| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| S. Michael Fiorino, CPA, LLC Tax prep fees | 0 | 0 | 0 |
| Category | Amount |
|---|---|
| None | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 3CLOGIC, SERIES A-1 PREFERRED | 185,000 | 185,000 |
| Securities - publicly traded | 0 | 0 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Core Capital & Novak Biddle Venture Partners | 0 | 0 | |
| Forcefive Partners, LLC | 51 | 51 |
| Item No. | 1 |
|---|---|
| Lender's Name | DENIS SEYNHAEVE |
| Lender's Title | n/a |
| Original Amount of Loan | |
| Balance Due | 100000 |
| Date of Note | |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | 0.02760000 |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV | 75000 |
| Description | Amount |
|---|---|
| Capital losses, net | 46,331 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Novak Biddle (K-1) | 99 | 99 | 99 | |
| Miscellaneous | 225 | 225 | 225 |
| Description | Amount |
|---|---|
| Miscellaneous | 7 |
| Name of 501(c)(3) Organization | Balance Due |
|---|---|
|
FORCEFIVE PARTNERS LLC |
375,000 |