| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 26,300 | 6,575 | 19,725 |
| 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 |
|---|
| 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 |
|---|---|---|---|---|---|---|---|---|---|
|
SEE ATTACHED STATEMENT 1 |
|
NO |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 5,740 | 5,141 |
| Description | Amount |
|---|---|
| PRIOR PERIOD ADJUSTMENTS | 14,633 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BUSINESS FEES | 336 | 336 | ||
| FILING FEES | 13 | 13 | ||
| OFFICE EXPENSES | 776 | 776 | ||
| INSURANCE EXPENSES | 2,647 | 2,647 | ||
| PAYROLL FEES | 1,087 | 1,087 | ||
| MEALS AND ENTERTAINMENT | 75 | 75 | ||
| EMPLOYEE BENEFITS | 47 | 47 | ||
| WORKERS COMPENSATION INSURANCE | 186 | 186 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| PAYROLL TAX LIABILITY | 260 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 4,142 | 4,142 |