| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 1,100 | 0 | 0 | 1,100 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| speaker | 2011-10-11 | 180 | 143 | 200DB | 10.94 % | 20 | |||
| VIDEO CAMERA | 2011-10-11 | 691 | 551 | 200DB | 10.94 % | 76 | |||
| PC PROJECTOR | 2011-10-11 | 676 | 537 | 200DB | 10.94 % | 74 | |||
| COMPUTER | 2011-10-11 | 2,111 | 1,678 | 200DB | 10.94 % | 231 | |||
| PRINTER | 2011-10-11 | 286 | 227 | 200DB | 10.94 % | 31 | |||
| SOUND EQUIPMENT | 2012-09-27 | 1,110 | 770 | 200DB | 12.24 % | 136 | |||
| COMPUTER | 2012-11-11 | 2,489 | 1,637 | 200DB | 13.68 % | 340 | |||
| IPAD | 2012-04-16 | 544 | 397 | 200DB | 11.37 % | 62 | |||
| CHURCH BUILDING | 2013-09-11 | 2,141,851 | 70,959 | SL | 2.56 % | 54,917 | |||
| roof | 2013-10-18 | 38,280 | 1,186 | SL | 2.56 % | 981 | |||
| HVAC | 2013-12-31 | 22,157 | 592 | SL | 2.56 % | 568 | |||
| EQUIPMENT | 2013-10-15 | 2,234 | 1,162 | 200DB | 19.20 % | 429 | |||
| MOBILE ICU UNIT | 2013-06-18 | 159,536 | 82,959 | 200DB | 19.20 % | 30,631 | |||
| BUILDING IMPROVEMENTS | 2013-10-15 | 72,020 | 2,232 | SL | 2.56 % | 1,847 | |||
| HVAC | 2014-08-27 | 23,365 | 225 | SL | 2.56 % | 599 | |||
| HVAC | 2014-12-31 | 12,086 | 13 | SL | 2.56 % | 310 | |||
| ROOF | 2014-12-31 | 15,920 | 17 | SL | 2.56 % | 408 | |||
| ULTRASOUND | 2014-09-02 | 25,000 | 5,000 | 200DB | 32.00 % | 8,000 | |||
| WEB SITE | 2014-08-04 | 7,466 | 1,037 | SL | 3.0000 | 2,489 | |||
| FLOORING | 2014-12-31 | 8,528 | 853 | 200DB | 18.00 % | 1,535 | |||
| KITCHEN EQUIP | 2014-12-31 | 3,501 | 350 | 200DB | 18.00 % | 630 | |||
| FURNITURE | 2015-07-01 | 1,585 | 200DB | 10.00 % | 159 | ||||
| BUSES PROJECT | 2015-07-01 | 55,000 | 200DB | 10.00 % | 5,500 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Machinery and Equipment | 4,105 | 4,105 | ||
| Buildings | 2,300,000 | |||
| Miscellaneous | 2,607,233 | 293,115 | 2,314,118 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 2,703 | 0 | 0 | 0 |
| Item No. | 1 |
|---|---|
| Lender's Name | FIRST CITIZENS BANK |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 1,087,500 |
| Balance Due | 122,842 |
| Date of Note | 2013-09 |
| Maturity Date | 2033-09 |
| Repayment Terms | MONTHLY PAYMENTS OF 5,862.91 |
| Interest Rate | 2.6500 |
| Security Provided by Borrower | REAL ESTATE |
| Purpose of Loan | ACQUIRE CHURCH BUILDING |
| Description of Lender Consideration | CASH AND REAL ESTATE |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVERTISING | 7,965 | 7,661 | ||
| AUTO EXP | 1,111 | 1,111 | ||
| BANK CHARGES | 2,203 | 1,473 | ||
| BIOHAZARD WASTE DISP | 683 | 683 | ||
| CLINIC FEES | 113 | 113 | ||
| COLLATERAL - CLIENT | 1,314 | 1,314 | ||
| ELECTRONIC SUPPLIES | 3,913 | |||
| FILING FEES | 975 | |||
| FUEL - ICU | 1,895 | 1,520 | ||
| ICU BANQUET | 25,453 | 25,453 | ||
| ICU CLINIC LICENSE | 862 | 862 | ||
| INSURANCE | 4,815 | 4,554 | ||
| INTERNET/WEBSITE | 1,133 | |||
| LANDSCAPE | 2,200 | 1,300 | ||
| LICENSE TAGS - MOBILE UNIT | 492 | 492 | ||
| MAINTENANCE | 4,153 | 4,153 | ||
| MAINTENANCE - RV | 2,328 | 2,328 | ||
| MARKETING - COLLATERAL | 2,981 | 2,981 | ||
| MARKETING - LABOR | 6,861 | 4,161 | ||
| MARKETING - SUPPLIES | 4,502 | 4,502 | ||
| MEALS & ENT | 4,073 | 3,020 | ||
| MISCELLANEOUS | 60 | 60 | ||
| MISCELLANEOUS | 78 | |||
| POSTAGE | 436 | 235 | ||
| RVCC REIMB | 216 | |||
| SOFTWARE | 1,084 | 1,084 | ||
| STAFF HR | 291 | 291 | ||
| STAFF TRAINING | 10,156 | 10,566 | ||
| STORAGE | 2,601 | 2,601 | ||
| SUPPLIES | 19,649 | 15,643 | ||
| TELEPHONE | 3,164 | 505 | ||
| WORKERS COMP INS | 845 | 845 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 8,467 | 6,672 | ||
| REAL ESTATE TAX - BUILDING | 2,531 |