| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION FEE (NON-ALLOC | 750 | 750 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2015-01-02 | 14,950 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S GEAR AVENUE; W BURLINGTON, IA 52655-1679 | NO | 1/2/2015 12:00:00 AM | 2015-01-02 | PAYMENT IS USED FOR PURPOSE INTENDED | |
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2015-01-02 | 29,901 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S GEAR AVENUE, W. BURLINGTON, IA 52655-1679 | NO | 1/2/2015 12:00:00 AM | 2015-01-02 | PAYMENT IS USED FOR PURPOSE INTENDED | |
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2015-04-01 | 14,950 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S. GEAR AVENUE, W. BURLINGTON, IA 52655-1679 | NO | 4/1/2015 12:00:00 AM | 2015-04-01 | PAYMENT IS USED FOR PURPOSE INTENDED | |
|
F ALBERT KLEIN TRUST UNDER WILL C/O US BANK NA |
201 JEFFERSON BURLINGTON,IA526015250 |
2015-04-01 | 29,901 | FOR SUPPORT OF GREAT RIVER MEDICAL CENTER 1221 S. GEAR AVENUE, W. BURLINGTON, IA 52655-1679 | NO | 4/1/2015 12:00:00 AM | 2015-04-01 | PAYMENT IS USED FOR PURPOSE INTENDED |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| APPLE INC | 115,633 | 126,312 |
| CISCO SYS INC | 75,844 | 97,758 |
| ORACLE CORPORATION | 34,005 | 32,877 |
| BED BATH & BEYOND INC | ||
| EMC CORPORATION | 125,025 | 111,708 |
| PRUDENTIAL FINANCIAL INC | 156,926 | 150,609 |
| QUALCOMM INC | ||
| VERIZON COMMUNICATIONS INC |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| NUVEEN HIGH INC BD FD I | AT COST | 198,412 | 157,022 |
| AMER CENT EQUITY INC CL INSTL | AT COST | 92,226 | 108,117 |
| NUVEEN REAL ESTATE SEC FD CL I | AT COST | 13,785 | 20,126 |
| NEUBERGER BERMN GENESIS INSTL | AT COST | 109,337 | 138,667 |
| T ROWE PRIC MID CAP GRW FD #64 | AT COST | 131,266 | 180,065 |
| ABERDEEN FDS EMRGN MKT INSTL | AT COST | 154,243 | 127,035 |
| LAUDUS INTL MKMSTRS FD SEL | AT COST | 249,800 | 266,301 |
| EATON VANCE GLOBAL MAC FD CL I | AT COST | 197,566 | 185,115 |
| NUVEEN CORE PLUS BOND I | AT COST | 59,761 | 59,099 |
| NUVEEN PREFERRED SECS FD #1969 | AT COST | 137,774 | 135,767 |
| OPPENHEIMER SR FLOAT RATE Y | AT COST | 247,677 | 224,642 |
| TCW EMERGING MARKETS INC FD | AT COST | 228,497 | 182,804 |
| OAKMARK GLOBAL FD CL I #1674 | AT COST | 216,224 | 203,059 |
| OPPENHEIMER DEV MKTS FDS CL Y | AT COST | 199,453 | 164,643 |
| PARNASSUS EQ INC FD INSTL CL | AT COST | 141,071 | 145,827 |
| ROBECO BOSTON PRTNRS LS RSRCH | AT COST | 105,395 | 118,812 |
| VANGUARD EQ INC ADM #565 | AT COST | 134,305 | 143,268 |
| FIDELITY INVT TR AD INTL DISCI | AT COST | 162,021 | 162,661 |
| T ROWE PRICE MID CAP VALUE FD | AT COST | 141,063 | 111,342 |
| VOYA INTERNATIONAL REAL ESTATE | AT COST | 67,500 | 61,378 |
| DOUBLELINE TOTAL RET BD I | AT COST | 245,000 | 240,704 |
| FEDERATED INST HI YLD BD FD | AT COST | 232,865 | 206,070 |
| GOLDMAN SACHS COMM STRAT INS | |||
| CNOOC LTD A D R | AT COST | 26,066 | 20,876 |
| LYONDELLBASELL INDUSTRIES CL A | AT COST | 126,348 | 143,385 |
| VALE SA SP A D R | AT COST | 86,783 | 21,056 |
| ALIBABA GROUP HOLDING LTD A D | AT COST | 104,310 | 101,588 |
| ARCHER DANIELS MIDLAND CO | AT COST | 196,597 | 146,720 |
| CAUSEWAY EMERGING MARKETS INST | AT COST | 135,000 | 106,973 |
| CORNING INC | AT COST | 84,780 | 82,260 |
| GLENMEDE SC EQUITY PORT ADV | AT COST | 181,686 | 173,566 |
| JOHN HANCOCK II GL ABS RE I | AT COST | 30,000 | 27,685 |
| MOSAIC CO THE | AT COST | 72,879 | 46,903 |
| PRINCIPAL GL R E SEC INS | AT COST | 28,465 | 26,371 |
| PRUDENTIAL SHORT DUR HI YLD IN | AT COST | 220,000 | 208,265 |
| UNUM GROUP | AT COST | 83,297 | 76,567 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| ACCRUED INCOME | -194 | -194 |
| Description | Amount |
|---|---|
| ACCRUED INC ADDED TO MONEY MARKET FUND | 12,541 |
| COST BASIS ADJUSTMENT | 511 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADR FEES | 185 | 0 | 185 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 2,437 | 2,437 | 0 | |
| FEDERAL TAX PAYMENT - PRIOR YE | 18 | 0 | 0 | |
| FEDERAL ESTIMATES - PRINCIPAL | 5,228 | 0 | 0 | |
| FOREIGN TAXES ON NONQUALIFIED | 218 | 218 | 0 |