4th Quarter for JACK DANIEL'S PAC submitted on 01/25/2013

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BILLS , RITA 1110 GARRETTSBURG CKARKSVILLE , TN 37042 DENTAL HYGGIENIST BACK TO BASIC DENTAL CARE		04/21/2017	$180.00
BYERLEY , JENNIFER 2923 ANTIOCH RD JOHNSON CITY , TN 37604 DENTAL HYGIENIST		04/22/2017	$160.00
MELTON , SUSAN 5320 CUSTIS LANE KNOXVILLE , TN 37920 REGISTERED DENTAL HYGIENISTS DR. WILLIAM PROFFITT		01/30/2017	$300.00
TENNESSEE DENAL HYGIENIST ASSOCIATION P.O. BOX 770595 MEMPHIS , TN 38177		05/09/2017	$860.00
TENNESSEE DENAL HYGIENIST ASSOCIATION P.O. BOX 770595 MEMPHIS , TN 38177		03/27/2017	$865.00

Disbursements

Purpose	Amount
BANK FEES	$90.00
FUNDRAISER EVENT	$52.18
FUNDRAISER EVENT	$45.85
FUNDRAISER EVENT	$50.00
GAS	$64.31

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
AAFFORDABLE EXHIBIT DISPLAY 307 ROUTE 202 GREENE , ME 04236		ADVERTISING				04/09/2017	$298.00
BLUE COAST MURFREESBORO 1122 MEMORIAL BLVD MURFREESBORO , TN 37129		FOOD / BEVERAGE				04/21/2017	$478.03
BUDGET RENT A CAR 2491 WINCHESTER RD MEMPHIS , TN 38116		CAR RENTAL				04/20/2017	$248.77
DOUBLETREE MURFREESBORO 1850 OLD FORT PARKWAY MURFREESBORO , TN 37129		HOTEL				04/24/2017	$293.52
MCKINNEY , KARLA 3131 BROWNS MILL RD COOKEVILLE , TN 38506		FUNDRAISER EVENT				04/17/2017	$200.00
THE WAREHOUSE 730 - A MIDDLE TN BLVD MURFREESBORO , TN 37129		FUNDRAISING LOCATION RENTAL FEE				02/14/2017	$400.00
WALMART 2000 OLD FORT PKWY MURFREESBORO , TN 37129		FUNDRAISER EVENT SUPPLIES				04/21/2017	$102.86

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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