Annual Mid Year Supplemental (2021) for EYE M.D.S PAC submitted on 07/16/2021
Beginning Balance
$5,064.18
Receipts
Monetary Contributions, Unitemized
$100.00
Monetary Contributions, Itemized
| Contributor | C/P | Date | Amount |
|---|---|---|---|
|
FORD
, GREGORY
2560 BUSINESS PARK DR NE CLEVELAND , TN 37311-6503 PHYSICIAN CLEVELAND EYE CLINIC |
06/29/2021 | $1,000.00 | |
|
HARRIS
, DAVID
1928 ALCOA HWY, SUITE 324 KNOXVILLE , TN 37920 Physician Self |
03/23/2021 | $365.00 | |
|
POMERANCE, M. D.
, GLENN
2030 HAMILTON PLACE BOULEVARD CHATTANOOGA , TN 37421 PHYSICIAN SELF |
06/28/2021 | $250.00 | |
|
STERNBERG
, PAUL
623 ROYAL OAKS PLACE NASHVILLE , TN 37205 OPHTHALMOLOGIST VANDERBILT EYE INSTITUTE |
03/24/2021 | $2,000.00 |
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
(other than adjustments, loans, and interest)
$3,715.00
Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$3,715.00
Disbursements
Expenditures, Unitemized
$0.00
Expenditures, Itemized
$0.00
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
$8,779.18
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