| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting Fee | 1,250 | 0 | 0 | 1,250 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
HOPE AND HELP FOR HADLY & HAVYN |
PO BOX 511 CARTERVILLE,IL62918 |
2016-03-15 | 1,000 | GENERAL SUPPORT | 1,000 | 0 | 03/15/16 | 2016-03-15 | To the knowledge of the grantor, the grantee has not diverted any portion of the funds from the purpose of the grant. |
|
Hurst Community Action Program |
PO BOX 128 HURST,IL62949 |
2015-12-11 | 500 | AID TO UNDERPRIVILEGED INDIVIDUALS - COATS FOR KIDS PROGRAM | 500 | 0 | 12/11/15 | 2015-12-11 | TO THE KNOWLEDGE OF THE GRANTOR, THE GRANTEE HAS NOT DIVERTED ANY PORTION OF THE FUNDS FROM THE PURPOSE OF THE GRANT. |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Land | ||||
| Building | 0 | |||
| LeasholdImprovement | 0 | |||
| Equipment | 0 | |||
| Other | 0 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Land | ||||
| Building | 0 | |||
| LeasholdImprovement | 0 | |||
| Equipment | 0 | |||
| Other | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Legal Fee | 16 | 0 | 0 | 16 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Bank Charges | 18 | 18 | 0 | 0 |
| Business Registration Fee | 115 | 0 | 0 | 115 |