| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FIDELITY ACCOUNT | AT COST | 5,427,636 | 6,182,410 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Cash Surrender Value of Life Insurance Policy | 156,000 | ||
| Annuity | 680,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Investment Management | 19,425 | 19,425 | 0 | |
| Miscellaneous | 1,381 | 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 | 117,965 | 26,188 | 117,965 |
| Annuity Income - American Gen Life Ins Company | 110,762 | 110,762 | 110,762 |
| Description | Amount |
|---|---|
| adjustment to basis of assets | 8,854 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| michigan Annual Report | 20 | 0 | 20 | |
| PAYROLL TAXES | 3,528 | 1,514 | 1,514 | |
| Foreign Taxes | 2,697 | 2,697 | 0 | |
| Form 990-PF Estimate June 30, 2016 | 6,296 | 0 | 0 |