| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FORM 990 TAX PREP FEES | 2,680 | 0 | 0 | 2,680 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 10,560 SH UMPQUA HOLDING CORP | 179,626 | 179,626 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Land | 200,000 | 200,000 | 200,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK CHARGES | 316 | 316 | ||
| CA FTB ANNUAL FILING FEE | 10 | 10 | ||
| OTHER DUES (LOT 138) | 1,980 | 1,980 | ||
| POSTAGE AND FREIGHT | 29 | 29 | ||
| REGISTRY OF CHARITABLE ORGANIZATION FEE | 75 | 75 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| Rounding | 1 |
| Name of 501(c)(3) Organization | Balance Due |
|---|---|
|
|
468,350 |
|
|
305,114 |
|
|
34,134 |
| Name | Address |
|---|---|
| MARTIN A HARMON |
4020 SIERRA COLLEGE BLVD ROCKLIN,CA95677 |
| PLUM HEALTHCARE |
4020 SIERRA COLLEGE BLVD ROCKLIN,CA95677 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FED TAXES | 548 | 548 | ||
| PLACER COUNTY TAX 058045014000 | 1,913 | 1,913 |