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4th Quarter for TENNESSEE ACADEMY OF PHYSICIAN ASSISTANTS PAC submitted on 01/19/2017

Beginning Balance

$6,883.27

Receipts

Monetary Contributions, Unitemized
$1,290.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
HAMM , RUDY
12508 LOVELACE ROAD
KNOXVILLE , TN 37932
PHYSICIAN ASSISTANT
HALLS WALK-IN CLINIC
07/26/2016 $200.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$2,465.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$2,465.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $29.44
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
CROWE , RUSTY
808 EAST 8TH AVENUE
JOHNSON CITY , TN 37601
C CONTRIBUTION 09/30/2016 $500.00
LUNDBERG , JON
212 SKYLINE DRIVE
BRISTOL , TN 37620
C CONTRIBUTION 09/30/2016 $500.00
OVERBEY , DOUG
P.O. BOX 5316
MARYVILLE , TN 37802
C CONTRIBUTION 09/30/2016 $500.00
YARBRO , JEFF
144 51ST AVENUE NORTH
NASHVILLE , TN 37209
C CONTRIBUTION 09/30/2016 $500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$2,547.91

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$2,547.91

Ending Balance

ENDING BALANCE
$6,800.36


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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