| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEES | 910 | 0 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990-PF, PG 4 ITEM 8B | THE STATE OF NEVADA DOES NOT HAVE A FILING REQUIREMENT |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| JACKSON NATIONAL LIFE INSURANCE AND ANNUITY | AT COST | 37,655 | 37,555 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| JACKSON NATIONAL ANNUITY | 3,540 | 3,540 | 3,540 |