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  <ReportHeader>
    <CommitteeCode>PAC-12-00344</CommitteeCode>
    <CommitteeName>Virginia Physical Therapy Association - PAC</CommitteeName>
    <ReportYear>2015</ReportYear>
    <Address>
      <Line1>11907 Henderson Court</Line1>
      <City>Clifton</City>
      <State>VA</State>
      <ZipCode>20124</ZipCode>
    </Address>
    <FilingDate>2016-01-10</FilingDate>
    <StartDate>2015-10-01</StartDate>
    <EndDate>2015-12-31</EndDate>
    <SubmitterPhone>703-608-8144</SubmitterPhone>
    <SubmitterEmail>sydneysawyer26@gmail.com</SubmitterEmail>
    <FilingType>Report</FilingType>
    <IsFinalReport>false</IsFinalReport>
    <IsAmendment>false</IsAmendment>
    <AmendedReportNumber>0</AmendedReportNumber>
    <NoActivity>false</NoActivity>
    <BalanceLastReportingPeriod>46723.33</BalanceLastReportingPeriod>
  </ReportHeader>
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      <Contributor IsIndividual="false">
        <LastName>Appalachian Physical Therapy Inc.</LastName>
        <Address>
          <Line1>171 East Springbrook Rd</Line1>
          <City>Broadway</City>
          <State>VA</State>
          <ZipCode>22815</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Broadway, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-08</TransactionDate>
      <Amount>500.00</Amount>
      <TotalToDate>500.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Peggy</FirstName>
        <LastName>Belmont</LastName>
        <Address>
          <Line1>9909 Shady Slope</Line1>
          <City>Fairfax Station</City>
          <State>VA</State>
          <ZipCode>22039</ZipCode>
        </Address>
        <NameOfEmployer>Retired</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapist</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>N/A</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-09</TransactionDate>
      <Amount>250.00</Amount>
      <TotalToDate>350.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Mark</FirstName>
        <LastName>Bouziane</LastName>
        <Address>
          <Line1>1904 Prince George Road</Line1>
          <City>Richmond</City>
          <State>VA</State>
          <ZipCode>23225</ZipCode>
        </Address>
        <NameOfEmployer>HCA Healthcare</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Richmond, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-09</TransactionDate>
      <Amount>250.00</Amount>
      <TotalToDate>250.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Debbie</FirstName>
        <LastName>Clark</LastName>
        <Address>
          <Line1>204C Vanover Ave NE</Line1>
          <City>Wise</City>
          <State>VA</State>
          <ZipCode>24293</ZipCode>
        </Address>
        <NameOfEmployer>Wythe County Community Hospital</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Wytheville, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-10</TransactionDate>
      <Amount>100.00</Amount>
      <TotalToDate>140.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Debbie</FirstName>
        <LastName>Clark</LastName>
        <Address>
          <Line1>204C Vanover Ave NE</Line1>
          <City>Wise</City>
          <State>VA</State>
          <ZipCode>24293</ZipCode>
        </Address>
        <NameOfEmployer>Wythe County Community Hospital</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Wytheville, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-21</TransactionDate>
      <Amount>100.00</Amount>
      <TotalToDate>240.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Betty</FirstName>
        <LastName>Cobaugh</LastName>
        <Address>
          <Line1>133 Redmead Lane</Line1>
          <City>North Chesterfield</City>
          <State>VA</State>
          <ZipCode>23236</ZipCode>
        </Address>
        <NameOfEmployer>CJW Medical Center</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Richmond, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-09</TransactionDate>
      <Amount>150.00</Amount>
      <TotalToDate>150.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Brian</FirstName>
        <LastName>Edmunds</LastName>
        <Address>
          <Line1>2860 Wood Duck Drive</Line1>
          <City>Virginia Beach</City>
          <State>VA</State>
          <ZipCode>23454</ZipCode>
        </Address>
        <NameOfEmployer>Hampton University</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Hampton, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-09</TransactionDate>
      <Amount>250.00</Amount>
      <TotalToDate>250.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="false">
        <LastName>Inmotion Physical Therapy, LLC</LastName>
        <Address>
          <Line1>3001 Hungary Spring Road, Ste D</Line1>
          <City>Richmond</City>
          <State>VA</State>
