Amended Annual Mid Year Supplemental (2011) for TENNESSEE ANESTHESIOLOGISTS PAC submitted on 01/30/2012

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BIVENS , MIKE 935 KIRKWOOD AVENUE NASHVILLE , TN 37204-2648 LOBBYIST BIVENS & ASSOCIATES		04/20/2015	$250.00
DUKE , KAREN 2645 BROOKRON RD MURFREESBORO , TN 37129 DENTAL HYGIENIST BEST EFFORT		04/20/2015	$200.00
ELDER , ELAINE 1131 MONTGOMERY RD DAYTON , TN 37321 DENTAL HYGIENIST BEST EFFORT		06/17/2015	$200.00
JOHNSON , PATTI JUNE 1228 SCHOOL HOUSE GAP ROAD TOWNSEND , TN 37882 REGISTERED DENTAL HYGIENIST WILLIAM H SAVELL, JR		04/20/2015	$120.00
PICKETT , FRIEDA 208 CABLE HOLLOW RD BUTLER , TN 37640 AUTHOR, EDUCATOR SELF		02/27/2015	$100.00
PICKETT , FRIEDA 208 CABLE HOLLOW RD BUTLER , TN 37640 AUTHOR, EDUCATOR SELF		02/09/2015	$200.00

Disbursements

Purpose	Amount
FUNDRAISER	$3.99
FUNDRAISING LOCATION RENTAL FEE	$100.00
OFFICE SUPPLIES	$18.03
OFFICE SUPPLIES	$52.71
PROMOTIONAL ITEMS	$89.30

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
DOUBLETREE HILTON CHATTANOOGA 407 CHESTNUT STREET CHATTANOOGA , TN 37402		TRAVEL				04/17/2015	$328.72
FED EX OFFICE 1573 UNION AVENUE MEMPHIS , TN 38104		ADVERTISING				04/08/2015	$163.01

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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