4th Quarter for INDEPENDENT MEDICINE'S PAC-TN submitted on 01/14/2005

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
AMONETTE , REX 1455 UNION AVE MEMPHIS , TN 38104 PHYSICIAN MEMPHIS DERMATOLOLOGY CLINIC		07/31/2014	$1,000.00
BECKHAM , MICHAEL 3901 CENTRAL PIKE STE 352 HERMITAGE , TN 37076 PHYSICIAN BECKHAM INTERNAL MEDICINE		09/09/2014	$360.00
BERG , ERIC 551 POND APPLE ROAD CLARKSVILLE , TN 37403 PHYSICIAN BLANCHFIELD ARMY COMMUNITY HOSPITAL		09/30/2014	$300.00
BERGIA , BERTA 9333 PARK WEST BLVD STE. 108 KNOXVILLE , TN 37923 PHYSICIAN BERTA M. BERGIA MD PC		09/23/2014	$300.00
ECKSTEIN , CHARLES 2801 CHARLOTTE AVE NASHVILLE , TN 37209 PHYSICIAN OFFICE OF CHARLES W. ECKSTEIN MD		07/31/2014	$500.00
FRANKLIN JR. , DONALD 979 E 3RD ST #B-1111 CHATTANOOGA , TN 37403 PHYSICIAN NEPHROLOGY ASSOC OF CHATTANOOGA		08/11/2014	$1,200.00
HALL , VAUGHN 900 E OAK HILL AVE KNOXVILLE , TN 37917 PHYSICIAN MOBIL HYPERBARIC CENTERS		09/12/2014	$300.00
HARMAN , ERIC 444 CLINCHFIELD ST STE 201 KINGSPORT , TN 37660 PHYSICIAN MOUNTAIN REGIONAL FAMILY MEDICINE		09/30/2014	$300.00
HASSEL , DANIELLE 772 SOUTHERN RPIDE DR COLLIERVILLE , TN 38017 PHYSICIAN BMG GERMANTOWN PHYSICAL MEDICINE		08/22/2014	$360.00
HEARD JR. , GEORGE J. 1190 SEQUOYA TRL COLUMBIA , TN 38401 PHYSICIAN SOUTHERN RADIOLOGY		09/30/2014	$300.00
JOBSON , KENNETH 7610 GLEASON DR STE 302 KNOXVILLE , TN 37919 PHYSICIAN PSYCHIATRY AND PSYCHOPHARMACOLOGY SERVIC		09/18/2014	$300.00
JONES , A AUSTIN PO BOX 38 LIVINGSTON , TN 38570 PHYSICIAN OFFICE OF AUSTIN JONES		09/30/2014	$300.00
KLEIN , KARL 475 KINNIARD RD COOKEVILLE , TN 38501 PHYSICIAN OFFICE OF KARL KLEIN		07/31/2014	$150.00
KUMAR , SARBJEET S 322 NORTHCREST DR SPRINGFIELD , TN 37172 PHYSICIAN SPINGFEILD SURGERY PC		09/23/2014	$300.00
MASSINGALE , H L 2236 LAKE LNRD KNOXVILLE , TN 37919 PHYSICIAN TEAM HEALTH		09/18/2014	$300.00
MAUGHON , ROBERT 1015 E PARKWAY GAITLINBURG , TN 37738 PYSICIAN FIRST MED INC		09/30/2014	$1,000.00
MAUGHON , ROBERT 1015 E PARKWAY GAITLINBURG , TN 37738 PYSICIAN FIRST MED INC		08/21/2014	$1,000.00
MCCALL , SCOTT W 1215 WHITE ROCK RD SPRING HILL , TN 37174 PHYSICIAN MID TN BONE AND JOINT CLINIC		09/20/2014	$1,000.00
MITCHELL , THOM R. PO BOX 1609 LEWISBURG , TN 37091 PHYSICIAN MARSHALL MEDICAL CENTER		07/31/2014	$200.00
MOODY , BRENT R. PO BOX 159058 NASHVILLE , TN 37215 PHYSICIAN HERITAGE MEDICAL ASSOCIATES SKIN CANCER		08/21/2014	$1,000.00
O'BRIEN , PATRICK 12800 HIGH OAK RD KNOXVILLE , TN 37922 PHYSICICAN UT MEDICAL CENTER		09/20/2014	$360.00
PETERSON , STEVE 1009 N STATE OF FRANKLIN RD JOHNSON CITY , TN 37604 PHYSICIAN TRI CITIES SKIN AND CANCER		09/18/2014	$500.00
POLING , RODNEY A. 1402 ROSEWOOD DR COLUMBIA , TN 38401 PHYSICIAN OFFICE OF RODNEY A POLING MD		09/23/2014	$1,000.00
RASCHAL , SUSAN 1350 MACKEY BRANCH DR CHATTANOOGA , TN 37421 PHYSICIAN COVENANT ALLERGY & ASTHMA CARE		09/23/2014	$300.00
REID , LAWRENCE 1404 TUSCULUM BLVD STE 100 GREENEVILLE , TN 37745 PHYSICIAN GREENVILLE DERMATOLOGY		09/04/2014	$500.00
