| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FGMK LLC | 6,000 | 0 | 6,000 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FIDELITY ACCOUNT | AT COST | 8,861,684 | 8,515,067 |
| Description | Amount |
|---|---|
| ADJUSTMENT TO BASIS OF ASSETS | 11,228 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT MANAGEMENT | 29,511 | 29,511 | 0 | |
| MISCELLANEOUS | 332 | 166 | 166 | |
| LIFE INSURANCE PREMIUM | 40,000 | 0 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| ANNUITY INCOME - LAFAYETTE LIFE INS CO | 26,188 | 26,188 | 26,188 |
| ANNUITY INCOME - AMERICAN GEN LIFE INS COMPANY | 110,762 | 110,762 | 110,762 |
| Description | Amount |
|---|---|
| PRINCIPAL PAYMENT RECEIVED ON ANNUITY | 91,777 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MICHIGAN ANNUAL REPORT | 20 | 0 | 20 | |
| PAYROLL TAXES | 2,992 | 1,496 | 1,496 | |
| FOREIGN TAXES | 2,398 | 2,398 | 0 | |
| 990-PF PAYMENTS | 15,031 | 0 | 0 |