Amended Annual Year End Supplemental (2015) for NAT'L HEALTH CORP. PAC submitted on 02/11/2016

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ANDERSON , ZACHARY 801 BRIM STREET DESLOGE , MO 63601 ADMINISTRATOR NHC DESLOGE		12/13/2020	$120.00
BARTLETT , GREGORY 2230 ASHLEY CROSSING DRIVE CHARLESTON , SC 29414 ADMINISTRATOR NHC CHARLESTON		12/13/2020	$120.00
BEBBER , LEIGH 100 E VINE STREET MURFREESBORO , TN 37130 REGIONAL NURSE HOME OFFICE		11/30/2020	$125.00
BIDWELL , CHARLES 993 E. COLLEGE ST. PULASKI , TN 38478 REGIONAL VP NHC		12/13/2020	$140.00
BIDWELL , GREGORY 100 E VINE STREET MURFREESBORO , TN 37130 REGIONAL SENIOR VP HOME OFFICE		11/30/2020	$500.00
BRYANT , JENNIFER 1501 EAST GREENVILLE STREET ANDERSON , SC 29621 REGIONAL DIETITIAN PHS SOUTH CAROLINA		12/13/2020	$120.00
BUMGARDANER , KELLEY 801 BRIM STREET DESLOGE , MO 63601 REHAB REGIONAL-ST PHS MISSOURI		12/13/2020	$120.00
BURKE , BRIGITTE LAY 100 E. VINE ST. MURFREESBORO , TN 37130 AVP, PATIENT SERVICES NATIONAL HEALTH CORPORATION		11/30/2020	$125.00
BURWIN , ALLISON 100 E VINE STREET MURFREESBORO , TN 37130 VP NHC		11/30/2020	$225.00
CABRAL , RICHARD 100 E. VINE ST. MURFREESBORO , TN 37130 ADMINISTRATOR NATIONAL HEALTH CORPORATION		12/13/2020	$124.00
COGGIN , WILLIAM 100 E VINE STREET MURFREESBORO , TN 37130 DIRECTOR OF FACILITY SAFETY SERVICE NHC		11/30/2020	$250.00
COLLEY , ELIZABETH 1321 CEDAR LANE TULLAHOMA , TN 37388 ADMINISTRATOR NHC TULLAHOMA		12/13/2020	$120.00
CROTTS , JEANIE 1018 NORTH GUIGNARD DRIVE SUMTER , SC 29150 ADMINISTRATOR NHC SUMTER		12/13/2020	$160.00
D'AMORE , RALPH 437 EAST CAMBRIDGE AVENUE GREENWOOD , SC 29646 PHYSICIAN NHC GREENWOOD		12/13/2020	$120.00
DAVIS , KATHRYN 810 EAST BUTLER ROAD GREENVILLE , SC 29607 ADMINISTRATOR THE PALMETTOS AT MAULDIN		12/13/2020	$120.00
DAVIS , SAMANTHA 45 HONEY LOCUST LANE ST. CHARLES , MO 63303 ADMINISTRATOR LAKE ST. CHARLES RETIREMENT CENTER		12/13/2020	$120.00
DEAN , MALCOLM 901 SUNCOOK VALLEY HIGHWAY EPSOM , NH 03234 ADMINISTRATOR EPSOM HEALTHCARE		12/13/2020	$120.00
DODSON , VICKI 100 E. VINE ST. MURFREESBORO , TN 37130 SR. VP, PATIENT SERVICES NATIONAL HEALTH CORPORATION		11/30/2020	$500.00
FLATT , BEN ANDERSON 100 VINE ST. MURFREESBORO , TN 37132 SVP & CHIEF INFORMATION OFFICER NATIONAL HEALTH CORPORATION		11/30/2020	$250.00
FLATT , STEPHEN 100 E VINE STREET MURFREESBORO , TN 37130 CEO NHC		11/30/2020	$250.00
GARST , JOSEPH 608 EIGHTH AVENUE EAST SPRINGFIELD , TN 37172 ADMINISTRATOR NHC SPRINGFIELD		12/13/2020	$140.00
HALL , MALCOLM 139 CHESTNUT OAK AVE. SMITHVILLE , TN 37166 DIRECTOR OF GOVERNMENT RELATIONS NHC		11/30/2020	$150.00
HARBIN , HOLLY 350 AUSTIN GRAYBILL RD. NORTH AUGUSTA , SC 29860 ADMINISTRATOR NHC		12/13/2020	$400.00
HARRIS , HUNTER 8353 HIGHWAY 100 NASHVILLE , TN 37221 ADMINISTRATOR NHC PLACE AT THE TRACE		12/13/2020	$120.00
