| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting | 3,350 | 0 | 3,350 |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Debt Securities | 303,551 | 287,587 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| Equity Securities | 731,276 | 869,531 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Variable Annuity | AT COST | 500,000 | 459,131 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Penalties | 13 | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Investment Management | 14,386 | 14,386 | 0 |
| Name | Address |
|---|---|
| Thomas Hayward |
1223 Spring Street 901 Seattle,WA98104 |
| Colleen Hayward |
6934 55th Ave S Seattle,WA98118 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Excise tax on investment income | 1,867 | 1,867 | 0 | |
| Foreign taxes paid | 921 | 921 | 0 |