Amended Annual Year End Supplemental (2017) for EYE M.D.S PAC submitted on 10/18/2018
Beginning Balance
$10,591.52
Receipts
Monetary Contributions, Unitemized
$5.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
MAHAN
, BEN
926 N. JACKSON ST TULLAHOMA , TN 37388-2300 PHYSICIAN EYE MD OPHTHALMOLOGY |
02/03/2018 | $365.00 | |
|
TAYLOR
, REBECCA
4306 HARDING PIKE STE 202 NASHVILLE , TN 37205-2205 PHYSICIAN NASHVILLE VISION ASSOCIATES LLC |
03/06/2018 | $1,000.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$34,016.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$34,016.00
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| CREDIT CARD PROCESS | $17.03 |
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$10,246.59
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$10,246.59
Ending Balance
ENDING BALANCE
$34,360.93
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