Annual Year End Supplemental (2021) for CHS/COMMUNITY HEALTH SYSTEMS, INC. submitted on 01/31/2022
Beginning Balance
$9,600.00
Receipts
Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
SWPV-NY P4-5 TOWER ONE LLC
12770 EL CAMINO REAL, SUITE 200 SAN DIEGO , CA 92130 |
11/15/2020 | $9,800.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$45,400.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
($1,000.00)
Disbursements
Expenditures, Unitemized
| Purpose | Amount |
|---|---|
| BANK FEES | $15.00 |
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
LEE
, BILL
P.O. BOX 40392 NASHVILLE , TN 37204 |
C | CONTRIBUTION | 12/16/2020 | $9,800.00 | |||
|
SWVP EX HUB LLC
12770 EL CAMINO REAL, SUITE 200 CARLSBAD , CA 92008 |
ACCOUNTING SERVICES | 12/11/2020 | $2,537.33 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$0.00
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$0.00
Ending Balance
ENDING BALANCE
$8,600.00
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