Annual Mid Year Supplemental (2023) for TENNESSEE ANESTHESIOLOGISTS PAC submitted on 07/02/2023

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ABRAHAM , JANICE 2 WISCONSIN CIR FL 4 CHEVY CHASE , MD 20815 PRESIDENT AND CEO UNITED EDUCATORS INS		08/01/2012	$1,200.00
AJELLO , JOHN 14280 PARK MEADOW DR CHANTILLY , VA 20151 DIRECTOR LIFE SCIENCES MEDMARC INSURANCE		08/06/2012	$200.00
ALESSANDRINI , STEVEN 180 GENESEE STREET NEW HARTFORD , NY 13413 SYSTEMS SUPERVISOR UTICA NATIONAL INSURANCE GROUP		08/15/2012	$200.00
ANDERSON , JOHN 1111 E TOUHY AVE STE 300 DES PLAINES , IL 60018 PRESIDENT AND CO FOUNDERS INSURANCE GROUP		07/27/2012	$500.00
BALDWIN , KRISTINA 90 S SWAN ST STE 400 ALBANY , NY 12210 ASST VP STATE GOVT RELATIONS PROERTY CASUALTY INSURORS		09/27/2012	$150.00
BERGIN , BRIAN 180 GENESEE ST NEW HARTFORD , NY 13413 AVP CLAIMS UTICA NATIONAL INSURANCE GROUP		09/26/2012	$200.00
BIZE , PIERE 2121 N CALIFORNIA BLVD WALNUT CREEK , CA 94546 PRESIDENT AND CHIEF EXECUTIVE CIVIL SERVICE EMPLOYEES		09/18/2012	$240.00
BLUME , PAUL 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 SR VP STATE GOVT RELATIONS PROPERTY CASUALTY INSURERS		09/27/2012	$375.00
BRIGGS , BLAINE 9516 AIRLINE HWY BATON ROUGE , LA 70815 EXEC VP LOUISIANA FARM BUREAU		09/14/2012	$200.00
BRINE , D. KENTON 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 ASST VP STATE GOVT RELATIONS PROPERTY CASUALTY INSURERS		09/27/2012	$250.00
BROADIE , STEPHEN 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 VICE PRESIDENT FINANCIAL POLICY PROPERTY CASUALTY INSURERS		09/27/2012	$125.00
BUCK , LEON 444 N CAPITOL ST NW STE 801 WASHINGTON , DC 20001-1508 ASSISTANT VICE PRESIDENT PCI		09/27/2012	$125.00
BUELL , DALE 180 GENESEE ST NEW HARTFORD , NY 13413 MGR UTICA NATIONAL INSURANCE GROUP		09/26/2012	$225.00
BUFKIN , BARBARA PO BOX 469011 SAN ANTONIO , TX 78246 EXECUTIVE VICE PRESIDENT ARGO GROUP US		09/14/2012	$1,200.00
CARHART , JAMES 180 GENESEE ST NEW HARTFORD , NY 13413 VP SR INFORMATION SERVICES OFFICER UTICA NATIONAL INSURANCE		08/10/2012	$500.00
CHIDDICK , GERALD 26777 HALSTED RD FARMINGTON , MI 48331-3577 VICE PRESIDENT OF MARKETING AMERISURE COMPANIES		09/26/2012	$250.00
CIGELNIK , RANDI 2600 S RIVER RD DES PLAINES , IL 60018-3203 SENIOR VP, CORPORATE PCI		09/27/2012	$250.00
CLAUSEN , BRETT 5400 UNIVERSITY AVENUE WEST DES MOINES , IA 50266 INSURANCE EXECUTIVE FBL FINANCIAL GROUP		09/21/2012	$200.00
CLEMENT , KEVIN 26777 HALSTED RD FARMINGTON , MI 48331-3577 DIRECTOR OF ENTERPRISE RISK AMERISURE COMPANIES		09/26/2012	$125.00
COHEN , PAUL 180 GENESEE ST NEW HARTFORD , NY 13413 SENIOR ASSOCIATE ACTUARY UTICA NATIONAL INSURANCE		07/31/2012	$240.00
COX , RAYMOND 180 GENESEE ST NEW HARTFORD , NY 13413 SENIOR VICE PRESIDENT UTICA NATIONAL INSURANCE		07/25/2012	$240.00
