| Category | Amount |
|---|---|
| N/A | 0 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FIXED INCOME | AT COST | 104,454 | 109,344 |
| EQUITIES | AT COST | 101,398 | 203,152 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 3,962 | 0 | 3,962 |
| Description | Amount |
|---|---|
| ROUNDING ADJUSTMENT | 2 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FORM 1023 FILING FEE | 400 | 0 | 400 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ESTIMATED TAX PAID | 500 | 0 | 0 |