| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 18,400 | 0 | 18,400 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| EQUIPMENT | 2009-07-10 | 5,937 | 4,911 | 200DB | 5.000000000000 | 684 | 0 | ||
| EQUIPMENT | 2009-10-09 | 2,914 | 2,411 | 200DB | 5.000000000000 | 335 | 0 | ||
| EQUIPMENT | 2009-01-22 | 5,302 | 4,386 | 200DB | 5.000000000000 | 611 | 0 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
SEE STMT ATTACHED |
SEE STMT ATTACHED SEE STMT ATTACHED 10017 OC |
2013-03-06 | 19,989 | SEE STMT ATTACHED | 19,989 | MARCH 6, 2013 | 2013-03-06 | ||
|
SEE STMT ATTACHED |
SEE STMT ATTACHED SEE STMT ATTACHED 10017 OC |
2013-10-25 | 100,000 | SEE STMT ATTACHED | 100,000 | MAY 7, 2014 | 2014-05-07 | ||
|
SEE STMT ATTACHED |
SEE STMT ATTACHED SEE STMT ATTACHED 10017 OC |
2013-03-04 | 200,000 | SEE STMT ATTACHED | 200,000 | MARCH 18, 2013 | 2013-03-18 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| EQUIPMENT | 5,937 | 5,595 | 342 | |
| EQUIPMENT | 2,914 | 2,746 | 168 | |
| EQUIPMENT | 5,302 | 4,997 | 305 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| INVESTMENT RECEIVABLES | 178,476 | 21,869 | 21,869 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TELEPHONE EXPENSE | 2,232 | 0 | 2,232 | |
| OFFICE SUPPLIES & EXPENSES | 547 | 0 | 535 | |
| FILING FEES | 250 | 0 | 250 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 8,934 | 0 | 8,934 |