4th Quarter for GLAXOSMITHKLINE LLC PAC submitted on 01/23/2017

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ABBOTT , MICHAEL 601 6TH AVE DES MOINES , IA 50309 PRESIDENT \& CEO AMERICACENTERPRISE		06/09/2006	$2,000.00
AKEY , LARRY 601 PENN AVE NW WASHINGTON , DC 20004 SR DIRECTOR PUBLICATIONS \& STRATEGIC COMM AMEEICA'S HEALTH INS		06/30/2006	$250.02
ALFORD , LINDA 4804 BRIDLEWOOD CIRCLE NE CANTON , OH 44714 VICE PRESIDENT AULTCARE		06/12/2006	$500.00
AMERICAN ENERPRISE MUTUAL HOLDING CO PAC 601 6TH AVE DES MOINES , IA 50334		05/01/2006	$5,000.00
AMERICAN FIDELITY ASSURANCE CO 2000 CLASSEN CENTER P. O. BOX 25523 OKLAHOMA CITY , OK 73125		06/02/2006	$5,000.00
ARMSTRONG , SCOTT 521 WALL ST SEATTLE , WA 98121 PRESIDENT \& CEO GROUP HEALTH COOPERATIVE		06/09/2006	$2,000.00
BELL , CHRISTY 7 SPRING LAKE DR FAR HILLS , NJ 07931 MANAGER HORIZON BCBSNJ		06/12/2006	$3,000.00
BERTOLINI , MARK 11 ROBKINS RD AVON , CT 06001 EVP AETNA		04/17/2006	$1,000.00
BOCCHINO , CARMELLA 601 PENNSYLVANIA AVE NW SOUTH BUILDING STE 500 WASHINGTON , DC 20004 EXECUTIVE VICE PRESIDENT AMERICA'S HEALTH INS		06/30/2006	$750.00
BORCHARDT , ROBERT 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 SENIOR VICE PRESIDENT FINANCE OPERSTI AMERICA'S HEALTH INS		06/30/2006	$150.00
BURKHART , FRANCES 601 PENN AVE NW WASHINGTON , DC 20004 DIRECTOR POLITICAL AFFAIRS AMERICA'S HEALTH INS		06/30/2006	$499.98
CAMERON , WILLIAM 2000 N CLASSEN RD OKLAHOMA CITY , OK 73106 PRESIDERNT \& CEO AMERICA'S HEALTH INS		06/02/2006	$2,000.00
CASAZZA , WILLIAM 229 COLD SPRING RD AVON , CT 06001 GENERAL CONSEL AMERICA'S HEALTH INS		04/17/2006	$1,000.00
CASHDOLLAR , WINTHROP 601 PENN AVE NW WASHINGTON , DC 20004 EXECUTIVE DIRECTOR PRODUCT POLICY AMERICA'S HEALTH INS		06/30/2006	$375.00
CELESTINI , DONNA 38 PARK ST 15C FLORHAM PARK , NJ 07932 VP HEALTH CARE SERVICES AMERICA'S HEALTH INS		05/02/2006	$2,500.00
CHANATRY , YYONNE 1276 N WAYNE ST ARLINGTON , VA 22201 EXECUTIVE DIRECOT OF MARKETING AMERICA'S HEALTH INS		06/30/2006	$375.00
COLLINS , EDDA 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 PROGRAM MANAGER, PROFESSIONSL PROGRAMS AMERICA'S HEALTH INS		06/30/2006	$124.98
CURRY , ANN 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 DEPUTY DIRECTOR PRODUCT POLICY AMERICA'A HEALTH INS		06/30/2006	$250.02
DAPHNIS , GREGORY 601 PENNSYLVANIA AVE NW STE 500 WASHINGTON , DC 20004 PROGRAM MANAGER VSD AMERICA'A HEALTH INS		06/30/2006	$124.98
DEAN , GREGORY 601 PENN AVE NW WASHINGTON , DC 20004 EXECUTIVE DIRECTOR OF AHIP LEARNING AMERICA'S HEALTH INS		06/30/2006	$375.00
