| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting Fees | 15,000 | 3,000 | 0 | 12,000 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Building | 2013-06-30 | 4,261,945 | 91 | 39.0000 | 59,194 | ||||
| Xerox WC7425P Copier | 2009-10-19 | 11,117 | 3,706 | 91 | 5.0000 | 2,223 | |||
| Website Improvement | 2007-04-01 | 3,673 | 1,164 | 91 | 15.0000 | 245 | |||
| Website | 2004-06-14 | 7,562 | 3,822 | 91 | 15.0000 | 504 | |||
| Trademark | 2007-04-01 | 6,514 | 2,062 | 91 | 15.0000 | 434 | |||
| EMS Computer | 2007-06-28 | 795 | 723 | 53 | 5.0000 | 72 | |||
| LAH Computer | 2007-06-28 | 795 | 723 | 53 | 5.0000 | 72 | |||
| Red Sofa/Chair/Ottoman | 2004-09-02 | 1,910 | 1,864 | 57 | 7.0000 | 46 | |||
| Water Filter System | 2004-09-01 | 1,151 | 1,123 | 57 | 7.0000 | 28 | |||
| Kitchen Table Chairs | 2004-09-01 | 643 | 628 | 57 | 7.0000 | 15 | |||
| Phone System | 2004-09-01 | 6,293 | 6,143 | 57 | 7.0000 | 150 | |||
| Refrigerator | 2004-09-01 | 1,560 | 1,523 | 57 | 7.0000 | 37 | |||
| Blue Sofa | 2004-07-15 | 1,441 | 1,432 | 57 | 7.0000 | 9 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| See attached | 963,940 | 963,940 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Land | 1,077,615 | 1,077,615 | 1,077,615 | |
| Buildings | 4,261,945 | 59,194 | 4,202,751 | 4,202,751 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Furniture and Fixtures | 37,626 | 35,090 | 2,536 | 2,536 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal fees | 8,769 | 1,754 | 0 | 7,015 |
| Item No. | 1 |
|---|---|
| Lender's Name | Great Western Bank |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 1992701 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Net Intangible Assets | 10,109 | 8,926 | 8,926 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Voice and data communications | 251 | 50 | 201 | |
| Program project expenses | 1,000 | 1,000 | ||
| Office supplies and equipment | 3,592 | 718 | 2,874 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Other Investment Income | 5,012 | 3,948 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Other consultants | 120 | 24 | 0 | 96 |
| Investment management fees | 13,645 | 13,645 | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Property Taxes | 16,927 | 16,927 | ||
| Payroll Taxes | 3,200 | 1,088 | 2,112 |