Annual Mid Year Supplemental (2023) for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 07/14/2023

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
AIA TENNESSEE P.O. BOX 60128 NASHVILLE , TN 37208		03/31/2015	$100.00
AMA ARCHITECTS, LLC 425 W. BROW RD. LOOKOUT MOUNTAIN , TN 37350		04/23/2015	$200.00
CATES , ASHLEY 704 N. WICKSHIRE WAY BRENTWOOD , TN 37027 EXECUTIVE VICE PRESIDENT AIA TENNESSEE		03/31/2015	$100.00
DERTHICK, HENLEY & WILKERSON ARCHITECTS 1001 CARTER ST., #C CHATTANOOGA , TN 37402		03/31/2015	$1,500.00
FISHER, JR. , EVERETT J. 602 SPRING LAKE CT. CHATTANOOGA , TN 37415 ARCHITECT FRANKLIN ARCHITECTS		04/23/2015	$200.00
FRANKLIN ASSOCIATES ARCHITECTS 142 N. MARKET ST. CHATTANOOGA , TN 37405		04/23/2015	$1,700.00
HEFFERLIN & KRONENBERG ARCHITECTS 1216 E. MAIN ST., STE. 120 CHATTANOOGA , TN 37408		03/31/2015	$600.00
HILBERT , GARY 2519 CEDARTON CT. CHATTANOOGA , TN 37421 CODE ENFORCEMENT OFFICER CITY OF CHATTANOOGA		04/23/2015	$100.00
MICHAEL BRADY INC. 299 WEISGARBER KNOXVILLE , TN 37919		04/23/2015	$500.00
MYERS , ERIC 703 FORREST AVENUE CHATTANOOGA , TN 37405 ARCHITECT ELEMI ARCHITECTS, LLC		03/31/2015	$400.00
ROSS ANDREWS ARCHITECT, INC. 7831 NASHVILLE ST. RINGGOLD , GA 30736		04/23/2015	$100.00
TWH ARCHITECTS 651 E. 4TH ST, STE 500 CHATTANOOGA , TN 37403		05/11/2015	$100.00
WAXLER , DANA 20 MOUNTAIN TERRACE LOOKOUT MOUNTAIN , GA 30750 ARCHITECT SELF		03/31/2015	$200.00

Disbursements

Purpose	Amount
BANK FEES	$8.00
SQUARE TRANSACTION FEES	$14.15

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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