Annual Mid Year Supplemental (2021) for TENNESSEE GROCERS & CONVENIENCE STORE PAC submitted on 07/15/2021

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ADVANCE PAC 100 OCEANSIDE DRIVE NASHVILLE , TN 37204	P	12/02/2011	$500.00
ALI , JOE 414 S CUMBERLAND ST LEBANON , TN 37087 CAR SALESMAN OWNER		01/05/2012	$500.00
AMERICAN ACADEMY OF EMERGENCY MEDICINE PAC 555 E. WELLS STREET, SUITE 1100 MILWAUKEE , WI 53202	P	12/02/2011	$1,000.00
ARDA ROC PAC 1201 15TH NW STE 400 WASHINGTON , DC 20005	P	12/28/2011	$250.00
ASSN BUILDERS & CONTRACTORS - MID. TN CHAPTER 1604 ELM HILL PIKE NASHVILLE , TN 37210	P	12/08/2011	$200.00
BEAVERS , MAE 2020 HUNTERS PLACE MT. JULIET , TN 37122	C	11/09/2011	$1,000.00
BEAVERS , MAE 2020 HUNTERS PLACE MT. JULIET , TN 37122	C	10/25/2011	$1,000.00
BLUE CROSS BLUE SHIELD OF TN PAC 3200 WEST END AVE SUITE 102 NASHVILLE , TN 37201	P	12/15/2011	$100.00
BROWNELL , AMY 116 PENNSYLVANIA AVE LEBANON , TN 37087 HOMEMAKER NONE		10/25/2011	$200.00
BROWNELL , AMY 116 PENNSYLVANIA AVE LEBANON , TN 37087 HOMEMAKER NONE		10/24/2011	$80.00
BRYANT , JAMES 941 HORN SPRINGSRD LEBANON , TN 37087 ACCOUNTANT OWNER		01/05/2012	$200.00
CASH AMERICA INTERNATIONAL, INC. PAC 1600 W. 7TH STREET FORT WORTH , TX 76102	P	10/25/2011	$250.00
CONCERNED AUTOMOTIVE RETAILERS PAC 2521 WHITE AVE NASHVILLE , TN 37204	P	11/23/2011	$250.00
CORRECTIONS CORPORATION OF AMERICA 10 BURTON HILLS BLVD. NASHVILLE , TN 37215	P	12/02/2011	$250.00
COWDEN , JACQUELINE 5980 MURFREESBORO RD EAST LEBANON , TN 37090 MANAGER CUSTOM PACKAGING		11/01/2011	$1,200.00
CRACKER BARREL OLD COUNTRY STORE, INC. PAC 307 HARTMANN DRIVE, P. O. BOX 787 LEBANON , TN 37088	P	01/10/2012	$250.00
DELTA DENTAL PLAN OF TENN COMMITTEE FOR GOOD GOVERNMENT 240 VENTURE CIRCLE NASHVILLE , TN 37228	P	01/09/2012	$300.00
DEMOS , PETER 1119 NW BROAD ST MURFREESBORO , TN 37129 OWNER DEMO'S RESTAURANT		12/21/2011	$1,000.00
DICKERSON , STEVEN 93 VICTORIA PARK NASHVILLE , TN 37205 DOCTOR DOCTOR		12/02/2011	$250.00
DOUGLAS , S GARY 10040 CASA REAL COVE KNOXVILLE , TN 37922 OWNER OUTDOOR SIGNS		12/28/2011	$500.00
EYE M.D.S PAC P.O. BOX 681806 FRANKLIN , TN 37068-1806	P	10/05/2011	$250.00
FIRST TN LOCAL PAC 1039 165 MADISON AVE, 8TH FLOOR MEMPHIS , TN 38103	P	12/15/2011	$250.00
FRIENDS OF POLICE PAC 440 WELSHWOOD DR. NASHVILLE , TN 37211	P	11/09/2011	$75.00
FRIENDS OF THA 500 INTERSTATE BLVD., SO. NASHVILLE , TN 37210	P	10/04/2011	$500.00
GARRETT , PAMELA 1950 ROCKY VALLEY RD LEBANON , TN 37090 BAKER OWNER		10/25/2011	$150.00
GIBBS , JIM 1427 W BADDOUR PKWY B LEBANON , TN 37087 PHARMACIST OWNER		12/12/2011	$1,000.00
GRAHAM , TIM PO BOX 12489 KNOXVILLE , TN 37912 RETIRED RETIRED		12/15/2011	$250.00
GRITTON , JACK 2603 CHARTER CT MURFREESBORO , TN 37129 LAWYER OWNER		12/30/2011	$200.00
HALEY , HOWARD 3465 OLDHAM RD HARTSVILLE , TN 37074 BEST EFFORT SELF		10/25/2011	$150.00
HIBDON , KRISTINA 1004 RHETT PL LEBANON , TN 37087 SALES EDUCATORS RESOURCE		12/21/2011	$200.00
HOFFMAN , THOMAS 1931 ROANOKE DR LEBANON , TN 37087 CEO PFG		01/05/2012	$250.00
INDEPENDENT MEDICINE'S PAC-TN 2301 21ST AVE. SOUTH NASHVILLE , TN 37212	P	12/02/2011	$250.00
