| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADP Payroll Service | 1,473 | 737 | 0 | 736 |
| Accounting | 3,982 | 1,991 | 0 | 1,991 |
| Description of Amortized Expenses | Date Acquired, Completed, or Expended | Amount Amortized | Deduction for Prior Years | Amortization Method | Current Year Amortization | Net Investment Income | Adjusted Net Income | Total Amount of Amortization |
|---|---|---|---|---|---|---|---|---|
| Loan Cost | 2007-04-03 | 4,934 | 3,865 | 5 | 987 | 4,852 | ||
| Loan Cost | 2007-04-03 | 4,935 | 3,866 | 5 | 987 | 4,853 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| LAPTOP | 2011-12-22 | 480 | 53 | 20.00 % | 96 | ||||
| IPAD | 2012-01-19 | 616 | 53 | 20.00 % | 123 | ||||
| IPAD(S) - 2 | 2011-10-18 | 1,303 | 53 | 20.00 % | 261 | ||||
| SHREDDER | 2011-05-24 | 70 | 53 | 20.00 % | 14 | ||||
| FAX/PRINTER/SCANNER | 2011-03-29 | 100 | 53 | 20.00 % | 20 | ||||
| DISHWASHER | 2012-01-05 | 234 | 53 | 20.00 % | 47 | 47 | |||
| REFRIGERATOR | 2011-11-15 | 400 | 53 | 20.00 % | 80 | 80 | |||
| DISHWASHER | 2011-06-23 | 292 | 53 | 20.00 % | 58 | 58 | |||
| Ash Cr. Water heater | 2010-04-22 | 583 | 83 | 57 | 24.49 % | 143 | 143 | ||
| Vaccum Cleaner | 2011-01-18 | 249 | 50 | 53 | 32.00 % | 80 | |||
| Printer | 2010-12-02 | 79 | 16 | 53 | 32.00 % | 25 | |||
| Computer Monitor | 2010-12-02 | 149 | 30 | 53 | 32.00 % | 48 | |||
| Heating unit | 2010-08-01 | 947 | 135 | 57 | 24.49 % | 232 | 232 | ||
| Dishwasher | 2011-01-11 | 353 | 71 | 53 | 32.00 % | 113 | 113 | ||
| Garage Doors | 2010-12-21 | 588 | 4 | 85 | 3.64 % | 21 | 21 | ||
| Furnace | 2010-11-09 | 1,100 | 12 | 85 | 3.64 % | 40 | 40 | ||
| Furnace | 2010-10-26 | 1,102 | 15 | 85 | 3.64 % | 40 | 40 | ||
| Stove | 2010-07-06 | 421 | 84 | 53 | 32.00 % | 135 | 135 | ||
| Improvements Ash Creek | 2009-12-31 | 402 | 125 | 57 | 19.68 % | 79 | 79 | ||
| Cell Phone | 2009-06-24 | 200 | 161 | 34 | 14.14 % | 28 | |||
| Riding Lawnmower | 2009-06-18 | 600 | 330 | 53 | 18.00 % | 108 | |||
| Windows | 2009-11-25 | 1,140 | 53 | 85 | 3.64 % | 41 | 41 | ||
| Sliding Glass Door | 2009-10-27 | 351 | 18 | 85 | 3.64 % | 13 | 13 | ||
| Refrigerator | 2009-12-07 | 150 | 65 | 53 | 22.80 % | 34 | 34 | ||
| Refrigerator | 2010-01-22 | 250 | 108 | 53 | 22.80 % | 57 | 57 | ||
| Roof | 2010-01-12 | 1,562 | 64 | 85 | 3.64 % | 57 | 57 | ||
| Siding Glass & Windows | 2009-12-22 | 548 | 235 | 53 | 22.80 % | 125 | 125 | ||
| Dishwasher | 2009-12-22 | 410 | 177 | 53 | 22.80 % | 93 | 93 | ||
| Stove | 2009-03-05 | 415 | 253 | 53 | 15.60 % | 65 | 65 | ||
| Digital Recorder | 2009-02-20 | 60 | 43 | 53 | 11.52 % | 7 | 7 | ||
| Laptop | 2008-11-21 | 320 | 227 | 53 | 11.52 % | 37 | 37 | ||
| Laptop | 2008-11-18 | 400 | 285 | 53 | 11.52 % | 46 | 46 | ||
| Web cam | 2008-11-06 | 60 | 43 | 53 | 11.52 % | 7 | 7 | ||
| Blackberry phone | 2008-09-16 | 168 | 120 | 53 | 11.52 % | 19 | 19 | ||
| Laptop | 2008-06-27 | 1,607 | 1,144 | 53 | 11.52 % | 185 | 185 | ||
