| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION | 1,125 | 0 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| HARLAND MEDICAL | 200,000 | 200,000 |
| CYMBET | 0 | 0 |
| DIGIMED | 0 | 0 |
| MEDWAVE | 0 | 0 |
| ST JUDE | 9,359 | 15,866 |
| MONEY MARKET | 4,606 | 4,606 |
| CARDIA | 200,000 | 200,000 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| PROMISSORY NOTE-DIGIMED | FMV | 0 | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AIRFARE | 804 | 0 | 0 | 0 |
| STATE OF MN FILING FEE | 25 | 0 | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 2012 990-PF TAX | 2 | 0 | 0 | 0 |