Itemized Receipts for Filing 1095346
Total Amount
$4,000
Itemized Receipts
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| Line number | Entity Type | Donor name | State | Date | Amount | Employer | |
|---|---|---|---|---|---|---|---|
| # | F65 | IND | Smith, Gabriel | FL | Aug. 18, 2016 | $2,000.00 | Trinity Health Care Services, LLc |
| # | F65 | IND | Rice, Keisha D | FL | Aug. 18, 2016 | $1,000.00 | Frank & Rice, PA |
| # | F65 | IND | Yost, Phillip | FL | Aug. 18, 2016 | $1,000.00 | Compass |