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4th Quarter for JACK - PAC submitted on 01/25/2013

Beginning Balance

$9,070.00

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
DAVIS , KENT
505 SKYHAWK PL
FRANKLIN , TN 37064
RETIRED
ENGINEER
01/08/2012 $3,000.00
MILLER , ANDREW
4124 NEW HIGHWAY 96
FRANKLIN , TN 37064
INVESTOR
SELF
01/09/2012 $5,000.00
PHILLIP MORRIS, INC.
3601 COMMERCE RD
RICHMOND , VA 23261
12/13/2011 $2,500.00
WILSON , JUSTIN
201 CRAIGHEAD AVE.
NASHVILLE , TN 37205
COMPTROLLER
STATE OF TENNESSEE
11/24/2011 $5,000.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$3,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,000.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
FAULK , MIKE
112 EAST MAIN BLVD
CHURCH HILL , TN 37642
C CONTRIBUTION 01/09/2012 $2,000.00
GRESHAM , DOLORES
P O BOX 877
SOMERVILLE , TN 38068
C CONTRIBUTION 01/09/2012 $2,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$0.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$0.00

Ending Balance

ENDING BALANCE
$12,070.00


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

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