| Identifier | Return Reference | Explanation |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 544 shares of EXXON MOBIL CORP XOM | 27,545 | 46,109 |
| 5000 shares of INTEL CORP INTC | 87,700 | 121,251 |
| 1030 shares of JOHNSON JOHNSON JNJ | 50,800 | 67,547 |
| 1024 shares of MERCK CO INC. MRK | 27,848 | 38,605 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Administrative Fees | 3,770 | 3,770 | ||
| Premium payment for indemnification insurance | 1,640 | 1,640 | ||
| State or Local Filing Fees | 25 | 25 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Tax paid with 1st extension 2010 990PF | 153 | 0 | 0 | 0 |