| Identifier | Return Reference | Explanation |
|---|
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| MULTIPLE CORPORATE BONDS | 1,045,114 | 1,127,340 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| MULTIPLE CORPORATE STOCK | 913,702 | 1,434,935 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| MASON CITY REAL ESTATE | 70,000 | 824 | 69,176 | 70,000 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MUTUAL FUNDS | AT COST | 108,363 | 120,540 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PERBIX MORGAN | 3,563 | 3,563 | ||
| KNUPPEL LINDNER | 1,100 | 1,100 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INSURANCE PREMIUMS | 931 | 931 |
| Description | Amount |
|---|---|
| ADJUST PER BALANCE SHEET | 49,215 |
| Borrower's Name | Relationship to Insider | Original Amount of Loan | Balance Due | Date of Note | Maturity Date | Repayment Terms | Interest Rate | Security Provided by Borrower | Purpose of Loan | Description of Lender Consideration | Consideration FMV |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JENELLE HAZZARD | 9,745 | 6,893 | 2006-02 | 2011-02 | MONTHLY | 9.0000000000 % | STUDENT LOAN | ||||
| RENAE LOFFREDO | 13,208 | 2,325 | 2006-05 | 2011-03 | MONTHLY | 9.0120000000 % | STUDENT LOAN | ||||
| TRACY BIENEMAN | 35,393 | 5,589 | 2003-07 | 2019-06 | MONTHLY | 9.0000000000 % | STUDENT LOAN | ||||
| TONI HUTCHISON | 16,317 | 15,799 | 2009-11 | 2021-06 | MONTHLY | 9.0000000000 % | STUDENT LOAN | ||||
| STEPHANIE HAMM | 13,961 | 14,851 | 2009-05 | 2019-05 | MONTHLY | 9.0000000000 % | STUDENT LOAN |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Real estate tax not included in line 20 | 2,478 | 0 | 0 | 0 |
| STATE FILING FEE | 15 | 0 | 0 | 0 |