| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| SEE DETAILED DEPRECIATION SCHEDULE | 2003-11-01 | 115,974 | 114,069 | 200DB | 0000000007.000000000000 | 804 | 804 | 804 |
| Identifier | Return Reference | Explanation |
|---|
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| XRAY MACHINE | 108,000 | 108,000 | ||
| OFFICE FURNITURE | 1,600 | 1,600 | ||
| COMPUTER EQUIPMENT | 6,374 | 5,273 | 1,101 | 1,101 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|