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1st Quarter for TENNESSEE INSURANCE PAC submitted on 04/08/2004

Beginning Balance

$381.24

Receipts

Monetary Contributions, Unitemized
$400.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
ANDERSON , PATRICIA
330 SEVEN SPRINGS WAY
BRENTWOOD , TN 37027
CNO
LIFEPOINT HOSPITALS
07/15/2016 $400.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$400.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$400.00

Disbursements

Expenditures, Unitemized
Purpose Amount
NON TENN $3,600.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
REGIONS BANK
315 DEADERICK STREET
NASHVILLE , TN 37201
BANK FEES 07/01/2016 $43.06
SARGENT, JR. , CHARLES
117 ASHTON PARK BLVD.
FRANKLIN , TN 37067
C CONTRIBUTION 07/15/2016 $3,500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$160.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$160.00

Ending Balance

ENDING BALANCE
$621.24


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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