| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHAEL E. CARLSON, CPA TAX RETURN PREP | 230 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| ADDITIONAL INFORMATION STATEMENT #1 - PART XVI-B, LINE 3 | THE INCOME GENERATED WAS USED PRIMARILY TO MAKE AVAILABLE CASH FOR CHARITABLE CONTRIBUTIONS DURING THE YEAR AND PROVIDE FUNDS FOR THE FOLLOWING YEAR'S CONTRIBUTIONS AS WELL. THIS INCOME WAS ALSO USED TO PAY FOR OPERATING EXPENSES FOR THE YEAR. | |
| ADDITIONAL INFORMATION STATEMENT #2 - PART XVI-B, LINE 4 | THIS INCOME GENERATED WAS USED PRIMARILY TO MAKE CHARITABLE CONTRIBUTIONS DURING THE YEAR AND PROVIDE FUNDS FOR THE FOLLOWING YEAR'S CONTRIBUTIONS AS WELL. THIS INCOME WAS ALSO USED TO PAY FOR OPERATING EXPENSES FOR THE YEAR. | |
| ADDITIONAL INFORMATION STATEMENT #3 - PART XV, LINE 2B | WRITTEN REQUEST ON CHARITABLE ORGANIZATION LETTERHEAD STATING REASON FOR THE REQUEST, CHARITABLE USE OF THE FUNDS AND AMOUNT OF THE REQUEST. ALSO, A COPY OF THE REQUESTING ORGAINZATION'S INTERNAL REVENUE SERVICE DETERMINATION AS TO TAX EXEMPT STATUS. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 365 sh., American Express Company | 1,024 | 17,217 |
| 3,509 sh. Bank of America Corp | 231,050 | 19,510 |
| 685 sh., National-Oilwell Varco, Inc. | 10,814 | 46,573 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Merrill Lynch annual fees | 109 | 109 | 109 |
| Description | Amount |
|---|---|
| Gain on sale of 31 sh, National-Oilwell Varco, Form 990-PF, page 3, part IV. line 1a | 1,986 |
| Gain on sale of 29 sh, National-Oilwell Varco, Form 990-PF, page 3, part IV. line 1b | 1,573 |
| Miscellaneous | 101 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Massachusetts annual report fee | 35 | 35 | 35 | |
| 2010 investment income excise tax | 15 | 15 | 15 |