Amended Annual Year End Supplemental (2013) for TN-K PAC submitted on 02/11/2014

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ALSOBROOK , STEPHEN 280 GERMAN OAK DRIVE CORDOVA , TN 38018 DENTIST SELF		03/20/2012	$150.00
BAKER , J NEWSOM 1618 E LAMAR ALEXANDER PKY MARYVILLE , TN 37804 DENTIST SELF		02/16/2012	$150.00
BAKER , WILLIAM 300 W WATAGUA AVE JOHNSON CITY , TN 37604 DENTIST SELF		03/15/2012	$150.00
BARNES , DAVID 681 SKYLINE DR JACKSON , TN 38301 DENTIST SELF		03/15/2012	$150.00
BARTO , DAVID E. 1017 EXECUTIVE DR STE 102 HIXSON , TN 37343 DENTIST SELF		02/16/2012	$300.00
BEASLEY , JOHN PO BOX 823 LAWRENCEBURG , TN 38464 DENTIST SELF		01/19/2012	$150.00
BEAUCHAMP , KARYL J. 2297 RUDOLPHTOWN RD CLARKSVLLE , TN 37043 DENTIST CLARKSVILLE PEDIATRIC DENTISTRY		01/20/2012	$300.00
BEAZLEY , TED 318 NORTHCREEK BLVD STE 400 GOODLETTSVILLE , TN 37072 DENTIST SELF		02/16/2012	$150.00
BENSON , BARTLEY PO BOX 2640 LEBANON , TN 37088 DENTIST SELF		01/20/2012	$150.00
BIBLE , TIMOTHY 123 LEINART ST CLINTON , TN 37716 DENTIST SELF		02/16/2012	$150.00
BLANTON , ALAN 362 NEW BYHALIA ROAD #3 COLLIERVILLE , TN 38017 DENTIST AESTHETIC DENTISTRY OF COLLIERVILLE PLLC		02/16/2012	$150.00
BLEVINS , LOWELL DALE 347 FAIRWAY DR CLARKSVILLE , TN 37043 DENTIST RETIRED		01/20/2012	$300.00
BOWLES , RICHARD 2400 CHOTO RD KNOXVILLE , TN 37922 DENTIST RETIRED		01/19/2012	$150.00
BRAGG , JAMES 9406 RUGGLES FERRY PK STRAWBERRY PLAINS , TN 37871 DENTIST JAMES R. BRAGG JR, DDS		01/19/2012	$150.00
BRATTEN , JAMES 697 PRESIDENT PLACE #300 SMYRNA , TN 37167 DENTIST SELF		02/16/2012	$150.00
BRITTON , JOSEPH 271 STONECROSSING DR CLARKSVILLE , TN 37042 DENTIST SELF		01/20/2012	$150.00
BROOKS , STEPHEN 1128 RIVERCREST DR CHATTANOOGA , TN 37415 DENTIST RETIRED		02/16/2012	$150.00
BRYAN , MARIA 150 CLINIC DRIVE KINGSPORT , TN 37663 DENTIST SELF		03/15/2012	$150.00
BURTON , MELISSA 214 BRIDGE ST FRANKLIN , TN 37064 DENTIST SELF		03/15/2012	$150.00
CARDEN , ZACHARY 8102 PIERPOINT DR HARRISON , TN 37341 DENTIST RETIRED		01/19/2012	$150.00
CARNEY, JR. , ROBERT 311 SUMMAR DR JACKSON , TN 38301 DENTIST DENTAL ASSOCIATES, INC		03/15/2012	$150.00
CARROCCIA , ANTHONY 2088 LOWES DR STE C CLARKSVILLE , TN 37040 DENTIST ST. BETHLEHEM DENTAL CARE		01/20/2012	$150.00
CARSON , PHILIP 4600 BRAINERD RD CHATTANOOGA , TN 37411 DENTIST SELF		01/19/2012	$150.00
