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Annual Year End Supplemental (2021) for CONCERNED HEALTHCARE EXECUTIVES PAC submitted on 01/24/2022

Beginning Balance

$20,061.92

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
JOHNSON , A. LAURA
56 AYERS DRIVE
JACKSON , TN 38301
BEST EFFORT
BEST EFFORT
05/18/2011 $6,006.17
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$1,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$1,000.00

Disbursements

Expenditures, Unitemized
Purpose Amount
MISC. DEBIT $36.50
TELEPHONE $30.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BANKS , SUSAN
414 NORTH HIGHLAND AVE.
JACKSON , TN 38301
TNDP VALUE SUMMIT 06/20/2011 $40.00
BANKS , SUSAN
414 NORTH HIGHLAND AVE.
JACKSON , TN 38301
WEB SERVICES 06/20/2011 $239.99
CLARKE , HARLAND

,
NEW CHECKS FOR ACCT 06/15/2011 $12.50
FIRST TENNESSEE BANK
1 TENNESSEE STREET
JACKSON , TN 38305
BANK FEES 06/30/2011 $5.00
JOHNSON , LAURA
56 AYERS DRIVE
JACKSON , TN 38301
WITHDRAWAL CLOSING ACCT 05/18/2011 $1,006.17
WALMART
2196 EMPORIUM DRIVE
JACKSON , TN 38305
SUPPLIES 03/28/2011 $32.86
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$500.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$500.00

Ending Balance

ENDING BALANCE
$20,561.92


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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