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1st Quarter for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 04/03/2018

Beginning Balance

$5,468.00

Receipts

Monetary Contributions, Unitemized
$15.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
APCI PAC
5601 SHIRLEY PARK DRIVE
BESSEMER , AL 35022
P 01/10/2012 $1,500.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$15.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$15.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
HAILE , FERRELL
P. O. BOX 1087
GALLATIN , TN 37066
C CONTRIBUTION 01/10/2012 $1,500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$505.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$505.00

Ending Balance

ENDING BALANCE
$4,978.00


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

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