Amended 4th Quarter for AMERIGROUP submitted on 01/28/2013
Beginning Balance
$0.00
Receipts
Monetary Contributions, Unitemized
$2,500.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$2,500.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$2,500.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
BARNES
, TIM
119 FRANKLIN STREET CLARKSVILLE , TN 37040 |
C | CONTRIBUTION | 07/09/2008 | $1,000.00 | |||
|
CAMP
, RANDY
P. O. BOX 384 ALAMO , TN 38001 |
C | CONTRIBUTION | 07/19/2008 | $1,000.00 | |||
|
COBB
, TY
123 PLEASANT DRIVE COLUMBIA , TN 38401 |
C | DONATIONS | 07/08/2008 | $750.00 | |||
|
HAWKINS
, JIM
P. O. BOX 57 GALLATIN , TN 37066 |
C | CONTRIBUTION | 07/19/2008 | $1,000.00 | |||
|
HUDDLESTON
, KEVIN
224 SYCAMORE ST. LEBANON , TN 37087 |
CONTRIBUTION | 07/23/2008 | $500.00 | ||||
|
ODOM
, GARY
119 DUNHAM SPRINGS LANE NASHVILLE , TN 37205 |
C | CONTRIBUTION | 07/19/2008 | $1,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$2,500.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$2,500.00
Ending Balance
ENDING BALANCE
$0.00
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