| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Deposit on Insurance Policy | AT COST | 159,721 | 159,721 |
| deposit | AT COST | 1,000 | 1,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| fees | 145 | 0 | 0 | 0 |
| misc | 12 | 0 | 0 | 0 |