| Identifier | Return Reference | Explanation |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 90 shares of GOLDMAN SACHS GROUP GS | 17,470 | 8,139 |
| 200 shares of GOOGLE INC CL A GOOG | 112,166 | 129,180 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Administrative Fees | 5,517 | 5,517 | ||
| State or Local Filing Fees | 25 | 25 |