Amended Annual Mid Year Supplemental (2009) for TE PAC-TN submitted on 09/22/2009
Beginning Balance
$51,747.55
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
BREEDEN
, ROBERT
2869 PERSIAN LANE NEW MARKET , TN 37820 ADMINISTRATOR THE HERITAGE CENTER |
07/23/2018 | $650.00 | |
|
ESTES
, LINDA
502 STONEHURST COURT MT. JULIET , TN 37122 CLINICAL SERVICES DIRECTOR TENNESSEE HEALTH CARE ASSOC |
07/05/2018 | $162.60 | |
|
HODGES
, ANGIE
5120 VIRGINIA WAY BRENTWOOD , TN 37027 DIRECTOR OF ASSISTED LIVING THCA |
07/05/2018 | $300.00 | |
|
REDDISH
, REINA
5120 VIRGINIA WAY, STE. A21 BRENTWOOD , TN 37027 DIR GOVT AFFAIRS TN HEALTH CARE ASSN |
07/05/2018 | $560.28 | |
|
SAMPLES
, JESSE
451 TRUMAN ROAD FRANKLIN , TN 37064 EXECUTIVE DIRECTOR TENNESSEE HEALTH CARE ASSN |
07/05/2018 | $600.00 | |
|
WINNINGHAM
, DARRELL
1108 SCRAMBLERS KNOB FRANKLIN , TN 37069 DEPUTY DIRECTOR TENNESSEE HEALTHCARE ASSOCIATION |
07/05/2018 | $576.00 | |
|
WRIGHT
, JAMES
205 PRAIRIE VIEW FRANKLIN , TN 37064 ADMINISTRATOR WEST MEADE PLACE |
07/23/2018 | $248.10 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$4,965.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$4,965.00
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| BANK FEES | $1.35 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
CAS-PAC
2113 EMERY LANE FRANKLIN , TN 37064 |
P | CONTRIBUTION | 07/17/2018 | $5,000.00 | |||
|
FAISON
, JEREMY
P.O. BOX 516 NEWPORT , TN 37822 |
C | CONTRIBUTION | 07/17/2018 | $500.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$7,889.20
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$7,889.20
Ending Balance
ENDING BALANCE
$48,823.35
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