Amended Annual Year End Supplemental (2015) for PAC-ABLE TENNESSEE submitted on 12/28/2018

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
BLACK , DAVID 1254 WAVECREST CIRCLE GALLATIN , TN 37066 RETIRED RETIRED		02/28/2023	$1,600.00
BLACK , DIANE 1254 WAVECREST CIRCLE GALLATIN , TN 37066 RETIRED RETIRED		02/28/2023	$1,600.00
WHITTAKER , JOSEPH 756 N RUSSELL ST PORTLAND , TN 37148 LAWN CARE WHITTAKER'S LAWN CARE		01/19/2023	$1,600.00
WHITTAKER , TOMMY 756 N RUSSELL ST PORTLAND , TN 37148 RETIRED RETIRED		01/19/2023	$500.00

Loan Source	Election Rec'd For	Date	Amount
Self-Endorsed	Primary	05/22/2023	$1,000.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
VOLUNTEER STATE BANK 1553 NASHVILLE PIKE GALLATIN , TN 37066		BANK FEES				06/30/2023	$12.00
VOLUNTEER STATE BANK 1553 NASHVILLE PIKE GALLATIN , TN 37066		BANK FEES				05/31/2023	$12.00
VOLUNTEER STATE BANK 1553 NASHVILLE PIKE GALLATIN , TN 37066		BANK FEES				04/28/2023	$12.00
VOLUNTEER STATE BANK 1553 NASHVILLE PIKE GALLATIN , TN 37066		BANK FEES				01/31/2023	$12.00

Vendor	C/P	Purpose	In-Kind	Independent	Date	Amount
VOLUNTEER STATE BANK 1553 NASHVILLE PIKE GALLATIN , TN 37066		BANK FEES			06/01/2023	[ $12.00 ]

Ending Balance

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Outstanding Loans

Loans	Beg Balance	Paid	End Balance*
Self-Endorsed	$0.00	$0.00	$1,000.00
Self-Endorsed	$400.00	$0.00	$400.00
Self-Endorsed	$250.00	$0.00	$250.00
Self-Endorsed	$2,000.00	$0.00	$2,000.00
Self-Endorsed	$12,000.00	$0.00	$12,000.00

In-Kind Contributions

In-Kind Contributions are not included in the report ending balance.

Obligations

Obligations are not included in the report ending balance.

Vendor	Purpose	Date	Beg Balance	Paid	End Balance*
BIG DOG STRATEGIES PO BOX 217 CLARENCE CENTER , NY 14032	PRINTING	01/03/2023	$7,000.00	$6,000.00	$1,000.00

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