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Pre-Primary for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 07/27/2022

Beginning Balance

$83,755.24

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$0.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$0.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
HAWK , DAVID
407 CROCKETT LANE
GREENEVILLE , TN 37745
C CONTRIBUTION 07/05/2022 $2,000.00
HICKS, JR. , GARY
733 CLOUD CREEK RD.
ROGERSVILLE , TN 37857
C CONTRIBUTION 07/05/2022 $1,000.00
NICELEY , FRANK
1023 CREEK ROAD
STRAWBERRY PLAINS , TN 37871
C CONTRIBUTION 07/05/2022 $5,000.00
POWERS , DENNIS
P.O. BOX 179
JACKSBORO , TN 37757
C CONTRIBUTION 07/06/2022 $500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$8,500.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$8,500.00

Ending Balance

ENDING BALANCE
$75,255.24


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

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