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Annual Mid Year Supplemental (2013) for DELTA DENTAL OF TENNESSEE PAC submitted on 07/05/2013

Beginning Balance

$139,900.00

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
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
CAM PAC
PO BOX 58824
NASHVILLE , TN 37205
P CONTRIBUTION 09/15/2020 $2,500.00
FIRST HORIZON
PO BOX 84
MEMPHIS , TN 37228
BANK FEES 09/21/2020 $34.92
FIRST HORIZON
PO BOX 84
MEMPHIS , TN 37228
BANK FEES 08/19/2020 $34.91
GANT , RON
P.O. BOX 491
ROSSVILLE , TN 38066
C CONTRIBUTION 09/30/2020 $2,500.00
WATSON , BO
P.O. BOX 2059
HIXSON , TN 37343
C CONTRIBUTION 09/29/2020 $1,500.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$2,728.64

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$2,728.64

Ending Balance

ENDING BALANCE
$137,171.36


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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