HILL , HEATH 1501 E. GREENVILLE ST. ANDERSON , SC 29621 ADMINISTRATOR NHC		12/13/2020	$120.00
HOLDER , CHARLES 304 JACOBS HIGHWAY CLINTON , SC 29325 ADMINISTRATOR NHC CLINTON		12/13/2020	$120.00
HUBBARD , MARY 2300 PAVILLION DRIVE KINGSPORT , TN 37660 ADMINISTRATOR NHC KINGSPORT		12/13/2020	$120.00
HUNT , JOAN 3039 OKATIE HIGHWAY BLUFFTON , SC 29909 MDS COORDINATOR - RN NHC BLUFFTON		12/13/2020	$144.00
JACKSON , SCOTT 19400 E. 40TH STREET INDEPENDENCE , MO 64057 ADMINISTRATOR VILLAGES OF JACKSON CREEK MEMORY CARE		12/13/2020	$120.00
JOHNSON , DERYL 100 E VINE STREET MURFREESBORO , TN 37130 REGIONAL SENIOR VP HOME OFFICE		11/30/2020	$500.00
JONES , CHRISTINA 504 ELMINGTON AVENUE NASHVILLE , TN 37205 ASSISTANT ADMINISTRATOR RICHLAND PLACE		12/13/2020	$140.00
LANE , KARLA 120 CAVETT HILL LANE KNOXVILLE , TN 37934 ADMINISTRATOR NHC FARRAGUT		12/13/2020	$120.00
MANLEY , MICHAEL 2993 SUNSET BOULEVARD WEST COLUMBIA , SC 29169 ADMINISTRATOR NHC LEXINGTON		12/13/2020	$140.00
MCCREARY , JOSH 100 E. VINE ST. MURFREESBORO , TN 37130 GENERAL COUNSEL-SVP-SECRETARY NATIONAL HEALTH CORPORATION		11/30/2020	$150.00
MCINTOSH JR , LEROY 100 E VINE STREET MURFREESBORO , TN 37130 SENIOR VP OF ANCILLARY SERVICES & S HOME OFFICE		11/30/2020	$250.00
MCKAMEY , DARRIN 374 BRINK STREET LAWRENCEBURG , TN 38464 ADMINISTRATOR NHC LAWRENCEBURG		12/13/2020	$120.00
MCKENZIE , DANIEL 100 E. VINE ST. MURFREESBORO , TN 37130 ADMINISTRATOR NATIONAL HEALTH CORPORATION		12/13/2020	$130.00
MICHEL , ANNA 211 DAVIS DRIVE WEST PLAINS , MO 65775 ADMINISTRATOR NHC WEST PLAINS		12/13/2020	$120.00
MINER , KARYN 1276 HANOVER STREET MANCHESTER , NH 03104 ADMINISTRATOR VILLA CREST HEALTH CARE CENTER		12/13/2020	$140.00
MOORE , ANTHONY 140 THORNE BOULEVARD GALLATIN , TN 37066 ADMINISTRATOR NHC PLACE SUMNER		12/13/2020	$120.00
MOORHOUSE , BRADLEY 1501 EAST GREENVILLE STREET ANDERSON , SC 29621 REGIONAL VP NHC		11/30/2020	$150.00
MOORHOUSE , BRYAN 100 E. VINE ST. MURFREESBORO , TN 37130 ADMINISTRATOR NATIONAL HEALTH CORPORATION		12/13/2020	$120.00
NASON JR , HOWARD 100 E VINE STREET MURFREESBORO , TN 37130 REGIONAL VP HOME OFFICE		11/30/2020	$250.00
NORRIS , CHELSEY 211 COOL SPRINGS BOULEVARD FRANKLIN , TN 37067 ADMINISTRATOR NHC PLACE COOL SPRINGS		12/13/2020	$120.00
PARENTI , KAREN 100 E VINE STREET MURFREESBORO , TN 37130 REGIONAL NURSE HOME OFFICE		11/30/2020	$150.00
PEIMANN , SETH 35 SUGAR MAPLE LANE ST. CHARLES , MO 63303 ADMINISTRATOR NHC ST. CHARLES		12/13/2020	$120.00
PERRY , KELLIE 68 DEAN STREET TAUNTON , MA 02780 ADMINISTRATOR LONGMEADOW OF TAUNTON		12/13/2020	$160.00
PUDLOWSKI , JACQUELINE 5400 EXECUTIVE CENTRE PARKWAY ST. PETERS , MO 63376 ADMINISTRATOR VILLAGES OF ST. PETERS		12/13/2020	$120.00
RAFFA , ANTHONY 2700 PARKWOOD AVENUE CHATTANOOGA , TN 37404 ADMINISTRATOR NHC CHATTANOOGA		12/13/2020	$120.00
RECTOR , MELVIN 100 E VINE STREET MURFREESBORO , TN 37130 SENIOR REGIONAL VP HOME OFFICE		11/30/2020	$250.00
