Amended Annual Year End Supplemental (2015) for INDEPENDENT MEDICINE'S PAC-TN submitted on 06/10/2016

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ANESTHESIOLOGY CONSULTANTS EXCHANGE PC 979 E 3RD ST C235 CHATTANOOGA , TN 37403		12/02/2014	$10,000.00
APPAREDDY , VIJAYA 6918 SHALLOWFORD ROAD STE 200 CHATTANOOGA , TN 37421 PHYSICIAN TRI STATE PSYCHIATRIC		01/06/2015	$300.00
ARMSTRONG , JOSEPH 3183 W STATE ST STE 1101 BRISTOL , TN 37620 PHYSICIAN MOUNTAIN EMPIRE EYE PHYSICIANS		10/28/2014	$300.00
BEARB , MICHAEL E 144 SOUTHWIND DR JACKSON , TN 38305 PHYSICIAN CARDIAC ANESTHESIA GROUP		12/02/2014	$300.00
BISE , STANLEY 96 HAYES ST STE 201 CROSSVILLE , TN 38555 PHYSICIAN OFFICE OF STANLEY L. BISE MD		12/02/2014	$300.00
BOOKOUT , MARK W. 4151 RINGGOLD RD EAST RIDGE , TN 37412 PHYSICICAN OFFICE OF MARK BOOKOUT MD		11/04/2014	$300.00
BOXELL , SANDRA J. 72 PHYSICIANS DR JACKSON , TN 38305 PHYSICIAN JACKSON REGIONAL WOMEN'S CENTER		12/02/2014	$300.00
BRABSON , GAIL M 517 CHEROKEE BLVD KNOXVILLE , TN 37919 HOMEMAKER HOMEMAKER		12/18/2014	$300.00
BRABSON , LEONARD A 939 EMERALD AVE STE 806 KNOXVILLE , TN 37917 PHYSICIAN WOMEN'S HEALTH SPECIALIST		12/18/2014	$1,000.00
BRADLEY , M BART 3185 W STATE STE 2010 BRISTOL , TN 37620 PHYSICIAN MOUNTAIN EMPIRE EYE PHYSICIANS		10/28/2014	$300.00
BRANDON , LEE 135 W RAVINE RD STE 2-C KINGSPORT , TN 37660-3848 PHYSICIAN THE REGIONAL EYE CENTER		12/02/2014	$300.00
BRUEGGEMAN , MICHAEL W 160 WYNDHURST DRIVE JACKSON , TN 38305 PHYSICIAN SEMMES MURPHEY CLINIC		12/02/2014	$300.00
BRUNVOLL , GARY A 7490 ZIEGLER RD CHATTANOOGA , TN 37421 PHYSICIAN CHATTANOOGA CENTER FOR WOMEN		12/02/2014	$300.00
BUNNING , JEFFREY 3185 W STATE ST BRISTOL , TN 37620 PHYSICIAN MOUNTAIN EMPIRE EYE PHYSICIANS		10/28/2014	$300.00
BURKHART , PATRICK 1702 E LAMAR ALEXANDER PKWY MARYVILLE , TN 37804 PHYSICIAN BLOUNT DERMATOLOGY		12/02/2014	$300.00
CAGE , JOHN 222 22ND AVE N STE 400 NASHVILLE , TN 37203 PHYSICIAN ST THOMAS HEART		10/28/2014	$250.00
CARTER , T MARK 150 CAPTAIN BELL LANE GALLATIN , TN 37066 PHYSICIAN SUMNER ANESTHESIA ASSO		12/02/2014	$300.00
CHAMBERLIN , MARIAN 146 W PARK DR STE 9G KINGSPORT , TN 37660 PHYSICIAN ETSU PHYSICIANS & ASSOC- INTERNAL MED		12/02/2014	$300.00
CHATTANOOGA NEUROSURGERY AND SPINE 1010 E 3RD ST STE 202 CHATTANOOGA , TN 37403		01/06/2015	$2,500.00
CHATTANOOGA NEUROSURGERY AND SPINE 1010 E 3RD ST STE 202 CHATTANOOGA , TN 37403		12/09/2014	$2,500.00
CLINE JR , ELIJAH 923 E CENTRAL AVE LA FOLLETTE , TN 37766 PHYSICIAN OFFICE OF ELIJAH G CLINE		01/06/2014	$300.00
