Amended 1st Quarter for K-VA-T FOOD STORES, INC. FOODPAC submitted on 07/13/2016

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BALLARD , RICHARD 2312 KNOB CREEK RD JOHNSON CITY , TN 37604 CHIROPRACTOR SELF EMPOLYED		04/19/2021	$105.00
BARNETT , BETH 2805 AZALEA PLACE NASHVILLE , TN 37204 CHIROPRACTOR SELF EMPLOYED		01/27/2021	$1,000.00
BEARDEN , CASEY 6410 CHARLOTTE PIKE, STE. 101 NASHVILLE , TN 37209 CHIROPRACTOR SELF EMPLOYED		06/10/2021	$140.00
BROWN , HARRY P.O. BOX 142219 FAYETTEVILLE , GA 30214 CHIROPRACTOR SELF EMPLOYED		04/19/2021	$1,200.00
BROWN , JUSTIN 30 LYNOAK COVE JACKSON , TN 38305 CHIROPRACTOR SELF-EMPLOYED		06/21/2021	$250.00
CHRISTIANSEN , CHRISTINA 217 ES. SPRINGBROOK DR. , SUITE 1 JOHNSON CITY , TN 37601 CHIROPRACTOR SELF EMPLOYED		06/21/2021	$208.30
COLE , BRADFORD 2845 SUMMER OAKS DR. BARTLETT , TN 38134 CHIROPRACTOR SELF EMPLOYED		04/19/2021	$105.00
COLE , LINCOLN 959 WHITE STATION RD. SOUTH MEMPHIS , TN 38117 CHIROPRACTOR SELF EMPLOYEED		01/18/2021	$500.00
COLE , RICHARD 2845 SUMMER OAKS DR. BARTLETT , TN 38134 CHIROPRACTOR SELF EMPLOYED		04/19/2021	$105.00
COPESKEY , ADAM 61 DUNN RIDGE DR. #F JACKSON , TN 38035 CHIROPRACTOR SELF EMPOLYEED		03/04/2021	$500.00
CRAIG , ELIZABETH PO BOX 306 PARIS , TN 38242 CHIROPRACTOR SELF		06/18/2021	$175.00
CRAWFORD , R.J. 1364 INTERSTAE DR. SUITE 101 CROSSVILLE , TN 38555 CHIROPRACTOR SELF EMPLOYED		06/18/2021	$416.65
CRYSTAL , KEITH 109 MAPLE ROW BLVD, SUITE 2 HENDERSONVILLE , TN 37075 CHIROPRACTOR SELF EMPLOYED		06/30/2021	$175.00
DAVIDSON , ALISON 875 SEVEN OAKS BLVD, STE 430 SMYRNA , TN 37167 CHIROPRACTOR SELF EMPLOYED		06/21/2021	$175.00
DAVIDSON , ROBERT 875 SEVEN OAKS BLVD SUITE #4 SMYRNA , TN 37167 CHIROPRACTOR SELF EMPLOYED		06/21/2021	$175.00
DEDMON , ROY 115 HWY 641 S. CAMDEN , TN 38320 chiropractor self employed		04/19/2021	$105.00
DIXON , ANDY 211 OLD HICKORY RLVD NASHVILLE , TN 37221 Chiropractor self employed		06/21/2021	$175.00
DOHNAL , CHRISTOPHER 6021 NOLENSVILLE RD. NASHVILLE , TN 37211 CHIROPRACTOR SELF EMPLOYED		06/21/2021	$175.00
DURHAM , JOEL 25 COPORATE BLVD JACKSON , TN 38305 CHIROPRACTOR SELF-EMPLOYED		02/03/2021	$500.00
ECKERT , CLARK 1062-B OAK RIDGE TURNPIKE OAK RIDGE , TN 37830 CHIROPRACTOR SELF EMPLOYED		04/19/2021	$105.00
HENNIE , CRAIG 5103 KINGSTON PIKE SUITE 116 KNOXVILLE , TN 37919 CHIROPRACTOR SELF EMPLOYED		06/18/2021	$175.00
HOBBS , ANGELA 611 HWY. 45 BYPASS MEDINA , TN 38355 CHIROPRACTOR SELF EMPLOYED		06/21/2021	$175.00
ISENBERG (DEPOSIT IN ERROR FROM OP) , LAURIE 173 GANESHA CMN. LIVERMORE , CA 94551 CE COORDINATOR PEAK POTENTIAL SEMINARS		06/18/2021	$200.00
JOHNSON , DARRELL PO BOX 1029 MAYNARDVILLE , TN 37807 CHIROPRACTOR SELF EMPLOYED		06/21/2021	$175.00
JUTTE , SCOTT 601 BEECH STREET CENTERVILLE , TN 37033 CHIROPRACTOR SELF-EMPLOYED		06/30/2021	$175.00
