| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FGMK LLC | 5,200 | 2,600 | 2,600 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FIDELITY ACCOUNT | AT COST | 5,559,597 | 6,543,698 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CASH SURRENDER VALUE OF LIFE INSURANCE POLICY | 0 | 0 | 156,600 |
| ANNUITY | 0 | 0 | 760,000 |
| Description | Amount |
|---|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PENSION RESEARCH INSTITUTE - INVESTMENT MGT | 26,278 | 26,278 | 0 | |
| MISCELLANEOUS | 199 | 0 | 0 | |
| LIFE INSURANCE PREMIUM | 80,000 | 0 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY INCOME - LAFAYETTE LIFE INS CO | 26,188 | 26,188 | 26,188 |
| ANNUITY INCOME - AMERICAN GEN LIFE INS COMPANY | 110,762 | 110,762 | 110,762 |
| FORM 990-PF EXCISE TAX REFUND | 860 | 860 | 860 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHIGAN ANNUAL REPORT | 30 | 0 | 0 | |
| PAYROLL TAXES | 2,377 | 0 | 0 | |
| FOREIGN TAXES | 2,794 | 2,794 | 0 |