Amended Annual Year End Supplemental (2017) for DENTAQUEST PAC-TN-I submitted on 04/03/2018
Beginning Balance
$0.00
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$88,820.05
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$88,820.05
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
BAILEY
, PAUL
P.O. BOX 2998 COOKEVILLE , TN 38502 |
C | CONTRIBUTION | 07/27/2026 | $5,000.00 | |||
|
JACK - PAC
915 LEWISBURG PIKE FRANKLIN , TN 37064 |
P | CONTRIBUTION | 07/20/2026 | $5,000.00 | |||
|
JCB PAC
P.O. BOX 2177 LEBANON , TN 37088 |
P | CONTRIBUTION | 07/27/2026 | $5,000.00 | |||
|
ROBERTS
, KERRY
P. O. BOX 200 SPRINGFIELD , TN 37172 |
C | CONTRIBUTION | 07/20/2026 | $2,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$81,660.05
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$81,660.05
Ending Balance
ENDING BALANCE
$7,160.00
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