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Amended Annual Year End Supplemental (2021) for TENNESSEE RETAIL ASSOCIATION PAC submitted on 01/19/2022

Beginning Balance

$6,051.91

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
HUMANA INC.
975 F STREET, NW, SUITE 520
WASHINGTON , DC 20004
12/31/2016 $1,250.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$5,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$5,000.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
JIM TRACY LEADERSHIP PAC
P.O. BOX 331983
NASHVILLE , TN 37203
P CONTRIBUTION 01/05/2017 $250.00
SARGENT, JR. , CHARLES
117 ASHTON PARK BLVD.
FRANKLIN , TN 37067
C CONTRIBUTION 01/09/2017 $1,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$40.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$40.00

Ending Balance

ENDING BALANCE
$11,011.91


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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