| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 950 | 0 | 0 | 0 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| FILE CABINET | 2009-02-25 | 164 | 154 | 200DB | 5.76 % | 10 | |||
| CAMCORDER | 2009-07-17 | 387 | 365 | 200DB | 5.76 % | 22 | |||
| IMAC | 2009-08-31 | 2,006 | 1,890 | 200DB | 5.76 % | 116 | |||
| SPEAKERS | 2009-09-30 | 543 | 513 | 200DB | 5.76 % | 30 | |||
| speaker | 2011-10-11 | 180 | 118 | 200DB | 13.68 % | 25 | |||
| VIDEO CAMERA | 2011-10-11 | 691 | 456 | 200DB | 13.68 % | 95 | |||
| PC PROJECTOR | 2011-10-11 | 676 | 445 | 200DB | 13.68 % | 92 | |||
| COMPUTER | 2011-10-11 | 2,111 | 1,389 | 200DB | 13.68 % | 289 | |||
| PRINTER | 2011-10-11 | 286 | 188 | 200DB | 13.68 % | 39 | |||
| SOUND EQUIPMENT | 2012-09-27 | 1,110 | 544 | 200DB | 20.40 % | 226 | |||
| COMPUTER | 2012-11-11 | 2,489 | 1,070 | 200DB | 22.80 % | 567 | |||
| IPAD | 2012-04-16 | 544 | 299 | 200DB | 18.00 % | 98 | |||
| CHURCH BUILDING | 2013-09-11 | 2,141,851 | 16,042 | SL | 2.56 % | 54,917 | |||
| roof | 2013-10-18 | 38,280 | 205 | SL | 2.56 % | 981 | |||
| HVAC | 2013-12-31 | 22,157 | 24 | SL | 2.56 % | 568 | |||
| EQUIPMENT | 2013-10-15 | 2,234 | 447 | 200DB | 32.00 % | 715 | |||
| MOBILE ICU UNIT | 2013-06-18 | 159,536 | 31,907 | 200DB | 32.00 % | 51,052 | |||
| BUILDING IMPROVEMENTS | 2013-10-15 | 72,020 | 385 | SL | 2.56 % | 1,847 | |||
| HVAC | 2014-08-27 | 23,365 | SL | 0.96 % | 225 | ||||
| HVAC | 2014-12-31 | 12,086 | SL | 0.11 % | 13 | ||||
| ROOF | 2014-12-31 | 15,920 | SL | 0.11 % | 17 | ||||
| ULTRASOUND | 2014-09-02 | 25,000 | 200DB | 20.00 % | 5,000 | ||||
| WEB SITE | 2014-08-04 | 7,466 | SL | 3.0000 | 1,037 | ||||
| FLOORING | 2014-12-31 | 8,528 | 200DB | 10.00 % | 853 | ||||
| KITCHEN EQUIP | 2014-12-31 | 3,501 | 200DB | 10.00 % | 350 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Machinery and Equipment | 4,105 | 4,105 | ||
| Buildings | 2,300,000 | |||
| Miscellaneous | 2,550,648 | 183,142 | 2,367,506 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 6,454 | 0 | 0 | 0 |
| Item No. | 1 |
|---|---|
| Lender's Name | FIRST CITIZENS BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 1087500 |
| Balance Due | 247651 |
| Date of Note | 2013-09 |
| Maturity Date | 2033-09 |
| Repayment Terms | MONTHLY PAYMENTS OF 5,862.91 |
| Interest Rate | 2.6500 |
| Security Provided by Borrower | REAL ESTATE |
| Purpose of Loan | ACQUIRE CHURCH BUILDING |
| Description of Lender Consideration | CASH AND REAL ESTATE |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BACKGROUND CHECKS | 600 | |||
| BANK CHARGES | 1,189 | |||
| COLLATERAL - CLIENT | 2,433 | |||
| CONVENTION | 3,016 | |||
| ELECTYRONIC SUPPLIES | 7,867 | |||
| FILING FEES | 192 | |||
| FUEL - ICU MOBILE | 2,255 | |||
| ICU - RV EXP | 3,080 | |||
| ICU BANQUET | 8,640 | |||
| ICU CLINIC LICENSE | 1,431 | |||
| INSURANCE | 5,348 | |||
| LABOR | 8,277 | |||
| LANDSCAPE | 4,850 | |||
| MAINTENANCE | 1,560 | |||
| MARKETING - COLLATERAL | 600 | |||
| MEALS & ENT | 1,621 | |||
| MISCELLANEOUS | 2,000 | |||
| MISCELLANEOUS EXP | 398 | |||
| POSTAGE | 161 | |||
| PRIOR PERIOD ADJ | 3,492 | |||
| ROUNDING | 4 | |||
| SUBSCRIPTIONS | 1,455 | |||
| SUPPLIES | 12,331 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | 477 | |||
| REAL ESTATE TAX - BUILDING | 1,869 |