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Annual Year End Supplemental (2021) for TENNESSEE ACADEMY OF PEDIATRIC DENTISTRY submitted on 02/14/2022

Beginning Balance

$5,250.00

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
SECURITY FINANCE CORP. OF SPARTANBURG
PO BOX 811
SPARTANBURG , SC 29307
05/26/2020 $34,500.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$3,100.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,100.00

Disbursements

Expenditures, Unitemized
Purpose Amount
NON TENN. DISBURSEMENTS $34,500.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
CAMPBELL , SCOTTY
P.O. BOX 388
MOUNTAIN CITY , TN 37683
C CONTRIBUTION 05/15/2020 $500.00
LEATHERWOOD , TOM
5940 GRIFFIN ROAD
ARLINGTON , TN 38002
C CONTRIBUTION 06/26/2020 $500.00
STEVENS , JOHN
P.O. BOX 399
HUNTINGDON , TN 38344
C CONTRIBUTION 06/26/2020 $1,000.00
TILLIS , THOMAS R.
3540 RIVERVIEW ROAD
LEWISBURG , TN 37091
C CONTRIBUTION 06/26/2020 $500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$2,000.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$2,000.00

Ending Balance

ENDING BALANCE
$6,350.00


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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