| Category | Amount |
|---|---|
| NONE |
| 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 |
|---|
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| UBS | 591,056 | 591,056 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADMINISTRATION EXPENSE | 6,496 | 3,248 | 3,248 | |
| OFFICE EXPENSE | 989 | 495 | 494 | |
| MEALS & ENTERTAINMENT | 72 | 36 | 36 |
| Description | Amount |
|---|---|
| Name | Address |
|---|---|
| ANNE B MIZE |
1815 11TH AVE E SEATTLE,WA98102 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 490 | 490 |