| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| HARTFORD LAST SURVIVOR LIFE INS POLICY | AT COST | 123,859 | 260,729 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 370 | 370 | 0 | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVISOR FEES | 150 | 150 | ||
| ANNUAL REPORT | 40 | 40 | ||
| LIFE INSURANCE PREMIUMS | 5,357 | 5,357 |