| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Tax Preparation | 800 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Stocks | 21,984 | 48,415 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Mutual Funds | AT COST | 286,775 | 313,966 |
| Annuity | AT COST | 684,155 | 684,155 |
| Item No. | 1 |
|---|---|
| Lender's Name | |
| Lender's Title | |
| Relationship to Insider | None |
| Original Amount of Loan | 282400 |
| Balance Due | 0 |
| Date of Note | 2005-07 |
| Maturity Date | 2015-07 |
| Repayment Terms | 35426.65 per year |
| Interest Rate | 4.350000000000 |
| Security Provided by Borrower | None |
| Purpose of Loan | Acquisition of land to be sold |
| Description of Lender Consideration | Note payable |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | |
| Lender's Title | |
| Relationship to Insider | none |
| Original Amount of Loan | 1000000 |
| Balance Due | 0 |
| Date of Note | 2010-04 |
| Maturity Date | 2020-04 |
| Repayment Terms | 125325.24 |
| Interest Rate | 43.300000000000 |
| Security Provided by Borrower | None |
| Purpose of Loan | Acquisition of land to be sold |
| Description of Lender Consideration | Note payable |
| Consideration FMV |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Federal Excise Tax and estimates | 1,285 | 0 | 0 |