CARTER , TIMOTHY 151-A HATCHER LANE CLARKSVILLE , TN 37040 DENTIST SELF		01/20/2012	$150.00
CHACKO , DANNY 117 S THOMPSON ST ONEIDA , TN 37841 DENTIST SELF		01/19/2012	$225.00
COLE , ARTHUR 1829 MEMORIAL DR CLARKSVILLE , TN 37043 DENTIST CLARKSVILLE ENDODONTICS		01/20/2012	$150.00
CRISMAN , ALAN 1421 ARMOUR STREET CHATTANOOGA , TN 37412 DENTIST THE RIDGE FAMILY AND COSMETIC DENTISTRY		03/15/2012	$150.00
CROCKETT III , JOHN 111 W FAIRVIEW AVE JOHNSON CITY , TN 37604 DENTIST JOHN R. CROCKETT DDS		01/20/2012	$150.00
CROSSLEY , JAMES 8200 HULLS MILL RD TALBOTT , TN 37877 DENTIST SELF		01/19/2012	$150.00
CRUMPTON , REID 123 E EMORY RD POWELL , TN 37849 DENTIST SELF		02/16/2012	$150.00
CULLUM , PAUL 105 BERRYWOOD DR COLUMBIA , TN 38401 DENTIST SELF		01/19/2012	$300.00
CURTISS , JAMES 1507 E LAMAR ALEXANDER PKY MARYVILLE , TN 37804 DENTIST CURTISS DENTISTRY, PLLC		01/19/2012	$150.00
DIETZ , MICHAEL PO BOX 2496 COOKEVILLE , TN 38502 DENTIST SELF		01/19/2012	$150.00
DOSTER , FREEMAN 1001 CARTER STREET STE B CHATTANOOGA , TN 37402 DENTIST FREEMAN C. DOSTER DDS		02/16/2012	$150.00
DOUGLASS , JOHN 4515 HARDING RD #104 NASHVILLE , TN 37205 DENTIST SELF		03/15/2012	$150.00
DRESSLER , KEITH 6820 LEE HWY CHATTANOOGA , TN 37421 DENTIST SELF		01/19/2012	$150.00
DYCUS , RICHARD 1005 E 6TH COOKEVILLE , TN 38501 DENTIST SELF		02/16/2012	$1,075.00
DYKES , DAVID 1015 TUSCULUM BLVD GREENEVILLE , TN 37745 DENTIST SELF		02/15/2012	$150.00
EDINGTON , ERNEST 1301 PEACHERS MILL RD CLARKSVILLE , TN 37042 DENTIST SELF		02/16/2012	$150.00
ELAM , ROBERT 2125 BLAKEMORE AVE NASHVILLE , TN 37212 DENTIST SELF		01/20/2012	$150.00
ELKINS , JOSEPH 3733 HIXSON PK CHATTANOOGA , TN 37415 DENTIST JOSEPH C ELKINS, JR DDS		01/19/2012	$150.00
FAERBER , THOMAS 118 MEDICAL CT CLARKSVILLE , TN 37043 DENTIST SELF		03/16/2012	$300.00
FAIN , WALTER 2607 KINGSTON PK #185 KNOXVILLE , TN 37919 DENTIST SELF		02/16/2012	$300.00
FIELDS , ROBERT 268 BREAKERS BEND DR BUCHANAN , TN 38222 DENTIST R M FIELDS DDS PC		03/15/2012	$150.00
FOLEY , NINA 5005 MERIDIAN BLVD #190 FRANKLIN , TN 37067 DENTIST SELF		01/20/2012	$150.00
FONTENOT , PHILIP 4733 ANDREW JACKSON PKY STE 1 HERMITAGE , TN 37076 DENTIST SELF		01/20/2012	$300.00
FREEMAN , ROBERT PO BOX 9281 KNOXVILLE , TN 37940 DENTIST SELF		02/16/2012	$150.00
GARDNER , DENNIS PO BOX 129 SPRING HILL , TN 37174 DENTIST SELF		02/16/2012	$150.00
