| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE POLICY - CASH SURRENDER VALUE | FMV | 95,582 | 95,582 |
| INVESTMENT | AT COST | 5,830 | 5,830 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INSURANCE EXPENSE | 8,686 | 0 | 0 |
| Description | Amount |
|---|---|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNT MGT FEE | 150 | 0 | 0 |