| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 4,500 | 0 | 0 | 2,250 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| SURGERY EQUIP | 2009-12-21 | 2,639 | 2,639 | SL | 5.000000000000 | 0 | 0 | 0 | |
| SURGERY EQUIP | 2009-12-21 | 2,639 | 2,639 | SL | 5.000000000000 | 0 | 0 | 0 | |
| SURGERY EQUIP | 2009-12-28 | 3,261 | 3,261 | SL | 5.000000000000 | 0 | 0 | 0 | |
| EQUIPMENT | 2011-06-30 | 6,705 | 4,694 | SL | 5.000000000000 | 1,341 | 0 | 1,341 | |
| LAPTOP | 2011-07-11 | 828 | 581 | SL | 5.000000000000 | 166 | 0 | 166 | |
| SURGERY EQUIP | 2012-02-09 | 3,214 | 1,607 | SL | 5.000000000000 | 643 | 0 | 643 | |
| SURGERY EQUIP | 2012-03-12 | 2,388 | 1,195 | SL | 5.000000000000 | 478 | 0 | 478 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| SURGERY EQUIP | 2,639 | 2,639 | 0 | 0 |
| SURGERY EQUIP | 2,639 | 2,639 | 0 | 0 |
| SURGERY EQUIP | 3,261 | 3,261 | 0 | 0 |
| EQUIPMENT | 6,705 | 6,035 | 670 | 670 |
| LAPTOP | 828 | 747 | 81 | 81 |
| SURGERY EQUIP | 3,214 | 2,250 | 964 | 964 |
| SURGERY EQUIP | 2,388 | 1,673 | 715 | 715 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 600 | 0 | 0 | 300 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SUPPLIES | 241,010 | 0 | 0 | 241,010 |
| DUES AND SUBSCRIPTIONS | 359 | 0 | 0 | 0 |
| BANK FEES | 1,771 | 0 | 0 | 0 |
| INSURANCE | 6,391 | 0 | 0 | 4,793 |
| CONTRACT LABOR | 49,807 | 0 | 0 | 49,807 |
| OFFICE EXPENSE | 1,839 | 0 | 0 | 460 |
| ADVERTISING | 4,632 | 0 | 0 | 3,474 |
| UTILITIES | 10,154 | 0 | 0 | 7,616 |
| OTHER EXPENSES | 1,103 | 0 | 0 | 1,103 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| PROGRAM FEES | 187,078 | 187,078 | |
| ADOPTION REWARDS | 165 | 165 | |
| SERVICES | 100 | 100 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OTHER PROFESSIONAL FEES | 350 | 0 | 0 | 175 |
| Name | Address |
|---|---|
| RA PULTORAK SONS |
155 DARK HOLLOW ROAD WAYNESBURG,PA15370 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 17,339 | 0 | 0 | 17,339 |