| Person Name | Explanation |
|---|---|
| CHARLES REBAR III | |
| PATRICIA ELLINGSWORTH |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| HARTFORD OUTLOOK ANNUNITY | AT COST | 30,000 | 29,159 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| BANK FEES-ML | 30 | 30 | 30 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY DIST. FOR SCHOLARSHIP | 1,000 | 1,000 | |
| ANNUITY DIST FOR FEES | 30 | 30 | 30 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FRANCHISE TAXES | 25 | |||
| TAXES-OTHER | 41 |