Annual Mid Year Supplemental (2013) for AMERICAN ACADEMY OF EMERGENCY MEDICINE PAC submitted on 07/23/2013

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ALONSO , LEONARDO L 831 CHICOPIT LANE JACKSONVILLE , FL 32225 MEDICAL DOCTOR MEMORIAL MEDICAL CENTER		01/08/2018	$200.00
ANDERSON , JEFRREY 1305 COUNTY ROAD 65 KILLEN , AL 35645 DOCTOR ELIZA COFFEE MEMORIAL HOSPITAL		12/06/2017	$250.00
ANDERSON , PETER 1610 W. OCEAN FRONT NEWPORT BEACH , CA 92663 BEST EFFORT FOUNTAIN VALLEY REGINAL HOSPITAL		10/25/2017	$250.00
ANKER , ANTHONY 1021 ALBERT RENNOLDS DRIVE FREDERICKSBURG , VA 22401 EMERGENCY PHYSICIAN FREDERICKSBURG EMERGENCY MEDICAL ALLIANC		12/08/2017	$250.00
ARKANGEL , CARMELITO 7220 ROLLING ACRES TRAIL FAIR OAKS RANCH , TX 78015 MEDICAL DOCTOR UTHSCSA-MEDICAL SCHOOL		11/30/2017	$101.00
BAGNOLI JR , DOMINIC J 50 EAST DRIVE HARTVILLE , OH 44632 PHYSICIAN EMERGENCY MEDICINE PHYSICIANS LTD		11/20/2017	$250.00
BENNETT , DONALD 589 RUSH DRIVE SAN MARCOS , CA 92078-7947 MEDICAL DOCTOR BEST EFFORT		10/12/2017	$250.00
BOND , ALICIA 8707 YANK GULCH RD TALENT , OR 97540-7770 MEDICAL DOCTOR BEST EFFORT		12/08/2017	$250.00
BRADER , ERIC W 1612 BLACKBURN HEIGHTS DR SEWICKLEY , PA 15143 PHYSICIAN ALLEGHENY GENERAL HOSPITAL		12/08/2017	$160.00
BUTLER , JEFFREY 8724 W BENT TREE DRIVE PEORIA , AZ 85383-3873 EMERGENCY PHYSICIAN SAN JOAQUIN COMMUNITY HOSPITAL		10/23/2017	$250.00
CASSIDY , CRYSTAL 526 TRAILS END HOUSTON , TX 77024 MD BAYLOR COLLEGE OF MEDICINE		12/29/2017	$250.00
CHILTON , R. LEE 1910 PALO DURO RD AUSTIN , TX 78757-3241 PHYSICIAN NEIGHBORS EMERGENCY CENTERS		01/08/2018	$250.00
CLANTON II , GARRETT 1110 VINTAGE DRIVE SUMTER , SC 29154 MEDICAL DOCTOR TUOMEY REGIONAL MEDICAL CENTER		10/16/2017	$250.00
CLARK , RUSSELL 1825 FRANCISCO PEAK PLACE LAS VEGAS , NV 89128 MD BEST EFFORT		10/23/2017	$250.00
CSORTAN , ERIC S. 1 FERNWOOD TRAIL ORMOND BEACH , FL 32174-4955 MEDICAL DOCTOR NOT PROVIDED		10/23/2017	$250.00
CUDNIK , MICHAEL 2033 SE 21ST LN CAPE CORAL , FL 33990 MEDICAL DOCTOR BEST EFFORT		11/20/2017	$250.00
DEL RIO , OSCAR 3601 DOUGLAS PLACE PALM HARBOR , FL 34683 BEST EFFORT MEASE DUNEDIN HOSPITAL		07/13/2017	$190.00
DOUGHERTY , TIMOTHY 620 CORAL DRIVE CAPE CORAL , FL 33904-5908 MEDICAL DOCTOR CAPE CORAL EMERGENCY PHYSICIANS		11/03/2017	$250.00
FARCY , DAVID 1660 CLEVELAND RD MIAMI BEACH , FL 33141-1719 PHYSICIAN MOUNT SINAI MEDICAL CENTER		11/21/2017	$250.00
FARCY , DAVID 1660 CLEVELAND RD MIAMI BEACH , FL 33141-1719 PHYSICIAN MOUNT SINAI MEDICAL CENTER		10/23/2017	$250.00
GENOVA , RONALD 3430 N MOUNTAIN RIDGE, UNIT 14 MESA , AZ 85207-1071 PHYSICIAN NCMC		11/09/2017	$200.00
GENZEL , ROBERT BRUCE 1305 BENT CREEK DRIVE SOUTHLAKE , TX 76092 PHYSICIAN HARRIS METHODIST HOSPITAL		10/25/2017	$250.00
HARCHELROAD , FRED 210 HIGHLAND ROAD PITTSBURGH , PA 15238-2112 MEDICAL DOCTOR BEST EFFORT		10/23/2017	$250.00