CRANDALL , RICHARD 180 GENESEE ST NEW HARTFORD , NY 13413 ACTUARY UTICA NATIONAL INSURANCE		07/27/2012	$200.00
DALY , DANIEL 180 GENESEE ST NEW HARTFORD , NY 13413 VP SENIOR MARKETING OFFICER UTICA NATIONAL INSURANCE		08/31/2012	$500.00
DARR-MCGINLEY , MARY 100 STATE AUTO BLVD GOODLETTSVILLE , TN 37072 REGIONAL VICE PRESDIENT STATE AUTO INSURANCE		08/22/2012	$201.20
DAVEY , MARK 4905 BELFORT RD STE 110 JACKSONVILLE , FL 32256 PRES AND CEO FIDELITY		09/24/2012	$3,000.00
DIETERLE , MICHAEL 47202 WHITE PINES DR NOVI , MI 48374 VP FLD MKT & UNDERWRITING AMERISURE CO		09/26/2012	$300.00
DONALDSON , B. J. 7420 FISH POND RD WACO , TX 76710 VP TX FARM BUREAU		09/05/2012	$175.00
DONNELLY , VINCENT 380 SENTRY PARKWAY BLUE BELL , PA 19422 PRESIDENT & CEO PMA INSURANCE GROUP		09/10/2012	$150.00
EELLS , CHRIS 180 GENESEE ST NEW HARTFORD , NY 13413 RESIDENT VP UTICA NATIONAL INSURANCE		08/17/2012	$500.00
ELBERG , IRINA 10101 REUNION PL SAN ANTONIO , TX 78216 VIE PRESIDENT ARGO GROUP US		09/10/2012	$240.00
ENGLISH , STEVEN 6608 CARINLOUGH PL DUBLIN , OH 43016 VICE PRESIDENT STATE AUTO INSURANCE		07/27/2012	$250.00
FARMERS MUTUAL HAIL INS CO OF IOWA 2323 GRAND AVE DES MOINES , IA 50312		09/26/2012	$2,000.00
FOX , MARK 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 VP SPECIAL RISK UNDERWTITING AMERISURE CO		09/26/2012	$250.00
GALLINGER , KURT 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 VP GOV REL & COUNSELOR AMERISURE CO		09/26/2012	$375.00
GENDERS , LEONARD 518 E BROAD ST COLUMBUS , OH 43215 ASST VICE PRESIDENT STATE AUTO INSURANCE		09/04/2012	$241.00
GERIK , MICHAEL 7420 FISH POND RD WACO , TX 76710 EXEC VP TX FARM BUREAU		09/19/2012	$600.00
GILLESPIE , TREY 700 LAVACA ST STE 1400 AUSTIN , TX 78701 SR DIRECTOR PCI		09/27/2012	$125.00
GORDON , ROBERT 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 SR VP POLICY DEV ADN RESEARCH PROPERTY CASUALTY INSURERS		09/27/2012	$125.00
GRAF , DANIEL 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 VP INVESTMENTS AMERISURE		09/26/2012	$250.00
GRAY , ANN 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 ASST TO PRESIDENT & DIRECTOR PROPERTY CASUALITY INSURERS		09/27/2012	$125.00
GRIFFIN , DONALD 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 VICE PREISENT PERSONAL LINES PROPERTY CASUALITY INSURERS		09/27/2012	$125.00
GRIFFIN , JOHN 180 GENESEE ST NEW HARTFORD , NY 13413 UNDERWTITING MANAGER UTICA NATIONAL INSURANCE GROUP		08/14/2012	$500.00
HAAS , DEBORAH 1 AUTO CLUB DR DEARBORN , MI 48126 INSURANCE EXEC AUTO CLUB		07/25/2012	$240.00
HARDEN , GREGORY 180 GENESEE ST NEW HARTFORD , NY 13413 DIRECTOR UTICA NATIONAL INSURANCE		08/24/2012	$500.00
HAUSSERMAN , DIANE 180 GENESEE ST NEW HARTFORD , NY 13413 ASST VICE PRESIDENT UTICA NATIONAL INSURANCE		09/18/2012	$500.00
HILL , ROBERT 260 INTERSTATE NORTH CIRCLE ATLANTA , GA 30339 PRESIDENT ASSURANT INSURANCE		09/19/2012	$2,000.00