DOWELL , JILL 1313 E ABINGDON DR ALEXANDRIA , VA 22314 VP FEDERAL AFFAIRS AMERICA'S HEALTH INS		06/30/2006	$250.02
DUDLEY , MICHAEL 4417 CORPORATION LN VIRGINIA BEACH , VA 23462 PRESIDENT AND CEO SENTARA HEALTH PLANS		06/09/2006	$2,000.00
FILM , GEORGE 2600 SIXTH ST SW CANTON , OH 44710 FINANCE MANAGER AULTCARE		06/12/2006	$250.00
FOSTER , BEHRENDS 10801 TORRANCE DR KENSINGTON , MD 20893 VP FEDERAL AFFAIRS AMERICA'S HEALTH INS		05/24/2006	$500.00
GABARDI , JEFFREY 601 PENN AVE NW WASHINGTON , DC 20004 SR VICE PRESIDENT STATE AFFAIRS AMERICA'S HEALTH INS		06/30/2006	$750.00
HAINES , RICK 2600 SIXTH ST SW CATON , OH 44710 SR VP STATE AFFAIRS AULTCARE		06/12/2006	$2,000.00
HAYDEN , FRANK 8337 AUDUBON ST NW MASSILLON , OH 44646 VP AMERICA'S HEALTH INS		06/12/2006	$250.00
HEALTH NET INC PAC 61650 OXNARD ST 25TH FLOOR WOODLAND HILLS , CA 91367		04/21/2006	$5,000.00
HONG , JONI 2943 S DINWIDDIE ST ARLINGTON , VA 22206 SR ASSOCIATE COUNSEL SPECIAL PROJECT AMERICA'S HEALTH INS		06/30/2006	$124.98
HOROSCHAK , DONNA 10301 GROSVENOR PL 901 ROCKVILLE , MD 20852 EXECUTIVE DIRECTOR STATE POLICY AMERICA'S HEALTH INS		06/30/2006	$375.00
HUMANA INC PAC 1776 EYE ST NW STE 500 WASHINGTON , DC 20004		04/03/2006	$5,000.00
INDEPENDENT HEALTH ASSOC INC 2495 KENSINGTON AVE BUFFALO , NY 14226		05/12/2006	$5,000.00
KEEFER , SCOTT 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 DIR OF POLICY DEVELOPMENT AMERICA'S HEALTH INS		06/30/2006	$180.00
KIBLER , CHAD 5645 ALCORN AVE LOUISVILLE , OH 44641 VP GOVERNMENT AFFAIRS AULTCARE		06/12/2006	$250.00
LARDY , BARBARA 1129 20TH ST SW 600 WASHINGTON , DC 20036 VP MEDICAL AFFAIRS AMERICA'S HEALTH INS		06/30/2006	$168.00
LEMIEUX , JEFF 601 PENNSYLVANIA AVE NW SOUTH BUILDING STE 500 WASHINGTON , DC 20004 SR VP CENTER FOR HEALTH AMERICA'S HEALTH INS		06/30/2006	$750.00
LEONARD , DANIEL 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 EXECUTIVE VP ADVOCACY \& PROESSIONAL AMERICA 'S HEALTH INS		06/30/2006	$1,249.98
LESSEN , JOE 601 PEENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 DIR OF SPECIAL PROJECTS FEDERAL AMERICA'S HEALTH INS		06/30/2006	$375.00
LUFRANO , ROBERT 4800 DEERWOOD CAMPUS PKWY JACKSONVILLE , FL 32246 CHARIMAN \& CEO BLUE CROSS BLUE SHIELD OF FLORIDA		06/09/2006	$2,000.00
MARINO , WILLAIM 3 PENN PLZ E NEWARK , NJ 07105 PRESIDENT \& CEO HORIZON BLUE CROSS BLUE SHIELD OF NJ		05/02/2006	$1,500.00
MARTINEZ , ROBERTO 624 MILLER RD EAST GREENBUSH , NY 12061 SVP MEDICAL AFFAIRS CDPHP		04/17/2006	$300.00
MELANI , KENNETH 120 5TH AVE STE 3116 PITTDBURGH , PA 15222 PRESIDENT \& CEO HIGHMARK BLUE CROSS BLUE SHIELD		04/11/2006	$1,000.00
