| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting | 8,350 | 0 | 0 | 8,350 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Fixed equipment - BT | 2010-06-30 | 216,150 | 185,748 | SL | 10.000000000000 | 7,087 | 0 | 7,087 | |
| Major moveable equipment - BVF | 2010-06-30 | 427,813 | 239,522 | SL | 10.000000000000 | 37,340 | 0 | 37,340 | |
| Land improvements - BT | 2010-06-30 | 91,933 | 60,176 | SL | 20.000000000000 | 3,451 | 0 | 3,451 | |
| building - BVF | 2008-06-30 | 1,418,781 | 335,873 | SL | 20.000000000000 | 68,317 | 0 | 68,317 | |
| Major moveable equipment - BT | 2010-06-30 | 4,642 | 2,038 | SL | 10.000000000000 | 309 | 0 | 309 | |
| Building - BVF - 5435 East Lake Road - Erie, PA | 2007-09-24 | 61,084 | 14,048 | SL | 25.000000000000 | 2,443 | 2,443 | 0 | |
| Land - BVF - 5435 East Lake Road - Erie, PA | 2007-09-24 | 25,700 | L | 0 | 0 | 0 | |||
| BUILDING IMPROVEMENTS - BT | 2010-06-30 | 21,700 | 4,521 | SL | 10.000000000000 | 2,170 | 0 | 2,170 | |
| LAND IMPROVEMENTS - BVF | 2010-06-30 | 78,616 | 17,395 | SL | 20.000000000000 | 9,228 | 0 | 9,228 | |
| Building - BVF - 5544 East Lake Road | 2011-09-01 | 111,796 | 10,249 | SL | 20.000000000000 | 5,590 | 5,590 | 0 | |
| Land - BVF - 5544 East Lake Road | 2011-09-01 | 51,250 | L | 0 | 0 | 0 | |||
| BUILDING - BVF - 5538 East Lake Road - Erie, PA | 2012-07-01 | 45,954 | 2,298 | SL | 20.000000000000 | 2,298 | 2,298 | 0 | |
| Land - BVF - 5538 East Lake Road | 2012-07-01 | 100,000 | L | 0 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Corporate stocks | 497,197 | 497,197 |
| Healthcare Ventures Alliance, Inc. | 74,277 | 74,277 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Building - BVF - 5435 East Lake Road - Erie, PA | 61,084 | 16,491 | 44,593 | 73,200 |
| Land - BVF - 5435 East Lake Road - Erie, PA | 25,700 | 0 | 25,700 | 29,600 |
| Building - BVF - 5544 East Lake Road | 111,796 | 15,839 | 95,957 | 104,900 |
| Land - BVF - 5544 East Lake Road | 51,250 | 0 | 51,250 | 54,000 |
| BUILDING - BVF - 5538 East Lake Road - Erie, PA | 45,954 | 4,596 | 41,358 | 117,660 |
| Land - BVF - 5538 East Lake Road | 100,000 | 0 | 100,000 | 24,900 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Common equity funds | FMV | 537,088 | 537,088 |
| Common fixed income funds | FMV | 365,534 | 365,534 |
| Money market | FMV | 54,852 | 54,852 |
| Accrued interest | AT COST | 984 | 984 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Fixed equipment - BT | 216,150 | 192,835 | 23,315 | 23,315 |
| Major moveable equipment - BVF | 427,813 | 276,862 | 150,951 | 150,951 |
| Land improvements - BT | 91,933 | 63,627 | 28,306 | 28,306 |
| building - BVF | 1,418,781 | 404,190 | 1,014,591 | 2,732,700 |
| Major moveable equipment - BT | 4,642 | 2,347 | 2,295 | 2,295 |
| BUILDING IMPROVEMENTS - BT | 21,700 | 6,691 | 15,009 | 15,009 |
| LAND IMPROVEMENTS - BVF | 78,616 | 26,623 | 51,993 | 51,993 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal | 3,667 | 0 | 0 | 3,667 |
| Item No. | 1 |
|---|---|
| Lender's Name | Northwest Savings Bank |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 500000 |
| Balance Due | 133000 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | Demand |
| Interest Rate | |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Operations |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | Northwest Savings Bank |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 100000 |
| Balance Due | 93818 |
| Date of Note | 2012-07 |
| Maturity Date | 2032-07 |
| Repayment Terms | Monthly |
| Interest Rate | 4.500000000000 |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Real estate |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Resident funds | 10,657 | 13,390 | 13,390 |
| Affiliated entities receivable | 7,180,734 | 7,794,695 | 7,794,695 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Food | 17,760 | 0 | 0 | 17,760 |
| Other supplies | 43,018 | 0 | 0 | 43,018 |
| Insurance | 7,933 | 0 | 0 | 7,933 |
| Telephone | 17,213 | 0 | 0 | 17,213 |
| Office expense | 27,899 | 0 | 0 | 27,899 |
| Investment fees | 13,130 | 13,130 | 0 | 0 |
| Fundraising expenses | 11,609 | 0 | 11,609 | 0 |
| Misellaneous | 2,076 | 0 | 0 | 2,076 |
| Supplies | 265 | 265 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Outreach meals | 24,123 | 24,123 | |
| Management fees | 656,962 | 656,962 | |
| Financial service fees | 413,795 | 413,795 | |
| Transportation income | 8,857 | 8,857 | |
| Beauty shop income | 10,603 | 10,603 | |
| Telephone income | 30,727 | 30,727 | |
| Home care income | 22,992 | 22,992 | |
| Internet income | 3,997 | 3,997 | |
| Miscellaneous | 4,461 | 4,461 | |
| Vending | 3,088 | 3,088 | |
| Educational income | 1,025 | 1,025 | |
| Gross Income from Special Fundraising Events | 20,261 | 20,261 |
| Description | Amount |
|---|---|
| Unrealized depreciation in investments - PNC Bank | 34,711 |
| Unrealized depreciation in investments - Mellon Bank | 57,957 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| Accrued payroll and payroll withholdings | 614,685 | 643,711 |
| Resident funds | 10,657 | 13,390 |
| Affiliated entities receivable | 1,668,720 | 2,042,886 |
| Security deposit | 0 | 2,800 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Other professional fees | 4,325 | 0 | 0 | 4,325 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Real estate | 15,973 | 0 | 0 | 15,973 |
| Payroll | 50,031 | 0 | 0 | 50,031 |
| Federal excess income tax | 537 | 537 | 0 | 0 |
| Real estate taxes | 8,540 | 8,540 | 0 |