Annual Mid Year Supplemental (2013) for TENNESSEE ANESTHESIOLOGISTS PAC submitted on 07/06/2013

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
AGEE , PHIL PO BOX 509 HUMBOLT , TN 38843 OPTOMETRIST SELF		06/15/2011	$150.00
CLOPTON , JASON 600 E. VETERANS DR. COOKEVILLE , TN 38501 OPTOMETRIST SELF		06/15/2011	$255.00
COSGROVE , DENNIS 1059 NEAL ST. COOKEVILLE , TN 38501 OPTOMETRIST SELF		05/22/2011	$500.00
CRUMP , JOE 1185 OAK RIDGE TURNPIKE OAK RIDGE , TN 37820 OPTOMETRIST SELF		06/15/2011	$425.00
DIAMOND , JEREMY 1411 W. MORRIS BLVD. MORRISTOWN , TN 37815 OPTOMETRIST SELF		06/15/2011	$255.00
DICKERSON , STAN 840 HATCHER LN COLUMBIA , TN 38401 OPTOMETRIST SELF		06/15/2011	$255.00
DUCKLO , TOMMY 2114 ELLISTON PLACE NASHVILLE , TN 37203 OPTOMETRIST SELF		06/20/2011	$1,000.00
DUNCAN , JASON 1245 MADISON AVE. MEMPHIS , TN 38104 OPTOMETRIST SCO		05/19/2011	$1,000.00
EISENSTATT , GERALD 857 MT. MORIAH RD. MEMPHIS , TN 38117 OPTOMETRIST SELF		06/15/2011	$300.00
ELLIOTT , STEVEN 2681 ANDERSONVILLE HWY. #101 CLINTON , TN 37716 OPTOMETRIST SELF		05/01/2011	$500.00
FOSTER , JEFF 115 HEDRICK DR NEWPORT , TN 37821 OPTOMETRIST SELF		05/22/2011	$1,000.00
FOUTCH , DAVID PO BOX 460 SMITHVILLE , TN 37166 OPTOMETRIST SELF		05/01/2011	$1,000.00
FRY , BRENT 11121 KINGSTON PIKE STE. A KNOXVILLE , TN 37934 OPTOMETRIST SELF		06/15/2011	$150.00
GERSTNER , MICHAEL 1245 MADISON AVE MEMPHIS , TN 38104 OPTOMETRIST SELF		06/15/2011	$150.00
GOODMAN , TODD P.O. BOX 419 LEXINGTON , TN 38351 OPTOMETRIST SELF		05/31/2011	$1,000.00
HINES , BRADLEY P.O. BOX 419 MEMPHIS , TN 38111 OPTOMETRIST SELF		06/15/2011	$255.00
HUDDLESTON , MIKE 45 N. DIXIE AVE. COOKEVILLE , TN 38501 OPTOMETRIST SELF		06/15/2011	$170.00
HYDE , LOUIS 1137 WEST 1ST NORTH ST. MORRISTOWN , TN 37814 OPTOMETRIST SELF		06/15/2011	$150.00
HYDE , TOM 1137 WEST FIRST NORTH ST MORRISTOWN , TN 37814 OPTOMETRIST SELF		06/15/2011	$150.00
JONES , WILLIAM 1909 MALLORY LN. #101 FRANKLIN , TN 37067 OPTOMETRIST SELF		05/01/2011	$500.00
JORDAN , JEFF 1250 S. ELLINGTON PKWY. LEWISBURG , TN 37091 OPTOMETRIST SELF		05/19/2011	$1,000.00
JORDAN , ROB 622 REELFOOT AVE. UNION CITY , TN 38261 Optometrist Self		05/01/2011	$250.00
KEGARISE , JEFF 360 COOL SPRINGS BLVD FRANKLIN , TN 37067 OPTOMERIST SELF		06/15/2011	$170.00
KEGARISE , SUSAN 524 B DONELSON PIKE NASHVILLE , TN 37214 OPTOMERIST SELF		05/20/2011	$1,000.00
KELLY , MARIE 108 STILLWATER CT. HENDERSONVILLE , TN 37075 OPTOMETRIST SELF		06/15/2011	$255.00
KIZER , LEWIS 2081 SOUTH MAIN ST. MILAM , TN 38358 OPTOMETRIST SELF		06/15/2011	$255.00
KOESTER , PATRICIA 875 W. POPLAR SUITE 4 COLLIERVILLE , TN 38017 OPTOMETRIST SELF		06/15/2011	$255.00
