Annual Year End Supplemental (2021) for TENNESSEE DENTAL PAC submitted on 01/21/2022

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ALSOBROOK , STEPHEN 280 GERMAN OAK DRIVE CORDOVA , TN 38018 DENTIST SELF		03/16/2006	$150.00
BAKER , J NEWSOM 1618 E LAMAR ALEXANDER PKY MARYVILLE , TN 37804 DENTIST SELF		02/14/2006	$150.00
BAKER , WILLIAM 300 W WATAGUA AVE JOHNSON CITY , TN 37604 DENTIST SELF		03/16/2006	$150.00
BARTO , DAVID E. 1017 EXECUTIVE DR STE 102 HIXSON , TN 37343 DENTIST SELF		02/14/2006	$300.00
BEASLEY , JOHN PO BOX 823 LAWRENCEBURG , TN 38464 DENTIST SELF		01/24/2006	$150.00
BEAUCHAMP , KARYL J. 2297 RUDOLPHTOWN RD CLARKSVLLE , TN 37043 DENTIST CLARKSVILLE PEDIATRIC DENTISTRY		03/16/2006	$300.00
BETHEA , DONALD 427 N WILLOW #3 COOKEVILLE , TN 38501		01/25/2006	$150.00
BIBLE , TIMOTHY 123 LEINART ST CLINTON , TN 37716 DENTIST SELF		02/14/2006	$150.00
BLACKMAN , SCOTT 2301 RUDOLPHTOWN RD CLARKSVILLE , TN 37043 DENTIST REFLECTIONS ORTHODONTICS, PC		02/14/2006	$150.00
BLANTON , ALAN 362 NEW BYHALIA ROAD #3 COLLIERVILLE , TN 38017 DENTIST AESTHETIC DENTISTRY OF COLLIERVILLE PLLC		01/25/2006	$150.00
BLOCKLEY , THOMAS 4607 DAYTON BLVD CHATTANOOGA , TN 37415 DENTIST SELF		02/14/2006	$150.00
BOWLES , RICHARD 2400 CHOTO RD KNOXVILLE , TN 37922 DENTIST RETIRED		02/14/2006	$150.00
BRADSHAW , JOHN 2205 CAMELOT CIRCLE JOHNSON CITY , TN 37604 DENTIST RETIRED		01/24/2006	$150.00
BRADY , STANLEY 727 WEST MAIN ST LEBANON , TN 37087		02/14/2006	$150.00
BRAGG , JAMES 9406 RUGGLES FERRY PK STRAWBERRY PLAINS , TN 37871 DENTIST JAMES R. BRAGG JR, DDS		02/14/2006	$150.00
BRATTEN , JAMES 697 PRESIDENT PLACE #300 SMYRNA , TN 37167 DENTIST SELF		02/15/2006	$150.00
BROOKS , C EDWARD 11226 WEST POINT DR STE B KNOXVILLE , TN 37934 DENTIST SELF		02/14/2006	$150.00
BROOKS , STEPHEN 1128 RIVERCREST DR CHATTANOOGA , TN 37415 DENTIST RETIRED		01/24/2006	$150.00
CARSON , PHILIP 4600 BRAINERD RD CHATTANOOGA , TN 37411 DENTIST SELF		01/24/2006	$150.00
CRADDOCK , ROGER 6268 POPLAR AVE MEMPHIS , TN 38119 DENTIST PERIODONTAL ASSOCIATES OF MEMPHIS		02/15/2006	$150.00
CROSSLEY , JAMES 8200 HULLS MILL RD TALBOTT , TN 37877 DENTIST SELF		02/14/2006	$150.00
CULLUM , PAUL 105 BERRYWOOD DR COLUMBIA , TN 38401 DENTIST SELF		01/24/2006	$150.00
DAVIS , JOHN 1017 EXECUTIVE DR #102 HIXSON , TN 37343 DENTIST SELF		01/24/2006	$150.00
DE ARMOND , EBEN 150 20TH ST NW CLEVELAND , TN 37311		02/14/2006	$150.00
DEDMON , JOHN 1007 BENTON HARBOR MT JULIET , TN 37122 DENTIST RETIRED		01/25/2006	$150.00
DE WALD , ERNEST 847 RIVER RUN CLARKSVILLE , TN 37043 DENTIST CLARKSVILLE DENTAL CENTER		03/16/2006	$350.00
DOSTER , FREEMAN 1001 CARTER STREET STE B CHATTANOOGA , TN 37402 DENTIST FREEMAN C. DOSTER DDS		02/14/2006	$150.00
