4th Quarter for TENNESSEE CAPTIVE INSURANCE ASSOCIATION INC. PAC submitted on 01/17/2017
Beginning Balance
$5,035.87
Receipts
Monetary Contributions, Unitemized
$9.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
GIRDLER JR
, RICHARD
400 SIMS LN FRANKLIN , TN 37069 BROKER COWAN BENEFIT SERVICES, INC |
12/06/2015 | $240.00 | |
|
MILAM
, JOHN
426 HEATHERMOOR DR KNOXVILLE , TN 37934 BROKER WILLIS |
12/01/2015 | $270.00 | |
|
MILES
, JEFFERY
3420 VALLEY BROOK ROAD NASHVILLE , TN 37215 INSURANCE BROKER-CONSULTANT THE MILES ORGANIZATION |
09/15/2015 | $60.00 | |
|
TERRY
, CHUCK
1201 DOTSONVILLE RD CLARKSVILLE , TN 37042 BROKER DUNN INSURANCE AGENCY |
12/01/2015 | $120.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$5,454.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$5,454.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
ST.TN REG. ELEC FINANCE
404 J.ROBERSTON PRWAY, STE 104 NASHVILLE , TN 37243 |
DUES / SUBSCRIPTIONS | 01/12/2016 | $100.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$8,818.70
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$8,818.70
Ending Balance
ENDING BALANCE
$1,671.17
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