| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Structured Investment Option Account | FMV | 40,000 | 41,791 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Annual Registration Fee | 50 | |||
| CA Filing Fee | 10 | |||
| Office Expense | 200 |