DOUGLASS , J BURTON PO BOX 15 HARROGATE , TN 37752 DENTIST SELF		02/14/2006	$115.00
DOUGLASS , JOHN 4515 HARDING RD #104 NASHVILLE , TN 37205 DENTIST SELF		01/25/2006	$150.00
DRESSLER , KEITH 6820 LEE HWY CHATTANOOGA , TN 37421 DENTIST SELF		01/24/2006	$150.00
DUNLAP , CHARLES 78 ALAMAR ST FT OGLETHORPE , GA 30742 DENTIST SELF		01/24/2006	$575.00
DYCUS , RICHARD 1005 E 6TH COOKEVILLE , TN 38501 DENTIST SELF		02/15/2006	$150.00
EDDY , SAMUEL 3221 W GOV JOHN SEVIER HWY KNOXVILLE , TN 37920 DENTIST SELF		02/14/2006	$150.00
EDINGTON , ERNEST 1301 PEACHERS MILL RD CLARKSVILLE , TN 37042 DENTIST SELF		03/16/2006	$150.00
ELAM , ROBERT 2125 BLAKEMORE AVE NASHVILLE , TN 37212 DENTIST SELF		01/25/2006	$150.00
ELKINS , JOSEPH 3733 HIXSON PK CHATTANOOGA , TN 37415 DENTIST JOSEPH C ELKINS, JR DDS		01/24/2006	$150.00
FAERBER , THOMAS 118 MEDICAL CT CLARKSVILLE , TN 37043 DENTIST SELF		03/16/2006	$150.00
FAIN , WALTER 2607 KINGSTON PK #185 KNOXVILLE , TN 37919 DENTIST SELF		02/14/2006	$150.00
FELTS , CHARLES 951 RIVERFRONT PKY STE 102 CHATTANOOGA , TN 37402 DENTIST PERIODONTAL ASSOCIATES OF CHATTANOOGA		02/14/2006	$150.00
FITTS , HAROLD PO BOX 358 BOLIVAR , TN 38008		01/24/2006	$150.00
FONTENOT , PHILIP 4733 ANDREW JACKSON PKY STE 1 HERMITAGE , TN 37076 DENTIST SELF		01/25/2006	$300.00
FOSSICK , RAY 4219 HILLSBORO RD #104A NASHVILLE , TN 37215 DENTIST SELF		01/25/2006	$150.00
FREELS , KENNETH 113 QUAIL HEIGHTS CT KINGSPORT , TN 37663 DENTIST SELF		02/14/2006	$150.00
GARNER , STACEY 118 N THIRD ST PULASKI , TN 38478 DENTIST SELF		02/14/2006	$150.00
GEORGE , LLOYD 875 UNION AVE MEMPHIS , TN 38163 DENTIST SELF		01/25/2006	$150.00
GHOLSON , JOHN 130 DONELSON PK NASHVILLE , TN 37214 DENTIST SELF		01/25/2006	$150.00
GILPATRICK , RUSSELL 875 UNION AVE STE S102 MEMPHIS , TN 38163 DENTIST SELF		01/25/2006	$150.00
GORHAM, JR. , MATT 409 HORSESHOE LN NASHVILLE , TN 37221 DENTIST RETIRED		01/25/2006	$150.00
GRAHAM , R STEVEN 5544 FRANKLIN RD #102 NASHVILLE , TN 37220		01/25/2006	$150.00
GRAHAM , STEPHEN PO BOX 24475 CHATTANOOGA , TN 37422 DENTIST SELF		02/14/2006	$150.00
GRANT , RALPH 5802 NOLENSVILLE RD #201 NASHVILLE , TN 37211 DENTIST SELF		02/14/2006	$150.00
GREENBLATT , CHARLES 6311 KINGSTON PK STE 4E KNOXVILLE , TN 37919 DENTIST SELF		02/14/2006	$150.00
GREER , JOSEPH 120 MONTREAL LN OAK RIDGE , TN 37830 DENTIST SELF		02/14/2006	$150.00
GRIMES , GARRY 850 OGBURN ST PARIS , TN 38242 DENTIST SELF		01/25/2006	$150.00
GURLEY , KEVIN 1336 HAZELWOOD DR SMYRNA , TN 37167 DENTIST SMYRNA DENTAL GROUP		02/15/2006	$150.00
GUTHRIE, JR. , RICK V 728 BLUFF CITY HWY BRISTOL , TN 37620 DENTIST SELF		02/14/2006	$150.00
GUTHRIE, SR. , FRED V 728 BLUFF CITY HWY BRISTOL , TN 37620 DENTIST SELF		02/14/2006	$150.00
