Amended Annual Year End Supplemental (2015) for JACKSON HEALTHCARE submitted on 03/01/2016
Beginning Balance
$0.00
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$54,750.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$54,750.00
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| MEMORIAL DONATION | $50.00 |
| MEMORIAL DONATION | $50.00 |
| MEMORIAL DONATION | $50.00 |
| PO BOX RENTAL | $56.00 |
| REIMBURSEMENT PO BOX FEE SUSAN MILLS | $56.00 |
| ROOM RENTAL | $40.00 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
USPS
108 S. HALL ROAD ALCOA , TN 37701 |
POSTAGE | 11/20/2011 | $220.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$54,750.00
Expenditures, Adjustments
| Vendor | C/P | Purpose | In-Kind | Independent | Date | Amount |
|---|---|---|---|---|---|---|
|
USPS
108 S. HALL ROAD ALCOA , TN 37701 |
PO BOX RENTAL | 11/20/2011 | [ $56.00 ] |
TOTAL DISBURSEMENTS
$54,750.00
Ending Balance
ENDING BALANCE
$0.00
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