Annual Mid Year Supplemental (2013) for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 07/09/2013
Beginning Balance
$12,615.53
Receipts
Monetary Contributions, Unitemized
$3,443.80
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
GIBLIN
, JOHN
1 CAMERON HILL CIR. CHATTANOOGA , TN 37402 EXEC. VP AND CFO BLUECROSS BLUESHIELD |
01/18/2018 | $120.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$21,181.80
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$21,181.80
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| ANNUAL REGIS. FEE | $100.00 |
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$100.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$100.00
Ending Balance
ENDING BALANCE
$33,697.33
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