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Amended 1st Quarter for THE JACKSON CLINIC PAC submitted on 07/11/2022

Beginning Balance

$61,132.72

Receipts

Monetary Contributions, Unitemized
$75.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$1,700.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$7.30
TOTAL RECEIPTS
$1,707.30

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
DAVIS , ELAINE
1825 POINT WOOD DRIVE
KNOXVILLE , TN 37920
C CONTRIBUTION 05/05/2023 $1,000.00
HARLAND CLARKE
15955 LA CANTERA PKWY
SAN ANTONIO , TX 78256
OFFICE SUPPLIES 03/08/2023 $79.20
HARMON , WILLIAM
117 N. MAIN ST.
RIPLEY , TN 38063
PROFESSIONAL SERVICES 03/06/2023 $60.00
LAMBERTH, II , WILLIAM G.
P. O. BOX 812
PORTLAND , TN 37148
C CONTRIBUTION 05/05/2023 $1,000.00
PODY , MARK
113 S. CUMBERLAND STREET
LEBANON , TN 37087
C CONTRIBUTION 05/05/2023 $1,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$3,500.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$3,500.00

Ending Balance

ENDING BALANCE
$59,340.02


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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