| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| See Exhibit 3 | 0 | 0 |
| See Exhibit 5 | 453,509 | 540,234 |
| See Exhibit 4 | 0 | 0 |
| See Exhibit 6 | 237,894 | 269,966 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Life insurance contract | 38,964 | 38,964 | |
| Face amount: $500,000; CSV = FMV | 0 | 0 | |
| Insured: Kay Mary Stoppkotte | 0 | 0 | |
| Beneficary: Trust | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal fees | 2,448 | 2,448 | 2,448 | 2,448 |
| Description | Amount |
|---|---|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Investment management fee | 16,409 | 16,409 | 16,409 | 16,409 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Excise tax | 507 | 507 | 507 | 507 |
| Foreign tax | 521 | 521 | 521 | 521 |