| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROFESSIONAL FEES | 8,200 |
| 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 DEPRECIATION | 1,191 | ||||||||
| BUILDING ADDITION | 1987-06-30 | 10,532 | 10,296 | S/L | 31.5000 | 236 | |||
| POWER LINES | 1987-06-30 | 1,326 | 1,296 | S/L | 31.5000 | 30 | |||
| BUILDING ADDITION | 1987-06-30 | 162 | 158 | S/L | 31.5000 | 4 | |||
| BUILDING ADDITION | 1992-06-30 | 500 | 315 | S/L | 31.5000 | 185 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| WELLS FARGO 6743 | 2017-03 | PURCHASE | 2018-02 | 1,124,555 | 1,132,520 | -7,965 | ||||
| WELLS FARGO 6743 | 2015-04 | PURCHASE | 2018-02 | 321,840 | 240,839 | 81,001 | ||||
| WELLS FARGO 6714 | 2010-07 | PURCHASE | 2018-06 | 150,307 | 148,140 | 2,167 | ||||
| WELLS FARGO 0783 | 2017-10 | PURCHASE | 2018-02 | 1,210,720 | 1,185,582 | 25,138 | ||||
| WELLS FARGO 0783 | 2014-01 | PURCHASE | 2018-02 | 212,042 | 128,687 | 83,355 | ||||
| NORTH AMERICAN COMPANY | 2012-09 | PURCHASE | 2018-07 | 797,408 | 590,810 | 206,598 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| BROKAGE ACCOUNTS |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| AFFILIATION AGREEMENT EQUITY | AT COST |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDINGS | 12,520 | 12,520 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT LEGAL FEES | 5,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| PATIENT CARE | 405 | |||
| SUPPLIES | 896 | |||
| OFFICE EXPENSE | 100 | |||
| ADMINISTRATION | 50,814 | |||
| MEDICATONS/DIETARY | 55,321 | |||
| KITCHEN SUPPLIES | 1,146 | |||
| PATIENT ACTIVITIES | 1,339 | |||
| INSURANCE | 2,165 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| SALES TAX RE-IMBURSMENT | 95 | 95 |