| Scanner | 2007-04-12 | 100 | 83 | 53 | 11.52 % | 12 | 12 | ||
| Computer screen and mouse | 2007-04-03 | 851 | 703 | 53 | 11.52 % | 98 | 98 | ||
| Computer | 2006-07-01 | 720 | 678 | 53 | 5.76 % | 42 | 42 | ||
| Blackberry | 2006-07-01 | 170 | 161 | 53 | 5.76 % | 9 | 9 | ||
| Wall unit 105 & 106 | 2006-07-01 | 1,350 | 162 | 87 | 2.56 % | 35 | 35 | ||
| Dishwasher | 2006-07-01 | 370 | 349 | 53 | 5.76 % | 21 | 21 | ||
| Air conditioning | 2005-07-01 | 855 | 751 | 57 | 8.87 % | 76 | 76 | ||
| Refrigferator | 2005-08-16 | 479 | 419 | 57 | 8.87 % | 42 | 42 | ||
| Weatherstripping/Hyd door | 2006-02-08 | 4,352 | 3,639 | 57 | 8.73 % | 380 | 380 | ||
| Storm Drain | 2005-09-27 | 4,992 | 699 | 87 | 2.56 % | 128 | 128 | ||
| Wall | 2004-03-25 | 100 | 20 | 87 | 2.56 % | 3 | 3 | ||
| Disposal # 357 | 2004-04-22 | 149 | 141 | 57 | 4.46 % | 8 | 8 | ||
| HVAC # 301 | 2004-06-15 | 1,150 | 1,100 | 57 | 4.46 % | 50 | 50 | ||
| Fire Walls # 301,302,209, | 2004-04-08 | 3,200 | 564 | 87 | 2.56 % | 82 | 82 | ||
| Building Improvements | 2003-08-01 | 798 | 214 | 85 | 3.64 % | 29 | 29 | ||
| Building Improvements | 2002-08-01 | 84,054 | 18,409 | 87 | 2.56 % | 2,155 | 2,155 | ||
| Buildings | 2001-08-01 | 1,861,858 | 455,426 | 87 | 2.56 % | 47,738 | 47,738 | ||
| New Building | 2001-08-01 | 15,949 | 3,903 | 87 | 2.56 % | 409 | 409 | ||
| Building C | 2000-03-01 | 171,193 | 48,103 | 87 | 2.56 % | 4,389 | 4,389 | ||
| Building B | 2000-03-01 | 117,887 | 33,131 | 87 | 2.56 % | 3,023 | 3,023 | ||
| Building A | 1999-03-01 | 53,306 | 16,347 | 87 | 2.56 % | 1,367 | 1,367 | ||
| Building | 1999-07-06 | 57,848 | 17,240 | 87 | 2.56 % | 1,483 | 1,483 | ||
| Improvements | 1996-07-01 | 6,868 | 3,847 | 85 | 3.64 % | 250 | 250 | ||
| Building | 1994-12-31 | 55,928 | 32,544 | 85 | 3.64 % | 2,034 | 2,034 | ||
| Building | 1995-03-15 | 70,597 | 40,969 | 85 | 3.64 % | 2,567 | 2,567 | ||
| Building | 1994-12-31 | 91,164 | 53,044 | 85 | 3.64 % | 3,315 | 3,315 | ||
| Building | 1996-02-01 | 235,000 | 128,538 | 85 | 3.64 % | 8,547 | 8,547 | ||
| Building | 1994-12-31 | 49,740 | 28,944 | 85 | 3.64 % | 1,809 | 1,809 | ||
| Building | 1989-01-01 | 37,086 | 28,995 | 85 | 3.64 % | 1,348 | 1,348 | ||
| Building | 1995-02-01 | 25,812 | 15,034 | 85 | 3.64 % | 939 | 939 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| STATEMENT RE: PART X, LINE 1CIT IS THE TAXPAYER'S POSITION THAT THE TOTAL FAIR MARKET VALUE OF THE REAL ESTATE ASSETS HELD BY THE FOUNDATION DOES NOT EXCEED THE TOTAL COST OF THE REAL ESTATE ASSETS. THEREFORE THE COST BASIS HAS BEEN USED ON LINE 1C AS THE FAIR MARKET VALUE. |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Buildings | 4,125,864 | 1,059,438 | 3,066,426 | 4,125,864 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| G2,LLC | AT COST | 76,523 | 76,523 |
| EC Group Int'l | AT COST | 5,880 | 5,880 |
| OAK ST LOT | AT COST | 220,000 | 220,000 |
| My Shop Comm | AT COST | 19,200 | 19,200 |
