| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 3,200 | 2,400 | 800 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| EQUITIES | 126,024 | 160,063 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| OTHER INVESTMENTS | FMV | 150,350 | 178,408 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CSV, LIFE INSURANCE POLICY | 536,965 | 939,063 | 939,063 |
| PREPAID EXCISE TAXES | 279 | 680 | 680 |
| Description | Amount |
|---|---|
| PRIOR YEAR EXCISE TAXES | 382 |
| Description | Amount |
|---|---|
| PROCEEDS OF LIFE INSURANCE IN EXCESS OF BOOK VALUE | 402,098 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK TRANSFER FEES | 15 | 15 | 0 | |
| ADVISORY FEES | 9,340 | 9,340 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SECRETARY OF STATE | 45 | 45 | 0 |