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Amended Annual Year End Supplemental (2013) for DELTA DENTAL OF TENNESSEE PAC submitted on 07/08/2014

Beginning Balance

$137,171.36

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
HAND , PERRY
3809 MOFFETT RDQ
MOBILE , AL 36618
PRESIDENT
VOLKERT, INC
10/29/2016 $154.80
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
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
BERKE FOR MAYOR , ANDY
PO BOX 4747
CHATTANOOGA , TN 37405
CONTRIBUTION 10/10/2016 $2,000.00
MCCREARY , DAVID
20630 BLIND ST
LIVINGSTON , LA 70754
CONTRIBUTION 10/04/2016 $1,000.00
RICHARDSON , FREDRICK
PO BOX 7931
MOBILE , AL 36670
CONTRIBUTION 10/18/2016 $750.00
SCHEXNAYDER , CLAY
PO BOX 593
SORRENTO , LA 70778
CONTRIBUTION 10/04/2016 $1,000.00
WATSON , MATTHEW
PO BOX 2682
BATON ROUGE , LA 70821
CONTRIBUTION 10/04/2016 $250.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$45,725.76

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$44,725.76

Ending Balance

ENDING BALANCE
$92,445.60


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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