| Person Name | Explanation |
|---|---|
| MARY JAYNE BAKER |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| LNL LIFE GUARANTEE UL 2013 | AT COST | 9,487 | 9,487 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL TO SET UP | 5,000 | 5,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| ARIZONA CORPORATION COMMISSIO | 75 | 75 | ||
| IRS USER FEE | 850 | 850 | ||
| PUBLICATION OF ARTICLES | 350 | 350 | ||
| LIFE INSURANCE POLICY | 16,262 | 16,262 | ||
| MISCELLANEOUS FEES | 150 | 150 |