Amended 4th Quarter for INDEPENDENT MEDICINE'S PAC-TN submitted on 04/14/2011

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BLASER , THOMAS 13617 GLASGOW LANE APPLE VALLEY , MN 55124		05/06/2004	$150.00
CIACCO , PETER 5741 S ELM ST GREENWOOD VILLAGE , CO 80121		05/24/2004	$132.13
COMMITTEE TO ELECT TONI HELLON 619 E WINE PLUM DRIVE TUSCON , AZ 85704		05/05/2004	$250.00
HUELSMANN , DAVID 636 NANAK CT NAPERVILLE , IL 60565		05/05/2004	$160.00
LASCHEN , JEFFREY 8794 SPRINGWOODD ALCOVE WOODBURY , MN 55125 VP SALES OPERATIONS COCA COLA BOTTLING		05/05/2004	$105.00
SKLOSS , ROBERT (BOBBY) 2042 BRENTWOOD DR FLORESVILLE , TX 78114 MARKET UNIT ON PREMISE SALES DIR COCA COLA BOTTLING CO		05/25/2004	$130.00

Disbursements

Purpose	Amount
CONTRIBUTION	$200.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
ACKERMAN FOR SENATE 3943 IRVINE BLVD IRVINE , CA 92602		CONTRIBUTION				04/12/2004	$200.00
ALISHA THOMAS FOR STATE REP 1967 ABBEY PROVINCE AUSTELL , GA 30168		CONTRIBUTION				06/08/2004	$250.00
ARIZONA DEMOCRATIC PARTY 2910 N CENTRAL AVE PHOENIX , AZ 85012		CONTRIBUTION				04/12/2004	$2,500.00
BUTCH PARRISH CAMPAIGN 224 WEST MAIN ST SWAINSBORO , GA 30401		CONTRIBUTION				06/08/2004	$1,000.00
CALIFORNIA MANUFACTURES ASSOC 980 UNION STREET STE 2200 SACRAMENTO , CA 95814		CONTRIBUTION				04/12/2004	$150.00
CALIFORNIA REPUBLICAN PARTY 1111 L STREET SACRAMENTO , CA 95814		CONTRIBUTION				04/12/2004	$5,000.00
CAMPAIGN TO ELECT GEORGE MADDOX 2503 JANEY COURT DECATUR , GA 30037		CONTRIBUTION				06/08/2004	$250.00
CARL ROGERS CAMPAIGN PO BOX 1 GAINSVILLE , GA 30503		CONTRIBUTION				05/25/2004	$500.00
CASEY CAGLE FOR STATE SENATE PO BOX 7067 CHESTNUT MOUNTAIN , GA 30502		CONTRIBUTION				06/08/2004	$500.00
CHANNELL RE-ELECTION CAMPAIGN PO BOX 839 GREENSBORO , GA 30642		CONTRIBUTION				06/08/2004	$500.00
CHIP ROGERS CAMPAIGN 1025 ROSE CREEK DRIVE WOODSTOCK , GA 30189		CONTRIBUTION				06/08/2004	$250.00
CLAY COX CAMPAIGN PO BOX 834 LILBURN , GA 30048		CONTRIBUTION				06/08/2004	$250.00
COMMITTEE FO ELECT SHIRLEY FRANKLIN 3695 CASCADE RD BOX F-307 ATLANTA , GA 30331		CONTRIBUTION				06/20/2004	$250.00
COMMITTEE TO ELECT DON WIX PO BOX 235 MABLETON , GA 30126		CONTRIBUTION				06/08/2004	$250.00
COMMITTEE TO ELECT GLORIA BULTER PO BOX 830696 STONE MOUNTAIN , GA 30083		CONTRIBUTION				06/08/2004	$500.00
COMMITTEE TO ELECT GLORIA MCLEOD PO BOX 1149 CHINO , CA 91708		CONTRIBUTION				06/08/2004	$1,000.00
COMMITTEE TO ELECT PHILP MILLER 4240 YANCEY RD DOUGLASVILLE , GA 30135		CONTRIBUTION				05/06/2004	$200.00
COMMITTEE TO ELECT ROCKY 13743 VENTURA BLVD STE 360 SHERMAN OAKS , CA 91423		CONTRIBUTION				06/08/2004	$1,000.00
COMMITTEE TO ELECT ROGER BRUCE 410 STONE ARBOR COURT ATLANTA , GA 30331		CONTRIBUTION				06/08/2004	$250.00
COMMITTEE TO RE-ELECT JUDY MANNING 830 WHITLOCK AVE MARIETTA , GA 30064		CONTRIBUTION				06/08/2004	$250.00
COMMITTEE TO RE-ELECT SENATOR BALFOUR 2312 WATERSCAPE TRAIL LILBURN , GA 30078		CONTRIBUTION				06/08/2004	$250.00
COMMITTEE TO RE-ELECT TYRONE BROOKS PO BOX 11185 ATLANTA , GA 30310		CONTRIBUTION				06/08/2004	$250.00
CRAIG DEROCHE FOR STATE REP 1620 WEST LAKE NOVI , MI 48377		CONTRIBUTION				06/08/2004	$200.00
