Annual Mid Year Supplemental (2021) for STAND FOR TENNESSEE PAC submitted on 08/06/2021

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ALEXANDER , WILLIAM 303 PERIMETER CIR N STE 400 ATLANTA , GA 30346 SR MEDICAL DIR AMGP GOERGIA MANAGED CARE		12/20/2013	$260.00
AVERSA , KENNETH 1300 AMERIGROUP WAY VIRGINIA BEACH , VA 23464 VP GOVT BUS UNIT OPER AMERIGROUP CORP		12/20/2013	$520.00
BEHRENS , PATRICIA 2244 WINTON TERRACE W FORT WORTH , TX 76109 CEO - HEALTH PLAN AMERIGROUP		12/20/2013	$2,275.00
BOX , MARION 2505 N STATE HWY 360 STE 300 GRAND PRAIRIE , TX 75050 AVP LTSS AMERIGROUP TEXAS		12/20/2013	$130.00
BRAUD , JOSEPH 237 BARON BLVD. SUFFOLK , VA 23435 AVP ITS PRODUCT MANAGEMENT AMERIGROUP CORPORATION		12/20/2013	$1,300.00
BUCHER , GEORGE 3850 N CAUSEWAY BLVD METAIRIE , LA 70002 PRES MEDICD HEALTH PLAN AMERIGROUP		12/20/2013	$5,000.00
COOPER , SHONNIE 2904 HIDAWAY RD FAIRFAX , VA 22031 AVP PROVIDERSVCS ORG AMERIGROUP CORP		12/20/2013	$130.00
COYNE , BRIAN 1325 19TH ROAD SOUTH ARLINGTON , VA 22202 SVP GOVERNMENT AFFAIRS AMERIGROUP		12/20/2013	$1,499.94
DAILEY , AIMEE 2560 NESTLEBROOK TRAIL VIRGINIA BEACH , VA 23456 VP FINANCE AMERIGROUP CORP		07/05/2013	$1,615.38
DELK , MEREDITH 2110 TRAVIS HEIGHTS BLVD AUSTIN , TX 78704 VP GOVT RELATIONS AMERIGROUP		12/20/2013	$650.00
DINWIDDIE , ROBERT 22 CENTRY BLVD STE. 220 NASHVILLE , TN 37214 AVP PHARMACY AMERIGROUP		12/20/2013	$520.00
DIXEY , WILLIAM 1933 WINTERHAVEN DRIVE VIRGINIA BEACH , VA 23456 VP NETWORK DEVELOPMENT AMERIGROUP CORPORATION		12/20/2013	$499.98
EDMONDS , DARYL 705 5TH AVE S STE. 300 SEATTLE , WA 98104 PRES MEDICD HEALTH PLAN AMERIGROUP		12/20/2013	$2,500.00
FOLEY , GEORGIA 4425 CORPORATION LN VIRGINIA BEACH , VA 23462 VP MEDICAID COMPLIANCE AMERIGROUP		12/20/2013	$2,000.00
FORBES , JAYNE 730A 23RD STREET VIRGINIA BEACH , VA 23451 AVP, FINANCIAL CONTROLS AMERIGROUP CORPORATION		12/20/2013	$249.99
FRIEDHOFF , STEPHEN 2 SPICE BUSH CT MOUNT LAUREL , NJ 08054 VP MEDICAL DIRECTOR AMERIGROUP		12/20/2013	$260.00
GILL , KRISTINA 1008 DEVONSHIRE TRACE VIRGINIA BEACH , VA 23451 VP EXTERNAL RELATIONS OPS AMERIGROUP CORP		12/20/2013	$780.00
GILMORE , DONALD 1382 BRIGHTWATER BLVD NE ST PETERSBURG , FL 33704 COO - HEALTH PLAN AMRIGROUP		12/20/2013	$520.00
GRADY , MARIANNE 9 PINES ST FL 14 NEW YORK , NY 10005 VP LTSS AMERIGROUP NEW YORK		12/20/2013	$260.00
GREEN , WILLIAM 977 AVERY WAY VIRGINIA BEACH , VA 23464 VP ITS PRODUCTION SERVICES AMERIGROUP CORPORATION		12/20/2013	$499.98
HOPKINS , LAURA 700 SEALS RD BARTONVILLE , TX 76226 VP SENIOR SERVICES AMERIGROUP		12/20/2013	$1,495.00
HUGHES , KEVIN 2482 LAS BRIAS DR VIRGINIA BEACH , VA 23456 SVP MARKETING AND SALES AMERIGROUP		12/20/2013	$650.00
KASSACK , HAROLD 1319 CONSERVANCY DR EAST TALLAHASSEE , FL 32312 VP GOVERNMENT MARKETS AMERIGROUP		12/20/2013	$375.05
KENNEDY , JANET 3800 MARINE COURT ARLINGTON , TX 76016 VP COMPLIANCE OFFICER - PLAN AMERIGROUP TEXAS, INC.		12/20/2013	$520.00
KING , AL 7811 SATINWOOD PLACE CORDOVA , TN 38016 CEO - HEALTH PLAN AMERIGROUP TENNESSEE		12/20/2013	$2,496.00
LEE , DEBORAH 3628 MARDEAN DR CHESAPEAKE , VA 23321 AVP PRODUCT DEVELOPMENT AMERIGROUP CORPORATION		12/20/2013	$260.00
LINDSEY , MELVIN 10285 GROOMSBRIDGE RD ALPHARETTA , GA 30022 VP EXTERNAL RLTNS AMERIGROUP		12/20/2013	$749.97
LITTEL , JOHN 4200 HERMITAGE RD VIRGINIA BEACH , VA 23455 EXEC VP GOVT RELATIONS AMERIGROUP		11/08/2013	$1,750.00
MANLOVE , CECELIA 508 SORENSON TRAIL KELLER , TX 76248 VP PROVIDER RELATIONS AMERIGROUP TEXAS INC.		12/06/2013	$1,380.00
MCCORMICK , AILEEN 138 BEVERLY LANE BELLAIRE , TX 77401 REGIONAL CEO AMERIGROUP		12/20/2013	$3,937.50
