| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| JAD CONSULTING, LLC | 8,800 | 4,400 | 4,400 |
| Category | Amount |
|---|---|
| NOT APPLICABLE | 0 |
| 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 |
|---|
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 20,000 SHS FORD MTR CR CO LLC | 19,910 | 19,823 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 434 SHS OF VISA INC COM CL A | 49,485 | 65,139 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| SEE SCHEDULE 1 | AT COST | 387,329 | 401,135 |
| ALLIANZ LIFE INS CO OF NY | AT COST | 213,421 | 220,288 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FILING FEE - NYS DEPT OF LAW | 100 | 100 | ||
| PUBLICATION FEE | 155 | 155 | ||
| NONDIVIDEND DISTRIBUTION | 131 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| AMERICAN SERVICE GROUP |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT FEES | 7,810 | 7,810 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXCISE TAX | 5,224 |