Pre-General for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 10/30/2012
Beginning Balance
$27,253.73
Receipts
Monetary Contributions, Unitemized
$3,108.20
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$3,468.20
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,468.20
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| ANNUAL REGIS. FEE | $100.00 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
BAILEY
, PAUL
P.O. BOX 2998 COOKEVILLE , TN 38502 |
C | CONTRIBUTION | 01/07/2021 | $5,000.00 | |||
|
HARLAND CLARKE
15955 LA CANTERA PARKWAY SAN ANTONIO , TX 78256 |
CHECK ORDER | 12/16/2020 | $119.54 | ||||
|
JOHNSON
, JACK
915 LEWISBURG PIKE FRANKLIN , TN 37064 |
C | CONTRIBUTION | 12/09/2020 | $5,000.00 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$3,150.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$2,650.00
Ending Balance
ENDING BALANCE
$28,071.93
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