| Identifier | Return Reference | Explanation |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 27 shares of PIONEER FLTG RT TRST | 425 | 361 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| HARTFORD LEADERS OUTLOOK POLICY 712298980 | 220,650 | 185,316 | |
| HARTFORD LEADERS OUTLOOK POLICY 712461407 | 123,049 | 91,399 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Administrative Fees | 6,360 | 6,360 | ||
| State or Local Filing Fees | 25 | 25 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Annuity Inc - HARTFORD LEADERS OUTLOOK POLICY XXX-XX-XXXX | 25,650 | 25,650 | |
| Annuity Inc - HARTFORD LEADERS OUTLOOK POLICY XXX-XX-XXXX | 12,549 | 12,549 |