| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AUDITING & TAX SERVICES | 22,865 | 22,865 |
| Description of Amortized Expenses | Date Acquired, Completed, or Expended | Amount Amortized | Deduction for Prior Years | Amortization Method | Current Year Amortization | Net Investment Income | Adjusted Net Income | Total Amount of Amortization |
|---|---|---|---|---|---|---|---|---|
| JSSB LOAN FEES-MEADOWS | 2015-07-27 | 10,608 | 88 | 20.0000 | 531 | 619 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| REFRIGERATOR | 2011-08-17 | 201 | 121 | S/L | 5.0000 | 40 | |||
| FOLDING TABLES & CHAIRS | 2012-11-30 | 498 | 346 | 200DB | 7.0000 | 43 | |||
| COMPUTER & MONITOR | 2011-05-13 | 526 | 351 | S/L | 5.0000 | 105 | |||
| FURNITURE | 2011-08-17 | 1,378 | 591 | S/L | 7.0000 | 196 | |||
| SHARP MX-B201D COPIER | 2012-04-17 | 1,437 | 683 | S/L | 5.0000 | 287 | |||
| SHARP MX-2310U COPIER | 2011-09-28 | 5,201 | 2,991 | S/L | 5.0000 | 1,040 | |||
| MODEL HOME-FURN & FIXTURES | 2012-07-26 | 46,623 | 14,153 | S/L | 7.0000 | 6,661 | |||
| BUILDING (MEADOWS) | 2014-12-31 | 3,104,311 | 56,382 | S/L | 39.0000 | 79,597 | |||
| FURN & EQUIPMENT (MEADOWS) | 2014-12-31 | 587,000 | 41,929 | S/L | 7.0000 | 83,857 | |||
| 2004 CHRYSLER 300 | 2014-12-31 | 5,000 | 500 | S/L | 5.0000 | 1,000 | |||
| 2000 FORD E450 VAN | 2014-12-31 | 8,000 | 800 | S/L | 5.0000 | 1,600 | |||
| 10 TON HEAT PUMP-MEADOWS | 2014-09-01 | 25,300 | 622 | S/L | 39.0000 | 648 | |||
| BEAUTY PARLOR FURN/EQUIP UPGRADES | 2015-04-08 | 2,030 | 145 | S/L | 7.0000 | 290 | |||
| SURFACE PRO 3 & NETWORK | 2015-04-22 | 12,253 | 1,225 | S/L | 5.0000 | 2,451 | |||
| IMPAIRMENT LOSS - CIP | 2012-09-01 | ||||||||
| 3 METAL SHELVES | 2001-08-08 | 245 | 245 | S/L | 10.0000 | ||||
| HP COMPUTER, PRINTER & SOFTWARE | 2000-02-01 | 1,314 | 1,314 | S/L | 5.0000 | ||||
| PIANO DISC CFX228 PLAYBACK SYSTEM | 2008-02-12 | 7,800 | 4,030 | S/L | 5.0000 | ||||
| LAUNDRY ROOM EQUIP - WATER HEATER | 2008-06-24 | 10,744 | 2,149 | S/L | 10.0000 | ||||
| CIP-JVT CAPITALIZED INTEREST | 2011-08-31 | 12,718 | |||||||
| CONSTRUCTION IN PROGRESS | 2011-08-31 | 850,979 | |||||||
| LAND (MEADOWS) | 2014-12-31 | 142,669 | |||||||
| CONSTRUCTION IN PROGRESS THE MEADOWS | 2016-08-31 | 22,812 | |||||||
| WINDOW TREATMENTS | 2016-07-31 | 54,884 | S/L | 7.0000 | 980 | ||||
| DINING ROOM CHAIRS | 2016-08-18 | 31,679 | S/L | 7.0000 | 566 | ||||
| FINANCE/MARKETING WORKSTATION | 2016-07-12 | 4,797 | S/L | 5.0000 | 120 | ||||
| MODEL ROOM 200 HALL | 2016-05-02 | 9,629 | S/L | 39.0000 | 72 | ||||
| NORTH LIVING ROOM FURNISHINGS | 2016-04-18 | 6,081 | S/L | 7.0000 | 326 | ||||
| 20834 & 20835 EQUIPMENT | 2016-08-25 | 7,556 | S/L | 5.0000 | 189 | ||||
| STAMPED PATIO AREA | 2016-05-11 | 12,278 | S/L | 15.0000 | 273 | ||||
| HAND RAILS | 2016-05-02 | 16,383 | S/L | 39.0000 | 123 | ||||
| LANDSCAPING FRONT ENTRANCE | 2016-06-21 | 2,085 | S/L | 15.0000 | 70 | ||||
| 200 WING RENOVATION PROJECT | 2016-08-16 | 13,879 | S/L | 39.0000 | 15 | ||||
| BASEBOARD INSTALLATION | 2016-08-31 | 11,705 | S/L | 39.0000 | 13 | ||||
| DINING ROOM CEILING REPLACEMENT | 2016-07-13 | 21,430 | S/L | 39.0000 | 69 | ||||
| FLOORING PROJECT | 2016-08-24 | 77,834 | S/L | 39.0000 | 83 | ||||
| 14970 & 14971 BUILDING IMPROVEMENT | 2016-08-25 | 27,630 | S/L | 39.0000 | 30 | ||||
| PARKING LOT & ENTRANCE PAVING | 2016-06-16 | 95,311 | S/L | 15.0000 | 1,059 | ||||
| FURNITURE | 2016-01-06 | 1,624 | S/L | 7.0000 | 145 |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE BONDS | 1,709,993 | 1,709,993 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE EQUITIES & MUTUAL FUNDS | 11,627,481 | 11,627,481 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| RESIDENTIAL DWELLINGS | 535,430 | 82,570 | 452,860 | 535,430 |