          <ZipCode>23228</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Physical Therapy/Rehabilitation</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Richmond, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-08</TransactionDate>
      <Amount>250.00</Amount>
      <TotalToDate>250.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>David</FirstName>
        <MiddleName>Alexander</MiddleName>
        <LastName>Love</LastName>
        <Address>
          <Line1>Box 217</Line1>
          <City>South Hill</City>
          <State>VA</State>
          <ZipCode>23970</ZipCode>
        </Address>
        <NameOfEmployer>In Touch Therapy</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>LaCross, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-09</TransactionDate>
      <Amount>40.00</Amount>
      <TotalToDate>290.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>George</FirstName>
        <LastName>Maihafer</LastName>
        <Address>
          <Line1>107 S. Arden Circle</Line1>
          <City>Norfolk</City>
          <State>VA</State>
          <ZipCode>23505</ZipCode>
        </Address>
        <NameOfEmployer>Old Dominion University</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Professor</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Norfolk, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-27</TransactionDate>
      <Amount>150.00</Amount>
      <TotalToDate>150.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Thomas</FirstName>
        <LastName>Mayhew</LastName>
        <Address>
          <Line1>17071 Dunns Chapel Road</Line1>
          <City>Montpelier</City>
          <State>VA</State>
          <ZipCode>23192</ZipCode>
        </Address>
        <NameOfEmployer>MCV</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Professor</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Richmond, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-09</TransactionDate>
      <Amount>140.00</Amount>
      <TotalToDate>140.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="false">
        <LastName>Orthopedic Physical Therapy</LastName>
        <Address>
          <Line1>2000 Bremo Road</Line1>
          <Line2>Ste 202</Line2>
          <City>Richmond</City>
          <State>VA</State>
          <ZipCode>23226</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Rehabilitation</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Richmond, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-01</TransactionDate>
      <Amount>250.00</Amount>
      <TotalToDate>250.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="false">
        <LastName>Rehab Associates of Central Virginia</LastName>
        <Address>
          <Line1>1948 Thompson Drive</Line1>
          <City>Lynchburg</City>
          <State>VA</State>
          <ZipCode>24501</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Rehabilitation Services</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Lynchburg, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-01</TransactionDate>
      <Amount>250.00</Amount>
      <TotalToDate>250.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="false">
        <LastName>Rehab Associates of Central Virginia</LastName>
        <Address>
          <Line1>1948 Thompson Drive</Line1>
          <City>Lynchburg</City>
          <State>VA</State>
          <ZipCode>24501</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Rehabilitation Services</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Lynchburg, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-08</TransactionDate>
      <Amount>6000.00</Amount>
      <TotalToDate>6250.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Shawne</FirstName>
        <LastName>Soper</LastName>
        <Address>
          <Line1>512 Diane Lane</Line1>
          <City>Richmond</City>
          <State>VA</State>
          <ZipCode>23227</ZipCode>
        </Address>
        <NameOfEmployer>Sheltering Arms</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapist</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Richmond, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-08</TransactionDate>
      <Amount>500.00</Amount>
      <TotalToDate>500.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="false">
        <LastName>Tidewater Physical Therapy</LastName>
        <Address>
          <Line1>771 Pilot House Drive</Line1>
          <City>Newport News</City>
          <State>VA</State>
          <ZipCode>23606</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Newport News</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-01</TransactionDate>
      <Amount>400.00</Amount>
      <TotalToDate>400.00</TotalToDate>
    </LiA>
    <LiA>
      <Contributor IsIndividual="true">
        <FirstName>Sharan</FirstName>
        <LastName>Zirges</LastName>
        <Address>
          <Line1>535 Independence Parkway</Line1>
          <Line2>Ste 200</Line2>
          <City>Chesapeake</City>
          <State>VA</State>
          <ZipCode>23320</ZipCode>
        </Address>
