| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting | 16,100 | 0 | 0 | 16,100 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Fixed equipment - BT | 2010-06-30 | 218,685 | 198,859 | SL | 10.000000000000 | 5,451 | 0 | 5,451 | |
| Major moveable equipment - BVF | 2010-06-30 | 457,862 | 310,267 | SL | 10.000000000000 | 30,600 | 0 | 30,600 | |
| Land improvements - BT | 2010-06-30 | 91,933 | 67,078 | SL | 20.000000000000 | 3,451 | 0 | 3,451 | |
| Building - BVF | 2008-06-30 | 1,418,783 | 472,507 | SL | 20.000000000000 | 68,317 | 0 | 68,317 | |
| Major moveable equipment - BT | 2010-06-30 | 4,642 | 2,657 | SL | 10.000000000000 | 309 | 0 | 309 | |
| Building improvements - BT | 2010-06-30 | 33,309 | 9,367 | SL | 10.000000000000 | 3,053 | 0 | 3,053 | |
| Land improvements - BVF - 5538 East Lake Road - Erie, PA | 2010-06-30 | 78,616 | 36,287 | SL | 20.000000000000 | 9,662 | 0 | 9,662 | |
| Building - BVF - 5544 East Lake Road | 2011-09-01 | 111,796 | 21,429 | SL | 20.000000000000 | 5,590 | 5,590 | 0 | |
| Land - BVF - 5544 East Lake Road | 2011-09-01 | 51,251 | L | 0 | 0 | 0 | |||
| Building - BVF - 5538 East Lake Road - Erie, PA | 2012-07-01 | 45,954 | 6,894 | SL | 20.000000000000 | 2,298 | 2,298 | 0 | |
| Land - BVF - 5538 East Lake Road - Erie, PA | 2012-07-01 | 26,273 | L | 0 | 0 | 0 | |||
| Building - 294 Cambridge Road - Erie, PA | 2014-07-01 | 119,362 | 5,968 | SL | 20.000000000000 | 5,968 | 5,968 | 0 | |
| Land - 294 Cambridge Road - Erie, PA | 2014-07-01 | 21,719 | L | 0 | 0 | 0 | |||
| Building - 208 Fischer Road - Erie, PA | 2014-08-01 | 135,003 | 6,187 | SL | 20.000000000000 | 6,750 | 6,750 | 0 | |
| Building adj - BVF - 5538 East Lake Road - Erie, PA | 2014-07-01 | 73,728 | 4,095 | SL | 18.000000000000 | 4,096 | 4,096 | 0 | |
| Land - 208 Fischer Road - Erie, PA | 2014-08-01 | 29,635 | L | 0 | 0 | 0 | |||
| Building COMM - BVF - 208 Fisher/294 Cambridge - Erie, PA | 2015-07-01 | 2,050 | SL | 18.000000000000 | 109 | 109 | 0 | ||
| Furnace - 294 Cambridge | 2015-12-10 | 2,458 | SL | 15.000000000000 | 96 | 96 | 0 | ||
| Roof - 208 Fisher Drive | 2016-06-01 | 3,405 | SL | 15.000000000000 | 0 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Corporate stocks | 419,323 | 419,323 |
| Healthcare Ventures Alliance, Inc. | 74,277 | 74,277 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Building - BVF - 5544 East Lake Road | 111,796 | 27,019 | 84,777 | 84,777 |
| Land - BVF - 5544 East Lake Road | 51,251 | 0 | 51,251 | 51,251 |
| Building - BVF - 5538 East Lake Road - Erie, PA | 45,954 | 9,192 | 36,762 | 36,762 |
| Land - BVF - 5538 East Lake Road - Erie, PA | 26,273 | 0 | 26,273 | 26,273 |
| Building - 294 Cambridge Road - Erie, PA | 119,362 | 11,936 | 107,426 | 107,426 |
| Land - 294 Cambridge Road - Erie, PA | 21,719 | 0 | 21,719 | 21,719 |
| Building - 208 Fischer Road - Erie, PA | 135,003 | 12,937 | 122,066 | 122,066 |
| Building adj - BVF - 5538 East Lake Road - Erie, PA | 73,728 | 8,191 | 65,537 | 65,537 |
| Land - 208 Fischer Road - Erie, PA | 29,635 | 0 | 29,635 | 29,635 |
| Building COMM - BVF - 208 Fisher/294 Cambridge - Erie, PA | 2,050 | 109 | 1,941 | 1,941 |
| Furnace - 294 Cambridge | 2,458 | 96 | 2,362 | 2,362 |
| Roof - 208 Fisher Drive | 3,405 | 0 | 3,405 | 3,405 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Common equity funds | FMV | 524,143 | 524,143 |
| Common fixed income funds | FMV | 416,532 | 416,532 |
