| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEE | 150 | 75 | 75 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| UNIVERSAL FOREST PRODUCTS | 1 | 26,070 |
| Description | Amount |
|---|---|
| CONTRIBUTION ADJUSTMENT TO COST BASIS | 46,737 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHIGAN STATE FILING FEE | 20 | 0 | 20 | |
| INVESTMENT FEE | 27 | 27 | 0 | |
| NON CHARITABLE DISTRIBUTION | 100 | 0 | 0 |
| Name | Address |
|---|---|
| ROBERT RACHEL COLEMAN |
947 BRADFORD HOLLOW NE GRAND RAPIDS,MI49525 |