| Item No. | 1 |
|---|---|
| Lender's Name | CHARLES B SULLIVAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 850 |
| Balance Due | 850 |
| Date of Note | 2011-04 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | FORM 1023 APPLICATION FEE |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | CHARLES B SULLIVAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 500 |
| Balance Due | 500 |
| Date of Note | 2011-12 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | PROVIDE FUNDS |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 3 |
|---|---|
| Lender's Name | CHARLES B SULLIVAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 300 |
| Balance Due | 300 |
| Date of Note | 2013-11 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | PROVIDE FUNDS |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 4 |
|---|---|
| Lender's Name | CHARLES B SULLIVAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 551 |
| Balance Due | 551 |
| Date of Note | 2015-01 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | PROVIDE FUNDS |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 5 |
|---|---|
| Lender's Name | CHARLES B SULLIVAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 375 |
| Balance Due | 375 |
| Date of Note | 2016-01 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | PROVIDE FUNDS |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 6 |
|---|---|
| Lender's Name | CHARLES B SULLIVAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 300 |
| Balance Due | 300 |
| Date of Note | 2016-01 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | PROVIDE FUNDS |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 7 |
|---|---|
| Lender's Name | CHARLES B SULLIVAN |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 500 |
| Balance Due | 500 |
| Date of Note | 2017-04 |
| Maturity Date | |
| Repayment Terms | |
| Interest Rate | |
| Security Provided by Borrower | |
| Purpose of Loan | PROVIDE FUNDS |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| BANK FEES | 36 |