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Annual Mid Year Supplemental (2017) for TN4UPAC submitted on 07/09/2017

Beginning Balance

$1,131.84

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$10,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$10,000.00

Disbursements

Expenditures, Unitemized
Purpose Amount
OFFICE SUPPLIES $20.34
REGISTRATION $100.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
COMMITTEE FOR QUALITY HEALTHCARE
5113 ANNESWAY DRIVE
NASHVILLE , TN 37205
P CONTRIBUTION 02/16/2016 $750.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$10,045.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$10,045.00

Ending Balance

ENDING BALANCE
$1,086.84


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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