Amended Annual Year End Supplemental (2011) for INDEPENDENT MEDICINE'S PAC-TN submitted on 05/03/2012
Beginning Balance
$71,247.90
Receipts
Monetary Contributions, Unitemized
$3,961.49
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
ALLEN
, DAVID
625 NORTH RIVERSIDE DR CLARKSVILLE , TN 37040 CHIROPRACTOR SELF EMPLOYED |
08/20/2020 | $100.00 | |
|
BARKER
, GARY
P.O. BOX 247 PORTLAND , TN 37148 CHIROPRACTOR SELF-EMPLOYED |
09/11/2020 | $400.00 | |
|
BROWN
, HARRY
P.O. BOX 142219 FAYETTEVILLE , GA 30214 CHIROPRACTOR SELF EMPLOYED |
09/15/2020 | $800.00 | |
|
BROWN
, JUSTIN
30 LYNOAK COVE JACKSON , TN 38305 CHIROPRACTOR SELF-EMPLOYED |
09/15/2020 | $100.00 | |
|
CARR
, LINDSEY
204 N. EVERGREEN ST. MEMPHIS , TN 38112 CHIROPRACTOR SELF EMPLOYED |
09/15/2020 | $330.14 | |
|
COLE
, LINCOLN
959 WHITE STATION RD. SOUTH MEMPHIS , TN 38117 CHIROPRACTOR SELF EMPLOYEED |
08/18/2020 | $620.00 | |
|
CRAWFORD
, R.J.
1364 INTERSTAE DR. SUITE 101 CROSSVILLE , TN 38555 CHIROPRACTOR SELF EMPLOYED |
09/15/2020 | $166.66 | |
|
GRANDE
, VINCENT
805 WOODLAND ST NASHVILLE , TN 37206 CHIROPRACTOR SELF EMPLOYED |
09/15/2020 | $161.82 | |
|
HENNIE
, CRAIG
5103 KINGSTON PIKE SUITE 116 KNOXVILLE , TN 37919 CHIROPRACTOR SELF EMPLOYED |
08/20/2020 | $231.82 | |
|
MASSEY
, MICHAEL
740 TELL STREET, SUITE 400 ATHENS , TN 37303 CHIROPRACTOR SELF EMPLOYED |
09/15/2020 | $166.66 | |
|
MCKINLEY
, JEFFREY
604 N. CHANCERY STREET MCMINNVILLE , TN 37110 chiropractor self employed |
09/15/2020 | $166.66 | |
|
MEADOWS
, SHEILA
2300 21ST AVE., S., SUITE 203 NASHVILLE , TN 37212 chiropractor self employed |
08/18/2020 | $200.00 | |
|
MILANI
, MARIO
4910 MAIN ST, STE 200 SPRING HILL , TN 37174-0218 CHIROPRACTOR SELF-EMPLOYED |
09/15/2020 | $100.00 | |
|
POTTER
, WAYNE
1132C WEST CLARK BLVD MURFREESBORO , TN 37129 CHIROPRACTOR SELF-EMPLOYED |
08/27/2020 | $150.00 | |
|
PRICE
, JOSHUA
1762 B MEMORIAL DRIVE CLARKSVILLE , TN 37043 CHIROPRACTOR SELF-EMPLOYED |
09/15/2020 | $166.66 | |
|
SWEENEY
, JIM
201 THOMPSON LANE, STE. 103 NASHVILLE , TN 37211 CHIROPRACTOR SELF-EMPLOYED |
09/15/2020 | $166.66 | |
|
WESSEL
, TREA
824 MCMINNVILLE HWY WOODBURY , TN 37190 CHIROPRACTOR SELF EMPOLYED |
08/20/2020 | $420.00 | |
|
WIERSMA
, BRIAN
525 WEST MAIN ST LEBANON , TN 37087 CHIROPRACTOR SELF EMPLOYED |
09/15/2020 | $166.66 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$131,791.49
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$131,791.49
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| BANK FEES | $5.00 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
BOW-PAC
P.O. BOX 2059 HIXSON , TN 37343 |
P | CONTRIBUTION | 07/05/2016 | $1,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$123,321.53
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$123,321.53
Ending Balance
ENDING BALANCE
$79,717.86
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