| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting | 1,444 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| Anesthesia Machine | 2013-11-01 | 2,551 | 106 | SL | 5.000000000000 | 510 | 0 | 510 | |
| Pulse Oximeter | 2013-11-08 | 648 | 22 | SL | 5.000000000000 | 130 | 0 | 130 | |
| ANESTHESIA MACHINE | 2014-06-02 | 2,752 | SL | 5.000000000000 | 275 | 0 | 275 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Anesthesia Machine | 2,551 | 616 | 1,935 | 1,935 |
| Pulse Oximeter | 648 | 152 | 496 | 496 |
| ANESTHESIA MACHINE | 2,752 | 275 | 2,477 | 2,477 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal | 850 | 0 | 0 | 850 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Facilities and Equipment | 118 | 0 | 0 | 118 |
| Specific Assistance | 425 | 0 | 0 | 425 |
| Supplies | 1,105 | 0 | 0 | 1,105 |
| Name | Address |
|---|---|
| Holly P K Gill |
10801 Greene Drive Lorton,VA22079 |