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Pre-Primary for CONCERNED HEALTHCARE EXECUTIVES PAC submitted on 07/28/2016

Beginning Balance

$33,892.17

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
MILLER, JR. , ANDREW M.
4124 NEW HWY 96
FRANKLIN , TN 37064
DIRECTOR
HEALTHMARK VENTURES
01/24/2012 $10,000.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$2,750.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$2,750.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
NOSHVILLE RESTAURANT
4014 HILLSBORO RD.
NASHVILLE , TN 37215
FOOD / BEVERAGE 02/07/2012 $25.47
TENNESSEE REGISTRY OF ELECTION FINANCE
404 JAMES ROBERTSON PKWY
NASHVILLE , TN 37243
FEE 02/07/2012 $100.00
Loan Payments
Loan Source Payment
SMITH , JOSHUA
167 ROSA L. PARKS BLVD.
NASHVILLE , TN 37203
REAL ESTATE
SELF EMPLOYED
$100.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$0.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$0.00

Ending Balance

ENDING BALANCE
$36,642.17


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$0.00
Loans Beg Balance Paid End Balance*
SMITH , JOSHUA
167 ROSA L. PARKS BLVD.
NASHVILLE , TN 37203
$100.00 $100.00 $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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