| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Tax preparation fees | 1,225 |
| Identifier | Return Reference | Explanation |
|---|
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Cash Value of Life Insurance | FMV | 36,400 | 36,400 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Life Insurance Premiuim | 50,000 |
| Name | Address |
|---|---|
| Georgia E Laurie |
4290 Fall Lake Drive Avon,OH440113740 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Ohio Fees | 25 |