Amended Pre-Primary for EYE M.D.S PAC submitted on 10/12/2020
Beginning Balance
$34,714.18
Receipts
Monetary Contributions, Unitemized
$100.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
CONRAD
, JAMES
4306 HARDING DRIVE, SUITE 300 NASHVILLE , TN 38205 Physician Self |
01/04/2020 | $500.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$600.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$600.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
KYLE
, SARA P.
6421 OLD ORCHARD COVE MEMPHIS , TN 38119 |
C | CONTRIBUTION | 07/21/2020 | $500.00 | |||
|
RAMSEY
, ROBERT (BOB)
2120 MIDDLEWOOD DRIVE MARYVILLE , TN 37803 |
C | CONTRIBUTION | 07/22/2020 | $500.00 | |||
|
TILLIS
, THOMAS R.
3540 RIVERVIEW ROAD LEWISBURG , TN 37091 |
C | CONTRIBUTION | 07/01/2020 | $500.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$1,500.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$1,500.00
Ending Balance
ENDING BALANCE
$33,814.18
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