INSURANCE AND FINANCIAL ADVISORS PAC 189 FAIRMONT DRIVE MURFREESBORO , TN 37129	P	01/10/2012	$500.00
JMS PAC 201 KEITH ST. SW CLEVELAND , TN 37311	P	01/10/2012	$250.00
JOE PAC P. O. BOX 192 LASCASSAS , TN 37085	P	01/09/2012	$500.00
KELSEY , BRIAN 1661 AARON BRENNER DRIVE, SUITE 300 MEMPHIS , TN 38120	C	10/25/2011	$200.00
KIRK , RUSSELL 5594 FRANKLIN RD LEBANON , TN 37090 OWNER OWNER		12/05/2011	$500.00
MCCALL , AB 722 JACKSON AVE CARTHAGE , TN 37030 BUSINESSMAN RETIRED		10/25/2011	$1,000.00
MCCALL , BETH 3773 BIG SPRINGS RD LEBANON , TN 37087 OWNER DT MCCALLS		10/25/2011	$500.00
MCCALL , VIRGINIA 722 JACKSON AVE CARTHAGE , TN 37030 HOUSEWIFE RETIRED		10/25/2011	$1,000.00
MCCALL II , ALBERT 3773 BIG SPRINGS RD LEBANON , TN 37087 FURNITURE SELF		10/25/2011	$1,000.00
MCCLURE , ROBERT 1052 CLAREMONT DR COLUMBIA , TN 38401 DOCTOR DOCTOR		12/02/2011	$200.00
MIDDLE TN PERIODONTICS PLLC 401 WEST MAIN ST STE 104 LEBANON , TN 37087		12/08/2011	$200.00
MID-SOUTH CARPENTERS REGIONAL COUNCIL PAC 2544 ELM HILL PIKE NASHVILLE , TN 37214	P	12/02/2011	$1,000.00
NPC TENNESSEE PAC ONE HEALTH PLAZA, BLDG. 701-433 EAST HANOVER , NJ 07936	P	12/02/2011	$500.00
PFIZER PAC 235 E. 42ND ST. NEW YORK , NY 10017	P	12/02/2011	$1,000.00
PIEDMONT NATURAL GAS PAC P.O. BOX 33068 CHARLOTTE , NC 28233	P	12/05/2011	$250.00
ROTHROCK , PERRY 1047 MURRAY HILL LANE MEMPHIS , TN 38120 DOCTOR DOCTOR		12/02/2011	$500.00
SECURITY FINANCE CORPORATION OF SPARTANBURG P. O. BOX 811, 181 SECURITY PLACE SPARTANBURG , SC 29307	P	01/09/2012	$300.00
SHOAF , FORREST 3104 PALMER PL LEBANON , TN 37090 MANAGER CRACKER BARREL		01/05/2012	$500.00
TENNESSEE BANKERS ASSN PAC 211 ATHENS WAY, SUITE 100 NASHVILLE , TN 37228-1603	P	12/21/2011	$250.00
TENNESSEE CERTIFIED PUBLIC ACCOUNTANTS PAC 201 POWELL PL. BRENTWOOD , TN 37027	P	12/02/2011	$150.00
TENNESSEE CHIROPRACTIC ASSN PAC 2123 8TH AVENUE S NASHVILLE , TN 37204	P	12/15/2011	$500.00
TENNESSEE CONSUMER FINANCE POLITICAL CAMPAIGN COMMITTE 317 HIGH STREET CHATTANOOGA , TN 37403	P	11/16/2011	$500.00
TENNESSEE MANUFACTURED HOUSING ASSN PAC P.O. BOX 140688 NASHVILLE , TN 37214	P	10/25/2011	$125.00
TENNESSEE OPTOMETRIC PAC 2727 BRANSFORD AVE. NASHVILLE , TN 37204	P	01/05/2012	$300.00
TENNESSEE PARENTS/TEACHERS PUTTING STUDENTS FIRST 5515 RATHKEALE LANE FRANKLIN , TN 37067	P	01/10/2012	$1,000.00
TENNESSEE REALTORS PAC 901 19TH AVE SOUTH NASHVILLE , TN 37212	P	09/20/2011	$250.00
TENNESSEE TELPAC P.O. BOX 7531 MCMINNVILLE , TN 37111	P	12/02/2011	$350.00
TENNESSEE TELPAC P.O. BOX 7531 MCMINNVILLE , TN 37111	P	11/09/2011	$150.00
TENNESSEE UTILITIES PAC 227 2ND AVE. NO., 4TH FLR. NASHVILLE , TN 37201-1631	P	01/09/2012	$250.00
TENNESSEE WINE & SPIRITS RETAILERS GOOD GOV'T FUND P. O. BOX 198136 NASHVILLE , TN 37219	P	10/25/2011	$250.00
TN FLAG PAC 511 UNION STREET NASHVILLE , TN 37219	P	01/05/2012	$150.00
WARMATH , KATHY 2032 BLUE RIBBON DOWNS LEBANON , TN 37087 UNKNOWN BEST EFFORT		12/28/2011	$250.00
WISNIEWSKI , SCOTT 5733 MAJESTIC CT SAN ANGELO , TX 76904 CEO WESTERN SHAMROCK CORP		07/11/2011	$300.00