GILLIAM , PAUL 8119 ISABELLA #107 BRENTWOOD , TN 37027 DENTIST SELF		01/20/2012	$150.00
GOTCHER , JACK 1928 ALCOA HWY STE 305 KNOXVILLE , TN 37920 DENTIST UNIVERSITY ORAL SURGEONS		01/19/2012	$150.00
GREENBLATT , CHARLES 6311 KINGSTON PK STE 4E KNOXVILLE , TN 37919 DENTIST SELF		01/19/2012	$150.00
GREER , JOE 2829 LAMAR AVE MEMPHIS , TN 38114 DENTIST SELF		03/16/2012	$150.00
GRIMES , GARRY 850 OGBURN ST PARIS , TN 38242 DENTIST SELF		01/19/2012	$150.00
GUTHRIE, JR. , RICK V 728 BLUFF CITY HWY BRISTOL , TN 37620 DENTIST SELF		02/15/2012	$150.00
GUTHRIE, SR. , FRED V 728 BLUFF CITY HWY BRISTOL , TN 37620 DENTIST SELF		02/15/2012	$150.00
HARRIS , BRADLEY 1755 KIRBY PKWY STE 103 MEMPHIS , TN 38120 DENTIST MEMPHIS ENDODONTICS, PLC		01/19/2012	$200.00
HARRISON , WILLIAM PO BOX 506 MILAN , TN 38358 DENTIST DRS. HARRISON AND TUCKER		03/15/2012	$150.00
HIGHT , JAMES 1408 N HIGHLAND AVE STE 200 JACKSON , TN 38301 DENTIST ORTHODONTIC SPECIALTY GROUP PA		03/15/2012	$300.00
HNARAKIS , EMANUEL 302 LONGWOOD CT CLARKSVILLE , TN 37043 DENTIST 101ST DENTISTRY		01/20/2012	$150.00
HOLT , CHARLES 951 RIVERFRONT PKWY STE 101 CHATTANOOGA , TN 37402 DENTIST SELF		02/16/2012	$150.00
HUNTER , DOUGLAS 4905 NOLENSVILLE PK NASHVILLE , TN 37211 DENTIST SELF		01/20/2012	$150.00
HUNTER , WILLIAM L. 2578 ANTRIM CIRCLE COLUMBIA , TN 38401 DENTIST SELF		03/16/2012	$200.00
JENKINS , BRUCE 2289 NEW COLUMBIA HWY LEWISBURG , TN 37091 DENTIST SELF		01/19/2012	$150.00
JOHNSON , MICHELLE 6551 STAGE OAKS DR STE 2 BARTLETT , TN 38134 DENTIST SELF		02/16/2012	$150.00
KENNEDY , J. DALE PO BOX 1029 ATHENS , TN 37371 DENTIST DOGWOOD DENTAL CARE PLLC		01/19/2012	$150.00
KIMBALL , JAMES 951 RIVERFRONT PKY STE 303 CHATTANOOGA , TN 37402 DENTIST SELF		01/19/2012	$150.00
KIMMONS , JOSEPH 630 SHARON DR PIGEON FORGE , TN 37863 DENTIST SELF		03/15/2012	$150.00
KING , MICHAEL 2000 GREYSTONE PARK JACKSON , TN 38305 DENTIST SELF		03/15/2012	$145.00
KOEN , MARY 101 HIDDEN WAY CT HENDERSONVILLE , TN 37075 DENTIST SELF		01/20/2012	$150.00
KROPF , GARY 5575 POPLAR AVE STE 100 MEMPHIS , TN 38119 DENTIST BRIGHTON DENTAL		03/20/2012	$150.00
LAMB , K. MICHAEL 909 N WILCOX DR STE A KINGSPORT , TN 37660 DENTIST SELF		02/15/2012	$150.00
LAW , J MICHAEL 231 W OLD HICKORY BLVD MADISON , TN 37115 DENTIST SELF		01/20/2012	$300.00