COLE , DONALD 417 HARDING DR STE D LEBANON , TN 37087		12/02/2014	$300.00
COLLINS , SABRINA L 7490 ZIEGLER RD CHATTANOOGA , TN 37421 PHYSICIAN CHATTANOOGA CENTER FOR WOMEN		12/02/2014	$300.00
CULCLASURE , JOHN 3325 LOVE CIR NASHVILLE , TN 37212 PHYSICIAN HOWELL ALLLEN CLINIC		11/04/2014	$300.00
CURCIO , NATALIE 2806 W KIRKWOOD AVE NASHVILLE , TN 37204 PHYSICIAN CURCIO DERMATOLOGY		01/06/2015	$300.00
CUTLER PECK , CAROLEE 1400 DOWELL SPRINGS BLVD STE 310 KNOXVILLE , TN 37909 PHYSICIAN SOUTHEAST EYE SPECALISTS		01/06/2015	$300.00
DARBY , DEWAYNE 1810 BISHOP AVE STE A JEFFERSON CITY , TN 37760 PHYSICIAN JEFFERSON FAMILY PHYSICIAN		10/28/2014	$1,000.00
DUCK , DENNIS P.O. BOX 700 RUTTLEDGE , TN 37861 PHYSICIAN DUCK FAMILY MEDICINE		01/06/2015	$300.00
FLATT , STEVEN 1101 NEAL ST COOKEVILLE , TN 38501 PHYSICIAN UPPER CUMBERLAND FAMILY PRACTICE		12/03/2014	$300.00
FREEMAN , TONY 1210 BRIARVILLE RD BLDG F MADISON , TN 37115 PHYSICIAN RIVERSIDE FAMILY MEDICINE		12/02/2014	$300.00
FULK , CHARLES 400 E ECONOMY RD STE 8 MORRISTOWN , TN 37814 PHYSICIAN EAST TN SKIN CNACER/DERMATOLOGY		11/04/2014	$300.00
FURROW , PAIGE 1 MEDICAL PARK BLVD STE 250W BRISTOL , TN 37620 PHYSICIAN BRISTOL SURGICAL ASSOCIATES PC		12/02/2014	$300.00
GAUTSCH , THOMAS 570 HARTSVILLE PK GALLATIN , TN 37066 PHYSICIAN SOUTHERN SPORTS MEDICINE INSTITUE		11/04/2014	$300.00
GORMAN , PAUL 2410 SUSANNAH ST JOHNSON CITY , TN 37601 PHYSICIAN TRINITY HAND SPECIALISTS		10/28/2014	$1,000.00
GREEN , MARK E. 1600 OAK PLAINS RD. ASHLAND CITY , TN 37015 PHYSICIAN ALIGN MD PLLC		10/28/2014	$1,000.00
GREENE , RICHARD 910 WAYNE RD SAVANNAH , TN 38372 PHYSICIAN OFFICE OF RICHARD S GREENE		11/04/2014	$300.00
GROOS , ERICH JR. 2400 PATTERSON ST STE 201 NASHVILLE , TN 37203 PHYSICIAN CORNEA CONSULTANTS OF NASHVILLE PLLC		11/04/2014	$300.00
HAWS , MELINDA J. 24 WHITE BRIDGE RD NASHVILLE , TN 37205 PHYSICIAN AFFILIATED DERMATOLOGISTS PC		12/02/2014	$300.00
HILL , GEORGE 345 23RD AVE N STE 401 NASHVILLE , TN 37203 PHYSICIAN NASHVILLE FERTILITY CENTER		12/03/2014	$300.00
HOROWITZ , DAVID 1900 PATTERSON ST STE 205 NASHVILLE , TN 37203 PHYSICIAN OFFICE OF DAVID HOROWITZ		10/28/2014	$300.00
HOVIOUS , JOHN 109 MEADOW VIEW ROAD STE 7 BRISTOL , TN 37620 PHYSICIAN BRISTOL CHILDRENS CLINIC		12/02/2014	$300.00
JOHNSON , JOHN C. 110 MED TECH PKWY JOHNSON CITY , TN 37604 PHYSICIAN JOHNSON CITY EYE CLINIC PC		10/28/2014	$300.00
JOHNSON , RONALD 7910 WOLF RIVER BLVD GERMANTOWN , TN 38138 PHYSICIAN WOLF RIVER PLASTIC SURGERY		10/28/2014	$300.00
