 78418 ADMINISTRATOR USPI |
06/06/2011 | $100.00 | |
|
FUNK
, SUE C.
2012 MARIGOLD ALEXANDRIA , LA 71301 ADMINISTRATOR USPI |
06/01/2011 | $250.00 | |
|
GAVIN
, MARK
1345 EAGLE BEND SOUTHLAKE , TX 75208 SENIOR VICE PRESIDENT USPI |
05/31/2011 | $1,500.00 | |
|
GONZALEZ
, GALE
902 MAJESTIC PINT DRIVE ROCKWALL , TX 75032 VICE PRESIDENT, BUSINESS OFFICE OPS USPI |
06/08/2011 | $500.00 | |
|
GROSS
, DAVE
910 ELK HORN DRIVE MIDLOTHIAN , TX 76065 ADMINISTRATOR USPI |
06/15/2011 | $125.00 | |
|
HAMBLEN
, REBECCA JO
55 HIDDENBROOK LANE GRAY , TN 37615 ADMINISTRATOR USPI |
06/07/2011 | $100.00 | |
|
HOLLENBACK
, JOT N.
29503 QUAILWOOD DRIVE RANCHO PALOS VERDES , CA 90275 SENIOR VICE PRESIDENT USPI |
06/07/2011 | $1,000.00 | |
|
HORTON
, MARY M.
30 CELTIC WAY PARSIPPANY , NJ 07054 ADMINISTRATOR USPI |
06/06/2011 | $250.00 | |
|
JACKSON, III
, JAMES A.
1557 POPPY PEAK DRIVE PASADENA , CA 91105 SENIOR VICE PRESIDENT USPI |
5/25/2011 | $700.00 | |
|
JENNINGS
, DAWNA J.
609 PARKER DRIVE EULESS , TX 76039 ADMINISTRATOR USPI |
06/06/2011 | $100.00 | |
|
JOHN
, FRANCES M.
9055 E. LUDLOW DRIVE SCOTTSDALE , AZ 85260 PVP USPI |
06/15/2011 | $100.00 | |
|
JOHNSON
, LUKE
8560 WHITES POND WAY KNOXVILLE , TN 37923 SENIOR VICE PRESIDENT USPI |
06/01/2011 | $1,500.00 | |
|
JONES
, MILLA PERRY
3216 TREVOLLE PL. DALLAS , TX 75204 VICE PRESIDENT USPI |
06/07/2011 | $250.00 | |
|
KAUFMAN
, ELLIOT J.
260 DEERFIELD ROAD MORGANVILLE , NJ 07551 PVP USPI |
06/01/2011 | $100.00 | |
|
KEATON
, WILLIAM A.
6 COLONIAL COURT FRISCO , TX 75034 CEO USPI |
05/25/2011 | $250.00 | |
|
KOCH
, CAROL J.
102 COUNTRY PLACE LANE WYLIE , TX 75098 DIRECTOR CASH MANAGEMENT USPI |
06/06/2011 | $100.00 | |
|
KOPSER
, MARK
5901 YARDLEY CT. DALLAS , TX 75248 CFO USPI |
06/08/2011 | $2,500.00 | |
|
KRAUSS
, DIANE L.
411 N. MONROE STREET FREEBURG , IL 62243 ADMINISTRATOR USPI |
06/01/2011 | $100.00 | |
|
LEAHY
, PATRICK J.
615 GASLITE LANE KIRKWOOD , MO 63122 REGIONAL VICE PRESIDENT USPI |
06/06/2011 | $250.00 | |
|
LOGAN
, CHARLES E.
1116 OMAN DRIVE BRENTWOD , TN 37027 ADMINISTRATOR USPI |
06/05/2011 | $150.00 | |
|
MARTIN
, ANTHONY (TONY)
1118 STRATFORD DRIVE RICHARDSON , TX 75080 VICE PRESIDENT USPI |
05/31/2011 | $500.00 | |
|
MCLEOD
, DEBORAH
2120 BAY CLUB DR. ARLINGTON , TX 76013 ADMINISTRATOR USPI |
05/25/2011 | $300.00 | |
|
METCALF
, STARLENE F.
