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Amended Annual Year End Supplemental (2015) for TENNESSEE RADIOLOGISTS PAC submitted on 03/20/2017

Beginning Balance

$35,747.22

Receipts

Monetary Contributions, Unitemized
$2,455.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$4,005.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$4,005.00

Disbursements

Expenditures, Unitemized
Purpose Amount
BANK FEES $2.38
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
CLARK , JAY
603 SELF HOLLOW ROAD
ROCKFORD , TN 37853
C CONTRIBUTION 01/04/2021 $229.22
STEWART , VICKIE
7901 CEDAR CREEK RD.
TOWNSEND , TN 37882
PROFESSIONAL SERVICES 12/30/2020 $500.00
STEWART , VICKIE
7901 CEDAR CREEK RD.
TOWNSEND , TN 37882
PROFESSIONAL SERVICES 12/17/2020 $100.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$24,780.00

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$24,780.00

Ending Balance

ENDING BALANCE
$14,972.22


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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