| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| HARTFORD LIFE INSURANCE | FMV | 35,793 | 35,793 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LIFE INSURANCE PREMIUMS | 7,892 | 7,892 | 0 | |
| BANK CHARGES AND MISC | 26 | 0 | 0 | |
| CHARITABLE ENDEAVORS | 15,060 | 0 | 15,060 |
| Name | Address |
|---|---|
| HARRIET PRICHARD |
310 S SUMMITLAWN ST WICHITA,KS67209 |