| 8811 SW Spruce Lot 1300 | AT COST | 3,089 | 3,089 |
| Mikkelson LID Land | AT COST | 203,235 | 203,235 |
| Improvements HWY 217 | AT COST | 93,358 | 93,358 |
| HWY 217 Flood Plain | AT COST | 1,361,432 | 1,361,432 |
| Howard Island | AT COST | 149,901 | 149,901 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Miscellaneous | 3,067 | |||
| Furniture and Fixtures | 15,739 | 12,672 | 3,067 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| General C Thomas Davis | 671 | 671 | 0 | 0 |
| General | 30,129 | 30,129 | 0 | 0 |
| Item No. | 1 |
|---|---|
| Lender's Name | Key Bank |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 18696 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | WV Lot 1 -LID |
| Lender's Title | |
| 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 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Rounding | 2 | ||
| Net Intangible Assets | 2,138 | 164 | |
| 164 |
| Description | Amount |
|---|---|
| Meals & Ent 50% disallowed | 4,162 |
| federal taxes | 5,738 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Telephone | 4,246 | 4,246 | ||
| Rental Expenses | 99,153 | 99,153 | ||
| Office Supplies | 3,766 | 3,766 | ||
| Newsletters | 35 | 35 | ||
| Missionary Promotion | 599 | 599 | ||
| Miscellaneous | 27 | 27 | ||
| Internet Expense | 988 | 988 | ||
| Insurance | 3,084 | 3,084 | ||
| Flood Plain Maint | 1,445 | 1,445 | ||
| Employee enrichment | 1,485 | 1,485 | ||
| Dues & Subs | 78 | 78 | ||
| Conference expense | 6,460 | 6,490 | ||
| Business Meals @ 50% | 4,163 | 2,081 | 2,082 | |
| Bank charges | 2,363 | 2,363 | ||
| Amortization | 1,974 | 1,974 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Other Investment Income | 1,387 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| Rounding | 1 | |
| Refundable Rent Deposits | 34,024 | 35,101 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Sudyk Datasoft | None | 12,000 | 12,000 | 2006-06 | 2006-06 | On Demand | 0 % | None | Business Cash Flow | Cash | 12,000 |
| Tom Ashlock | None | 14,000 | 14,000 | 2003-05 | 1999-09 | On Demand | 1000.00 % | None | Business Cash Flow | Cash | 14,000 |
| EC Group International | investor in borrower | 10,120 | 10,120 | 2005-12 | 2009-03 | Monthly payments 843.55 | 800.00 % | None | Business Cash Flow | Cash | 10,120 |
| EC Group International | investor in borrower | 30,000 | 18,000 | 2005-01 | 2005-10 | On Demand | 800.00 % | None | Business Cash Flow | Cash | 18,000 |
| EC Group International | investor in borrower | 33,485 | 33,485 | 2005-07 | 2009-12 | Monthly payments 2350 | 800.00 % | None | Business Cash Flow | Cash | 33,485 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Taxes & Licenses (653) | 881 | 881 | ||
| Real Estate Taxes Oak St Lot | 2,008 | 2,008 | ||
| Real estate Taxes Howard Island | 6,284 | 6,284 | ||
| Real Estate Taxes Flood Plain | 4,643 | 4,643 | ||
| Payroll Taxes | 7,777 | 3,889 | 3,888 |