| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Flurie, Slick & Kinnett, CPA's | 1,750 | 0 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Edward Jones A/C | 466,804 | 702,928 |
| Item No. | 1 |
|---|---|
| Lender's Name | New York Life Insurance Co |
| Lender's Title | |
| Relationship to Insider | None |
| Original Amount of Loan | 82680 |
| Balance Due | 102441 |
| Date of Note | 2012-02 |
| Maturity Date | |
| Repayment Terms | None |
| Interest Rate | 5.5000 |
| Security Provided by Borrower | CSV of Life Insurance Policy |
| Purpose of Loan | Borrowed to pay premiums |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CSV of whole life insurance policy | 831,806 | 870,467 | 870,467 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Miscellaneous | 71 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Increase in CSV | 38,198 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Foreign taxes paid | 221 | |||
| Investments tax | 444 | |||
| Secretary of State | 120 |