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Amended Annual Year End Supplemental (2011) for INDEPENDENT MEDICINE'S PAC-TN submitted on 05/03/2012

Beginning Balance

$71,247.90

Receipts

Monetary Contributions, Unitemized
$3,961.49
Monetary Contributions, Itemized
Contributor C/P Date Amount
ON THE LEVEL
1481 POMONA ROAD
DICKSON , TN 37055
07/13/2016 $250.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$131,791.49

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$131,791.49

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $5.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BOW-PAC
P.O. BOX 2059
HIXSON , TN 37343
P CONTRIBUTION 07/05/2016 $1,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$123,321.53

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$123,321.53

Ending Balance

ENDING BALANCE
$79,717.86


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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