Annual Year End Supplemental (2015) for JOBS4TN PAC submitted on 02/01/2016
Beginning Balance
$17,824.70
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
ARCHER
, DAVID
2594 HOCKSETT COVE GERMANTOWN , TN 38139 CEO SAINT FRANCIS HOSPITAL |
06/18/2012 | $1,000.00 | |
|
ARNOLD
, BOBBY
15 GARDEN DR JACKSON , TN 38305 CEO WEST TENN HEALTH CARE |
05/09/2012 | $1,000.00 | |
|
BERRY
, BETH
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSO |
06/05/2012 | $252.00 | |
|
CLARKE
, CHRIS
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSOC |
06/05/2012 | $130.44 | |
|
DIETRICH
, MIKE
5201 VIRGINIA WAY BRENTWOOD , TN 37027 VP TENN HOSPITAL ASSOC |
06/05/2012 | $125.04 | |
|
GIESE
, CHRIS
5201 VIRGINIA WAY BRENTWOOD , TN 37027 VP TENN HOSPITAL ASSOC. |
06/07/2012 | $130.02 | |
|
GOODLOE
, JIM
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSOC |
06/07/2012 | $250.02 | |
|
HUGGINS
, MIKE
500 INTERSTATE BLVD., S NASHVILLE , TN 37210 SENIOR EXECUTIVE CONSULTANT TENN HOSPITAL ASSOC |
06/05/2012 | $250.02 | |
|
JOLLEY
, BILL
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSOC |
06/05/2012 | $125.04 | |
|
LITTLE
, JASON
11856 MONTEREY ROAD EADS , TN 38028 PRESIDENT & CEO BAPTIST MEMORIAL HEALTH CARE CORP |
06/20/2012 | $1,000.00 | |
|
LOVING
, RONALD
3177 FOREST SHADOWS DR. CHATTANOOGA , TN 37421 BOARD MBR-ERLANGER HEALTH SYSTEM RETIRED |
06/25/2012 | $350.00 | |
|
MEDLEY
, MARK
2818 POPLAR SPRINGS ROAD COOKEVILLE , TN 38506 PRESIDENT CAPELLA HEALTHCARE, INC |
04/18/2012 | $750.00 | |
|
OTWELL
, ROBERT
3401 HAWKS RIDGE ROAD COLUMBIA , TN 38401 CEO MAURY REGIONAL HEALTH CARE SYSTEM |
05/09/2012 | $1,000.00 | |
|
SILER
, CINDY
500 INTERSTATE BLVD., SOUTH NASHVILLE , TN 37210 DEPUTY DIRECTOR TENN HOSPITAL ASSOC |
06/07/2012 | $120.00 | |
|
TALBERT
, JILL
500 INTERSTATE BLVD., S NASHVILLE , TN 37210 SVP TENN HOSPITAL ASSOC |
06/05/2012 | $125.04 | |
|
TOWNS
, LETICIA
2429 VERDUN MEMPHIS , TN 38114 SR. VP EXTERNAL RELATIONS REGIONAL ONE HEALTH |
06/05/2012 | $350.00 | |
|
UTLEY
, KAREN
400 KINNER ROAD GADSDEN , TN 38337 VP SYSTEMS SERVICES WEST TENN HEALTH CARE |
05/09/2012 | $350.00 | |
|
WALTERS
, GWYN
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSOC |
06/05/2012 | $125.04 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$49,000.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$49,000.00
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| FEX EX | $17.61 |
| POSTAGE | $4.05 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
AHAPAC
800 10TH ST, NW, TWO CITY CTR, STE 400 WASHINGTON , DC 20001 |
CONTRIBUTION | 06/19/2012 | $7,915.00 | ||||
|
AHAPAC
800 10TH ST, NW, TWO CITY CTR, STE 400 WASHINGTON , DC 20001 |
CONTRIBUTION | 04/13/2012 | $5,350.00 | ||||
|
PURYEAR, HAMILTON, HAUSMAN & WOOD
1000 CORPORATE CENTRE DR., STE 200 FRANKLIN , TN 37067 |
AUDIT FEES | 06/14/2012 | $1,302.25 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$0.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$0.00
Ending Balance
ENDING BALANCE
$66,824.70
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