| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEES | 750 | 750 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| HP ENVY 700XT DESKTOP PC | 2015-01-05 | 1,026 | 200DB | 5.0000 | 359 | ||||
| CANNON 9000F MKII IMAGE SCANNER | 2015-09-02 | 181 | 200DB | 5.0000 | 27 | ||||
| HP SPECTRE X360 LAPTOP COMPUTER | 2015-12-02 | 900 | 200DB | 5.0000 | 45 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| "PUBLICLY TRADED SECURITIES" | PURCHASE | 545,298 | 539,504 | 5,794 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 250 SH ALERE INC | ||
| 100 SH AMERICAN STATES WATER CO | ||
| 150 SH AMTRUST FINANCIAL SVR | ||
| 200 SH AQUA AMERICA | ||
| 600 SH COUPONS COM INC | ||
| 500 SH DAKTRONICS INC | ||
| 100 SH HONEYWELL INTERNATIONAL INC | ||
| 100 SH METHODE ELECTRONICS INC | ||
| 100 SH SPIRIT AIRLS INC | ||
| 200 SH VCA INC | ||
| 200 SH VERINT SYS INC | ||
| 250 SH CRITEO SA SPON ADR | 9,775 | 9,900 |
| 200 METHODE ELECTRONICS INC | 9,241 | 6,366 |
| 190 ZIONS BANCORP | 5,266 | 5,266 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| EQUIPMENT | 2,107 | 431 | 1,676 | 1,676 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| BUSINESS ENTITY REPORT FEE | 7 | 7 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| KKR & CO L P DEL COM UNITS | 70 | ||
| BROOKFIELD RENEWABLE ENRGY LP | 103 |
| Item No. | 1 |
|---|---|
| Borrower's Name | RUSSELL HEIBEL |
| Borrower's Title | PRESIDENT |
| Original Amount of Loan | 750 |
| Balance Due | 750 |
| Date of Note | 2015-12 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | OVERPAYMENT OF EXPENSE REIMBURSEMEN |
| Description of Lender Consideration | |
| Consideration FMV | 750 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX BASED ON INVESTMENT INCOME | 17 | 17 | ||
| FOREIGN TAX WITHHELD | 7 | 7 |