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3rd Quarter for LIFEPOINT HEALTH PAC submitted on 10/11/2016

Beginning Balance

$239,762.36

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
CAPLENOR , MICHAEL
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
VP
LIFEPOINT HEALTH
07/28/2016 $1,000.00
CHAFFIN , JASON
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
VP
LIFEPOINT HOSPITALS
07/28/2016 $400.00
HOLMAN , RUSSELL
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
EXECUTIVE VP
LIFEPOINT HEALTH
08/15/2016 $1,300.00
MONTE , CHRISTOPHER
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
VP
LIFEPOINT HEALTH
07/28/2016 $750.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$3,450.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,450.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $29.55
NON TENN $36,300.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
THE COFFEE HOUSE
144 SECOND AVENUE
FRANKLIN , TN 37064
FOOD / BEVERAGE SARGENT, JR., CHARLES 08/09/2016 $1,017.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$37,346.55

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$37,346.55

Ending Balance

ENDING BALANCE
$205,865.81


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$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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