| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MUTUAL FUNDS | AT COST | 0 | 0 |
| VARIABLE ANNUITY | AT COST | 369,962 | 289,367 |
| Description | Amount |
|---|---|
| FEDERAL TAXES | 468 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT FEES | 150 | 150 | 0 | |
| MISCELLANEOUS FEE | 19 | 19 | 0 |