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Annual Year End Supplemental (2021) for CAMP PAC submitted on 01/31/2022

Beginning Balance

$3,908.77

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
BRADLEY , M. BART
3185 W STATE ST STE 2010
BRISTOL , TN 37620
PHYSICIAN
MOUNTAIN EMPIRE EYE PHYSICIANS PLLC
04/16/2012 $250.00
MAHAN , BEN
926 N. JACKSON ST
TULLAHOMA , TN 37388-2300
PHYSICIAN
EYE MD OPHTHALMOLOGY
04/16/2012 $150.00
MAHAN , BEN
926 N. JACKSON ST
TULLAHOMA , TN 37388-2300
PHYSICIAN
EYE MD OPHTHALMOLOGY
02/21/2012 $150.00
MAHAN , BEN
926 N. JACKSON ST
TULLAHOMA , TN 37388-2300
PHYSICIAN
EYE MD OPHTHALMOLOGY
01/17/2012 $150.00
NORRIS, M. D. , HUNTER
1100 N. JACKSON STREET
TULLAHOMA , TN 37388
PHYSICIAN
SELF
02/21/2012 $500.00
TN ACADEMY OF OPHTHALMOLOGY
P. O. BOX 681806
FRANKLIN , TN 37068
01/30/2012 $6,000.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$12,675.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$12,675.00

Disbursements

Expenditures, Unitemized
Purpose Amount
CREDIT CARD PROCESS $62.62
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$9,600.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$9,600.00

Ending Balance

ENDING BALANCE
$6,983.77


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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