| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| CBIZ MHM | 26,000 | 13,000 | 13,000 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| SEE STATEMENT A ATTACHED | 4,157,005 | 4,157,005 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| SEE STATEMENT A ATTACHED | FMV | 10,841,884 | 10,841,884 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 12,561 | 6,280 | 6,281 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CONTRIBUTIONS RECEIVABLE | 1,636,023 | 2,317,203 | 2,317,203 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT FEES | 98,549 | 98,549 | 0 | |
| STATE FILING FEES | 725 | 0 | 725 | |
| OTHER EXPENSES | 178 | 0 | 0 |
| Description | Amount |
|---|---|
| UNREALIZED GAIN/LOSS ON INVESTMENTS | 1,232,551 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| 2017 ESTIMATED TAXES | 15,000 | 0 | 0 | |
| 2017 EXTENSION | 5,000 | 0 | 0 | |
| 2016 BALANCE DUE | 570 | 0 | 0 |