| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Interest in FSM General Partnership | AT COST | 3,258,250 | 3,253,327 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Ohio Attorney General Report Filing Fee | 200 | 0 | 0 | |
| FirstMerit Checking Fees | 38 | 38 | 0 | |
| FSM General Partnership - Portfolio Deductions | 5,089 | 5,089 | 0 | |
| FSM General Partnership Schedule K-1 - Other Loss | 201 | 201 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| FSM General Partnership Schedule K-1 - Other Portfolio Income | 188 | 188 | 188 |
| Description | Amount |
|---|---|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Federal Excise Tax | 4,790 | 0 | 0 |
| Name | US / Foreign Address |
EIN | Description | Amount |
|---|---|---|---|---|
|
31269 Bradley Road North Olmsted,OH44070 |
90-0918151 | Return of Capital | 200,000 | |
| Total | 200,000 | |||