Annual Mid Year Supplemental (2009) for THMCAREPAC submitted on 07/10/2009

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ALEXANDER , SUE 100 ALBERT GALLATIN AVE GALLATIN , TN 37066 FUNERAL DIRECTOR FAMILY HERITAGE FUNERAL HOME		01/14/2012	$300.00
AMONETTE , DAVID 554 W MAIN ST GALLATIN , TN 37066 ATTORNEY SELF		01/13/2012	$250.00
APCI PAC 5601 SHIRLEY PARK DRIVE BESSEMER , AL 35022	P	01/14/2012	$1,500.00
BANDY , WAYNE 915 S BROADWAY PORTLAND , TN 37148 OWNER PHARMACY EXPRESS		01/14/2012	$500.00
BELL , JUDI 783 PLANTAION WAY GALLATIN , TN 37066 REALTOR ROCKFORD BELL		01/13/2012	$200.00
BENNETT , AL 1255 LOCKFOUR RD GALLATIN , TN 37066 RETIRED		01/14/2012	$250.00
BLACK , DAVID 1254 WAVECREST CIRCLE GALLATIN , TN 37066 SCIENTIST RETIRED		01/11/2012	$1,400.00
BONDURANT , BRYAN 1054 N SUGARTREE GALLATIN , TN 37066 VETERINARIAN CRITTER CLINIC		12/20/2011	$250.00
BRADLEY , LYNNE 124 WOODWARD HILLS PLACE BRENTWOOD , TN 37027 D PH BRADLEY DRUG CO.		01/11/2012	$1,400.00
BRANAM , DONALD 198 SYCAMORE DR JACKSBORO , TN 37757 D PH ST MARY'S MEDICAL CENTER OF CAMPBELL CO.		01/14/2012	$150.00
BROOKLERE , ANTHONY 3118 HILLCREST TRACE ADAMSVILLE , AL 35005 D PH BROOKLERE PHARMACY		01/14/2012	$200.00
BROWN , KENNETH 1170 S WRIGHTS LN GALLATIN , TN 37066 PRESIDENT K & L LEASING		01/14/2012	$1,400.00
BROWN , LLOYD 2658 PLEASANT GROVE RD WESTMORELAND , TN 37186 RETIRED		01/13/2012	$250.00
BUNDY , JAMES 1018 GREEN VALLEY RD PARIS , TN 38242 OWNER EASTWOOD PHARMACY		01/13/2012	$1,000.00
CHADWELL , CHARLES 1010 CAMPBELL ESTATES NEW TAZEWELL , TN 37824 PRESIDENT CUNNINGHAM DRUGS		01/14/2012	$1,000.00
CHANDLER , TIMOTHY 604 BATTLEFRONT TRAIL KNOXVILLE , TN 37934 ACCOUNT EXECUTIVE FLATROCK MOTOR SPORTS		01/06/2012	$1,000.00
COHEN , NANCY 103 BAYSHORE CT GALLATIN , TN 37066 D PH PERKINS DRUGS		01/14/2012	$1,000.00
CORLEY , ALAN 1040 SHILOH RD GREENEVILLE , TN 37745 D PH CORLEY PHARMACY		01/14/2012	$1,000.00
CRABTREE , C. M. (CHRIS) 1007 WINDSOR DR GALLATIN , TN 37066 FNP, PNP GALLATIN CHILDREN'S CLINIC		01/13/2012	$250.00
DAUGHTRY , JAKE 488 FOWLER FORD RD PORTLAND , TN 37148 BANKER FARMERS BANK		01/14/2012	$200.00
DAVIDSON , KAILIN PO BOX 30 ADAMS , TN 37010 FARMER RIVERVIEW FARMS		01/13/2012	$1,400.00
DAVIS , ROGER 8375 GREENVALE DR NASHVILLE , TN 37221 DEAN LIPSCOMB UNIVERSITY COLLEGE OF PHARMACY		01/06/2012	$750.00
DONNELSON DRUG MART 2608 LEBANON PIKE NASHVILLE , TN 37214		01/13/2012	$250.00
DUREN , JERRY 610 HURRICANE HILL DR. WAYNESBORO , TN 38485 OWNER DUREN PHARMACY		01/06/2012	$1,000.00
EOFF , JIM 8851 DARBY DAN LN GERMANTOWN , TN 38138 PHARMACIST UT PHARMACY SCHOOL		01/14/2012	$250.00
FARR , GLEN 2032 RIVERGATE DR KNOXVILLE , TN 37920 PROFESSOR UT		01/11/2012	$200.00
FINNEY , ANDREW 688 N PALMERS CHAPEL RD WHITE HOUSE , TN 38188 REAL ESTATE AND BUSINESS COACHING SELF		01/06/2012	$250.00
FUS , KENNETH 169 BARRINGTON PL ROCKWOOD , TN 37854 PHARMACIST RITE AID CORPORATION		01/13/2012	$250.00
GARROTT , RADFORD 395 DEVON CHASE, HILL UNIT #1 GALLATIN , TN 37066 BANKING NICHOL FINANCIAL SERVICES		01/13/2012	$200.00
GARROTT JR , JOHN B PO BOX 419 GALLATIN , TN 37066 PRESIDENT GARROTT BROTHERS CONCRETE		01/14/2012	$1,000.00
