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Annual Mid Year Supplemental (2017) for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 07/11/2017

Beginning Balance

$31,626.14

Receipts

Monetary Contributions, Unitemized
$3,922.40
Monetary Contributions, Itemized
Contributor C/P Date Amount
DEAL , DAVID
801 PINE ST.
CHATTANOOGA , TN 37402
Sr. VP and CFO
BlueCross BlueShield of TN
12/07/2004 $120.00
GREGG , VICKY
801 PINE ST
CHATTANOOGA , TN 37402
President and CEO
BlueCross BlueShield of TN
12/07/2004 $375.00
HARRIS , JEAN
801 PINE ST.
CHATTANOOGA , TN 37402
VP
BlueCross BlueShield of TN
12/07/2004 $120.00
LAWHORN , DONALD
801 PINE ST
CHATTANOOGA , TN 37402
Sr. Director
BlueCross BlueShield of TN
12/07/2004 $150.00
YOUNG , WILLIAM
801 PINE ST
CHATTANOOGA , TN 37402
Sr. VP \& Gen. Counsel
BlueCross BlueShield of TN
12/07/2004 $180.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$17,800.40

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$17,800.40

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
EDGE COMMUNICATIONS
1742 W FLAGLER STREET
MIAMI , FL 33135
RESEARCH / POLLING PROCTOR, MARK S 09/11/2026 $7,000.00
GOOGLE
1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW , CA 94043
DUES / SUBSCRIPTIONS 08/03/2026 $6.21
GOOGLE
1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW , CA 94043
DUES / SUBSCRIPTIONS 09/02/2026 $9.22
INTUIT
2700 COAST AVE,
MOUNTAIN VIEW , CA 94043
DUES / SUBSCRIPTIONS 08/17/2026 $64.21
INTUIT
2700 COAST AVE,
MOUNTAIN VIEW , CA 94043
DUES / SUBSCRIPTIONS 09/17/2026 $64.21
LANDSCAPE MEDIA
PO BOX 58009
WASHINGTON , DC 20037
DIGITAL PROCTOR, MARK S 09/24/2026 $7,500.00
REVV
1101 K STREET NW
WASHINGTON , DC 20005
DUES / SUBSCRIPTIONS 08/03/2026 $49.00
REVV
1101 K STREET NW
WASHINGTON , DC 20005
DUES / SUBSCRIPTIONS 09/01/2026 $49.00
WILLIAMS , DERRICK
4267 STONE HALL BLVD
HERMITAGE , TN 37076
CAMPAIGN WORKERS 08/25/2026 $1,500.00
WILLIAMS , DERRICK
4267 STONE HALL BLVD
HERMITAGE , TN 37076
CAMPAIGN WORKERS 09/24/2026 $1,500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$4,500.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$4,500.00

Ending Balance

ENDING BALANCE
$44,926.54


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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