| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MUTUAL FUNDS - SEE LIST ATTACHED | AT COST | 179,667 | 199,875 |
| ANNUITY | AT COST | 80,828 | 80,828 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ATTORNEY FEES | 2,818 | 1,826 | 992 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CASH SURRENDER VALUE LIFE INS | 1,740 | 6,624 | 6,624 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LIFE INSURANCE PREMIUM-NOT DEDUCTIBLE | 1,222 | 0 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| INCOME FROM ANNUITY | 1,430 | 1,430 | 1,430 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGMENT FEES | 1,767 | 1,767 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAX WITHHOLDING ON DIVIDENDS | 68 | 68 | 0 |