HNATOW , DAVID 21550 FOREST WATERS CIRCLE GARDEN RIDGE , TX 78266 EMERGENCY PHYSICIAN GREATER SAN ANTONIO EMERGENCY PHYSICIANS		11/12/2017	$250.00
HO , VICTOR 11831 RED COAT LN. HOUSTON , TX 77024-5034 PHYSICIAN LAI-HO, PA		01/11/2018	$250.00
HYMEL , GREGORY 574 CHIPPEWA LANE PERRYSBURG , OH 43551 MEDICAL DOCTOR BEST EFFORT		10/16/2017	$120.00
IHSANULLAH , SAHIBZADAH 26845 SLEEPY HOLLOW DRIVE WESTLAKE , OH 44145-3238 BEST EFFORT BEST EFFORT		12/04/2017	$250.00
INDERMUHLE , SANDRA 2915 E CLARK DR GILBERT , AZ 85297 MEDICAL DOCTOR CHANDLER REGIONAL HOSPITAL		11/22/2017	$250.00
JOHNSON , CARROLL 7804 S.R. 105 SOUTH ATKINS , AR 72823-6358 MEDICAL DOCTOR ST. BERNARDS MEDICAL CENTER		11/20/2017	$250.00
JOHNSTON , ROBERT 518 VINE STREET MORRIS , IL 60450 BEST EFFORT MORRIS HOSPITAL		08/06/2017	$250.00
JONES , JONATHAN 3836 EASTOVER DR. JACKSON , MS 39211 PHYSICIAN BEST EFFORT		10/19/2017	$250.00
JWAYYED , SHARHABEEL 3730 TABS DR UNIONTOWN , OH 44685 MEDICAL DOCTOR AKRON CITY HOSPITAL SUMMA HEALTH SYSTEM		12/30/2017	$200.00
KAUFMAN , JOHN 17221 SADDLECREEK WAY EDMOND , OK 73012 BEST EFFORT BEST EFFORT		11/26/2017	$250.00
KELLY , KATHLEEN 7824 LEE AVENUE ALEXANDRIA , VA 22308 MEDICAL DOCTOR EMERGENCY MEDICINE ASSOCIATES		01/05/2018	$250.00
KENNY , JAMES 96 ASPINWALL STREET STATEN ISLAND , NY 10307 MEDICAL DOCTOR BEST EFFORT		01/02/2018	$250.00
KERR , LENARD 1609 N ANKENY BOULEVARD ANKENY , IA 50023 PHYSICIAN ACUTE CARE, INC		10/31/2017	$250.00
KESSLER , CHRISTOPHER 4200 WOODLARK LANE CHARLOTTE , NC 28211 MEDICAL DOCTOR BEST EFFORT		08/17/2017	$200.00
KHOURI , ERIN 2200 BENJAMIN FRANKLIN PARKWAY PHILADELPHIA , PA 19130 PHYSICIAN NOT PROVIDED		10/08/2017	$300.00
LAWHORN , DAVID 1542 WRIGHTS LANE GALLATIN , TN 37066 MEDICAL DOCTOR SUMNER REGIONAL MEDICAL CENTER		12/22/2017	$250.00
LEYRER , ROBERT 4571 GRASSY POINT BOULEVARD PORT CHARLOTTE , FL 33952-9181 EMERGENCY PHYSICIAN PEACE RIVER REGIONAL MEDICAL CENTER		01/03/2018	$250.00
LISTROM , CHAD 452 MCLENDON HILLS DR WEST END , NC 27376 BEST EFFORT BEST EFFORT		11/13/2017	$400.00
LOPEZ , GREGORY 4314 NE 42ND ST SEATTLE , WA 98105 MEDICAL DOCTOR SWEDISH COVENANT HOSPITAL		12/18/2017	$150.00
MARCOLINI , EVIE 464 CONGRESS STREET NEW HAVEN , CT 06519 MEDICAL DOCTOR YALE UNIVERSITY SCHOOL OF MEDICINE		12/14/2017	$200.00
MCPHERSON , EDGAR 895 HERON RIDGE ROAD WINSTON SALEM , NC 27106 PHYSICIAN NOVANT HEALTH FORSYTH EMERGENCY SERVIC		12/08/2017	$250.00
MIKSANEK , BRYAN 12621 ECKLE JUNCTION DR PERRYSBURG , PA 43551 MD MERCY HOSPITAL		12/12/2017	$250.00
MILLER , KEVIN 908 SHANESVILLE RD. SW SUGARCREEK , OH 44681 BEST EFFORT BEST EFFORT		09/05/2017	$250.00
MILLER , WENDI 1830 S OCEAN DR, APT 4704 HALLANDALE BEACH , FL 33009 PHYSICIAN EMORY UNIVERSITY SOM		07/02/2017	$200.00
MOORE , JEFFREY ALAN 21 S. MAIN STREET WATKINSVILLE , GA 30677 PHYSICIAN GEORGIA EMERGENCY MEDICINE SPECIALISTS		12/12/2017	$250.00
MURRAY , JOHN 1129 OLD EUSTIS ROAD MOUNT DORA , FL 32757 MEDICAL DOCTOR CENTRAL FLORIDA REGIONAL MEDICAL CENTER		11/16/2017	$250.00
