Amended Pre-General for EASTMAN PAC submitted on 01/27/2009
Beginning Balance
$1,406.02
Receipts
Monetary Contributions, Unitemized
$4,153.40
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
BOWMAN
, SCOTT
340 FAIRLANE DR. SWEETWATER , TN 37874 CEO SWEETWATER HOSPITAL ASSOC |
06/05/2018 | $600.00 | |
|
BURCHFIELD
, JOE
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP THA |
06/15/2018 | $252.00 | |
|
CLARKE
, CHRIS
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSOC |
06/15/2018 | $124.98 | |
|
DAVIS
, RANDALL
211 BONNALYN DRIVE HERMITAGE , TN 37172 PRESIDENT & CEO NORTHCREST MEDICAL CTR |
06/20/2018 | $250.00 | |
|
DIETRICH
, MIKE
5201 VIRGINIA WAY BRENTWOOD , TN 37027 VP TENN HOSPITAL ASSOC |
06/15/2018 | $125.04 | |
|
GOODLOE
, JIM
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSOC |
06/15/2018 | $124.98 | |
|
HALL
, CLISBY
3947 WOODLAWN DRIVE NASHVILLE , TN 37025 SR ADVISOR OF HEALTH POLICY VANDERBILT UNIVERSITY OF MEDICAL CENTER |
06/14/2018 | $225.00 | |
|
HEINEMANN
, DON
309 HUDSON ST MARYVILLE , TN 37801 CEO BLOUNT MEM HOSP |
05/24/2018 | $1,000.00 | |
|
JOLLEY
, BILL
5201 VIRGINIA WAY BRENTWOOD , TN 37027 SVP TENN HOSPITAL ASSOC |
06/15/2018 | $125.04 | |
|
MAYO
, PATRICE
5201 VIRGINIA WAY BRENTWOOD , TN 37027 VP TENN HOSPITAL ASSOC. |
06/15/2018 | $125.04 | |
|
PIERCEY
, LISA
298 CHAPEL HILL ROAD MILAN , TN 38358 VP OF SYSTEM SERVICES WEST TENNESSEE HEALTHCARE |
06/25/2018 | $500.00 | |
|
SIBLEY
, CHERIE
5025 MONTELENA DRIVE FRANKLIN , TN 37067 COO LIFEPOINT HEALTH, INC. |
06/07/2018 | $500.00 | |
|
TOWNS
, LETICIA
2429 VERDUN MEMPHIS , TN 38114 SR. VP EXTERNAL RELATIONS REGIONAL ONE HEALTH |
06/08/2018 | $250.00 | |
|
WEBB
, DONALD
3106 DEL RIO PIKE FRANKLIN , TN 37069 CEO WILLIAMSON MEDICAL CENTER |
06/19/2018 | $1,500.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$13,151.30
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
SCRUGGS
, SHERRY
356 OLD TRENT EATON RD TRENTON , TN 38382 ADMINISTRATOR MILAN GENERAL HOSPITAL |
04/12/2018 | [ $150.00 ] |
Contribution Adjustments
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$13,151.30
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
AHAPAC
800 10TH ST, NW, TWO CITY CTR, STE 400 WASHINGTON , DC 20001 |
CONTRIBUTION | 04/13/2018 | $20,500.00 | ||||
|
PURYEAR, HAMILTON, HAUSMAN & WOOD
1000 CORPORATE CENTRE DR., STE 200 FRANKLIN , TN 37067 |
AUDIT FEES | 06/28/2018 | $93.40 | ||||
|
SUNTRUST BANK
5030 THOROUGHBRED LN, BRENTWOOD , TN 37027 |
BANK FEES | 06/30/2018 | $104.49 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$15,500.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$14,500.00
Ending Balance
ENDING BALANCE
$57.32
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