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Annual Year End Supplemental (2019) for ASA-PAC submitted on 01/24/2020

Beginning Balance

$199.14

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
UNITEDHEALTH GROUP INCORPORATED
9900 BREN ROAD EAST
MINNETONKA , MN 55343
09/30/2016 $6,000.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$4,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$4,000.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
DOC PAC
PO BOX 171
HENDERSONVILLE , TN 37077
P CONTRIBUTION 08/11/2016 $1,000.00
JACK - PAC
3161 MCMILLAN RD.
FRANKLIN , TN 37064
P CONTRIBUTION 08/11/2016 $3,000.00
KEYPAC
P.O. BOX 684
KINGSTON , TN 37763
P CONTRIBUTION 08/11/2016 $1,000.00
MCPAC
P.O. BOX 331983
NASHVILLE , TN 37203
P CONTRIBUTION 08/11/2016 $4,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$3,500.00

Expenditures, Adjustments
Vendor C/P Purpose In-Kind Independent Date Amount
GREEN (SENATE) , MARK E.
1600 OAK PLAINS ROAD
ASHLAND CITY , TN 37015
C CONTRIBUTION 09/23/2016 [ $1,000.00 ]
OVERBEY , DOUG
P.O. BOX 5316
MARYVILLE , TN 37802
C CONTRIBUTION 08/03/2016 [ $1,000.00 ]
TRACY , JIM
P.O. BOX 332166
MURFREESBORO , TN 37133
C CONTRIBUTION 09/23/2016 [ $1,000.00 ]
TOTAL DISBURSEMENTS
$3,500.00

Ending Balance

ENDING BALANCE
$699.14


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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