| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 3,000 | |||
| TAX PREP FEES | 100 |
| 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 |
|---|
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
Empowered Poor Inc |
1949 Old Elm Road Lindenhurst,IL60046 |
2013-05-25 | 7,500 | To empower individuals and families through micro-lending, education, and healthcare. | 7,500 | NO | 2014-01-14 | Verification resulted in a letter from the grantee stating that the entire grant in the amount of $7,500 was used to help underprivileged families in India and South Asia to break the cycle of poverty through micro-lending and micro-businesses. | |
|
Sweetgrass Foundation |
3290 Northside Parkway Atlanta,GA30327 |
2013-07-17 | 3,000 | To provide general support for the organization | 3,000 | NO | 2014-01-14 | Verification resulted in a letter from the grantee stating that the entire grant amount of $3,000 was wired to the Mom Foundation (formerly Nepal Deprived Society Development Programme) on September 19, 2013 . |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| BOSTON TRUST | 141,960 | 201,733 |
| VIRTUS INVESTMENT PARTNERS | 1,651 | 30,276 |
| ARIEL INVESTMENTS | 145,346 | 185,366 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| GENESIS COMMUNITY LOAN FUND | AT COST | 100,000 | 100,000 |
| CALVERT SOCIAL INVESTMENT FDN | AT COST | 100,000 | 100,000 |
| JOHN HANCOCK LIFE INSURANCE CO | AT COST | 772,044 | 739,099 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OFFICE SUPPLIES | 24 | |||
| POSTAGE | 6 |
| Description | Amount |
|---|---|
| CHANGE IN LIFE INSURANCE POLICY VALUE | 4,316 |