HARRIS , BRADLEY 1755 KIRBY PKWY STE 103 MEMPHIS , TN 38120 DENTIST MEMPHIS ENDODONTICS, PLC		01/24/2006	$150.00
HARRISON , WILLIAM PO BOX 506 MILAN , TN 38358 DENTIST DRS. HARRISON AND TUCKER		01/24/2006	$150.00
HARTMAN , KEVIN 816 TUSCULUM BLVD GREENEVILLE , TN 37745 DENTIST SELF		01/24/2006	$150.00
HAYES , WILLIAM 824 JOHN SEVIER HWY SW KNOXVILLE , TN 37920 DENTIST SELF		02/14/2006	$230.00
HENLEY , JOE 151 MASON ST GREENEVILLE , TN 37745 DENTIST SELF		02/14/2006	$150.00
HEROS , FERNANDO 3594 COVINGTON PK MEMPHIS , TN 38128 DENTIST COVINGTON PIKE DENTAL CLINIC		01/24/2006	$575.00
HOPKINS , KENNETH 2136 EXETER RD #202 GERMANTOWN , TN 38138 DENTIST SELF		01/25/2006	$150.00
HOVIOUS , LEE ANN 10265 KINGSTON PK STE B KNOXVILLE , TN 37922 DENTIST SELF		01/25/2006	$150.00
HUNTER , DOUGLAS 4905 NOLENSVILLE PK NASHVILLE , TN 37211 DENTIST SELF		01/25/2006	$150.00
HYDE , GLEN 186 HOSPITAL RD STE 600 WINCHESTER , TN 37398 DENTIST SELF		02/15/2006	$150.00
JAFFREY , BRETT J. 420 LABORATORY RD OAK RIDGE , TN 37830 DENTIST SELF		02/14/2006	$225.00
JENKINS , BRUCE 2289 NEW COLUMBIA HWY LEWISBURG , TN 37091 DENTIST SELF		01/24/2006	$150.00
JONES , H GLENN 528 HARTSVILLE PK GALLATIN , TN 37066 DENTIST SELF		01/25/2006	$150.00
KARR , GERALD R. 2301 RUDOLPHTOWN RD CLARKSVILLE , TN 37043 DENTIST SELF		01/24/2006	$300.00
KELTNER , GOODLOE 5866 RIDGE BEND RD #2 MEMPHIS , TN 38120		01/25/2006	$150.00
KIMBALL , JAMES 951 RIVERFRONT PKY STE 303 CHATTANOOGA , TN 37402 DENTIST SELF		01/24/2006	$150.00
KING , MICHAEL 2000 GREYSTONE PARK JACKSON , TN 38305 DENTIST SELF		01/24/2006	$150.00
LAW , JOHN 231 W OLD HICKORY BLVD MADISON , TN 37115 DENTIST SELF		01/25/2006	$150.00
LEHMAN-GRIMES , SHAWN 324 NORTHCREST DR SPRINGFIELD , TN 37172 DENTIST ABOUT FACES AND BRACES		02/14/2006	$150.00
LLOYD , WILLIAM 4515 POPLAR AVE #225 MEMPHIS , TN 38117 DENTIST SELF		01/25/2006	$150.00
LUNN , ANDREW 1606 GUNBARREL RD #104 CHATTANOOGA , TN 37421 DENTIST SELF		01/25/2006	$150.00
MAGEE , DAVID 1520 CHERRY CREEK CV HENDERSON , TN 38340 DENTIST SELF		02/14/2006	$150.00
MALIN , DAVID M. 626 PATRIOT LN FRANKLIN , TN 37067 DENTIST RETIRED		01/25/2006	$150.00
MARODA , STEPHEN 2136 EXETER RD #202 GERMANTOWN , TN 38138		01/25/2006	$150.00
MARTIN , ANTHONY 161 CAPITOL DR STE 101 KNOXVILLE , TN 37922 DENTIST SELF		02/14/2006	$150.00
MATHER , JON 3421 LAKESHORE DR KINGSPORT , TN 37663 DENTIST SELF		02/14/2006	$150.00
MCBRAYER , CHARLES 5022 OLD GODSEY LN STE 1 HIXSON , TN 37343 DENTIST SELF		01/24/2006	$150.00
MCCAMISH , DEWAYNE 4610 BRAINERD RD STE 3 CHATTANOOGA , TN 37411 DENTIST DRS MCCAMISH, COOPER & DYER		02/14/2006	$150.00
MCCORD , PAUL 2222 CHAMBLISS AVE NW CLEVELAND , TN 37311 DENTIST SELF		01/24/2006	$150.00
