| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| JOHN HANCOCK ANNUITY | AT COST | 569,909 | 569,909 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MERRILL LYNCH FEES | 150 | 150 | 0 | |
| LIFE INSURANCE | 28,272 | 28,272 | 0 | |
| SUBCONTRACTOR FEES | 45,000 | 22,500 | 22,500 | |
| INSURANCE | 14,360 | 7,180 | 7,180 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY DISTRIBUTION | 104,068 | 104,068 | 104,068 |
| IRS INTEREST INCOME | 13 | 13 |
| Description | Amount |
|---|---|
| ANNUITY PRESENT VALUE ADJUSTMENT | 24,960 |
| FEDERAL REFUND NOT SUBJECT TO TAX | 511 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHIGAN FILING FEE | 20 | 20 | 0 | |
| OTHER TAXES | 2,640 | 1,320 | 1,320 |