| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 96,467 | 0 | 96,467 | 0 |
| TAX PREPARATION | 6,929 | 2,310 | 2,310 | 2,309 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| OTHER INVESTMENTS | AT COST | 8,040,033 | 7,729,031 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 23,590 | 44 | 23,546 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| BASIS OF LIFE INSURANCE INVESTMENT | 27,971 | 27,971 | 27,971 |
| DIVIDEND RECEIVABLE | 25,422 | 108 | 108 |
| INTEREST RECEIVABLE | 3 | 3 | 3 |
| POLICY VALUE OF LIFE INSURRANCE INVESTMENT | 59,563 | 59,563 | 59,563 |
| PREPAID INCOME TAX | 5,402 | 5,402 | 5,402 |
| Description | Amount |
|---|---|
| NON-DEDUCTIBLE CONTRIBUTIONS | 8,690 |
| BOOK TAX DIFFERENCE AVISTA K-1 | 57,871 |
| BOOK TAX DIFFERENCE NORTHERN TIER ENERGY K-1 | 17 |
| BOOK TAX DIFFERENCE PIMCO ONSHORE K-1 | 16,033 |
| NON-DEDUCTIBLE DUES | 1,583 |
| BOOK TAX DIFFERENCE PREMIER BLACKSTONE ENERGY K-1 | 3,137 |
| LIFE INSURANCE | 28,497 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OFFICE EXPENSE | 56,707 | 0 | 56,707 | 0 |
| TELEPHONE | 15,179 | 0 | 15,179 | 0 |
| ADVERTISING | 35,830 | 0 | 35,830 | 0 |
| EMPLOYEE RECRUITMENT | 32,261 | 0 | 32,261 | 0 |
| DUES & LICENSE | 12,785 | 0 | 12,785 | 0 |
| STAFF EDUCATION | 23,454 | 0 | 23,454 | 0 |
| BUSINESS TRAVEL | 7,654 | 0 | 7,654 | 0 |
| WORKMENS COMPENSATION | 80,643 | 0 | 80,643 | 0 |
| SUPPLIES | 220,948 | 0 | 220,948 | 0 |
| DIETARY | 216,135 | 0 | 216,135 | 0 |
| UTILITIES | 197,124 | 0 | 197,124 | 0 |
| INCONTENENT CARE | 1,041 | 0 | 1,041 | 0 |
| REPAIRS & MAINTENANCE | 148,904 | 0 | 148,904 | 0 |
| SNF SUPPLIES & THERAPIES | 258,337 | 0 | 258,337 | 0 |
| INSURANCE | 44,397 | 0 | 44,397 | 0 |
| INVESTMENT FEES | 36,772 | 36,772 | 0 | 0 |
| LINEN AND BEDDING | 1,308 | 0 | 1,308 | 0 |
| BUSINESS EXPENSE | 2,007 | 0 | 2,007 | 0 |
| PURCHASED SERVICES | 2,232 | 0 | 2,232 | 0 |
| MISCELLANEOUS | 5 | 3 | 2 | 0 |
| MANAGEMENT FEE | 38,869 | 19,435 | 19,434 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| NET INVESTMENT INCOME FROM K-1 ACTIVITIES | 67,006 | 67,006 | 67,006 |
| MSSB - CAPITAL GAIN DISTRIBUTIONS | 48,376 | 48,376 | 48,376 |
| NURSING HOMES | 4,662,760 | 4,662,760 | |
| ASSISTED LIVING | 734,956 | 734,956 | |
| OTHER | 13,555 | 13,555 |
| Description | Amount |
|---|---|
| ADDITIONAL BOOK DEPRECIATION IN EXCESS OF TAX DEPRECIATION | 12,278 |
| BOOK TAX DIFFERENCE PIMCO OFFSHORE K-1 | 17,863 |
| ACCRUED VACATION | 2,304 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| DEPOSITS | 53,775 | 46,140 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NURSING HOME MANAGEMENT & OTHER | 207,782 | 0 | 207,782 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL | 186,321 | 0 | 186,321 | 0 |
| PROPERTY | 118,230 | 0 | 118,230 | 0 |
| EXCISE TAX ON INVESTMENT | 0 | 0 | 0 | 0 |