| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT ACCOUNTING FEES | 4,250 | 4,250 |
| Description of Amortized Expenses | Date Acquired, Completed, or Expended | Amount Amortized | Deduction for Prior Years | Amortization Method | Current Year Amortization | Net Investment Income | Adjusted Net Income | Total Amount of Amortization |
|---|---|---|---|---|---|---|---|---|
| LOAN CLOSING COSTS | 2012-02-08 | 2,439 | 962 | 15.0000 | 163 | 1,125 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| BUILDING 8125 US 19 | 2012-02-08 | 101,796 | 15,335 | S/L | 39.0000 | 2,610 | |||
| LAND | 2012-02-08 | 88,204 | |||||||
| BUILDING IMPROVEMENTS | 2012-03-01 | 14,173 | 2,105 | S/L | 39.0000 | 363 | |||
| FURNITURE | 2012-06-15 | 1,594 | 1,492 | 200DB | 7.0000 | 68 | |||
| SECURITY SYSTEM-THRIFT STORE | 2012-12-12 | 578 | 534 | 200DB | 7.0000 | 29 | |||
| DESK | 2010-10-15 | 439 | 439 | 200DB | 7.0000 | ||||
| AUDIO EQUIPMENT | 2011-01-31 | 161 | 161 | 200DB | 7.0000 | ||||
| VIDEO CAMERA | 2011-09-09 | 230 | 230 | 200DB | 7.0000 | ||||
| PROJECTOR & SCREENS | 2011-10-07 | 267 | 267 | 200DB | 7.0000 | ||||
| BUILDING-KENTUCKY | 2013-11-14 | 70,000 | 7,404 | S/L | 39.0000 | 1,795 | |||
| LAND-KENTUCKY | 2013-11-14 | 20,000 | |||||||
| 1989 FORD BOX TRUCK | 2013-02-22 | 5,508 | 5,191 | 200DB | 5.0000 | 317 | |||
| LAND-8131 US HWY 19 | 2013-04-15 | 132,509 | |||||||
| SHED | 2014-10-14 | 1,198 | 987 | 200DB | 7.0000 | 60 | |||
| SHED | 2014-10-23 | 1,198 | 987 | 200DB | 7.0000 | 60 | |||
| 2010 FORD E-150 VAN | 2014-10-14 | 13,625 | 10,829 | 200DB | 5.0000 | 1,491 | |||
| 2000 HOLIDAY RAMBLER MOTOR HOME | 2014-11-04 | 20,000 | 13,925 | 200DB | 5.0000 | 1,975 | |||
| COMMUNITY CENTER-KY | 2015-02-26 | 112,255 | 8,156 | S/L | 39.0000 | 2,878 | |||
| COMPUTER EQUIPMENT | 2015-06-18 | 23,477 | 13,210 | 200DB | 7.0000 | 2,934 | |||
| DENTAL EQUIPMENT FOR BUS | 2015-06-17 | 44,958 | 25,297 | 200DB | 7.0000 | 5,618 | |||
| BLDG IMPR-KY WELLNESS CTR | 2017-06-15 | 43,801 | 608 | S/L | 39.0000 | 1,123 | |||
| DENTAL CHAIR-SCHOOL RD 1 OF 2 | 2017-12-01 | 2,870 | 2,870 | 200DB | 7.0000 | ||||
| DENTAL CHAIR-SCHOOL RD 2 OF 2 | 2017-12-01 | 2,870 | 2,870 | 200DB | 7.0000 | ||||
| DENTAL CHAIR-SCHOOL ROAD 1 OF 3 | 2017-12-04 | 2,870 | 2,870 | 200DB | 7.0000 | ||||
| DENTAL CHAIR-SCHOOL ROAD 2 OF 3 | 2017-12-04 | 2,870 | 2,870 | 200DB | 7.0000 | ||||
| DENTAL CHAIR-SCHOOL RD 3 OF 3 | 2017-12-04 | 2,870 | 2,870 | 200DB | 7.0000 | ||||
| STATIM STERILIZER | 2017-08-22 | 1,200 | 664 | 200DB | 7.0000 | 153 | |||
| FOLDING CHAIRS | 2017-12-31 | 2,138 | 2,138 | 200DB | 7.0000 | ||||
| FLOORING-KY COMM CTR | 2017-07-26 | 2,496 | 1,382 | 200DB | 7.0000 | 318 | |||
| CARPET -SCHOOL ROAD DENTAL CLINIC | 2017-09-27 | 1,000 | 554 | 200DB | 7.0000 | 127 | |||
| FLOORING-SCHOOL ROAD DENTAL CLINIC | 2017-10-24 | 5,669 | 5,669 | 200DB | 7.0000 | ||||
| LEASEHOLD IMPR-SCHOOL RD DENTAL CLINIC | 2017-11-15 | 14,016 | 14,016 | S/L | 15.0000 | ||||
| SIGN-SCHOOL ROAD CLINIC | 2017-12-12 | 2,070 | 2,070 | 200DB | 7.0000 | ||||
| REFURBISHED AUTOCLAVE FOR DENTAL BUS | 2017-04-07 | 1,350 | 241 | 200DB | 7.0000 | 317 | |||
| LHI KY WELLNESS | 2018-07-01 | 17,371 | S/L | 39.0000 | 223 | ||||
| LHI NPR CLINIC | 2018-07-01 | 14,035 | S/L | 39.0000 | 180 | ||||
| COMPUTER EQUIPMENT | 2018-07-01 | 5,430 | S/L | 7.0000 | 388 | ||||
| DENTAL EQUIPMENT | 2018-07-01 | 13,123 | S/L | 7.0000 | 937 | ||||
| OFFICE EQUIPMENT | 2018-07-01 | 29,338 | S/L | 7.0000 | 2,096 | ||||
| FURNITURE & FIXTURES | 2018-07-01 | 4,568 | S/L | 7.0000 | 326 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDINGS & EQUIPMENT | 586,991 | 175,891 | 411,100 | 411,100 |
| 240,713 | 240,713 | 240,713 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT LEGAL FEES | 1,464 | 1,464 |
| Item No. | 1 |
|---|---|
| Lender's Name | FLAGSHIP COMMUNITY BANK LOAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | |
| Balance Due | 122,947 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| 475 | 475 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| ADVERTISING | 15,001 | 15,001 | ||
| AUTOMOBILE EXPENSES | 17,127 | 17,127 | ||
| BANK CHARGES | 475 | 475 | ||
| CONTRIBUTIONS | 3,150 | 3,150 | ||
| DUES & SUBSCRIPTIONS | 2,254 | 2,254 | ||
| MISCELLANEOUS | 2,420 | 2,420 | ||
| INSURANCE | 9,397 | 9,397 | ||
| MEALS | 21,278 | 21,278 | ||
| MERCHANT FEES | 123 | 123 | ||
| SUPPLIES | 40,000 | 40,000 | ||
| TELEPHONE AND CABLE | 6,643 | 6,643 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| PAYROLL LIABILITIES | 1,369 | 2,861 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| DENTAL CONSULTIONG | 66,578 | 66,578 | ||
| DENTAL SERVICES | 25,967 | 25,967 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 716 | 716 |