| Identifier | Return Reference | Explanation |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| STOCKS BONDS | 351,722 | 351,722 |
| Description | Amount |
|---|---|
| LOSS ON VALUE OF STOCKS | 5,269 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MISC | 439 | 439 | 439 | 439 |
| INSURANCE | 2,289 | 2,289 | 2,289 | 2,289 |