| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| HSBC ANNUITY | AT COST | 1,471,216 | 1,471,216 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEES | 27 | 0 | 0 | 0 |
| Description | Amount |
|---|---|
| Name | Address |
|---|---|
| JACOB KEMPLER |
1638 47TH STREET BROOKLYN,NY11219 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NYS | 250 | 0 | 0 | 0 |