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Amended Annual Year End Supplemental (2019) for CAI PAC TENNESSEE submitted on 02/18/2020

Beginning Balance

$0.00

Receipts

Monetary Contributions, Unitemized
$110.70
Monetary Contributions, Itemized
Contributor C/P Date Amount
MATTHEWS , ALLIE
10485 HWY 17
CAROLLTON , MS 38917
SLAES REPRESENTATIVE
WALMART
03/23/2018 $200.00
MITCHELL , EWON
1748 BRUMBY CIRCLE
LITHIA SPRINGS , GA 30122
IT COMPUTER PROGRAMER
GRADY HOSPITAL
03/24/2018 $200.00
SMITH , WILLIAM
3047 TOWERWAY
CHATTANOOGA , TN 37406
CONTRACTOR
SELF
03/24/2018 $250.00
SWEET MAGNOLIA
920 MAGNOLIA STREET
CHATTANOOGA , TN 37402
03/26/2018 $200.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$79,206.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$79,206.00

Disbursements

Expenditures, Unitemized
Purpose Amount
FOOD / BEVERAGE $120.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
RAMSEY
3829 PIN OAKS
CHATTANOOGA , TN 37411
SIGNS 03/15/2018 $181.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$40,356.75

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$40,356.75

Ending Balance

ENDING BALANCE
$38,849.25


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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