| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| LIFE INSURANCE POLICY - CSV | FMV | 74,500 | 74,500 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FILING FEES | 50 | 0 | 50 | |
| INSURANCE | 164,752 | 0 | 0 |
| Name | Address |
|---|---|
| ISRAEL AND EDITH TAUB |
43 W 13TH ST NEW YORK,NY10011 |