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4th Quarter for TENNESSEE LIFEPOINT HOSPITALS PAC submitted on 01/22/2013

Beginning Balance

$14,181.94

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$0.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$0.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $80.50
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BOWLING , JANICE
2315 OVOCA ROAD
TULLAHOMA , TN 37388
C CONTRIBUTION 11/12/12 $1,000.00
CASADA , GLEN
3144 NATOMA DRIVE
THOMPSONS STATION , TN 37179
C CONTRIBUTION 12/3/2012 $1,500.00
DICKERSON , STEVEN
P.O. BOX 120931
NASHVILLE , TN 37212
C CONTRIBUTION 1/2/2013 $1,000.00
HENSLEY , JOEY
855 SUMMERTOWN HWY.
HOHENWALD , TN 38462
C CONTRIBUTION 11/12/2012 $1,000.00
KETRON , BILL
805 S. CHURCH ST., SUITE 12
MURFREESBORO , TN 37130
C CONTRIBUTION 12/3/2012 $1,500.00
MCCORMICK , GERALD
PO BOX 1087
CHATTANOOGA , TN 37401
C CONTRIBUTION 12/3/2012 $1,000.00
NORRIS , MARK
853 S. COLLIERVILLE-ARLINGTON RD.
COLLIERVILLE , TN 38017
C CONTRIBUTION 12/3/2012 $2,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$9,080.50

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$9,080.50

Ending Balance

ENDING BALANCE
$5,101.44


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

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