Amended Pre-Primary for CAS-PAC submitted on 09/12/2012

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
HOMETOWN PHARMACY PAC 750 OLD HICKORY BLVD., BUILDING 2, STE. 150 BRENTWOOD , TN 37027	P	07/01/2012	$1,000.00
INSURORS OF TN PAC 2500 21ST AVE. SOUTH, SUITE 200 NASHVILLE , TN 37212	P	07/12/2012	$500.00
ROLLING HILLS HOSPITAL 2014 QUAIL HOLLOW RD FRANKLIN , TN 37067		07/06/2012	$250.00
TENNESSEE RETAIL ASSOCIATION PAC 414 UNION STREET, SUITE 1007 NASHVILLE , TN 37219	P	07/13/2012	$500.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
GOTTO , JIM 5108 JOHN HAGAR ROAD HERMITAGE , TN 37076	C	CONTRIBUTION				07/02/2012	$1,000.00
MILLER , DON 987 MOUNTAIN LAUREL RD. MORRISTOWN , TN 37814	C	CONTRIBUTION				07/19/2012	$500.00

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
CASADA , GLEN 4893 BETHESDA-DUPLEX RD COLLEGE GROVE , TN 37046	$112.58	$0.00	$112.58

In-Kind Contributions

In-Kind Contributions are not included in the report ending balance.

Obligations

Obligations are not included in the report ending balance.

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