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Amended Annual Mid Year Supplemental (2011) for MCCALL PAC submitted on 03/19/2012

Beginning Balance

$13.17

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
FREEDOM PAC
3773 BIG SPRINGS ROAD
LEBANON , TN 37090
P 07/11/2016 $500.00
HIGHLANDS PHYSICIANS PAC
2004 AMERICAN WAY, STE. 201
KINGSPORT , TN 37660
P 07/05/2016 $250.00
HOLSTON MEDICAL GROUP, PC PAC
2323 N. JOHN B. DENNIS HWY.
KINGSPORT , TN 37660
P 07/05/2016 $500.00
REACH , RALPH
4654 GREENWOOD DR
JONESBOROUGH , TN 37659
DOCTOR
WATAUGA RECOVERY CENTERS
07/11/2016 $750.00
SMYTH , TIMOTHY
101 MED TECH PKWY STE 200
JOHNSON CITY , TN 37604
ANESTHESIOLOGIST
PAIN MEDICINE ASSOCIATES
07/11/2016 $1,200.00
WATAUGA RECOVERY CENTERS
3114 BROWNS MILL RD
JOHNSON CITY , TN 37604
07/11/2016 $750.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$1,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$1,000.00

Disbursements

Expenditures, Unitemized
Purpose Amount
FOOD / BEVERAGE $279.86
GAS $41.00
OFFICE SUPPLIES $19.51
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
RIGHT WAY MARKETING
354 SHADOWTOWN RD SUIT 205
BLOUNTVILLE , TN 37617
TELEPHONE 07/20/2016 $350.00
Loan Payments
Loan Source Payment
Self-Endorsed $200.00
Self-Endorsed $1,100.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$1,000.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$1,000.00

Ending Balance

ENDING BALANCE
$13.17


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$0.00
Loans Beg Balance Paid End Balance*
Self-Endorsed $500.00 $200.00 $300.00
Self-Endorsed $1,100.00 $1,100.00 $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
$0.00
TOTAL OBLIGATIONS OUTSTANDING
$0.00

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