LAYMAN , STEPHANIE 115 PADDOCK PL. JACKSON , TN 38305 OPTOMETRIST SELF		06/15/2011	$340.00
LUBERT , GERALD 10620 KINCER FARMS DR. KNOXVILLE , TN 37922 OPTOMETRIST SELF		05/01/2011	$1,000.00
MCCARTY , ZACHARY 7268 JARNIGAN RD. #200 CHATTANOOGA , TN 37421 OPTOMETRIST SOUTHEAST EYE SPECIALISTS		06/15/2011	$150.00
MCMILLIN , WILLIAM C. 4617 FT. HENRY DR. KINGSPORT , TN 37663 OPTOMETRIST SELF		06/15/2011	$255.00
MITCHELL , ANDREA 133 KISER LN. SELMER , TN 38375 OPTOMETRIST SELF		06/15/2011	$170.00
MORMON , PAUL 9031 VALLEY CREST LN. GERMANTOWN , TN 37138 OPTOMETRIST SELF		06/15/2011	$500.00
NIX , KEN PO BOX 1449 DUNLPAP , TN 37327 OPTOMETRIST SELF		05/25/2011	$1,000.00
PATTERSON , PHILLIP P.O. BOX 419 LEXINGTON , TN 38351 OPTOMETRIST SELF		06/15/2011	$255.00
PETERSON , BLAKE PO BOX 3270 CLEVELAND , TN 37320 OPTOMETRIST SELF		06/15/2011	$170.00
PHILLIPS , RICHARD 1245 MADISION AVE. MEMPHIS , TN 38104 OPTOMETRIST & PRESIDENT SCO		06/15/2011	$255.00
POWELSON , JARED 1245 MADISON AVE MEMPHIS , TN 38104 OPTOMETRIST SCO		06/15/2011	$255.00
RAFIETTARY , MOHAMMAD 6401 POPAR AVE # 190 MEMPHIS , TN 38119 OPTOMETRIST SELF		05/20/2011	$1,000.00
RAY , GREG 3050 WILMA RUDOLPH BLVD. CLARKSVILLE , TN 37040 OPOMETRIST SELF		06/15/2011	$124.98
REESMAN , ROBYN 105 PALISADES DR. EAST SIGNAL MOUNTAIN , TN 37377 OPTOMETRIST SELF		06/15/2011	$255.00
REMKE , JOE P.O. BOX 620 LAWRENCEBURG , TN 38464 OPTOMETRIST SELF		06/15/2011	$255.00
REYNOLDSON , TONYA 125 WAVERLY PLAZA WAVERLY , TN 37165 OPTOMETRIST SELF		06/15/2011	$300.00
RICHARDSON , STEVE 430 NEAL ST E COOKEVILLE , TN 38501 OPTOMETRIST SELF		06/15/2011	$300.00
RIXON , ANDREW 1245 MADISON AVE. MEMPHIS , TN 38104 OPTOMETRIST SCO		06/15/2011	$255.00
ROGERS , RICHARD 905 MAIN ST SAVANNAH , TN 38372 OPTOMETRIST SELF		05/19/2011	$1,000.00
SCHIMMEL , DAN 907 RIVERGATE PARKWAY #C2020 GOODLETTSVILLE , TN 37027 OPTOMETRIST SELF		03/31/2011	$1,000.00
SPIVEY , SCOTT 45 HOSPITAL DR. MCKENZIE , TN 38201 OPTOMETRIST SELF		06/15/2011	$170.00
TALLEY , DAVID 2070 WHITNEY AVE. MEMPHIS , TN 38127 OPTOMETRIST WEST TENNESSEE EYE		06/15/2011	$300.00
UHL , JENNIFER 131 INDIAN LAKE RD. HENDERSONVILLE , TN 37075 OPTOMETRIST SELF		05/01/2011	$500.00
WHALEY , KEITH 117 SUGAR FOOT WAY PIGEON FORGE , TN 37863 OPTOMETRIST SELF		05/19/2011	$1,000.00
WHEELER , KENNETH 644 APPLEGATE LN. KNOXVILLE , TN 37934 OPTOMETRIST SELF		06/15/2011	$170.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
DURHAM , JEREMY 802 FOUNDER'S POINTE BLVD FRANKLIN , TN 37064	C	CAMPAIGN CONTRIBUTION				05/25/2011	$3,000.00
WELLS FARGO BANK P.O. BOX 6995 PORTLAND , OR 97228		BANK FEES				06/30/2011	$930.45

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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