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Amended Annual Year End Supplemental (2021) for TENNESSEE PHYSICAL THERAPY PAC submitted on 01/30/2022

Beginning Balance

$18,963.57

Receipts

Monetary Contributions, Unitemized
$1,101.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
HARRIS , DAVID
9423 LAZY CIRCLES DR.
OOLTEWAH , TN 37363
PHYSICAL THERAPIST
BENCHMARK
08/15/2018 $102.56
KING , PATRICIA
900 N BARTON ST #1
JOHNSON CITY , TN 37604
PHYSICAL THERAPIST
ETSU
08/29/2018 $150.00
MEMPHIS DISTRICT APTA
7980 EASTERLY LANE
MEMPHIS , TN 38125
08/28/2018 $250.00
SMITH , DANNY
539 DIVISION ST.
ELIZABETHTON , TN 37643
Physical Therapist
Physical Therapy Service, PA
08/22/2018 $200.00
TOP GOLF
8750 N CENTRAL EXPRESSWAY, SUITE 1200
DALLAS , TX 75231
08/16/2018 $400.46
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$7,176.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$7,176.00

Disbursements

Expenditures, Unitemized
Purpose Amount
Credit card processi $24.71
FOOD / BEVERAGE $40.00
POSTAGE $50.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BLUES CITY TOUR BUS
664 MARSHALL AVE
MEMPHIS , TN 38103
FUND RAISER EXPENSE 07/29/2018 $615.25
HILL , MATTHEW
P. O. BOX 322
JONESBOROUGH , TN 37659
C CONTRIBUTION 07/31/2018 $500.00
JACKSON , EDWARD S.
25 WYNDHURST
JACKSON , TN 38305
C CONTRIBUTION 08/27/2018 $1,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$11,415.29

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$11,415.29

Ending Balance

ENDING BALANCE
$14,724.28


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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