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Amended Annual Year End Supplemental (2009) for TENNESSEE EMERGENCY MEDICINE PAC submitted on 07/08/2010

Beginning Balance

$31,038.61

Receipts

Monetary Contributions, Unitemized
$3,100.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
MINOR , TRINA
4412 DOWDY DR
ANTIOCH , TN 37013
SALES COACH CONSUMER CRC
BELLSOUTH TELECOMMUNICATIONS INC.
03/31/2012 $119.59
MORTON , GREGG
304 OAK ST
CLEMSON , SC 29631
PRESIDENT- AT&T SOUTHEAST RE
AT&T SERVICES, INC
03/31/2012 $500.00
VAN DYKE , JEFFERY A
1727 KINGSBURG DRIVE
NASHVILLE , TN 37215
EXEC DIR EXTERNAL AFFAIRS
AT&T SERVICES INC
03/31/2012 $125.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$3,100.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$47.31
TOTAL RECEIPTS
$3,147.31

Disbursements

Expenditures, Unitemized
Purpose Amount
ANNUAL PAC FEE $100.00
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$9,356.83

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$9,356.83

Ending Balance

ENDING BALANCE
$24,829.09


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
Contributor C/P Details Date Amount
AT&T
909 CHESTNUT STREET 29TH FLOOR
ST LOUIS , MO 63101
ADMINISTRATIVE COSTS 03/31/2012 $250.00
AT&T
909 CHESTNUT STREET 29TH FLOOR
ST LOUIS , MO 63101
USPS CERTIFIED MAIL 03/14/2012 $6.60
AT&T
909 CHESTNUT STREET 29TH FLOOR
ST LOUIS , MO 63101
USPS CERTIFIED MAIL 03/13/2012 $5.75
AT&T
909 CHESTNUT STREET 29TH FLOOR
ST LOUIS , MO 63101
USPS CERTIFIED MAIL 01/27/2012 $3.40
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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