| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVISORY FEES - FIDELITY | 353 | 353 | 353 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| DOMAIN SURGICAL | 100,000 | 100,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| DUES & SUBSCRIPTIONS | 160 | 160 | 160 |
| Borrower's Name | Relationship to Insider | Original Amount of Loan | Balance Due | Date of Note | Maturity Date | Repayment Terms | Interest Rate | Security Provided by Borrower | Purpose of Loan | Description of Lender Consideration | Consideration FMV |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TRIG | NONE | 100,000 | 110,918 | 2009-11 | REVOLVING LOC | 5.00 % | NONE | INVESTMENT RETURN |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INCOME TAX | 75 | 75 | 75 |