| Money market | FMV | 61,518 | 61,518 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Fixed equipment - BT | 218,685 | 204,310 | 14,375 | 14,375 |
| Major moveable equipment - BVF | 457,862 | 340,867 | 116,995 | 116,995 |
| Land improvements - BT | 91,933 | 70,529 | 21,404 | 21,404 |
| Building - BVF | 1,418,783 | 540,824 | 877,959 | 877,959 |
| Major moveable equipment - BT | 4,642 | 2,966 | 1,676 | 1,676 |
| Building improvements - BT | 33,309 | 12,420 | 20,889 | 20,889 |
| Land improvements - BVF - 5538 East Lake Road - Erie, PA | 78,616 | 45,949 | 32,667 | 32,667 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal | 2,786 | 0 | 0 | 2,786 |
| Item No. | 1 |
|---|---|
| Lender's Name | Northwest Savings Bank |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 500,000 |
| Balance Due | 111,000 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | Demand |
| Interest Rate | |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Operations |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | Northwest Savings Bank |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 100,000 |
| Balance Due | 87,108 |
| Date of Note | 2012-07 |
| Maturity Date | 2032-07 |
| Repayment Terms | Monthly |
| Interest Rate | 4.500000000000 |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Real estate |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 3 |
|---|---|
| Lender's Name | Northwest Savings Bank |
| Lender's Title | |
| Relationship to Insider | Financial institution |
| Original Amount of Loan | 100,000 |
| Balance Due | 94,120 |
| Date of Note | 2014-08 |
| Maturity Date | 2034-09 |
| Repayment Terms | Monthly |
| Interest Rate | 4.400000000000 |
| Security Provided by Borrower | Various assets |
| Purpose of Loan | Real estate |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Resident funds | 11,420 | 10,843 | 10,843 |
| Affiliated entities receivable | 9,655,192 | 10,467,490 | 10,467,490 |
| Description | Amount |
|---|---|
| Unrealized depreciation in investments - PNC Bank | 17,276 |
| Unrealized depreciation in investments - Mellon Bank | 55,073 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Food | 9,620 | 0 | 0 | 9,620 |
| Other supplies | 22,185 | 0 | 0 | 22,185 |
| Insurance | 6,324 | 0 | 0 | 6,324 |
| Office expense | 33,687 | 0 | 0 | 33,687 |
| Investment fees | 16,246 | 16,246 | 0 | 0 |
| Fundraising expenses | 13,096 | 0 | 13,096 | 0 |
| Supplies | 7 | 7 | 0 | |
| Other fees | 600 | 600 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| Outreach meals | 12,665 | 12,665 | |
| Management fees | 713,036 | 713,036 | |
| Financial service fees | 428,016 | 428,016 | |
| Transportation income | 4,748 | 4,748 | |
| Beauty shop income | 11,616 | 11,616 | |
| Telephone income | 43,706 | 43,706 | |
| Internet income | 9,731 | 9,731 | |
| Miscellaneous | 6,564 | 6,564 | |
| Vending | 5,177 | 5,177 | |
| Educational income | 733 | 733 | |
| Wedding income | 625 | 625 | |
| Gross Income from Special Fundraising Events | 16,546 | 16,546 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| Accrued payroll and payroll withholdings | 641,774 | 417,745 |
| Resident funds | 11,420 | 10,843 |
| Affiliated entities payables | 3,869,026 | 4,512,126 |
| Security deposit | 4,350 | 5,050 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Other professional fees | 1,117 | 0 | 0 | 1,117 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Payroll | 48,995 | 0 | 0 | 48,995 |
| Federal excess income tax | 1,899 | 1,899 | 0 | 0 |