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Amended 4th Quarter for INDEPENDENT MEDICINE'S PAC-TN submitted on 04/14/2011

Beginning Balance

$38,906.98

Receipts

Monetary Contributions, Unitemized
$1,350.00
Monetary Contributions, Itemized
$0.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$36,850.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$36,850.00

Disbursements

Expenditures, Unitemized
$0.00
Expenditures, Itemized
Vendor C/P Purpose In-Kind Independent S/O Date Amount
SUNTRUST BANK
PO BOX 305183
NASHVILLE , TN 37230
BANK FEE 02/18/2022 $50.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$24,744.26

Expenditures, Adjustments
Vendor C/P Purpose In-Kind Independent Date Amount
HALL (HOUSE) , MARK
2504 HENDERSON AVENUE
CLEVELAND , TN 37312
C CONTRIBUTION 01/24/2022 [ $500.00 ]
RUDD , TIM
2904 ISLINGTON DRIVE
MURFREESBORO , TN 37128
C CONTRIBUTION 01/24/2022 [ $500.00 ]
TOTAL DISBURSEMENTS
$24,244.26

Ending Balance

ENDING BALANCE
$51,512.72


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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