| Item No. | 1 |
|---|---|
| Lender's Name | JAMES STAFFORD |
| Lender's Title | DIRECTOR |
| Original Amount of Loan | 23500 |
| Balance Due | 18500 |
| Date of Note | 2016-03 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | 0 |
| Security Provided by Borrower | |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| CREDIT CARD AND ACH FEES | 0 | 0 | 2,615 | 0 |
| ADVERTISING | 0 | 0 | 3,685 | 0 |
| BANK CHARGES | 0 | 0 | 650 | 0 |
| LICENSES & PERMITS | 0 | 0 | 41 | 0 |
| COMPUTER EXPENSES | 0 | 0 | 820 | 0 |
| EDUCATION & TRAINING | 0 | 0 | 5,698 | 0 |
| DUES & SUBSCRIPTIONS | 0 | 0 | 1,267 | 0 |
| EXECUTIVE DIRECTOR STIPEND | 0 | 0 | 9,000 | 0 |
| HOLIDAY GIFTS | 0 | 0 | 4,550 | 0 |
| WEBISTE & INTERNET COSTS | 0 | 0 | 7,453 | 0 |
| OFFICE EXPENSES | 0 | 0 | 8,578 | 0 |
| MEDICAL RECORDS & SUPPLIES | 0 | 0 | 1,859 | 0 |
| PROFESSIONAL FEES | 0 | 0 | 2,000 | 0 |
| REPAIRS & MAINTENANCE | 0 | 0 | 317 | 0 |
| COUNSELING FEES | 0 | 0 | 215,877 | 0 |
| TELEPHONE | 0 | 0 | 1,985 | 0 |
| CHARITABLE GIFTS | 0 | 0 | 1,285 | 0 |
| LIABILITY INSURANCE | 0 | 0 | 457 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| CAREFIRST OF MD | 0 | 0 | 22,203 |
| CAREFIRST BLUECHOICE | 0 | 0 | 33,554 |
| GROUP HOSPITALIZATION | 0 | 0 | 78,258 |
| JOHNS HOPKINS HEALTHCARE | 0 | 0 | 13,204 |
| AETNA LIFE INSURANCE | 0 | 0 | 4,862 |
| WISCONSIN PHYSICIANS | 0 | 0 | 10,568 |
| UNITED HEALTHCARE | 0 | 0 | 18,207 |
| UNITED BEHAVIORAL HEALTH | 0 | 0 | 2,060 |
| GOVERNMENT EMPLOYEES HEALTH | 0 | 0 | 1,515 |
| VALUEOPTIONS FEDERAL SERVICES | 0 | 0 | 3,420 |
| BEACON HEALTH OPTIONS | 0 | 0 | 2,422 |
| CAREFIRST ADMINISTRATORS | 0 | 0 | 5,406 |
| EXCELLUS HEALTH PLAN | 0 | 0 | 664 |
| MD ELECTRICAL INDUSTRY HEALTH | 0 | 0 | 1,135 |
| ALLEGIANCE BENEFIT PLAN | 0 | 0 | 842 |
| CURALINC LLC | 0 | 0 | 720 |
| COMPSYCH CORPORATION | 0 | 0 | 1,890 |
| FIRST DATA REPORTING SERVICES | 0 | 0 | 26,773 |
| FIRST DATA REPORTING SERVICES | 0 | 0 | 58,598 |
| MISCELLANEOUS INCOME | 0 | 0 | 33,916 |
| Description | Amount |
|---|---|
| HEALTH PAYMENTS | 26,095 |