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Amended Pre-Primary for TENNESSEE PHARMACISTS PAC submitted on 10/06/2016

Beginning Balance

$4,447.57

Receipts

Monetary Contributions, Unitemized
$10.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
CAMBELL , KEITH
1752 HIGHLAND AVE.
CLEVELAND , TN 37311

11/28/2005 $250.00
CLEM , CHRIS
138 S. BRAGG AVE.
LOOKOUT MTN. , TN 37350

11/29/2005 $500.00
GRISSOM , MARK
3010 N. OCOEE ST.
CLEVELAND , TN 37312

11/29/2005 $250.00
RENNER , ROB
3210 EDGEWOOD CIRCLE, NW
CLEVELAND , TN 37312

11/29/2005 $250.00
SHEEHAN , JOHN
4020 BOW ST. NE
CLEVELAND , TN 37312

11/29/2005 $200.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$4,760.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$4,760.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BELLSOUTH-CINGULAR

ATLANTA , GA
CELL PHONE FOR CAMPAIGN $250.00
CASH, WITH GAS RECEIPTS

CLEVELAND , TN 37311
GAS $35.00
CLEVELAND DAILY BANNER

CLEVELAND , TN 37311
ADVERTISING $507.00
CREATIVE BUSINESS FORMS
P. O. BOX 767
OOLTEWAH , TN 37363
PRINTING OF MAILERS $779.24
U. S. POSTAL SERVICE
SHALLOWFORD ROAD OFFICE
CHATTANOOGA , TN 37408
LETTERS TO CONTRIBUTORS $4.88
Loan Payments
$0.00
Obligation Payments
Vendor Payment
CREATIVE BUSINESS FORMS
P. O. BOX 767
OOLTEWAH , TN 37363
$1,673.95
TOTAL EXPENDITURES
(other than adjustments)
$4,007.15

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$4,007.15

Ending Balance

ENDING BALANCE
$5,200.42


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
Vendor Purpose Date Beg Balance Paid End Balance*
CREATIVE BUSINESS FORMS
P. O. BOX 767
OOLTEWAH , TN 37363
PRINTING OF MAILERS $1,673.95 $1,673.95 $0.00
TOTAL OBLIGATIONS OUTSTANDING
$0.00

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