3rd Quarter for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 10/11/2004
Beginning Balance
$14,666.96
Receipts
Monetary Contributions, Unitemized
$6,324.74
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$7,104.74
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$7,104.74
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
PHILLIPS
, ALLIE
2197 MADISON STREET, UNIT 104 CLARKSVILLE , TN 37043 |
C | CONTRIBUTION | 09/24/2026 | $1,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$9,343.99
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$9,343.99
Ending Balance
ENDING BALANCE
$12,427.71
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