HOEG , THOMAS 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 EXECUTIVE VP COO AMERISURE CO		09/26/2012	$250.00
HOLMES , JUNE 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 TREASURER & COO PROPERTY CASUALTY INSURERS		09/27/2012	$750.00
ISLER , MICAELA 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 REGIONAL MGR STATE GOVT RELATIONS PROPERTY CASUALTY INSURERS		09/27/2012	$250.00
JOYNER , SCOTT 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 VICE PRESIDENT INFORMATION TECH PROPERTY CASUALTY INSURERS		09/27/2012	$275.00
KALAFER , STEVE 301 SULLIVAN WAY EWING , NJ 08628 DIRECTOR NJM INSURANCE		09/19/2012	$240.00
KAY , BRUCE 4521 HIGHWOODS PKWY GLEN ALLEN , VA 23060 VP MARKEL CORP		09/21/2012	$250.00
KEMPER , KIMBERLEY 7420 FISH POND RD WACO , TX 76710 VP TX FARM BUREAU		09/05/2012	$175.00
KERN , BRIAN 14280 PARK MEADOW DR CHANTILLY , VA 20151 CORPORATE COUNSEL MEDMARC INS GROUP		09/18/2012	$300.00
KIFT , PHILIP 654 MAIN ST ROCKWOOD , PA 15557 VP ROCKWOOD		09/14/2012	$200.00
KINNAN , ROY 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 SR VP CFO & TREASURER AMERISURE CO		09/26/2012	$125.00
KOCEK , GREGORY 7420 FISH POND RD WACO , TX 76710 CIO TX FARM BUREAU		09/19/2012	$225.00
KUIKEN , DOUGLAS 301 SULLIVAN WAY EWING , NJ 08628 DIRECTOR NJM INSURANCE		09/10/2012	$1,200.00
LAMBERT , CATHERINE 180 GENESEE ST NEW HARTFORD , NY 13413 DIRECTOR OF UNDERWRITING UTICA NATIONAL INSURANCE		08/06/2012	$150.00
LEVINSON , LOUIS 10101 REUNION PL STE 500 SAN ANTONIO , TX 78216 PRESIDENT EXCESS ARGO		08/31/2012	$201.20
LITJEN , THOMAS 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 VP FEDERAL GOVT RELATIONS PROPERTY CASUALTY INSURERS		09/27/2012	$520.85
LOWERY , EDWARD 1645 EAST BIRCHWOOD AVENUE DES PLAINES , IL 60018 ASSITANT VP CLAIMS FOUNDERS INSURANCE		08/06/2012	$200.00
LUEDEKE , J. BARTON 301 SULLIVAN WAY EWING , NJ 08628 DIRECTOR NJM INSURANCE		09/10/2012	$240.00
LYTWYNEC , BRIAN 180 GENESEE ST NEW HARTFORD , NY 13413 PRESIDENT UTICA NATIONAL INSURANCE		09/05/2012	$750.00
MANFREDO , ROBERT 180 GENESEE ST NEW HARTFORD , NY 13413 DIRECTOR OF CASUALTY UTICA NATIONAL INSURANCE		08/17/2012	$500.00
MANNA , DEIRDRE 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 VP INDUSTRY REGULATORY AND POLITICAL AFF PROPERTY CASUALTY INSURERS		09/27/2012	$250.00
MARCINCZYK , AMY 1 AUTO CLUB DRIVE DEARBORN , MI 48126 AUTO CLUB GROUP		07/31/2012	$125.00
MATT , NICHOLAS 180 GENESEE ST NEW HARTFORD , NY 13413 DIRECTOR UTICA NATIONAL INSURANCE		07/25/2012	$500.00
MCCARTHY , TIMOTHY PO BOX 2690 WACO , TX 76702 VP TX FARM BUREAU		09/19/2012	$270.00
MCSHANE , CHARLES 10 N PARK DR STE. 200 HUNT VALLEY , MD 21030 PRESIDENT STATE AUTO INSURANCE		08/08/2012	$150.00
MCWILLIAMS , ALEXANDER 301 SULLIVAN WAY EWING , NJ 08628 DIRECTOR NJM INSURANCE		09/10/2012	$201.20
