4th Quarter for INSURORS OF TN PAC submitted on 01/24/2011

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
AMIOT , CAROLYN E. 106 BONAVENTURE PLACE NASHVILLE , TN 37205 RETIRED		02/08/2012	$200.00
ANDERSON , STUART 101 GILLESPIE DR, APT 13304 FRANKLIN , TN 37067 PRIVATE INVESTOR SELF-EMPLOYED		09/19/2012	$600.00
BARLAR , JERRY 7133 SUNRISE CIRCLE FRANKLIN , TN 37067 FACILITY ADMINISTRATOR STATE OF TENNESSEE		03/21/2012	$200.00
BEAMAN , LEE 1525 BROADWAY NASHVILLE , TN 37203 CEO BEAMAN AUTOMOTIVE GROUP		03/24/2012	$1,000.00
BURRELL , EDWARD 912 FIRESIDE COURT BRENTWOOD , TN 37027 CONSULTANT SELF		03/21/2012	$500.00
CLOUD , TONY 134 HILLS HOLLOW ROAD GOODLETTSVILLE , TN 37072 SELF EMPLOYED SELF EMPLOYED		03/28/2012	$150.00
ISBELL , ROBERT E. 238 HARPETH HILLS DR. KINGSTON SPRINGS , TN 37082 AGENT AMERICAN GENERAL LIFE & ACCIDENT		03/28/2012	$250.00
MAXWELL , LARRY 614 SUMMERWIND NASHVILLE , TN 37215 CONTRACTOR SELF		03/28/2012	$250.00
MCMURTRY , TRACY D. 2330 BAKER ROAD GOODLETTSVILLE , TN 37072 OWNER FRANKLIN MOTOR COMPANY		03/28/2012	$500.00
SETHI , MAYA 4432 CURTISWOOD CIRCLE NASHVILLE , TN 37204 HOMEMAKER		03/21/2012	$250.00
SMITH , GAYLON 1704 STEWARTS FERRY PIKE HERMITAGE , TN 37076 SALES STEINHOUSE SUPPLY		03/28/2012	$150.00
WILLIAMSON , CHARLES D. 2360 BAKER ROAD GOODLETTSVILLE , TN 37072 GEOLOGIST-FARMER SELF EMPLOYED		03/05/2012	$5,000.00

Loan Source	Election Rec'd For	Date	Amount
Self-Endorsed	Primary	03/29/2012	$95,000.00

Disbursements

Purpose	Amount
BANK FEES	$10.00
BANK FEES	$23.20
BANK FEES	$24.00
EVENT DECORATIONS	$94.57
OFFICE SUPPLIES	$49.99
POSTAGE	$40.50
POSTAGE	$45.00
USPS PO BOX	$76.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
AMBROSE PRINTING COMPANY PO BOX 280387 NASHVILLE , TN 37228		PRINTING				03/21/2012	$176.22
AMBROSE PRINTING COMPANY PO BOX 280387 NASHVILLE , TN 37228		PRINTING				03/12/2012	$724.00
BESTDECAL.COM 1036 W 23RD ST TEMPE , AZ 85282		PROMOTIONAL BUMPER STICKER				02/15/2012	$509.99
MOTIVATORS, INC. 123 FROST STREET, SUITE 201 WESTBURY , NY 11590		PROMOTIONAL EMERY BOARDS				02/15/2012	$520.00
OFFICE DEPOT 4504 HARDING ROAD NASHVILLE , TN 37205		PRINTING				03/16/2012	$174.58
OFFICEMAX 3161 LEBANON PIKE NASHVILE , TN 37214		PRINTING				03/28/2012	$103.61
WALMART 1550 NASHVILLE RD FRANKLIN , KY 42134		FOOD / BEVERAGE				03/25/2012	$109.72

Loan Source	Payment
Self-Endorsed	$600.00

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
Self-Endorsed	$0.00	$600.00	$94,400.00

In-Kind Contributions

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

Contributor	C/P	Details	Date	Amount
HASKINS , TOOTIE 3415 WEST END AVENUE, #401 NASHVILLE , TN 37203 RETIRED		Printing	02/05/2012	$136.56
HASKINS , TOOTIE 3415 WEST END AVENUE, #401 NASHVILLE , TN 37203 RETIRED		Printing Business Cards	02/09/2012	$29.02
HASKINS , TOOTIE 3415 WEST END AVENUE, #401 NASHVILLE , TN 37203 RETIRED		Printing Business Cards	02/09/2012	$163.66
SETHI , MAYA 4432 CURTISWOOD CIRCLE NASHVILLE , TN 37204 HOMEMAKER		Beverages	03/19/2012	$129.89
SETHI , MAYA 4432 CURTISWOOD CIRCLE NASHVILLE , TN 37204 HOMEMAKER		Food and Beverages	03/19/2012	$214.00

Obligations

Obligations are not included in the report ending balance.

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