4th Quarter for DELTA DENTAL OF TENNESSEE PAC submitted on 01/17/2017
Beginning Balance
$33,746.52
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
COOLEY
, CAROLINE
903 WINDGATE ST KNOXVILLE , TN 37919 PHYSICIAN SUMMIT MEDICAL GROUP |
11/18/2011 | $2,500.00 | |
|
JACKSON
, MARK
2220 LYONS BEND RD. KNOXVILLE , TN 37919 PHYSICIAN SELF |
11/27/2011 | $200.00 | |
|
MEAD
, JIM
7828 ASHLEY POWELL , TN 37849 NURSE COVENANT HEALTH |
12/11/2011 | $100.00 | |
|
ROSLING
, TINA
823 DEERY ST KNOXVILLE , TN 37917 NURSE PRACTITIONER TEAM HEALTH,INC |
12/08/2011 | $100.00 | |
|
SLUTZKER
, ALBERT
1702 VANDER RIDGE LANE KNOXVILLE , TN 37919 PHYSICIAN SELF |
11/28/2011 | $100.00 | |
|
THOMAS
, DARRELL
501 20TH ST KNOXVILLE , TN 37916 PHYSICIAN KNOXVILLE NEUROLOGY SPECIALISTS |
01/05/2012 | $300.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$30,000.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$30,000.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$30,205.01
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$30,205.01
Ending Balance
ENDING BALANCE
$33,541.51
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