CURTIS S JENKINS FOR HOUSE PO BOX 634 FORSYH , GA 31029		CONTRIBUTION				06/08/2004	$250.00
DAVID CASAS FOR STATE SENATE PO BOX 283 LILBURN , GA 30048		CONTRIBUTION				06/08/2004	$250.00
DAVID RALSTON FOR HOUSE PO BOX 1196 BLUE RIDGE , GA 30513		CONTRIBUTION				06/08/2004	$250.00
DAVID STUDDARD CAMPAIGN 430 MERRYDALE DR FAYETTEVILLE , GA 30215		CONTRIBUTION				06/08/2004	$250.00
DON CHEEKS CAMPAIGN 716 WESTMINSTER COURT AUGUSTA , GA 30909		CONTRIBUTION				06/08/2004	$250.00
DUBOSE PORTER CAPAIGN PO DRAWER B COURT SQUARE STA DUBLIN , GA 31040		CONTRIBUTION				06/08/2004	$500.00
ED LINDSEY CAMPAIGN PO BOX 254 SANDERSVILLE , GA 31082		CONTRIBUTION				06/08/2004	$250.00
FRIENDS & NEIGHBORS OF PAT GARDNER 668 EAST PELHAM RD ATLANTA , GA 30324		CONTRIBUTION				06/08/2004	$250.00
FRIENDS & NEIGHBORS OF STEPHANIE STUCKEY 1817 DYSON RD DECATUR , GA 30030		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF ADELMAN PO BOX 1231 DECATUR , GA 30031		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF BARBARA MATTHEWS PO BOX 211 TRACY , CA 95378		CONTRIBUTION				06/08/2004	$500.00
FRIENDS OF BILL HEMBREE 8826 ELMA STREET DOUGLASVILLE , GA 30134		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF BILL LEONARD PO BOX 453 RANCHO CUCAMONGA , CA 91729		CONTRIBUTION				06/08/2004	$249.00
FRIENDS OF DAVID PALSROK 16 OXFORD COURT MANISTEE , MI 49660		CONTRIBUTION				06/08/2004	$175.00
FRIENDS OF JASON ALLEN PO BOX 205 TRAVERSE CITY , MI 49685		CONTRIBUTION				06/08/2004	$150.00
FRIENDS OF JIM BATTIN PO BOX 1071 PALM DESERT , CA 92261		CONTRIBUTION				05/04/2004	$1,600.00
FRIENDS OF JOE WILKINSON 850 OLD CREEK TRAIL SANDY SPRINGS , GA 30328		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF KASIM REED 1755 LOCH LOMOND ATLANTA , GA 30331		CONTRIBUTION				06/08/2004	$500.00
FRIENDS OF MIKE COAN 1602 BRASELTON HIGHWAY LAWRENCEVILLE , GA 30043		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF RICH GOLICK 2372 SIMPSON FARM WAY SMYRNA , GA 30080		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF ROBERT ECKLES 3405 EDLOE STE 380 HOUSTON , TX 77027		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF RODNEY ELLIS 333 CLAY STE 1210 HUSTON , TX 77002		CONTRIBUTION				06/08/2004	$1,000.00
FRIENDS OF RON SAILOR 119 WOODCREST WALK LITHONIA , GA 30058		CONTRIBUTION				06/08/2004	$250.00
FRIENDS OF RUTH MCCLENDON PO BOX 8582 SAN ANTONIO , TX 78208		CONTRIBUTION				04/12/2004	$500.00
FRIENDS OF STAN WATSON 4299 SHERWOOD OAKS DR DECATUR , GA 30034		CONTRIBUTION				06/08/2004	$250.00
FRIENDS TO ELECT NAILOR FOR STATE REP 506 COCKLIN ST MECHANICSBURG , PA 17055		CONTRIBUTION				04/12/2004	$300.00
GEORGANNA SINKFIELD CAMPAIGN 179 TONAWANDA DR SW ATLANTA , GA 30315		CONTRIBUTION				06/08/2004	$250.00
GLEN RICHARDSON FOR STSTE REP 281 VALLEYSIDE DR DALLAS , GA 30132		CONTRIBUTION				06/08/2004	$250.00
HARRY GEISINGER CAMPAIGN 238 RIVER VIEW TRAIL ROSWELL , GA 30075		CONTRIBUTION				06/08/2004	$250.00
HOWARD MOSBY CAMPAIGN 2101 SUGAR CREEK FALLS DR ATLANTA , GA 30316		CONTRIBUTION				06/08/2004	$250.00
HUGH FLOYD CAMPAIGN 744 OMAHA DRIVE NORCROSS , GA 30093		CONTRIBUTION				06/08/2004	$250.00