2508 SIERRA DRIVE MCKINNEY , TX 75071 ADMINISTRATOR USPI |
06/07/2011 | $100.00 | |
|
MILLER
, EVELYN S. (EVIE)
810 BEACON CIRCLE OAKDALE , PA 15071 VICE PRESIDENT USPI |
06/06/2011 | $500.00 | |
|
MITCHELL
, MARIA B.
4919 LYTFIELD DRIVE DUBLIN , OH 43017 REGIONAL VICE PRESIDENT USPI |
06/07/2011 | $250.00 | |
|
MOSS
, JAROD T.
11215 PINOCCHIO DRIVE DALLAS , TX 75229 VICE PRESIDENT USPI |
05/31/2011 | $500.00 | |
|
NEINAST
, VAN A.
1223 CHIPPEWA DR. RICHARDSON , TX 75080 VICE PRESIDENT USPI |
4/13/2011 | $100.00 | |
|
NEVLUD
, TIMOTHY A.
3235 SANIBEL CT. ROUND ROCK , TX 78681 REGIONAL VICE PRESIDENT USPI |
05/25/2011 | $500.00 | |
|
PATE
, MATT W.
3900 OAKMEADOW DRIVE PLANO , TX 75093 SENIOR VICE PRESIDENT USPI |
06/15/2011 | $1,000.00 | |
|
PETERSON
, CLAIRE A.
9801 W PARMER LANE, #2631 AUSTIN , TX 78717 ADMINISTRATOR USPI |
06/08/2011 | $250.00 | |
|
PHILLIPS
, STEPHANIE
521 AMBRYM FAIRVIEW , TX 75069 VICE PRESIDENT USPI |
06/06/2011 | $500.00 | |
|
RARDIN
, KECIA A.
2030 NW LANGLEY CT. PORTLAND , OR 97229 ADMINISTRATOR USPI |
06/15/2011 | $100.00 | |
|
RHODES
, ROGER R.
3118 WATERCRESS CIRCLE ARLINGTON , TX 76012 ADMINISTRATOR USPI |
06/07/2011 | $250.00 | |
|
RICHTER
, PATRICK
7720 BRYN MAWR DR DALLAS , TX 75225 VICE PRESIDENT USPI |
06/06/2011 | $400.00 | |
|
RIDGWAY
, MICHAEL C. (COREY)
510 BRENNAN LANE FRANKLIN , TN 37067 REGIONAL VICE PRESIDENT USPI |
06/08/2011 | $500.00 | |
|
ROBICHAU
, JOANNE M.
1655 BIG TRAIL DRIVE #303 JACKSON , WY 83001 ADMINISTRATOR USPI |
06/01/2011 | $250.00 | |
|
RODRIGUEZ
, CONNIE T.
4705 BOULDER DRIVE PARKER , TX 75002 ADMINISTRATOR USPI |
06/06/2011 | $1,000.00 | |
|
ROSSMANN
, SAMUEL
347 N. NEW RIVER DRIVE E, APT 1005 FORT LAUDERDALE , FL 33301 REGIONAL VICE PRESIDENT USPI |
06/08/2011 | $250.00 | |
|
SHIMEK
, ANN
3804 QUIVERA CIRCLE CARROLLTON , TX 75007 VICE PRESIDENT USPI |
05/31/2011 | $250.00 | |
|
SIMMONS
, PAMELA
2956 EDNA JANE AUBURN HILLS , MI 48326 ADMINISTRATOR USPI |
06/07/2011 | $200.00 | |
|
SNYDERS, JR.
, JOHN P.
1917 RUSSELL STREET NASHVILLE , TN 37206 REGIONAL VICE PRESIDENT USPI |
06/07/2011 | $500.00 | |
|
SOUTHWICK
, WILLIAM
200 CHANNELKIRK LANE NASHVILLE , TN 37215 SENIOR VICE PRESIDENT USPI |
06/15/2011 | $1,500.00 | |
|
SPENCER
, PHILLIP A.