LEE , ELIZABETH 5180 PARK AVE STE 280 MEMPHIS , TN 38119 DENTIST SELF		03/16/2012	$150.00
LLOYD , WILLIAM 4515 POPLAR AVE #225 MEMPHIS , TN 38117 DENTIST SELF		01/19/2012	$150.00
MAGEE , DAVID 1520 CHERRY CREEK CV HENDERSON , TN 38340 DENTIST SELF		03/15/2012	$150.00
MARTIN , ANTHONY 161 CAPITOL DR STE 101 KNOXVILLE , TN 37922 DENTIST SELF		01/19/2012	$300.00
MATHER , JON 3421 LAKESHORE DR KINGSPORT , TN 37663 DENTIST SELF		03/15/2012	$150.00
MCBRAYER , CHARLES 5022 OLD GODSEY LN STE 1 HIXSON , TN 37343 DENTIST SELF		01/19/2012	$150.00
MCCAMISH , DEWAYNE 4610 BRAINERD RD STE 3 CHATTANOOGA , TN 37411 DENTIST DRS MCCAMISH, COOPER & DYER		01/19/2012	$150.00
MCCANN, SR , BILLY 5885 RIDGEWAY CTR PKY #230 MEMPHIS , TN 38120 DENTIST SELF		02/16/2012	$150.00
MCCORD , PAUL 2222 CHAMBLISS AVE NW CLEVELAND , TN 37311 DENTIST SELF		01/19/2012	$150.00
MCCOY , J MICHAEL 1928 ALCOA HWY STE 305 KNOXVILLE , TN 37920 DENTIST UNIVERSITY ORAL & MAXILLOFACIAL SURGEONS		02/16/2012	$150.00
MCDANIEL , JAMES 951 RIVERFRONT PKWY #202 CHATTANOOGA , TN 37402 DENTIST MCDANIEL ORTHODONTICS		02/16/2012	$200.00
MCGOWAN JR , PAUL 9225 WESTLAND DR #101 KNOXVILLE , TN 37922 DENTIST SELF		03/15/2012	$150.00
MCLEMORE III , J PETER 211 OIL WELL RD JACKSON , TN 38305 DENTIST DRS MCLEMORE & MCLEMORE PA		03/15/2012	$150.00
MCNEELY , DAVID 1014 WEST G ST ELIZABETHTON , TN 37643 DENTIST DAVID E. MCNEELY, JR.		02/15/2012	$150.00
MILLER , JOHNNY 1209 RUSSELL ST UNION CITY , TN 38261 DENTIST SELF		03/15/2012	$150.00
MILLS , JAMES PO BOX 189 MILAN , TN 38358 DENTIST SELF		03/15/2012	$550.00
MILLS , KENNETH 941 HEYKOOP DR MORRISTOWN , TN 37814 DENTIST SELF		01/19/2012	$150.00
MOORE , R CHRIS 113 KENNEDY DR MARTIN , TN 38237 DENTIST MOORE DENTAL OFFICE		03/20/2012	$150.00
MOORE , W GREG 113 KENNEDY DR MARTIN , TN 38237 DENTIST MOORE DENTAL OFFICE		03/20/2012	$150.00
MYERS , WALLIN 8029 RAY MEARS BLVD KNOXVILLE , TN 37919 DENTIST SELF		01/19/2012	$150.00
NETHERTON , DAVID 304 N CHANCERY ST MCMINNVILLE , TN 37110 DENTIST SELF		02/16/2012	$150.00
NOBLIN , RALPH 205 DONNELL ST MCMINNVILLE , TN 37110 DENTIST SELF		02/16/2012	$150.00
ORWICK-BARNES , SUSAN 10434 KINGSTON PK STE 4 KNOXVILLE , TN 37922 DENTIST SELF		03/15/2012	$150.00
OSBORN , JOHN PO BOX 337 MAYNARDVILLE , TN 37807 DENTIST SELF		01/19/2012	$150.00
PACE , TONY KIM PO BOX 3247 CLARKSVILLE , TN 37043 DENTIST SELF		01/20/2012	$150.00