GIBBS , J. E. 1745 MANN RD LEBANON , TN 37087 D PH. GIBBS PHARMACY		01/13/2012	$500.00
GIBBS PHARMACY INC 1427 W BADDOUR PKWAY #8 LEBANON , TN 37087		01/06/2012	$1,000.00
GILBERT , CHRIS PO BOX 98 CHAPEL HILL , TN 37034 PRESIDENT H & S PHARMACY		01/13/2012	$500.00
GLENN HALL LIVING TRUST PO BOX 8012 GRAY , TN 37815		01/14/2012	$250.00
GREEN III , L. A. PO BOX 8037 GALLATIN , TN 37066 DEVELOPER GREEN & LITTLE		01/14/2012	$1,400.00
GRUTTER , PAUL 1374 ROZELLA WAY GALLATIN , TN 37066 PHYSICIAN SOUTHERN SPORTS MEDICINE		01/13/2012	$125.00
HADLEY , LARRY 30 HURSTLAND ST FRANKFORT , KY 40601 D. PH SELF		01/13/2012	$1,400.00
HAILE , FERRELL P. O. BOX 1087 GALLATIN , TN 37066	C	12/20/2011	$5,000.00
HALCOMB , RICK 2975 CAGES BEND RD GALLATIN , TN 37066 OWNER HALCOMB HOMES		01/14/2012	$500.00
HAMRICK , TIMOTHY 431 MCCLAIN RD HUEYTOWN , AL 35023 CEO APCI		01/06/2012	$300.00
HARR , KENNETH 1300 HARR TOWN RD BLOUNTVILLE , TN 37617 OWNER RX ANGUS		01/14/2012	$200.00
HARRINGTON , HAL 1139 FAIRVUE VILLAGE LN GALLATIN , TN 37066 RETIRED		01/13/2012	$500.00
HEPPER , JEAN 9326 NAVAHO DR. BRENTWOOD , TN 37027 HOME MAKER NONE		01/14/2012	$250.00
HILL , LARRY 225 W. ROCKWOOD ST ROCKWOOD , TN 37854 PHARMACIST LIVE & LET LIVE DRUG STORE		01/14/2012	$500.00
HILL , SHERRY 171 RENDEZVOUS RD ROCKWOOD , TN 37854 D PH LIVE & LET LIVE DRUG STORE		01/14/2012	$500.00
HODGE , MICKIE 2233 HWY 76 PORTLAND , TN 37148 BANKER FARMERS BANK		01/14/2012	$500.00
HOMETOWN PHARMACY PAC 750 OLD HICKORY BLVD., BUILDING 2, STE. 150 BRENTWOOD , TN 37027	P	01/06/2012	$2,500.00
INDEPENDENT PHARMACY PAC 532 HARTSVILLE PIKE GALLATIN , TN 37066	P	01/06/2012	$250.00
JACKSON , JAMES 16003 HWY 55 STERETT , AL 35147 D PH SELF		01/11/2012	$250.00
JONES , GUY 1121 INNESWOOD DR GALLATIN , TN 37066 ATTORNEY STATE OF TENNESSEE		01/14/2012	$250.00
KELLY , PHILLIP 125 PUBLIC SQ. GALLATIN , TN 37066 ATTORNEY KELLY & SMITH		01/14/2012	$250.00
LAFOY , ALICE 1120 STABLE CROSSING MARYVILLE , TN 37803 D PH SELF		01/11/2012	$1,000.00
MARCROM , RAY 1277 MCARTHUR ST MANCHESTER , TN 37355 D PH SELF		01/11/2012	$1,400.00
MAYS , MELVIN 401 W PUBLIC SQ CENTERVILLE , TN 37033 OWNER LIBERTY PHARMACY		01/06/2012	$500.00
MCCLELLAN , ARTHUR 118 PUBLIC SQ GALLATIN , TN 37066 ATTORNEY MCCLELLAN, POWER, EHMILLING, & ROGERS		01/11/2012	$500.00
MCCORMICK , LOTTIE 2535 HWY 31 E GALLATIN , TN 37066 MORTGAGE OFFICER HOME FINANCIAL		01/15/2012	$1,000.00
MCCORMICK , TRAVIS 2535 HWY 31E GALLATIN , TN 37066 OWNER MCCORMICK'S PHARMACY		01/15/2012	$1,000.00
MCGUIRE , W. E. 1165 S WRIGHTS LN GALLATIN , TN 37066 SALES TRI-STATE DISTRIBUTION		01/06/2012	$300.00
MCMANUS , PHILLIP 1200 WHITE ST KINGSPORT , TN 37664 PHARMACIST SELF		01/13/2012	$300.00
MCMINNVILLE DRUG CENTER 1500 SPARTA RD MCMINNVILLE , TN 37110		01/13/2012	$250.00
MCMINNVILLE DRUG CENTER 1500 SPARTA RD MCMINNVILLE , TN 37110		01/06/2012	$500.00
MILBURN PHARMACY 13 W JACKSON ST SULLIVAN , IN 47822		01/11/2012	$250.00
MILBURN PHARMACY 13 W JACKSON ST SULLIVAN , IN 47822		01/11/2012	$250.00
MINNIS , NICOLE 109 ROLLING MEADOWS PORTLAND , TN 37148 BANKER FARMERS BANK		01/14/2012	$300.00
MUDD , MARY ANNE 404 N. WATER AVE GALLATIN , TN 37066 HOMEMAKER SELF		01/13/2012	$125.00