MICHALSKI , MATTHEW 1685 N OPDYKE RD AUBURN HILLS , MI 48326 REGIONAL CLAIMS MGR AUTO CLUB GROUP		09/21/2012	$250.00
MOORE , J. DAVID 1817 W. BROADWAY COLUMBIA , MO 65203 PRESIDENT AND CEO SHELTER INS CO		07/25/2012	$1,000.00
MULLEN , JOHN 1281 MURFREESOBO PK NASHVILLE , TN 37217-2423 CHIEF EXECUTIVE OFFICER DIRECT GENERAL GROUP		09/18/2012	$250.00
MURPHY , KAREN 14280 PARK MEADOWS DR CHANTILLY , VA 20151 SR VP BUSINESS MEDMARC INS GROUP		09/18/2012	$300.00
NAGJI , FARID 10101 REUNION PL STE 500 SAN ANTONIO , TX 78216 SR VP ARGO GROUP		08/29/2012	$600.00
ORFANOS , JOANNE 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 SR VP MEMBERSHIP & MARKETING PROPERTY CASUALTY INSURERS		09/27/2012	$250.00
ORTH , LEO 5400 UNIVERSITY AVENUE WEST DES MOINES , IA 50266 INSURANCE EXECUTIVE FBL FINANCIAL GROUP		09/21/2012	$120.00
OSTERGREN , GREGORY 1949 EAST SUNSHINE ST SPRINGFIELD , MO 65899 CHAIRMAN PRESIDENT & CEO AMERICAN NATIONAL PROPERTY CASUALTY		09/19/2012	$600.00
PLATT , DANIEL 10101 REUNION PL STE 500 SAN ANTONIO , TX 78216 VP ARGO GROUP		09/10/2012	$300.00
PORADZISZ , SHARON 1645 BIRCHWOOD AVE DES PLAINES , IL 60018 VICE PRESIDENT PERSONAL LINES FOUNDERS INSURANCE		08/15/2012	$240.00
PROPERTY CASUALTY INSURERS ASSOCIATION O 8700 W BRYN MAWR AVE CHICAGO , IL 60631		09/27/2012	$728.44
PURYEAR , WILLIAM 7420 FISH POND RD WACO , TX 76710 MGR TX FARM BUREAU		09/05/2012	$205.00
QUINN , TIMOTHY 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 VP TREASURY AMERISURE CO		09/26/2012	$125.00
RAIMONDI , MICHAEL 175 E HOUSTON ST STE 1300 SAN ANTONIO , TX 78205 VICE PRESIDENT ARGO GROUP US INC		09/14/2012	$500.00
RAND , DAVID 301 SULLIVAN WAY EWING , NJ 08628 DIRECTOR NJM INSURANCE		09/10/2012	$200.00
REED , TIMOTHY 180 GENESEE ST NEW HARTFORD , NY 13413 BOARD OF DIRECTORS UTICA		09/10/2012	$240.00
ROMANO , LINDA 180 GENESEE ST NEW HARTFORD , NY 13413 DIRECTOR UTICA NATIONAL INSURANCE		08/06/2012	$500.00
ROSS , ROBERT 1685 N OPDYKE RD AUBURN HILLS , MI 48326 VP AUTO CLUB GROUP		07/25/2012	$480.00
RUTHRUFF , TODD 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 VP AGENCY SER GRP AMERISURE CO		09/26/2012	$125.00
SAMPSON , DAVID 444 N CAPITOL ST. NW, STE 801 WASHINGTON , DC 20001 PRESIDENT AND CEO PROPERTY CASUALTY INSURERS		09/27/2012	$1,055.65
SCHAFFER , BART 10101 REUNION PL SAN ANTONIO , TX 78216 DIRECTOR ARGO GROUP US		09/10/2012	$250.00
SCHNEIDER , TREY 7420 FISH POND RD WACO , TX 76710 DIRECTOR OF FINANCE TX FARM BUREAU		09/05/2012	$175.00
SCHOLL , ERIC 180 GENESEE ST NEW HARTFORD , NY 13413 INSURANCE EXECUTIVE UTICA NATIONAL INSURANCE		07/31/2012	$500.00
SEIBEL , DONALD 5400 UNIVERSITY AVENUE WEST DES MOINES , IA 50266 INSURANCE EXECUTIVE FBL FINANCIAL GROUP		09/21/2012	$120.00
SHATRAW , SCOTT 5981 AIRPORT RD ORISKANY , NY 13424 CFO UTICA FIRST INS CO		09/18/2012	$125.00
