3rd Quarter for TENNESSEE FORUM POLITICAL ACTION COMMITTEE submitted on 10/09/2012

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
CIGNA CORPORATION PAC 601 PENNSYLVANIA AVE. NW, S BLDG, STE. 835 WASHINGTON , DC 20004	P	01/09/2017	$250.00
JACKSON HEALTHCARE 2655 NORTHWINDS PKWY. ALPHARETTA , GA 30009	P	01/09/2017	$500.00
MAJORITY TENNESSEE 1661 AARON BRENNER DR. #300 MEMPHIS , TN 38120	P	01/09/2017	$250.00
MUMPAC PO BOX 331983 NASHVILLE , TN 37203	P	12/15/2016	$250.00
NORFOLK SOUTHERN CORPORATION ONE CONSTITUTION AVE. NE WASHINGTON , DC 20002	P	11/30/2016	$250.00
SEXTON , CAMERON 186 HOMESTEAD DRIVE CROSSVILLE , TN 38555	C	01/10/2017	$500.00
TENNESSEANS FOR PUTTING STUDENTS FIRST P.O. BOX 190492 NASHVILLE , TN 37219	P	01/09/2017	$500.00
TENNESSEE CHAMBER OF COMMERCE AND INDUSTRY PAC 414 UNION STREET, SUITE 107 NASHVILLE , TN 37219	P	01/09/2017	$400.00
TENNESSEE FEDERATION FOR CHILDREN PAC 1660 L ST., NW, SUITE 1000 WASHINGTON , DC 20036	P	01/09/2017	$500.00
TENNESSEE FIRST PO BOX 198136 NASHVILLE , TN 37219	P	01/09/2017	$250.00
TENNESSEE TELPAC P.O. BOX 7531, 117 TWIN LAKES DR. MCMINNVILLE , TN 37111	P	01/09/2017	$500.00
WEST TENNESSEE RADIOLOGY PAC 7600 WOLF RIVER BLVD SUITE 200 GERMANTOWN , TN 38138	P	01/09/2017	$250.00

Disbursements

Purpose	Amount
SERVICE FEES	$4.47

Vendor	C/P	Purpose	Date	Amount
FACEBOOK 1 HACKER WAY MENLO PARK , CA 94025		ADVERTISING	12/29/2016	$15.02
FOX GRAPHICS 2881 HWY 305 S HERNANDO , MS 38632		PRINTING	12/27/2016	$886.00
JIMMY KELLYS 217 LOUISE NASHVILLE , TN 37203		FOOD / BEVERAGE	01/09/2017	$1,511.06
NASHVILLE CITY CLUB 201 4TH AVENUE N. NASHVILLE , TN 37219		FOOD / BEVERAGE	11/23/2016	$1,000.15
PETT , DANA PO BOX 10 COLLIERVILLE , TN 38017		PROFESSIONAL SERVICES	12/20/2016	$100.00
RACHEL BARRETT & CO LLC PO BOX 331983 NASHVILLE , TN 37203		PROFESSIONAL SERVICES	11/15/2016	$990.00
RHODES , B. L. 974 EVIE ANN LANE LA VERGNE , TN 37086		PROFESSIONAL SERVICES	12/19/2016	$500.00
ROBERT HUFF DESIGNS PO BOX 280595 MEMPHIS , TN 38168		STATE SEALS	12/19/2016	$631.06
STANLEY , PAUL 114 E. MULBERRY ST COLLIERVILLE , TN 38017		PROFESSIONAL SERVICES	11/15/2016	$150.00
U.S. POSTMASTER 131 S CENTER STREET COLLIERVILLE , TN 38017		POSTAGE	12/21/2016	$47.00
U.S. POSTMASTER 131 S CENTER STREET COLLIERVILLE , TN 38017		POSTAGE	12/19/2016	$188.00

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
Self-Endorsed	$5,025.00	$0.00	$5,025.00

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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