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1st Quarter for DELTA DENTAL PLAN OF TENN COMMITTEE FOR GOOD GOVERNMENT submitted on 04/08/2004

Beginning Balance

$12,760.59

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
BACON, DDS , PAUL
33 MOUSE CREEK ROAD
CLEVELAND , TN 37312
DENTIST
SELF
04/26/2010 $1,000.00
BAIRD, D.D.S. , BRUCE
P.O. BOX 817
SEWANEE , TN 37375
DENTIST
SELF
04/30/2010 $700.00
BEASLEY, JR , ED
5131 HERSCHEL SPEARS CIRCLE
BRENTWOOD , TN 37027
REAL ESTATE
SELF
05/06/2010 $1,000.00
BURKHALTER , LYNWOOD
249 OAK CLUB LANE
COLLIERVILLE , TN 38017
RETIRED
RETIRED
04/29/2010 $200.00
COLLIER , JOHN
401 BRIERWOOD DR
COLUMBIA , TN 38401
ASSISTANT HOSPITAL ADMINISTRATOR
MAURY REGIONAL
04/20/2010 $1,000.00
HARRIS , GLENN
370 NICKLAUS COVE
HERNANDO , MS 38632
RETIRED
RETIRED
05/03/2010 $600.00
JOHNSON, DDS , WAYNE
401 WEST MAIN STREET, SUITE 101
LEBANON , TN 37087
DENTIST
SELF
05/04/2010 $1,000.00
SOWELL, DDS , CAMPBELL
208 WEST 6TH STREET
COLUMBIA , TN 38401
DENTIST
SELF
05/10/2010 $1,000.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$250.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$7.64
TOTAL RECEIPTS
$257.64

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$537.55

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$537.55

Ending Balance

ENDING BALANCE
$12,480.68


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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