| LAND (RESIDENTIAL DWELLINGS) | 481,803 | 481,803 | 481,803 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| ACCRUED INTEREST RECEIVABLE | FMV | 25,242 | 25,242 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| FURNITURE/EQUIPMENT/VEHICLES | 831,801 | 172,702 | 659,099 | 831,801 |
| BUILDING | 3,405,658 | 137,712 | 3,267,946 | 3,405,658 |
| LAND | 142,669 | 142,669 | 142,669 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 1,998 | 1,998 |
| Item No. | 1 |
|---|---|
| Lender's Name | BANK OF AMERICA |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 1,380,840 |
| Date of Note | 2011-06 |
| Maturity Date | |
| Repayment Terms | MONTHLY |
| Interest Rate | 0.0277 |
| Security Provided by Borrower | INVESTMENTS |
| Purpose of Loan | REAL ESTATE ACQUISITION/DEVELOPMENT |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | JERSEY SHORE STATE BANK |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 3,100,000 |
| Balance Due | 3,050,511 |
| Date of Note | 2015-07 |
| Maturity Date | 1935-08 |
| Repayment Terms | MONTHLY |
| Interest Rate | 0.0396 |
| Security Provided by Borrower | REAL ESTATE & OTHER TANGIBLE ASSETS |
| Purpose of Loan | ACQUISITION OF PERSONAL CARE HOME |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| LOAN FEES | 13,858 | 13,858 | |
| ACCUMULATED AMORTIZATION - LOAN FEES | -116 | -808 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| RESIDENTIAL DWELLINGS | ||||
| REPAIRS & MAINTENANCE | 3,463 | 3,463 | ||
| INSURANCE | 2,906 | 2,906 | ||
| REAL ESTATE TAXES | 9,933 | 9,933 | ||
| MANAGEMENT FEE | 1,600 | 1,600 | ||
| UTILITIES | 27 | 27 | ||
| INVESTMENT DEPRECIATION | 35,714 | 35,714 | ||
| EXPENSES | ||||
| ADVERTISING | 101,492 | 101,492 | ||
| AUTOMOBILE EXPENSES | 3,103 | 3,103 | ||
| BANK FEES | 546 | 546 | ||
| COMPUTER MAINTENANCE & SOFTWA | 7,694 | 7,694 | ||
| CONTINUING EDUCATION | 2,411 | 2,411 | ||
| CRIMINAL BACKGROUND & DRUG TE | 452 | 452 | ||
| DECORATING CONSULTING FEES | 5,606 | 5,606 | ||
| DUES & SUBSCRIPTIONS | 325 | 325 | ||
| DRUGS & MEDICINES | 3,391 | 3,391 | ||
| EQUIPMENT RENTAL | 311 | 311 | ||
| EXECUTIVE COMMITTEE EXPENSES | 2,253 | 2,253 | ||
| FEASIBILITY STUDY | 4,313 | 4,313 | ||
| FIRE PROTECTION | 1,236 | 1,236 | ||
| FLOWERS & DECORATIONS | 6,942 | 6,942 | ||
| FOOD SERVICE | 143,340 | 143,340 | ||
| GARBAGE REMOVAL | 4,180 | 4,180 | ||
| INSURANCE | 64,561 | 5,729 | 58,832 | |
| JANITORIAL SUPPLIES | 14,539 | 14,539 | ||
| LAUNDRY & LINEN | 26,856 | 26,856 | ||
| LICENSES | 86 | 86 | ||
| MAINTENANCE SUPPLIES | 18,162 | 18,162 | ||
| MOVING & STORAGE EXPENSE | 1,641 | 1,641 | ||
| NURSING SUPPLIES | 1,367 | 1,367 | ||
| OFFICE SUPPLIES | 13,046 | 13,046 | ||
| PAYROLL SERVICE | 2,560 | 2,560 | ||
| PEST CONTROL | 1,478 | 1,478 | ||
| POSTAGE & COURIERS | 744 | 744 | ||
| REPAIRS & MAINTENANCE | 103,766 | 103,766 | ||
| RESIDENT ENTERTAINMENT | 2,773 | 2,773 | ||
| TELEPHONE | 6,376 | 6,376 | ||
| UTILITIES & CABLE | 108,097 | 108,097 | ||
| WEBSITE DESIGN & MAINTENANCE | 480 | 480 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| PERSONAL CARE FACILITY | 1,424,731 | 1,424,731 |
| Description | Amount |
|---|---|
| EXCESS TAX DEPRECIATION OVER BOOK DEPRECIATION | 16,195 |
| UNREALIZED GAIN ON INVESTMENTS HELD | 374,804 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| REFUNDABLE DEPOSITS | 4,700 | 3,500 |
| ACCRUED INTEREST | 3,543 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PORTFOLIO MANAGEMENT FEES | 90,246 | 90,246 | ||
| PENSION PLAN ADMINISTRATION FEE | 1,459 | 1,459 | ||
| MANAGEMENT FEES | 163,579 | 163,579 | ||
| ENGINEERING FEE | 988 | 988 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES ON DIVIDENDS | 10,682 | 10,682 |