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Annual Mid Year Supplemental (2013) for DELTA DENTAL OF TENNESSEE PAC submitted on 07/05/2013

Beginning Balance

$139,900.00

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
JACK - PAC
915 LEWISBURG PIKE
FRANKLIN , TN 37064
P CONTRIBUTION 07/11/2024 $10,000.00
KEYPAC
P.O. BOX 684
KINGSTON , TN 37763
P CONTRIBUTION 07/11/2024 $2,500.00
STEVENS , JOHN
161 COURT SQUARE
HUNTINGDON , TN 38344
C CONTRIBUTION 07/22/2024 $2,500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$2,728.64

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$2,728.64

Ending Balance

ENDING BALANCE
$137,171.36


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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