Annual Mid Year Supplemental (2011) for TENNESSEE GROCERS & CONVENIENCE STORE PAC submitted on 07/01/2011

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
DEDWYLDER, JR. , WILKINS 503 GEORGE LN MICHIE , TN 38357 PHYSICIAN NONE		01/10/2017	$100.00
EDWARDS , JERRY 1266 ARBORBROOKE DR KNOXVILLE , TN 37922 PHYSICIAN UNIVERSITY OF TENNESSEE MEDICAL CENTER		01/10/2017	$100.00
KLAUER , KEVIN 2006 STILL WATER LN KNOXVILLE , TN 37922 PHYSICIAN NONE		01/10/2017	$100.00
POLLARD , MARK 7520 DOGWOOD ACRES DR HARRISON , TN 37341 PHYSICIAN RHEA MEDICAL CENTER		12/19/2016	$100.00
SHAW , KENNETH 12134 YARNELL RD KNOXVILLE , TN 37932 PHYSICIAN TEAMHEALTH MIDSOUTH		11/15/2016	$100.00
WATSON , WILLIAM 211 CORNWALL STREET GERMANTOWN , TN 38138-4631 PHYSICIAN SELF		11/29/2016	$500.00

Disbursements

Purpose	Amount
BANK FEES	$10.00
BANK FEES	$10.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
HARWELL PAC 413 WEST TYNE NASHVILLE , TN 37205	P	CONTRIBUTION				08/17/2016	$1,000.00
REGISTRY OF ELECTION FINANCE 404 JAMES ROBERTSON PKWY NASHVILLE , TN 37243		AUDIT ADJUSTMENT				08/17/2016	$56,907.50
WILLIAMS , RYAN P. O. BOX 571 COOKEVILLE , TN 38503	C	CONTRIBUTION				08/17/2016	$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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