| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION | 2,660 | 2,660 |
| 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 |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| SEE ATTACHED STATEMENT | 12,718,736 | 13,652,938 |
| Description | Amount |
|---|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OFFICE SUPPLIES | 34 | 17 | 17 | |
| PORTFOLIO DEDUCTIONS FROM K-1 | 9,466 | 9,466 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ROYALTY INCOME | 1,271 | 1,271 | |
| PASS-THROUGH ENTITY INCOME | 141 | 141 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT FEES | 27,121 | 27,121 |
| Name | Address |
|---|---|
| HOLIDAY HOME HEALTH CARE CORPORATIO |
1202 W BUENA VISTA ROAD EVANSVILLE,IN47710 |
| HOLIDAY VILLAGE RETIREMENT COMMUNIT |
1202 W BURENA VISTA ROAD EVANSVILLE,IN47710 |
| LARRY AND SHARON DUNIGAN |
1202 W BUENA VISTA ROAD EVANSVILLE,IN47710 |
| 3-D CORPORATION |
1202 W BUENA VISTA ROAD EVANSVILLE,IN47710 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 90 | 90 | ||
| FEDERAL EXCISE TAX | 2,327 | |||
| ESTIMATED TAX PAYMENTS | 6,520 |