MENKES , ROBERT 4615 NORTH PARK AVE CHEVY CHASE , MD 20815 VP STRATEGIC PLANNING AMERICA'S HEALTH INS		06/30/2006	$375.00
MEYER , THOMAS 601 PENNSLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 EXECUTIVE DIR PRODUCT POLICY AMERICA'S HEALTH INS		06/30/2006	$120.00
MITCHELL , MARTIN 601 PENNSYLVANIA AVE NW STE 500 WASHINGTON , DC 20004 REGIONAL DIR STATE ADVOCACY AMERICA'S HEALTH INS		06/30/2006	$124.98
MUTUAL OF OMAHA CO. PAC 3301 DODGE ST OMAHA , NE 68131		05/12/2006	$5,000.00
NEARY , DANIEL 3301 DODGE ST OMAHA , NE 68131 CHAIRMAN \& CEO MUTUAL OF OMAHA INS		04/11/2006	$2,000.00
NOVAK , JOSEPH 4401 SATINWOOD CIR NW CANTON , OH 44718 VP PROVIDER RELATIONS AND ADMINISTRATION AULTCARE		06/12/2006	$250.00
O'BRIEN , DAVID 120 FIFTH AVE STE 3124 PITTSBURGH , PA 15222 EVP GOVT SERVICES HIGHMARK		04/11/2006	$1,000.00
OAKES , DENNIS 210 W RITTENHOUSE SQUARE APT 1601 PHILADELPHIA , PA 19103 VP PUBLIC POLICY AETNA		04/17/2006	$1,000.00
OLIKER , DAVID 625 STATE ST STE 3 SCHENECTADY , NY 12305 PRESIDENT \& CEO MVP HEALTH CARE		06/12/2006	$2,000.00
PAYSON , NORMAN 8 CENTRE ST STE 3 CONCOR , NH 03301 CHAIRMAN OF THE BOARD CONCENTRA		06/29/2006	$2,000.00
PELOVITZ , BESTY 601 PENNSYLVANIA AVE NW STE 500 WASHINGTON , DC 20004 STATE ADVOCACY REGINOAL DIR AMERICA'S HEALTH INS		06/30/2006	$250.02
PERNA , CHRISTOPFHER 165 COURT ST ROCHESTER , NY 14647 PRESIDENT \& COO MEDAMERICA INS		06/12/2006	$3,000.00
PETE , DIANE 2203 RADFORD ST NW NORTH CANTON , OH 44720 VP AULTCARE		06/12/2006	$250.00
PHANSTIEL , HOWARD 5995 PLAZA DR CYPRESS , CA 90630 EVP UNITEDHEALTH GROUP`		04/01/2006	$1,000.00
PISANO , SUSAN 5510 LINCOLN ST BETHESDA , MD 20817 VP STRATEGIC COMMUNICATIONS AMERICA'S HEALTH INS		06/30/2006	$624.96
POPIEL , RICHARD 365 CHRISTOPHER PRINCETON , NJ 08540 VP \& CMO HORIZON BCBSNJ		05/22/2006	$2,500.00
PRINPAC 711 HIGH ST DES MOINES , IA 50392		04/21/2006	$5,000.00
RAMSAY , RICHARD 1276 N WAYNE ST ARLINGTON , VA 22201 VP STATE ADVOCACY AMERICA'S HEALTH INS		06/30/2006	$499.98
REMARK , CHRISTOPHER 11205 WRIGHT RD UNIONTOWN , OH 44685 EVP ALTMAN HOSPITAL AULTCARE		06/12/2006	$500.00
RICHISKI , RICHARD ONE LIBERTY PLAZA 31ST FLOOR NEW YORK , NY 10006 EVP ACCIDENT AND H ZURICH NORTH AMERICA		04/18/2006	$2,000.00
RIVET , JENNINE PO BOX 1459 MINNEAPOLIS , MN 55440 EVP UNITED HEALTH GROUP		06/12/2006	$2,500.00
ROTH , EDWARD 6566 CORRINE DR NW CANTON , OH 44718 PRESIDENT ALTMAN HOSPITAL AULTCARE		06/12/2006	$1,000.00
SAVAGE , JAMES 500 BACHTEL SE NORTH CANTON , OH 44720 MANAGER UNDERWRITING AULTCARE		06/12/2006	$250.00
