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Annual Year End Supplemental (2015) for DELTA DENTAL OF TENNESSEE PAC submitted on 01/25/2016

Beginning Balance

$59,150.47

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
DVA/HC PAC MEMBERS
PO BOX 7434
MOBILE , AL 36618
07/14/2006 $1,117.18
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$0.00

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

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
NON-TENNESSEE EXPENDITURES
P. O. BOX 7434
MOBILE , AL 36670
CONTRIBUTION 07/10/2006 $500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$22,525.81

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$22,525.81

Ending Balance

ENDING BALANCE
$36,624.66


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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