| Identifier | Return Reference | Explanation |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 25 shares of PIONEER FLTG RT TRST PHD | 401 | 314 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| HARTFORD LEADERS OUTLOOK POLICY 712298980 | 216,000 | 180,908 | |
| HARTFORD LEADERS OUTLOOK POLICY 712461407 | 134,300 | 90,858 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Administrative Fees | 6,426 | 6,426 | ||
| Bank Charges | 65 | 65 | ||
| State or Local Filing Fees | 25 | 25 |