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Annual Mid Year Supplemental (2019) for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 07/17/2019

Beginning Balance

$571.66

Receipts

Monetary Contributions, Unitemized
$731.80
Monetary Contributions, Itemized
Contributor C/P Date Amount
MOTOROLA SOLUTIONS
1303 E ALGONQUIN RD
SCHAUMBURG , IL 60196
09/30/2014 $5,500.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$931.80

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$931.80

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
HARWELL , BETH HALTEMAN
413 WEST TYNE DR.
NASHVILLE , TN 37205
C CONTRIBUTION 09/15/2014 $1,000.00
JOBS4TN PAC
4515 HARDING PIKE SUITE 110
NASHVILLE , TN 37205
P CONTRIBUTION 09/15/2014 $2,500.00
MCNALLY , RANDY
94 ROYAL TROON CIRCLE
OAK RIDGE , TN 37830
C CONTRIBUTION 09/29/2014 $1,000.00
NORRIS , MARK
P.O. BOX 381075
GERMANTOWN , TN 38138
C CONTRIBUTION 09/29/2014 $1,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$55.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$25.00

Ending Balance

ENDING BALANCE
$1,478.46


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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