| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Tax Return Preparation Fees | 750 | 0 | 0 | 750 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| General Explanation Supplemental Information for Form 990-PF |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Merck & Co Inc | FMV | 27,330 | 27,330 |
| Altria Group Inc. | FMV | 30,235 | 30,235 |
| Dodge & Cox Intl Stock Fund | FMV | 66,315 | 66,315 |
| Kraft Foods Inc | FMV | 8,967 | 8,967 |
| Philip Morris Intl | FMV | 44,200 | 44,200 |
| Express Scripts | FMV | 43,449 | 43,449 |
| Mondelez Intl. Inc. | FMV | 15,971 | 15,971 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Bank Charges | 61 | 61 |
| Description | Amount |
|---|---|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Excise Taxes | 97 | 97 |