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Annual Year End Supplemental (2025) for DELTA DENTAL OF TENNESSEE PAC submitted on 01/25/2026

Beginning Balance

$117,809.17

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
MEMULA , SANJEEV
393 DOGWOOD VALLEY DR
COLLIERVILLE , TN 38017
ATTORNEY
SHELBY COUNTY
11/09/2025 $750.00
MULROY , STEVEN
1035 PERKINS TRACE
MEMHIS , TN 38117
ATTORNEY
SHELBY COUNTY
12/15/2025 $250.00
PAGARE , ASHISH
5050 HACIENDA DR APT 216
DUBLIN , CA 38017
IT
ST JUDE
01/11/2026 $1,000.00
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
CADENCE BANK
201 S SPRING ST
TUPELO , MS 38804
BANK FEES 01/21/2026 $23.72
GO DADDY
100 S MILL AVE SUITE 1600
TEMPE , AZ 85284
ADVERTISING 01/12/2026 $141.96
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$56,550.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$56,550.00

Ending Balance

ENDING BALANCE
$61,259.17


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
Contributor C/P Details Date Amount
MEMULA , SANJEEV
393 DOGWOOD VALLEY DR
COLLIERVILLE , TN 38017
ATTORNEY
SHELBY COUNTY
party supplies 01/14/2026 $180.00
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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