| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROFESSIONAL FEES | 3,157 | 3,157 | 0 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| INVESTMENT - ARVEST BANK | AT COST | 16,337 | 16,337 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| NONDIVIDEND DISTRIBUTIONS | 59 | 59 | 0 |
| Description | Amount |
|---|---|
| CHANGE IN UNREALIZED GAIN/LOSS | 236 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AGENCY FEES | 1,384 | 1,384 | 0 |
| Name | Address |
|---|---|
| RAND PATTI BERNEY |
4332 TERAVISTA CLUB DRIVE 18 ROUND ROCK,TX78665 |
| ALLI JASON BERNEY |
1070 HIDDEN VALLEY ROAD COLORADO SPRINGS,CO80919 |
| LANDON KRISTEN CURD |
2609 CLAREMONT DR BARTLESVILLE,OK74006 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES PAID | 44 | 0 | 0 |