Annual Mid Year Supplemental (2021) for CAI PAC TENNESSEE submitted on 07/15/2021
Beginning Balance
$33,249.25
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
OUTLAN
, JOHN E
148 HILLWOOD LANE COLLIERVILLE , TN 38017 PHYSICAN SELF |
08/01/2008 | $100.00 | |
|
TENNESSEE EMERGENCY MEDICINE PAC
2301 21ST AVENUE SOUTH NASHVILLE , TN 37212 |
P | 08/06/2008 | $300.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$14,250.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$14,250.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
ADAMSVILLE SHELL
437 E MAIN ST ADAMSVILLE , TN 38310 |
REIMBURSEMENT PAID TO DAVID MCCULLAR FOR GAS | 09/26/2008 | $48.00 | ||||
|
BOLIVAR BULLETIN TIMES
410 W MARKET ST BOLIVAR , TN 38008 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 08/27/2008 | $1,543.00 | ||||
|
BOLIVAR BULLETIN TIMES
410 W MARKET ST BOLIVAR , TN 38008 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 09/23/2008 | $56.00 | ||||
|
BROWNSVILLE STATE GRAPHIC
42 S WASHINGTON AVE BROWNSVILLE , TN 38012 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 08/27/2008 | $1,354.00 | ||||
|
BROWNSVILLE STATE GRAPHIC
42 S WASHINGTON AVE BROWNSVILLE , TN 38012 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 09/23/2008 | $44.00 | ||||
|
CHESTER COUNTY INDEPENDENT
218 S CHURCH HENDERSON , TN 38340 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 08/23/2008 | $396.00 | ||||
|
CHESTER COUNTY INDEPENDENT
218 S CHURCH HENDERSON , TN 38340 |
ADVERTISING | 08/18/2008 | $33.00 | ||||
|
CROCKETT TIMES
P O BOX 160 ALAMO , TN 38001 |
ADVERTISING | 08/04/2008 | $843.00 | ||||
|
CROCKETT TIMES
P O BOX 160 ALAMO , TN 38001 |
ADVERTISING | 08/18/2008 | $44.00 | ||||
|
FAYETTE FALCON
101 W COURT SQUARE SOMERVILLE , TN 38068 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 08/27/2008 | $1,285.00 | ||||
|
FAYETTE FALCON
101 W COURT SQUARE SOMERVILLE , TN 38068 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 09/23/2008 | $44.00 | ||||
|
INDEPENDENT APPEAL
111 2ND ST N SELMER , TN 38375 |
ADVERTISING | 08/04/2008 | $717.00 | ||||
|
INDEPENDENT APPEAL
111 2ND ST N SELMER , TN 38375 |
ADVERTISING | 08/18/2008 | $27.00 | ||||
|
MURPHY USA
1015 MULBERRY AVE SELMER , TN 38375 |
REIMBURSEMENT PAID TO DAVID MCCULLAR FOR GAS | 09/26/2008 | $61.00 | ||||
|
SAVANNAH PUBLISHING
375 MAIN ST SAVANNAH , TN 38372 |
REIMBURSEMENT PAID TO GAIL MCCULLAR FOR ADVERTISE | 08/27/2008 | $1,095.00 | ||||
|
SELMER AMOCO
P O BOX 268 SELMER , TN 38375 |
REIMBURSEMENT PAID TO DAVID MCCULLAR FOR GAS | 09/26/2008 | $48.00 | ||||
|
WAYNE COUNTY NEWS
P O BOX 156 WAYNESBORO , TN 38485 |
ADVERTISING | 08/04/2008 | $531.00 | ||||
|
WAYNE COUNTY NEWS
P O BOX 156 WAYNESBORO , TN 38485 |
ADVERTISING | 08/18/2008 | $26.00 |
Loan Payments
| Loan Source | Payment | |
|---|---|---|
| Self-Endorsed | $10,000.00 | |
| Self-Endorsed | $3,111.00 | Written Off ( $3,111.00 on 10/14/2008 ) |
| Self-Endorsed | $1,889.00 |
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$0.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$0.00
Ending Balance
ENDING BALANCE
$47,499.25
Outstanding Loans
TOTAL OUTSTANDING LOAN BALANCE
$0.00
| Loans | Beg Balance | Paid | End Balance* |
|---|---|---|---|
| Self-Endorsed | $10,000.00 | $10,000.00 | $0.00 |
| Self-Endorsed | $5,000.00 | $5,000.00 | $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