| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING & TAX PREPARATION | 1,262 | 1,262 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| EQUITIES - SEE ACCOUNT STMT | 265,095 | 362,087 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| 2015 DIVIDEND RECEIVED IN 2016 | 3,600 | 3,600 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| NYS ANNUAL FILING FEE | 250 | 250 | ||
| INVESTMENT ACCOUNT FEES | 113 | 113 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| MISCELLANEOUS | 447 | 447 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| DUE BROKER FORSHORT SALE OF OPTIONS | 355,635 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAX PAID ON DIVIDENDS | 1,625 | 1,625 | ||
| SECTION 4940 TAX ON NET INVST IN | 479 | 479 |