Amended Annual Year End Supplemental (2011) for INDEPENDENT MEDICINE'S PAC-TN submitted on 05/03/2012
Beginning Balance
$71,247.90
Receipts
Monetary Contributions, Unitemized
$3,961.49
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
DOANE
, JACK
2628 ALCOA HWY ALCOA , TN 37701 SALES CLAYTON HOMES |
07/28/2010 | $55.00 | |
|
MANSFIELD
, MARTY
3926 FOUNTAIN VALLEY ROAD KNOXVILLE , TN 37918 Manager Clayton Manufacturing |
08/11/2010 | $150.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$131,791.49
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$131,791.49
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
DAVIS
, LINCOLN
629 N. MAIN STREET JAMESTOWN , TN 38556 |
CONTRIBUTION | 08/24/2010 | $500.00 | ||||
|
TRUIST BANK
P. O. BOX 622227 ORLANDO , FL 32862 |
BANK FEES | 09/30/2010 | $5.00 | ||||
|
TRUIST BANK
P. O. BOX 622227 ORLANDO , FL 32862 |
BANK FEES | 08/31/2010 | $5.00 | ||||
|
TRUIST BANK
P. O. BOX 622227 ORLANDO , FL 32862 |
BANK FEES | 07/31/2010 | $5.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$123,321.53
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$123,321.53
Ending Balance
ENDING BALANCE
$79,717.86
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