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Amended 2020 3rd Quarter for TODD WARNER submitted on 10/06/2021

Beginning Balance

$424.02

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Rec'd For Date Amount Aggregate
TENNESSEE CAPTIVE INSURANCE ASSOCIATION
424 CHURCH ST., SUITE 800
NASHVILLE , TN 37219
07/26/2016 $900.00 $900.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$10,500.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$35,500.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $43.00
Expenditures, Itemized
Vendor C/P Purpose Date Amount
DOHERTY , KEVIN
4314 SUNNYBROOK DR
NASHVILLE , TN 37205
PRADATORS GAME TICKETS 09/02/2016 $1,205.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$31,011.17

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$31,011.17

Ending Balance

ENDING BALANCE
$4,912.85


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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