MUDD , REGINALD 440 N WATER AVE GALLATIN , TN 37066 REGIONAL DIRECTOR STATE OF TENNESSEE		01/13/2012	$125.00
NASH , ANDY 120 VILLAGE DR PORTLAND , TN 37148 BANKER FARMERS BANK		01/14/2012	$500.00
PARKER , WILLIAM 1058 ISAAC FRANKLIN DR GALLATIN , TN 37066 RETIRED RETIRED		01/14/2012	$500.00
PHILLIPS , ROBERT 228 WOODLAKE DR GALLATIN , TN 37066 RETIRED		01/06/2012	$200.00
PIRTLE , BYRON 1427 W BADDOUR PKWY STE B LEBANON , TN 37087 D PH GIBBS PHARMACY		01/13/2012	$250.00
PORTER , FLOYD 2185 CAGES BEND RD GALLATIN , TN 37066 RETIRED		01/14/2012	$1,000.00
PRICKETT , CHARLES 4812 SULPHUR SPRINGS RD HOOVER , AL 35226 D PH EASTERN VALLEY DRUGS		01/14/2012	$200.00
PRYSE , RISSA 407 S. TENN AVE LAFOLLETTE , TN 37766 D PH TERRY'S PHARMACY		01/13/2012	$500.00
PURYEAR , WILLIAM 1512 CHEROKEE RD GALLATIN , TN 37066 FARMER PURYEAR FARMS		01/14/2012	$200.00
REEVES , JOAN 1843 MEMORIAL BLVD MURFREESBORO , TN 37129 OWNER REEVES-SAIN		01/13/2012	$750.00
REEVES , RICHARD 1843 MEMORIAL BLVD MURFREESBORO , TN 37129 D PH REEVES-SAIN		01/13/2012	$750.00
RICKMAN , SAM 2052 RODMAN BLVD GALLATIN , TN 37066 PHARMACIST PERKINS DRUGS		01/06/2012	$500.00
ROWE , EDWIN 434 CENTER ST GRAY , TN 37615 D PH ROWE'S PHARMACY		01/14/2012	$300.00
SATTERFIELD , CHARLES 142 COUNTRY RD 844 ETOWAH , TN 37331 CHIEF MANAGER ARCHERS TOTAL HOME HEALTHCARE		01/13/2012	$250.00
SCHREINER , DAVID 2077 RODMAN BLVD GALLATIN , TN 37066 RETIRED		01/13/2012	$150.00
SIGNAL MOUNTAIN PHARMACY 804 RIDGEWAY AVE SIGNAL MOUNTAIN , TN 37377		01/13/2012	$250.00
SIGNAL MOUNTAIN PHARMACY 804 RIDGEWAY AVE SIGNAL MOUNTAIN , TN 37377		01/13/2012	$250.00
SIMPSON , DAVID 2482 ROCKY FORK RD NOLENSVILLE , TN 37135 RETIRED		01/14/2012	$200.00
SLOAN , DON 158 EAGLE POINTE SPRINGFIELD , TN 37172 OWNER SOUTHSIDE DRUG CO		01/13/2012	$1,400.00
SLOAN , DREW 3732 CENTRAL AVE NASHVILLE , TN 37205 D PH SOUTHSIDE DRUGS		01/14/2012	$150.00
SMITH , MARK 829 E MAIN ST GALLATIN , TN 37066 ATTORNEY SUMNER COUNTY CHANCERY COURT		01/13/2012	$200.00
SNYDER , JOSEPH 101 MAIN AVE ERWIN , TN 37650 OWNER CLINCHFIELD DRUGS		01/14/2012	$1,000.00
STANIFER , WILLIAM PO BOX 511 NEW TAZEWELL , TN 37824 D PH STANIFER DRUGS		01/13/2012	$200.00
STEPHENS , CHARLES 105 LEXINGTON DR LEBANON , TN 37087 OWNER RX MED, LLC		01/13/2012	$1,000.00
STEWART , H. NESTOR 1100 SMITHVILLE HWY., SUITE 114 MCMINNVILLE , TN 37110 D PH SELF		01/13/2012	$250.00
SWAIM , VAN 119 FOREST DR MARTIN , TN 38237 OWNER VAN'S PHARMACY		01/13/2012	$250.00
TAYLOR , WHITLEY 244 BECK LANE MCMINNVILLE , TN 37111 D PH MCMINNVILLE DRUGS		01/06/2012	$500.00
THOMPSON , JOHN 299 LAKEVIEW RD GALLATIN , TN 37066 PHYSICIAN SELF		01/14/2012	$250.00
WALTON , BARRY 2133 SWANNANOA AVE KINGSPORT , TN 37664 D PH SELF		01/14/2012	$200.00
WHITTAKER , TOMMY 615 RANCH ROAD PORTLAND , TN 37148 RETIRED RETIRED		01/14/2012	$500.00
WHITWORTH , THOMAS 3469 WEST POINT RD LAGRANGE , TN 30240 D PH SELF		01/11/2012	$1,000.00
WILHOIT , MAC 2419 WASHINGTON PIKE KNOXVILLE , TN 37917 OWNER MAC'S PHARMACY		01/14/2012	$500.00
WILLIAMS , RALPH 247 W MAIN ST HENDERSONVILLE , TN 37075 RETIRED RETIRED		01/14/2012	$500.00
ZINSER , MICHAEL 914 EMILEE PT GALLATIN , TN 37066 ATTORNEY SELF		01/06/2012	$1,000.00

