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Amended Pre-General for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 03/27/2025

Beginning Balance

$7,449.66

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
HIGHLANDS PHYSICIANS INC.
2004 AMERICAN WAY, SUITE 201
KINGSPORT , TN 37660
05/26/2026 $25,000.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$2,575.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$2,575.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
POHLGEERS , DAN
575 BORING CHAPEL ROAD #14
GRAY , TN 37615
C CONTRIBUTION 05/27/2026 $20,800.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$0.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$0.00

Ending Balance

ENDING BALANCE
$10,024.66


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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