        <NameOfEmployer>Sentara Health Care</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Physical Therapy</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Chesapeake, VA</PrimaryCityAndStateOfEmploymentOrBusiness>
      </Contributor>
      <TransactionDate>2015-10-09</TransactionDate>
      <Amount>250.00</Amount>
      <TotalToDate>250.00</TotalToDate>
    </LiA>
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    <LiD>
      <Payee IsIndividual="false">
        <LastName>Square, Inc</LastName>
        <Address>
          <Line1>1455 Market Street</Line1>
          <Line2>Ste 600</Line2>
          <City>San Francisco</City>
          <State>CA</State>
          <ZipCode>94103</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-10-10</TransactionDate>
      <Amount>35.77</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
      <ItemOrService>Credit cards fees associated with using the Square card reader on 10/9/15 am 10/10/15</ItemOrService>
    </LiD>
    <LiD>
      <Payee IsIndividual="true">
        <FirstName>George</FirstName>
        <LastName>Maihafer</LastName>
        <Address>
          <Line1>107 S. Arden Circle</Line1>
          <City>Norfolk</City>
          <State>VA</State>
          <ZipCode>23505</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-11-05</TransactionDate>
      <Amount>442.81</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
      <ItemOrService>Reimbursement for PAC Wine Tasting</ItemOrService>
    </LiD>
    <LiD>
      <Payee IsIndividual="false">
        <LastName>Commonwealth Victory Fund</LastName>
        <Address>
          <Line1>1710 E Franklin St</Line1>
          <City>Richmond</City>
          <State>VA</State>
          <ZipCode>23223</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-12-10</TransactionDate>
      <Amount>250.00</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
      <ItemOrService>Contribution</ItemOrService>
    </LiD>
    <LiD>
      <Payee IsIndividual="false">
        <LastName>Cosgrove for Senate</LastName>
        <Address>
          <Line1>Box 15483</Line1>
          <City>Chesapeake</City>
          <State>VA</State>
          <ZipCode>23328</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-12-10</TransactionDate>
      <Amount>250.00</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
      <ItemOrService>Contribution</ItemOrService>
    </LiD>
    <LiD>
      <Payee IsIndividual="false">
        <LastName>Danny Marshall Election Committee</LastName>
        <Address>
          <Line1>Box 439</Line1>
          <City>Danville</City>
          <State>VA</State>
          <ZipCode>23218</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-12-10</TransactionDate>
      <Amount>250.00</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
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      <Payee IsIndividual="false">
        <LastName>Dominion Leadership Trust PAC</LastName>
        <Address>
          <Line1>106 Carter St</Line1>
          <City>Fredericksburg</City>
          <State>VA</State>
          <ZipCode>22405</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-12-10</TransactionDate>
      <Amount>500.00</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
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        <LastName>Kilgore for Delegate - Terry</LastName>
        <Address>
          <Line1>PO Box 669</Line1>
          <City>Gate City</City>
          <State>VA</State>
          <ZipCode>24251</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-12-10</TransactionDate>
      <Amount>500.00</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
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        <Address>
          <Line1>Box 1146</Line1>
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          <State>VA</State>
          <ZipCode>22520</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-12-10</TransactionDate>
      <Amount>250.00</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
      <ItemOrService>Contribution</ItemOrService>
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          <Line1>Box 1697</Line1>
          <City>Williamsburg</City>
          <State>VA</State>
          <ZipCode>23187</ZipCode>
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      </Payee>
      <TransactionDate>2015-12-10</TransactionDate>
      <Amount>500.00</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
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        <FirstName>George</FirstName>
        <LastName>Maihafer</LastName>
        <Address>
          <Line1>107 S. Arden Circle</Line1>
          <City>Norfolk</City>
          <State>VA</State>
          <ZipCode>23505</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2015-12-15</TransactionDate>
      <Amount>24.50</Amount>
      <AuthorizingName>M. Bouziane</AuthorizingName>
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