MCCOY , J MICHAEL 1928 ALCOA HWY STE 305 KNOXVILLE , TN 37920 DENTIST UNIVERSITY ORAL & MAXILLOFACIAL SURGEONS		03/16/2006	$150.00
MCDANIEL , JAMES 1001 CARTER ST STE A CHATTANOOGA , TN 37402 DENTIST MCDANIEL ORTHODONTICS		02/21/2006	$200.00
MCGOWAN JR , PAUL 9225 WESTLAND DR #101 KNOXVILLE , TN 37922 DENTIST SELF		02/14/2006	$145.00
MCNEELY , DAVID 1014 WEST G ST ELIZABETHTON , TN 37643 DENTIST DAVID E. MCNEELY, JR.		02/14/2006	$150.00
MILLS , JAMES PO BOX 189 MILAN , TN 38358 DENTIST SELF		03/16/2006	$150.00
MINGES , ERNEST 311 E BROW RD LOOKOUT MTN , TN 37350 DENTIST SELF		01/24/2006	$150.00
MOORE , R CHRIS 113 KENNEDY DR MARTIN , TN 38237 DENTIST MOORE DENTAL OFFICE		02/15/2006	$150.00
MOORE , W GREG 113 KENNEDY DR MARTIN , TN 38237 DENTIST MOORE DENTAL OFFICE		02/15/2006	$150.00
NEWMAN , CLINT 4219 HILLSBORO RD #104A NASHVILLE , TN 37215 DENTIST SELF		01/25/2006	$150.00
ORWICK-BARNES , SUSAN 10434 KINGSTON PK STE 4 KNOXVILLE , TN 37922 DENTIST SELF		03/16/2006	$150.00
OSBORN , JOHN PO BOX 337 MAYNARDVILLE , TN 37807 DENTIST SELF		02/14/2006	$150.00
PAGE , TOMMY 104 LEXINGTON PLAZA LEXINGTON , TN 38351 DENTIST SELF		01/24/2006	$150.00
PAYNE , AARON 745 S CHURCH ST #309 MURFREESBORO , TN 37130 DENTIST SELF		02/15/2006	$150.00
PECK , RUSSELL 766 S WHITE STATION MEMPHIS , TN 38117 DENTIST SELF		01/25/2006	$150.00
PELOT , REUBEN 11541 KINGSTON PK STE B KNOXVILLE , TN 37934 DENTIST REUBEN N PELOT III DDS PLLC		03/16/2006	$150.00
PETTY , JOHN 2118 N JACKSON ST TULLAHOMA , TN 37388 DENTIST JOHN E. PETTY, DMD		03/16/2006	$150.00
PITCHFORD , PATRICK 1055 PALMYRA RD CLARKSVILLE , TN 37040 DENTIST SELF		01/24/2006	$150.00
POWERS , DAVID 117 N GATEWAY AVE ROCKWOOD , TN 37854		02/14/2006	$150.00
PRYSE , THOMAS 12632 EVANS RD KNOXVILLE , TN 37922 DENTIST SELF		02/14/2006	$150.00
RAINEY , IRVIN 458 N PARKWAY JACKSON , TN 38305 DENTIST IRVIN M RAINEY, JR DDS PC		02/15/2006	$150.00
REVENIG , MICHAEL 4601 BRAINERD RD CHATTANOOGA , TN 37411 DENTIST SELF		01/24/2006	$150.00
ROBBINS , MORRIS 585 S GREER ST UNIT 303 MEMPHIS , TN 38111 DENTIST SELF		03/16/2006	$150.00
ROCKETT III , CRAIG 200 BLUFF CITY HWY BRISTOL , TN 37620 DENTIST SELF		02/14/2006	$150.00
ROLLINS , JAMES M. 394 W MAIN ST HENDERSONVILLE , TN 37075 DENTIST SELF		01/25/2006	$150.00
ROSS , JAMES 534 BRAY STATION RD COLLIERVILLE , TN 38017 DENTIST SELF		01/25/2006	$150.00
SAWRIE , STEPHEN 3635 KINGS RD CHATTANOOGA , TN 37416 DENTIST RETIRED		02/21/2006	$150.00
SAWYER , TERRY 5651 FRIST BLVD #301 HERMITAGE , TN 37076 DENTIST SELF		01/25/2006	$150.00
SCHENCK JR , KENNETH PO BOX 1446 HIXSON , TN 37343 DENTIST SELF		01/24/2006	$150.00
SEBELIUS , CARL 2054 HARBERT AVE MEMPHIS , TN 38104 DENTIST RETIRED		02/15/2006	$150.00
