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4th Quarter for ASBESTOS WORKERS LOCAL 90 PAC submitted on 01/17/2017

Beginning Balance

$53,234.59

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
BESS , TIMOTHY
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
CEO
LIFEPOINT HOSPITALS
8/29/2012 $1,000.00
DIX , THERESA
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
CNO
LIFEPOINT HOSPITALS
8/29/2012 $400.00
WHITE , JOHN
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
CFO
LIFEPOINT HOSPITALS
8/29/2012 $750.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$1,614.39

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$1,614.39

Disbursements

Expenditures, Unitemized
Purpose Amount
NON TENN $33,550.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
REGIONS BANK
315 DEADERICK STREET
NASHVILLE , TN 37201
BANK FEES 9/30/2012 $177.52
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$11,864.29

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$11,864.29

Ending Balance

ENDING BALANCE
$42,984.69


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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