KELTON , BARRY 890 W. POPLAR AVE., #4 COLLIERVILLE , TN 38017 chiropractor self employed		06/21/2021	$175.00
MARTIN , HEATHER 611 HIGHWAY 45 BYPASS S. MEDINA , TN 38355 CHIROPRACTOR SELF EMPLOYED		06/21/2021	$175.00
MARTIN , WILLIAM 20804 E. MAIN ST HUNTINGDON , TN 38344 CHIROPRACTOR SELF-EMPLOYED		06/21/2021	$208.30
MASSEY , MICHAEL 740 TELL STREET, SUITE 400 ATHENS , TN 37303 CHIROPRACTOR SELF EMPLOYED		06/30/2021	$499.98
MCKINLEY , JEFFREY 604 N. CHANCERY STREET MCMINNVILLE , TN 37110 chiropractor self employed		06/30/2021	$416.65
MILANI , MARIO 4910 MAIN ST, STE 200 SPRING HILL , TN 37174-0218 CHIROPRACTOR SELF-EMPLOYED		06/30/2021	$250.00
MILLS , KEITH 2509-D N OCOEE CLEVELAND , TN 37312 CHIROPRACTOR SELF EMPLOYED		06/20/2021	$175.00
OBERSTEADT , H. LOUIS 4515 HARDING RD, SUITE 110 NASHVILLE , TN 37205 CHIROPRACTOR SELF-EMPLOYED		06/30/2021	$175.00
OLSEN , JOHN 953 MAIN STREET, STE 109 NASHVILLE , TN 37206 CHIROPRACTOR SELF-EMPLOYED		06/18/2021	$208.30
PETTY , MICHAEL 10826 KINGSTON PIKE KNOXVILLE , TN 37922 chiropractor self employed		04/19/2021	$250.00
PRICE , JOSHUA 1762 B MEMORIAL DRIVE CLARKSVILLE , TN 37043 CHIROPRACTOR SELF-EMPLOYED		05/20/2021	$333.32
REDUS , CLEVE 302 MAIN ST JACKSBORO , TN 37757 CHIROPRACTOR SELF EMPLOYED		05/20/2021	$170.00
ROTH , SHARON 600 OLD HICKORY BLVD., SUITE 104 NASHVILLE , TN 37209 Chiropractor self employed		06/21/2021	$175.00
SCOTT , KEVIN 2782 N. HIGHLAND AVENUE, SUITE C JACKSON , TN 38305 Chiropractor self employed		04/19/2021	$105.00
STEWART , LORI P.O. BOX 628 HOHENWALD , TN 38462 Chiropractor self employed		04/16/2021	$136.94
SWEENEY , JIM 201 THOMPSON LANE, STE. 103 NASHVILLE , TN 37211 CHIROPRACTOR SELF-EMPLOYED		06/21/2021	$416.65
TOWNSEND , CHRIS 1002-B WEST MAIN ST LEBANON , TN 37087 CHIROPRACTOR SELF EMPLOYED		06/18/2021	$175.00
WATKINS , JAMES 10826 KINGSTON PIKE SUITE B KNOXVILLE , TN 37934 CHIROPRACTOR SELF EMPLOYED		06/16/2021	$166.68
WEGENER , DON 7311 CLINTON HWY POWELL , TN 37849 chiropractor self employed		06/18/2021	$175.00
WIERSMA , BRIAN 525 WEST MAIN ST LEBANON , TN 37087 CHIROPRACTOR SELF EMPLOYED		06/30/2021	$333.32
WILHOIT , JEFFREY 247 E WATT ST ALCOA , TN 37701 chiropractor self employed		04/19/2021	$125.00
WILLIAMS , MARK 83 MOUSECREEK RD CLEVELAND , TN 37312 chiropractor self employed		06/21/2021	$175.00

Disbursements

Purpose	Amount
BANK FEES	$24.62

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
AUTHORIZE.NET 808 E UTAH VALLEY DR. AMERICAN FORK , UT 84003-9707		BANK FEES				06/02/2021	$176.54
ELAVON - REGIONS BANK 7300 CHAPMAN HIGHWAY KNOXVILLE , TN 37920		BANK FEES				06/01/2021	$868.84
PODY , MARK 113 S. CUMBERLAND STREET LEBANON , TN 37087	C	CONTRIBUTION				06/29/2021	$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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