| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting fees | 6,500 | 0 | 6,500 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CASH VALUE LIFE INSURANCE | 161,433 | 167,543 | 176,352 |
| Description | Amount |
|---|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK CHARGES | 50 | 50 | ||
| Filing fees | 600 | 600 |
| Name | Address |
|---|---|
| SEE SCHEDULE B |
|