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2nd Quarter for DELTA DENTAL OF TENNESSEE PAC submitted on 07/02/2018

Beginning Balance

$104,828.41

Receipts

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

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

Disbursements

Expenditures, Unitemized
Purpose Amount
ANNUAL PAC FEE $100.00
BANK FEES $158.37
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
WATSON , BO
P.O. BOX 2059
HIXSON , TN 37343
C CONTRIBUTION 05/12/2016 $2,500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$7,100.15

Expenditures, Adjustments
Vendor C/P Purpose In-Kind Independent Date Amount
YAGER , KEN
P.O.BOX 684
KINGSTON , TN 37763
C REIMBURSEMENT 04/04/2016 [ $1,000.00 ]
TOTAL DISBURSEMENTS
$7,100.15

Ending Balance

ENDING BALANCE
$97,728.26


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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