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Amended Annual Year End Supplemental (2017) for INDEPENDENT MEDICINE'S PAC-TN submitted on 03/09/2018

Beginning Balance

$288,181.78

Receipts

Monetary Contributions, Unitemized
$1,475.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$70,997.18

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$70,997.18

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
DANIEL , MARTIN
1834 DUNCAN WOODS LANE
KNOXVILLE , TN 37919
C CONTRIBUTION 09/09/2014 $500.00
GRAPHIC CREATIONS
1809 LAKE AVENUE
KNOXVILLE , TN 37916
ADVERTISING ROACH, DENNIS (COACH) S 08/04/2014 $1,902.22
GRAPHIC CREATIONS
1809 LAKE AVENUE
KNOXVILLE , TN 37916
ADVERTISING ROACH, DENNIS (COACH) S 08/12/2014 $1,869.84
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$128,731.89

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$113,337.68

Ending Balance

ENDING BALANCE
$245,841.28


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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