Disbursements

Purpose	Amount
DONATIONS	$80.00
DUES / SUBSCRIPTIONS	$160.00
FOOD / BEVERAGE	$75.00
GAS	$167.31

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
ABSOLUTE AUTO REPAIR 3650 HWY 109N LEBANON , TN 37087		PROFESSIONAL SERVICES				12/5/2012	$160.00
ABSOLUTE AUTO REPAIR 3650 HWY 109N LEBANON , TN 37087		PROFESSIONAL SERVICES				12/15/2012	$40.00
CLEARLY CONSULTING 3106 KNOBDALE RD NASHVILLE , TN 37214		PROFESSIONAL SERVICES				11/02/2011	$35.00
CLEARLY CONSULTING 3106 KNOBDALE RD NASHVILLE , TN 37214		PROFESSIONAL SERVICES				10/4/2011	$35.00
CLEARLY CONSULTING 3106 KNOBDALE RD NASHVILLE , TN 37214		PROFESSIONAL SERVICES				09/20/2011	$35.00
CLEARLY CONSULTING 3106 KNOBDALE RD NASHVILLE , TN 37214		PROFESSIONAL SERVICES				8/1/2011	$70.00
CLEARLY CONSULTING 3106 KNOBDALE RD NASHVILLE , TN 37214		PROFESSIONAL SERVICES				12/9/2011	$35.00
GOP WILSON COUNTY PO BOX 3012 LEBANON , TN 37088		CONTRIBUTION				11/8/2011	$240.00
LEBANON DEMOCRAT 402 S CUMBERLAND LEBANON , TN 37087		DUES / SUBSCRIPTIONS				11/23/2011	$27.00
LEBANON ROTARY PO BOX 546 LEBANON , TN 37088		DUES / SUBSCRIPTIONS				11/23/2011	$225.00
PAPERMILL 126 LEBANON PUBLIC SQ LEBANON , TN 37087		PRINTING				09/03/2011	$338.68
POSTMASTER GAY ST LEBANON , TN 37087		POSTAGE				10/12/2011	$146.28
POSTMASTER GAY ST LEBANON , TN 37087		POSTAGE				10/4/2011	$88.00
POSTMASTER GAY ST LEBANON , TN 37087		POSTAGE				12/15/2011	$65.14
ROXY MOVIE THEATER 200 LEGENDS DR LEBANON , TN 37087		RENTAL FEES				08/30/2011	$300.00
VISTA PRINT 95 HAYDEN AVE LEXINGTON AVE LEXINGTON , MA 02421		PRINTING				09/20/2011	$460.00
WILKINSON , JANIE 305 KARLEE DR LEBANON , TN 37087		PROFESSIONAL SERVICES				10/20/2011	$200.00

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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