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Annual Mid Year Supplemental (2015) for TENNESSEE ACADEMY OF PHYSICIAN ASSISTANTS PAC submitted on 07/14/2015

Beginning Balance

$4,377.19

Receipts

Monetary Contributions, Unitemized
$1,450.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
BEARD , JAY
505 HALLE PARK DR
COLLIERVILLE , TN 38017
INSURANCE SALES
SELF EMPLOYED
12/30/2016 $135.00
CLINE , JIM
1309 EAST CENTER STREET
KINGSPORT , TN 37664
INSURANCE SALES
SELF EMPLOYED
12/30/2016 $135.00
DORRIS , KYLE
6 CADILLAC DR. SUITE 250
BRENTWOOD , TN 37027
INSURANCE SALES
SELF EMPLOYED
12/30/2016 $150.00
EISON , TOM
415 LAKE ROAD
DYERSBURG , TN 38024
INSURANCE SALES
SELF EMPLOYED
12/30/2016 $300.00
GILLESPIE , DENNIS
5214 MARYLAND WAY SUITE 406
BRENTWOOD , TN 37027
INSURANCE SALES
SELF EMPLOYED
12/30/2016 $300.00
HARSCH , LISA
505 TENNESSEE ST 506
MEMPHIS , TN 38018
DIST MGR
FARMERS INS
12/30/2016 $200.00
INGRAM , CHRIS
1005 BAXTER LN
GALLATIN , TN 37201
DIST MGR
FARMERS INS
12/30/2016 $200.00
LEWIS , MARC
1241 ROCK SPRINGS RD
SMYRNA , TN 37167
DIST. MANAGER
FARMER INS.
12/30/2016 $300.00
SILLS , JOHN
7030 LEE HWY, SUITE 102
CHATTANOOGA , TN 37421
INSURANCE SALES
SELF EMPLOYED
12/30/2016 $345.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$3,065.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,065.00

Disbursements

Expenditures, Unitemized
Purpose Amount
AUDIT ADJUSTMENT JRM 7-12-2017 $89.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BUREAU OF ETHICS AND CAMPAIGN FINANCE
404 JAMES ROBERTSON PARKWAY SUITE 104
NASHVILLE , TN 37243
ANNUAL PAC FEE 01/09/2017 $100.00
NEIL'S BAR-B-Q
470 MALL BLVD
DYERSBURG , TN 38024
LUNCHEON/MEETING ROOM 11/01/2016 $583.76
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$541.40

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$541.40

Ending Balance

ENDING BALANCE
$6,900.79


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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