RICHMOND JR , JAMES 932 SPRING CREEK RD CHATTANOOGA , TN 37412 PHYSICIAN OFFICE OF JAMES RICHMOND JR		09/23/2014	$300.00
ROHMAN , GRANT 100 W 4TH ST STE 200 COOKEVILLE , TN 38501 PHYSICIAN UPPER CUMBERLAND OTOLARYNGOLOGY		09/23/2014	$300.00
ROHMAN , GRANT 100 W 4TH ST STE 200 COOKEVILLE , TN 38501 PHYSICIAN UPPER CUMBERLAND OTOLARYNGOLOGY		08/07/2014	$300.00
ROTHROCK III , PERRY C 8309 CORDOVA ROAD CORDOVA , TN 38016 PHYSICIAN PERRY C ROTHROCK		09/30/2014	$1,000.00
ROWLAND , JACK 7490 ZIEGLER RD CHATTANOOGA , TN 37421 PHYSICIAN CHATTANOOGA CENTER FOR WOMEN		09/30/2014	$300.00
RULEMAN , CHESTER 5625 POPLAR AVE MEMPHIS , TN 38119 PHYSICIAN EASR NOSE & THORAT GROUP INC		09/30/2014	$300.00
SCARPERO , HARRIETTE 4230 HARDING PIKE SUITE 521 ASHVILLE , TN 37205 PHYSICIAN ASSOCIATED UROLOGISTS OF NASHVILLE		08/07/2014	$1,000.00
SIFFRING , CORYDON 134 W PARK DR KINGSPORT , TN 37660 PHYSICIAN WELLMONT HOLSTON VALLEY MED CENTER		09/23/2014	$300.00
STALEY, JR. , JOHN R. 408 S. NORTHSHORE DR KNOVILLE , TN 37919 PHYSICIAN TEAMHEALTH MIDSOUTH		09/30/2014	$300.00
STASTNY , JANET 2400 SUSANNAH ST STE A JOHNSON CITY , TN 37601 PHYSICIAN OUTPATIENT CYTOPATHOLOGY CENTER		09/23/2014	$300.00
WALKER , L ANDERSON (ANDY) 111 VOSSLAND DR NASHVILLE , TN 37205 PHYSICIAN SUMMIT MEDICAL CENTER		09/23/2014	$300.00

Disbursements

Purpose	Amount
CREDIT CARD/BANK FEES	$164.83

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BAILEY , PAUL 252 LOWERY ROAD SPARTA , TN 38583	C	CONTRIBUTION				09/12/2014	$1,000.00
BEAVERS , MAE 2020 HUNTERS PLACE MT. JULIET , TN 37122	C	CONTRIBUTION				09/05/2014	$500.00
BECK , BILL 4205 GALLATIN ROAD NASHVILLE , TN 37216	C	CONTRIBUTION				09/24/2014	$500.00
BMEU 525 ROYAL PKWY NASHVILLE , TN 37229		POSTAGE				08/29/2014	$220.00
BMEU 525 ROYAL PKWY NASHVILLE , TN 37229		POSTAGE				08/29/2014	$685.00
BRIGGS , RICHARD 11631 LANESBOROUGH WAY #913 KNOXVILLE , TN 37934	C	CONTRIBUTION				08/21/2014	$5,000.00
CALFEE , KENT P.O. BOX 564 KINGSTON , TN 37763	C	CONTRIBUTION				09/12/2014	$500.00
CROWE , RUSTY 808 EAST 8TH AVENUE JOHNSON CITY , TN 37601	C	CONTRIBUTION				08/21/2014	$2,500.00
DANIEL , MARTIN 1834 DUNCAN WOODS LANE KNOXVILLE , TN 37919	C	CONTRIBUTION				09/12/2014	$500.00
DOSS , BARRY 26 MANNIN RD. LEOMA , TN 38468	C	CONTRIBUTION				08/21/2014	$500.00
DUNN , BILL 5309 LAVESTA ROAD KNOXVILLE , TN 37918	C	CONTRIBUTION				09/12/2014	$500.00
DURHAM , JEREMY 802 FOUNDERS POINTE BLVD FRANKLIN , TN 37064	C	CONTRIBUTION				08/21/2014	$250.00
ELDRIDGE , JIMMY 29 EMERALD LAKE DRIVE JACKSON , TN 38305	C	CONTRIBUTION				08/21/2014	$500.00
FAVORS , JOANNE 2441 MEADE CIRCLE CHATTANOOGA , TN 37406	C	CONTRIBUTION				08/21/2014	$500.00
GRAVITT , MARC 1511 SOUTH SMITH STREET EAST RIDGE , TN 37412	C	CONTRIBUTION				09/12/2014	$500.00
GREEN (SENATE) , MARK E. 1600 OAK PLAINS ROAD ASHLAND CITY , TN 37015	C	CONTRIBUTION				09/24/2014	$2,500.00
HAILE , FERRELL 1900 CAIRO ROAD GALLATIN , TN 37066	C	CONTRIBUTION				08/21/2014	$1,000.00
HARRISON , MICHAEL 115 GREEN ACRES DR ROGERSVILLE , TN 37857	C	CONTRIBUTION				08/21/2014	$2,000.00
