3rd Quarter for TENNESSEE INSURANCE PAC submitted on 10/07/2004

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
MANIS , KEVIN 330 SEVEN SPRINGS WAY BRENTWOOD , TN 37027 VP LIFEPOINT HEALTH		07/05/2017	$200.00
POPPELL , MARK 330 SEVEN SPRINGS WAY BRENTWOOD , TN 37027 VP LIFEPOINT HEALTH		07/05/2017	$1,800.00

Disbursements

Purpose	Amount
BANK FEES	$99.44
NON TENN	$73,579.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BLACK , DIANE 1254 WAVECREST CIRCLE GALLATIN , TN 37066	C	CONTRIBUTION				01/10/2018	$8,000.00
BLACK , DIANE 1254 WAVECREST CIRCLE GALLATIN , TN 37066	C	CONTRIBUTION				08/08/2017	$8,000.00
DEAN , KARL PO BOX 158477 NASHVILLE , TN 37215	C	CONTRIBUTION				08/07/2017	$5,000.00
HARWELL , BETH HALTEMAN 413 WEST TYNE DR. NASHVILLE , TN 37205	C	CONTRIBUTION				08/24/2017	$1,000.00
REGISTRY OF ELECTION FINANCE 404 JAMES ROBERTSON PARKWAY, SUITE 1614 NASHVILLE , TN 37243		REGISTRATION FEE				01/10/2018	$100.00
TENNESSEE LEGISLATIVE CAMPAIGN COMMITTEE 95 WHITE BIRDGE ROAD, SUITE 414 NASHVILLE , TN 37205	P	CONTRIBUTION				07/28/2017	$5,000.00
WILLIAMSON COUNTY REPUBLICAN PARTY 8471 HEIRLOOM BLVD COLLEGE GROVE , TN 37046	P	CONTRIBUTION				01/10/2018	$1,200.00

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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