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2nd Quarter for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 07/06/2016

Beginning Balance

$3,896.79

Receipts

Monetary Contributions, Unitemized
$9.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$5,459.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$5,459.00

Disbursements

Expenditures, Unitemized
Purpose Amount
CONTRIBUTION $145.68
FOOD / BEVERAGE $16.68
PARADE CANDY $50.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
ST. PATRICKS SCHOOL
175 ST. PATRICKS ST.
MCEWEN , TN 37101
LEGACY MEMBERSHIP 03/15/2014 $150.00
TDS TELECOM
525 JUNCTION ROAD
MADISON , WI 53717
COMPUTER 03/31/2014 $324.75
TIDWELL, JOHN C
158 HARBOR CIRCLE
NEW JOHNSONVILLE , TN 37134
PARADE CAR RENTAL 03/15/2014 $150.00
VERIZON WIRELESS
PO BOX 105378
ATLANTA , GA 30348
CELL PHONE 03/31/2014 $297.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$4,689.42

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$4,689.42

Ending Balance

ENDING BALANCE
$4,666.37


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$0.00
Loans Beg Balance Paid End Balance*
Self-Endorsed $10,000.00 $0.00 $10,000.00

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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