HOLSCLAW , JOHN B. 2175 DAVE BUCK RD. JOHNSON CITY , TN 37601	C	CONTRIBUTION				08/21/2014	$500.00
HOUSE DEMOCRATIC CAUCUS P.O. BOX 219 JOELTON , TN 37080	P	CONTRIBUTION				08/21/2014	$3,000.00
HOUSE REPUBLICAN CAUCUS P.O. BOX 198814 NASHVILLE , TN 37219	P	CONTRIBUTION				09/05/2014	$2,500.00
HOWELL , DAN P.O. BOX 642 CLEVELAND , TN 37364	C	CONTRIBUTION				09/12/2014	$250.00
HULSEY , BUD 1913 SEAVER ROAD KINGSPORT , TN 37660	C	CONTRIBUTION				08/21/2014	$1,000.00
JOHNSON , GLORIA 2506 BRICE STREET KNOXVILLE , TN 37917	C	CONTRIBUTION				08/21/2014	$1,000.00
KANE , ROGER 7031 CHERRY GROVE RD. KNOXVILLE , TN 37931	C	CONTRIBUTION				09/12/2014	$500.00
KEISLING , KELLY P. O. BOX 577 BYRDSTOWN , TN 38549	C	CONTRIBUTION				09/08/2014	$500.00
KETRON , BILL 805 S. CHURCH ST., SUITE 12 MURFREESBORO , TN 37130	C	CONTRIBUTION				08/21/2014	$1,000.00
KUMAR , SABI (DOC) 322 NORTHCREST DR. SPRINGFIELD , TN 37172	C	CONTRIBUTION				09/22/2014	$1,000.00
LAMBERTH, II , WILLIAM G. P. O. BOX 812 PORTLAND , TN 37148	C	CONTRIBUTION				09/22/2014	$250.00
LITTLETON , MARY 104 STEVEN NICKS DR. DICKSON , TN 37055	C	CONTRIBUTION				08/21/2014	$1,000.00
LOVE, JR. , HAROLD M. 2516 BUCHANAN ST. NASHVILLE , TN 37208	C	CONTRIBUTION				09/22/2014	$500.00
LUNDBERG , JON 212 SKYLINE DRIVE BRISTOL , TN 37620	C	CONTRIBUTION				08/21/2014	$2,500.00
MARSH , PAT P.O. BOX 1650 SHELBYVILLE , TN 37162	C	CONTRIBUTION				08/21/2014	$500.00
MATLOCK , JIMMY 190 MATLOCK ROAD LENOIR CITY , TN 37771	C	CONTRIBUTION				09/12/2014	$1,000.00
MCNALLY , RANDY 94 ROYAL TROON CIRCLE OAK RIDGE , TN 37830	C	CONTRIBUTION				09/12/2014	$2,500.00
POWERS , DENNIS P.O. BOX 179 JACKSBORO , TN 37757	C	CONTRIBUTION				08/21/2014	$750.00
RAGAN , JOHN 119 MORNINGSIDE DR. OAK RIDGE , TN 37830	C	CONTRIBUTION				09/12/2014	$500.00
RAMSEY , ROBERT (BOB) 2120 MIDDLEWOOD DRIVE MARYVILLE , TN 37803	C	CONTRIBUTION				08/21/2014	$1,500.00
SEXTON , CAMERON 186 HOMESTEAD DRIVE CROSSVILLE , TN 38555	C	CONTRIBUTION				08/21/2014	$1,000.00
SHEPARD , DAVID 204 MCCREARY HEIGHTS DICKSON , TN 37055	C	CONTRIBUTION				09/12/2014	$1,000.00
SHEPARD , DAVID 204 MCCREARY HEIGHTS DICKSON , TN 37055	C	CONTRIBUTION				08/21/2014	$1,000.00
STEWART , MIKE 412 N. 16TH ST NASHVILLE , TN 37206	C	CONTRIBUTION				08/21/2014	$500.00
TENN MEDICAL ASSOC. 701 BRADFORD AVE NASHVILLE , TN 37204		ADMINISTRATIVE SERVICES				08/07/2014	$6,146.67
TERRY , GREGORY BRYAN 2306 BLACKFOX COURT MURFREESBORO , TN 37127	C	CONTRIBUTION				09/24/2014	$5,000.00
TIDWELL , JOHN 158 HARBOR CIRCLE NEW JOHNSONVILLE , TN 37134	C	CONTRIBUTION				08/21/2014	$250.00
WATSON , BO P.O. BOX 2059 HIXSON , TN 37343	C	CONTRIBUTION				09/12/2014	$3,000.00
WILLIAMS , RYAN P. O. BOX 571 COOKEVILLE , TN 38503	C	CONTRIBUTION				09/12/2014	$1,000.00
WIRGAU , TIMOTHY 130 ABBOTT LANE PARIS , TN 38242	C	CONTRIBUTION				08/21/2014	$500.00
YAGER , KEN P.O.BOX 684 KINGSTON , TN 37763	C	CONTRIBUTION				08/21/2014	$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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