| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| Transamerica Principium III Variable Annuity | 90,559 | 156,338 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Licenses/fees | 25 | |||
| Bank fees | 90 | |||
| Supplies | 28 |