| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PREPARER | 2,730 | 2,730 |
| Person Name | Explanation |
|---|---|
| SAMUEL A GREEN DECEASED 3311 | |
| JONATHAN GREEN |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| OFFICE FURNITURE & EQUIPMENT |
| Item No. | 1 |
|---|---|
| Lender's Name | SAMUEL GREEN DECEASED |
| Lender's Title | FORMER DIRECTOR |
| Original Amount of Loan | 30000 |
| Balance Due | 45086 |
| Date of Note | 2008-12 |
| Maturity Date | 2011-02 |
| Repayment Terms | NONE |
| Interest Rate | |
| Security Provided by Borrower | LOAN FORGIVEN BY ESTATE EXECUTOR |
| Purpose of Loan | TO COVER FIXED PERIODIC EXPENSES |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| BANK CHARGES & MISC | 310 | 310 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| CONSULTANTS FOR TERMINATION | 4,133 | 4,133 |
| Name | Address |
|---|---|
| SEE SCHED B |
|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MISC FILING FEES, ANNOUNCEMENT E | 50 | 50 |