| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Fixed Income Investments | 584,682 | 584,682 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal Fees | 2,585 | 0 | 0 |
| Description | Amount |
|---|---|
| Unrealized Losses on Securities | 5,155 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Insurance | 546 | 0 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| Net Investment Income Tax Payable | 16 | 149 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Investment Management Fees | 2,174 | 2,174 | 0 |
| Name | Address |
|---|---|
| Paul D Sergi |
1200 Southeast Ave Tallmadge,OH44278 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Net Investment Income Tax | 233 | 0 | 0 | |
| Ohio Charitable Registration Fee | 100 | 0 | 0 |