| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting | 12,200 | 0 | 0 | 12,200 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Fixed equipment - BT | 2010-06-30 | 218,685 | 192,835 | SL | 10.000000000000 | 6,025 | 0 | 6,025 | |
| Major moveable equipment - BVF | 2010-06-30 | 447,924 | 276,861 | SL | 10.000000000000 | 33,406 | 0 | 33,406 | |
| Land improvements - BT | 2010-06-30 | 91,933 | 63,627 | SL | 20.000000000000 | 3,451 | 0 | 3,451 | |
| building - BVF | 2008-06-30 | 1,418,781 | 404,190 | SL | 20.000000000000 | 68,316 | 0 | 68,316 | |
| Major moveable equipment - BT | 2010-06-30 | 4,642 | 2,347 | SL | 10.000000000000 | 309 | 0 | 309 | |
| Building - BVF - 5435 East Lake Road - Erie, PA | 2007-09-24 | 61,084 | 16,491 | SL | 25.000000000000 | 1,834 | 1,834 | 0 | |
| Land - BVF - 5435 East Lake Road - Erie, PA | 2007-09-24 | 25,700 | L | 0 | 0 | 0 | |||
| BUILDING IMPROVEMENTS - BT | 2010-06-30 | 27,775 | 6,691 | SL | 10.000000000000 | 2,676 | 0 | 2,676 | |
| LAND IMPROVEMENTS - BVF | 2010-06-30 | 78,616 | 26,624 | SL | 20.000000000000 | 9,662 | 0 | 9,662 | |
| Building - BVF - 5544 East Lake Road | 2011-09-01 | 111,796 | 15,839 | SL | 20.000000000000 | 5,590 | 5,590 | 0 | |
| Land - BVF - 5544 East Lake Road | 2011-09-01 | 51,250 | L | 0 | 0 | 0 | |||
| BUILDING - BVF - 5538 East Lake Road - Erie, PA | 2012-07-01 | 45,954 | 4,596 | SL | 20.000000000000 | 2,298 | 2,298 | 0 | |
| Land - BVF - 5538 East Lake Road - Erie, PA | 2012-07-01 | 26,272 | L | 0 | 0 | 0 | |||
| Building - 294 Cambridge Road - Erie, PA | 2014-07-01 | 121,413 | SL | 20.000000000000 | 5,968 | 5,968 | 0 | ||
| Land - 294 Cambridge Road - Erie, PA | 2014-07-01 | 21,719 | L | 0 | 0 | 0 | |||
| Building - 208 Fischer Road - Erie, PA | 2014-08-01 | 135,003 | SL | 20.000000000000 | 6,187 | 6,187 | 0 | ||
| BUILDING ADJ - BVF - 5538 East Lake Road - Erie, PA | 2014-07-01 | 73,728 | SL | 20.000000000000 | 4,095 | 4,095 | 0 | ||
| Land - 208 Fischer Road - Erie, PA | 2014-08-01 | 29,635 | L | 0 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Corporate stocks | 448,955 | 448,955 |
| Healthcare Ventures Alliance, Inc. | 74,277 | 74,277 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Building - BVF - 5544 East Lake Road | 111,796 | 21,429 | 90,367 | 90,367 |
| Land - BVF - 5544 East Lake Road | 51,250 | 0 | 51,250 | 51,250 |
| BUILDING - BVF - 5538 East Lake Road - Erie, PA | 45,954 | 6,894 | 39,060 | 39,060 |
| Land - BVF - 5538 East Lake Road - Erie, PA | 26,272 | 0 | 26,272 | 26,272 |
| Building - 294 Cambridge Road - Erie, PA | 121,413 | 5,968 | 115,445 | 115,445 |
| Land - 294 Cambridge Road - Erie, PA | 21,719 | 0 | 21,719 | 21,719 |
| Building - 208 Fischer Road - Erie, PA | 135,003 | 6,187 | 128,816 | 128,816 |
| BUILDING ADJ - BVF - 5538 East Lake Road - Erie, PA | 73,728 | 4,095 | 69,633 | 69,633 |
| Land - 208 Fischer Road - Erie, PA | 29,635 | 0 | 29,635 | 29,635 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Common equity funds | FMV | 569,955 | 569,955 |
| Common fixed income funds | FMV | 419,388 | 419,388 |
| Money market | FMV | 29,420 | 29,420 |
| Accrued interest | AT COST | 808 | 808 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Fixed equipment - BT | 218,685 | 198,860 | 19,825 | 19,825 |
| Major moveable equipment - BVF | 447,924 | 310,267 | 137,657 | 137,657 |
| Land improvements - BT | 91,933 | 67,078 | 24,855 | 24,855 |
| building - BVF | 1,418,781 | 472,506 | 946,275 | 946,275 |
| Major moveable equipment - BT | 4,642 | 2,656 | 1,986 | 1,986 |
| BUILDING IMPROVEMENTS - BT | 27,775 | 9,367 | 18,408 | 18,408 |
| LAND IMPROVEMENTS - BVF | 78,616 | 36,286 | 42,330 | 42,330 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal | 4,563 | 0 | 0 | 4,563 |
| Item No. | 1 |
|---|---|
| Lender's Name | |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 500000 |
| Balance Due | 0 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | Demand |
| Interest Rate | |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Operations |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 100000 |
| Balance Due | 90680 |
| Date of Note | 2012-07 |
| Maturity Date | 2032-07 |
| Repayment Terms | Monthly |
| Interest Rate | 4.500000000000 |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Real estate |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 3 |
|---|---|
| Lender's Name | |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 100000 |
| Balance Due | 97400 |
| Date of Note | 2014-08 |
| Maturity Date | 2034-09 |
| Repayment Terms | Monthly |
| Interest Rate | 4.400000000000 |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Real estate |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Resident funds | 13,390 | 11,420 | 11,420 |
| Affiliated entities receivable | 7,794,695 | 9,655,192 | 9,655,192 |
| Description | Amount |
|---|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Food | 7,759 | 0 | 0 | 7,759 |
| Other supplies | 19,603 | 0 | 0 | 19,603 |
| Insurance | 6,726 | 0 | 0 | 6,726 |
| Office expense | 24,124 | 0 | 0 | 24,124 |
| Investment fees | 15,723 | 15,723 | 0 | 0 |
| Fundraising expenses | 10,782 | 10,782 | 0 | 0 |
| Supplies | 1,402 | 1,402 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Outreach meals | 10,013 | 10,013 | |
| Management fees | 681,117 | 681,117 | |
| Financial service fees | 418,553 | 418,553 | |
| Transportation income | 6,599 | 6,599 | |
| Beauty shop income | 10,189 | 10,189 | |
| Telephone income | 42,436 | 42,436 | |
| Internet income | 5,664 | 5,664 | |
| Miscellaneous | 2,222 | 2,222 | |
| Vending | 4,118 | 4,118 | |
| Educational income | 482 | 482 | |
| Wedding income | 450 | 450 | |
| Gross Income from Special Fundraising Events | 29,958 | 29,958 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| Accrued payroll and payroll withholdings | 643,711 | 641,774 |
| Resident funds | 13,390 | 11,420 |
| Affiliated entities payables | 2,042,886 | 3,869,026 |
| Security deposit | 2,800 | 4,350 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Other professional fees | 150 | 0 | 0 | 150 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Payroll | 41,718 | 0 | 0 | 41,718 |
| Federal excess income tax | 2,063 | 2,063 | 0 | 0 |