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4th Quarter for COMMITTEE FOR QUALITY HEALTHCARE submitted on 01/23/2017

Beginning Balance

$12,192.23

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
FRIENDS OF MOUNTAIN STATES
P.O. BOX 5747
JOHNSON CITY , TN 37602
P 11/07/2016 $750.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$750.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$14.42
TOTAL RECEIPTS
$764.42

Disbursements

Expenditures, Unitemized
Purpose Amount
2017 ANNUAL REGISTRATION FEE $100.00
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$100.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$100.00

Ending Balance

ENDING BALANCE
$12,856.65


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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