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Amended Annual Year End Supplemental (2009) for INSURORS OF TN PAC submitted on 02/10/2010

Beginning Balance

$27,835.47

Receipts

Monetary Contributions, Unitemized
$4,975.00
Monetary Contributions, Itemized
Contributor C/P Date Amount
SUCCESS CLASSIC
675 PEINSIL DR
HOT SPRINGS , AR 71901
04/27/2004 $102.00
TOTAL CONTRIBUTIONS
(other than adjustments, loans, and interest)
$22,525.00

Contribution Adjustments
$0.00
Loans Received
$0.00
Interest Received This Reporting Period
$0.00
TOTAL RECEIPTS
$22,525.00

Disbursements

Expenditures, Unitemized
Purpose Amount
OFFICE SUPPLIES $93.92
Expenditures, Itemized
$0.00
Loan Payments
$0.00
Obligation Payments
$0.00
TOTAL EXPENDITURES
(other than adjustments)
$19,545.69

Expenditures, Adjustments
$0.00
TOTAL DISBURSEMENTS
$19,545.69

Ending Balance

ENDING BALANCE
$30,814.78


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
$106.33

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