| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 2012 990-PF TAX PREPARATION | 750 | 750 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2013-01-02 | 15,000 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S GEAR AVENUE; W BURLINGTON, IA 52655-1679 | NO | 10/1/2013 | 2013-10-01 | PAYMENT IS USED FOR PURPOSE INTENDED | |
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2013-04-01 | 16,579 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S GEAR AVENUE, W. BURLINGTON, IA 52655-1679 | NO | 10/1/2013 | 2013-10-01 | PAYMENT IS USED FOR PURPOSE INTENDED | |
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2013-07-01 | 13,717 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S. GEAR AVENUE, W. BURLINGTON, IA 52655-1679 | NO | 10/1/2013 | 2013-10-01 | PAYMENT IS USED FOR PURPOSE INTENDED | |
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2013-10-01 | 13,717 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S. GEAR AVENUE, W. BURLINGTON, IA 52655-1679 | NO | 10/1/2013 | 2013-10-01 | PAYMENT IS USED FOR PURPOSE INTENDED |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| APPLE INC | 121,336 | 137,450 |
| CISCO SYS INC | 148,264 | 157,010 |
| INTEL CORP | 131,658 | 150,539 |
| ORACLE CORPORATION | 143,799 | 170,257 |
| XEROX CORP | 106,480 | 133,870 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| PIMCO TOTAL RETURN FD INST #35 | AT COST | 168,016 | 172,868 |
| CREDIT SUISSE COMMOD RET STRAT | AT COST | 129,397 | 114,509 |
| NUVEEN HIGH INC BD FD I | AT COST | 287,842 | 293,005 |
| AMER CENT EQUITY INC CL INSTL | AT COST | 249,273 | 314,987 |
| NUVEEN REAL ESTATE SEC FD CL I | AT COST | 131,838 | 162,496 |
| NEUBERGER BERMN GENESIS INSTL | AT COST | 221,900 | 292,442 |
| T ROWE PRIC MID CAP GRW FD #64 | AT COST | 228,529 | 311,176 |
| ABERDEEN FDS EMRGN MKT INSTL | AT COST | 295,614 | 308,080 |
| LAUDUS INTL MKMSTRS FD SEL | AT COST | 341,055 | 415,400 |
| SCOUT INT'L FUND | AT COST | 263,934 | 297,375 |
| EATON VANCE GLOBAL MAC FD CL I | AT COST | 173,487 | 165,132 |
| NUVEEN CORE PLUS BOND I | AT COST | 155,703 | 162,137 |
| NUVEEN PREFERRED SECS FD #1969 | AT COST | 105,035 | 102,693 |
| OPPENHEIMER SR FLOAT RATE Y | AT COST | 465,500 | 466,775 |
| TCW EMERGING MARKETS INC FD | AT COST | 283,397 | 253,585 |
| OAKMARK GLOBAL FD CL I #1674 | AT COST | 211,972 | 223,297 |
| OPPENHEIMER DEV MKTS FDS CL Y | AT COST | 106,086 | 114,595 |
| PARNASSUS EQ INC FD INSTL CL | AT COST | 165,300 | 170,835 |
| ROBECO BOSTON PRTNRS LS RSRCH | AT COST | 209,066 | 227,969 |
| VANGUARD EQ INC ADM #565 | AT COST | 185,866 | 200,715 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| ACCRUED INCOME | 5,977 | 5,320 | 5,320 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| 2012 990-PF REFUND | 1,766 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES PAID | 2,243 | 2,243 | 0 |