Amended Annual Mid Year Supplemental (2019) for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 11/15/2019
Beginning Balance
$1,769.78
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
BLUECROSS BLUESHIELD OF TN
1 CAMERON HILL CIR CHATTANOOGA , TN 37402 |
06/11/2019 | $50,000.00 | |
|
BLUECROSS BLUESHIELD OF TN
1 CAMERON HILL CIR CHATTANOOGA , TN 37402 |
02/07/2019 | $2,500.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$52,500.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$52,500.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
FIRST TENNESSEE BANK
P. O. BOX 84 MEMPHIS , TN 38101 |
BANK FEES | 06/28/2019 | $5.00 | ||||
|
FIRST TENNESSEE BANK
P. O. BOX 84 MEMPHIS , TN 38101 |
BANK FEES | 05/31/2019 | $5.00 | ||||
|
FIRST TENNESSEE BANK
P. O. BOX 84 MEMPHIS , TN 38101 |
BANK FEES | 04/30/2019 | $5.00 | ||||
|
FIRST TENNESSEE BANK
P. O. BOX 84 MEMPHIS , TN 38101 |
BANK FEES | 03/29/2019 | $5.00 | ||||
|
FIRST TENNESSEE BANK
P. O. BOX 84 MEMPHIS , TN 38101 |
BANK FEES | 02/28/2019 | $5.00 | ||||
|
FIRST TENNESSEE BANK
P. O. BOX 84 MEMPHIS , TN 38101 |
BANK FEES | 01/31/2019 | $5.00 | ||||
|
MAC-PAC
109 E ML KING BLVD. CHATTANOOGA , TN 37402 |
P | CONTRIBUTION | 06/21/2019 | $10,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$10,030.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$10,030.00
Ending Balance
ENDING BALANCE
$44,239.78
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