| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Witt, Callier, & Prestley, CPAs | 4,560 | 0 | 0 | 4,560 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| OFFICE FURNITURE | 2007-06-18 | 1,211 | 952 | 91 | 7.0000 | 173 | |||
| FURNITURE | 2007-09-30 | 1,072 | 803 | 91 | 7.0000 | 153 | |||
| OFFICE FURNITURE | 2008-02-17 | 1,052 | 725 | 91 | 7.0000 | 150 | |||
| OFFICE FURNITURE | 2008-12-02 | 3,276 | 1,911 | 91 | 7.0000 | 468 | |||
| BATTERY BACKUP | 2008-02-17 | 423 | 411 | 91 | 5.0000 | 12 | |||
| TWO COMPUTERS | 2008-03-05 | 1,060 | 1,025 | 91 | 5.0000 | 35 | |||
| WASHER/DRYER | 2008-06-03 | 1,067 | 976 | 91 | 5.0000 | 91 | |||
| DRY ICE MAKER | 2008-07-08 | 535 | 482 | 91 | 5.0000 | 53 | |||
| SMALL REFRIGERATOR | 2008-12-31 | 132 | 104 | 91 | 5.0000 | 28 | |||
| FREEZER | 2009-12-31 | 1,118 | 672 | 91 | 5.0000 | 224 | |||
| STORAGE CABINETS | 2010-01-29 | 892 | 371 | 91 | 7.0000 | 127 | |||
| COMPUTER | 2010-10-08 | 1,954 | 880 | 91 | 5.0000 | 391 | |||
| COMPUTER (2) | 2011-01-07 | 3,205 | 1,282 | 91 | 5.0000 | 641 | |||
| COPIER | 2011-08-31 | 2,285 | 609 | 91 | 5.0000 | 457 | |||
| CABINET (2) | 2011-10-18 | 936 | 156 | 91 | 7.0000 | 134 | |||
| DESK | 2011-11-20 | 596 | 92 | 91 | 7.0000 | 85 | |||
| COMPUTER | 2012-12-01 | 1,418 | 24 | 91 | 5.0000 | 284 | |||
| COMPUTER | 2013-01-09 | 1,594 | 91 | 5.0000 | 319 | ||||
| CAMERA | 2013-01-30 | 335 | 91 | 5.0000 | 61 | ||||
| EKG MACHINE | 2013-04-04 | 1,047 | 91 | 5.0000 | 157 | ||||
| COMPUTER (ALBOES) | 2013-06-19 | 1,432 | 91 | 5.0000 | 143 | ||||
| P.E.T. MACHINE | 2013-06-28 | 17,500 | 91 | 5.0000 | 1,750 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Furniture and Fixtures | 16,651 | 13,916 | 2,735 | 2,735 |
| Machinery and Equipment | 49,588 | 25,594 | 23,994 | 23,994 |
| Item No. | 1 |
|---|---|
| Lender's Name | SUNTRUST BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 5000 |
| Balance Due | |
| Date of Note | 2009-03 |
| Maturity Date | 2010-03 |
| Repayment Terms | LINE OF CREDIT |
| Interest Rate | 5.0000 |
| Security Provided by Borrower | NONE |
| Purpose of Loan | OPERATIONAL FUNDS |
| Description of Lender Consideration | CASH |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | JONATHAN L LISS MD |
| Lender's Title | |
| Relationship to Insider | OFFICER |
| Original Amount of Loan | 44645 |
| Balance Due | |
| Date of Note | 2011-11 |
| Maturity Date | 2012-11 |
| Repayment Terms | AS AVAILABLE |
| Interest Rate | |
| Security Provided by Borrower | NONE |
| Purpose of Loan | WORKING CAPITAL FOR RESEARCH |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| OVERPAID PAYROLL TAXES | 1,970 | 3,314 | 3,314 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVERTISING | 13,090 | 13,090 | ||
| BANK CHARGES | 621 | 621 | ||
| COMPUTER EXPENSE | 13,017 | 13,017 | ||
| EDUCATION & SEMINARS | 1,354 | 1,354 | ||
| ENTERTAINMENT | 539 | 539 | ||
| EQUIPMENT RENTAL | 114 | 114 | ||
| INSURANCE - CASUALTY | 12,102 | 12,102 | ||
| INSURANCE - GROUP | 4,434 | 4,434 | ||
| LAB | 35,714 | 35,714 | ||
| MEDICAL SUPPLIES | 7,057 | 7,057 | ||
| OFFICE EXPENSE | 7,659 | 7,659 | ||
| POSTAGE | 454 | 454 | ||
| REPAIRS & MAINTENANCE | 50 | 50 | ||
| RESEARCH FEES | 41,165 | 41,165 | ||
| SUPPLIES | 243 | 243 | ||
| TELEPHONE AND ANSWERING SERVICE | 202 | 202 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| RESEARCH INCOME | 592,282 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| STORK MEDICAL | 9,422 |
| Name of 501(c)(3) Organization | Balance Due |
|---|---|
|
JONATHAN LISS MD NEUROLOGY PC |
15,000 |
| Item No. | 1 |
|---|---|
| Borrower's Name | JONATHAN LISS |
| Borrower's Title | OFFICER |
| Original Amount of Loan | |
| Balance Due | 11892 |
| Date of Note | 2013-05 |
| Maturity Date | 2014-12 |
| Repayment Terms | AS AVAILABLE |
| Interest Rate | |
| Security Provided by Borrower | NONE |
| Purpose of Loan | OVERPAYMENT OF NOTE PAYABLE |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ANNUAL REGISTRATION | 50 | 50 | ||
| P/R TAX PENALTY | 261 | 261 | ||
| PAYROLL TAXES | 8,370 | 8,370 |