| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EMDC AUDIT | 6,440 |
| Category | Amount |
|---|---|
| NONE |
| 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 |
|---|
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|
| Item No. | 1 |
|---|---|
| Lender's Name | NOTES PAYABLE - 3 PARTICIPATING BAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 50000 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | PAYABLE AT THE END OF 50 YEARS |
| Interest Rate | |
| Security Provided by Borrower | |
| 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 |
|---|---|---|---|---|
| SUPPLIES | 2,124 | |||
| D&O INSURANCE | 5,106 | |||
| LOAN LOSS EXPENSE | ||||
| ADMIN | 12,000 | |||
| HEALTH INSURANCE | 4,272 | |||
| MISC EXP | 427 | |||
| BANK CHARGES | 145 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| LOAN INTEREST | 44,485 | 44,485 | |
| BAD DEBT RECOVERY | 9,736 | 9,736 |
| Borrower's Name | Relationship to Insider | Original Amount of Loan | Balance Due | Date of Note | Maturity Date | Repayment Terms | Interest Rate | Security Provided by Borrower | Purpose of Loan | Description of Lender Consideration | Consideration FMV |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LOANS RECEIVABLE | 710,174 | 0 % |
| Name of 501(c)(3) Organization | Balance Due |
|---|---|
|
LOANS RECEIVABLE |
710,174 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| IRS FORM 990 FEES | 118 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 2,598 |