ROBERTS , MEADOW 100 E. VINE ST. MURFREESBORO , TN 37130 AVP, ACCOUNTS RECEIVABLE NATIONAL HEALTH CORPORATION		11/30/2020	$125.00
RUMSEY , WHITNEY 100 E. VINE ST. MURFREESBORO , TN 37130 ADMINISTRATOR IN TRAINING NATIONAL HEALTH CORPORATION		12/13/2020	$120.00
SALYERS , MARINDA 1425 MCFARLAND AVENUE ROSSVILLE , GA 30741 ADMINISTRATOR NHC ROSSVILLE		12/13/2020	$120.00
SAUER , DAVID 100 E. VINE ST. MURFREESBORO , TN 37130 ADMINISTRATOR NATIONAL HEALTH CORPORATION		12/13/2020	$124.80
SELLARS , ALEXANDER 9405 US HIGHWAY 17 BYPASS SOUTH MURRELLS INLET , SC 29576 ADMINISTRATOR NHC GARDEN CITY		12/13/2020	$152.00
SELLARS , GIDEON 9405 HIGHWAY 17 BYPASS MURRELLS INLET , SC 29576 ADMINISTRATOR NHC GARDEN CITY		12/13/2020	$120.00
SELLARS , RICHARD 437 EAST CAMBRIDGE AVENUE GREENWOOD , SC 29646 VP NHC		11/30/2020	$150.00
SHEARER , JACOB 1335 GREENBRIER DEAR ROAD ANNISTON , AL 36207 ADMINISTRATOR ANNISTON PLACE		12/13/2020	$120.00
SHEARER , RICKIE 379 PINEHAVEN STREET EXT. LAURENS , SC 29360 ADMINISTRATOR NHC LAURENS		12/13/2020	$120.00
SHELLEY , KARIN 3980 SOUTH JACKSON DRIVE INDEPENDENCE , MO 64057 ADMINISTRATOR VILLAGES OF JACKSON CREEK		12/13/2020	$180.00
SHELLY , TIMOTHY 100 E VINE STREET MURFREESBORO , TN 37130 REGIONAL VP HOME OFFICE		11/30/2020	$150.00
SHELTON , JOE 308 LAKE DRIVE SOMERVILLE , TN 38068 ADMINISTRATOR NHC SOMERVILLE		12/13/2020	$120.00
SHUFORD , THOMAS 809 EMERALD AVENUE N.E. KNOXVILLE , TN 37917 ADMINISTRATOR NHC KNOXVILLE		12/13/2020	$120.00
SKAFAS , BETH 1276 HANOVER STREET MANCHESTER , NH 03104 ADMINISTRATOR MAPLE LEAF HEALTH CARE CENTER		12/13/2020	$140.00
SMITH , JEFFREY 100 E VINE STREET MURFREESBORO , TN 37130 SENIOR VP AND TREASURER NHC		11/30/2020	$150.00
STALLINGS , KEELY 2300 COLEMAN ROAD ANNISTON , AL 36207 ADMINISTRATOR NHC ANNISTON		12/13/2020	$120.00
STEPHENS , JOAN 504 ELMINGTON AVENUE NASHVILLE , TN 37205 ADMINISTRATOR RICHLAND PLACE		12/13/2020	$120.00
STONER , JEREMY 815 SOUTH WALNUT AVENUE COOKEVILLE , TN 38501 ADMINISTRATOR NHC COOKEVILLE		12/13/2020	$160.00
TAMBORNINI , JEFFREY 300 LABORATORY ROAD OAK RIDGE , TN 37830 ADMINISTRATOR NHC OAK RIDGE		12/13/2020	$120.00
TAYLOR , SUSAN 2920 FEE FEE ROAD MARYLAND HEIGHTS , MO 63043 ADMINISTRATOR NHC MARYLAND HEIGHTS		12/13/2020	$128.00
USSERY , MICHAEL 100 E VINE STREET MURFREESBORO , TN 37130 PRESIDENT HOME OFFICE		11/30/2020	$500.00
USSERY , ROBERT 8044 COLEY DAVIS ROAD NASHVILLE , TN 37221 ADMINISTRATOR LAKESHORE MEADOWS		12/13/2020	$200.00
VINCENT , BRANDON 812 N. CHARLOTTE STREET DICKSON , TN 37055 ADMINISTRATOR NHC DICKSON		12/13/2020	$120.00
WADDELL , ROBERT 211 FRANKLIN STREET QUINCY , MA 02169 ADMINISTRATOR JOHN ADAMS HEALTHCARE CENTER		12/13/2020	$160.00
WEST , CHRISTOPHER 100 E VINE STREET MURFREESBORO , TN 37130 AVP HUMAN RESOURCES NHC		11/30/2020	$375.00
WINFREE , JOHN 1927 MEMORIAL BLVD MURFREESBORO , TN 37129 ADMINISTRATOR ADAMS PLACE		12/13/2020	$120.00
