1st Quarter for BLUE CROSS BLUE SHIELD OF TN PAC submitted on 04/05/2012
Beginning Balance
$8,849.33
Receipts
Monetary Contributions, Unitemized
$3,775.84
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
BROCK
, SHANE
105 N 4TH ST SMITHVILLE , TN 37166 BANKING CITIZENS TRI COUNTY BANK |
06/15/2021 | $150.00 | |
|
DILLIGARD
, DARREN
145 QUAIL POINTE DR SMITHVILLE , TN 37166 FACTORY ZF AUTOMOTIVE |
06/06/2021 | $120.00 | |
|
HAWKINS
, CAROLYN
1563 LOVE COUNTY RD SMITHVILLE , TN 37166 SUBSTITUTE TEACHER PUTNAM COUNTY BD OF EDUCATION |
06/17/2021 | $150.00 | |
|
LITTLE
, TONY
212 WALNUT ST SMITHVILLE , TN 37166 RETIRED RETIRED |
06/21/2021 | $120.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$11,655.84
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$11,655.84
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
| Vendor | C/P | Purpose | In-Kind | Independent | S/O | Date | Amount |
|---|---|---|---|---|---|---|---|
|
ACTBLUE
POBOX 44114( SOMERVILLE , MA 02144 |
PROFESSIONAL SERVICES | 06/30/2021 | $100.19 |
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
(other than adjustments)
$60.88
Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$60.88
Ending Balance
ENDING BALANCE
$20,444.29
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