| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| CALLIER WITT CPAS | 4,870 | 0 | 0 | 4,870 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| OFFICE FURNITURE | 2008-02-17 | 1,052 | 1,025 | SL | 7.0000 | 27 | |||
| OFFICE FURNITURE | 2008-12-02 | 3,276 | 2,847 | SL | 7.0000 | 429 | |||
| STORAGE CABINETS | 2010-01-29 | 892 | 625 | SL | 7.0000 | 127 | |||
| COMPUTER | 2010-10-08 | 1,954 | 1,662 | SL | 5.0000 | 292 | |||
| COMPUTER (2) | 2011-01-07 | 3,205 | 2,564 | SL | 5.0000 | 641 | |||
| COPIER | 2011-08-31 | 2,285 | 1,523 | SL | 5.0000 | 457 | |||
| CABINET (2) | 2011-10-18 | 936 | 424 | SL | 7.0000 | 134 | |||
| DESK | 2011-11-20 | 596 | 262 | SL | 7.0000 | 85 | |||
| COMPUTER | 2012-12-01 | 1,418 | 592 | SL | 5.0000 | 284 | |||
| COMPUTER | 2013-01-09 | 1,594 | 638 | SL | 5.0000 | 319 | |||
| CAMERA | 2013-01-30 | 335 | 128 | SL | 5.0000 | 67 | |||
| EKG MACHINE | 2013-04-04 | 1,047 | 366 | SL | 5.0000 | 209 | |||
| COMPUTER (ALBOES) | 2013-06-19 | 1,432 | 429 | SL | 5.0000 | 286 | |||
| P.E.T. MACHINE | 2013-06-28 | 17,500 | 5,250 | SL | 5.0000 | 3,500 | |||
| TABLE | 2014-06-22 | 500 | 36 | SL | 7.0000 | 71 | |||
| STORAGE CABINET | 2014-08-08 | 481 | 29 | SL | 7.0000 | 69 | |||
| PATIENT CAMERA | 2014-08-08 | 484 | 40 | SL | 5.0000 | 97 | |||
| HEADSET | 2014-10-10 | 618 | 31 | SL | 5.0000 | 124 | |||
| DVR | 2015-03-17 | 966 | SL | 5.0000 | 145 | ||||
| COMPUTER | 2015-03-17 | 1,947 | SL | 5.0000 | 292 | ||||
| HEADSET | 2015-10-05 | 943 | SL | 5.0000 | 47 | ||||
| HEADSET | 2015-10-05 | 943 | SL | 5.0000 | 47 | ||||
| MONITOR | 2015-10-05 | 205 | SL | 5.0000 | 10 | ||||
| ULTRASOUND MACHINE | 2015-10-08 | 5,168 | SL | 5.0000 | 258 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Furniture and Fixtures | 17,632 | 16,089 | 1,543 | |
| Machinery and Equipment | 60,862 | 39,116 | 21,746 |
| Item No. | 1 |
|---|---|
| Lender's Name | SUNTRUST BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 5,000 |
| Balance Due | |
| Date of Note | 2009-03 |
| Maturity Date | 2010-03 |
| Repayment Terms | LINE OF CREDIT |
| Interest Rate | 5.0000 |
| Security Provided by Borrower | NONE |
| Purpose of Loan | OPERATIONAL FUNDS |
| Description of Lender Consideration | CASH |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | JONATHAN L LISS MD |
| Lender's Title | |
| Relationship to Insider | OFFICER |
| Original Amount of Loan | 44,645 |
| Balance Due | |
| Date of Note | 2011-11 |
| Maturity Date | 2012-11 |
| Repayment Terms | AS AVAILABLE |
| Interest Rate | |
| Security Provided by Borrower | NONE |
| Purpose of Loan | WORKING CAPITAL FOR RESEARCH |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| OVERPAID PAYROLL TAXES | 6,432 | 3,140 | |
| OVERPAID PENSION PLAN | 9,279 | 60,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVERTISING | 57,431 | 57,431 | ||
| BANK CHARGES | 797 | 797 | ||
| COMPUTER EXPENSE | 14,448 | 14,448 | ||
| DUES & SUBSCRIPTIONS | 1,962 | 1,962 | ||
| EDUCATION & SEMINARS | 270 | 270 | ||
| ENTERTAINMENT | 1,257 | 1,257 | ||
| EQUIPMENT RENTAL | 158 | 158 | ||
| INSURANCE - CASUALTY | 24,886 | 24,886 | ||
| INSURANCE - GROUP | 10,122 | 10,122 | ||
| LAB | 81,719 | 81,719 | ||
| MEDICAL SUPPLIES | 18,451 | 18,451 | ||
| OFFICE EXPENSE | 13,653 | 13,653 | ||
| POSTAGE EXPENSE | 1,085 | 1,085 | ||
| REPAIRS & MAINTENANCE | 276 | 276 | ||
| RESEARCH FEES | 73,030 | 73,030 | ||
| SUPPLIES | 354 | 354 | ||
| TELEPHONE | 1,552 | 1,552 | ||
| UNIFORMS | 1,019 | 1,019 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| RESEARCH INCOME | 1,349,031 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| STORK MEDICAL | 9,422 | 9,422 |
| Name of 501(c)(3) Organization | Balance Due |
|---|---|
|
JONATHAN LISS MD NEUROLOGY PC |
8,000 |
| Item No. | 1 |
|---|---|
| Borrower's Name | JONATHAN LISS |
| Borrower's Title | OFFICER |
| Original Amount of Loan | |
| Balance Due | 12192 |
| Date of Note | 2013-05 |
| Maturity Date | 2014-12 |
| Repayment Terms | AS AVAILABLE |
| Interest Rate | |
| Security Provided by Borrower | NONE |
| Purpose of Loan | OVERPAYMENT OF NOTE PAYABLE |
| Description of Lender Consideration | NONE |
| Consideration FMV |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 9,906 | 9,906 | ||
| TAXES - GENERAL | 752 | 752 |