| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| accounting and tax preparation | 4,250 | 0 | 1,939 | 2,311 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| air conditioning unit-Ada | 1999-07-31 | 6,975 | 6,456 | SL | 20.0000 | 320 | |||
| sprinkler system-ada's | 2000-04-17 | 28,298 | 15,158 | SL | 33.0000 | 786 | |||
| building - Ada's | 1995-01-01 | 476,044 | 360,537 | SL | 33.0000 | 13,223 | |||
| enclose furnaces-ada's | 2006-03-13 | 1,000 | 592 | SL | 20.0000 | 46 | |||
| hvac (north)-ada's | 2006-01-27 | 13,000 | 7,746 | SL | 20.0000 | 596 | |||
| hvac (south)-ada's | 2006-03-23 | 13,000 | 7,638 | SL | 20.0000 | 596 | |||
| build out 2 rooms-ada | 2008-10-01 | 14,400 | 3,413 | SL | 39.0000 | 338 | |||
| HVAC-ADA | 2011-11-30 | 14,995 | 4,562 | SL | 20.0000 | 687 | |||
| bath fans-ADA | 2011-11-30 | 6,356 | 5,524 | SL | 7.0000 | 832 | |||
| furnaces (2)-ADA | 2011-11-30 | 5,402 | 1,643 | SL | 20.0000 | 248 | |||
| improvements-ADA | 2011-11-30 | 85,322 | 13,310 | SL | 39.0000 | 2,005 | |||
| air conditioner-ada's | 2016-05-18 | 5,142 | 209 | SL | 39.0000 | 121 | |||
| roof-ada's | 2017-02-24 | 4,616 | 99 | SL | 39.0000 | 108 | |||
| paving | 2017-04-28 | 25,000 | 1,667 | SL | 10.0000 | 2,292 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| US corporate stocks & mutual funds | 906,983 | 906,983 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| investment cash | AT COST | 400 | 400 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| Furniture and Fixtures | 7,976 | 7,976 | 500 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| legal fees | 1,500 | 0 | 684 | 816 |
| Item No. | 1 |
|---|---|
| Lender's Name | howard foltz jr |
| Lender's Title | president |
| Original Amount of Loan | 5000 |
| Balance Due | 5000 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | cash flow |
| Description of Lender Consideration | none |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| Employee Advance | 353 | 353 | 353 |
| Description | Amount |
|---|---|
| net book value of assets donated | 288,970 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| bank charge | 86 | 39 | 47 | |
| contract staff | 16,320 | 7,445 | 8,875 | |
| food | 534 | 244 | 290 | |
| insurance | 10,002 | 4,563 | 5,439 | |
| miscellaneous | 571 | 260 | 311 | |
| office expense | 208 | 95 | 113 | |
| other | 2,545 | 1,161 | 1,384 | |
| program materials and activities | 1,298 | 592 | 706 | |
| security | 54 | 25 | 29 | |
| self insured unemployment compensation | 21,534 | 9,824 | 11,710 | |
| telephone | 1,984 | 905 | 1,079 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| transitional housing fees | 29,880 | 29,880 |
| Description | Amount |
|---|---|
| fair market value of asset donated | 335,000 |
| non dividend distributions | 1,880 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| Rounding | 1 |
| Borrower's Name | Relationship to Insider | Original Amount of Loan | Balance Due | Date of Note | Maturity Date | Repayment Terms | Interest Rate | Security Provided by Borrower | Purpose of Loan | Description of Lender Consideration | Consideration FMV |
|---|---|---|---|---|---|---|---|---|---|---|---|
| john gremling | none | 360,000 | 283,164 | 2016-04 | 2023-10 | 7 year land contract | 400.00 % | real estate | purchase of real estate |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| investment fees | 979 | 979 | 447 | 532 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| foreign tax paid | 251 | 251 | 115 | 136 |
| net investment income tax | 1,398 |