PAGE , TOMMY 104 LEXINGTON PLAZA LEXINGTON , TN 38351 DENTIST SELF		03/15/2012	$300.00
PATTERSON , THOMAS 776 MT MORIAH RD MEMPHIS , TN 38117 DENTIST THOMAS C. PATTERSON, DDS		03/16/2012	$150.00
PAYNE , AARON 745 S CHURCH ST #309 MURFREESBORO , TN 37130 DENTIST SELF		02/16/2012	$150.00
PELOT , REUBEN 11541 KINGSTON PK STE B KNOXVILLE , TN 37934 DENTIST REUBEN N PELOT III DDS PLLC		01/19/2012	$150.00
PETTY , JOHN 2118 N JACKSON ST TULLAHOMA , TN 37388 DENTIST JOHN E. PETTY, DMD		03/15/2012	$150.00
PITTMAN , MARTIN 101 HIDDEN FOREST CT JONESBOROUGH , TN 37659 DENTIST RETIRED		01/20/2012	$150.00
POWERS , D MICHAEL 117 N GATEWAY AVE ROCKWOOD , TN 37854 DENTIST SELF		01/19/2012	$150.00
PRIESTER III , WILLIAM 5866 RIDGE BEND RD MEMPHIS , TN 38120 DENTIST SELF		01/19/2012	$200.00
PRINCE , RANDALL 427 TROY AVE DYERSBURG , TN 38024 DENTIST SELF		03/15/2012	$150.00
PUCKETT IV , L. G. 508 N CHURCH ST LIVINGSTON , TN 38570 DENTIST SELF		02/16/2012	$625.00
RAINES , JERRIE 4845 HIXSON PK STE C HIXSON , TN 37343 DENTIST SELF		02/16/2012	$150.00
RAINEY , IRVIN 458 N PARKWAY JACKSON , TN 38305 DENTIST IRVIN M RAINEY, JR DDS PC		03/15/2012	$150.00
RAUM , RHETT 1001 SCOTTSVILLE RD LAFAYETTE , TN 37083 DENTIST SELF		03/15/2012	$200.00
REVENIG , MICHAEL 4601 BRAINERD RD CHATTANOOGA , TN 37411 DENTIST SELF		01/19/2012	$150.00
REYNOLDS , DONALD 4611 HIXSON PK HIXSON , TN 37343 DENTIST SELF		02/16/2012	$150.00
ROBINETTE , RICHARD PO BOX 40 SPRING HILL , TN 37174 DENTIST DENTISTRY BY DESIGN WELLNESS CENTER		01/19/2012	$150.00
ROCKETT III , CRAIG 200 BLUFF CITY HWY BRISTOL , TN 37620 DENTIST SELF		02/15/2012	$150.00
ROLLINS , JAMES M. 394 W MAIN ST HENDERSONVILLE , TN 37075 DENTIST SELF		01/20/2012	$150.00
RUSSELL III , THOMAS 130 PEACHTREE PLAZA BROWNSVILLE , TN 38012 DENTIST SELF		03/15/2012	$150.00
RUTHERFORD , OLIVER 9741 SPLIT LOG RD BRENTWOOD , TN 37027 DENTIST SELF		01/20/2012	$135.00
SAWRIE , STEPHEN 3635 KINGS RD CHATTANOOGA , TN 37416 DENTIST RETIRED		02/16/2012	$150.00
SAWYER , TERRY 5651 FRIST BLVD #301 HERMITAGE , TN 37076 DENTIST SELF		01/19/2012	$150.00
SCHENCK JR , KENNETH PO BOX 1446 HIXSON , TN 37343 DENTIST SELF		01/19/2012	$150.00
SCOTT , BENJAMIN 8029 RAY MEARS BLVD STE 101 KNOXVILLE , TN 37919 DENTIST SELF		01/19/2012	$150.00
