| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHAEL E. CARLSON, CPA Tax return preparation | 230 | 230 | 230 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| Additional Information Statement #1 - Part XVI-B, Line 3 | THE INCOME GENERATED WAS USED PRIMARILY TO MAKE AVAILABLE CASH FOR CHARITABLE CONTRIBUTION DURING THE YEAR AND PROVIDE FUNDS FOR THE FOLLOWING YEAR'S CONTRIBUTIONS AS WELL. THIS INCOME WAS ALSO USED TO PAY FOR OPERATING EXPENSES FOR THE YEAR. | |
| Additional Information Statement #2 - Part XVI-B, Line 4 | THIS INCOME GENERATED WAS USED PRIMARILY TO MAKE CHARITABLE CONTRIBUTIONS DURING THE YEAR AND PROVIDE FUNDS FOR THE FOLLOWING YEAR'S CONTRIBUTIONS AS WELL. THIS INCOME WAS ALSO USED TO PAY FOR OPERATING EXPENSES FOR THE YEAR. | |
| Additional Information Statement #3 - Part XV, Line 2B | WRITTEN REQUEST ON CHARITABLE ORGANIZATION LETTERHEAD STATING REASON FOR THE REQUEST, CHARITABLE USE OF THE FUNDS AND AMOUNT OF THE REQUEST. ALSO, A COPY OF THE REQUESTING ORGANIZATION'S INTERNAL REVENUE SERVICE DETERMINATION AS TO TAX EXEMPT STATUS. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 315 sh., American Express Company | 884 | 29,308 |
| 3,509 sh. Bank of America Corp | 231,050 | 62,776 |
| 568 sh., National-Oilwell Varco, Inc. | 8,967 | 37,221 |
| 142 sh., Now Inc | 906 | 3,654 |
| Description | Amount |
|---|---|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Massachusetts annual report fee | 35 | 35 | 35 | |
| 2012 investment income excise tax | 90 | 90 | 90 |