JAY SHAW FOR STATE REP PO BOX 245 LAKELAND , GA 31635		CONTRIBUTION				06/08/2004	$250.00
JEFF BROWN CAMPAIGN 2010 FOXCOFT DR LAGRANGE , GA 30240		CONTRIBUTION				06/08/2004	$250.00
JERRY KEEN CAMPAIGN PO BOX 24290 ST SIMONS ISLAND , GA 31522		CONTRIBUTION				06/08/2004	$500.00
JERRY LEWIS FOR STATE REP PO BOX 480 WHITE , GA 30184		CONTRIBUTION				06/08/2004	$250.00
JIMMY LORD CAMPAIGN PO BOX 254 SANDERSVILLE , GA 31082		CONTRIBUTION				06/08/2004	$250.00
KEITH HEARD FOR SENATE 3100 ATLANTA HIGHWAY ATHENS , GA 30606		CONTRIBUTION				06/08/2004	$250.00
KEMP FOR SENATE PO BOX 5187 ATHENS , GA 30604		CONTRIBUTION				06/08/2004	$250.00
KYLE JANEK CAMPAIGN 3405 EDLOE ST STE 380 HOUSTON , TX 77027		CONTRIBUTION				06/08/2004	$1,000.00
LANETT STANLEY-TURNER FOR STATE HOUSE 712 GARY ROAD NW ATLANTA , GA 30318		CONTRIBUTION				06/08/2004	$500.00
LESTER TATE CAMPAIGN 13 STONEHENGE COURT CARTERSVILLE , GA 30120		CONTRIBUTION				06/08/2004	$250.00
LORENCE WENKE FOR A BETTER MICHIGAN 2525 NORTH 30 TH ST KALAMAZOO , MI 49048		CONTRIBUTION				05/27/2004	$150.00
MICHAEL MEYERE VON BREMEN CAMPAIGN PO BOX 72065 ALBANY , GA 31708		CONTRIBUTION				06/08/2004	$250.00
NEIGHBORS OF EARL EHRHART 5500 WRIGHT RD POWER SPRINGS , GA 30127		CONTRIBUTION				06/08/2004	$500.00
NIKKI RANDALL CAMPAIGN PO BOX 121 MACON , GA 31202		CONTRIBUTION				06/08/2004	$250.00
PAT DOOLEY FOR STATE HOUSE 35 SESSIONS ST MARIETTA , GA 30060		CONTRIBUTION				06/08/2004	$250.00
PEDRO MARIN CAMPAIGN 2625 RIDGE BROOK TRAIL DULUTH , GA 30096		CONTRIBUTION				06/08/2004	$250.00
ROBERT BROWN FOR STATE SENATE PO BOX 5742 MACON , GA 31208		CONTRIBUTION				06/08/2004	$250.00
ROB TEILHET CAMPAIGN 3205-E POST WOODS DR ATLANTA , GA 30339		CONTRIBUTION				06/08/2004	$250.00
RON BORDERS FOR HOUSE PO BOX 1684 VALDOSTA , GA 31603		CONTRIBUTION				06/08/2004	$250.00
RON FORSTER CAMPAIGN 14 HILLCREST COURT RINGGOLD , GA 30736		CONTRIBUTION				06/08/2004	$250.00
RON MARSICO FOR STATE REP 4320 CRESTVIEW RD HARRISBURG , PA 17112		CONTRIBUTION				06/08/2004	$1,100.00
SAN BERNNARDING COUNTY REPUBLICAN PARTY 10681 FOOTHILL BLVD STE 330 RANCHO CUCAMONGA , CA 91730		CONTRIBUTION				04/12/2004	$1,000.00
SCOTT HUMMEL FOR STATE REP PO BOX 412 DEWITT , MI 48820		CONTRIBUTION				06/08/2004	$200.00
SENATE MAJORITY 2004 420 E JEFFERSON ST TALLAHASSEE , FL 32312		CONTRIBUTION				05/27/2004	$1,000.00
SIKKEMA FOR SENATE PO BOX 344 GRANDVILLE , MI 49468		CONTRIBUTION				06/08/2004	$300.00
SMITH FOR SENATE PO BOX 1963 ROME , GA 30162		CONTRIBUTION				06/08/2004	$250.00
STEVE HENSON FOR SENATE 2643 STERLING ACRES DR TUCKER , GA 30084		CONTRIBUTION				06/08/2004	$250.00
TAIN KELL CAMPAIGN PO BOX 73068 MARIETTA , GA 30007		CONTRIBUTION				06/08/2004	$250.00
TERRY COLEMAN CAMPAIGN PO BOX 157 EASTMAN , GA 31023		CONTRIBUTION				06/08/2004	$1,000.00
VIRGIL FLUDD FOR SATAE REP PO BOX 125 FAYETTEVILLE , GA 30214		CONTRIBUTION				06/08/2004	$250.00
VOTERS TO ELECT VANCE PO BOX 652 CAMP HILL , PA 17011		CONTRIBUTION				05/27/2004	$400.00

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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