SEXTON , JAMES 9151 SAXTON GREEN LN GERMANTOWN , TN 38139 DENTIST SELF		01/25/2006	$150.00
SHANKS , CARROLL 923 SIGNATURE LN KNOXVILLE , TN 37922 DENTIST SELF		02/14/2006	$150.00
SHERMAN , PHILLIP 6209 POPLAR AVE #220 MEMPHIS , TN 38119 DENTIST SELF		01/25/2006	$150.00
SIMMONS III , H CLIFTON 1916 HAYES ST NASHVILLE , TN 37203 DENTIST H.CLIFTON SIMMONS III DDS		01/25/2006	$150.00
SIMPSON , STEPHEN 132 HERITAGE PARK DR #3 MURFREESBORO , TN 37129 DENTIST SELF		03/16/2006	$150.00
SLAGLE , WILLIAM 621 EAST OAK PL EDMOND , OK 73025 DENTAL CONSULTANT UNIVERSITY OF TN - MEMPHIS		01/25/2006	$150.00
SPEER , HAROLD 201 GUM BRANCH RD BURNS , TN 37029 DENTIST SELF		01/25/2006	$150.00
STANISLAV , LEON 1827 MEMORIAL DR CLARKSVILLE , TN 37043 DENTIST LEON E. STANISLAV, DDS PLLC		02/14/2006	$150.00
STRITIKUS , JOHN C. 134 HWY 70 E DICKSON , TN 37055 DENTIST DICKSON PEDIATRIC DENTISTRY, PLLC		01/25/2006	$225.00
SULLIVAN , JOHN H. PO BOX 496 LEXINGTON , TN 38351 DENTIST SELF		01/24/2006	$150.00
THOMPSON , WILLIAM R. 122 HERITAGE PARK DRIVE MURFREESBORO , TN 37129 DENTIST SELF		02/15/2006	$300.00
TILLMAN , JOHN 400 E WATAUGA AVE JOHNSON CITY , TN 37601 DENTIST SELF		02/14/2006	$150.00
TOGRYE , ANTHONY 152 HERITAGE PARK DR MURFREESBORO , TN 37129		02/15/2006	$160.00
TUCKER JR , JOHN PO BOX 506 MILAN , TN 38358 DENTIST DRS. HARISON AND TUCKER		01/24/2006	$150.00
UNDERWOOD , THOMAS 4219 HILLSBORO RD #105 NASHVILLE , TN 37215 DENTIST SELF		01/25/2006	$150.00
VAUGHAN , EDWARD 78 LYNOAK CV JACKSON , TN 38305 DENTIST SELF		01/24/2006	$150.00
VAUGHN , JAMES 128 HOLIDAY CT STE 111 FRANKLIN , TN 37067 DENTIST SELF		01/25/2006	$150.00
WALKER , CRAIG 1188 CROSS STREET FT OGLETHORPE , GA 30742		01/24/2006	$150.00
WALL III , WILLIAM 2289 RUDOLPHTOWN RD STE A CLARKSVILLE , TN 37043 DENTIST SELF		03/16/2006	$150.00
WERNER , SCOTT 6425 QUAIL HOLLOW RD STE 201 MEMPHIS , TN 38120 DENTIST WERNER ORTHODONTICS		01/25/2006	$150.00
WILHITE JR , ROBIN 1300 HATCHER LN COLUMBIA , TN 38401 DENTIST ROBERT C WILHITE DDS		03/16/2006	$150.00
WILLIAMS , JOHN 206 MURRAY GUARD DR JACKSON , TN 38305 DENTIST WEST TN PEDIATRIC DENTAL GROUP		01/24/2006	$150.00
WILLIAMS , ROBERT 1408 HIGHLAND AVE JACKSON , TN 38301		01/24/2006	$150.00
WILSON , MARY BETH 1195 OLD HICKORY BLVD #203 BRENTWOOD , TN 37027 DENTIST SELF		01/25/2006	$150.00
WRIGHT, JR. , RONALD S 3308 RUNNING SPRINGS CT FRANKLIN , TN 37064 DENTIST SELF		01/25/2006	$150.00
WRIGHT , RONALD S 106 TULSA RD OAK RIDGE , TN 37830 DENTIST SELF		02/14/2006	$150.00
YOUNG , STANLEY 1360 FLOWERING DOGWOOD LN DYERSBURG , TN 38024 DENTIST SELF		02/14/2006	$150.00

Disbursements

Purpose	Amount
PAC REGISTRATION FEE	$75.00

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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