MCINTYRE , PATRICK 6417 ASPEN ROAD MINNEAPOLIS , MN 55436 SVP MEDICAL OPERATIONS AMERIGROUP CORPORATION		12/20/2013	$1,500.20
MCKEARN , KRISTY 5353 ESSEN LN STE. 300 BATON ROUGE , LA 70809 VP GOVT RELATIONS AMERIGROUP		12/20/2013	$1,300.00
MUNOZ , CALISE 4755 NORTH 24TH RD ARLINGTON , VA 22207 VP GOVT RELATIONS AMERIGROUP CORPORATION		12/20/2013	$650.00
PEARRE , COURTNEY 427 PRESTWICK CT NASHVILLE , TN 37205 VP GOVT RELATIONS AMERIGROUP		12/06/2013	$1,440.00
QUINO , JOSEFINA 9 PINE ST FL 14 NEW YORK , NY 10005 AVP HEALTH CARE MGMT AMERIGROUP		11/08/2013	$192.30
RADTKE , GARY 1648 SPRING HOUSE TRAIL VIRGINIA BEACH , VA 23455 SVP HEALTH PLAN SERVICES AMERIGROUP		12/20/2013	$1,200.00
REGOTTI , PHYLLIS 4433 CORPORATION LN VIRGINIAN BEACH , VA 23462 SVP BUSINESS IMPROVEMENT AMERIGROUP CORPORATION		08/30/2013	$1,000.00
RIORDAN , KEVIN 1016 SO. BAY SHORE DR VIRGINIA BEACH , VA 23451 VP GOVT RELATIONS AMERIGROUP		12/20/2013	$1,772.68
RUNYON , WILLIAM 512 OLD HICKORY BLVD, APT. 1801 NASHVILLE , TN 37209 MEDICAL DIRECTOR AMERIGROUP TENNESSEE		12/20/2013	$390.00
SAUERS , TODD 4425 CORPORATION LN VIRGININA BEACH , VA 23462 AVP CORP SERVICES RISK MGMT AMERIGROUP CORPORATION		12/20/2013	$325.00
SCARBROUGH , MICHAEL 4584 S MILL LANE CROSS PLAINS , TN 37049 COO - HEALTH PLAN AMERIGROUP CORPORATION		12/20/2013	$1,074.97
SCOTT , TISCH 3400 STRATFORD ROAD ATLANTA , GA 30326 COO - HEALTH PLAN AMERIGROUP		12/20/2013	$754.00
SHAH , URMESH 2505 N HWY 360 GRAND PRAIRIE , TX 75050 MEDICAL DIRECTOR AMERIGROUP TEXAS INC		12/20/2013	$130.00
SHIPP , CHARLES 22 CENTURY BLVD STE. 220 NASHVILLE , TN 37214 REGIONAL CEO SOUTH REGION AMERIGROUP SERVICES		12/20/2013	$4,642.82
SKEEN , TIMOTHY 1330 AMERIGROUP WAY VIRGINIA BEACH , VA 23464 VP INFO SYSTEMS AMERIGROUP		12/20/2013	$975.00
SOTUNDE , TUNDE 1714 CHARITY DRIVE BRENTWOOD , TN 37027 CEO -HEALTH PLAN AMERIGROUP		12/20/2013	$1,950.00
STOUGHTON , MICHELLE 220 VIRGINIA AVE INDIANAPOLIS , IN 46204 VP GOVT RELATIONS AMERIGROUP		12/20/2013	$1,200.00
STREDLER , JEFFERY 209 65TH STREET VIRGINIA BEACH , VA 23451 SVP LITIGATION AMERIGROUP		12/20/2013	$130.00
SUTTON , KERRY 1330 AMERIGROUP WAY VIRGINIA BEACH , VA 23464 VP ACCT MANAGEMENT AMERIGROUP CORPORATION		12/20/2013	$130.00
TASSONE , RITA 3812 RIVER OAK CIRCLE VIRGINIA BEACH , VA 23456 AVP TRAVEL & EVENTS AMERIGROUP CORPORATION		12/20/2013	$260.00
THOMAS , MILTON 3619 PARKSIDE DR PEARLAND , TX 77584 MEDICAL DIRECTOR AMERIGROUP		12/20/2013	$499.98
TOTTLE , KATHLEEN 626 SURFSIDE AVE VIRGINIA BEACH , VA 23451 SVP CORP ACTUARIAL AMERIGROUP		12/20/2013	$1,499.94
TRENTHAM , DAVID 4408 BISCAYNE FLOWER MOUND , TX 75028 VP FINANCE-PLAN AMERIGROUP		12/20/2013	$325.00
VAUGHN , BILLIE 11759 TRIPLE NOTCH TERRACE HENRICO , VA 23233 CHIEF LEARNING OFFICER AMERIGROUP CORPORATION		12/20/2013	$1,950.00
VERNON , CHARLES 1300 AMERIGROUP WAY VIRGININA BEACH , VA 23464 AVP ITS NETWORK SERVICES AMERIGROUP CORP		12/20/2013	$130.00
WILFONG , THOMAS 1725 VESTAL DR CORAL SPRINGS , FL 33071 COO- HEALTH PLAN AMERIGROUP		12/20/2013	$812.50
WILLINGHAM , EDNA 1409 SADDLE CRST MOUNT JULIET , TN 37122 BEST EFFORT BEST EFFORT		07/02/2013	$500.00
WITHERSPOON , REVA 1900 GENESEE STREET #202 HOUSTON , TX 77006 AVP HUMAN RESOURCES AMERIGROUP		12/20/2013	$780.00
WOOD , WILLIAM 2804A WHITE OAK LANE NASHVILLE , TN 37215 MEDICAL DIRECTOR AMERIGROUP TENNESSEE		12/20/2013	$250.00
WYCHULIS , ROBERT 1 2ND ST APT. 1412 JERSEY CITY , NJ 07302 CEO HEALTH PLAN AMERIGROUP NEW YORK LLC		12/20/2013	$2,600.00
ZORETIC , RICHARD 332 WHITEHAVEN LN VIRGINIA BEACH , VA 23451 EXEC VP HEALTH PLAN OPS AMERIGROUP CORP		12/20/2013	$1,300.00