SHELTER MUTUAL INSURANCE COMPANY FEDERAL 1817 WEST BROADWAY COLUMBIA , MO 65218		08/24/2012	$5,000.00
SIEGWORTH , LORRAINE 518 E BROAD ST COLUMBIA , OH 43215 DIRECTOR STATE AUTO INS CO		07/25/2012	$250.00
SIGMON , HANK 5301 GLENWOOD AVE RALEIGH , NC 27612 INSURANCE EXEC NC FARM BUREAU		09/21/2012	$125.00
SIMMONDS , MARK 3055 OAK ROAD WALNUT CREEK , CA 94597 VICE PRESIDENT CALIFORNIA STATE AUTOMOBILE ASSN		09/24/2012	$1,200.00
SMITH , DON 26777 HLASTED ROAD FARMINGTON HILLS , MI 48331 VP CLAIMS AMERISURE CO		09/26/2012	$125.00
STATE AUTO EMPLOYEES FED PAC 518 EAST BROAD ST COLUMBUS , OH 43215		09/05/2012	$5,000.00
STEPHENS , JOHN 7420 FISH POND RD WACO , TX 76710 ASSOCIATE GENERAL COUNSEL TX FARM BUREAU INS		09/05/2012	$175.00
STERN , EDWARD 301 SULLIVAN WAY EWING , NJ 08628 DIRECTOR NJM INSURANCE		09/10/2012	$2,700.00
STOCKWELL , FRANCIS 14280 PARK MEADOW DR CHANTILLY , VA 20151 CHIEF UNDERWRITING OFFICER MEDMARC INS GROUP		08/08/2012	$240.00
STONIS , ANTHONY 301 SULLIVAN WAY EWING , NJ 08628 DIRECTOR NJM INSURANCE		09/14/2012	$1,200.00
SYCHTYSZ , ANTHONY 180 GENESEE ST NEW HARTFORD , NY 13413 RESIDENT VP UTICA		08/17/2012	$500.00
SZMAGAJ , DEBRA 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 VP BUS APPLICATION SERV AMERISURE CO		09/26/2012	$150.00
TORTORELLO , MARGUERITE 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 SR VICE PRESIDENT PROPERTY CASUALTY INSURERS		09/27/2012	$250.00
VALLOR , JOHN 3055 OAK RD WALNUT CREEK , CA 94547 VICE PRESIDENT AAA NORTHERN CALIFORNIA		09/24/2012	$250.00
VINCENT , SUSAN 26777 HALSTED ROAD FARMINGTON HILLS , MI 48331 VP GENERAL COUNSEL AMERISURE CO		09/26/2012	$250.00
WALSH , TIMOTHY 344 ROUTE 9W GLENMONT , NY 12077-2910 PRESIDENT, CHIEF EXECUTIVE OFFICER FARM FAMILY CASUALTY INSURANCE		09/26/2012	$250.00
WENSEL , DEBORAH 2600 S RIVER RD DES PLAINES , IL 60018 SR VP PCI		09/27/2012	$500.00
WILBORN , ROBERT 7420 FISH POND RD WACO , TX 76710 INSURANCE EXEV TX FARM BUREAU		09/19/2012	$225.00
WILLIAMS , JACK 1800 EAST COUNTY LINE ROAD RIDGELAND , MS 39157 EXECUTIVE VICE PRESIDENT & CEO SOUTEHRN FARM BUREAU		08/10/2012	$300.00
WILLIAMS , STEVE 7420 FISH POND RD WACO , TX 76710 VP TX FARM BUREAU		09/05/2012	$175.00
WITTMUSS , STEVEN 5400 UNIVERSITY AVENUE WEST DES MOINES , IA 50266 PROPERTY CLAIMS VICE PRESIDENT FBL FINANCIALGROUP		09/21/2012	$150.00
WOODS , JOE 2600 SOUTH RIVER ROAD DES PLAINES , IL 60018 ASST VP STATE GOVT RELATIONS PROPERTY CASUALITY INSURERS		09/27/2012	$150.00
XU , JIANIU 3055 OAK ROAD WALNUT CREEK , CA 94597 EXECUTIVE ACTUARIAL PRICING CALIFORNIA STATE AUTO GROUP		09/25/2012	$600.00

Disbursements

Purpose	Amount
NON-TENNESSEE EXPENDITURES	$119,804.52

Ending Balance

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Outstanding Loans

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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