SEBELIUS , CARL 2054 HARBERT AVE MEMPHIS , TN 38104 DENTIST RETIRED		02/16/2012	$300.00
SIMMONS III , H CLIFTON 1916 HAYES ST NASHVILLE , TN 37203 DENTIST H.CLIFTON SIMMONS III DDS		01/20/2012	$150.00
STANISLAV , LEON 1827 MEMORIAL DR CLARKSVILLE , TN 37043 DENTIST LEON E. STANISLAV, DDS PLLC		01/20/2012	$550.00
THOMASSON , MARK 106 E DUE WEST AVE MADISON , TN 37115 DENTIST SELF		01/20/2012	$150.00
THOMPSON , HUGH 111 UPPERMAN LN BAXTER , TN 38544 DENTIST RETIRED		02/16/2012	$150.00
TILLMAN , JOHN 400 E WATAUGA AVE JOHNSON CITY , TN 37601 DENTIST SELF		02/15/2012	$200.00
TUCKER JR , JOHN PO BOX 506 MILAN , TN 38358 DENTIST DRS. HARISON AND TUCKER		03/15/2012	$150.00
UNDERWOOD , THOMAS 4219 HILLSBORO RD #105 NASHVILLE , TN 37215 DENTIST SELF		01/20/2012	$150.00
VAUGHN , JAMES 128 HOLIDAY CT STE 111 FRANKLIN , TN 37067 DENTIST SELF		01/20/2012	$150.00
WALLACE , DEBBIE PO BOX 435 DOVER , TN 37058 DENTIST SELF		01/20/2012	$150.00
WALL III , WILLIAM 2289 RUDOLPHTOWN RD STE A CLARKSVILLE , TN 37043 DENTIST SELF		01/20/2012	$200.00
WEAKLEY , EDWARD 120 MEDICAL CT CLARKSVILLE , TN 37043 DENTIST SELF		03/16/2012	$150.00
WEBB , CHIP 708 MORGANTON SQUARE MARYVILLE , TN 37801 DENTIST SELF		03/15/2012	$150.00
WEBBER , BENJAMIN 2287 RALEIGH CT STE A CLARKSVILLE , TN 37043 DENTIST ALLIANCE ENDODONTICS		01/20/2012	$150.00
WERNER , SCOTT 6425 QUAIL HOLLOW RD STE 201 MEMPHIS , TN 38120 DENTIST WERNER ORTHODONTICS		01/19/2012	$150.00
WILES , KAY 2419 CHRISTMASVILLE CV JACKSON , TN 38305 DENTIST SELF		03/15/2012	$150.00
WILLIAMS , JOHN 206 MURRAY GUARD DR JACKSON , TN 38305 DENTIST WEST TN PEDIATRIC DENTAL GROUP		03/15/2012	$150.00
WOODS , ELENORA 6425 BONNY OAKS DR CHATTANOOGA , TN 37416 DENTIST SELF		03/15/2012	$150.00
WRIGHT, JR. , RONALD S 3308 RUNNING SPRINGS CT FRANKLIN , TN 37064 DENTIST SELF		01/20/2012	$300.00
WRIGHT , MELVIN 340 N HAYS AVE JACKSON , TN 38301 DENTIST SELF		03/20/2012	$150.00
YOUNG , STANLEY 1360 FLOWERING DOGWOOD LN DYERSBURG , TN 38024 DENTIST SELF		03/15/2012	$150.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	Date	Amount
CAMPBELL , SCOTTY 632 SOUTH SHADY ST. MOUNTAIN CITY , TN 37683	C	CONTRIBUTION			09/01/2011	[ $300.00 ]
CAMPFIELD , STACEY 2011 FLAGLER KNOXVILLE , TN 37912	C	CONTRIBUTION			09/01/2011	[ $500.00 ]

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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