Pre-General for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 11/01/2016
Beginning Balance
$39,763.54
Receipts
Monetary Contributions, Unitemized
$2,944.40
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
BLUECROSS BLUESHIELD OF TN
1 CAMERON HILL CIR CHATTANOOGA , TN 37402 |
05/24/2018 | $65,000.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$3,064.40
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,064.40
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
TILLIS
, THOMAS R.
PO BOX 1396 LEWISBURG , TN 37091 |
C | CONTRIBUTION | 05/22/2018 | $1,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$3,000.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$3,000.00
Ending Balance
ENDING BALANCE
$39,827.94
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