Loan Source	Election Rec'd For	Date	Amount
Self-Endorsed	Primary	01/06/2012	$20,000.00

Disbursements

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
Self-Endorsed	$0.00	$0.00	$20,000.00

In-Kind Contributions

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

Obligations

Obligations are not included in the report ending balance.

Vendor	Purpose	Date	Amount	Paid	End Balance*
AGGIE PRINTING 203 W MAIN ST GALLATIN , TN 37066	PRINTING	01/03/2012	$217.19	$0.00	$217.19
FERRELL HAILE 1900 CAIRO RD GALLATIN , TN 37066	POSTAGE	01/04/2012	$292.00	$0.00	$292.00
HARRIS MEDIA 611 S CONGRESS AVE AUSTIN , TX 78704	PROFESSIONAL SERVICES	01/05/2012	$4,101.87	$0.00	$4,101.87
QUALITY PRINTING 141 EAST EASTLAND ST GALLATIN , TN 37066	PRINTING	12/27/2011	$61.18	$0.00	$61.18
QUALITY PRINTING 141 EAST EASTLAND ST GALLATIN , TN 37066	PRINTING	12/20/2011	$342.09	$0.00	$342.09

Vendor	Purpose	Date	Beg Balance	Paid	End Balance*
AGGIE PRINTING 203 W MAIN ST GALLATIN , TN 37066	PRINTING	01/03/2012	$0.00	$0.00	$217.19
FERRELL HAILE 1900 CAIRO RD GALLATIN , TN 37066	POSTAGE	01/04/2012	$0.00	$0.00	$292.00
HARRIS MEDIA 611 S CONGRESS AVE AUSTIN , TX 78704	PROFESSIONAL SERVICES	01/05/2012	$0.00	$0.00	$4,101.87
QUALITY PRINTING 141 EAST EASTLAND ST GALLATIN , TN 37066	PRINTING	12/27/2011	$0.00	$0.00	$61.18
QUALITY PRINTING 141 EAST EASTLAND ST GALLATIN , TN 37066	PRINTING	12/20/2011	$0.00	$0.00	$342.09

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