SCHLEICHERT , CAROL 4420 RANIER AVE NW MASSILLON , OH 44646 ASSOCIATE VP AULTCARE		06/12/2006	$200.00
SHELTON , MELISSWA 3371 HADRIAN CIRCLR NW CANTON , OH 44708 ASSOCIATE VP AULTCARE		06/12/2006	$250.00
SIGELBAUM , HARVERY 115 FIFTH AVE 7TH FL NEW YORK , NY 10003 EXECUTINE CHAIRMAN MULTIPLAN		06/09/2006	$2,000.00
SPOTTSWOOD , SAVOLIA 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 SR MANAGER OF VACCINES IMMUNIZATION AMERICA'S HEALTH INS		06/30/2006	$187.50
STELLAR , CHARLES 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 EVP AMERICA'S HEALTH INS		06/30/2006	$521.76
STIMMEL , DEBBIE 5368 SOUTH ISLAND DR NW CANTON , OH 44718 ADMINISTRATIVE MANAGEMENT AULTCARE		06/09/2006	$250.00
STOCKER , MICHAEL 1056 FIFTH AVE NEW YORK , NY 10028 PRESIDENT \& CEO EAST REGION WELL POINT		04/21/2006	$2,000.00
STYLES , SCOTT 9 E DEL RAY AVE ALEXANDRIA , VA 22301 SR VP FEDERAL LEGISLATIVE AMERICA'S HEALTH INS		06/30/2006	$1,226.10
TEYNOR , TIMOTHY 2600 SIXTH ST SW CANTON , OH 44710 VP PUBLIC POLICY AULTCARE		06/12/2006	$1,050.00
THOMAS , J GROVER 400 FIELD DR LAKE FORREST , IL 60045 CHAIRMAN OF BOARD TRUSTMARK INS		06/14/2006	$2,000.00
TILTON , JONATHAN 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 DEPUTY DIR STRATEGIC COMMUNICATIO AMERICA'S HEALTH INS		06/30/2006	$124.98
TIMMONS , AMY 601 PENNSYLVANIA AVE NW STE 500 WASHINGTON , DC 20004 REGIONAL DIR AHIP		06/30/2006	$250.02
TURNER , ROD 601 PENNSYLVANIA AVE NW STE 500 WASHINGTON , DC 20004 VP PRODUCT POLICY AMERICA'S HEALTH INS		06/30/2006	$499.98
UNUMPROVIDENT PAC 22111 CONGRESS ST PORTLAND , ME 04122		06/12/2006	$5,000.00
VAN KOEVERING , MARK 107 CHOCOLAY DOWNS GOLF DR MARQUETTE , MI 49855 DEPUTY DIR FEDERAL LEGISLATIVE AFF AMERICA'S HEALTH INS		06/30/2006	$270.00
VOGEL , KELLY 601 PENN AVE NW STE 500 WASHINGTON , DC 20004 DIR FEDERAL AFFAIRS AMERICA'S HEALTH INS		06/30/2006	$124.98
WATJEN , THOMAS 1 FOUNTAIN SQ CHATTANOOGA , TN 37402 PRESIDENT \& CEO UNUMPROVIDENT		06/14/2006	$2,000.00
WELLPOINT INC PAC 120 MONUMENT CIRCLE INDIANAPOLIS , IN 46204		04/21/2006	$5,000.00
WILDER , THOMAS 601 PENNSYLVANIA AVE NW SOUTH BLDG STE 500 WASHINGTON , DC 20004 VP PRIVATE MARKET REGULATION AMERICA'S HEALTH INS		06/30/2006	$250.02
WINN , JOSEPH 601 PENN AVE NW WASHINGTON , DC 20004 STATE ADVOCACY REGIONAL DIR AMERICA'S HEALTH INS		06/30/2006	$250.02
WRIGHT , DUANE 601 PENNSYLVANIA AVE SW SOUTH BUILDING STE 500 WASHINGTON , DC 20004 CIR LEGISLATIVE AFFAIRS AMERICA'S HEALTH INS		06/30/2006	$250.02

Disbursements

Purpose	Amount
NON- TENN	$101,576.98

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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