Disbursements

Purpose	Amount
NON TENN EXPENSES	$110,925.54

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
DICKERSON , STEVEN P.O. BOX 120931 NASHVILLE , TN 37212	C	CONTRIBUTION				10/08/2013	$1,000.00
FITZHUGH , CRAIG 135 S. ALPINE STREET RIPLEY , TN 38063	C	CONTRIBUTION				10/22/2013	$1,000.00
HAILE , FERRELL 1900 CAIRO ROAD GALLATIN , TN 37066	C	CONTRIBUTION				10/22/2013	$1,000.00
HENSLEY , JOEY 855 SUMMERTOWN HWY. HOHENWALD , TN 38462	C	CONTRIBUTION				10/08/2013	$1,000.00
JOHNSON , JACK 330 FRANKLIN RD., SUITE 135A-178 BRENTWOOD , TN 37027	C	CONTRIBUTION				10/08/2013	$1,000.00
KETRON , BILL 805 S. CHURCH ST., SUITE 12 MURFREESBORO , TN 37130	C	CONTRIBUTION				10/08/2013	$1,000.00
LUNDBERG , JON 212 SKYLINE DRIVE BRISTOL , TN 37620	C	CONTRIBUTION				10/22/2013	$500.00
MARSH , PAT P.O. BOX 1650 SHELBYVILLE , TN 37162	C	CONTRIBUTION				10/22/2013	$250.00
MATLOCK , JIMMY 190 MATLOCK ROAD LENOIR CITY , TN 37771	C	CONTRIBUTION				10/22/2013	$500.00
MCDANIEL , STEVE 97 BATTLEGROUND DRIVE PARKERS CROSSROADS , TN 38388	C	CONTRIBUTION				10/22/2013	$500.00
MCNALLY , RANDY 94 ROYAL TROON CIRCLE OAK RIDGE , TN 37830	C	CONTRIBUTION				10/08/2013	$1,000.00
NORRIS , MARK P.O. BOX 381075 GERMANTOWN , TN 38138	C	CONTRIBUTION				10/08/2013	$1,000.00
OVERBEY , DOUG P.O. BOX 5316 MARYVILLE , TN 37802	C	CONTRIBUTION				10/22/2013	$1,000.00
YAGER , KEN 900 WATERFORD PLACE KINGSTON , TN 37763	C	CONTRIBUTION				10/22/2013	$1,000.00

Vendor	C/P	Purpose	In-Kind	Independent	Date	Amount
DICKERSON , STEVEN P.O. BOX 120931 NASHVILLE , TN 37212	C	CONTRIBUTION			12/17/2013	[ $1,000.00 ]

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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