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Amended Annual Year End Supplemental (2009) for INSURORS OF TN PAC submitted on 02/10/2010

Beginning Balance

$27,835.47

Receipts

Monetary Contributions, Unitemized
$4,975.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
WHOLESALERS ASSN PAC
300 JAMES ROBERTSON PARKWAY, #409
NASHVILLE , TN 37201
P 12/07/2006 $1,000.00
YOUNG , TRACY
24 DRAYTON STREET STE 610
SAVANNAH , GA 31401
Best Effort to Obtain
Best Effort to Obtain
10/31/2006 $500.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$22,525.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$22,525.00

Disbursements

Expenditures, Unitemized
Purpose Amount
ADVERTISING $50.00
DONATIONS $100.00
DUES / SUBSCRIPTIONS $60.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BELLEVUE CHAMBER
177 BELLE FOREST CIRCLE
NASHVILLE , TN 37221
DUES / SUBSCRIPTIONS 11/16/2006 $125.00
HALL , DIANNE
LEGISLATIVE PLAZA
NASHVILLE , TN 37243
CONTRIBUTION 12/14/2006 $200.00
MADISON/RIVERGATE CHAMBER
P.O. BOX 97
MADISON , TN 37116
DUES / SUBSCRIPTIONS 12/14/2006 $150.00
TONY'S FOODLAND
5529 CLARKSVILLE HWY.
JOELTON , TN 37080
FOOD / BEVERAGE 11/07/2006 $527.76
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$19,545.69

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$19,545.69

Ending Balance

ENDING BALANCE
$30,814.78


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
$106.33

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