| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 3,085 | 3,085 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 112,000 SHS EXPRESS SCRIPTS (BOOK VALUE = FMV ON DATE REC'D) | 4,004,000 | 7,866,880 |
| 9,970 SHS EXPRESS SCRIPTS | 190,738 | 700,293 |
| 23,800 SHS EXPRESS SCRIPTS | 1,177,803 | 1,671,712 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 2012 EXCISE TAX | 13,210 | 0 | 0 | |
| 2013 EXCISE TAX | 500 | 0 | 0 |