WRATHER , TIMOTHY 928 OLD SMITHVILLE ROAD MCMINNVILLE , TN 37110 ADMINISTRATOR NHC MCMINNVILLE		12/13/2020	$140.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
,		CONTRIBUTION				10/28/2020	$5,000.00
BELL , MIKE 261 COUNTY ROAD 757 RICEVILLE , TN 37370	C	CONTRIBUTION				01/06/2021	$1,000.00
BOW-PAC P.O. BOX 2059 HIXSON , TN 37343	P	CONTRIBUTION				10/28/2020	$1,000.00
CAM PAC PO BOX 58824 NASHVILLE , TN 37205	P	CONTRIBUTION				01/11/2021	$500.00
CAMPBELL , HEIDI 926 OTTER CREEK RD NASHVILLE , TN 37220	C	CONTRIBUTION				01/06/2021	$1,000.00
CITIZENS FOR REAL LEADERSHIP P.O. BOX 901 JONESBOROUGH , TN 37659		CONTRIBUTION				10/28/2020	$500.00
FAISON , JEREMY P.O. BOX 516 NEWPORT , TN 37822	C	CONTRIBUTION				10/28/2020	$500.00
FREEMAN , BOB P.O. BOX 331665 NASHVILLE , TN 37203	C	CONTRIBUTION				01/06/2021	$500.00
GARRETT , JOHNNY 1100 WILLIS BRANCH ROAD GOODLETTSVILLE , TN 37072	C	CONTRIBUTION				10/28/2020	$250.00
HAILE , FERRELL 1900 CAIRO ROAD GALLATIN , TN 37066	C	CONTRIBUTION				10/28/2020	$500.00
JACK - PAC 915 LEWISBURG PIKE FRANKLIN , TN 37064	P	CONTRIBUTION				10/28/2020	$1,000.00
KELSEY , BRIAN 1661 AARON BRENNER DRIVE, SUITE 300 MEMPHIS , TN 38120	C	CONTRIBUTION				01/06/2021	$1,000.00
LAMBERTH PAC P.O. BOX 821 PORTLAND , TN 37148	P	CONTRIBUTION				10/28/2020	$1,000.00
OGLES , BRANDON 296 SPENCER CREEK ROAD FRANKLIN , TN 37069	C	CONTRIBUTION				01/11/2021	$250.00
PODY , MARK 113 S. CUMBERLAND STREET LEBANON , TN 37087	C	CONTRIBUTION				01/06/2021	$500.00
PUBLIC AFFAIRS SUPPORT SERVICES INC. 1950 ROLAND CLARKE PLACE, SUITE 300 RESTON , VA 20191		PROFESSIONAL SERVICES				12/31/2020	$4,394.06
PUBLIC AFFAIRS SUPPORT SERVICES INC. 1950 ROLAND CLARKE PLACE, SUITE 300 RESTON , VA 20191		PROFESSIONAL SERVICES				12/31/2020	$3,075.61
PUBLIC AFFAIRS SUPPORT SERVICES INC. 1950 ROLAND CLARKE PLACE, SUITE 300 RESTON , VA 20191		PROFESSIONAL SERVICES				10/29/2020	$3,068.59
TENN REPUBLICAN CAUCUS PO BOX 190539 NASHVILLE , TN 37219		CONTRIBUTION				01/06/2021	$2,500.00
TN DEMOCRATIC CAUCUS 223 EIGHTTH AVE NO, STE 200 NASHVILLE , TN 37203		CONTRIBUTION				01/06/2021	$1,000.00
TN HOUSE REPUBLICAN CAUCUS PO BOX 198814 NASHVILLE , TN 37219		CONTRIBUTION				01/06/2021	$2,500.00
WARNER , TODD P.O. BOX 37 CHAPEL HILL , TN 37034	C	CONTRIBUTION				10/28/2020	$500.00
WHITE , DAWN 1522 RIVERVIEW DRIVE MURFREESBORO , TN 37129	C	CONTRIBUTION				12/03/2020	$1,000.00

Vendor	C/P	Purpose	In-Kind	Independent	Date	Amount
CAM PAC PO BOX 58824 NASHVILLE , TN 37205	P	CONTRIBUTION			01/11/2021	[ $500.00 ]
LYNN , SUSAN 388 GREEN HARBOR RD. OLD HICKORY , TN 37138	C	CONTRIBUTION			01/15/2021	[ $500.00 ]
OGLES , BRANDON 296 SPENCER CREEK ROAD FRANKLIN , TN 37069	C	CONTRIBUTION			01/11/2021	[ $250.00 ]

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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