Annual Mid Year Supplemental (2013) for UNITED SURGICAL PARTNERS INTL., INC. PAC submitted on 07/15/2013
Beginning Balance
$62,531.05
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
BLEWETT
, KRISTIN
5514 MORNINGSIDE AVENUE DALLAS , TX 75206 SENIOR VICE PRESIDENT USPI |
03/26/2013 | $250.00 | |
|
BOND
, JONATHAN R.
3513 WENTWOOD DRIVE DALLAS , TX 75225 SENIOR VICE PRESIDENT USPI |
02/08/2013 | $1,500.00 | |
|
BRODNAX
, BRETT
6607 NORWAY DALLAS , TX 75230 PRESIDENT AND CDO USPI |
02/22/2013 | $1,000.00 | |
|
CAGLE
, JASON B.
6533 WOODLAND DR. DALLAS , TX 75225 CFO USPI |
02/11/2013 | $1,500.00 | |
|
GAVIN
, MARK
1345 EAGLE BEND SOUTHLAKE , TX 75208 SENIOR VICE PRESIDENT USPI |
02/06/2013 | $1,000.00 | |
|
HOLLENBACK
, JOT N.
29503 QUAILWOOD DRIVE RANCHO PALOS VERDES , CA 90275 SENIOR VICE PRESIDENT USPI |
04/26/2013 | $1,000.00 | |
|
JOHNSTON
, ANDREW
10880 MEMORIAL HOUSTON , TX 77024 GROUP PRESIDENT USPI |
04/26/2013 | $1,000.00 | |
|
KARRMANN
, SANDRA
2408 HOLLOW HILL LANE LEWISVILLE , TX 75056 CHIEF HUMAN RESOURCE OFFICER USPI |
04/17/2013 | $100.00 | |
|
KOPSER
, MARK
5901 YARDLEY CT. DALLAS , TX 75248 CFO USPI |
02/11/2013 | $2,000.00 | |
|
MOSS
, JAROD T.
11215 PINOCCHIO DRIVE DALLAS , TX 75229 VICE PRESIDENT USPI |
03/26/2013 | $1,500.00 | |
|
MUTRIE
, JAMES
5723 MEADOW CREST DR. DALLAS , TX 75230 GENERAL COUNSEL USPI |
02/06/2013 | $500.00 | |
|
WILCOX
, WILLIAM H. (BILL)
15305 DALLAS PARKWAY, SUITE 1600 ADDISON , TX 75001 CEO USPI |
02/13/2013 | $3,000.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$14,350.00
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
CHESAPEAKE EAR, NOSE & THROAT, P.A.
23 CROSSROADS DR., SUITE 400 OWINGS MILLS , MD 21117 |
01/23/2013 | [ $250.00 ] |
Contribution Adjustments
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$14,100.00
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| BANK FEES | $288.36 |
| NON-TENN. DISBURSMENTS | $11,000.00 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
TENNESSEE REGISTRY OF ELECTION FINANCE
404 JAMES ROBERTSON PARKWAY, SUITE 104 NASHVILLE , TN 37243 |
ANNUAL PAC FEE | 02/26/2013 | $100.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$11,388.36
Expenditures, Adjustments
| Vendor | C/P | Purpose | In-Kind | Independent | Date | Amount |
|---|---|---|---|---|---|---|
|
CHESAPEAKE EAR, NOSE & THROAT, P.A.
23 CROSSROADS DR, SUITE 400 OWINGS MILLS , MD 21117 |
RE-ISSUE CHECK FOR REFUND OF CONTRIBUTION | 01/23/2013 | [ $250.00 ] |
TOTAL DISBURSEMENTS
$11,138.36
Ending Balance
ENDING BALANCE
$65,492.69
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