| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 195 | 0 | 0 | 0 |
| Item No. | 1 |
|---|---|
| Lender's Name | MASON L MILLER |
| Lender's Title | DIRECTOR |
| Original Amount of Loan | 9562 |
| Balance Due | 28686 |
| Date of Note | 2012-02 |
| Maturity Date | 2014-02 |
| Repayment Terms | BALOON PAYMENT |
| Interest Rate | 12 |
| Security Provided by Borrower | LIFE INSURANCE |
| Purpose of Loan | PREMIUM PAYMENT |
| Description of Lender Consideration | INSURANCE POLICY |
| Consideration FMV | 28686 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INSURANCE PREMIUM | 9,562 | 0 | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INTERNAL REVENUE SERVICE | 6 | 0 | 0 | 0 |
| KY DEPARTMENT OF REVENUE | 15 | 0 | 0 | 0 |