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2016 4th Quarter for JOEY HENSLEY submitted on 01/25/2017

Beginning Balance

$145,124.39

Receipts

Monetary Contributions, Unitemized
$300.00
Monetary Contributions, Itemized
Contributor C/P Rec'd For Date Amount Aggregate
GREEN , MARK
1600 OAK PLAINS RD
ASHLAND CITY , TN 37015
PHYSICIAN
ALIGN MD
06/26/2012 $250.00 $250.00
STREET , RICH
624 28TH STREET N
BIRMINGHAM , AL 35203
CEO
ARISTOI AR
06/29/2012 $5,000.00 $5,000.00
WINEGAR , WIN
126 W. OBSERVATORY WAY
CLARKSVILLE , TN 37040
PHYSICIAN ASSISTANT
ALIGN MD
06/28/2012 $3,000.00 $3,000.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$9,675.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$10.82
TOTAL RECEIPTS
$9,685.82

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose Date Amount
GREEN , MARK E.
1600 OAK PLAINS ROAD
ASHLAND CITY , TN 37015
C CONTRIBUTION 06/29/2012 $8,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$18,719.92

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$18,719.92

Ending Balance

ENDING BALANCE
$136,090.29


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
$121.00

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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