KEITH , SCOTT 100 W 4TH ST STE 200 COOKEVILLE , TN 38501 PHYSICIAN UPPER CUMBERLAND OTOLARYNGOLOGY		10/28/2014	$300.00
KHATRI , HARESH 416 N LOCUST AVE LAWRENCEBURG , TN 38464 PHYSICIAN OFFICE OF HARESH H KHATRI		10/28/2014	$300.00
KIRKLAND, MD, MBA , RONALD H 107 TUCKAHOE RD JACKSON , TN 38301 RETIRED RETIRED		12/03/2014	$1,000.00
KRICK , JOSEPH 1750 CEDAR LANE STE 100 TULLAHOMA , TN 37388 PHYSICIAN SURGICAL GROUP OF TULLAHOMA		01/06/2015	$300.00
KRUEGER , SYLVIA PO BOX 3296 CLEVELAND , TN 37320 PHYSICIAN BLUE RIDGE MEDICAL ONCOLOGY		10/28/2014	$300.00
LITTLE , JAMES PETER PO BOX 8827 CHATTANOOGA , TN 37414 PHYSICIAN SOUTHERN REHABILITATION GROUP		10/28/2014	$300.00
MAHAN , BEN 926 N JACKSON ST TULLAHOMA , TN 37388 PHYSICIAN MAHAN \& RIDLEY EYE ASSO		11/04/2014	$300.00
MANNING , RICHARD 313 CONCORD ST KNOXVILLE , TN 37919 PHYSICIAN VOLUNTEER WOMENS MEDICAL CLINIC		12/09/2014	$300.00
MAURY COUNTY MEDICAL SOCIETY 1205 SIGNATURE CT FRANKLIN , TN 37064		01/06/2015	$2,000.00
MAY , BYRON 130 W RAVINE RD KINGSPORT , TN 37660 PHYSICIAN RADIATION ONCOLOGY ASCCO		12/02/2014	$300.00
MCADOO , MICHAEL 6041 TELECOM DR MILAN , TN 38358 PHYSICIAN MILAN MEDICAL CENTER		12/09/2014	$1,000.00
MCDONALD , MARY KATHERIN 5211 HIGHWA 153 STE M HIXSON , TN 37343 PHYSICIAN PAIN MANAGEMENT AND REHABILITAITON		01/06/2015	$300.00
MCINTIRE , EDWARD 400 BERYWOOD TRL NW STE B CLEVELAND , TN 37312 PHYSICIAN TN VALLEY UROLOGHY CENTER		12/02/2014	$300.00
MCKEE , DAVID 3443 DICKERSON PIKE STE 740 NASHVILLE , TN 37207 PHYSICIAN DAVID MCKEE		01/06/2015	$300.00
MICETICH , KEITH 72 PHYSICIANS DR JACKSON , TN 38305 PHYSICIAN JACKSON REGIONAL WOMEN'S CENTER		12/02/2014	$300.00
MINCH , F MICHAEL 224 DEER PARK DR NASHVILLE , TN 37205 PHYSICIAN OFFICE OF F MICHAEL MINCH		12/02/2014	$300.00
NOLLNER , MICHAEL 8115 COUNTRY VILLAGE DR CORDOVA , TN 38016 PHYSICIAN MIDSOUTH FAMILY MEDICINE		12/02/2014	$300.00
NUAKO , KOFI W. 1109 E REELFOOT AVE STE C UNION CITY , TN 38261 PHYSICIAN ADVANCED GASTROENTEROLOGY		12/09/2014	$1,000.00
ORDIWAY , GRANT 104 FAIRWAYS BLVD S TULLAHOMA , TN 37388 PHYSICIAN MEDICAL IMAGING CONSULTANTS		12/02/2014	$300.00
PATEL , JAYKRISHNA PO BOX 383 TAZEWELL , TN 37879 PHYSICIAN WE CARE MEDICAL GROUP		10/28/2014	$300.00
PETERSON , EDWARD A. 7268 JARNIGAN RD STE. 200 CHATTANOOGA , TN 37421 PHYSICIAN SOUTHEAST EYE SPECIALISTS		12/02/2014	$300.00
POWELL , JAMES 2400 DOUGLAS GLEN LN FRANKLIN , TN 37064 PHYSICIAN VANDERBILT HEALTH OF WILLIAMSON COUNTY		11/30/2014	$1,200.00
