| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Diane Mault | 200 | 200 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Air Conditioner | 1990-03-01 | 75,420 | 75,420 | straight line | |||||
| Tiered Display | 2011-11-01 | 5,525 | 553 | sl | 553 | 553 |
| Identifier | Return Reference | Explanation |
|---|
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Equipment | 75,421 | 75,421 | ||
| Antiques | 474,054 | 474,054 | 474,054 | |
| Tiered Display | 5,525 | 1,105 | 4,420 | 4,420 |
| Item No. | 1 |
|---|---|
| Lender's Name | Ohio State Bank |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 40000 |
| Balance Due | |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | Antique |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Advertising | 1,306 | 1,306 | ||
| Misc Expenses | 250 | 250 | ||
| Insurance | 1,654 | 1,654 | ||
| Internet web site | 180 | 180 | ||
| Other Fees | 100 | 100 | ||
| Antique Restoration | 500 | 500 |
| Category | Gross Sales | Cost of Goods Sold | Net (Gross Sales Minus Cost of Goods Sold) |
|---|---|---|---|
| Books | 55 | 55 |
| Name | Address |
|---|---|
| George and Millie Brown Family Foun |
2705 Marion Waldo Rd Marion,OH43302 |
|
Wyandot Inc |
135 Wyandot Ave Marion,OH43302 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Payroll Taxes | 651 |