Annual Year End Supplemental (2019) for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 02/03/2020
Beginning Balance
$1,478.46
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
A.S. BARBORO
5020 TUGGLE ROAD MEMPHIS , TN 38118 |
08/17/2015 | $200.00 | |
|
BARCLAY
, HALE
P.O. BOX 140477 MEMPHIS , TN 38114 OWNER GEM DISTRIBUTORS, INC. |
08/26/2015 | $500.00 | |
|
CHICK-FIL-A GERMANTOWN
1230 S. GERMANTOWN PKWY GERMANTOWN , TN 38138 |
09/21/2015 | $500.00 | |
|
HALF SHELL LLC
688 S. MENDENHALL MEMPHIS , TN 38117 |
08/20/2015 | $500.00 | |
|
HOG WILD BBQ
1291 TULLY ST. MEMPHIS , TN 38107 |
08/21/2015 | $500.00 | |
|
HOG WILD BBQ
1291 TULLY ST. MEMPHIS , TN 38107 |
08/14/2015 | $200.00 | |
|
HOLIDAY DELI & HAM COMPANY
700 COLONIAL ROAD, STE. 225 MEMPHIS , TN 38117 |
10/14/2015 | $500.00 | |
|
HUEY'S
1915 MADISON AVENUE MEMPHIS , TN 38104 |
08/26/2015 | $700.00 | |
|
KISER
, JIMMY
1640 LAUREL KNOLL CIRCLE GERMANTOWN , TN 38139 CEO US FOODS |
08/17/2015 | $200.00 | |
|
KOOKY CANUCK
97 SOUTH SECOND STREET MEMPHIS , TN 38103 |
10/14/2015 | $500.00 | |
|
KOOKY CANUCK
97 SOUTH SECOND STREET MEMPHIS , TN 38103 |
08/12/2015 | $400.00 | |
|
MAJESTIC GRILLE, THE
145 SOUTH MAIN ST. MEMPHIS , TN 38103 |
09/21/2015 | $500.00 | |
|
MCDONNELL INSURANCE
7200 GOODLETT FARMS PARKWAY CORDOVA , TN 38016 |
08/17/2015 | $200.00 | |
|
MEMPHIS RESTAURANT ASSOCIATION
P.O. BOX 770027 MEMPHIS , TN 38177 |
12/17/2015 | $5,000.00 | |
|
MEMPHIS RESTAURANT ASSOCIATION
P.O. BOX 770027 MEMPHIS , TN 38177 |
08/17/2015 | $2,400.00 | |
|
METRO MEMPHIS HOTEL & LODGING ASSOC
8544 RANKIN BRANCH ROAD MILLINGTON , TN 38053 |
09/21/2015 | $500.00 | |
|
METRO MEMPHIS HOTEL & LODGING ASSOC
8544 RANKIN BRANCH ROAD MILLINGTON , TN 38053 |
08/26/2015 | $1,000.00 | |
|
METRO MEMPHIS HOTEL & LODGING ASSOC
8544 RANKIN BRANCH ROAD MILLINGTON , TN 38053 |
08/26/2015 | $1,000.00 | |
|
METRO MEMPHIS HOTEL & LODGING ASSOC
8544 RANKIN BRANCH ROAD MILLINGTON , TN 38053 |
08/26/2015 | $3,500.00 | |
|
MKT INC DBA PATRICK'S
4972 PARK AVENUE MEMPHIS , TN 38117 |
09/21/2015 | $500.00 | |
|
PEPSICO FOODSERVICE
671 S. ROWLETT COLLIERVILLE , TN 38017 |
09/28/2015 | $200.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$297.01
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$297.01
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| BANK FEES | $7.15 |
| OFFICE SUPPLIES | $72.40 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
BOYD
, BERLIN
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
BROWN
, JOE
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
BYRD
, HAROLD
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $1,000.00 | ||||
|
CARLSON
, KIMBERLY
5492 FIESTA DRIVE MEMPHIS , TN 38120 |
ADMINSTRATIVE FEES | 12/17/2015 | $200.00 | ||||
|
CARLSON
, KIMBERLY
5492 FIESTA DRIVE MEMPHIS , TN 38120 |
ADMINSTRATIVE FEES | 11/25/2015 | $200.00 | ||||
|
CARLSON
, KIMBERLY
5492 FIESTA DRIVE MEMPHIS , TN 38120 |
ADMINSTRATIVE FEES | 10/20/2015 | $200.00 | ||||
|
CARLSON
, KIMBERLY
5492 FIESTA DRIVE MEMPHIS , TN 38120 |
ADMINSTRATIVE FEES | 09/25/2015 | $200.00 | ||||
|
CARLSON
, KIMBERLY
5492 FIESTA DRIVE MEMPHIS , TN 38120 |
ADMINSTRATIVE FEES | 08/20/2015 | $200.00 | ||||
|
CARLSON
, KIMBERLY
5492 FIESTA DRIVE MEMPHIS , TN 38120 |
ADMINSTRATIVE FEES | 07/28/2015 | $200.00 | ||||
|
COLVETT JR.
, FRANK
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
CONRAD
, KEMP
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
FORD
, EDMUND
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 09/02/2015 | $1,000.00 | ||||
|
FORD
, EDMUND
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
FULLILOVE
, JANIS
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
HEDGEPETH
, REID
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/26/2015 | $1,250.00 | ||||
|
HEDGEPETH
, REID
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
LOWERY
, MICKELL
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $500.00 | ||||
|
MORRISON
, BILL
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
PICKARD
, CHARLES
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $250.00 | ||||
|
SPINOSA JR.
, PHILIP
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $1,000.00 | ||||
|
STRICKLAND
, JIM
125 N. MAIN, ROOM 514 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $4,000.00 | ||||
|
TENNESSEE HOSPITALITY PAC
475 CRAIGHEAD STREET NASHVILLE , TN 37204 |
P | CONTRIBUTION | 12/17/2015 | $6,750.00 | |||
|
WHARTON
, A.C.
125 N. MAIN ST. ROOM 700 MEMPHIS , TN 38103 |
CONTRIBUTION | 08/25/2015 | $1,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$445.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$415.00
Ending Balance
ENDING BALANCE
$1,360.47
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