RAYNE , F. BRONN 100 W 4TH ST STE 200 COOKEVILLE , TN 38501 PHYSCIAN UPPER CUMBERLAND OTOLARYNGOLOGY		11/04/2014	$1,000.00
REYNOLDS , CHARLES W 212 WINMONT TURN KNOXVILLE , TN 37922 PHYSICIAN TN UROLOGY ASSOCIATES		12/09/2014	$300.00
SCHARFSTEIN JR. , BENJAMIN 835 DEERLICK RD PINEY FLATS , TN 37686 PHYSICIAN BRISTOL SURGICAL ASSOCIATES		12/02/2014	$300.00
SCHULTZ , RICHARD 800 OAK RIDGE TPKE STE C100 OAK RIDGE , TN 37830 PHYSICIAN EAST TENNESSEE EAR NORSE \& THROAT SPECIALIST		10/28/2014	$300.00
SCOTT , JOHN D 2105 EDWARD CURD LN FRANKLIN , TN 37067 PHYSICIAN VANDY HEALTH SERVICES FRANK		12/09/2014	$300.00
SCOTT , WAYNE T. 2051B HAMILL RD STE 204 HIXSON , TN 37343 PHYSICIAN GALEN MEDICAL GROUP		12/02/2014	$1,000.00
SEXTON , DAVID 9430 PARK WEST BLVD STE 330 KNOXVILLE , TN 37923 PHYSICIAN EAR NOSE & THROAT CONSULTANTS OF EAST TN		12/02/2014	$300.00
SMITH , ERIC 135 W RAVINE RD STE 2 C KINGSPORT , TN 37660 PHYSICIAN THE REGIONAL EYE CENTER		12/02/2014	$300.00
SMITH , STANLEY 6027 WALNUT GROVE RD STE 116 MEMPHIS , TN 38120 PHYSICIAN STANLEY SMITH JR MD PC		12/18/2014	$300.00
STARKWEATHER , GEORGE 100 W 4TH ST STE 310 COOKEVILLE , TN 38501 PHYSICIAN UPPER CUMBERLAND ANESTHESI ASSOCIATES PC		12/09/2014	$150.00
TENNESSEE INTERVENTIONAL AND IMAGING ASS 975 E 3RD ST 376 CHATTANOOGA , TN 37403		11/04/2014	$5,000.00
THACKER , CHRISTOPHER 400 BERRYWOOD TRAIL STE B CLEVELAND , TN 37312 PHYSICIAN TN VALLEY UROLOGY CENTER		10/28/2014	$300.00
THEERATHORN , PITCHAR 128 ROBINDALE CT KINGSPORT , TN 37663 PHYSICIAN IPC THE HOSPITALIST CO		12/02/2014	$300.00
VINCENT , K. DAWN 24 WHITE BRIDGE RD NASHVILLE , TN 37205 PHYSICIAN BELLE MEADE DERMATOLOGY & LASER		12/02/2014	$300.00
WARNER , JOHN 4230 HARDING PIKE STE 521 NASHVILLE , TN 37205 PHYSICIAN ASSO UROLOGIST OF NASHVILLE		11/04/2014	$1,000.00
WARREN , JEFFREY 3109 WALNUT GROVE RD MEMPHIS , TN 38111 PYHSICIAN PRIMARY CARE SPECIALIST		01/06/2015	$300.00
WESLEY , RALPH 250 25TH AVE N STE 216 NASHVILLE , TN 37203 PHYSICIAN WESLEY & KLIPPENSTEIN PC		10/28/2014	$300.00
WHITE , JERALD 2565 N WASHINGTON AVE BROWNSVILLE , TN 38012 PHYSICIAN BROWNSVILLE MEDICAL CLINIC		12/02/2014	$300.00
WILLIAMS , LANE E. 72 PHYSICIANS DR JACKSON , TN 38305 PHYSICIAN JACKSON REGIONAL WOMENS CENTER		12/02/2014	$300.00
WINTON , GEORGE 1009 N STATE OF FRANKLIN RD JOHNSON CITY , TN 37604		10/28/2014	$300.00

Disbursements

Purpose	Amount
BANK FEES	$100.00
CREDIT CARD FEES	$1.17

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
,		CONTRIBUTION				01/09/2015	$5,204.26
ALMAJEAN STEWARD 3260 CHESTNUT RIDGE RD SANTE FE , TN 38482		CATERING FUNDRAISER				11/21/2014	$227.40
