Annual Mid Year Supplemental (2021) for TENNESSEE FORUM submitted on 07/19/2021
Beginning Balance
$1,450.47
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
BARAHIMI
, BEHIN
17 CASTLEWOOD CT NASHVILLE , TN 37215-4617 OPHTHALMOLOGIST VANDERBILT EYE INSTITUTE |
09/10/2020 | $6,000.00 | |
|
FORD
, GREGORY
2560 BUSINESS PARK DR NE CLEVELAND , TN 37311-6503 PHYSICIAN CLEVELAND EYE CLINIC |
09/11/2020 | $2,000.00 | |
|
MAHAN
, BEN
926 N. JACKSON ST TULLAHOMA , TN 37388-2300 PHYSICIAN EYE MD OPHTHALMOLOGY |
08/27/2020 | $1,500.00 | |
|
STERNBURG, JR.
, PAUL
2311 PIERCE AVE NASHVILLE , TN 37232-0025 PHYSICIAN VANDERBILT EYE INSTITUTE |
09/28/2020 | $2,000.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$0.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$0.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
AKBARI
, RAUMESH
655 RIVERSIDE DRIVE, PH1404 MEMPHIS , TN 38103 |
C | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
BAILEY
, PAUL
P.O. BOX 2998 COOKEVILLE , TN 38502 |
C | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
BELL
, MIKE
261 COUNTY ROAD 757 RICEVILLE , TN 37370 |
C | CONTRIBUTION | 09/02/2020 | $1,000.00 | |||
|
BOYD
, CLARK
104 MOCKINGBIRD LANE LEBANON , TN 37087 |
C | CONTRIBUTION | 08/05/2020 | $500.00 | |||
|
BRIGGS
, RICHARD
2235 BREAKWATER DRIVE KNOXVILLE , TN 37922 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
CAMPER
, KAREN
4229 OXFORD PARK DR MEMPHIS , TN 38116 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
CRAWFORD
, JOHN
904 E. CENTER STREET KINGSPORT , TN 37660 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
CROWE
, RUSTY
808 EAST 8TH AVENUE JOHNSON CITY , TN 37601 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
ELDRIDGE
, RICK
1303 VALLEY HOME ROAD MORRISTOWN , TN 37813 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
FAISON
, JEREMY
P.O. BOX 516 NEWPORT , TN 37822 |
C | CONTRIBUTION | 09/02/2020 | $500.00 | |||
|
FREEMAN
, BOB
P.O. BOX 331665 NASHVILLE , TN 37203 |
C | CONTRIBUTION | 09/02/2020 | $500.00 | |||
|
GANT
, RON
P.O. BOX 491 ROSSVILLE , TN 38066 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
GARRETT
, JOHNNY
1100 WILLIS BRANCH ROAD GOODLETTSVILLE , TN 37072 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
HALL
, MARK
2504 HENDERSON AVENUE CLEVELAND , TN 37312 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
HAZLEWOOD
, PATSY
P.O. BOX 324 SIGNAL MOUNTAIN , TN 37377 |
C | CONTRIBUTION | 09/02/2020 | $500.00 | |||
|
HELTON
, ESTHER
P.O. BOX 9132 EAST RIDGE , TN 37412 |
C | CONTRIBUTION | 09/02/2020 | $500.00 | |||
|
HENSLEY
, JOEY
855 SUMMERTOWN HWY. HOHENWALD , TN 38462 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
HICKS, JR.
, GARY
733 CLOUD CREEK RD. ROGERSVILLE , TN 37857 |
C | CONTRIBUTION | 08/05/2020 | $1,000.00 | |||
|
HULSEY
, BUD
1913 SEAVER ROAD KINGSPORT , TN 37660 |
C | CONTRIBUTION | 09/18/2020 | $250.00 | |||
|
JACK - PAC
915 LEWISBURG PIKE FRANKLIN , TN 37064 |
P | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
JACKSON
, EDWARD S.
25 WYNDHURST JACKSON , TN 38305 |
C | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
JERNIGAN
, DARREN
4837 RAINER DRIVE OLD HICKORY , TN 37138 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
KEISLING
, KELLY
8500 HWY. 111, SUITE 150 BYRDSTOWN , TN 38549 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
LAMBERTH, II
, WILLIAM G.
P. O. BOX 812 PORTLAND , TN 37148 |
C | CONTRIBUTION | 08/05/2020 | $500.00 | |||
|
LOVE, JR.
, HAROLD M.
2516 BUCHANAN ST. NASHVILLE , TN 37208 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
MCPAC
P.O. BOX 331983 NASHVILLE , TN 37203 |
P | CONTRIBUTION | 08/05/2020 | $1,000.00 | |||
|
REEVES
, WILLIAM S.
P. O. BOX 10807 MURFREESBORO , TN 37129 |
C | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
SEXTON
, CAMERON
SOUTHLAND ADVANTAGE, PO BOX 58824 NASHVILLE , TN 37205 |
C | CONTRIBUTION | 08/05/2020 | $500.00 | |||
|
SMITH
, ROBIN
5928 HIXSON PIKE, SUITE A-158 HIXSON , TN 37343 |
C | CONTRIBUTION | 09/02/2020 | $1,000.00 | |||
|
TERRY
, GREGORY BRYAN
2306 BLACKFOX COURT MURFREESBORO , TN 37127 |
C | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
TODD
, CHRISTOPHER
P.O. BOX 12255 JACKSON , TN 38308 |
C | CONTRIBUTION | 09/02/2020 | $500.00 | |||
|
VAUGHAN
, KEVIN
1115 HALLE PARK CIRCLE COLLIERVILLE , TN 38017 |
C | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
WATSON
, BO
P.O. BOX 2059 HIXSON , TN 37343 |
C | CONTRIBUTION | 09/18/2020 | $1,000.00 | |||
|
WEAVER
, TERRI LYNN
100 SEABOWISHA LANE LANCASTER , TN 38569 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
WHITE
, MARK
1661 AARON BRENNER DR., STE. 300 MEMPHIS , TN 38120 |
C | CONTRIBUTION | 09/18/2020 | $500.00 | |||
|
YAGER
, KEN
136 CLAYGATE COURT KINGSTON , TN 37763 |
C | CONTRIBUTION | 08/05/2020 | $1,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$100.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$100.00
Ending Balance
ENDING BALANCE
$1,350.47
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