3rd Quarter for EYE M.D.S PAC submitted on 10/08/2014
Beginning Balance
$2,402.44
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
GROOS, JR.
, ERICH
2400 PATTERSON STREET NASHVILLE , TN 37203 PHYSICIAN SELF |
07/29/2005 | $200.00 | |
|
MAHAN
, BEN
926 N. JACKSON ST TULLAHOMA , TN 37388-2300 PHYSICIAN EYE MD OPHTHALMOLOGY |
07/29/2005 | $833.33 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$7,750.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$7,750.00
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| CREDIT CARD PROCESS | $10.51 |
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$0.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$0.00
Ending Balance
ENDING BALANCE
$10,152.44
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