BRIGGS , RICHARD 11631 LANESBOROUGH WAY #913 KNOXVILLE , TN 37934	C	CONTRIBUTION				12/19/2014	$2,500.00
DICKERSON , STEVEN P.O. BOX 120931 NASHVILLE , TN 37212	C	CONTRIBUTION				12/19/2014	$2,500.00
FARMER , ANDREW ELLIS 121 COURT AVENUE SEVIERVILLE , TN 37862	C	CONTRIBUTION				11/05/2014	$500.00
GARDENHIRE , TODD P. O. BOX 4506 CHATTANOOGA , TN 37405	C	CONTRIBUTION				11/05/2014	$500.00
GREEN (SENATE) , MARK E. 1600 OAK PLAINS ROAD ASHLAND CITY , TN 37015	C	CONTRIBUTION				12/19/2014	$2,500.00
HARPETH STRATEGIES PO BOX 210901 NASHVILLE , TN 37221		MAILING		SHEPARD, DAVID	S	11/05/2014	$4,290.00
HASLAM INAUGURAL COMMITTEE 1701 WEST END AVE STE 300 NASHVILLE , TN 37203		CONTRIBUTION				01/08/2015	$7,500.00
HENSLEY , JOEY 855 SUMMERTOWN HWY. HOHENWALD , TN 38462	C	CONTRIBUTION				12/19/2014	$2,500.00
HENSLEY , JOEY 855 SUMMERTOWN HWY. HOHENWALD , TN 38462	C	CONTRIBUTION				12/04/2014	$3,500.00
JERNIGAN , DARREN 4837 RAINER DRIVE OLD HICKORY , TN 37138	C	CONTRIBUTION				12/19/2014	$500.00
KUMAR , SABI (DOC) 322 NORTHCREST DR. SPRINGFIELD , TN 37172	C	CONTRIBUTION				12/19/2014	$2,000.00
LYNN , SUSAN 388 GREEN HARBOR RD. OLD HICKORY , TN 37138	C	CONTRIBUTION				11/05/2014	$500.00
OVERBEY , DOUG P.O. BOX 5316 MARYVILLE , TN 37802	C	CONTRIBUTION				11/05/2014	$500.00
REEDY , JAY D. 425 COLEMAN LANE ERIN , TN 37061	C	CONTRIBUTION				12/19/2014	$250.00
SENATE REPUBLICAN CAUCUS P.O. BOX 331983 NASHVILLE , TN 37203	P	CONTRIBUTION				12/04/2014	$2,500.00
SOUTHERLAND , STEVE 4648 HARBOR DR. MORRISTOWN , TN 37814	C	CONTRIBUTION				11/05/2014	$1,000.00
TENN MEDICAL ASSOC. 701 BRADFORD AVE NASHVILLE , TN 37204		CONTRIBUTION				01/08/2015	$3,922.78
TERRY , GREGORY BRYAN 2306 BLACKFOX COURT MURFREESBORO , TN 37127	C	CONTRIBUTION				12/19/2014	$2,000.00
THE FERREL-MCDANIEL COMPANY 401 CHURCH ST NASHVILLE , TN 37219		FUNDRAISING				11/21/2014	$6,000.00
TRANSFIRST 12202 AIRPORT WAY SUITE 100 BROOMFIELD , CO 80021		PROCESSING FEE				01/14/2015	$200.27
TRANSFIRST 12202 AIRPORT WAY SUITE 100 BROOMFIELD , CO 80021		PROCESSING FEE				12/11/2014	$131.43
TRANSFIRST 12202 AIRPORT WAY SUITE 100 BROOMFIELD , CO 80021		PROCESSING FEE				11/05/2014	$403.48
WINNING CONNECTIONS 317 PENNSYLVANIA AVE SE FL 2 WASHINGTON , DC 20003		EVENT		SHEPARD, DAVID	S	11/05/2014	$1,000.00
WINNING CONNECTIONS 317 PENNSYLVANIA AVE SE FL 2 WASHINGTON , DC 20003		EVENT		JOHNSON, GLORIA	S	11/05/2014	$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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