| Identifier | Return Reference | Explanation |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 45 shares of NATIONAL ADVISORS HOLDINGS INC 63243Z990 | 56,700 | 49,950 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Administrative Fees | 750 | 750 | ||
| Bank Charges | 15 | 15 | ||
| State or Local Filing Fees | 25 | 25 |
| Name | Address |
|---|---|
| Robert D Siefert |
416 Commonwealth Avenue Boston,MA02215 |