3rd Quarter for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 10/03/2016

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
COPPER 335 DIRECTORS ROW, BLDG A, STE1310 MEMPHIS , TN 38135		06/20/2014	$100.00
MEMPHIS WRECKING COMPANY 2301 SOUTH 3RD STREET MEMPHIS , TN 38109		06/13/2014	$500.00
TENNESSEE EMPLOYEES ACTION MOVEMENT 627 WOODLAND ST. NASHVILLE , TN 37206	P	05/13/2014	$600.00

Disbursements

Purpose	Amount
CHARTER COPPER	$100.00
COMPUTER SERVICE	$100.00
DONATION	$100.00
DONATION RANDY JOHNSON	$100.00
DONATION TONY MITCHELL	$100.00
PAPER PRODUCTS	$81.60
REFRESHMENTS	$100.00

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
BEST CHOICE PRINTING 774 SPEED STREET MEMPHIS , TN 38107		GRAPHICS				06/12/2014	$285.00
BURNETT , JOAN 1593 ELLA T GRASSCO BLVD NEW HAVEN , CT 06511		CONVENTION REIMBURSTMENT				06/20/2014	$550.00
COPPER 3035 DIRECTORS ROW, BLDG A, STE 1310 MEMPHIS , TN 38131		ADVERTISING				07/01/2014	$250.00
COPPER 3035 DIRECTORS ROW, BLDG A, STE 1310 MEMPHIS , TN 38131		ADVERTISING				04/14/2014	$250.00
HATTON , BOB P O BOX 3622 MEMPHIS , TN 38173		FANS				07/16/2014	$600.00
LENNY'S 153 N MAIN STREET MEMPHIS , TN 38103		COMMUNITY MEETINGS				06/26/2014	$157.12
T O FULLER STATE PARK 1500 W. MITCHELL ROAD MEMPHIS , TN 38109		COMMUNITY EVENT				06/15/2014	$150.00

Ending Balance

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Outstanding Loans

In-Kind Contributions

In-Kind Contributions are not included in the report ending balance.

Obligations

Obligations are not included in the report ending balance.

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