| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 1,300 | 0 | 0 | 1,300 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| OTHER INVESTMENTS | FMV | 0 | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INSURANCE | 1,226 | 0 | 0 | 1,226 |
| SERVICE FEES | 150 | 0 | 0 | 150 |
| OFFICE AND MISCELLANEOUS | 2,242 | 0 | 0 | 2,242 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OHIO FILING | 50 | 0 | 0 | 50 |
| 990 PF ESTIMATED PAYMENTS | 13 | 0 | 0 | 0 |