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1st Quarter for CHS/COMMUNITY HEALTH SYSTEMS, INC. submitted on 04/10/2018

Beginning Balance

$900.00

Receipts

Monetary Contributions, Unitemized
$0.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$102,000.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$102,000.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
COOPER , JIM
605 CHURCH STREET
NASHVILLE , TN 37219
CONTRIBUTION 09/08/2021 $1,000.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$101,100.00

Expenditures, Adjustments
Vendor C/P Purpose In-Kind Independent Date Amount
DIXIE , VINCENT
4020 DRAKES BRANCH ROAD
NASHVILLE , TN 37218
C CONTRIBUTION 12/31/2021 [ $250.00 ]
TENNESSEE TOMORROW PAC
425 REP. JOHN LEWIS WAY N., SUITE 504
NASHVILLE , TN 37243
P CONTRIBUTION 12/31/2021 [ $500.00 ]
TOTAL DISBURSEMENTS
$101,100.00

Ending Balance

ENDING BALANCE
$1,800.00


Outstanding Loans


TOTAL OUTSTANDING LOAN BALANCE
$0.00
Loans Beg Balance Paid End Balance*
FARMERS & MERCHANTS BANK
P O BOX 350
DOVER , TN 37058
$0.00 $0.00 $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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