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Amended Annual Year End Supplemental (2015) for TENNESSEE EMERGENCY MEDICINE PAC submitted on 08/18/2016

Beginning Balance

$88,068.37

Receipts

Monetary Contributions, Unitemized
$5,282.67
Monetary Contributions, Itemized
Contributor C/P Date Amount
AT &T SERVICES
909 CHESTNUT STREET 29TH FLOOR
ST LOUIS , MO 63101
03/26/2014 $65,700.00
MINOR , TRINA
4412 DOWDY DR
ANTIOCH , TN 37013
SALES COACH CONSUMER
BELLSOUTH TELECOMMUNICATIONS LLC
03/31/2014 $126.08
MORTON , GREGG
304 OAK ST
CLEMSON , SC 29631
PRESIDENT- AT&T SOUTHEAST RE
AT&T SERVICES, INC
03/31/2014 $500.00
PHILLIPS , JOELLE
3906 HOBBS ROAD
NASHVILLE , TN 37215-2219
AVP-EXT AFFS REGULATORY
AT&T SERVICES
03/31/2014 $325.00
VAN DYKE , JEFFERY A
1727 KINGSBURG DRIVE
NASHVILLE , TN 37215
EXEC DIR EXTERNAL AFFAIRS
AT&T SERVICES INC
03/31/2014 $125.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$5,782.67

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$5,782.67

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$5,000.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$5,000.00

Ending Balance

ENDING BALANCE
$88,851.04


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
Contributor C/P Details Date Amount
AT &T SERVICES
909 CHESTNUT STREET 29TH FLOOR
ST LOUIS , MO 63101
ADMIN COSTS 1.16.14 - 3.31.14 03/31/2014 $250.00
AT &T SERVICES
909 CHESTNUT STREET 29TH FLOOR
ST LOUIS , MO 63101
CERTIFIED MAILING OF IRS DOCS. 03/13/2014 $8.77
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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