NATHAN , MICHELLE 1 THORNTON LANE LEE , NH 03861 MEDICAL DOCTOR CATHOLIC MEDICAL CENTER		01/08/2018	$250.00
NGUYEN , LONG 681 WASHINGTON BLVD MARINA DEL REY , CA 90292 PHYSICIAN KERN MEDICAL CENTER		01/01/2018	$200.00
PARK , JAMES 5114 STONEBRIDGE DR CHAMPAIGN , IL 61822 DO BEST EFFORT		01/11/2018	$250.00
PENNER , MARK 6950 ALMADEN EXPRESSWAY #182 SAN JOSE , CA 95120 PHYSICIAN O'CONNOR HOSPITAL ED		10/23/2017	$500.00
PHAN , PATRICIA 321 WHITE BIRCH LANE JERICHO , NY 11753 MEDICAL DOCTOR BROOKLYN HOSPITAL CENTER		09/19/2017	$250.00
POMERANTZ , JACK 4311 CONSTELLATION AVE #G53 ANCHORAGE , AK 99517 EMERGENCY PHYSICIAN WEST JEFFERSON EMERGENCY PHYSICIANS GROU		09/06/2017	$500.00
RICHARD , CHARLES P.O. BOX 854 CARENCRO , LA 70520 MEDICAL DOCTOR BEST EFFORT		01/10/2018	$250.00
RISS , ALEXANDER 430 WEYMOUTH DR WYCKOFF , NJ 07481 DOCTOR OF OSTEOPATHIC BEST EFFORT		12/06/2017	$250.00
RODRIGUEZ-DE JESUS , MONICA 138 JUPITER KEY RD JUPITER , FL 33477 MEDICAL DOCTOR DAMAS HOSPITAL		11/10/2017	$250.00
ROTHENBERG , JOAN 742 KENWOOD DRIVE GATES MILLS , OH 44040 MEDICAL DOCTOR BEST EFFORT		11/29/2017	$250.00
SEIBERT , H. EDWARD 1113 WOODMONT RD GLADWYNE , PA 19035 MEDICAL DOCTOR ABINGTON HEALTH		01/02/2018	$200.00
SIGILLITO , ROBERT 2665 CLAIBORNE STREET MANDEVILLE , LA 70448 MEDICAL DOCTOR NORTH OAKS MEDICAL CENTER		10/03/2017	$250.00
SMITH , EVANS 1613 DELANO ROAD TYLER , TX 75701-4706 MEDICAL DOCTOR BEST EFFORT		10/25/2017	$200.00
SOLEYMAN-ZOMALAN , EMIL 6601 STONEHILL CT FLOWER MOUND , TX 75022-6100 MEDICAL DOCTOR BEST EFFORT		11/17/2017	$250.00
STEPHENSON , ROBERT PO BOX 3430 JACKSON , TN 38303-3430 BEST EFFORT BEST EFFORT		10/19/2017	$250.00
STURGILL , TIMOTHY 5141 MOLAKINI WAY FAIR OAKS , CA 95628 MEDICAL DOCTOR BEST EFFORT		11/30/2017	$200.00
SUTER , ROBERT PO BOX 670785 DALLAS , TX 75367 BEST EFFORT UNIVERSITY OF TEXAS SOUTHWESTE		12/05/2017	$225.00
TASSET , JERRY 8200 REMINGTON ROAD CINCINNATI , OH 45242 MEDICAL DOCTOR BEST EFFORT		10/27/2017	$250.00
WALKER III , ANDY 2905 BLUE TEAL LANE SIGNAL MOUNTAIN , TN 37377 MEDICAL DOCTOR BEST EFFORT		11/28/2017	$150.00
WALL , VIVEKANANDA 18 SAPPHIRE STREET ODESSA , TX 79762 EMERGENCY PHYSICIAN MEDICAL CENTER HOSPITAL		10/23/2017	$250.00
WATSON , WILLIAM BRUCE 1403 PEABODY AVE MEMPHIS , TN 38104 DOCTOR APOLLOMD		10/25/2017	$250.00
WOODWARD , GEORGE ROBERT 3427 OAK STREET JACKSONVILLE , FL 32205 MEDICAL DOCTOR NOT PROVIDED		01/12/2018	$250.00
YONTZ , LEONARD 11630 W PALM LN AVONDALE , AZ 85392 MEDICAL DOCTOR MARICOPA MEDICAL CENTER		11/30/2017	$250.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
IRS DEPARTMENT OF TREASURY OGDEN , UT 84201		2000 1120-POL				11/30/2017	$384.60
RAUL RUIZ FOR CONGRESS PO BOX 15096 WASHINGTON , DC 20003		CONTRIBUTION				11/02/2017	$2,500.00

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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