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Annual Mid Year Supplemental (2021) for HCA TRISTAR FUND submitted on 07/06/2021

Beginning Balance

$51,784.70

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
DEW , RAMONA
1219 HEARTHSTONE LN
KNOXVILLE , TN 37923
ADMINISTRATOR
KNOX COUNTY SCHOOLS
11/20/2019 $1,000.00
DODSON , FRED
7701 DAVE ROAD
KNOXVILLE , TN 37938
RETIRED
11/01/2019 $500.00
DOIRON , KRISTINE
860 CHEROKEE BLVD
KNOXVILLE , TN 37919
HOMEMAKER
SELF
10/29/2019 $500.00
HELTON , JAMES
1019 CUERTO CT
CHESAPEAKE , VA 23322
VICE PRESIDENT
GIVENS COMPANY
09/26/2019 $200.00
SEIBER , ROGER
4434 SUTHERLAND AVE
KNOXVILLE , TN 37939
OWNER
SEIBER RESTORATION
11/03/2019 $1,500.00
SLACK , ROBERT
5312 ANGELES DRIVE
KNOXVILLE , TN 37918
CEO
CREATIVE STRUCTURES
12/01/2019 $100.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$175,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$175,000.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $20.00
PO BOX RENTAL $80.00
POSTAGE $55.00
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$43,595.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$43,595.00

Ending Balance

ENDING BALANCE
$183,189.70


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
Contributor C/P Details Date Amount
AMYX , JACK
6703 CHILDS RD
CORRYTON , TN 37721
OWNER
FT. CITY FINANCE
Printing 10/16/2019 $700.00
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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