5901 YARDLEY DALLAS , TX 75248 EVP - BUSINESS DEVELOPMENT USPI |
05/25/2011 | $1,000.00 | |
|
STEEN
, MARCUS A.
5357 SPICEWOOD LANE FRISCO , TX 75034 VICE PRESIDENT, DEVELOPMENT USPI |
05/25/2011 | $500.00 | |
|
STROUP
, MICHAEL J.
3605 HAYNIE AVE DALLAS , TX 75205 SENIOR VICE PRESIDENT - ACQUISITIONS USPI |
06/07/2011 | $500.00 | |
|
TOPACIO
, MARILYN
19918 RHODES ROAD SPRING , TX 77379 ADMINISTRATOR USPI |
06/07/2011 | $100.00 | |
|
VERNEGAARD
, NEILS P.
9011 ROCKBROOK DRIVE DALLAS , TX 75220 COO USPI |
05/31/2011 | $2,000.00 | |
|
WALKER
, JULIE
700 TRUELOVE TRAIL SOUTHLAKE , TX 76092 REGIONAL VICE PRESIDENT USPI |
06/08/2011 | $500.00 | |
|
WARREN
, GEORGIA L.
900 HARBOR COURT SOUTHLAKE , TX 76092 REGIONAL VICE PRESIDENT USPI |
06/15/2011 | $500.00 | |
|
WEAVER
, MICHAEL
1012 MEANDERING WOODS DRIVE KELLER , TX 76248 PVP USPI |
06/06/2011 | $250.00 | |
|
WELLMAN
, PEGGY S.
2399 GILLINGHAM CIRCLE THOUSAND OAKS , CA 91362 REGIONAL VICE PRESIDENT USPI |
06/07/2011 | $500.00 | |
|
WHITE
, GINGER
636 HANBY LANE ROCKWALL , TX 75032 ADMINISTRATOR USPI |
05/25/2011 | $250.00 | |
|
WILCOX
, WILLIAM H. (BILL)
15305 DALLAS PARKWAY, SUITE 1600 ADDISON , TX 75001 CEO USPI |
06/06/2011 | $3,000.00 | |
|
WOLFORD
, JOHN
1217 W. AUGUSTA BLVD., UNIT # 1 CHICAGO , IL 60642 PVP USPI |
5/25/2011 | $3,000.00 | |
|
YOCUM
, DANA S.
1040 TREESHADE DRIVE ST. PETERS , MO 63376 ADMINISTRATOR USPI |
06/07/2001 | $250.00 | |
|
ZAMOJSKI
, DENNIS J.
9270 CHEVIOT DRIVE BRENTWOOD , TN 37027 MARKET PRESIDENT USPI |
06/07/2011 | $500.00 | |
|
ZARIN, M.D.
, DAVID P.
16307 STERLING GATE COURT SPRING , TX 77379 MEDICAL DIRECTOR USPI |
06/01/2011 | $1,500.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$44,025.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$44,025.00
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| BANK FEES | $278.66 |
| NON-TENN. DISBURSMENTS | $20,000.00 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
ROBERTS
, KERRY
P. O. BOX 200 SPRINGFIELD , TN 37172 |
C | CONTRIBUTION | 01/20/2011 | $250.00 | |||
|
TENNESSEE REGISTRY OF ELECTION FINANCE
404 JAMES ROBERTSON PARKWAY, SUITE 104 NASHVILLE , TN 37243 |
ANNUAL PAC FEE | 01/20/2011 | $100.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$20,628.66
Expenditures, Adjustments
| Vendor | C/P | Purpose | In-Kind | Independent | Date | Amount |
|---|---|---|---|---|---|---|
|
HERGER FOR CONGRESS
P.O. BOX 1007 WILLOWS , CA 95988 |
NON-TENN. DISBURSMENTS | 02/11/2011 | [ $1,000.00 ] |
TOTAL DISBURSEMENTS
$19,628.66
Ending Balance
ENDING BALANCE
$117,914.08
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