| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPERATION | 570 | 570 | 570 |
| Person Name | Explanation |
|---|---|
| PAUL E LEHMAN | |
| SHIRELY U LEHMAN |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| BUILDING | 2003-12-31 | 387,416 | 59,602 | S/L | 39.0000 | 9,934 | 9,934 | 9,934 | |
| LAND | 2003-12-31 | 52,829 | |||||||
| PARKING LOT & FENCE | 2004-12-20 | 19,601 | 13,886 | 150DB | 15.0000 | 602 | 602 | 602 | |
| TRACTOR & SNOW PLOW | 2008-05-15 | 2,244 | 1,705 | 200DB | 5.0000 | 216 | 216 | 216 | |
| TRUCK W/SNOW PLOW | 2010-02-12 | 6,500 | S/L | 5.0000 | 1,192 | 1,192 | 1,192 | ||
| ADDITIONAL PAVEMENT | 2010-09-24 | 3,590 | S/L | 15.0000 | 60 | 60 | 60 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| 273.523 T ROWE PRICE | 2009-12 | PURCHASE | 2010-04 | 5,309 | 5,000 | 309 | ||||
| 467.29 VANGUARD ST INV | 2010-03 | PURCHASE | 2010-04 | 5,019 | 5,000 | 19 | ||||
| 398.724 VANGUARD INFLATION | 2009-12 | PURCHASE | 2010-04 | 5,088 | 5,000 | 88 | ||||
| 22.131 VANGUARD INDEX | 2010-03 | PURCHASE | 2001-04 | 2,000 | 1,945 | 55 | ||||
| .627 VANGUARD INDEX | 2010-03 | PURCHASE | 2010-04 | 56 | 55 | 1 | ||||
| 931.0990 FEDERATED TOTAL RETURN BOND | 2008-03 | PURCHASE | 2010-04 | 10,335 | 10,000 | 335 | ||||
| 461.681 T ROWE PRICE INTERNATIONAL | 2008-03 | PURCHASE | 2010-04 | 4,428 | 5,000 | -572 | ||||
| 187.441 VANGUARD ST INV | 2001-03 | PURCHASE | 2001-04 | 2,000 | 2,026 | -26 | ||||
| 275.094 VANGUARD ST INV | 2001-03 | PURCHASE | 2010-04 | 2,954 | 2,974 | -20 | ||||
| 93.284 VANGUARD ST INV | 2004-10 | PURCHASE | 2010-04 | 1,002 | 1,000 | 2 | ||||
| 387.597 VANGUARD INFLATION | 2008-03 | PURCHASE | 2010-04 | 4,946 | 5,000 | -54 | ||||
| 43.442 VANGUARD INDEX | 2004-05 | PURCHASE | 2010-04 | 3,916 | 3,608 | 308 | ||||
| 31.225 VANGUARD INDEX FDS | 2003-09 | PURCHASE | 2010-04 | 2,815 | 2,375 | 440 | ||||
| 21.191 VANGUARD INDEX | 2002-06 | PURCHASE | 2010-04 | 1,910 | 1,600 | 310 | ||||
| ORRSTOWN STOCK | 2002-06 | PURCHASE | 2010-05 | 5,640 | 8,400 | -2,760 | ||||
| FORWARD BALANCED ALLOC | 2010-05 | PURCHASE | 2010-08 | 12,662 | 12,765 | -103 |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| MUTUAL FUNDS BONDS | ||
| MUTUAL FUNDS EQUITY | ||
| STOCK | ||
| ORRSTOWN FORWARD BALANCED | 43,720 | 45,136 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| LOTS FOR RESALE | 41,584 | 41,584 | 41,584 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| 419,351 | 87,197 | 332,154 | 472,180 |
| Item No. | 1 |
|---|---|
| Lender's Name | ORRSTOWN BANK |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 650000 |
| Balance Due | 187235 |
| Date of Note | 2003-12 |
| Maturity Date | 2020-06 |
| Repayment Terms | |
| Interest Rate | 0.0625 |
| Security Provided by Borrower | LAND & BUILDINGS |
| Purpose of Loan | PURCHASE OF PROPERTY |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CASH SURRENDER VALUE OF LIFE INS. | 14,429 | 6,734 | 6,734 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| INVESTMENT ADVISORY FEES | 595 | 595 | 595 | |
| MISCELLANEOUS | 449 | 449 | 449 | |
| INSURANCE | 30,158 | 30,158 | 30,158 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| PREPAID RENT | 17,500 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT TAXES/LICENSE | 292 | 292 | 292 | |
| FEDERAL EXCISE TAX | 1,100 | 1,100 | 1,100 |